ABSTRACT
Achilles tendinopathy (AT) is one of the most frequent overuse injuries in the ankle. The evidence base for its conservative management AT continues to evolve, but there is still a gap in the evidence for the efficacy of any modality of treatment in high-quality studies. This systematic review and meta-analysis investigated the efficacy of EE in improving pain and function in adult patients with mid-portion Achilles tendinopathy compared to other forms of exercise. A search was performed in PubMed, BIREME, SportDiscus, Cinahl, Web of Science and PEDro, in November 2022. The methodological quality was evaluated using the Risk of Bias 2 tool (RoB2) of the Cochrane collaboration, and the meta-analysis was performed using the Review Manager 5.1 program. 2024 articles were identified and eight fulfilled the inclusion criteria. RoB2 presented a final score with 62.5% of the studies presented "some concerns", and 37.5% (five and three articles, respectively) presenting "high risk" of bias. EE was effective for the managment of AT. The only variable for which a meta-analysis was possible was pain (five articles), analysed with the visual analogue scale/numerical visual scale. The mean difference (MD) in treatment effect using EE was - 1.21 (- 2.72 to - 0.30) with a 95% of confidence interval (CI), thus identifying a significant positive effect for the improvement of pain in patients with AT in whom EE was used. EE is effective in the management of AT. The meta-analysis shows the need for appropriately powered randomized controlled trials with better design, the use of standard outcome measures and well-planned protocols for conservative management of AT.Level of evidence: Level 1.Registration: CRD42018118016.
ABSTRACT
PURPOSE: Several questionnaires have been used for functional evaluation. They must be translated and adapted transculturally, these instruments need to be valid, reliable, and sensitive according to the population. This review identified the questionnaires which were adapted transculturally in Brazilian Portuguese, to verify the methodological quality. METHODS: A search was performed in the PubMed, BIREME, SportDiscus, SciELO, Scopus, Science Direct, and Web of Science. The methodological quality was evaluated by the COnsensus-based Standards for Health Measurement INstruments (COSMIN) Risk of Bias checklist. For cross-cultural translation and adaptation studies, the properties of measurement of structural validity, internal consistency (IC), cross-cultural validity, reliability, measurement error, and criterion validity were analyzed. RESULTS: A total of 4564 articles were found; 10 fulfilled the inclusion criteria. The psychometrics properties verified were IC; criterion validity; reproducibility; floor/ceiling effect and responsiveness. Criterion validity was the best criterion evaluated. The main failures were related to sample size, and the most deficient properties were IC, reliability, and error of measure. CONCLUSIONS: The studies verified presented "inadequate" final score using COSMIN. Although specific questionnaires for ankle evaluation have been cross culturally validated in Brazilian Portuguese, their methodological quality was generally low, as verified through the analysis of their psychometric properties. IMPLICATIONS FOR REHABILITATION The questionnaires which were cross culturally adapted to Brazilian Portuguese were shown to be of low methodological quality. In using them careful consideration needs to be given to the psychometrics of each measure. Caution should be exercised in making clinical decisions drawn from the results.
Subject(s)
Ankle , Cross-Cultural Comparison , Brazil , Humans , Psychometrics , Reproducibility of Results , Surveys and Questionnaires , TranslationsABSTRACT
Atualmente percebe-se a preocupação por parte da comunidade acadêmica em geral em desvendar quais são os fatores que podem contribuir para o desempenho acadêmico de universitários. Sendo assim, o objetivo deste estudo foi analisar quali-quantitativamente a produção científica na área da saúde acerca do desempenho acadêmico e, verificar os fatores apontados por esses estudos que influenciam no rendimento de universitários. Foram consultadas quatro bases de dados (LILACS, MEDLINE/Pubmed, Bireme e SciELO), utilizando os descritores: "conhecimento/knowledge", "atitude/attitude" e "formação acadêmica/curriculum", todos esses descritores foram combinados com o termo "desempenho acadêmico/academic performance". Incluiu-se artigos científicos publicados em português, inglês e espanhol durante os anos de 2002 e 2014. No total, 2862 artigos foram encontrados, sendo 16 selecionados. Desses, 87% foram publicados na língua inglesa, 50% realizados com universitários do curso de Medicina, sendo que em 2013 houve o maior número de artigos publicados (50%), com maior concentração de artigos no continente asiático (62,5%). Por fim, identificou-se que entre os fatores positivamente correlacionados, a motivação intrínseca foi a maior responsável pelo sucesso acadêmico. Percebeu-se que diversos fatores influenciam no desempenho acadêmico de universitários e as pesquisas tem tido um aumento significativo na produção e veiculação do conhecimento, embora não tenha sido encontrados estudos nacionais que abordem tal temática. Por fim, este estudo almejou promover o estímulo a outras iniciativas na investigação dos diferentes motivos que podem contribuir para que os discentes, ao ingressarem na IES, pública ou privada, tenham êxito na compreensão e detenção de conhecimento, sendo capaz de repassá-lo à sua futura atuação profissional.(AU)
Currently we see the concern on the part of the academic community in general to unveil what are the factors that can contribute to the academic performance of students. Thus, the aim of this study was to analyze qualitative and quantitative scientific production in health care about the academic performance and verify the factors identified by these studies that influence the performance of students. Four databases were consulted (LILACS, MEDLINE / PubMed, BIREME, SciELO) using the key words: "knowledge / knowledge", "attitude / attitude" and "academic / curriculum," all of these descriptors were combined with the term " academic performance / academic performance. " Included up scientific articles published in Portuguese, English and Spanish during the years 2002 and 2014. A total of 2862 articles were found, 16 selected. Of these, 87% were published in English, 50% performed with the university medical school, and in 2013 was the largest number of published articles (50%), with the highest concentration of articles in Asia (62.5%) . Finally, it was found that among the factors positively correlated, intrinsic motivation was the most responsible for academic success. It was noticed that several factors influence the academic performance of students and the research has had a significant increase in production and delivery of knowledge, although it was not found national studies that address this issue. Finally, this study craved promote stimulus to other initiatives in the investigation of different reasons that may contribute to the students, to join the IES, public or private, to succeed in understanding and possession of knowledge, being able to pass it on their future professional activities.(AU)
