ABSTRACT
Introducción: El 70-85% de la poblacion general sufre dolor lumbar. Se ha demostrado que los programas de Escuela de Columna son eficaces para el tratamiento de la lumbalgia cronica. El taping podria ser util para disminuir el dolor y normalizar la funcion muscular. El objetivo de este estudio fue evaluar la eficacia a corto y a largo plazo del taping combinado con la Escuela de Columna en el tratamiento de la lumbalgia cronica. Materiales y Métodos: Ensayo clinico controlado aleatorizado. El grupo experimental utilizo cinta (tape) y realizo Escuela de Columna, y el grupo de control solo realizo Escuela de Columna. Al comienzo y al final del tratamiento, se registraron el dolor con la escala analogica visual, la flexibilidad con el Modified Finger Tip-to-Floor Test y la funcionalidad con el Roland Morris Disability Questionnaire. Solo al inicio se midio la depresion con el Beck Depression Inventory. Resultados: Se incluyeron 220 pacientes, solo 42 del grupo experimental y 33 del grupo de control completaron el tratamiento. El delta de dolor entre la primera y la quinta sesion no mostro diferencias entre los grupos, independientemente del tiempo (p = 0,329). Tampoco hubo diferencias entre los grupos en las determinaciones de depresion, funcionalidad (p = 0,75) y flexibilidad (p = 0,20). Conclusión: El taping combinado con Escuela de Columna comparado con el tratamiento exclusivo de Escuela de Columna no resulto mas eficaz para disminuir el dolor, aumentar la funcionalidad y la flexibilidad en los pacientes con lumbalgia cronica.
Introduction: From 70% to 85% of the general population suffers from back pain. Back School programs have been effective in the treatment of chronic low back pain. Taping may be useful in reducing pain and normalizing muscle function. The objective of this study was to evaluate the short- and long-term effectiveness of combining taping with Back School. Methods: Randomized controlled clinical trial. The experimental group used tape and made Back School and the control group only made Back School. At the beginning and the end of treatment, pain was evaluated with a visual analogue scale, the flexibility was determined with the Modified Finger Tip-to-Floor Test and functionality was calculated with the Roland Morris Disability Questionnaire. Depression was recorded with the Depression Beck Inventory just at the beginning. Results: Two hundred and twenty patients were enrolled, only 42 in the experimental group and 33 in the control group completed the treatment. Pain variation between the first and the fifth session showed no differences between groups regardless of time (p = 0.329). There were no differences between groups in functionality (p = 0.75), flexibility (p = 0.20) and depression. Conclusion: The combination of taping and Back School compared with only Back School was not more effective in reducing pain, increasing functionality and flexibility in patients with chronic low back pain.
Subject(s)
Humans , Athletic Tape , Low Back Pain , Physical Therapy Modalities , Combined Modality Therapy , Bandages , Randomized Controlled Trials as TopicABSTRACT
Introducción y objetivos: El Dizziness Handicap Inventory es una herramienta útil para cuantificarla autopercepción de la discapacidad en pacientes con vértigo, mareo o inestabilidad y su impacto en actividades de la vida diaria. El Dizziness Handicap Inventory identifica problemas de orden funcional, físico y emocional relacionados con trastornos del equilibrio. Nuestro objetivo es realizar la adaptación cultural y validación del Dizziness Handicap Inventory al castellano argentino a partir de la versión española. Métodos: Se incluyeron personas sanas y pacientes con vértigo, mareo o inestabilidad, de 18 a 85 años, argentinos nativos capaces de comprender castellano. Sobre la versión española se realizaron modificaciones lingüísticas y culturales para obtenerla versión argentina. Esta versión se administró a un grupo de 108 pacientes, 2 veces, en un lapso de 24 a 72 h. Se evaluó consistencia interna, confiabilidad test-retest y validez de constructo a través de: Escala Visual Análoga, Romberg, Romberg en tándem y marcha en tándem. Resultados: Se encontró una alta consistencia interna (Alfa=0,87), y muy alta confiabilidad testretest del Dizziness Handicap Inventory total (coeficiente de correlación intraclase: 0,98) y sus subescalas. Se encontraron correlaciones significativas entre Romberg y el Romberg en tándemcon el Dizziness Handicap Inventory total y la subescala funcional. La subescala emocional mostró una correlación significativa cuando se comparó con Romberg y Romberg en tándem ojos abiertos (p < 0,05).Conclusiones: La versión argentina del Dizziness Handicap Inventory mostró ser una herramienta confiable y válida para cuantificar la autopercepción de la discapacidad debida a vértigo, mareo o inestabilidad(AU)
Introduction and objectives: The Dizziness Handicap Inventory is a useful tool for quantifying self-perceived handicap in patients with vertigo, dizziness or unsteadiness and its impact on daily living activities. The Dizziness Handicap Inventory identifies functional, physical and emotional disorders related to balance disturbance. Our objective was to cross-culturally adapt the Peninsular Spanish version of the Dizziness Handicap Inventory for use in Argentina and validate the adapted Argentinian version. Methods: We included both healthy subjects and patients with vertigo, dizziness or unsteadiness, aged 18 to 85 years, native Spanish-speaking Argentinians. We introduced linguistic and cultural modifications to the Peninsular Spanish version to obtain the Argentinian one. This version was given twice to 108 patients, 24 to 72 h apart. Internal consistency, test-retest reliability and construct validity were assessed using a visual analogue scale, the Romberg test, the tandem Romberg test and the tandem gait test. Results: We found high internal consistency (Alfa=0.87) and very high test-retest reliability for the total Dizziness Handicap Inventory score (intraclass correlation coefficient: 0.98) and its subscales. The total Dizziness Handicap Inventory and the functional subscale were found to correlate significantly with the Romberg and tandem Romberg tests. The emotional subscales howed a significant correlation with the Romberg test and the eyes-open tandem Romberg test(P<.05)Conclusions: The Argentinian version of the Dizziness Handicap Inventory proved to be a reliable and valid tool to quantify self-perceived handicap resulting from vertigo, dizziness or unsteadiness(AU)
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Aged, 80 and over , Disability Evaluation , Vertigo/complications , Vertigo/diagnosis , Self Concept , Dizziness/complications , Dizziness/diagnosis , Cultural Factors , Statistics on Sequelae and Disability , International Classification of Functioning, Disability and Health , Cultural Characteristics , Cross-Cultural Comparison , Surveys and Questionnaires , 28599ABSTRACT
INTRODUCTION AND OBJECTIVES: The Dizziness Handicap Inventory is a useful tool for quantifying self-perceived handicap in patients with vertigo, dizziness or unsteadiness and its impact on daily living activities. The Dizziness Handicap Inventory identifies functional, physical and emotional disorders related to balance disturbance. Our objective was to cross-culturally adapt the Peninsular Spanish version of the Dizziness Handicap Inventory for use in Argentina and validate the adapted Argentinian version. METHODS: We included both healthy subjects and patients with vertigo, dizziness or unsteadiness, aged 18 to 85 years, native Spanish-speaking Argentinians. We introduced linguistic and cultural modifications to the Peninsular Spanish version to obtain the Argentinian one. This version was given twice to 108 patients, 24 to 72 h apart. Internal consistency, test-retest reliability and construct validity were assessed using a visual analogue scale, the Romberg test, the tandem Romberg test and the tandem gait test. RESULTS: We found high internal consistency (α=0.87) and very high test-retest reliability for the total Dizziness Handicap Inventory score (intraclass correlation coefficient: 0.98) and its subscales. The total Dizziness Handicap Inventory and the functional subscale were found to correlate significantly with the Romberg and tandem Romberg tests. The emotional subscale showed a significant correlation with the Romberg test and the eyes-open tandem Romberg test (P<.05) CONCLUSIONS: The Argentinian version of the Dizziness Handicap Inventory proved to be a reliable and valid tool to quantify self-perceived handicap resulting from vertigo, dizziness or unsteadiness.
