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1.
Disabil Rehabil ; 38(13): 1300-8, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26474232

RESUMO

PURPOSE: To determine the short- and long-term effectiveness of the application of Clinical Pilates in addition to physical therapy versus a physical therapy treatment alone in a population of postmenopausal women with chronic low back pain (CLBP). METHODS: A single-blind randomized controlled trial with repeated measures and a follow-up period. One hundred and one patients were randomly allocated to a Pilates + physical therapy (PPT) group or to a physical therapy (PT) only group for six weeks. Pain and disability were measured by visual analog scale (VAS) and the Oswestry disability index respectively preintervention, after 6 weeks of treatment and after 1-year follow-up. RESULTS: There were significant differences between groups in pain and disability after 6 weeks of treatment, with better results in the PPT group with an effect size of d = 3.14 and d = 2.33 for pain and disability. After 1-year follow-up, only PPT group showed better results compared with baseline with an effect size of d = 2.49 and d = 4.98 for pain and disability. CONCLUSION: The results suggest that using Clinical Pilates in addition to physical therapy provides improved results on pain management and functional status for postmenopausal woman with CLBP and that its benefits still linger after one year. IMPLICATIONS FOR REHABILITATION: Chronic Low Back Pain could benefit from the Pilates practice in postmenopausal women. Improvement in pain and disability derived from CLBP seem to be maintained over time due to Pilates practice. Pilates constitutes a safe tool to be applied in older population with CLBP due to its ability to be adapted to every performance and physical level.


Assuntos
Técnicas de Exercício e de Movimento/métodos , Terapia por Exercício/métodos , Dor Lombar , Pós-Menopausa/fisiologia , Idoso , Dor Crônica , Avaliação da Deficiência , Feminino , Humanos , Dor Lombar/diagnóstico , Dor Lombar/terapia , Manejo da Dor/métodos , Medição da Dor/métodos , Tempo , Resultado do Tratamento
2.
Int J Sports Med ; 36(9): 754-60, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25969966

RESUMO

The objective of the present study was to determine the effectiveness of a 6-week balance training program on patients with Chronic Ankle Instability (CAI) in relation to the results obtained in Dynamic Balance, subjective feeling of instability and pain using a single-blind randomized controlled trial. 70 athletes were randomly assigned to control or intervention group. The control group performed their usual training, and the intervention group was administered the same usual activity in addition to a balance program. The paired t-test was performed to evaluate the change scores in each group. The t-test for independent samples was performed to evaluate between-group differences in change scores. Significance level was assigned for p-values less than 0.05 for all analyses. There were significant differences between groups in change scores in CAIT and all of the SEBTs reach distances (p<0.001) but not in Pain (p=0.586). The effect sizes were larger for the outcomes measures that showed significant differences. In the within-group change, the experimental groups showed larger effect sizes in CAIT, SEBT posteromedial and SEBT posterolateral, and moderate effect sizes in SEBT anterior. Exercise therapy training based on multi-station balance tasks led to significant improvements in dynamic balance and self-reported sensation of instability in patients with CAI.


Assuntos
Traumatismos do Tornozelo/complicações , Articulação do Tornozelo/fisiopatologia , Traumatismos em Atletas/complicações , Terapia por Exercício/métodos , Instabilidade Articular/terapia , Equilíbrio Postural , Entorses e Distensões/complicações , Adulto , Traumatismos do Tornozelo/terapia , Traumatismos em Atletas/terapia , Feminino , Humanos , Instabilidade Articular/diagnóstico , Instabilidade Articular/fisiopatologia , Masculino , Amplitude de Movimento Articular , Método Simples-Cego , Entorses e Distensões/terapia , Inquéritos e Questionários , Fatores de Tempo , Adulto Jovem
3.
Clin Rheumatol ; 32(1): 91-8, 2013 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-23053687

RESUMO

The Cumberland Ankle Instability Tool (CAIT) is a valid instrument to determine the presence of chronic ankle instability (CAI) and to assess its severity. Self-report test is very useful for researchers and clinical practice, and CAI is a widespread tool. Nevertheless, there is lack of measurement instruments validated into Spanish, which represents a major difficulty for research dealing with a Spanish-speaking population. The questionnaire was cross-culturally adapted into Spanish. The psychometric properties tested in the Spanish version of the CAIT were measured for internal consistency, test-retest reliability, construct validity, criterion validity, and responsiveness in 108 participants who were recruited from several fitness centers. The Spanish version of the CAIT had high internal consistency (Cronbach's α = 0.766) and reliability (intraclass correlation coefficient = 0.979, 95 % confidence interval (CI) = 0.958-0.990). Correlation with the 36-item Short-Form Health Survey (SF-36) physical component summary score (rho = 0.241, p = 0.012) was greater than the SF-36 mental component summary score (rho = -0.162, p = 0.094). The construct validity shows three different factors in the questionnaire and good responsiveness with a mean change of -2.43 (95 % CI = -3.12 to 1.73, p < 0.0001) and a size effect of Cohen's d = 1.07. The Spanish version of the CAIT has been shown to be a valid and reliable instrument for measuring chronic ankle instability and constitutes a useful instrument for the measurement of CAI in the clinical setting in Spain.


Assuntos
Articulação do Tornozelo/patologia , Comparação Transcultural , Instabilidade Articular/diagnóstico , Adulto , Articulação do Tornozelo/fisiopatologia , Doença Crônica , Cultura , Feminino , Nível de Saúde , Humanos , Instabilidade Articular/fisiopatologia , Instabilidade Articular/psicologia , Masculino , Psicometria , Reprodutibilidade dos Testes , Índice de Gravidade de Doença , Espanha , Inquéritos e Questionários
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