Ejercicio terapéutico como tratamiento para el dolor crónico del raquis: revisión sistemática de ensayos clínicos aleatorizados / Therapeutic exercise as treatment for spinal chronic pain: systematic review of randomized clinical trials

Objetivo El objetivo de la presente revisión fue analizar y comparar la efectividad de distintos tipos de ejercicio terapéutico en personas con dolor crónico del raquis. Método La búsqueda de datos se realizó utilizando la base de datos electrónica MEDLINE. Se incluyeron ensayos clínicos aleatorizados, realizados en pacientes entre 18 y 65 años con dolor crónico en la región del raquis. Resultados Dos revisores independientes realizaron el análisis de la calidad metodológica utilizando la escala PEDro, siendo 13 los artículos finalmente seleccionados. Los diferentes tipos de ejercicio terapéutico tuvieron efectos significativos en la reducción del dolor, disminución de la discapacidad y mejora de la calidad de vida de los pacientes. Conclusiones Los resultados muestran que no hay una modalidad de ejercicio terapéutico superior a otras. La combinación de diferentes modalidades de ejercicio terapéutico podría resultar una herramienta completa para el manejo del dolor crónico en la columna (AU)

Objective The objective of the present review was to analyze and compare the effectiveness of different types of therapeutic exercise in people with chronic spinal pain. Methods Data search was conducted using the electronic database MEDLINE. Randomized clinical trials, conducted in patients between 18 and 65 years old with chronic pain in the spine region, were included. Results Two independent reviewers performed the analysis of methodological quality using the PEDro scale, with 13 studies finally selected. The different types of therapeutic exercise had significant effects on pain reduction, decrease of disability and improvement of the quality of life of the patients. Conclusions The results show that there is no modality of therapeutic exercise superior to others. The combination of different therapeutic exercise modalities could be a complete tool for the management of chronic pain in the spine (AU)

[Therapeutic exercise as treatment for spinal chronic pain: systematic review of randomized clinical trials]. / Ejercicio terapéutico como tratamiento para el dolor crónico del raquis: revisión sistemática de ensayos clínicos aleatorizados.

OBJECTIVE: The objective of the present review was to analyze and compare the effectiveness of different types of therapeutic exercise in people with chronic spinal pain. METHODS: Data search was conducted using the electronic database MEDLINE. Randomized clinical trials, conducted in patients between 18 and 65 years old with chronic pain in the spine region, were included. RESULTS: Two independent reviewers performed the analysis of methodological quality using the PEDro scale, with 13 studies finally selected. The different types of therapeutic exercise had significant effects on pain reduction, decrease of disability and improvement of the quality of life of the patients. CONCLUSIONS: The results show that there is no modality of therapeutic exercise superior to others. The combination of different therapeutic exercise modalities could be a complete tool for the management of chronic pain in the spine.