Revista Iberoamericana de Fisioterapia y Kinesiología最新文献

The distal radius fracture is a common clinical problem that mainly affects elderly women. The use of different modalities of physiotherapy has recently become a routine indication in rehabilitation process in these patients. A synthesis of the evidence is made using a Systematic Review of Randomized Clinical Trials.

Objective

Determine whether there is scientific evidence to support the physiotherapy interventions used in the rehabilitation of patients with distal radius fractures.

Search Strategy

Only Randomized Control Trials (RCTs) and Controlled Clinical Trials (CCCs) were included in the search. The databases used were MEDLINE, CINAHL, Central, EMBASE, PEDro and LILACS.

Results

A total of 9 papers that met our eligibility criteria were selected.

Conclusion

There is moderate evidence that low-intensity ultrasound accelerates bone healing. The evidence that a treatment program by a physical therapist is more effective than a home exercises program in the medium term is contradictory.

Objective

This study has aimed to determine the characteristic factors of pain in individuals with spinal cord injury.

Materials and methods

A total of 28 subjects with spinal cord injury, aged between 18 and 65 years, were enrolled in the study. They were interviewed and answered questions related to their pain experience from the time of injury. The interview covered aspects such as pain location, intensity, frequency, improvement and worsening factors, and impact of pain on activities of daily living.

Results

The results showed high prevalence (75%) of pain in the population. Chronic pain of moderate intensity characterized by patients as «burning», located in the thoracic-lumbar region, was the most prevalent. The majority (28.6%) of the patients indicated the sitting posture as the main factor of triggering and worsening the pain.

Conclusions

Pain is an experience faced by the majority of individuals with spinal cord injury. The sitting position for long periods, characteristic of wheelchair users, plays an important role in the development and worsening of pain in the opinion of patients. Its high frequency and intensity are enough to impair activities of daily living, this pointing to the need for studies that provide foundations for more effective treatment strategies.

Spasticity forms a part of the upper motor neuron syndrome and mostly affects children with cerebral palsy. Physiotherapy and drug treatment are among the therapeutic options for its treatment. However, the relationship between the physiotherapy approach and drug treatment of spasticity has not been well clarified in the literature yet.

Objective

This study has aimed to establish the influence of different drugs in the patient with spastic cerebral palsy and to propose physiotherapy intervention guidelines. Search strategy and selection of studies: a critical review was made of the literature in the main databases in English and Spanish.

Results

First, the definition of spasticity and how it evolves was up-dated. Next, the effects and applications of the most common drugs were analyzed. Finally, and based on the above-mentioned results, we set out a protocol within the context of the detection of needs and the elaboration of evaluable objectives agreed on with the patient and his/her family members.

This work has aimed to compare the effectiveness of treatment through physical therapy, isometric exercises and analytical techniques according to the Sohier method in the hip joint compared with physical therapy without using resets in a patient with recurrent muscle fiber strain of the rectus femoris.

The study subject was a 33-year old professional football player who was studied prior to and following the two treatment phases. The study included pain with the Visual Analog Scale (VAS), amplitude of the right hip joint through two manual goniometer arms and the Borg's perceived exertion scale (PES), using the modified rate of perceived exertion scale for active muscles (Borg's RPE Scale). Standing out among the results are reduction of pain in both phases (higher in phase 2) and increase and stabilization in quantity or quality of hip mobility in phase 2.

Introduction

Flexibility has been increasingly incorporated into discussions about physical activity and its prescription, creating the need for identifying the form of flexibility training that will increase catabolism of collagen in the locomotor system, thus forcing the conjunctive tissue to adapt and achieve the plastic phase of stretching.

Objective

This study has aimed to compare hydroxyproline (HP) levels among sedentary young people submitted to two types of stretchings: static stretching (SS) and proprioceptive neuromuscular facilitation (PNF).

Material and methods

The sample was randomly divided into PNF group (PG; n=15; age=22±3 years; BMI=24, 12±3.69); static stretching group (SG; n=15; age=23±4 years; BMI= 25±4.33) and control group (CG; n=15; age: 24±4 years; BMI: 23.91±3.09). Static stretching was done by passive straining during six seconds and PNF was done according to the hold-relax method. The intensity of each intervention was controlled with the Scale of Perceived Exertion in the Flexibility – PERFLEX.

Results

The study found satisfactory results: intra-group, in PG (Δ = 3.55 mg/24 h; p = 0.0001) and in SG (Δ= 3.47 mg/24 h; p=0.002) and inter-groups, between PG and CG (Δ = 2.43 mg/24 h; p = 0.018) and between SG and CG (Δ = 2.83 mg/24 h; p = 0.005), both favorable to the training groups. It was possible to infer that both forms of training obtained satisfactory results, increasing the level of HP, which leads to the conclusion that the results of this study do not allow us to state that one of these forms of training is more adequate than the other in regards to the prescription of which one would entail the lowest risk of injuries.

Objective

To analyze undergraduate education in physiotherapy in the Colombian territory based on supply, human resources, educational quality and scientific capacity.

Material and methods

We conducted a descriptive study of second-order research during the years 2009 and 2010. The educational offerings, admission standards and their relationship to drop-out rates and professional qualifications were analyzed. The quality of education and scientific capacity were taken from the science, technology and innovation program in Colombia.

Results

Of the 34 programs recorded, most were from Cundinamarca, Valle del Cauca and Santander. From 2002 to 2008, the number of students admitted increased from 10.944 to 14.500, this representing an annual increase of 10%. The average test score for quality of higher education was 97.0, this being slightly lower when compared to the years 2007 and 2008 (99.0 and 101.0, respectively). Scientific capacity indicators reveal 516 published articles. Undergraduates showed an average of five or fewer publications while there were more than 20 publications for those on the doctorate level.

Conclusions

An increase in the number of programs, number of admissions and low scientific capacity were reflected in this work. The minimum requirements of education to ensure professional excellence of future physiotherapies are topics that deserve in-depth discussion by the Ministry of Social Protection, the Ministry of Education, Physiotherapy and programs of scientific associations.

The incidence of complications of bone lengthening is increasingly less in the full recovery of these patients thanks to the multidisciplinary approach received, physiotherapy being a key element.

This study has aimed to determine the beneficial effects achieved by physiotherapy in bone lengthening procedures in relationship to range of motion and muscle tone and in the prevention of complications based on a case report.

Our patient who was diagnosed with lower limb dysmetria underwent tibial lengthening by gradual distraction from distracting external fixator. The monitoring performed evaluated joint range by means of manual goniometry, muscle tone scale by the Daniels scale, existence of lymphedema and limb length by measuring tape and perceived pain by the Visual Analog Scale. Standing out among the results are the full gain of joint range and prevention of equinus and secondary lymphedema.