RESUMEN
We report a review of Pubmed (Medline), CENTRAL, Web of Science, and Scopus to test the effectiveness of the combined application of repetitive transcranial magnetic stimulation and transcranial direct current stimulation in the improvement of different functional variables of the upper limb in people with stroke. Two independent reviewers assessed eligibility and evaluated the quality of the studies. Five articles were included in the final review according to the inclusion criteria: Most show statistically significant differences in motor function improvement in favor of the experimental group, but not in activity. Due to the heterogeneity of the observed studies, the results should be interpreted with caution-more high-quality studies are needed to investigate the effectiveness of these interventions in different stages of stroke patients.
Asunto(s)
Rehabilitación de Accidente Cerebrovascular , Estimulación Transcraneal de Corriente Directa , Estimulación Magnética Transcraneal , Extremidad Superior , Humanos , Extremidad Superior/fisiopatología , Estimulación Magnética Transcraneal/métodos , Estimulación Transcraneal de Corriente Directa/métodos , Rehabilitación de Accidente Cerebrovascular/métodos , Recuperación de la Función/fisiología , Accidente Cerebrovascular/terapia , Accidente Cerebrovascular/fisiopatología , Terapia CombinadaRESUMEN
OBJETIVOS: enumerar y describir las intervenciones llevadas a cabo por terapeutas ocupacionales, realizadas en población infantil que se encuentren ingresados en unidades de cuidados intensivos pediátricos o neonatales, recogidas en la literatura científica. METODOLOGÍA: se realizó una búsqueda bibliográfica en las bases de datos Scopus, Cochrane, Web of Science, OT Seeker, Pubmed, en la que se incluyeron: ensayos clínicos aleatorizados, casos y controles, estudios pretest-postest, diseños transversales, estudios de cohortes y estudios cualitativos, entre otros, durante los últimos 10 años. RESULTADOS: de 448 registros, 65 fueron sometidos a una revisión completa, de ellos, 19 cumplieron los criterios de inclusión y fueron analizados. CONCLUSIONES: la figura del terapeuta ocupacional está presente en las unidades de cuidados intensivos. Las principales intervenciones son: posicionamiento, alimentación, ferulaje, educación a los padres y modificación del entorno. Se necesitarían investigaciones futuras para perfilar debidamente el ámbito de actuación y contribuir a un aumento de la presencia de esta figura profesional
OBJECTIVE: List and describe the interventions performed by occupational therapists, make in children who are admitted to paediatric or neonatal intensive care units, included in the scientific literature. METHODOLOGY: A bibliographic search was performed on the Scopus, Cochrane, Web of Science, OT Seeker, Pubmed databases, which included works with the following designs: randomized clinical trial, cases and controls, pretest-postest studies, cross-sectional designs, cohort studies and qualitative studies, among others, in the last 10 years. RESULTS: 448 records, 66 were subjected to a full review, of which 19 studies met the inclusion criteria and were analysed. CONCLUSION: the occupational therapist figure is present in intensive care units. The main interventions performed by occupational therapists are: Positioning, eating and feeding, parent education and adapting and modifying environment. Finally, future research would be needed to properly outline the scope of action and contribute to an increase in the presence of this professional figure