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1.
Extremophiles ; 22(3): 381-393, 2018 May.
Artículo en Inglés | MEDLINE | ID: mdl-29332141

RESUMEN

Molecular biology techniques were used to identify 218 fungi from soil samples collected from four islands of Antarctica. These consisted of 22 taxa of 15 different genera belonging to the Zygomycota, Ascomycota, and Basidiomycota. Mortierella, Antarctomyces, Pseudogymnoascus, and Penicillium were the most frequently isolated genera and Penicillium tardochrysogenum, Penicillium verrucosus, Goffeauzyma gilvescens, and Mortierella sp. 2 the most abundant taxa. All fungal isolates were cultivated using solid-state fermentation to obtain their crude extracts. Pseudogymnoascus destructans, Mortierella parvispora, and Penicillium chrysogenum displayed antiparasitic activities, whilst extracts of P. destructans, Mortierella amoeboidea, Mortierella sp. 3, and P. tardochrysogenum showed herbicidal activities. Reported as pathogenic for bats, different isolates of P. destructans exhibited trypanocidal activities and herbicidal activity, and may be a source of bioactive molecules to be considered for chemotherapy against neglected tropical diseases. The abundant presence of P. destructans in soils of the four islands gives evidence supporting that soils in the Antarctic Peninsula constitute a natural source of strains of this genus, including some P. destructans strains that are phylogenetically close to those that infect bats in North America and Europe/Palearctic Asia.


Asunto(s)
Antiprotozoarios/farmacología , Hongos/genética , Herbicidas/farmacología , Microbiota , Filogenia , Microbiología del Suelo , Allium/efectos de los fármacos , Regiones Antárticas , Antivirales/farmacología , Virus del Dengue/efectos de los fármacos , Hongos/clasificación , Hongos/aislamiento & purificación , Hongos/metabolismo , Lactuca/efectos de los fármacos , Trypanosoma cruzi/efectos de los fármacos , Virus Zika/efectos de los fármacos
2.
Mem. Inst. Oswaldo Cruz ; 112(10): 692-697, Oct. 2017. tab, graf
Artículo en Inglés | LILACS | ID: biblio-894841

RESUMEN

BACKGROUND Endophytic fungi, present mainly in the Ascomycota and Basidiomycota phyla, are associated with different plants and represent important producers of bioactive natural products. Brazil has a rich biodiversity of plant species, including those reported as being endemic. Among the endemic Brazilian plant species, Vellozia gigantea (Velloziaceae) is threatened by extinction and is a promising target to recover endophytic fungi. OBJECTIVE The present study focused on bioprospecting of bioactive compounds of the endophytic fungi associated with V. gigantea, an endemic, ancient, and endangered plant species that occurs only in the rupestrian grasslands of Brazil. METHODS The capability of 285 fungal isolates to produce antimicrobial and antimalarial activities was examined. Fungi were grown at solid-state fermentation to recover their crude extracts in dichloromethane. Bioactive extracts were analysed by chromatographic fractionation and NMR and displayed compounds with antimicrobial, antimycobacterial, and antimalarial activities. FINDINGS Five fungi produced antimicrobial and antimalarial compounds. Extracts of Diaporthe miriciae showed antifungal, antibacterial, and antimalarial activities; Trichoderma effusum displayed selective antibacterial activity against methicillin-resistant Staphylococcus aureus and Mycobacterium intracellulare; and three Penicillium species showed antibacterial activity. D. miriciae extract contained highly functionalised secondary metabolites, yielding the compound epoxycytochalasin H with high antimalarial activity against the chloroquine-resistant strain of Plasmodium falciparum, with an IC50 approximately 3.5-fold lower than that with chloroquine. MAIN CONCLUSION Our results indicate that V. gigantea may represent a microhabitat repository hotspot of potential fungi producers of bioactive compounds and suggest that endophytic fungal communities might be an important biological component contributing to the fitness of the plants living in the rupestrian grassland.


Asunto(s)
Plasmodium/efectos de los fármacos , Pruebas de Sensibilidad Microbiana , Magnoliopsida/clasificación , Magnoliopsida/microbiología , Hongos Mitospóricos/efectos de los fármacos , Bacterias Aerobias Gramnegativas/efectos de los fármacos , Bacterias Grampositivas/efectos de los fármacos , Antibacterianos/aislamiento & purificación , Antibacterianos/farmacología , Antifúngicos/aislamiento & purificación , Antifúngicos/farmacología , Antimaláricos/aislamiento & purificación , Antimaláricos/farmacología , Clima Tropical , Bioensayo , Candida/efectos de los fármacos , Endófitos/química
3.
Mem Inst Oswaldo Cruz ; 112(10): 692-697, 2017 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-28953997

RESUMEN

BACKGROUND: Endophytic fungi, present mainly in the Ascomycota and Basidiomycota phyla, are associated with different plants and represent important producers of bioactive natural products. Brazil has a rich biodiversity of plant species, including those reported as being endemic. Among the endemic Brazilian plant species, Vellozia gigantea (Velloziaceae) is threatened by extinction and is a promising target to recover endophytic fungi. OBJECTIVE: The present study focused on bioprospecting of bioactive compounds of the endophytic fungi associated with V. gigantea, an endemic, ancient, and endangered plant species that occurs only in the rupestrian grasslands of Brazil. METHODS: The capability of 285 fungal isolates to produce antimicrobial and antimalarial activities was examined. Fungi were grown at solid-state fermentation to recover their crude extracts in dichloromethane. Bioactive extracts were analysed by chromatographic fractionation and NMR and displayed compounds with antimicrobial, antimycobacterial, and antimalarial activities. FINDINGS: Five fungi produced antimicrobial and antimalarial compounds. Extracts of Diaporthe miriciae showed antifungal, antibacterial, and antimalarial activities; Trichoderma effusum displayed selective antibacterial activity against methicillin-resistant Staphylococcus aureus and Mycobacterium intracellulare; and three Penicillium species showed antibacterial activity. D. miriciae extract contained highly functionalised secondary metabolites, yielding the compound epoxycytochalasin H with high antimalarial activity against the chloroquine-resistant strain of Plasmodium falciparum, with an IC50 approximately 3.5-fold lower than that with chloroquine. MAIN CONCLUSION: Our results indicate that V. gigantea may represent a microhabitat repository hotspot of potential fungi producers of bioactive compounds and suggest that endophytic fungal communities might be an important biological component contributing to the fitness of the plants living in the rupestrian grassland.


Asunto(s)
Antibacterianos/farmacología , Antifúngicos/farmacología , Antimaláricos/farmacología , Endófitos/química , Magnoliopsida/microbiología , Antibacterianos/aislamiento & purificación , Antifúngicos/aislamiento & purificación , Antimaláricos/aislamiento & purificación , Bioensayo , Candida/efectos de los fármacos , Bacterias Gramnegativas/efectos de los fármacos , Bacterias Grampositivas/efectos de los fármacos , Magnoliopsida/clasificación , Pruebas de Sensibilidad Microbiana , Hongos Mitospóricos/efectos de los fármacos , Plasmodium/efectos de los fármacos , Clima Tropical
4.
Molecules ; 22(1)2017 Jan 21.
Artículo en Inglés | MEDLINE | ID: mdl-28117710

RESUMEN

Vellozia gigantea is a rare, ancient, and endemic neotropical plant present in the Brazilian Rupestrian grasslands. The dichloromethane extract of V. gigantea adventitious roots was phytotoxic against Lactuca sativa, Agrostis stolonifera, and Lemna paucicostata, and showed larvicidal activity against Aedes aegypti. Phytotoxicity bioassay-directed fractionation of the extract revealed one new isopimaradiene, 8(9),15-isopimaradien-1,3,7,11-tetraone, and three new cleistanthane diterpenoids, 7-oxo-8,11,13-cleistanthatrien-3-ol, 3,20-epoxy-7-oxo-8,11,13-cleistanthatrien-3-ol, and 20-nor-3,7-dioxo-1,8,11,13-cleistanthatetraen-10-ol. These new structures are proposed based on interpretation of ¹H, 13C, COSY, NOESY, HSQC, and HMBC NMR data. 8(9),15-isopimaradien-1,3,7,11-tetraone was especially phytotoxic with an IC50 value (30 µM) comparable to those of commercial herbicides clomazone, EPTC, and naptalam. In addition, 7-oxo-8,11,13-cleistanthatrien-3-ol provided 100% mortality at a concentration of 125 ppm against one-day-old Ae. aegypti larvae. Our results show that ancient and unique plants, like the endangered narrowly endemic neotropical species V. gigantea present in the Rupestrian grasslands, should also be protected because they can be sources of new bioactive compounds.


Asunto(s)
Diterpenos/farmacología , Herbicidas/farmacología , Insecticidas/farmacología , Magnoliopsida/química , Aedes/efectos de los fármacos , Agrostis/efectos de los fármacos , Animales , Araceae/efectos de los fármacos , Brasil , Diterpenos/química , Especies en Peligro de Extinción , Herbicidas/química , Insecticidas/química , Lactuca/efectos de los fármacos , Estructura Molecular , Extractos Vegetales/química , Extractos Vegetales/farmacología
5.
Environ Microbiol ; 18(1): 232-45, 2016 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26235221

RESUMEN

This study assessed the diversity of cultivable rock-associated fungi from Atacama Desert. A total of 81 fungal isolates obtained were identified as 29 Ascomycota taxa by sequencing different regions of DNA. Cladosporium halotolerans, Penicillium chrysogenum and Penicillium cf. citrinum were the most frequent species, which occur at least in four different altitudes. The diversity and similarity indices ranged in the fungal communities across the latitudinal gradient. The Fisher-α index displayed the higher values for the fungal communities obtained from the siltstone and fine matrix of pyroclastic rocks with finer grain size, which are more degraded. A total of 23 fungal extracts displayed activity against the different targets screened. The extract of P. chrysogenum afforded the compounds α-linolenic acid and ergosterol endoperoxide, which were active against Cryptococcus neoformans and methicillin-resistance Staphylococcus aureus respectively. Our study represents the first report of a new habitat of fungi associated with rocks of the Atacama Desert and indicated the presence of interesting fungal community, including species related with saprobes, parasite/pathogen and mycotoxigenic taxa. The geological characteristics of the rocks, associated with the presence of rich resident/resilient fungal communities suggests that the rocks may provide a favourable microenvironment fungal colonization, survival and dispersal in extreme conditions.


Asunto(s)
Ascomicetos/metabolismo , Cladosporium/metabolismo , Cryptococcus neoformans/efectos de los fármacos , Sedimentos Geológicos/microbiología , Staphylococcus aureus Resistente a Meticilina/efectos de los fármacos , Penicillium/metabolismo , Ascomicetos/clasificación , Ascomicetos/genética , Ascomicetos/aislamiento & purificación , Chile , Cladosporium/clasificación , Cladosporium/genética , Cladosporium/aislamiento & purificación , Clima Desértico , Ecología , Ecosistema , Datos de Secuencia Molecular , Penicillium/clasificación , Penicillium/genética , Penicillium/aislamiento & purificación
6.
Int J Syst Evol Microbiol ; 65(12): 4469-4473, 2015 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-26364292

RESUMEN

Nine strains of a novel yeast species were isolated from rotting wood, tree bark, ant nests or living as endophytes in leaves of Vellozia gigantea. Analysis of the sequences of the internal transcribed spacer (ITS) region and the D1/D2 domains of the large subunit rRNA gene showed that this species was related to Candida insectorum in the Yamadazyma clade. The novel species differed from closely related species by 10 and 11 substitutions in the ITS region and the D1/D2 domains of the large subunit of the rRNA gene, respectively. The species is heterothallic and forms asci with one to two hat-shaped ascospores. The name Yamadazyma riverae sp. nov. is proposed for the novel species. The type strain is UFMG-CM-Y444T ( = CBS 14121T) and the allotype strain is TT12 ( = CBS 14098 = UFMG-CM-Y577). The Mycobank number is MB 813221.


Asunto(s)
Magnoliopsida/microbiología , Filogenia , Hojas de la Planta/microbiología , Saccharomycetales/clasificación , Brasil , ADN de Hongos/genética , ADN Espaciador Ribosómico/genética , Endófitos/clasificación , Endófitos/genética , Endófitos/aislamiento & purificación , Datos de Secuencia Molecular , Técnicas de Tipificación Micológica , Saccharomycetales/genética , Saccharomycetales/aislamiento & purificación , Análisis de Secuencia de ADN , Madera/microbiología
7.
J Antibiot (Tokyo) ; 68(7): 436-44, 2015 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-25712396

RESUMEN

Infections with Cryptococcus are invasive mycoses associated with significant morbidity and mortality, mainly in immunosuppressed patients. Several drugs have been introduced to combat these opportunistic infections. However, resistance of this organism to antifungal drugs has increased, causing difficulties in the treatment. The goal of this work was to evaluate the antifungal activity of ethanol extracts from endophytic fungi isolated from plants collected from different Brazilian ecosystems and to perform the fractionation of the most promising extract. Four-hundred fungal extracts were investigated by microdilution broth assays against Cryptococcus neoformans and Cryptococcus gattii at a concentration of 500 µg ml(-1). Among them, the extract of Mycosphaerella sp. UFMGCB 2032, an endophytic fungus isolated from the plant Eugenia bimarginata DC. (Myrtaceae) exhibited outstanding antifungal activity against C. neoformans and C. gattii, with MIC values of 31.2 µg ml(-1) and 7.8 µg ml(-1), respectively. The fractionation of this extract using liquid-liquid partitioning and semi-preparative HPLC afforded two eicosanoic acids with antifungal activity, compound 1, (2S,3R,4R)-(E)-2-amino-3,4-dihydroxy-2-(hydroxymethyl)-14-oxoeicos-6,12-dienoic acid with MIC values ranging from 1.3-2.50 µg ml(-1), and compound 2, known as myriocin, with MIC values of 0.5 µg ml(-1) against C. neoformans and C. gattii. These compounds are reported for the first time in the Mycosphaerella genus.


Asunto(s)
Antifúngicos/farmacología , Cryptococcus gattii/efectos de los fármacos , Cryptococcus neoformans/efectos de los fármacos , Endófitos/química , Antifúngicos/química , Antifúngicos/aislamiento & purificación , Brasil , Análisis por Conglomerados , ADN de Hongos/química , ADN de Hongos/genética , Endófitos/clasificación , Endófitos/genética , Endófitos/aislamiento & purificación , Pruebas de Sensibilidad Microbiana , Datos de Secuencia Molecular , Estructura Molecular , Filogenia , Plantas/microbiología , Análisis de Secuencia de ADN
8.
Braz J Phys Ther ; 18(1): 19-29, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24675909

RESUMEN

BACKGROUND: Migraine and temporomandibular disorders (TMDs) are reported to be associated. However, there are no reports on the association among migraines, TMDs and changes in body posture. OBJECTIVES: To assess changes in body posture in women suffering migraines with or without TMD compared with a control group. METHOD: Sixty-six women with a mean age of 18 to 45 years participated in this study. The groups were composed of 22 volunteers with migraine and TMD (MTMD), 22 volunteers with migraines without TMD (MG) and 22 women in the control group (CG). Static posture was assessed by photogrammetry, and 19 angles were measured. RESULTS: Postural asymmetry was observed in the face for 4 angles measured on the frontal plane in the MG group and for 4 angles of the trunk in the MG and MTMD groups with respect to CG. However, for comparisons between MTMD and CG, clinical relevance was identified for two angles of the sagittal plane (Cervical and Lumbar Lordosis, Effect Size - ES - moderate: 0.53 and 0.60). For comparisons between the MG and CG, the clinical relevance/potential was verified for three angles with moderate ES (ES>0.42). The clinical relevance when comparing MTMD and CG was identified for four angles of facial symmetry head inclination (ES>0.54) and for two angles between MG and CG (ES>0.48). CONCLUSION: The results demonstrated the presence of postural changes compared with a control group in women with migraines with or without TMD, and there were similar clinically relevant postural changes among the patients with migraines with and without TMD.


Asunto(s)
Trastornos Migrañosos/fisiopatología , Postura , Trastornos de la Articulación Temporomandibular/fisiopatología , Adolescente , Adulto , Estudios Transversales , Femenino , Humanos , Persona de Mediana Edad , Trastornos Migrañosos/complicaciones , Trastornos de la Articulación Temporomandibular/complicaciones , Adulto Joven
9.
Braz. j. phys. ther. (Impr.) ; 18(1): 19-29, Jan-Feb/2014. tab, graf
Artículo en Inglés | LILACS | ID: lil-704632

RESUMEN

Background: Migraine and temporomandibular disorders (TMDs) are reported to be associated. However, there are no reports on the association among migraines, TMDs and changes in body posture. Objectives : To assess changes in body posture in women suffering migraines with or without TMD compared with a control group. Method: Sixty-six women with a mean age of 18 to 45 years participated in this study. The groups were composed of 22 volunteers with migraine and TMD (MTMD), 22 volunteers with migraines without TMD (MG) and 22 women in the control group (CG). Static posture was assessed by photogrammetry, and 19 angles were measured. Results: Postural asymmetry was observed in the face for 4 angles measured on the frontal plane in the MG group and for 4 angles of the trunk in the MG and MTMD groups with respect to CG. However, for comparisons between MTMD and CG, clinical relevance was identified for two angles of the sagittal plane (Cervical and Lumbar Lordosis, Effect Size - ES - moderate: 0.53 and 0.60). For comparisons between the MG and CG, the clinical relevance/potential was verified for three angles with moderate ES (ES>0.42). The clinical relevance when comparing MTMD and CG was identified for four angles of facial symmetry head inclination (ES>0.54) and for two angles between MG and CG (ES>0.48). Conclusion : The results demonstrated the presence of postural changes compared with a control group in women with migraines with or without TMD, and there were similar clinically relevant postural changes among the patients with migraines with and without TMD. .


Contextualização: Há relatos na literatura sobre associações entre migrânea e disfunção temporomandibular (DTM). Entretanto, não há relatos sobre a associação entre migrânea, DTM e alterações da postura corporal. Objetivos: Avaliar a presença de alterações da postura corporal em mulheres com migrânea com e sem DTM em relação a um grupo controle. Método: Foram avaliados três grupos de 22 integrantes cada, na faixa etária de 18 a 50 anos, sexo feminino, compostos de voluntárias com migrânea e DTM (GMDTM), migranosas sem DTM (GM) e grupo controle (GC). As voluntárias foram submetidas à avaliação da postura estática por meio da fotogrametria, e foram mensurados 19 ângulos. Resultados: Foram observadas assimetrias posturais em quatro ângulos mensurados no plano frontal na face no GM e em quatro ângulos do tronco no GM e no GMDTM em relação ao GC. Entretanto, foi verificada relevância clínica para dois ângulos posturais no plano sagital (GM vs. GMDTM - lordose cervical e lombar, Effect size - ES moderados: 0,53 e 0,60) e, para comparação entre o GM e o GC, foi observada relevância clínica/potencial para três ângulos (ES>0,42). Foi verificada relevância clínica para quatro ângulos de simetria facial/inclinação da cabeça na comparação GMDTM e GM (ES>0,54) e para dois ângulos entre o GM e o GC (ES>0,48). Conclusão: Os resultados do presente trabalho demonstraram a presença de alterações de postura corporal em mulheres com migrânea com e sem DTM em relação ao grupo controle, e as alterações de postura foram similares entre os GM e GMDTM na análise de relevância clínica. .


Asunto(s)
Adolescente , Adulto , Femenino , Humanos , Persona de Mediana Edad , Adulto Joven , Trastornos Migrañosos/fisiopatología , Postura , Trastornos de la Articulación Temporomandibular/fisiopatología , Estudios Transversales , Trastornos Migrañosos/complicaciones , Trastornos de la Articulación Temporomandibular/complicaciones
10.
J Manipulative Physiol Ther ; 34(3): 164-72, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-21492751

RESUMEN

OBJECTIVE: The present study investigated the effect of 2 different lumbar spine postures, neutral and flexed lumbar postures, on transversus abdominis (TrA) muscle function during a voluntary contraction (hollowing and draw-in maneuver) in people with and without low back pain (LBP). METHODS: Thirty participants with LBP and 30 healthy participants were recruited for this cross-sectional study. Transversus abdominis muscle function was measured as a change in thickness with ultrasound imaging. Participants performed voluntary TrA contraction in a supine lying position with the lumbar spine in neutral and flexed postures. Data were analyzed using a 2-way (groups, postures) analysis of variance. RESULTS: Lumbar posture influenced TrA function during a voluntary contraction in people with and without LBP. There was a significant main effect of posture (F(1,58) = 16.140, P < .001). Neutral lumbar posture improved participants' ability to recruit TrA in both group (mean difference, 7.5%; 95% confidence interval, 3.8%-11.3%). No significant differences were found between healthy subjects and those with LBP. CONCLUSIONS: The results of the present study showed that, in subjects performing a voluntary TrA contraction, the neutral lumbar posture improves the ability to increase change in TrA thickness. This study found no significant difference in TrA thickness change between healthy subjects and those with nonspecific LBP.


Asunto(s)
Músculos Abdominales/fisiopatología , Dolor de la Región Lumbar/fisiopatología , Contracción Muscular , Postura , Adulto , Femenino , Humanos , Vértebras Lumbares/fisiopatología , Masculino
11.
J Mol Microbiol Biotechnol ; 19(3): 140-6, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-20924200

RESUMEN

Fermentation-induced loss of stress resistance in yeast is an important phenotype from an industrial point of view. It hampers optimal use of frozen dough applications as well as high gravity brewing fermentations because these applications require stress-tolerant yeast strains during active fermentation. Different mutants (e.g. fil1, an adenylate cyclase mutant CYR1(lys1682)) that are affected in this loss of stress resistance have been isolated, but so far the identification of the target genes important for the increased tolerance has failed. Previously we have shown that neither trehalose nor Hsp104 nor STRE-controlled genes are involved in the higher stress tolerance of the fil1 mutant. The contribution of other putative downstream factors of the PKA pathway was investigated and here we show that the small heat-shock protein Hsp26 is required for the high heat stress tolerance of the fil1 mutant, both in stationary phase cells as well as during active fermentation.


Asunto(s)
Proteínas de Choque Térmico/genética , Proteínas de Choque Térmico/metabolismo , Respuesta al Choque Térmico/genética , Proteínas Mitocondriales/genética , Proteínas de Saccharomyces cerevisiae/genética , Proteínas de Saccharomyces cerevisiae/metabolismo , Saccharomyces cerevisiae , Mutación , Estrés Oxidativo/genética , Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/metabolismo
12.
Fisioter. pesqui ; 16(4): 374-379, out.-dez. 2009. ilus
Artículo en Portugués | LILACS | ID: lil-569662

RESUMEN

O objetivo da revisão foi avaliar a eficácia dos exercícios de controle motor nas dores lombares (DL) e pélvicas. O estudo foi uma revisão sistemática de ensaios clínicos aleatorizados que investigaram a eficácia dos exercícios de controle motor no tratamento da DL e pélvica de várias populações. A eficácia desses exercícios foi sumarizada de acordo com os níveis de evidência empregados pela organização Cochrane. Oito ensaios cumpriram os critérios de inclusão. Há evidência limitada de que, a curto prazo, nos casos de DL aguda, exercícios de controle motor não sejam mais eficazes do que tratamento médico em diminuir dor e incapacidade. Entretanto, a longo prazo, há evidência limitada de que são capazes de reduzir o índice de recorrência nesses pacientes. Na DL crônica, existe forte evidência da eficácia dos exercícios de controle motor na diminuição da dor e incapacidade, quando comparados à fisioterapia convencional ou a nenhum tratamento. Há evidência limitada de que exercícios de controle motor sejam tão eficazes quanto a cirurgia de fusão lombar. Há evidência limitada de que, a curto e longo prazo, exercícios de controle motor sejam eficazes no tratamento das dores pélvicas pósparto.Assim, exercícios de controle motor não melhoram a dor e incapacidades nos casos agudos. No entanto, podem ser indicados como prevenção de recorrência e para indivíduos com quadros crônicos a fim de aliviar a dor, reduzir a incapacidade e melhorar a qualidade de vida...


The purpose of this systematic review was to investigate the efficacy of motor control exercises for low-back and pelvic pain. It covered randomized controlled trials (RCT) that assessed the efficacy of motor control exercises in the treatment of low-back and pelvic pain of different populations. The effectiveness of the exercises was summarized according to the Cochrane level of evidence criteria. Eight RCT fulfilled the inclusion criteria. There is limited evidence, in the short term, that motor control exercises be more effective than medical treatment to reduce pain and disability in acute low-back pain. In turn, in the long term, there is limited evidence that exercises reduce recurrence in these patients. For -back pain there is strong evidence that motor control exercises are more effective in reducing pain and disability than conventional physical therapy or no treatment. There is limited evidence that motor control exercises are as equally effective as lumbar fusion surgery. There is limited evidence, in the short and long term, that specific stabilization exercises are effective in treating pelvic pain after delivery. Thus, motor control exercises do not relieve pain and disability in the acute lowback pain. However, they can be prescribed for prevention and treatment of chronic cases, thus relieving pain, reducing disability and improving these patients quality of life...


Asunto(s)
Dolor de la Región Lumbar/rehabilitación , Terapia por Ejercicio , Literatura de Revisión como Asunto , Estabilización de la Matéria Orgánica , Resultado del Tratamiento
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