Monopolar dielectric diathermy by emission of radiofrequency in Patellofemoral pain. A single-blind-randomized clinical trial.

Despite the high incidence of patellofemoral pain syndrome (PFPS), few studies show the effects of radiofrequency on pain and functionality in these patients. For this reason, the aim of this study was to determine the efficacy of monopolar dielectric diathermy by emission of radiofrequency (MDR) in dynamic applications aimed at treating pain and improving function in patients with PFPS. For this purpose, a single-blind randomized clinical trial was conducted. Eighty-four participants with PFPS were evenly divided into an experimental group (EG) and a control group (CG). All subjects receive 10 min of daily home exercises along 3 weeks, and in addition, the subjects of the EG received 10 sessions based on the dynamic application of MDR. Variables measured included Visual Analogue Scale (VAS), DN4 questionnaire, Lower Extremity Functionality Scale (LEFS), Kujala scale, Range of Movement (ROM) in knee flexion and extension and drug intake. The EG showed a statistically significant reduction in pain (VAS = 4.8 [5.5-4.1] [p < .001]; DN4 = 3.8 [4.4-3.2] [p < .001]), and an increase in functionality (LEFS = 16 [19-13] [p < .001]; Kujala = 19 [23-14] [p < .001]) and in ROM (flexion 18º [21º-16º] [p < .001]). No statistically significant changes in drug intake were found. Based on this data, the dynamic application of MDR seems effective in reducing pain and increasing functionality and flexion in patients with PFPS. Diathermy by emission of radiofrequency could be recommended as complement or main therapy in the treatment of PFPS.

Results of a Pilates exercise program in patients with chronic non-specific low back pain: a randomized controlled trial.

OBJECTIVE: To investigate the effects of a Pilates exercise program on disability, pain, lumbar mobility, flexibility and balance in patients with chronic non-specific low back pain. DESIGN: Randomized controlled trial. SETTING: University laboratory. PARTICIPANTS: A total of 54 patients with chronic non-specific low back pain. INTERVENTION: Patients were randomly allocated to an experimental group ( n=27) included in a Pilates exercise program or to a control group ( n=27) receiving information in a form of a leaflet. MAIN OUTCOME MEASURES: Disability (Roland-Morris Disability Questionnaire and Oswestry Disability Index), current, average and pain at it least and at its worst (Visual Analogue Scales), lumbar mobility (modified Shober test), flexibility (finger-to-floor test) and balance (single limb stance test) were measured at baseline and after the intervention. RESULTS: A between-group analysis showed significant differences in the intervention group compared to the control group for both disability scores, the Rolland-Morris questionnaire (mean change±standard deviation of 5.31±3.37 and 2.40±6.78 respectively and between-groups mean difference of 3.2 ± 4.12, p=0.003) and the Oswestry Disability Index ( p<0.001), current pain ( p=0.002) and pain at it least ( p=0.033), flexibility (0.032) and balance (0.043). CONCLUSIONS: An 8-week Pilates exercise program is effective in improving disability, pain, flexibility and balance in patients with chronic non-specific low back pain.

Aspectos vasculares relacionados con el síndrome del túnel carpiano / Vascular aspects related with the carpal tunnel syndrome

El síndrome del túnel carpiano se produce cuando el nervio mediano se comprime por alguna causa a nivel de la muñeca. Sobre la base de ello, el objetivo de este artículo es describir los aspectos vasculares de dicho síndrome. Nos hemos centrado en tres partes de esta neuropatía compresiva distal del nervio mediano, que son la etiología, la fisiopatología y la sintomatología. Dentro de la etiología hemos considerado las enfermedades relacionadas con una alteración del sistema vascular que provocan un compromiso continente-contenido del carpo.ResumenLa metodología empleada en la elaboración de este estudio ha sido la realización de una revisión bibliográfica en las bases de datos: Medline, Cochrane, PEDro, ClusterMed y Pubgle. En la base de datos Medline es donde se han revisado un mayor número de artículos del tema analizado. A modo de conclusión, podemos establecer que esta patología aparentemente de causa nerviosa tiene un fuerte componente vascular(AU)

Carpal tunnel syndrome (CTS) occurs when the median nerve is compressed at the wrist due to any cause. Thus, this article has aimed to describe the vascular aspects of this syndrome. Three parts of this distal median nerve neuropathy compression are discussed, that is its etiology, pathophysiology and symptoms. Within the etiology, diseases related with an alteration of the vascular system that affect the carpal-continent have been considered.AbstractThe methodology used in preparing this study included conducting a review of the literature in the following databases: MEDLINE, Cochrane, Peter, ClusterMed and Pubgle. The largest number of articles on the subject discussed was found in the Medline database. In conclusion, we can establish that this disease, which is apparently linked to a nerve, has a strong vascular component(AU)

Abordaje electroterápico en la enfermedad de Raynaud: a propósito de un caso / Electrotherapy approach to Raynaud & apos; s disease: a case report

Introducción: El síndrome de Raynaud primario consiste en un complejo sintomático secundario a vasospasmo vascular periférico en respuesta a un estímulo térmico frío y/o emocional, en las partes acras del cuerpo, cuya prevalencia en adultos varía entre el 3,7 y el 13%. Objetivos: Analizar la sintomatología y la topografía de la manifestación del síndrome de raynaud, así como conseguir una sudación normal mediante el protocolo de tratamiento diseñado. Resultados: Reducción significativa del sudor en un 66%, con disminución del número de crisis y aumento de los periodos intercríticos; se consiguió coloración normocrómica y desaparición de las fases de cambio cromático. Conclusiones: Los hallazgos termohigrométricos y colorimétricos nos inducen a considerar la modalidad electroterapéutica de iontoforesis con agua corriente como un procedimiento eficaz a largo plazo que permite conseguir una euhidrosis de la zona afecta, así como una mejora de los cambios vasculares relacionados con la enfermedad de Raynaud(AU)

Introduction: Primary Raynaud's syndrome consists in a symptomatic complex secondary to peripheral vasospasm in response to cold thermal stimulus and/or emotional stimulus in the distal parts of the body whose prevalence in adults varies from 3.7% to 13%. Objectives: To analyze the symptoms and topography of the manifestation of Raynaud's syndrome, as well as the achieving of normal sweating by the treatment protocol designed. Results: There is a significant reduction of perspiration, that is 66%, with a decrease in the number of episodes and increase of the periods between episodes, achieving normochromic coloring with the disappearance of the phases of chromatic change. Conclusions: The thermohygrometric and colorimetric findings lead us to consider iontophoresis electrotherapy with running water as a long-term effective procedure that makes it possible to achieve hidrosis of the affected area and improvement in the vascular changes associated to Raynaud's disease(AU)

Rol del fisioterapéuta en las opciones quirúrgicas de reconstrucción postmastectomía / Physical therapy role in the surgical options of postmastectomy reconstruction

En la actualidad, aproximadamente el 40 % de las pacientes portadoras de cáncer de mama, son sometidas a mastectomía. En este grupo, un alto porcentaje de mujeres son menores de 65 años, con enfermedades locorregionalmente controladas y sobrevidas prolongadas, que se ven mutiladas por el tratamiento quirúrgico al que han sido sometidas. En el presente trabajo de revisión se exponen las distintas modalidades de reconstrucción quirúrgicas opcionales en cada mujer, relacionándolas no solo con los requisitos previos para su aplicación, sino también con las ventajas e inconvenientes observados tras la misma. Los beneficios del proceso reconstructivo quirúrgico, requieren la intervención del fisioterapeuta, considerándose fundamental en la obtención de los resultados esperados, no solo la especificidad de los procedimientos, sino también el ajuste a las interfases quirúrgicas

At the present time, approximately 40 % of the carrier patients of breast cancer are subjected to mastectomy. In this group, a high percentage of women are < 65 years, with diseases locally controlled and prolonged overlife, they are mutilated by the surgical treatment. In the present review work are exposed the different optional surgical modalities of reconstruction in each woman, it related not only to previous requirements for their application but also with the advantages and disadvantages observed after the same. The benefits of the surgical reconstructive process require the physiotherapy intervention, he is considered very important in the obtaining of the awaited results not only the specificity of the procedures but also the adjustment to the surgical interphases