RESUMO
Background: The efficacy of eccentric exercise self-performed by the patient has not been proved in the treatment of lateral elbow tendinopathy (LET). The aim of this study was to compare the effects of a programme of eccentric exercises applied by a physiotherapist to patients with LET through a structured manual programme compared to its self-performance, guided by an illustrated brochure. Method: A single-blind, pilot, randomised, controlled trial was conducted. Twenty patients were randomised. The intervention group carried out eccentric exercises applied directly by a physiotherapist (10 sessions). The control group carried out eccentric exercises that were self-performed by the patient (10 sessions). Both groups received simulated ultrasounds. Pain (visual analogue scale (VAS)), function (DASH questionnaire) and satisfaction (with a Likert scale) were measured at the beginning of the intervention, immediately after the intervention and 3 months after the intervention. Results: The mean age was 53.17 and 54.25 years old. The experimental group presented a greater tendency to improve function (DASH −15.91) and reduce pain (VAS −2.88) compared to the control group, although these differences were not significant (p > 0.05). Conclusion: Eccentric exercise, both performed by the physiotherapist and self-performed by the patient, improved function and pain in the patients with LET.
RESUMO
Introducción. El síndrome de Rett (SR) constituye una entidad única que suele producirse por una condición dominante ligada al cromosoma X, siendo más frecuente en la población femenina y produciendo un fenotipo clínico definido. Las características motoras que lo configuran requieren especial atención por parte de la fisioterapia, que junto con otras estrategias, tales como la musicoterapia, la hidroterapia y/o la terapia multisensorial, pretenden reducir y/o prevenir las deformidades ortopédicas, controlar los movimientos estereotipados de la mano y mantener las habilidades comunicacionales. Objetivos. Analizar y definir los estudios acerca de la intervención con terapias físicas y estrategias terapéuticas en el SR. Metodología. Se realizó una revisión bibliográfica centrada en la búsqueda de artículos en lengua inglesa relacionados con el tratamiento por medios físicos en el SR publicados entre 1986 y 2006; para ello se utilizaron las bases de datos The Cochrane Library, PEDro y Pubmed. Conclusiones. Los estudios consultados describen estrategias y terapias concretas, que favorecen la intervención terapéutica en estos pacientes
Introduction. The Rett Syndrome (RS) establishes a unique entity that used to arise by a dominant condition linked to the X chromosome, being more frequently in females and causing a specific clinical phenotype. The motor characteristics that form it, require special attention from the physiotherapist, that together with other strategies, like musictherapy, hydrotherapy and/or multi-sensorial therapy, try to decrease and/or prevent the orthopaedic deformities, to control the stereotyped movements of the hand and to maintain the communicational capacities. Objectives. To analyze and define the studies related to the intervention with physical therapies and therapeutic strategies in the RS. Methodology. A literature review was fulfilled and focused on the search of articles in English language related with the treatment by physical means in the RS published between 1986 and 2006; for this purpose, the following data bases were used: The Cochrane Library, PEDro and Pubmed. Conclusions. The studies describe strategies and concrete therapies that improve the therapeutic intervention in these patients
