Efficacy of Physiotherapy Treatment in Primary Dysmenorrhea: A Systematic Review and Meta-Analysis.

Primary dysmenorrhea (PD) refers to painful cramps before and/or during menstruation. There is a need for emphasis on alternative methods of conservative treatment, so as to reduce the dependence on drugs for alleviating the symptoms. The aim was to find out the effectiveness of some physiotherapy techniques in the treatment of PD. A systematic review and meta-analysis was conducted according to PRISMA standards. The descriptors were "dysmenorrhea", "physical the-rapy", "physiotherapy", and "manual therapy". The search was performed in five databases: Scopus, PubMed, PEDro, Web of Science, and Medline, in February 2021. The inclusion criteria were randomized controlled trials over the last six years. Articles not related to the treatment of PD or using pharmacology as the main treatment were excluded. Nine articles met the objectives and criteria, with a total of 692 participants. The most used scale to measure pain was the VAS (visual analogue scale). The main techniques were isometric exercises, massage therapy, yoga, electrotherapy, connective tissue manipulation, stretching, kinesio tape, progressive relaxation exercises and aerobic dance. Meta-analysis shows benefits of physiotherapy treatment for pain relief compared with no intervention or placebo (MD: -1.13, 95% CI: -1.61 to -0.64, I2: 88%). The current low-quality evidence suggests that physiotherapy may provide a clinically significant reduction in menstrual pain intensity. Given the overall health benefits of physiotherapy and the low risk of side effects reported, women may consider using it, either alone or in conjunction with other therapeutic modalities.

Treatment of Dysphagia in Parkinson's Disease: A Systematic Review.

The incidence of oropharyngeal dysphagia in Parkinson's disease (PD) is very high. It is necessary to search for effective therapies that could prevent pneumonia. Previous results should be interpreted cautiously as there is a lack of evidence to support the use of compensatory or rehabilitative approaches to dysphagia. We reviewed the scientific literature to describe the treatments of dysphagia in PD. A systematic review was performed in PubMed, Scopus, Elsevier, and Medline according to PRISMA standards in 2018. The articles that did not mention dysphagia secondary to PD or used surgical treatment were excluded. Eleven articles met the criteria with information from 402 patients. The review relates to different protocols, such as training in expiratory muscle strength, postural techniques, oral motor exercises, video-assisted swallowing therapy, surface electrical stimulation, thermal stimulation, touch, compensatory interventions, training regime for swallowing, neuromuscular electrical stimulation, Lee Silverman voice treatment, swallow maneuver, airway protection, and postural compensation maneuvers. This review identifies the rationing interventions in each trial, if they are efficient and equitable. Several rehabilitative therapies have been successful. An improvement was seen in the degenerative function (coordination, speed, and volume), quality of life, and social relationships of people with PD. Further investigations concerning the clinical applicability of these therapies based on well-designed randomized controlled studies are needed. Larger patient populations need to be recruited to evaluate the effectiveness, long-term effects, and new treatment techniques.

[Treatment and rehabilitation of dysphagia following cerebrovascular disease]. / Tratamiento y rehabilitación de la disfagia tras enfermedad cerebrovascular.

INTRODUCTION. Bronchopneumonia is a frequent complication in the first days after a cerebrovascular disease and is linked with a higher rate of mortality. It occurs in patients with an altered level of consciousness or tussigenic reflex, and could be prevented with an early dysphagia rehabilitation programme. AIMS. To review the scientific literature on the treatment and rehabilitation of patients with dysphagia after suffering a stroke, published between 2002 and 2012. DEVELOPMENT. A search conducted in the PubMed, Cochrane, PEDro, CINAHL and ENFISPO databases yielded 15 papers that fulfilled eligibility criteria and the initial aims of the study, providing information about 3,212 patients. The different protocols and techniques for re-education in dysphagia are described and include compensatory strategies, orofacial regulation therapy, music therapy, sensory stimulation, lip muscle, tongue, pharynx, larynx and respiratory tract training, Mendelsohn manoeuvre, neuromuscular electrical stimulation, repetitive transcranial magnetic stimulation and acupuncture. CONCLUSIONS. The studies examined in this research claim that the treatment of dysphagia following a stroke can improve the function of deglutition (coordination, speed, volume), quality of life and people's social relationships. Further work needs to be carried out to establish or define what kind of therapies, techniques, exercises or manoeuvres are the most effective in dysphagia. Generally agreed treatment or rehabilitation protocols also need to be drawn up within units that address stroke in an integrated manner.

TITLE: Tratamiento y rehabilitacion de la disfagia tras enfermedad cerebrovascular.Introduccion. La bronconeumonia es una complicacion frecuente en los primeros dias despues de una enfermedad cerebrovascular y se asocia con una mayor tasa de mortalidad. Se produce en pacientes con el nivel de conciencia o el reflejo tusigeno alterado, y podria prevenirse con un programa temprano de rehabilitacion de la disfagia. Objetivo. Revisar la literatura cientifica en relacion con el tratamiento y rehabilitacion de pacientes con disfagia tras sufrir un ictus, entre 2002 y 2012. Desarrollo. Las bases de datos PubMed, Cochrane, PEDro, CINAHL y ENFISPO ofrecieron 15 articulos que cumplieron los criterios de inclusion y los objetivos planteados, con informacion sobre 3.212 pacientes. Se describen distintos protocolos y tecnicas para la reeducacion de la disfagia, como estrategias compensatorias, terapia de regulacion orofacial, musicoterapia, estimulacion sensorial, entrenamiento muscular labial, de la lengua, faringe, laringe y aparato respiratorio, maniobra de Mendelsohn, estimulacion electrica neuromuscular, estimulacion magnetica transcraneal repetitiva y acupuntura. Conclusiones. Los estudios incluidos en esta investigacion afirman que el tratamiento de la disfagia tras ictus puede mejorar la funcion deglutoria (coordinacion, velocidad, volumen), la calidad de vida y las relaciones sociales de las personas. Existe una labor pendiente para establecer o definir que tipo de terapias, tecnicas, ejercicios o maniobras son los mas eficaces en la disfagia, y para elaborar protocolos de tratamiento o rehabilitacion consensuados dentro de las unidades que abordan integralmente el ictus.

Tratamiento y rehabilitación de la disfagia tras enfermedad cerebrovascular / Treatment and rehabilitation of dysphagia following cerebrovascular disease

Introducción. La bronconeumonía es una complicación frecuente en los primeros días después de una enfermedad cerebrovascular y se asocia con una mayor tasa de mortalidad. Se produce en pacientes con el nivel de conciencia o el reflejo tusígeno alterado, y podría prevenirse con un programa temprano de rehabilitación de la disfagia. Objetivo. Revisar la literatura científica en relación con el tratamiento y rehabilitación de pacientes con disfagia tras sufrir un ictus, entre 2002 y 2012. Desarrollo. Las bases de datos PubMed, Cochrane, PEDro, CINAHL y ENFISPO ofrecieron 15 artículos que cumplieron los criterios de inclusión y los objetivos planteados, con información sobre 3.212 pacientes. Se describen distintos protocolos y técnicas para la reeducación de la disfagia, como estrategias compensatorias, terapia de regulación orofacial, musicoterapia, estimulación sensorial, entrenamiento muscular labial, de la lengua, faringe, laringe y aparato respiratorio, maniobra de Mendelsohn, estimulación eléctrica neuromu cular, estimulación magnética transcraneal repetitiva y acupuntura. Conclusiones. Los estudios incluidos en esta investigación afirman que el tratamiento de la disfagia tras ictus puede mejorar la función deglutoria (coordinación, velocidad, volumen), la calidad de vida y las relaciones sociales de las personas. Existe una labor pendiente para establecer o definir qué tipo de terapias, técnicas, ejercicios o maniobras son los más eficaces en la disfagia, y para elaborar protocolos de tratamiento o rehabilitación consensuados dentro de las unidades que abordan integralmente el ictus (AU)

Introduction. Bronchopneumonia is a frequent complication in the first days after a cerebrovascular disease and is linked with a higher rate of mortality. It occurs in patients with an altered level of consciousness or tussigenic reflex, and could be prevented with an early dysphagia rehabilitation programme. Aims. To review the scientific literature on the treatment and rehabilitation of patients with dysphagia after suffering a stroke, published between 2002 and 2012. Development. A search conducted in the PubMed, Cochrane, PEDro, CINAHL and ENFISPO databases yielded 15 papers that fulfilled eligibility criteria and the initial aims of the study, providing information about 3,212 patients. The different protocols and techniques for re-education in dysphagia are described and include compensatory strategies, orofacial regulation therapy, music therapy, sensory stimulation, lip muscle, tongue, pharynx, larynx and respiratory tract training, Mendelsohn manoeuvre, neuromuscular electrical stimulation, repetiti transcranial magnetic stimulation and acupuncture. Conclusions. The studies examined in this research claim that the treatment of dysphagia following a stroke can improve the function of deglutition (coordination, speed, volume), quality of life and people’s social relationships. Further work needs to be carried out to establish or define what kind of therapies, techniques, exercises or manoeuvres are the most effective in dysphagia. Generally agreed treatment or rehabilitation protocols also need to be drawn up within units that address stroke in an integrated manner(AU)