Ejercicio terapéutico como tratamiento para el dolor crónico del raquis: revisión sistemática de ensayos clínicos aleatorizados / Therapeutic exercise as treatment for spinal chronic pain: systematic review of randomized clinical trials

Objetivo El objetivo de la presente revisión fue analizar y comparar la efectividad de distintos tipos de ejercicio terapéutico en personas con dolor crónico del raquis. Método La búsqueda de datos se realizó utilizando la base de datos electrónica MEDLINE. Se incluyeron ensayos clínicos aleatorizados, realizados en pacientes entre 18 y 65 años con dolor crónico en la región del raquis. Resultados Dos revisores independientes realizaron el análisis de la calidad metodológica utilizando la escala PEDro, siendo 13 los artículos finalmente seleccionados. Los diferentes tipos de ejercicio terapéutico tuvieron efectos significativos en la reducción del dolor, disminución de la discapacidad y mejora de la calidad de vida de los pacientes. Conclusiones Los resultados muestran que no hay una modalidad de ejercicio terapéutico superior a otras. La combinación de diferentes modalidades de ejercicio terapéutico podría resultar una herramienta completa para el manejo del dolor crónico en la columna (AU)

Objective The objective of the present review was to analyze and compare the effectiveness of different types of therapeutic exercise in people with chronic spinal pain. Methods Data search was conducted using the electronic database MEDLINE. Randomized clinical trials, conducted in patients between 18 and 65 years old with chronic pain in the spine region, were included. Results Two independent reviewers performed the analysis of methodological quality using the PEDro scale, with 13 studies finally selected. The different types of therapeutic exercise had significant effects on pain reduction, decrease of disability and improvement of the quality of life of the patients. Conclusions The results show that there is no modality of therapeutic exercise superior to others. The combination of different therapeutic exercise modalities could be a complete tool for the management of chronic pain in the spine (AU)

[Therapeutic exercise as treatment for spinal chronic pain: systematic review of randomized clinical trials]. / Ejercicio terapéutico como tratamiento para el dolor crónico del raquis: revisión sistemática de ensayos clínicos aleatorizados.

OBJECTIVE: The objective of the present review was to analyze and compare the effectiveness of different types of therapeutic exercise in people with chronic spinal pain. METHODS: Data search was conducted using the electronic database MEDLINE. Randomized clinical trials, conducted in patients between 18 and 65 years old with chronic pain in the spine region, were included. RESULTS: Two independent reviewers performed the analysis of methodological quality using the PEDro scale, with 13 studies finally selected. The different types of therapeutic exercise had significant effects on pain reduction, decrease of disability and improvement of the quality of life of the patients. CONCLUSIONS: The results show that there is no modality of therapeutic exercise superior to others. The combination of different therapeutic exercise modalities could be a complete tool for the management of chronic pain in the spine.

A novel mobile application to determine mandibular and tongue laterality discrimination in women with chronic temporomandibular disorder.

BACKGROUND: Chronic pain from temporomandibular disorders (TMDs) is caused by a somatosensory disturbance due to sustained activation of central nervous system nociceptive pathways, which can induce changes in neuroplasticity in the thalamus, basal ganglia and limbic system, as well as disturbances in the somatosensory, prefrontal and orbitofrontal cortex and cognitive impairment. The main objective of this study was to determine the discrimination capacity of mandibular and tongue laterality between women with chronic TMDs and asymptomatic women. MATERIAL AND METHODS: This descriptive-comparative study examined 2 groups with a total of 30 women. All participants were between the ages of 23 and 66 years and were assigned to the chronic TMD group or the asymptomatic group according to the inclusion criteria. We employed a mobile application developed specifically for this study to measure the accuracy and reaction time (RT) of mandibular and tongue laterality discrimination. RESULTS: The chronic TMD group had a lower success rate in laterality discrimination (mean mandibular accuracy of 40% and mean tongue accuracy of 67%) than the asymptomatic group (mean mandibular accuracy of 61% and mean tongue accuracy of 90%). These results showed statistically significant differences between the groups for mandibular laterality discrimination (d, 1.14; p<0.01) and tongue laterality discrimination (d, 0.79; p=0.03). The asymptomatic group had faster RTs than the chronic TMD group. The data revealed statistically significant differences for the right mandibular RT (d, 0.89; p=0.02) and right tongue RT (d, 0.83; p=0.03). However, there were no significant differences for left mandibular and left tongue RT. CONCLUSIONS: We found that the women with chronic TMDs had a lower success rate and slower RTs in the discrimination of mandibular laterality when compared with the asymptomatic women.

Fiabilidad intra e interevaluador de un sensor inercial para el rango de movimiento de la rodilla en sujetos asintomáticos / Intra- and inter-reliability of an inertial sensor for knee range of motion in asymptomatic subjects

Introducción: La cuantificación del rango de movimiento de la rodilla es una medida clínicamente relevante en el ámbito sanitario, ya que su disminución puede alterar las actividades de la vida diaria. La obtención de una medida fiable del rango de movimiento nos permite valorar la eficacia de las intervenciones, así como la gravedad de la enfermedad. Por esto, el objetivo de este estudio fue conocer la fiabilidad intra e interevaluador de un protocolo para el rango de movimiento articular de la rodilla llevado a cabo con un sensor inercial en sujetos asintomáticos. Métodos: Se midió el rango de movimiento de 32 rodillas en sujetos asintomáticos, se realizaron 2 sesiones de medición, una por evaluador, en el mismo día. En cada sesión se hicieron un total de 8 mediciones (2 medidas para flexión en decúbito supino, 2 medidas para extensión en decúbito supino, 2 medidas para flexión en bipedestación y 2 para la extensión en bipedestación). Resultados: Para la fiabilidad interevaluador se consiguieron buenos resultados con un ICC superior a 0,79 para todos los movimientos. Los datos obtenidos para la fiabilidad intraevaluador en todos los movimientos fueron excelentes (ICC > 0,88). Conclusión: Este estudio obtuvo una excelente fiabilidad interevaluador e intraevaluador para los sujetos sanos midiendo con sensores inerciales

Introduction: The quantification of knee range of motion is a clinically relevant measurement in the healthcare setting, as its decrease can alter activities of daily living. Collecting reliable measurements of the range of motion allows us to evaluate the reliability of interventions, or the severity of the pathology. The objective of this study was to obtain the intra- and inter- rater reliability of a protocol for the knee the range of joint motion, measured with an inertial sensor in asymptomatic subjects. Methods: The range of motion of 32 asymptomatic knees was measured. Two measurement sessions were performed by two different evaluators. A total of 8 measurements were made in each session: 2 measurements for flexion in supine decubitus position, 2 measurements for extension in supine decubitus, 2 measurements for flexion in standing position and 2 measurements for extension in standing position. Results: For inter-rater reliability, good results were achieved, with an ICC > 0.79 for all movements. The obtained data for intra-rater reliability in all the movements was excellent, with an ICC > 0.88. Conclusion: This study obtained excellent inter-rater and intra-rater reliability for healthy subjects

Validación y fiabilidad de la versión española de la escala autoadministrada de Evaluación de Signos y Síntomas Neuropáticos de Leeds (S-LANSS) / Validity and reliability of the Spanish-language version of the self-administered Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) pain scale

INTRODUCCIÓN: La escala autoadministrada de Evaluación de Signos y Síntomas Neuropáticos de Leeds (S-LANSS) es un instrumento diseñado para identificar a pacientes con dolor de características neuropáticas. OBJETIVO: Evaluar la validez y fiabilidad de la versión española del S-LANSS. MÉTODOS: Se incluyó un total de 182 pacientes con dolor crónico para evaluar la validez discriminante y convergente del S-LANSS, incrementándose la muestra hasta 321 pacientes para valorar la validez de constructo y la fiabilidad de la escala. Se utilizó como variable criterio la versión validada al español del ID-Pain. Todos los participantes cumplimentaron el cuestionario ID-Pain, el S-LANSS, y la Escala Numérica del Dolor. La validez discriminante se evaluó mediante el análisis del área bajo la curva de características operativas para el receptor, y la sensibilidad y especificidad. La validez de constructo se evaluó mediante un análisis factorial y mediante el análisis del odds-ratio de cada ítem del S-LANSS respecto a la puntuación total. La validez convergente y la fiabilidad se valoraron con la R de Pearson y el alfa de Cronbach respectivamente. RESULTADOS: El punto de corte óptimo del S-LANSS fue ≥ 12 puntos (área bajo la curva = 0,89; sensibilidad = 88,7; especificidad = 76,6). El S-LANSS presentó un factor y, además, cada ítem contribuyó significativamente a la puntuación total positiva del S-LANSS (p < 0,05). El S-LANSS mostró una relación significativa con el ID-Pain (R = 0,734) y un alfa de Cronbach de 0,71. CONCLUSIÓN: La versión española del S-LANSS es válida y fiable para identificar pacientes con dolor crónico con características neuropáticas

INTRODUCTION: The self-administered Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) scale is a tool designed to identify patients with pain with neuropathic features. OBJECTIVE: To assess the validity and reliability of the Spanish-language version of the S-LANSS scale. METHODS: Our study included a total of 182 patients with chronic pain to assess the convergent and discriminant validity of the S-LANSS; the sample was increased to 321 patients to evaluate construct validity and reliability. The validated Spanish-language version of the ID-Pain questionnaire was used as the criterion variable. All participants completed the ID-Pain, the S-LANSS, and the Numerical Rating Scale for pain. Discriminant validity was evaluated by analysing sensitivity, specificity, and the area under the receiver operating characteristic curve (AUC). Construct validity was assessed with factor analysis and by comparing the odds ratio of each S-LANSS item to the total score. Convergent validity and reliability were evaluated with Pearson's r and Cronbach's alpha, respectively. RESULTS: The optimal cut-off point for S-LANSS was ≥12 points (AUC = .89; sensitivity = 88.7; specificity = 76.6). Factor analysis yielded one factor; furthermore, all items contributed significantly to the positive total score on the S-LANSS (P < .05). The S-LANSS showed a significant correlation with ID-Pain (r = .734, alfa = .71). CONCLUSION: The Spanish-language version of the S-LANSS is valid and reliable for identifying patients with chronic pain with neuropathic features

Skin temperature in youth soccer players with functional equinus and non-equinus condition after running.

OBJECTIVES: To check how a thermal IR camera can check skin temperature in gastrocnemius-soleus equinus condition and non-gastrocnemius-soleus condition in youth soccer players and thus detect association between the extensibility of the triceps surae (with gastrocnemius-soleus equinus and non-gastrocnemius-soleus equinus) and the muscle temperature pattern. DESIGN: A cross-sectional study secondary level of care. METHODS: Sample from an elite soccer academy in Madrid (Spain) 35 healthy male subjects (youth soccer players) age 12.82 ± 1.07 years, height 158.68 ± 10.79 cm, weight 49.19 ± 9.45 kg, body mass index 19.41 ± 2.25. The exclusion criteria were the presence of musculoskeletal and joint injuries, pelvic pain, ankle sprains, low back pain and use of drugs in the previous week, and scoliosis. RESULTS: Temperature value for gastrocnemius muscles and Achilles tendon were assessed in 35 youth soccer players from an academia before and after training in both 12 gastrocnemius-soleus equinus and 23 non-gastrocnemius-soleus equinus soccer players conditions. State absolute for gastrocnemius soleus condition obtained a 0.34 value (0.19-0.5); we found a significant increase in temperature among these conditions for the gastrocnemius (P = 0.028) and the Achilles tendon (P = 0.007) (confidence interval 95%). The temperature of gastrocnemius-soleus equinus for gastrocnemius and Achilles tendon was increased more than non-gastrocnemius-soleus equinus in youth soccer players. CONCLUSIONS: IR imaging captured temperature is associated with muscle pattern activation for lower limb. Based on our findings, we propose that infrared thermography evaluation of the gastrocnemius and Achilles tendon is suitable to differ gastrocnemius-soleus equinus and non-gastrocnemius-soleus equinus conditions in youth soccer players.

Validity and reliability of the Spanish-language version of the self-administered Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) pain scale. / Validación y fiabilidad de la versión española de la escala autoadministrada de Evaluación de Signos y Síntomas Neuropáticos de Leeds (S-LANSS).

INTRODUCTION: The self-administered Leeds Assessment of Neuropathic Symptoms and Signs (S-LANSS) scale is a tool designed to identify patients with pain with neuropathic features. OBJECTIVE: To assess the validity and reliability of the Spanish-language version of the S-LANSS scale. METHODS: Our study included a total of 182 patients with chronic pain to assess the convergent and discriminant validity of the S-LANSS; the sample was increased to 321 patients to evaluate construct validity and reliability. The validated Spanish-language version of the ID-Pain questionnaire was used as the criterion variable. All participants completed the ID-Pain, the S-LANSS, and the Numerical Rating Scale for pain. Discriminant validity was evaluated by analysing sensitivity, specificity, and the area under the receiver operating characteristic curve (AUC). Construct validity was assessed with factor analysis and by comparing the odds ratio of each S-LANSS item to the total score. Convergent validity and reliability were evaluated with Pearson's r and Cronbach's alpha, respectively. RESULTS: The optimal cut-off point for S-LANSS was ≥12 points (AUC=.89; sensitivity=88.7; specificity=76.6). Factor analysis yielded one factor; furthermore, all items contributed significantly to the positive total score on the S-LANSS (P<.05). The S-LANSS showed a significant correlation with ID-Pain (r=.734, α=.71). CONCLUSION: The Spanish-language version of the S-LANSS is valid and reliable for identifying patients with chronic pain with neuropathic features.