Effect of Kinesio taping on wrist proprioception in healthy subjects: A randomized clinical trial.

BACKGROUND: Although the use of KT has increased considerably in the clinical practice in the last years, there is limited evidence about the effects of its application in proprioception. PURPOSE: The aim of this study was to determine the effect of KT on joint position sense and force sense on the wrist of healthy subjects. METHODS: Fifty-four subjects were analyzed in a randomized, crossover, single-blind study design. To determine the force sense, the subjects had to reach 50% of their maximum grip force. Wrist joint position sense was assessed during active repositioning tests at the target angles of 30° flexion and extension of wrist. A digital dynamometer was used to determine the sense of force and a digital goniometer was used to determine the joint position sense. Subjects were evaluated with KT (I- strip on ventral aspect of forearms from origin to insertion) and placebo (an inelastic tape was applied following the same procedure as KT). RESULTS: No significant differences have been found in the force sense, neither in the comparisons between control and interventions (p=0.286), nor between pre and post-intervention (p=0.111). For wrist joint position sense, a statistically significant effect (p< 0.05) was found at 30º of extension between the control and experimental group in favor of the control group. CONCLUSIONS: The application of KT did not produce changes in FS and only caused a significant improvement in JPS in extension (30º). The results appear to indicate that the application of KT to improve proprioception in healthy subjects should be reconsidered.

Update on Physiotherapy in Postpartum Urinary Incontinence. A Systematic Review.

BACKGROUND: Urinary incontinence in the postpartum period is related to biomechanical and hormonal changes that occur during the obstetric period and also related to perineal trauma during childbirth. Physiotherapy is currently presented as one of the conservative options for the treatment of urinary incontinence at this stage, so this review aims to go over scientific literature to assess the effect of physiotherapy on postpartum urinary incontinence. MATERIAL AND METHODS: In February 2022, a bibliographic search was carried out in PubMed, Scopus, Medline, PeDRO and Sport Discuss databases. Studies published within the last 10 years and randomized clinical trials that used physiotherapy techniques for the treatment of postpartum urinary incontinence were identified, but those articles that differ from the objective of the work and those that were duplicated in the databases were excluded. RESULTS: Out of the 51 articles identified, 8 were finally included that fit the criteria and the subject of the study. Regarding the intervention, we have found that all the articles refer to pelvic floor muscle training. In addition to urinary incontinence, these studies evaluated other variables such as strength, resistance, quality of life and sexual function, obtaining significant results in 6 out of all the studies consulted. CONCLUSIONS: Pelvic floor muscle training is beneficial for the treatment of urinary incontinence in the postpartum period, then supervised and controlled exercise combined with a home training routine is recommended. It is not clear whether the benefits are maintained over time.

Efectos de la terapia con ventosas en pacientes con dolor lumbar / Effects of cupping therapy in patients with low back pain

Introducción: El dolor lumbar es uno de los síntomas referidos con mayor frecuencia en la consulta médica, siendo un factor limitante en las actividades de la vida diaria y la actividad laboral. Las nuevas terapias, como el tratamiento con ventosas, parece aportar resultados prometedores al manejo del dolor lumbar. Objetivo: Evaluar la evidencia científica acerca de los efectos de la aplicación de terapia con ventosas en pacientes con dolor lumbar. Material y Métodos: Se realizó una búsqueda bibliográfica en PubMed, Medline, Cinhal, Scopus, Web of Science, PEDro y Cochrane con los términos “Cupping Therapy” y “Low Back Pain” y la palabra clave “Cupping Therapy”. Resultados: Se incluyeron 10 artículos que usaban la terapia con ventosas para el tratamiento de la lumbalgia, centrándose en las escalas de dolor y discapacidad y obteniendo resultados significativos beneficiosos. Conclusión: La terapia con ventosas parece disminuir el dolor y la discapacidad en pacientes con lumbalgia. (AU)

Introduction: Low back pain is one of the most frequently referred symptoms in medical consultation, being a limiting factor in activities of daily living and work activity. New therapies, such as cupping, seem to bring promising results in the management of low back pain. Objective: To evaluate the scientific evidence on the effects of the application of cupping therapy in patients with low back pain. Material and Methods: A literature search was carried out in PubMed, Medline, Cinhal, Scopus, Web of Science, PEDro and Cochrane with the terms “Cupping Therapy” and “Low Back Pain” and the keyword “Cupping Therapy”. Results: 10 articles using cupping therapy for the treatment of low back pain were included, focusing on pain and disability scales and obtaining significant beneficial results. Conclusion: Cupping therapy appears to reduce pain and disability in patients with low back pain. (AU)

Update on Physiotherapy in Postpartum Urinary Incontinence. A Systematic Review

Background: Urinary incontinence in the postpartum period is related to biomechanical and hormonal changes that occur during the obstetric period and also related to perineal trauma during childbirth. Physiotherapy is currently presented as one of the conservative options for the treatment of urinary incontinence at this stage, so this review aims to go over scientific literature to assess the effect of physiotherapy on postpartum urinary incontinence. Material and Methods: In February 2022, a bibliographic search was carried out in PubMed, Scopus, Medline, PeDRO and Sport Discuss databases. Studies published within the last 10 years and randomized clinical trials that used physiotherapy techniques for the treatment of postpartum urinary incontinence were identified, but those articles that differ from the objective of the work and those that were duplicated in the databases were excluded. Results: Out of the 51 articles identified, 8 were finally included that fit the criteria and the subject of the study. Regarding the intervention, we have found that all the articles refer to pelvic floor muscle training. In addition to urinary incontinence, these studies evaluated other variables such as strength, resistance, quality of life and sexual function, obtaining significant results in 6 out of all the studies consulted. Conclusions: Pelvic floor muscle training is beneficial for the treatment of urinary incontinence in the postpartum period, then supervised and controlled exercise combined with a home training routine is recommended. It is not clear whether the benefits are maintained over time (AU)

[Physiotherapy in the sequelae of cesarean childbirth. A systematic review.] / Fisioterapia en las secuelas del parto por cesárea. Una revisión sistemática.

OBJECTIVE: Caesarean section is a surgical intervention that consists of the extraction of the fetus by abdominal route through the incision in the uterus. Like any surgical intervention, caesarean section is not exempt from complications and these can be classified as short-term (acute pain) and long-term (adhesions in the scar, lumbar and pelvic pain, intestinal obstruction and ectopic pregnancies). Physiotherapy has different tools to address these complications. The aim of this study was to review the scientific bibliography to know the effects of physiotherapy on patients who have given birth by cesarean section. METHODS: A search for articles was carried out during the month of December 2021 in the databases: PubMed, Medline, Cinahl, Scopus, PEDro and WOS using the search terms Cesarean Section, Physical Therapy Modalities and Physical therapy. As an inclusion criterion, it was established that the type of study was a Randomized Clinical Trial (RCT). RESULTS: A total of 280 articles were obtained, of which 9 were selected after applying the eligibility criteria. In them, the most used physiotherapy intervention was electrotherapy, followed by massage therapy and therapeutic exercise. Studies show effects of these forms of physiotherapy, with a determined duration and frequency, with improvements in pain, activities of daily living, comfort level, joint ranges and reduction in the consumption of analgesics. CONCLUSIONS: Physiotherapy has various modalities with which to attend complications after cesarean section, both in an immediate and a late phase, especially highlighting the reduction of pain.

OBJETIVO: La cesárea es una intervención quirúrgica que consiste en la extracción del feto por vía abdominal. Como cualquier intervención quirúrgica, la cesárea no está exenta de complicaciones y éstas se pueden clasificar en a corto plazo (dolor agudo) y a largo plazo (adherencias en la cicatriz, dolores lumbares y pélvicos, obstrucción intestinal y embarazos ectópicos). La fisioterapia cuenta con diferentes herramientas para abordar estas complicaciones. El objetivo de este trabajo fue revisar la bibliografía científica para conocer los efectos de la fisioterapia en las consecuencias del parto por cesárea. METODOS: Se realizó una búsqueda de artículos durante el mes de diciembre de 2021 en las bases de datos PubMed, Medline, Cinahl, Scopus, PEDro y WOS empleando los términos de búsqueda Cesarean Section, Physical Therapy Modalities y Physical Therapy. Como criterio de inclusión se estableció que el tipo de estudio fuese Estudio Clínico Aleatorizado (ECA). RESULTADOS: Se obtuvieron un total de 280 artículos, de los cuales 9 fueron seleccionados tras aplicar los criterios de elegibilidad. En ellos, la intervención más utilizada de fisioterapia fue electroterapia, seguida de masoterapia y ejercicio terapéutico. Los estudios arrojan efectos de estas formas de fisioterapia, con una duración y frecuencia determinada, con mejoras en el dolor, las actividades de la vida diaria, el nivel de comodidad, los rangos articulares y la reducción del consumo de analgésicos. CONCLUSIONES: La fisioterapia cuenta con diversas modalidades con las que atender tanto en una fase inmediata como en una tardía las complicaciones tras una cesárea, destacando especialmente la reducción del dolor.

Fisioterapia en las secuelas del parto por cesárea. Una revisión sistemática / Physiotherapy in the sequelae of cesarean childbirth. A systematic review

FUNDAMENTOS: La cesárea es una intervención quirúrgica que consiste en la extracción del feto por vía abdominal. Como cualquier intervención quirúrgica, la cesárea no está exenta de complicaciones y éstas se pueden clasificar en a corto plazo (dolor agudo)y a largo plazo (adherencias en la cicatriz, dolores lumbares y pélvicos, obstrucción intestinal y embarazos ectópicos). La fisioterapiacuenta con diferentes herramientas para abordar estas complicaciones. El objetivo de este trabajo fue revisar la bibliografía científicapara conocer los efectos de la fisioterapia en las consecuencias del parto por cesárea.MÉTODOS: Se realizó una búsqueda de artículos durante el mes de diciembre de 2021 en las bases de datos PubMed, Medline, Cinahl, Scopus, PEDro y WOS empleando los términos de búsqueda Cesarean Section, Physical Therapy Modalities y Physical Therapy. Como criterio de inclusión se estableció que el tipo de estudio fuese Estudio Clínico Aleatorizado (ECA). RESULTADOS: Se obtuvieron un total de 280 artículos, de los cuales 9 fueron seleccionados tras aplicar los criterios de elegibilidad. En ellos, la intervención más utilizada de fisioterapia fue electroterapia, seguida de masoterapia y ejercicio terapéutico. Los estudios arrojan efectos de estas formas de fisioterapia, con una duración y frecuencia determinada, con mejoras en el dolor, las actividades de la vida diaria, el nivel de comodidad, los rangos articulares y la reducción del consumo de analgésicos. CONCLUSIONES: La fisioterapia cuenta con diversas modalidades con las que atender tanto en una fase inmediata como en una tardía las complicaciones tras una cesárea, destacando especialmente la reducción del dolor.(AU)

ACKGROUND: Caesarean section is a surgical intervention that consists of the extraction of the fetus by abdominal route through the incision in the uterus. Like any surgical intervention, caesarean section is not exempt from complications and these can be classified as short-term (acute pain) and long-term (adhesions in the scar, lumbar and pelvic pain, intestinal obstruction and ectopic pregnancies). Physiotherapy has different tools to address these complications. The aim of this study was to review the scientific bibliography to know the effects of physiotherapy on patients who have given birth by cesarean section. METHODS: A search for articles was carried out during the month of December 2021 in the databases: PubMed, Medline, Cinahl, Scopus, PEDro and WOS using the search termsCesarean Section, Physical Therapy Modalities and Physical therapy. As an inclusion criterion, it was established that the type of study was a Randomized Clinical Trial (RCT). RESULTS: A total of 280 articles were obtained, of which 9 were selected after applying the eligibility criteria. In them, the most used physiotherapy intervention was electrotherapy, followed by massage therapy and therapeutic exercise. Studies show effects of these forms of physiotherapy, with a determined duration and frequency, with improvements in pain, activities of daily living, comfort level, joint ranges and reduction in the consumption of analgesics. CONCLUSIONS: Physiotherapy has various modalities with which to attend complications after cesarean section, both in an immediate and a late phase, especially highlighting the reduction of pain.(AU)

Kinesiotaping in discopathies and degenerative spinal diseases: systematic review / Kinesiotaping em discopatias e doenças degenerativas da coluna vertebral: revisão sistemática / Kinesiotaping en discopatías y enfermedades degenerativas de la columna vertebral: revisión sistemática

ABSTRACT Neuromuscular taping or kinesiotaping is a technique widely used in spinal disorders. However, the scientific evidence of its use in discopathies and degenerative spine pathology is unknown. This study aimed to analyze the published clinical trials on neuromuscular taping in subjects with discopathies and degenerative spinal injuries. For this purpose, a literature search was performed following PRISMA guidelines in the following databases: PubMed, Web of Science (WOS), Scopus, Medline, and Cinahl. In analyzing bias and methodological quality, we used: the PEDro scale, Van Tulder criteria, and risk of bias analysis of the Cochrane Collaboration. A total of 5 articles were included that obtained a mean score of 6.2 on the PEDro scale. There is moderate evidence that, in the short term, neuromuscular taping reduces analgesic consumption and improves the range of motion and muscle strength in the posterior musculature. In addition, there is limited evidence that it can improve quality, while the scientific evidence on the effect of neuromuscular taping on pain is contradictory. The application of neuromuscular taping on discopathies and degenerative processes of the spine should be cautiously undertaken until more conclusive results are obtained, and the long-term effects are assessed. Level of evidence I; Systematic review.

Resumo: A bandagem neuromuscular ou kinesiotaping é uma técnica de bandagem amplamente utilizada em distúrbios da coluna vertebral. Entretanto, a evidência científica para seu uso em discopatias e na patologia degenerativa da coluna são desconhecidas. Objetivo: O objetivo deste trabalho foi analisar ensaios clínicos publicados sobre bandagem neuromuscular em sujeitos com discopatias e lesões degenerativas da coluna vertebral. Para este fim, foi realizada uma pesquisa bibliográfica seguindo as diretrizes do PRISMA nas seguintes bases de dados: PubMed, Web of Science (WOS), Scopus, Medline e Cinahl. Na análise de viés e qualidade metodológica, foram utilizados: escala PEDro, critérios de Van Tulder e análise de risco de viés da Colaboração Cochrane. Um total de 5 artigos foi incluído com uma pontuação média de 6,2 na escala PEDro. Há evidências moderadas de que, a curto prazo, a bandagem neuromuscular reduz o consumo de analgésicos, melhora a amplitude de movimento e a força muscular na musculatura posterior. Além disso, há evidências limitadas de que pode melhorar a qualidade, enquanto as evidências científicas sobre o efeito da bandagem neuromuscular na dor são contraditórias. A aplicação da bandagem neuromuscular em discopatias e processos degenerativos da coluna vertebral deve ser feita com cautela até que resultados mais conclusivos sejam obtidos e os efeitos a longo prazo sejam avaliados. Nível de evidência I; Revisão sistemática.

Resumen: El vendaje neuromuscular o kinesiotaping es una técnica de vendaje que se utiliza ampliamente en trastornos raquídeos. Sin embargo, se desconoce la evidencia científica de uso en discopatías y patología degenerativa de la columna. El objetivo de este trabajo consistió en analizar los ensayos clínicos publicados sobre el vendaje neuromuscular en sujetos con discopatías y lesiones degenerativas del raquis. Para ello, se realizó una búsqueda bibliográfica siguiendo las directrices PRISMA en las siguientes bases de datos: PubMed, Web of Science (WOS), Scopus, Medline y Cinahl. En el análisis de sesgo y calidad metodológica se utilizaron: escala PEDro, criterios de Van Tulder y análisis del riesgo de sesgo de la Colaboración Cochrane. Se incluyeron un total de 5 artículos que obtuvieron una puntuación media de 6,2 en la escala PEDro. Existe evidencia moderada de que, a corto plazo, el vendaje neuromuscular reduce el consumo de analgésicos, mejora el rango de movimiento y fuerza muscular en la musculatura posterior. Además, existe evidencia limitada de que puede mejorar la calidad, mientras que la evidencia científica sobre el efecto del vendaje neuromuscular en el dolor es contradictoria. La aplicación de vendaje neuromuscular es discopatías y procesos degenerativos del raquis debe realizarse con cautela a la espera de que se obtengan resultados más concluyentes y se valoren los efectos a largo plazo. Nivel de evidencia I; Revisión sistemática.

Therapeutic Exercise Combined or not with Pelvic Floor Muscle Training for Urinary Incontinence.

INTRODUCTION: The most used physiotherapy treatment is the pelvic floor muscle training. Other factors are involved in the control of urination, such as the management of abdominal pressure and the activity of the muscles and fascia of the lumbopelvic region and this could be trained through generalized therapeutic exercise, which is defined as an intervention aimed at restoring musculoskeletal, cardiopulmonary and neurological function. The objective of this review is to evaluate the effects of therapeutic exercise, combined or not with analytical training of the pelvic floor muscles, on urinary incontinence in women over 18 years of age, by reviewing the scientific literature. OBJECTIVE: To assess the effects of therapy exercise other than or combined with pelvic floor muscle training on urinary incontinence in women over 18 years. MATERIAL AND METHODS: An article research was done between 11th January and 7th February, 2021 on the following databases: Pubmed, Medline, Cinahl, Web Of Science, Sport Discus and PEDro using the search terms "Urinary Incontinence" and "Exercise Therapy". RESULTS: An average of 245 results were obtained, of which 10 were selected after applying the eligibility criteria. The interventions of the analyzed articles are divided into two groups. First, a group where muscles of the abdominal-pelvic-perineal region are worked (hypopressives, yoga and strength of the abdominal muscles, resisted hip rotation...). Secondly, another group where muscles in general are worked (weight training, flexibility, balance and toning and cardiovascular training). CONCLUSION: Urinary incontinence treated with therapy exercise other than the pelvic floor muscles training, or combined with it, suggest improvements in symptoms.

Eficacia de las diferentes modalidades de ejercicio terapéutico en rehabilitación cardiaca tras infarto de miocardio. Revisión de la literatura / Efficacy of the different therapeutic exercise modalities in cardiac rehabilitation after myocardial infarction. A review of the literature

Esta revisión valoró la eficacia de diferentes modalidades de ejercicio terapéutico en la rehabilitación tras un infarto agudo de miocardio. Se realizó una búsqueda de estudios controlados aleatorizados publicados entre 2016 y 2021 en Scopus, PubMed, CINAHL, Web of Science y Cochrane Library, utilizando los términos MeSH “exercise therapy” y “myocardial infarction”. Tras aplicar los criterios de selección, se incluyeron diez artículos que utilizaron programas combinados o tradicionales, realizados en el hogar o en el ámbito hospitalario, y que incluyeron entrenamiento de relajación. Se analizaron las variables tolerancia al ejercicio, parámetros cardiovasculares, medidas antropométricas y calidad de vida. En la mayoría de estudios se observaron mejoras significativas en estas variables. Se concluye que todas las modalidades de ejercicio terapéutico estudiadas son útiles en la rehabilitación cardiaca de los pacientes tras infarto de miocardio, y la modalidad que mejores resultados obtiene es el uso de programas combinados de ejercicio terapéutico.(AU)

We aimed to assess the efficacy of different therapeu-tic exercise modalities in cardiac rehabilitation after acutemyocardial infarction. A search of randomized controlledstudies published between 2016 and 2021 in Scopus, Pu-bMed, CINAHL, Web of Science and Cochrane Library wascarried out using the MeSH terms “exercise therapy” and“myocardial infarction”. Ten articles met the inclusion cri-teria; in these studies, the used exercises were combinedor traditional programs that included relaxation training,and were performed either at home or at the hospital. Weexamined exercise tolerance, cardiovascular parameters,anthropometric measurements, and quality of life. Signifi-cant improvements in the assessed variables were observedin most studies. We conclude that all studied therapeuticexercise modalities are useful in cardiac rehabilitation aftermyocardial infarction, although the best outcomes are seenfor combined therapeutic exercise programs.(AU)

Respuestas perceptuales a la aplicación de restricción de flujo sanguíneo en diferentes programas de ejercicio. Una revisión sistemática / Respostas perceptivas à aplicação da restrição do fluxo sanguíneo em diferentes programas de exercícios.Uma revisão sistemática / Perceptual responses to the application of blood flow restriction in different exercise programmes. A systematic review

Introducción: La restricción del flujo sanguíneo (RFS) es un complemento al entrenamiento tradicional con efectos sobre fuerza e hipertrofia. Sus efectostodavía no están claros, por lo que el objetivo de este trabajo es realizar una revisión acerca de los efectos perceptuales del RFS durante diferentesprogramas de ejercicio. Metodología: Se realizó una búsqueda en PubMed, Medline, Cinahl, Cochrane, Web of Science, Dialnet y PEDro. Se incluyeron ensayos clínicos en los quese usaba RFS en un programa de ejercicio y se estudiaban variables perceptuales (dolor, fatiga, disconfort, esfuerzo percibido). La calidad metodológicade los estudios se evaluó a través de la escala PEDro. Resultados: Se seleccionaron 24 ensayos que usaron RFS en miembro inferior durante programas de ejercicios resistidos, aeróbico-anaeróbicos, demiembro superior, concéntricos o excéntricos. Conclusiones: La RFS puede tener efectos perceptuales sobre diferentes programas de ejercicio, aunque éstos están altamente determinados por el estrésfisiológico del programa.(AU)

Introduction: Restriction of blood flow (RFS) is an adjunct to traditional training with effects on strength and hypertrophy. Its effects are still unclear, sothe aim of this paper is to review the perceptual effects of RFS during different exercise programmes. Methods: We searched PubMed, Medline, Cinahl, Cochrane, Web of Science, Dialnet and PEDro. Clinical trials were included in which RFS was used in anexercise programme and perceptual variables (pain, fatigue, discomfort, perceived exertion) were studied. The methodological quality of the studies wasassessed using the PEDro scale. Results: 24 trials using RFS on lower limb during resisted, aerobic-anaerobic, upper limb, concentric or eccentric exercise programmes were selected.Conclusions: RFS may have perceptual effects on different exercise programmes, although these are highly determined by the physiological stress of theprogramme.(AU)

Introdução: A restrição do fluxo sanguíneo (RFS) é um complemento ao treino tradicional com efeitos sobre a força e a hipertrofia. Os seus efeitos aindanão são claros, pelo que o objectivo deste documento é rever os efeitos perceptuais das RFS durante diferentes programas de exercício. Método: Pesquisámos PubMed, Medline, Cinahl, Cochrane, Web of Science, Dialnet e PEDro. Foram incluídos ensaios clínicos em que a RFS foi utilizadanum programa de exercícios e foram estudadas variáveis perceptuais (dor, fadiga, desconforto, percepção de esforço). A qualidade metodológica dosestudos foi avaliada utilizando a escala PEDro. Resultados: 24 ensaios utilizando RFS em membros inferiores durante programas de exercícios resistidos, aeróbico-anaeróbicos, de membros superiores,concêntricos ou excêntricos foram seleccionados. Conclusões: As RFS podem ter efeitos perceptuais em diferentes programas de exercício, embora estes sejam altamente determinados pelo stressfisiológico do programa.(AU)

Effects of therapeutic exercises in patients with lung cancer. A scoping review.

INTRODUCTION: Lung cancer is one of the most common malignancies worldwide and the leading cause of cancer-related death. Smoking is one of the main risk factors associated with this cancer. Treatment will depend on the form of cancer and its stage, existing many therapeutic possibilities. In this regard, therapeutic exercise plays an important role in lung cancer care, as well as the pulmonary rehabilitation and respiratory physical therapy. PURPOSE: To review the current scientific literature about the effects of therapeutic exercise in lung cancer. METHOD: A search was carried out in CINAHL, MEDLINE, PubMed, Scopus y Web of Science using de terms "Exercise Therapy" and "Lung Neoplasms". 141 studies were obtained, but only 19 were selected by adjusting to the inclusion and exclusion criteria. 10 of them were randomized controlled trials with a Jadad score between 2 and 3. RESULTS: These works performed a large variety of interventions based on therapeutic exercise, classified in preoperative, postoperative, during treatment, post treatment and combination. Most focused on aerobic exercise, muscle strength and respiratory exercises. CONCLUSION: therapeutic exercise seems to be positive and obtain significant improvements in patients with lung cancer, regardless the moment of intervention and the type of exercise performed.

Efectos de los antiinflamatorios no esteroideos en las tendinopatías / Effects of Non-Steroidal Anti-Inflammatory Drugs in Tendinopathies

Introducción: Los antiinflamatorios no esteroideos son comúnmente usados para el tratamiento de las tendinopatías, pero la evidencia sobre este tratamiento es escasa. Objetivo: Realizar una revisión sistemática acerca de los efectos de los en las tendinopatías. Métodos: Se desarrolló una búsqueda bibliográfica en PubMed, WOS, PEDro, Medline, Cinahl y SPORTDiscus. Se incluyeron un total de 13 ensayos clínicos con una calidad metodológica media de 7,15/10 en la escala PEDro. Conclusiones: En la mayoría de los artículos se observó una mejoría corto plazo en el dolor y la funcionalidad con el uso de AINEs. Los ensayos clínicos incluidos no analizaron la presencia de inflamación en esta patología. Se necesitan más estudios que determinen la función de la inflamación en la tendinopatía que justifique el uso de los antiinflamatorios no esteroideos(AU)

Introduction: Non-steroidal anti-inflammatory drugs are commonly used for the treatment of tendinopathies, but the evidence on this treatment is scarce. Objective: To carry out a systematic review about the effects of non-steroidal anti-inflammatory drugs in tendinopathies. Methods: A bibliographic search was carried out in PubMed, WOS, PEDro, Medline, Cinahl and SPORTDiscus. A total of 13 clinical trials with a mean methodological quality of 7.15/10 on the PEDro scale were included. Conclusions: In most of the articles, a short-term improvement in pain and functionality was observed with the use of non-steroidal anti-inflammatory drugs. The clinical trials included did not analyze the presence of inflammation in this pathology. More studies are needed to determine the role of inflammation in tendinopathy that justifies the use of nonsteroidal anti-inflammatory drugs(AU)

Eficacia del kinesiotape en el síndrome del túnel carpiano. Una revisión sistemática / Efectiveness of kinesiotape on carpal tunnel syndrome. A systematic review

Introducción y objetivo: El objetivo de este trabajo fue realizar una revisión sistemática acerca del tratamiento del síndrome de túnel carpiano (STC) mediante kinesiotape (KT). Material y Métodos: Se ha realizado una búsqueda bibliográfica en septiembre de 2021 en Cochrane, Medline, PubMed y Cinahl. Resultados: Se encontraron 52 artículos, y 11 cumplieron los criterios de selección establecidos, además de localizaron 2 artículos en la búsqueda manual. En ellos se analiza la mejora del STC en el tratamiento con KT frente a otros tratamientos alternativos no invasivos. Conclusiones: Parece ser que existe evidencia de que el KT puede ser una técnica eficaz para el tratamiento del STC. Sin embargo, debido a las limitaciones de los estudios se necesitan nuevas investigaciones con mayor número de pacientes y seguimientos a largo plazo. (AU)

Background and aim: The aim of this study was to conduct a systematic review of the treatment of carpal tunnel syndrome (CTS) using kinesiotape (KT). Material and Methods: A literature search was conducted in September 2021 in Cochrane, Medline, PubMed and Cinahl. Results: Fifty-two articles were found, 11 of which met the established selection criteria, and 2 articles were located in the manual search. They analyze the improvement of CTS in KT treatment versus alternative non-invasive treatments. Conclusion: there appears to be evidence that KT may be an effective technique for the treatment of CTS. However, due to the limitations of the studies, further research with larger numbers of patients and long-term follow-up is needed. (AU)

[Efficacy of the different therapeutic exercise modalities in cardiac rehabilitation after myocardial infarction. A review of the literature].

We aimed to assess the efficacy of different therapeutic exercise modalities in cardiac rehabilitation after acute myocardial infarction. A search of randomized controlled studies published between 2016 and 2021 in Scopus, PubMed, CINAHL, Web of Science and Cochrane Library was carried out using the MeSH terms "exercise therapy" and "myocardial infarction". Ten articles met the inclusion criteria; in these studies, the used exercises were combined or traditional programs that included relaxation training, and were performed either at home or at the hospital. We examined exercise tolerance, cardiovascular parameters, anthropometric measurements, and quality of life. Significant improvements in the assessed variables were observed in most studies. We conclude that all studied therapeutic exercise modalities are useful in cardiac rehabilitation after myocardial infarction, although the best outcomes are seen for combined therapeutic exercise programs.

Ejercicio terapéutico en el manejo del latigazo cervical crónico. Una revisión sistemática / Alterations of sensitivity to contrast and stereopsis in workers exposed to aromatic hydrocarbons

Objetivo: El objetivo de este estudio fue realizar una revisión sistemática acerca de los efectos del ejercicio terapéutico en el latigazo cervical. Material y Métodos: Se llevó a cabo una revisión sistemática de la bibliografía, siguiendo la normativa PRISMA, en marzo de 2021 y en las bases de datos PubMed, Medline, Scopus, Cinhal y Web of Science. Resultados: Se obtuvieron un total de 11 ensayos controlados aleatorizados, con una calidad metodológica superior o igual a 6 en la escala PEDro. Los programas de ejercicio empleados se basaron en ejercicios específicos de cuello, solos o en combinación con programas integrales, educación y asesoramiento. Conclusiones: Los ejercicios específicos de cuello pueden beneficiar a los pacientes con latigazo cervical crónico. Añadir educación y enfoque conductual a las terapias no parece tener un beneficio adicional, y la prescripción de ejercicio global no parece tener beneficios significativos (AU)

Objective: The aim of this study was to conduct a systematic review of the effects of therapeutic exercise on whiplash. Material and Methods: A systematic review of the literature was carried out, following the PRISMA guidelines, in March 2021 and in the databases PubMed, Medline, Scopus, Cinhal and Web of Science. Results: A total of 11 randomized controlled trials were obtained, with a methodological quality greater than or equal to 6 on the PEDro scale. The exercise programs used were based on specific neck exercises alone or in combination with comprehensive programs, education and counselling. Conclusions: Neck-specific exercises may benefit patients with chronic whiplash. Adding education and behavioral approaches to therapies does not appear to have additional benefit, and global exercise prescription does not appear to have significant benefits (AU)

Actualización de los tratamientos para el cólico del lactante

RESUMEN Introducción: El cólico del lactante es un cuadro caracterizado por llanto repetitivo y continuado con dificultad para calmarse. Su origen no está definido, lo cual obstaculiza la existencia de un tratamiento de éxito. Objetivo: Analizar las evidencias científicas más actuales acerca de los tratamientos existentes y susceptibles de usar en el cólico del lactante. Métodos: Se realizó una búsqueda bibliográfica en las bases de datos Cinhal, Medline y Scopus utilizando los descriptores, "Infant", "Colic", "Therapeutics" y la palabra clave "Treatment". Se obtuvieron 97 resultados totales, de los cuales resultaron ser válidos 15. Análisis e integración de la información: La finalidad común de los trabajos analizados es la disminución de la sintomatología del cólico del lactante, centrándose en la disminución del llanto, con tratamientos que van desde la administración de dosis orales de probióticos, hierbas medicinales y homeopatía, hasta el tratamiento con estímulos físicos como la terapia cráneo-sacra, la acupuntura, el masaje o la reflexología. Conclusiones: Existen múltiples tratamientos para el cólico del lactante, pero no se puede afirmar que uno sea más eficaz que los demás.

ABSTRACT Introduction: Infant colic is a condition characterized by repetitive and continuous crying with difficulty calming down. Its origin is not defined, which hinders the existence of a successful treatment. Objective: To analyze the most current scientific evidence on the existing treatments that can be used in infant colic. Methods: A bibliographic search was carried out in Cinhal, Medline and Scopus databases using the descriptors, "Infant", "Colic", "Therapeutics" and the keyword "Treatment". Ninety-seven total results were obtained, 15 of them were valid. Analysis and integration of information: The common purpose of the studies analyzed is to reduce the symptoms of colic in infants, focusing on reducing crying, treatments ranged from the administration of oral doses of probiotics, medicinal herbs and homeopathy, to treatment with physical stimuli such as cranio-sacral therapy, acupuncture, massage or reflexology. Conclusions: There are multiple treatments for infant colic but it cannot be said that one is more effective than the others.

Epidemiología del dolor raquídeo en una población de escolares de España / Epidemiology of spinal pain in a population of schoolchildren from Spain

Introducción. El dolor raquídeo es uno de los motivos principales de asistencia sanitaria; suele aparecer durante la etapa escolar, aumenta progresivamente con la edad y se relaciona con ciertos factores de riesgo. El objetivo de esta investigación es analizar la prevalencia de dolor raquídeo en escolares y examinar los factores asociados a su padecimiento. Población y métodos. Estudio transversal mediante un cuestionario realizado en escolares de 9 a 11 años. Se analizó la prevalencia del dolor, la actividad física, los autocuidados del raquis, el uso de la mochila y la utilización de dispositivos electrónicos. Resultados. Se analizaron 329 sujetos. La prevalencia de dolor raquídeo es del 34,3 %, sin diferencias entre sexos. Se considera de baja intensidad, con una media de dolor de 1,99 ± 2,54 sobre 10 según la escala Wong-Baker FACES®, y en más de la mitad de los casos, de corta duración, menos de 12 horas. El 22,2 % de los escolares refieren dolor cervical, mientras que el 14 % y 11,9 % refieren dolor dorsal y lumbar, respectivamente. Además, el 47,9 % refieren dolor en más de una región raquídea. El 73,3 % realiza actividad física fuera del horario escolar, y el 90,6 % de los estudiantes utiliza dispositivos electrónicos. Se observó relación entre la presencia de dolor y hábitos de higiene postural adecuados. Conclusiones. Los escolares refieren dolor raquídeo de baja intensidad y corta duración, con mayor frecuencia en la región cervical. La asociación con factores de riesgo revela que los que refieren dolor presentan mejores hábitos posturales.

Introduction. Spinal pain is one of the main reasons for seeking care; it usually appears during school age, increases with age, and is related to certain risk factors. The objective of this study is to analyze the prevalence of spinal pain among schoolchildren and examine associated factors. Population and methods. Cross-sectional study with a questionnaire administered to schoolchildren aged 9-11 years. The prevalence of pain, physical activity, spine self-care, backpack use, and electronic device use were analyzed. Results. A total of 329 subjects were analyzed. The prevalence of spinal pain is 34.3 %, with no differences observed between sexes. Pain severity is considered mild, with a mean severity of 1.99 ± 2.54 over 10 according to the Wong-Baker FACES® scale; in more than 50 % of cases, pain had a short duration (less than 12 hours). Cervical pain was referred by 22.2 % of schoolchildren, whereas dorsal and lumbar pain were reported by 14 % and 11.9 %, respectively. In addition, 47.9 % referred pain in more than one region of the spine. Also, 73.3 % of schoolchildren did physical activity outside school hours and 90.6 % used electronic devices. An association was observed between the presence of pain and adequate postural hygiene habits. Conclusions. Schoolchildren referred spinal pain that was mild and short in duration, often in the cervical region. The association with risk factors indicates that children who referred pain have better postural habits.

Epidemiology of spinal pain in a population of schoolchildren from Spain. / Epidemiología del dolor raquídeo en una población de escolares de España.

Introduction: Spinal pain is one of the main reasons for seeking care; it usually appears during school age, increases with age, and is related to certain risk factors. The objective of this study is to analyze the prevalence of spinal pain among schoolchildren and examine associated factors. Population and methods: Cross-sectional study with a questionnaire administered to schoolchildren aged 9-11 years. The prevalence of pain, physical activity, spine self-care, backpack use, and electronic device use were analyzed. Results: A total of 329 subjects were analyzed. The prevalence of spinal pain is 34.3%, with no differences observed between sexes. Pain severity is considered mild, with a mean severity of 1.99 ± 2.54 over 10 according to the Wong-Baker FACES® scale; in more than 50% of cases, pain had a short duration (less than 12 hours). Cervical pain was referred by 22.2% of schoolchildren, whereas dorsal and lumbar pain were reported by 14% and 11.9%, respectively. In addition, 47.9% referred pain in more than one region of the spine. Also, 73.3% of schoolchildren did physical activity outside school hours and 90.6% used electronic devices. An association was observed between the presence of pain and adequate postural hygiene habits. Conclusions: Schoolchildren referred spinal pain that was mild and short in duration, often in the cervical region. The association with risk factors indicates that children who referred pain have better postural habits.

Introducción. El dolor raquídeo es uno de los motivos principales de asistencia sanitaria; suele aparecer durante la etapa escolar, aumenta progresivamente con la edad y se relaciona con ciertos factores de riesgo. El objetivo de esta investigación es analizar la prevalencia de dolor raquídeo en escolares y examinar los factores asociados a su padecimiento. Población y métodos. Estudio transversal mediante un cuestionario realizado en escolares de 9 a 11 años. Se analizó la prevalencia del dolor, la actividad física, los autocuidados del raquis, el uso de la mochila y la utilización de dispositivos electrónicos. Resultados. Se analizaron 329 sujetos. La prevalencia de dolor raquídeo es del 34,3 %, sin diferencias entre sexos. Se considera de baja intensidad, con una media de dolor de 1,99 ± 2,54 sobre 10 según la escala Wong-Baker FACES®, y en más de la mitad de los casos, de corta duración, menos de 12 horas. El 22,2 % de los escolares refieren dolor cervical, mientras que el 14 % y 11,9 % refieren dolor dorsal y lumbar, respectivamente. Además, el 47,9 % refieren dolor en más de una región raquídea. El 73,3 % realiza actividad física fuera del horario escolar, y el 90,6 % de los estudiantes utiliza dispositivos electrónicos. Se observó relación entre la presencia de dolor y hábitos de higiene postural adecuados. Conclusiones. Los escolares refieren dolor raquídeo de baja intensidad y corta duración, con mayor frecuencia en la región cervical. La asociación con factores de riesgo revela que los que refieren dolor presentan mejores hábitos posturales.

Factores de riesgo para la rotura del manguito rotador / Risk factors for rotator cuff injury

Objetivo: Analizar la evidencia científica actual para poder establecer qué factores están relacionados con la rotura del manguito rotador. Material y Métodos: Se llevó a cabo una revisión de la literatura científica entre febrero y marzo de 2020 con los términos MeSH “risk factors” y “rotator cuff injuries”. Se obtuvieron 17 artículos válidos para la realización de la revisión. Resultados: El 47% de los artículos analizaron la relación de la lesión con parámetros morfológicos de la articulación, el 24% con ciertos tipos de enfermedades y el 29% restante con características personales, ambientales y del estilo de vida. Conclusión: El índice de masa corporal, la dislipemia o el consumo de tabaco podrían aumentar la prevalencia de la lesión del manguito rotador así como las características anatómicas o aspectos psicosociales y de estilo de vida (AU)

Objetives: To analyze the current scientific evidence about the risk factors of the rotator cuff injury. Material and Methods: A systematic search was carried out on February and march, 2020 with the MeSH terms “risk factors” and “rotator cuff injuries”. 17 studies were selected to be reviewed. Results: 47% of studies analyzed the relationship between the rotator cuff injury and morphologic parameters of the joint, 24% of studies with diseases and 29% with lifestyle and Ambiental characteristics. Conclusion: Body mass index, dyslipaemia or tobacco use may increase the prevalence of rotator cuff injury as well as anatomical features or psychosocial and lifestyle aspects (AU)

Aplicación clínica de los ejercicios hipopresivos: una revisión sistemática / Clinical application of hypopressive exercises: a systematic review / Aplicação clínica de exercícios hipopressivos: uma revisão sistemática

INTRODUCCIÓN: La Gimnasia Abdominal Hipopresiva es un método creado en la década de los 80 por el Dr. Marcel Caufriez en el ámbito de la reeducación postparto. Actualmente es una técnica muy popularizada, sin embargo, hasta el momento existe poca evidencia en la literatura científica que avale la eficacia de dichos ejercicios. OBJETIVO: Revisar la evidencia publicada en los últimos cinco años sobre los efectos de los ejercicios abdominales hipopresivos. MÉTODO: Para la realización de este trabajo se llevó a cabo una revisión de la literatura en las bases de datos PubMed, Medline, CINAHL, Scopus, Web Of Science, SPORTDiscus, Science Direct, PEDro y Dialnet en febrero de 2020. Se incluyeron artículos publicados en los últimos cinco años, y en idioma inglés o español. RESULTADOS: Se obtuvieron 16 artículos. Los estudios analizados evalúan el efecto de los abdominales hipopresivos sobre el suelo pélvico, abdomen, incontinencia urinaria, dolor lumbar, escoliosis y factores metabólicos. CONCLUSIONES: Los ejercicios hipopresivos pueden ser utilizados como método complementario al tratamiento clásico de fortalecimiento de la musculatura del suelo pélvico o abdominal. Las conclusiones de esta revisión se deben tomar con precaución debido a las limitaciones que presenta, como la baja calidad de los artículos analizados

INTRODUCTION: Hypopressive Abdominal Gymnastics is a method created in the 80s by Dr. Marcel Caufriez in the field of postpartum reeducation. There is little evidence about this technique, despite it is very popular nowadays. OBJECTIVE: To review the evidence published in the last five years about the effects of hypopressive abdominal exercises in clinical practice. METHOD: A review of the scientific literature was carried out through a systematic research in the following scientific databases: PubMed, Medline, CINAHL, Scopus, Web of Science, SPORTDiscus, Science Direct, PEDro and Dialnet during February, 2020. Articles published in the last five years, and in English or Spanish, were included. RESULTS: 16 articles were selected. The studies analyzed evaluate the effect of hypopressive abdominals on the pelvic floor, abdomen, urinary incontinence, low back pain, scoliosis and metabolic factors. CONCLUSIONS: Hypopressive exercises can be used as a complementary method to the classical treatment of pelvic floor or abdominal muscle strengthening. The conclusions of this review should be taken with caution due to the limitations it presents, such as the poor quality of the articles analyzed

INTRODUÇÃO: Ginástica Abdominal Hipopressora é um método criado na década de 80 pelo Dr. Marcel Caufriez no campo da reeducação pós-parto. Atualmente, é uma técnica muito popular, no entanto, até o momento, há poucas evidências na literatura científica que endossem a eficácia de tais exercícios. OBJETIVO: Revisar as evidências publicadas nos últimos cinco anos sobre os efeitos dos exercícios abdominais hipopressivos. MÉTODO: Para realização deste trabalho, realizou-se uma revisão da literatura científica através de uma busca sistemática nas bases de dados científicas Pubmed, Medline, CINAHL, Scopus, Web of Science, SPORTDiscus, Science Direct, Pedro e Dialnet en fevereiro de 2020. Artigos publicados nos últimos cinco anos e em inglês ou espanhol foram incluídos. RESULTADOS: 16 artigos foram obtidos. Os estudos analisados avaliam o efeito dos abdominais hipopressivos no assoalho pélvico, abdome, incontinência urinária, lombalgia, escoliose e fatores metabólicos. CONCLUSÕES: Exercícios hipopressivos podem ser utilizados como método complementar ao tratamento clássico do assoalho pélvico ou do fortalecimento muscular abdominal. As conclusões desta revisão devem ser tomadas com cautela devido às limitações que apresenta, como a má qualidade dos artigos analisados