Historia de salud digital (Diraya): un recurso en la vigilancia epidemiológica / The electronic health record (Diraya): a resource in epidemiological surveillance

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Pasarela rodante con o sin sistema de suspensión del peso corporal en niños con parálisis cerebral infantil: revisión sistemática y metaanálisis / Treadmill training with or without partial body weight support in children with cerebral palsy: systematic review and meta-analysis

Introducción. Las limitaciones de la marcha en niños con parálisis cerebral infantil son comunes. De hecho, el entrenamiento de la locomoción constituye un objetivo terapéutico esencial. Existen diversos enfoques de tratamiento, pero, en los últimos años, el entrenamiento en pasarela rodante, enmarcado dentro del aprendizaje motor orientado a tareas, ha incrementado su presencia en el ámbito clínico. Objetivo. Determinar si el entrenamiento en pasarela rodante con o sin sistema de suspensión parcial del peso corporal mejora la habilidad para caminar, la función motriz de la extremidad inferior, el funcionamiento y la discapacidad, y la calidad de vida en niños con parálisis cerebral infantil. Materiales y métodos. Se incluyeron ensayos aleatorizados y controlados o, en su defecto, ensayos controlados no aleatorizados, pero autoemparejados. Se emplearon las siguientes bases de datos: National Guideline Clearinghouse, Trip Database, SUMsearch, Medline, CINHAL, Embase, Amed, Cochrane Library Plus y PEDro. Se incluyeron seis artículos y se reclutaron 127 participantes. Sólo se llevó a cabo un metaanálisis. Se empleó un modelo de efectos fijos, obteniendo resultados no significativos entre el incremento de la velocidad y la intervención. Resultados. Según los estudios individuales, la intervención logró mejorar la función de la extremidad inferior y los parámetros espaciotemporales durante la marcha. Sin embargo, las diferencias entre grupos a favor de la condición experimental fueron, en su mayoría, no significativas. Conclusiones. La revisión sistemática muestra algunas limitaciones. En primer lugar, incluye un reducido número de artículos, los cuales reclutan pocos pacientes. Además, existe una gran diversidad clínica y muchos ensayos no describen datos relevantes necesarios para la lectura crítica (AU)

Introduction. The limitations of gait in children with cerebral palsy are common. In fact, the training of locomotion is an essential therapeutic goal. There are various treatment approaches, but in recent years, the treadmill training, framed within the motor learning task-oriented, has increased its presence at the clinical level. Aim. To determine whether treadmill training with or without partial body weight support, improves the ability to walk, the motor function of the lower limb, the disability and the quality of life in children with cerebral palsy. Materials and methods. We selected only those articles with the highest level of evidence for each type of intervention. We searched in the National Guideline Clearinghouse, Trip Database, SUMsearch, Medline, CINHAL, Embase, Amed, Cochrane Library Plus and PEDro. Data were extracted from these six studies, which recruited 127 participants. Only a meta-analysis was given. We used a fixed effects model, data were not significant between increased of speed and treadmill training. Results. According to the individual studies, the intervention improved lower extremity function and spatiotemporal parameters during gait. However, the differences between groups in favor of the experimental condition, were mostly not significant. Conclusions. The systematic review shows some limitations. Firstly, it includes a small number of studies, which is also a small sample of participants. In addition, among the studies, there is a great clinical diversity and many articles did not described relevant data exactly for critical reading (AU)

[Treadmill training with or without partial body weight support in children with cerebral palsy: systematic review and meta-analysis]. / Pasarela rodante con o sin sistema de suspension del peso corporal en ninos con paralisis cerebral infantil: revision sistematica y metaanalisis.

INTRODUCTION: The limitations of gait in children with cerebral palsy are common. In fact, the training of locomotion is an essential therapeutic goal. There are various treatment approaches, but in recent years, the treadmill training, framed within the motor learning task-oriented, has increased its presence at the clinical level. AIM: To determine whether treadmill training with or without partial body weight support, improves the ability to walk, the motor function of the lower limb, the disability and the quality of life in children with cerebral palsy. MATERIALS AND METHODS: We selected only those articles with the highest level of evidence for each type of intervention. We searched in the National Guideline Clearinghouse, Trip Database, SUMsearch, Medline, CINHAL, Embase, Amed, Cochrane Library Plus and PEDro. Data were extracted from these six studies, which recruited 127 participants. Only a meta-analysis was given. We used a fixed effects model, data were not significant between increased of speed and treadmill training. RESULTS: According to the individual studies, the intervention improved lower extremity function and spatiotemporal parameters during gait. However, the differences between groups in favor of the experimental condition, were mostly not significant. CONCLUSIONS: The systematic review shows some limitations. Firstly, it includes a small number of studies, which is also a small sample of participants. In addition, among the studies, there is a great clinical diversity and many articles did not described relevant data exactly for critical reading.