1
|
Gutiérrez-Espinoza H, Cassola-Cajiao M, Garzón-Ulloa E, Celi-Lalama D, Bastidas-Caldes C, Araya-Quintanilla F, Cristi-Montero C, López-Gil JF. Lifestyle behavior of physiotherapy students from Ecuador upon admission to higher education: a cross-sectional study. Front Sports Act Living 2024; 6:1352144. [PMID: 38645730 PMCID: PMC11026592 DOI: 10.3389/fspor.2024.1352144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Accepted: 03/28/2024] [Indexed: 04/23/2024] Open
Abstract
Introduction Admission to university has been identified as a period involving the adoption of unhealthy lifestyle behaviors. However, few studies have addressed the extent of this experience among Latin American university students. The aim of this study was twofold: first, to describe anthropometric variables, body composition, physical activity, sedentary behavior, sleep duration and quality, diet, and alcohol consumption in first-year students entering physiotherapy school at the Universidad de las Americas in Quito, Ecuador; second, to test differences in these variables between sexes. Methods A total of 116 students were recruited. Sociodemographic variables, anthropometric indices, body composition, physical activity, sedentary behavior, sleep quality and duration, adherence to 24-hour movement guidelines, physical fitness (i.e., handgrip strength), diet, alcohol consumption, and smoking habits were evaluated. Results A total of 50 male (43.1%) and 66 female (56.9%) students were assessed. Overall, the adherence to the 24-hour movement guidelines of the students upon admission to university was 8.6%. Conversely, 86 students (74.1%) did not meet any of the recommendations. Upon admission to university, only 8.6% of the students (female 2.6%; male 6%) met the overall 24-hour movement guidelines. Additionally, 82 students (70.7%) needed changes in diet quality, 81 students (69.8%) had significant sleep disturbances, and 22 students (18.9%) had harmful alcohol consumption. A greater proportion of males met all three 24-h movement recommendations (p = 0.025) than females did. In addition, females reported a greater percentage of occasional smokers (p = 0.025) and a greater prevalence of obesity (p < 0.001), a lower level of physical activity (p < 0.001), and a greater percentage of sleep disturbance (p < 0.001). Conversely, males reported greater waist circumference (p = 0.005), weight (p < 0.001), handgrip strength (p < 0.001), and a greater percentage of harmful alcohol consumption (p < 0.001). Discussion Our study showed that upon admission to university, overall adherence to the 24-hour movement guidelines is low among university students. Additionally, a high percentage of students reported unhealthy lifestyle behaviors, with differences according to sex. Our findings could lead to the use of specific sex-specific strategies for the prevention and promotion of movement and lifestyle behaviors during this critical period.
Collapse
Affiliation(s)
| | | | | | | | | | - Felipe Araya-Quintanilla
- Escuela de Kinesiología, Facultad de Odontología y Ciencias de la Rehabilitación, Universidad San Sebastián, Santiago, Chile
| | - Carlos Cristi-Montero
- IRyS Group, Physical Education School, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile
| | - José Francisco López-Gil
- One Health Research Group, Universidad de las Americas, Quito, Ecuador
- Department of Communication and Education, Loyola University, Andalusia, Seville, Spain
| |
Collapse
|
2
|
Gutiérrez-Espinoza H, Estrella-Flores E, Cuyul-Vásquez I, Jorquera-Aguilera R, Francisco López-Gil J, Araya-Quintanilla F. Effects of a Conventional Treatment Plus Scapular Exercises Program in Patients With Chronic Lateral Elbow Tendinopathy: A Pre-Post Single-Group Study. J Sport Rehabil 2024; 33:106-113. [PMID: 38167648 DOI: 10.1123/jsr.2023-0071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2023] [Revised: 08/30/2023] [Accepted: 10/22/2023] [Indexed: 01/05/2024]
Abstract
BACKGROUND Weakness of the shoulder girdle muscles has been reported in patients with chronic lateral elbow tendinopathy. The aim of this study was to assess the short- and long-term effects of a conventional treatment plus scapular exercises program in patients with chronic lateral elbow tendinopathy. METHODS A single-group prestudy and poststudy were conducted. The primary outcome was the Patient-Rated Tennis Elbow Evaluation questionnaire score. Secondary outcomes were grip strength; Disabilities of the Arm, Shoulder, and Hand questionnaire score; Visual Analogue Scale score at rest and at grip, and presence of scapular dyskinesis. RESULTS A total of 65 patients (72.3% females), with a mean age of 41.8 years, were analyzed. At the end of 6 weeks, the results showed clinically and statistically significant differences (P < .05). At 1-year follow-up, the differences were: Patient-Rated Tennis Elbow Evaluation -31 points (P < .001); grip strength +33.6% (P < .001); Disabilities of the Arm, Shoulder, and Hand -34.2 points (P < .001); Visual Analogue Scale at rest -2.5 cm (P < .001); and Visual Analogue Scale at grip -2.3 cm (P < .001). CONCLUSION At the end of 6 weeks and at 1-year follow-up, conventional treatment plus scapular exercises program showed statistically and clinically significant differences in all functional outcomes assessed in patients with lateral elbow tendinopathy.
Collapse
Affiliation(s)
| | | | - Iván Cuyul-Vásquez
- Faculty of Health, Therapeutic Process Department, Temuco Catholic University, Temuco, Chile
| | | | | | - Felipe Araya-Quintanilla
- Escuela de Kinesiología, Facultad de Odontología y Ciencias de la Rehabilitación, Universidad San Sebastián, Santiago, Chile
| |
Collapse
|
3
|
Mendez-Rebolledo G, Araya-Quintanilla F, Guzmán-Muñoz E, Salazar-Mendez J, Cruz-Montecinos C, Berckmans KR, Calatayud J. A comparative electromyographic study of scapular stabilizing muscles during five main rehabilitation exercises. Am J Phys Med Rehabil 2024:00002060-990000000-00367. [PMID: 38261765 DOI: 10.1097/phm.0000000000002394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2024]
Abstract
OBJECTIVE To compare the surface electromyographic (sEMG) amplitude, activation ratio, and onset latency of the main scapular stabilizing muscles between five typical rehabilitative exercises. DESIGN Twenty-seven healthy participants performed five scapular exercises [wall-slide (WS), wall push-up plus, prone horizontal abduction with external rotation (PHABER), external rotation in side-lying (ERSL), and low row] while simultaneously recording sEMG of serratus anterior (SA), middle trapezius (MT), lower trapezius (LT), and upper trapezius (UT). sEMG amplitudes, onset latencies, and activation ratios were calculated. RESULTS PHABER showed an excellent UT/MT (0.43) and UT/LT (0.30) muscle balance with high (> 50% MVIC) MT and LT amplitudes, a low (< 20% MVIC) UT amplitude, and an early activation of the scapular stabilizing muscles (-474.7 to 89.9 ms) relative to UT. ERSL showed excellent UT/SA (0.26), UT/MT (0.32), and UT/LT (0.21) activation ratios; and along with LR and WS, showed early activation of the scapular stabilizing muscles (-378.1 to -26.6 ms). CONCLUSIONS PHABER presented optimal scapular neuromuscular control. Although ERSL, low row, and WS did not meet all the criteria associated with optimal scapular neuromuscular control, these exercises could be used in early stages of shoulder rehabilitation because they favor early activation of the scapular stabilizing muscles.
Collapse
Affiliation(s)
- Guillermo Mendez-Rebolledo
- Laboratorio de Investigación Somatosensorial y Motora, Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Talca, Chile
| | - Felipe Araya-Quintanilla
- Escuela de Kinesiología, Facultad de Odontología y Ciencias de la Rehabilitación, Universidad San Sebastián, Santiago, Chile
| | - Eduardo Guzmán-Muñoz
- Laboratorio de Investigación Somatosensorial y Motora, Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Talca, Chile
| | - Joaquín Salazar-Mendez
- Laboratorio de Investigación Somatosensorial y Motora, Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Talca, Chile
| | - Carlos Cruz-Montecinos
- Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago, Chile
| | - Kelly R Berckmans
- Department of Rehabilitation Sciences (Physical Therapy), University Hospital Ghent, Faculty of Medicine and Health Sciences, Ghent University, Gent, Belgium
| | | |
Collapse
|
4
|
Salazar-Méndez J, Morales-Verdugo J, Lluch-Girbés E, Araya-Quintanilla F, Ribeiro IL, Mendoza-Grau R, Mellado-Méndez J, Mendez-Rebolledo G. A scoping review of tendon transfer surgeries and postsurgical physical therapy interventions in individuals with massive rotator cuff tears. PM R 2023. [PMID: 37870114 DOI: 10.1002/pmrj.13089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Revised: 08/18/2023] [Accepted: 10/02/2023] [Indexed: 10/24/2023]
Abstract
OBJECTIVE To identify tendon transfer surgeries and postsurgical physical therapy interventions in people with massive rotator cuff (RC) tears. METHODS The literature search was conducted in the MEDLINE, Science Direct, Scopus, Web of Science, and PEDro databases from inception to September 2022. Studies with patients diagnosed with massive RC tears undergoing tendon transfers that reported physical therapy interventions after surgery were included. Two reviewers pooled the data into ad hoc summary tables with the following information: authors, year, study characteristics (sample size, tendon transfer surgical used, approach type, preoperative risk, deficit addressed, additional surgical interventions), and physical therapy interventions (early stage, intermediate stage, and advanced stage). RESULTS Forty-four articles (59.0% case series) were included, with a total sample of 1213 participants. The most frequently used surgery was the isolated tendon transfer of the latissimus dorsi (49.1%). Most of the studies reported three main stages of physical therapy interventions after tendon transfer surgery: early stage (lasting 5-6 weeks), intermediate stage (started at 7-12 weeks), and advanced stage (started at 12 weeks). Physical therapy interventions included passive, active-assisted, resisted therapeutic exercise, and hydrotherapy. CONCLUSIONS The evidence regarding physical therapy interventions after RC tendon transfer surgery is limited to the number and duration of the stages and general characteristics without specifying the type and dose of the interventions. Future research with high methodological quality should integrate more detailed rehabilitation protocols to better guide therapeutic decisions after RC transfer surgery.
Collapse
Affiliation(s)
- Joaquín Salazar-Méndez
- Laboratorio de Investigación Somatosensorial y Motora, Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Talca, Chile
| | - Juan Morales-Verdugo
- Departamento de Ciencias Preclínicas, Facultad de Medicina, Universidad Católica del Maule, Talca, Chile
| | - Enrique Lluch-Girbés
- Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Valencia, Spain
| | - Felipe Araya-Quintanilla
- Escuela de Kinesiología, Facultad de Odontología y Ciencias de la Rehabilitación, Universidad San Sebastián, Santiago, Chile
| | - Ivana Leao Ribeiro
- Departamento de Kinesiología, Facultad de Ciencias de la Salud, Universidad Católica del Maule, Talca, Chile
| | | | | | - Guillermo Mendez-Rebolledo
- Laboratorio de Investigación Somatosensorial y Motora, Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Talca, Chile
| |
Collapse
|
5
|
Gutiérrez Espinoza H, Araya-Quintanilla F, Pinto-Concha S, Valenzuela-Fuenzalida J, López-Gil JF, Ramírez-Velez R. Specific versus general exercise programme in adults with subacromial impingement syndrome: a randomised controlled trial. BMJ Open Sport Exerc Med 2023; 9:e001646. [PMID: 37780129 PMCID: PMC10537831 DOI: 10.1136/bmjsem-2023-001646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/09/2023] [Indexed: 10/03/2023] Open
Abstract
Objectives Current evidence on the clinical effectiveness about the different types of exercises in the subacromial impingement syndrome (SIS) remains controversial. This study aims to compare the short-term (at 5 weeks) effects of a specific exercise programme with a general exercise programme on shoulder function in adults with SIS. Methods In total, 52 adults with SIS were randomly allocated to 5 weeks to perform specific exercises (experimental group, n=26) or general exercises (control group, n=26). The primary outcome was change in shoulder function, it was assessed using the Shoulder Pain and Disability Index (SPADI) from baseline to 5 weeks. Secondary end points included changes in upper limb function (Disabilities of the Arm, Shoulder, and Hand (DASH) Questionnaire), pain intensity (Visual Analog Scale (VAS)) and kinesiophobia (Tampa Scale of Kinesiophobia (TSK)). Results All participants completed the trial. The between-group differences at 5 weeks were: SPADI, 13.5 points (95% CI: 4.3 to 15.6; ƞ2=0.22; p=0.001); DASH, 10.1 points (95% CI: 5.6 to 15.2; ƞ2=0.27; p<0.001); VAS at rest, 0.2 cm (95% CI: 0.1 to 0.3; ƞ2=0.07; p=0.553); VAS on movement, 1.7 cm (95% CI: 0.9 to 2.2; ƞ2=0.24; p<0.001); and TSK, 16.3 points (95% CI: 13.2 to 15.3; ƞ2=0.33; p<0.001). All differences favoured the experimental group and effect sizes were medium to large for most outcomes. Mediation analyses showed that the effect of the specific exercises on shoulder function was mediated by kinesiophobia (β=2.800; 95% CI: 1.063 to 4.907) and pain on movement (β= -0.690; 95% CI: -1.176 to -0.271). Conclusion In adults with SIS, specific exercises may have a larger effect than general exercises. However, most differences did not reach the minimum threshold to be considered clinically important and the evidence to support exercise as standard treatment warrant further study. Trial registration number Brazilian Registry of Clinical Trials UTN number U111-1245-7878. Registered on 17 January 2020 (https://ensaiosclinicos.gov.br/rg/RBR-4d5zcg).
Collapse
Affiliation(s)
| | - Felipe Araya-Quintanilla
- Escuela de Kinesiología, Facultad de Odontología y Ciencias de la Salud, Universidad San Sebastián, Santiago, Chile
| | | | - Juan Valenzuela-Fuenzalida
- Department of Morphology and Function, Faculty of Health Sciences, University of Americas, Santiago, Chile
- Departamento de Ciencias Químicas y Biológicas, Facultad de Ciencias de la Salud, Universidad Bernardo O'Higgins, Santiago, Chile
| | - José Francisco López-Gil
- Navarrabiomed, Hospital Universitario de Navarra (HUN), Universidad Pública de Navarra (UPNA), IdiSNA, Pamplona, Spain
- Department of Environmental Health, T.H. Chan School of Public Health, Harvard University, Boston, MA, USA
- One Health Research Group, Universidad de las Americas, Quito, Ecuador
| | - Robinson Ramírez-Velez
- Navarrabiomed, Hospital Universitario de Navarra (HUN), Universidad Pública de Navarra (UPNA), IdiSNA, Pamplona, Spain
- CIBER of Frailty and Healthy Anging (CIBERFES), Instituto Carlos III, Madrid, Spain
| |
Collapse
|
6
|
Román-Veas J, Gutiérrez-Monclus R, López-Gil JF, Valenzuela-Fuenzalida J, Araya-Quintanilla F, Gutiérrez-Espinoza H, Hagert E. Baseline predictors related to functional outcomes in patients older than sixty years with complex regional pain syndrome type 1 after distal radius fracture treated conservatively: a prospective observational study. Int Orthop 2023; 47:2275-2284. [PMID: 37438487 DOI: 10.1007/s00264-023-05880-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/10/2023] [Accepted: 06/27/2023] [Indexed: 07/14/2023]
Abstract
PURPOSE This study aimed to analyze baseline predictors of functional outcomes six weeks and at one year follow-up in patients older than 60 years with complex regional pain syndrome type 1 (CRPS I) after distal radius fracture (DRF). METHODS A total of 120 patients with CRPS I after DRF were prospectively recruited. Presumptive relevant factors were collected and analyzed as potential baseline predictors. Additionally, functional outcomes were assessed at the beginning of physiotherapy treatment, at six weeks after finishing physiotherapy treatment, and at one year follow-up. Patient-Rated Wrist Evaluation; Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire; Jamar dynamometer; and visual analog scale (VAS) were assessed. RESULTS All participants completed the study. At 6 weeks, the main results showed an association of lower values of grip strength with female sex (p = 0.010), intra-articular DRFs (p = 0.030), longer immobilization time (p = 0.040), lower levels of physical activity (p < 0.001), higher levels of kinesiophobia (p = 0.010), and anxiety (p = 0.020). At 1-year follow-up, the results showed an association of lower values of DASH with higher BMI (p < 0.001) and longer immobilization time (p < 0.001); and higher values of VAS showed an association with older age (p = 0.010), higher BMI (p = 0.010), and lower levels of physical activity (p = 0.040). CONCLUSION At six weeks, factors such as BMI, immobilization time, physical activity, and kinesiophobia are associated with lower functional outcomes. Additionally, at one year follow-up, BMI, immobilization time, and physical activity continue to be associated with lower functional outcomes in patients with CRPS I after DRF treated conservatively.
Collapse
Affiliation(s)
| | | | - José Francisco López-Gil
- Navarrabiomed, Hospital Universitario de Navarra (HUN), Universidad Pública de Navarra (UPNA), IdiSNA, Pamplona, Spain
- Department of Environmental Health, T.H Chan School of Public Health, Harvard University, Boston, USA
| | | | - Felipe Araya-Quintanilla
- Escuela de Kinesiología, Facultad de Odontología y Ciencias de la Rehabilitación, Universidad San Sebastián, Santiago, Chile
| | | | - Elizabet Hagert
- Aspetar Orthopedic and Sports Medicine Hospital, Doha, Qatar
- Dept of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden
| |
Collapse
|
7
|
Araya-Quintanilla F, Sepulveda-Loyola W, Cuyul-Vásquez I, Alvarez-Bustos A, Gutiérrez-Espinoza H, Suziane Probst V, Camp PG, Rodríguez-Mañas L. Recommendations and Effects of Rehabilitation Programs in Older Adults After Hospitalization for COVID-19: A Scoping Review. Am J Phys Med Rehabil 2023; 102:653-659. [PMID: 36762849 PMCID: PMC10259172 DOI: 10.1097/phm.0000000000002183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
ABSTRACT The aims of this review were to identify studies on physical rehabilitation programs and describe the potential effects on functional outcomes in patients older than 60 yrs at discharge from acute care post-COVID-19. The literature search was conducted in the MEDLINE, Cochrane CENTRAL, EMBASE, PEDro, LILACS, CINAHL, SPORTDiscus, Web of Science, and The Living OVerview of Evidence (L-OVE) COVID-19 databases. Studies with patients older than 60 yrs, hospitalized with COVID-19, and admitted to a rehabilitation program after discharge from acute care were included. Ten studies were included with a total of 572 patients. The prevalence of patients who received post-intensive care rehabilitation was 53% (95% confidence interval, 0.27-0.79; P = 0.001). The rehabilitation program included physiotherapy in nine studies, occupational therapy in three studies, and psychotherapy in two studies. The rehabilitation programs increased aerobic capacity, functional independence in basic activities of daily living, muscle strength, muscle mass, dynamic balance, physical performance, pulmonary function, quality of life, cognitive capacity and mental health. Multidisciplinary rehabilitation programs are necessary for older adults after hospitalization for COVID-19, especially those coming from intensive care units, as rehabilitation has a positive effect on important clinical outcomes.
Collapse
|
8
|
Olguín-Huerta C, Araya-Quintanilla F, Moncada-Ramírez V, Estrella-Flores E, Cuyúl-Vásquez I, Gutiérrez-Espinoza H. Effectiveness of scapular mobilization in patients with primary adhesive capsulitis: A systematic review and meta-analysis. Medicine (Baltimore) 2023; 102:e33929. [PMID: 37266649 DOI: 10.1097/md.0000000000033929] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/03/2023] Open
Abstract
BACKGROUND The aim of this study was to determine the effectiveness of scapular mobilization on range of motion, shoulder disability, and pain intensity in patients with primary adhesive capsulitis (AC). METHODS An electronic search was performed in the MEDLINE, EMBASE, SCOPUS, CENTRAL, LILACS, CINAHL, SPORTDiscus, and Web of Science databases up to March 2023. The eligibility criteria for selected studies included randomized clinical trials that included scapular mobilization with or without other therapeutic interventions for range of motion, shoulder disability, and pain intensity in patients older than 18 years with primary AC. Two authors independently performed the search, study selection, and data extraction, and assessed the risk of bias using the Cochrane Risk of Bias 2 tool. RESULTS Six randomized clinical trials met the eligibility criteria. For scapular mobilization versus other therapeutic interventions, there was no significant difference in the effect sizes between groups: the standard mean difference was -0.16 (95% confidence interval [CI] = -0.87 to 0.56; P = .66) for external rotation, -1.01 (95% CI = -2.33 to 0.31; P = .13) for flexion, -0.29 (95% CI = -1.17 to 0.60; P = .52) for shoulder disability, and 0.65 (95% CI = -0.42 to 1.72; P = .23) for pain intensity. CONCLUSIONS Scapular mobilization with or without other therapeutic interventions does not provide a significant clinical benefit regarding active shoulder range of motion, disability, or pain intensity in patients with primary AC, compared with other manual therapy techniques or other treatments; the quality of evidence was very low to moderate according to the grading of recommendation, assessment, development and evaluation approach.
Collapse
Affiliation(s)
- Cristian Olguín-Huerta
- Facultad de Ciencias de la Salud, Universidad de las Américas, Sede Providencia, Santiago, Chile
| | - Felipe Araya-Quintanilla
- Escuela de Kinesiología, Facultad de Odontología y Ciencias de la Rehabilitación, Universidad San Sebastián, Santiago, Chile
| | - Victoria Moncada-Ramírez
- Facultad de Ciencias de la Salud, Universidad de las Américas, Sede Providencia, Santiago, Chile
| | | | - Iván Cuyúl-Vásquez
- Departamento de Procesos Terapéuticos, Facultad de Ciencias de la Salud, Universidad Católica de Temuco, Temuco, Chile
- Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Chile
| | | |
Collapse
|
9
|
Gutiérrez-Espinoza H, Pinto-Concha S, Sepúlveda-Osses O, Araya-Quintanilla F. Effectiveness of scapular mobilization in people with subacromial impingement syndrome: A randomized controlled trial. Ann Phys Rehabil Med 2023; 66:101744. [PMID: 37030191 DOI: 10.1016/j.rehab.2023.101744] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Revised: 12/12/2022] [Accepted: 01/23/2023] [Indexed: 04/08/2023]
Abstract
BACKGROUND Scapular mobilization is a manual therapy technique widely used in the management of musculoskeletal disorders of the shoulder. OBJECTIVE To determine the effects of scapular mobilization in addition to an exercise program in people with subacromial impingement syndrome (SIS). METHODS Seventy-two adults with SIS were randomly allocated to 1 of 2 groups. The control group (n=36) participated in a 6-week exercise program, and the intervention group (n = 36) participated in the same exercise program plus passive manual scapular mobilization. Both groups were assessed at baseline and 6 weeks (end of treatment). The primary outcome measure was upper limb function assessed using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. Secondary outcome measures were the Constant-Murley questionnaire, pain (visual analog scale [VAS]), and scapular upward rotation. RESULTS All participants completed the trial. The between-group difference in DASH was -1.1 points (Cohen d = 0.05; p = 0.911), Constant-Murley 2.1 points (Cohen d = 0.08; p = 0.841), VAS rating of pain at rest -0.1 cm (Cohen d = 0.05; p = 0.684), and VAS rating of pain during movement -0.2 cm (Cohen d = 0.09; p = 0.764); scapular upward rotation at rest (arm by the side) was 0.6° (Cohen d = 0.09; p = 0.237), at 45° shoulder abduction was 0.8° (Cohen d = 0.13; p = 0.096), at 90° was 0.1° (Cohen d = 0.04; p = 0.783), and at 135° was 0.1° (Cohen d = 0.07; p = 0.886). Most differences were in favor of the intervention group; however, the effect sizes were weak and not statistically significant. CONCLUSIONS In the short-term, the addition of scapular mobilization did not provide significant clinical benefits in terms of function, pain or scapular motion in participants with SIS. TRIAL REGISTRATION Brazilian registry of clinical trials UTN number U1111-1226-2081. Registered February 25, 2019.
Collapse
|
10
|
Cuyul-Vásquez I, Ponce-Fuentes F, Salazar J, Fuentes J, Araya-Quintanilla F. Can exercise-based interventions reverse gray and white matter abnormalities in patients with chronic musculoskeletal pain? A systematic review. J Back Musculoskelet Rehabil 2023:BMR220349. [PMID: 37092215 DOI: 10.3233/bmr-220349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/25/2023]
Abstract
BACKGROUND Recent evidence has suggested that reversal of gray or white matter abnormalities could be a criterion of recovery in patients with chronic pain. OBJECTIVE To determine the effectiveness of exercise-based interventions in reversing gray and white matter abnormalities in patients with chronic musculoskeletal pain. METHODS An electronic search was performed in the MEDLINE (Via PubMed), EMBASE, Web of Science, LILACS, SPORTDiscus, CINAHL, PEDro, and CENTRAL databases for articles published up to November 2022. Randomized clinical trials (RCTs) including patients with chronic musculoskeletal pain, which assessed the change in gray and white matter abnormalities after exercise-based interventions were selected. The risk of bias was assessed using the Risk of Bias II tool. RESULTS Four RCTs were included (n= 386). Three studies showed reversal of abnormalities with exercise-based interventions compared to control groups. The reversal was observed in the gray matter volume in the medial orbital prefrontal cortex and in the supplementary motor area of patients with osteoarthritis, in the hippocampus, insula, amygdala and thalamus in fibromyalgia patients. Furthermore, in patients with chronic spinal pain, reversal was observed in the gray matter thickness of the frontal middle caudal cortex and in the caudate, putamen and thalamus gray matter volume. CONCLUSIONS There is insufficient evidence to determine the effectiveness of exercise-based interventions for reversing gray and white matter abnormalities in patients with chronic pain. Further studies are still needed in this field.
Collapse
Affiliation(s)
- Iván Cuyul-Vásquez
- Departamento de Procesos Terapéuticos, Facultad de Ciencias de la Salud, Universidad Católica de Temuco, Temuco, Chile
| | | | - Joaquín Salazar
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Santiago, Chile
| | - Jorge Fuentes
- Clinical Research Lab, Department of Physical Therapy, Catholic University of Maule, Talca, Chile
- Faculty of Rehab Medicine, University of Alberta, Edmonton, Canada
| | - Felipe Araya-Quintanilla
- Escuela de Kinesiología, Facultad de Odontología y Ciencias de la Rehabilitación, Universidad San Sebastián, Santiago, Chile
| |
Collapse
|
11
|
Araya-Quintanilla F, Beatriz-Pizarro A, Sepúlveda-Loyola W, Maluf J, Pavez L, López-Gil JF, Gutiérrez-Espinoza H. Effectiveness of anthocyanins rich foods on cardiometabolic factors in individuals with metabolic syndrome: a systematic review and meta-analysis. Eur J Nutr 2023:10.1007/s00394-023-03142-8. [PMID: 37042998 DOI: 10.1007/s00394-023-03142-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Accepted: 04/03/2023] [Indexed: 04/13/2023]
Abstract
PURPOSE The aim of this systematic review with meta-analysis was to determine whether anthocyanin-rich foods are effective to improve cardiometabolic markers in individuals with metabolic syndrome (MetS), compared with placebo or control interventions. METHODS We searched MEDLINE, CENTRAL, Embase, LILACS, CINAHL, and Web of Science from their inception up to March 2022. We include clinical trials (randomized clinical trials, controlled clinical trials, and cross-over trials) with anthocyanin-rich foods versus placebo or control intervention that assessment cardiometabolic factors. RESULTS We found 14 clinical trials that met the eligibility criteria, and we included 10 studies for the quantitative synthesis. For anthocyanin-rich foods versus control interventions, the mean difference (MD) for low-density lipoprotein (LDL) was - 7.98 mg/dL (CI = - 15.20 to - 0.77, GRADE: Very low). For homeostatic model assessment for insulin resistance (HOMA-IR), the MD was 0.04 (CI = 0.08 to 0.16, GRADE: Moderate). The MD for interleukin 6 was 0.00 pg/mL (CI = - 0.01 to 0.00, GRADE: Low). For tumor necrosis factor alpha (TNF-α), the standardized mean difference (SMD) was - 0.52 pg/mL (CI = 0.85 to 0.19 GRADE: Very low) when compared with the control interventions. The certainty of the evidence for the other outcomes it is very low. CONCLUSION Our findings suggest that anthocyanin-rich foods could improve certain cardiometabolic markers (e.g., TC, TG, LDL, and TNF-α) among individuals with MetS (with very low quality evidence according to GRADE), compared with placebo or other control interventions. PROSPERO REGISTRATION NUMBER CRD42020187287.
Collapse
Affiliation(s)
- Felipe Araya-Quintanilla
- Escuela de Kinesiología, Facultad de Odontología y Ciencias de la Rehabilitación, Universidad San Sebastián, Santiago, Chile
| | | | - Walter Sepúlveda-Loyola
- Department of Physiotherapy, Londrina State University (UEL), Londrina, Paraná, Brazil
- Faculty of Health and Social Sciences, Universidad de Las Americas, Santiago, Chile
| | - Jordana Maluf
- Department of Physiotherapy, Londrina State University (UEL), Londrina, Paraná, Brazil
| | - Leonardo Pavez
- NIAVA, Núcleo de Investigaciones Aplicadas en Ciencias Veterinarias y Agronómicas, facultad de Medicina Veterinaria y Agronomía, Universidad de Las Américas, Av. Manuel Montt 948, Providencia, 7500972, Santiago, Chile
- Departamento de Ciencias Químicas y Biológicas, Universidad Bernardo O'Higgins, Santiago, Chile
| | - José Francisco López-Gil
- Navarrabiomed, Hospital Universitario de Navarra, Universidad Pública de Navarra, IdiSNA, Pamplona, Spain
- Department of Environmental Health, T.H. Chan School of Public Health, Harvard University, Boston, MA, USA
- One Health Research Group, Universidad de las Américas, Quito, Ecuador
| | | |
Collapse
|
12
|
Gutiérrez-Espinoza H, Araya-Quintanilla F, Cuyul-Vásquez I, Gutiérrez-Monclus R, Reina-Gutiérrez S, Cavero-Redondo I, de Arenas-Arroyo SN. Effectiveness and Safety of Different Treatment Modalities for Patients Older Than 60 Years with Distal Radius Fracture: A Network Meta-Analysis of Clinical Trials. Int J Environ Res Public Health 2023; 20:3697. [PMID: 36834390 PMCID: PMC9965012 DOI: 10.3390/ijerph20043697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 02/08/2023] [Accepted: 02/13/2023] [Indexed: 06/18/2023]
Abstract
The aim of this study was to compare the clinical effectiveness and complications of different treatment modalities for elderly patients with distal radius fracture (DRF). METHODS We performed a network meta-analysis (NMA) of randomized clinical trials (RCTs). Eight databases were searched. The eligibility criteria for selecting studies were RCTs that compared different treatment modalities (surgical or nonoperative) in patients older than 60 years with displaced or unstable intra-articular and/or extra-articular DRFs. RESULTS Twenty-three RCTs met the eligibility criteria (2020 patients). For indirect comparisons, the main findings of the NMA were in volar locking plate (VLP) versus cast immobilization, with the mean differences for the patient-rated wrist evaluation (PRWE) questionnaire at -4.45 points (p < 0.05) and grip strength at 6.11% (p < 0.05). Additionally, VLP showed a lower risk ratio (RR) of minor complications than dorsal plate fixation (RR: 0.02) and bridging external fixation (RR: 0.25). Conversely, VLP and dorsal plate fixation showed higher rates of major complications. CONCLUSIONS Compared with other treatment modalities, VLP showed statistically significant differences for some functional outcomes; however, most differences were not clinically relevant. For complications, although most differences were not statistically significant, VLP was the treatment modality that reported the lowest rate of minor and overall complications but also showed one of the highest rates of major complications in these patients. PROSPERO Registration: CRD42022315562.
Collapse
Affiliation(s)
| | - Felipe Araya-Quintanilla
- Escuela de Kinesiología, Facultad de Odontología y Ciencias de la Rehabilitación, Universidad San Sebastián, Santiago 7510157, Chile
| | - Iván Cuyul-Vásquez
- Faculty of Health, Therapeutic Process Department, Temuco Catholic University, Temuco 4780000, Chile
| | | | - Sara Reina-Gutiérrez
- Health and Social Research Center, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain
| | - Iván Cavero-Redondo
- Health and Social Research Center, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain
- Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Talca 7500912, Chile
| | | |
Collapse
|
13
|
Gutiérrez-Espinoza H, Cuyul-Vásquez I, Olguin-Huerta C, Baldeón-Villavicencio M, Araya-Quintanilla F. Effectiveness of Glenohumeral Joint Mobilization on Range of Motion and Pain in Patients With Rotator Cuff Disorders: A Systematic Review and Meta-Analysis. J Manipulative Physiol Ther 2023; 46:109-124. [PMID: 37422746 DOI: 10.1016/j.jmpt.2023.05.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Revised: 11/20/2022] [Accepted: 05/15/2023] [Indexed: 07/10/2023]
Abstract
OBJECTIVE The purpose of this study was to determine the effectiveness of glenohumeral joint mobilization (JM) on range of motion and pain intensity in patients with rotator cuff (RC) disorders. METHODS An electronic search was performed in the MEDLINE, CENTRAL, Embase, PEDro, LILACS, CINAHL, SPORTDiscus, and Web of Science databases. The eligibility criteria for selecting studies included randomized clinical trials that investigated the effect of glenohumeral JM techniques with or without other therapeutic interventions on range of motion, pain intensity, and shoulder function in patients older than 18 years with RC disorders. Two authors independently performed the search, study selection, and data extraction, and assessed risk of bias. Grades of Recommendation Assessment, Development and Evaluation ratings were used to evaluate the quality of evidence in this study. RESULTS Twenty-four trials met the eligibility criteria, and 15 studies were included in the quantitative synthesis. At 4 to 6 weeks, for glenohumeral JM with other manual therapy techniques vs other treatments, the mean difference (MD) for shoulder flexion was -3.42° (P = .006), abduction 1.54° (P = .76), external rotation 0.65° (P = .85), and Shoulder and Pain Disability Index score 5.19 points (P = .5), and standard MD for pain intensity was 0.16 (P = .5). At 4 to 5 weeks, for the addition of glenohumeral JM to an exercise program vs exercise program alone, the MD for the visual analog scale was 0.13 cm (P = .51) and the Shoulder and Pain Disability Index score was -4.04 points (P = .01). CONCLUSION Compared with other treatments or an exercise program alone, the addition of glenohumeral JM with or without other manual therapy techniques does not provide significant clinical benefit with respect to shoulder function, range of motion, or pain intensity in patients with RC disorders. The quality of evidence was very low to high according to Grades of Recommendation Assessment, Development and Evaluation ratings.
Collapse
Affiliation(s)
| | - Iván Cuyul-Vásquez
- Therapeutic Process Department, Faculty of Health, Temuco Catholic University, Temuco, Chile
| | | | | | - Felipe Araya-Quintanilla
- School of Kinesiology, Faculty of Dentistry and Sciences of Rehabilitation, San Sebasti an University Santiago, Chile.
| |
Collapse
|
14
|
Gutiérrez-Espinoza H, Zavala-González J, Gutiérrez-Monclus R, Araya-Quintanilla F. Functional Outcomes After a Physiotherapy Program in Elderly Patients With Complex Regional Pain Syndrome Type I After Distal Radius Fracture: A Prospective Observational Study. Hand (N Y) 2022; 17:81S-86S. [PMID: 34963345 PMCID: PMC9793620 DOI: 10.1177/15589447211063578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
BACKGROUND No published prospective studies have reported the clinical effects of physiotherapy at 1-year follow-up in patients with complex regional pain syndrome type I (CRPS I) after distal radius fracture (DRF). The purpose of this study was to evaluate at 1-year follow-up the functional effects of physiotherapy program in elderly patients with CRPS I after extra-articular DRF. METHODS A total of 72 patients with CRPS I after DRF were prospectively recruited. All patients were treated with a 6-week supervised physiotherapy treatment. Three evaluations were performed: at the beginning, at the end of the treatment, and at 1-year follow-up. Wrist function, upper limb function, grip strength, and pain intensity were assessed with the Patient-Rated Wrist Evaluation (PRWE), Disabilities of the Arm, Shoulder, and Hand (DASH), Jamar dynamometer, and Visual Analogue Scale (VAS), respectively. RESULTS At 1-year follow-up, the PRWE showed a decrease of 21.6 points (Cohen's d = 2.8; 95% confidence interval [CI] = 18.6-24.6; P < .05); the DASH showed a decrease of 23.8 points (Cohen's d = 2.9; 95% CI = 20.8-26.7; P < .05); grip strength showed an increase of 40.6% (Cohen's d = 5.0; 95% CI = 43.5-37.6; P < .05); and the VAS showed a decrease of 2.6 cm (Cohen's d = 1.9; 95% CI = 2.11-3.16; P < .05). CONCLUSION At 1-year follow-up, a physiotherapy program showed clinically and statistically significant results in all functional outcomes in elderly patients with CRPS I after extra-articular DRF.
Collapse
Affiliation(s)
| | - Jonathan Zavala-González
- Universidad de las Américas, Santiago,
Chile
- Clinical Hospital San Borja Arriaran,
Santiago, Chile
| | | | | |
Collapse
|
15
|
Gutiérrez-Espinoza H, Araya-Quintanilla F, Pinto-Concha S, Sepúlveda-Loyola W, Ramírez-Vélez R, Fuentes-Contreras J. Effects of a postoperative program in patients with shoulder stiffness following arthroscopic rotator cuff repair. Journal of Orthopaedics, Trauma and Rehabilitation 2022. [DOI: 10.1177/22104917221116387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background The most common complication in the surgery for rotator cuff (RC) tears is postoperative shoulder stiffness. The evidence for the postoperative treatment of this condition is scarce. This study assessed the effects of a postoperative program at the onset of shoulder stiffness following arthroscopic RC repair. Methods A single-group pre- and post-test design was included. Participants performed a 6-week program. Primary outcomes were shoulder and upper limb function assessed with the Constant–Murley and Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaires, respectively. Secondary outcomes included pain intensity at rest and during movement with the visual analog scale (VAS), and shoulder range of motion assessed with a goniometer. Results A total of 115 adult males were included. The intervention produced a positive effect on the Constant–Murley (+35.6 points, p<0.001) and DASH questionnaire (−26.2 points, p = 0.005); VAS at rest (−2.8 cm, p<0.001); VAS at movement (−2.7 cm, p<0.001); and shoulder ROMs. Conclusion The program showed clinically and statistically significant benefits in most of the functional outcomes in the study participants.
Collapse
Affiliation(s)
- Héctor Gutiérrez-Espinoza
- Research Rehabilitation and Health Research Center (CIRES), Universidad de las Américas, Santiago, Chile
- Escuela de Fisioterapia, Universidad de las Américas, Quito, Ecuador
| | | | | | - Walter Sepúlveda-Loyola
- Londrina State University, Londrina, Brazil
- Faculty of Health and Social Sciences, Universidad de las Américas, Santiago, Chile
| | - Robinson Ramírez-Vélez
- Navarrabiomed, Hospital Universitario de Navarra (HUN), Navarra Institute for Health Research (IdiSNA), Universidad Pública de Navarra (UPNA), Pamplona, Spain
- Centro de Investigación Biomédica en Red de Fragilidad y Envejecimiento Saludable (CIBERFES), Instituto de Salud Carlos III, Madrid, Spain
| | - Jorge Fuentes-Contreras
- Clinical Research Lab, Department of Physical Therapy, Catholic University of Maule, Talca, Chile
- Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada
| |
Collapse
|
16
|
Cristi-Montero C, Peña-Jorquera H, Landaeta-Díaz L, Mello JB, Araya-Quintanilla F, Brand C, Reuter C, Jorquera C, Ferrari G. The inverse relationship between fatness and bone mineral content is mediated by the adolescent appendicular skeletal muscle mass index: The Cogni-Action Project. Front Nutr 2022; 9:1040116. [PMID: 36458170 PMCID: PMC9705589 DOI: 10.3389/fnut.2022.1040116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Accepted: 10/26/2022] [Indexed: 09/19/2023] Open
Abstract
Background Excess adipose tissue negatively influences bone health during childhood, affecting future bone fragility diseases such as osteoporosis. However, little is known about how adolescent appendicular skeletal muscle mass index (ASMI) may mediate the relation between fatness and bone mineral content (BMC). Methods The sample comprised 1,296 adolescents (50% girls) aged 10-14. A principal component analysis was performed to obtain a factor made up of four fatness indicators (a) neck circumference, (b) kilograms of fat, (c) visceral fat area, and (d) waist-to-height ratio. BMC, kilograms of fat, visceral fat area, and appendicular skeletal muscle mass were obtained by a multi-frequency bioelectrical impedance analyzer. ASMI was calculated as the appendicular skeletal muscle mass divided by height squared (kg/m2). A mediation analysis was performed adjusting by age, sex, maturation, socioeconomic status, physical activity, and adolescents' body weight. We also explore differences by sex and nutritional status. Results The fatness factor explained 71.5% of the proportion variance. Fatness was inversely associated with the ASMI and BMC, while the ASMI was positively related to BMC. Overall, the inverse relationship between fatness and BMC was partially mediated by the adolescents' ASMI (29.7%, indirect effect: B= -0.048, 95%CI -0.077 to -0.022), being higher in girls than in boys (32.9 vs. 29.2%). Besides, the mediation effect was higher in adolescents with normal body weight than with overweight-obese (37.6 vs 23.9%, respectively). Conclusions This finding highlighted the relevance of promoting healthy habits to reduce fatness and improve muscle mass in adolescents. Moreover, this highlights the central role of ASMI mediating the inverse association between fatness and BMC in female and male adolescents. Public health strategies should promote bone health in childhood, reducing the incidence of early osteopenia and osteoporosis.
Collapse
Affiliation(s)
- Carlos Cristi-Montero
- IRyS Group, Physical Education School, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile
| | - Humberto Peña-Jorquera
- IRyS Group, Physical Education School, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile
| | - Leslie Landaeta-Díaz
- Facultad de Salud y Ciencias Sociales, Universidad de las Américas, Santiago, Chile
| | - Julio B. Mello
- Physical Education School, Faculdade SOGIPA, Porto Alegre, Brazil
- eFiDac Group, Physical Education School, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile
| | - Felipe Araya-Quintanilla
- Escuela de Kinesiología, Facultad de Odontología y Ciencias de la Rehabilitación, Universidad San Sebastián, Santiago, Chile
| | - Caroline Brand
- IRyS Group, Physical Education School, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile
- Graduate Program in Health Promotion, Universidade de Santa Cruz do Sul—UNISC, Santa Cruz do Sul, Brazil
| | - Cézane Reuter
- Graduate Program in Health Promotion, Universidade de Santa Cruz do Sul—UNISC, Santa Cruz do Sul, Brazil
| | - Carlos Jorquera
- Escuela de Nutrición y Dietética, Facultad de Ciencias, Universidad Mayor, Santiago, Chile
| | - Gerson Ferrari
- Escuela de Ciencias de la Actividad Física, el Deporte y la Salud, Universidad de Santiago de Chile (USACH), Santiago, Chile
| |
Collapse
|
17
|
Gutiérrez-Espinoza H, Araya-Quintanilla F, Olguín-Huerta C, Gutiérrez-Monclus R, Valenzuela-Fuenzalida J, Román-Veas J, Campos-Jara C. Effectiveness of surgical versus conservative treatment of distal radius fractures in elderly patients: A systematic review and meta-analysis. Orthop Traumatol Surg Res 2022; 108:103323. [PMID: 35589085 DOI: 10.1016/j.otsr.2022.103323] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Revised: 11/25/2021] [Accepted: 12/06/2021] [Indexed: 02/03/2023]
Abstract
BACKGROUND The aim of this study was to determine whether surgical treatment is more effective than conservative treatment in terms of functional outcomes in elderly patients with distal radius fractures (DRFs). METHODS An electronic search of the Medline, Central, Embase, PEDro, Lilacs, CINAHL, SPORTDiscus, and Web of Science databases was performed, from inception until July 2021. The eligibility criteria for selecting studies were randomized clinical trials that compared surgical versus conservative treatment in subjects older than 60 years with DRFs. Two authors independently performed the search, data extraction, and assessed risk of bias (RoB) using the Cochrane RoB tool. RESULTS Twelve trials met the eligibility criteria, and nine studies were included in the quantitative synthesis. For volar plate versus cast immobilization at 1-year follow-up, the mean difference (MD) for PRWE was -5.36 points (p=0.02), for DASH was -4.03 points (p=0.02), for grip strength was 8.32% (p=0.0004), for wrist flexion was 4.35 degrees (p=0.10), for wrist extension was -1.52 degrees (p=0.008), for pronation was 2.7 degrees (p=0.009), for supination was 4.88 degrees (p=0.002), and for EQ-VAS was 2.73 points (p=0.0007), with differences in favor of volar plate. For K-wire versus cast immobilization at 12 months, there were no statistically significant differences in wrist range of motion (p>0.05). CONCLUSIONS There was low to high evidence according to GRADE ratings, with a statistically significant difference in functional outcomes in favor of volar plate versus conservative treatment at 1-year follow-up. However, these differences are not minimally clinically important, suggesting that both types of management are equally effective in patients older than 60 years with DRFs. LEVEL OF EVIDENCE I; Therapeutic (Systematic review and meta-analysis of randomized clinical trials).
Collapse
Affiliation(s)
- Héctor Gutiérrez-Espinoza
- Exercise and Rehabilitation Sciences Laboratory, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Fernández Concha Street 700, Santiago, Chile.
| | - Felipe Araya-Quintanilla
- Rehabilitation in Health Research Center (CIRES), University of the Americas, Manuel Montt Avenue 948, Santiago, Chile
| | - Cristian Olguín-Huerta
- Rehabilitation in Health Research Center (CIRES), University of the Americas, Manuel Montt Avenue 948, Santiago, Chile
| | | | - Juan Valenzuela-Fuenzalida
- Departamento de Ciencias Químicas y Biológicas, Facultad de Ciencias de la Salud, Universidad Bernardo O'Higgins, Santiago, Chile
| | | | - Christian Campos-Jara
- Exercise and Rehabilitation Sciences Laboratory, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Fernández Concha Street 700, Santiago, Chile
| |
Collapse
|
18
|
Araya-Quintanilla F, Gutiérrez-Espinoza H, Fuentes J, Prieto-Lafrentz F, Pavez L, Cristi-Montero C, Cavero-Redondo I, Álvarez-Bueno C. Effectiveness of multicomponent treatment in patients with fibromyalgia: protocol for a systematic review and meta-analysis. Syst Rev 2022; 11:69. [PMID: 35422009 PMCID: PMC9012030 DOI: 10.1186/s13643-022-01944-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/10/2020] [Accepted: 04/04/2022] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND The purpose of this protocol is to provide a new systematic review with meta-analysis using the current methodology to compare the effectiveness of multicomponent treatment versus other interventions for patients with fibromyalgia. METHODS This protocol conforms to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) and the recommendations of the Cochrane Collaboration Handbook. An electronic search will be conducted in MEDLINE, EMBASE, Web of Science, Cochrane CENTRAL, LILACS, CINAHL, and PEDro, from inception until April 2022. There will be no language restrictions. The Cochrane Collaboration tool for assessing the risk of bias (RoB2) will be used. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) scale will be used to evaluate the strength of the evidence. The Hartung-Knapp-Sidik-Jonkman random effects or Mantel-Haenszel fixed effects methods will be used, depending on the heterogeneity, to compute a pooled estimate of the mean difference (MD) or standardized mean difference (SMD) and respective 95% confidence intervals for clinical outcomes. DISCUSSION This systematic review will synthesize evidence on the effectiveness of multicomponent treatment in patients with fibromyalgia and could add important evidence in the treatment of FM to improve clinical practice and decision-making/actions in this field. This new systematic review will try to show the effects of multicomponent treatment by type (endurance, resistance, stretching, or mind-body exercises [pilates or taichi]) and intensity (light, moderate, moderate-to-vigorous, vigorous) of exercise in patients with FM. The results will be disseminated by publication in a peer-reviewed journal. Ethics approval will not be needed because the data used for this systematic review will be obtained from individual trials and there will be no concerns about privacy. However, if we identify ethical issues during the development of the systematic review, these findings will be reported in the discussion of the study. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42020142082.
Collapse
Affiliation(s)
- Felipe Araya-Quintanilla
- Rehabilitation in Health Research Center (CIRES), Universidad de Las Américas, Manuel Montt Avenue 948, 7510549, Santiago, Chile.
| | - Héctor Gutiérrez-Espinoza
- Exercise and Rehabilitation Sciences Laboratory, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, Chile
| | - Jorge Fuentes
- Department of Physical Therapy, Catholic University of Maule, Talca, Chile.,Department of Physical Therapy, University of Alberta, Edmonton, Alberta, Canada
| | | | - Leonardo Pavez
- Facultad de Medicina Veterinaria y Agronomía, Universidad de las Américas, Santiago, Chile.,Departamento de Ciencias Químicas y Biológicas, Universidad Bernardo O'Higgins, Santiago, Chile
| | - Carlos Cristi-Montero
- IRyS Group, Physical Education School, Pontificia Universidad Católica de Valparaíso, Viña del Mar, Chile
| | - Iván Cavero-Redondo
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain
| | - Celia Álvarez-Bueno
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain.,Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay
| |
Collapse
|
19
|
Gutiérrez-Espinoza H, Araya-Quintanilla F, Olguín-Huerta C, Valdés-Orrego I, Sepúlveda-Osses O. Effectiveness of supervised physiotherapy versus home exercise in subjects with rotator cuff disorders treated surgically: A systematic review and meta-analysis. Physiother Res Int 2022; 27:e1942. [PMID: 35184364 DOI: 10.1002/pri.1942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 01/06/2022] [Accepted: 01/29/2022] [Indexed: 11/11/2022]
Abstract
OBJECTIVE The aim is to determine the effectiveness of supervised Physiotherapy (PT) versus a home exercise program for functional outcomes in patients with rotator cuff (RC) disorders treated surgically. TYPE: Systematic review and meta-analysis of randomized clinical trials. METHODOLOGY An electronic search was performed in the MEDLINE, CENTRAL, EMBASE, PEDro, LILACS, CINAHL, SPORTDiscus, and Web of Science databases. The eligibility criteria for selecting studies included randomized clinical trials that compared supervised PT versus home exercises in functional outcomes, such as shoulder or upper limb function, pain intensity, and range of motion, in subjects older than 18 years with RC disorders treated surgically. SYNTHESIS Six trials met the eligibility criteria, and for the quantitative synthesis, five studies were included. At 3 months, the mean difference (MD) for the Constant-Murley questionnaire (0-100 points) was -0.76 points (95% confidence interval (CI) = -15.64 to 14.12, p = 0.92), while the MD for the visual analog scale (0-10 cm) was -0.87 cm (95% CI = -2.8 to 1.06, p = 0.38). These differences were neither clinically nor statistically significant. CONCLUSION There was very low quality of evidence towards no better benefits in shoulder pain and function of supervised PT over home exercises programs in patients older than 18 years with RC disorders treated surgically. PROSPERO REGISTRATION CRD42020185805.
Collapse
Affiliation(s)
- Héctor Gutiérrez-Espinoza
- Exercise and Rehabilitation Sciences Laboratory, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, Chile
| | | | - Cristian Olguín-Huerta
- Rehabilitation in Health Research Center (CIRES), University of the Americas, Santiago, Chile
| | - Iván Valdés-Orrego
- School of Health Sciences, Physiotherapy Department, Universidad Gabriela Mistral, Santiago, Chile
| | | |
Collapse
|
20
|
Araya-Quintanilla F, Gutiérrez-Espinoza H, Cuyul-Vásquez I, Pavez L. Effectiveness of aloe vera in patients with type 2 Diabetes Mellitus and pre-diabetes: An overview of systematic reviews. Diabetes Metab Syndr 2021; 15:102292. [PMID: 34563809 DOI: 10.1016/j.dsx.2021.102292] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Revised: 09/13/2021] [Accepted: 09/15/2021] [Indexed: 12/27/2022]
Abstract
BACKGROUND AND AIMS The effects of aloe vera are inconsistent and unclear. The aim of this study is to analyze the effects of aloe vera in metabolic profiles. METHODS An electronic search of systematic reviews (SRs) was performed in seven databases up to June 2021. RESULTS Four SRs met the eligibility criteria. In T2DM, SMD for FBG = -5.61 (p < 0.001). For HbA1c, MD = -0.95 (p = 0.02). In pre-diabetes, SMD for FBG = -1.41 (p = 0.02). For HbA1c, MD = -0.31 (p = 0.02). For TG, MD = -4.99 (p = 0.000). CONCLUSION There exist a moderate to high quality of evidence in favor of the effects of aloe vera in patients with T2DM and pre-diabetes.
Collapse
Affiliation(s)
| | | | - Iván Cuyul-Vásquez
- Therapeutic Process Department, Faculty of Health Sciences, Temuco Catholic University, Temuco, Chile
| | - Leonardo Pavez
- Facultad de Medicina Veterinaria y Agronomía, Universidad de las Américas, Santiago, Chile; Departamento de Ciencias Químicas y Biológicas, Universidad Bernardo O'Higgins, Santiago, Chile
| |
Collapse
|
21
|
Gutiérrez-Espinoza H, Araya-Quintanilla F, Olguín-Huerta C, Valenzuela-Fuenzalida J, Gutiérrez-Monclus R, Moncada-Ramírez V. Effectiveness of manual therapy in patients with distal radius fracture: a systematic review and meta-analysis. J Man Manip Ther 2021; 30:33-45. [PMID: 34668847 DOI: 10.1080/10669817.2021.1992090] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Abstract
OBJECTIVE To determine the effectiveness of manual therapy (MT) for functional outcomes in patients with distal radius fracture (DRF). METHODS An electronic search was performed in the Medline, Central, Embase, PEDro, Lilacs, CINAHL, SPORTDiscus, and Web of Science databases. The eligibility criteria for selecting studies included randomized clinical trials that included MT techniques with or without other therapeutic interventions in functional outcomes, such as wrist or upper limb function, pain, grip strength, and wrist range of motion in patients older than 18 years with DRF. RESULTS Eight clinical trials met the eligibility criteria; for the quantitative synthesis, six studies were included. For supervised physiotherapy plus joint mobilization versus home exercise program at 6 weeks follow-up, the mean difference (MD) for wrist flexion was 7.1 degrees (p = 0.20), and extension was 11.99 degrees (p = 0.16). For exercise program plus mobilization with movement versus exercise program at 12 weeks follow-up, the PRWE was -10.2 points (p = 0.02), the DASH was -9.86 points (p = 0.0001), and grip strength was 3.9 percent (p = 0.25). For conventional treatment plus manual lymph drainage versus conventional treatment, for edema the MD at 3-7 days was -14.58 ml (p = 0.03), at 17-21 days -17.96 ml (p = 0.009), at 33-42 days -15.34 ml (p = 0.003), and at 63-68 days -13.97 ml (p = 0.002). CONCLUSION There was very low to high evidence according to the GRADE rating. Adding mobilization with movement and manual lymphatic drainage showed statistically significant differences in wrist, upper limb function, and hand edema in patients with DRF.
Collapse
Affiliation(s)
- Héctor Gutiérrez-Espinoza
- Exercise and Rehabilitation Sciences Laboratory, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, Chile
| | | | - Cristian Olguín-Huerta
- School of Health Sciences, Kinesiology Career, Universidad Gabriela Mistral, Santiago, Chile
| | - Juan Valenzuela-Fuenzalida
- Departamento de Ciencias Químicas y Biológicas, Facultad de Ciencias de la Salud, Universidad Bernardo O´Higgins, Santiago, Chile
| | | | | |
Collapse
|
22
|
Araya-Quintanilla F, Gutiérrez-Espinoza H, Sepúlveda-Loyola W, Probst V, Ramírez-Vélez R, Álvarez-Bueno C. Effectiveness of kinesiotaping in patients with subacromial impingement syndrome: A systematic review with meta-analysis. Scand J Med Sci Sports 2021; 32:273-289. [PMID: 34657327 DOI: 10.1111/sms.14084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Revised: 09/07/2021] [Accepted: 10/13/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To determine the effectiveness of kinesiotaping (KT) with or without co-interventions for clinical outcomes in patients with subacromial impingement syndrome (SIS). DESIGN Systematic review with meta-analysis of randomized clinical trials. DATA SOURCES Eight databases (MEDLINE, CENTRAL, EMBASE, PEDro, LILACS, CINAHL, SPORTDiscus, and Web of Science) were searched from inception until March 2021. ELIGIBILITY CRITERIA FOR SELECTING STUDIES Clinical trials that determine the effectiveness of KT with or without co-interventions for clinical outcomes in patients with SIS who are older than 18 years of age. RESULTS Ten trials for the quantitative analysis were included. For pain intensity at 1-3 weeks, the overall pooled MD was -0.73 cm, 95% CI = -1.50 to 0.04 (p = 0.06), and at 3-6 weeks, it was -0.13 cm, 95% CI = -1.37 to 0.36 (p = 0.25). For shoulder function, the MD was -0.02, 95%CI = -0.30 to 0.26 (p = 0.89). For shoulder Range of Motion (ROM) flexion, the MD was -16.70, 95% CI = -0.52 to 33.92 (p = 0.06). Additionally, there was a low to moderate quality of evidence according to the GRADE rating. CONCLUSION Kinesiotaping with or without co-interventions was not superior to other interventions for improving shoulder pain intensity, function and ROM flexion in patients with SIS.
Collapse
Affiliation(s)
| | | | | | - Vanessa Probst
- Department of Physiotherapy, Londrina State University (UEL), Londrina, Brazil
| | - Robinson Ramírez-Vélez
- Navarrabiomed, IdiSNA, Pamplona, Spain.,Geriatric Department, Complejo Hospitalario de Navarra (CHN), Pamplona, Spain
| | - Celia Álvarez-Bueno
- Health and Social Research Center, Universidad de Castilla-La Mancha Cuenca, Cuenca, Spain.,Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay
| |
Collapse
|
23
|
Gutiérrez-Espinoza H, Olguín-Huerta C, Cuyul-Vásquez I, Ríos-Riquelme M, Valenzuela-Fuenzalida J, Araya-Quintanilla F. Association Between Body Mass Index and Functional Outcomes in Elderly Patients with Extra-articular Distal Radius Fracture: A Prospective Observational Study. Indian J Orthop 2021; 55:1009-1014. [PMID: 34194659 PMCID: PMC8192664 DOI: 10.1007/s43465-021-00358-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Accepted: 01/12/2021] [Indexed: 02/04/2023]
Abstract
INTRODUCTION The association between body mass index (BMI) and functional outcomes is unknown in elderly individuals with distal radius fracture (DRF). OBJECTIVE The aim of this study is to evaluate if there is association between BMI and functional outcomes in patients older than 60 years with DRF treated conservatively. MATERIALS AND METHODS A prospective observational study was performed. A total of 228 patients with extra-articular DRF were prospectively recruited. All patients were categorized by their BMI as normal, overweight, or obese. Functional outcomes were assessed after cast removal and at 1-year follow-up. The Disabilities of the Arm, Shoulder and Hand Outcome Measure (DASH), and Patient-Rated Wrist Evaluation (PRWE) questionnaires were used to assess upper limb and wrist/hand function, respectively, while the Jamar Dynamometer was used to assess grip strength. RESULTS Of the total number of patients, 184 were female (80.7%), 87 were overweight (38.2%), and 111 were obese (48.7%). After cast removal, the correlations between BMI and functional outcomes were DASH 0.06 (p = 0.578), PRWE 0.04 (p = 0.692), and grip strength - 0.02 (p = 0.763). At 1-year follow-up, the correlations were DASH 0.55 (p = 0.036), PRWE 0.32 (p = 0.041), and grip strength - 0.21 (p = 0.043). CONCLUSION This study suggests that at 1-year follow-up, there was a low-to-moderate association between BMI and poor functional outcomes in elderly patients with extra-articular DRF treated conservatively. LEVEL OF EVIDENCE Level IV, observational prospective study.
Collapse
Affiliation(s)
- Héctor Gutiérrez-Espinoza
- Rehabilitation in Health Research Center, CIRES, University of the Americas, Echaurren Street 140, 3rd floor, Santiago, Chile
- School of Health Sciences, Physiotherapy Department, Universidad Gabriela Mistral, Santiago, Chile
| | - Cristian Olguín-Huerta
- Rehabilitation in Health Research Center, CIRES, University of the Americas, Echaurren Street 140, 3rd floor, Santiago, Chile
| | - Iván Cuyul-Vásquez
- Departamento de Procesos Terapéuticos, Facultad de Ciencias de La Salud, Universidad Católica de Temuco, Temuco, Chile
| | - Mario Ríos-Riquelme
- Sciences in Physical Activity Department, Universidad de Santiago, Libertador Bernardo O´Higgins Avenue 3363, Santiago, Chile
| | - Juan Valenzuela-Fuenzalida
- Departamento de Morfología, Facultad de Medicina, Universidad Andrés Bello, Republica Avenue 259, Santiago, Chile
| | - Felipe Araya-Quintanilla
- Rehabilitation in Health Research Center, CIRES, University of the Americas, Echaurren Street 140, 3rd floor, Santiago, Chile
- Departamento de Ciencias Químicas y Biológicas, Facultad de Salud, Universidad Bernardo O’Higgins, Santiago, Chile
| |
Collapse
|
24
|
Gutiérrez-Espinoza HJ, Lorenzo-García P, Valenzuela-Fuenzalida J, Araya-Quintanilla F. Functional outcomes after physiotherapy program in patients with massive and irreparable rotator cuff tear. Rev Esp Cir Ortop Traumatol (Engl Ed) 2021; 65:248-254. [PMID: 37099420 DOI: 10.1016/j.recote.2021.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Accepted: 11/09/2020] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE To evaluate the short term and 1-year follow-up functional effects of a physiotherapy programme in patients over 60 years of age with massive and irreparable Rotator Cuff (RC) tear. METHODS A total of 96 patients with massive and irreparable RC tear were prospectively recruited. All patients were treated with a 12-week physiotherapy programme. Three evaluations were performed, at the beginning, at the end of the treatment and at one year of follow-up. The Constant-Murley questionnaire was used to assess shoulder function, the DASH questionnaire for upper limb function, and the Visual Analogue Scale (VAS) for pain intensity. RESULTS At the end of the treatment, all the variables showed a clinically and statistically significant difference (p<.05). At one year of follow-up, the Constant-Murley showed an increase of 26.5 points (Cohen's d=1.7; 95% CI: 23.5-29.5; p<.001), DASH showed a decrease of 31.4 points (Cohen's d=2.2; 95% CI: 28.5-34.3; p<.001), and the VAS showed a decrease of 3.9cm (Cohen's d=3.6; 95% CI: 3.6-4.1; p<.001). CONCLUSION In the short term and 1-year follow-up, a physiotherapy programme showed clinically and statistically significant results in all functional variables in patients older than 60 years with massive and irreparable RC tear.
Collapse
Affiliation(s)
- H J Gutiérrez-Espinoza
- Centro de Investigación de Rehabilitación en Salud (CIRES), Universidad de las Américas, Santiago, Chile; Escuela de Kinesiología, Universidad Gabriela Mistral, Santiago, Chile.
| | - P Lorenzo-García
- Centro de Estudios Sociosanitarios, Universidad de Castilla-La Mancha, Cuenca, Spain
| | | | | |
Collapse
|
25
|
Araya-Quintanilla F, Gutiérrez-Espinoza H, Gana-Hervias G, Cavero-Redondo I, Álvarez-Bueno C. Association between type of rotator cuff tear and functional outcomes in patients with massive and irreparable rotator cuff tear: A pre-post intervention study. J Shoulder Elbow Surg 2021; 30:1393-1401. [PMID: 32920107 DOI: 10.1016/j.jse.2020.08.034] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Revised: 08/07/2020] [Accepted: 08/17/2020] [Indexed: 02/01/2023]
Abstract
BACKGROUND The aim of this study was to analyze: (1) the differences in the pre-post change in functional outcomes after a physical therapy program by the type of massive and irreparable rotator cuff tear (MIRCT) controlling for potential confounders, and (2) the influence of lifestyle behaviors and demographic and tear tendon characteristics on function in patients over 60 years of age with conservatively treated MIRCT. MATERIALS AND METHODS In this pre-post intervention study, 92 patients were prospectively recruited at the Clinical Hospital San Borja Arriaran, with atraumatic MIRCT, between 60 and 75 years of age (mean: 67.9 ± 4.5 years), and the mean of length of symptoms was 16.5 months (±5.7 months). Patients received a physical therapy program consisting of manual therapy and a specific exercise program of 2 sessions per week for 12 weeks. The imaging findings were performed by 2 medical radiologists who classified the rotator cuff tear according to the criteria proposed by Collins. Shoulder function, upper limb function, and pain intensity were assessed with the Constant-Murley; Disabilities of the Arm, Shoulder, and Hand; and visual analog scale (VAS), respectively. Analysis of covariance models were estimated to assess differences in MIRCT categories between functional outcomes. Multiple regression model analysis was used for the association between the change in functional outcomes and lifestyle behaviors, and demographic and tear tendon characteristics. RESULTS The results showed no pre-post change in functional outcomes by type of MIRCT in all models (P > .05). There is an association between length of symptoms (P = .000), and the baseline values of the 3 functional measures (P = .000) are associated with changes in Constant-Murley; Disabilities of the Arm, Shoulder, and Hand; and VAS. In addition, changes in VAS are associated with body mass index (BMI) (P = .000), and changes in Constant-Murley are associated with gender (P = .023), BMI (P = .000), and tobacco consumption (P = .000). CONCLUSION There is no difference in functional outcomes by type of MIRCT after a physical therapy program controlling for potential confounders. In addition, there is an association of length of symptoms with all functional outcomes, an association of BMI with VAS and Constant-Murley questionnaire, and an association between tobacco consumption and Constant-Murley questionnaire. Our results could influence the orthopedic surgeon's decisions; thus, not predicting the functional outcome through imaging findings could lead clinicians to reconsider the need for surgery in the treatment algorithm in patients over 60 years with MIRCT. In addition, demographic characteristics and lifestyle behaviors might be considered within the patient's evaluation and follow-up to decide on surgical interventions and evaluate the clinical course of the disease. Further studies measuring additional variables and longer follow-up are needed to confirm these results.
Collapse
Affiliation(s)
- Felipe Araya-Quintanilla
- Rehabilitation in Health Research Center, CIRES, Universidad de Las Americas, Santiago, Chile; Faculty of Health Sciences, Universidad SEK, Santiago, Chile
| | - Héctor Gutiérrez-Espinoza
- Rehabilitation in Health Research Center, CIRES, Universidad de Las Americas, Santiago, Chile; School of Health Sciences, Physiotherapy Department, Universidad Gabriela Mistral, Santiago, Chile
| | - Gonzalo Gana-Hervias
- School of Health Sciences, Physiotherapy Department, Universidad Gabriela Mistral, Santiago, Chile
| | - Iván Cavero-Redondo
- Health and Social Research Center, Universidad de Castilla-La Mancha, Cuenca, Spain; Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay.
| | - Celia Álvarez-Bueno
- Health and Social Research Center, Universidad de Castilla-La Mancha, Cuenca, Spain; Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay
| |
Collapse
|
26
|
Gutiérrez Espinoza H, Araya-Quintanilla F, Olguín-Huerta C, Valenzuela-Fuenzalida J, Jorquera-Aguilera R, Gutiérrez-Monclus R, Castillo-Alcayaga J, Retamal-Pérez P. Effectiveness of manual therapy in patients with thumb carpometacarpal osteoarthritis: a systematic review and meta-analysis. Physiother Theory Pract 2021; 38:2368-2377. [PMID: 34074220 DOI: 10.1080/09593985.2021.1926026] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Background: The effectiveness of Manual Therapy (MT) in thumb carpometacarpal osteoarthritis (OA) is unclear.Objective: This study aimed to determine the effectiveness of MT for functional outcomes in patients with thumb carpometacarpal OA. Design: Systematic review and meta-analysis of randomized clinical trials. Methods: An electronic search was performed in the Medline, Central, Embase, PEDro, Lilacs, Cinahl, SPORTDiscus, and Web of Science databases. The eligibility criteria for selecting studies included randomized clinical trials that compared MT versus other interventions in functional outcomes, such as thumb and/or hand function questionnaires, pinch and/or grip strength, thumb and/or hand range of motion, and pain intensity or pressure pain threshold in patients with thumb carpometacarpal OA. Results: Five clinical trials met the eligibility criteria; for the quantitative synthesis, four studies were included. The mean difference (MD) for grip strength was 0.87kg (95% CI = 0.29-1.44, p = .003), for pinch strength was 0.10kg (95% CI = -0.01-0.20, p = .06), and for the pressure pain threshold was 0.64kg/cm2 (95% CI = 0.07-1.20, p = .03). All differences were in favor of the MT group. Conclusions: In the short-term, there was moderate to high evidence, with statistically significant differences in the functional outcomes, in favor of MT versus sham interventions in patients with thumb carpometacarpal OA. However, these differences are not clinically important.
Collapse
Affiliation(s)
| | | | - Cristian Olguín-Huerta
- Rehabilitation in Health Research Center (CIRES), Universidad De Las Américas, Santiago, Chile
| | | | | | | | - Jaime Castillo-Alcayaga
- Rehabilitation in Health Research Center (CIRES), Universidad De Las Américas, Santiago, Chile
| | - Patricio Retamal-Pérez
- Rehabilitation in Health Research Center (CIRES), Universidad De Las Américas, Santiago, Chile
| |
Collapse
|
27
|
Araya-Quintanilla F, Valdés-Orrego I, Gutiérrez-Espinoza H. Relation between COVID-19 and Guillain-Barre syndrome in adults. Systematic review. Neurología (English Edition) 2021. [PMCID: PMC7896818 DOI: 10.1016/j.nrleng.2020.10.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
|
28
|
Araya-Quintanilla F, Valdés-Orrego I, Gutiérrez-Espinoza H. [Relation between COVID-19 and Guillain-Barre syndrome in adults. Systematic review]. Neurologia 2021; 36:183-184. [PMID: 33139091 PMCID: PMC7550111 DOI: 10.1016/j.nrl.2020.10.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2020] [Accepted: 10/07/2020] [Indexed: 01/09/2023] Open
Affiliation(s)
- F Araya-Quintanilla
- Rehabilitation in Health Research Center, CIRES, University of the Americas, Echaurren Street 140, 3rd Floor, Santiago, Chile; Faculty of Health, University SEK, Fernando Manterola Street 0789, Santiago, Chile.
| | - I Valdés-Orrego
- School of Health Sciences, Physiotherapy Department, Universidad Gabriela Mistral, Santiago, Chile
| | - H Gutiérrez-Espinoza
- Rehabilitation in Health Research Center, CIRES, University of the Americas, Echaurren Street 140, 3rd Floor, Santiago, Chile; School of Health Sciences, Physiotherapy Department, Universidad Gabriela Mistral, Santiago, Chile
| |
Collapse
|
29
|
Rada G, Pérez D, Araya-Quintanilla F, Ávila C, Bravo-Soto G, Bravo-Jeria R, Cánepa A, Capurro D, Castro-Gutiérrez V, Contreras V, Edwards J, Faúndez J, Garrido D, Jiménez M, Llovet V, Lobos D, Madrid F, Morel-Marambio M, Mendoza A, Neumann I, Ortiz-Muñoz L, Peña J, Pérez M, Pesce F, Rain C, Rivera S, Sepúlveda J, Soto M, Valverde F, Vásquez J, Verdugo-Paiva F, Vergara C, Zavala C, Zilleruelo-Ramos R. Epistemonikos: a comprehensive database of systematic reviews for health decision-making. BMC Med Res Methodol 2020; 20:286. [PMID: 33256642 PMCID: PMC7708132 DOI: 10.1186/s12874-020-01157-x] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Accepted: 11/09/2020] [Indexed: 12/20/2022] Open
Abstract
Background Systematic reviews allow health decisions to be informed by the best available research evidence. However, their number is proliferating quickly, and many skills are required to identify all the relevant reviews for a specific question. Methods and findings We screen 10 bibliographic databases on a daily or weekly basis, to identify systematic reviews relevant for health decision-making. Using a machine-based approach developed for this project we select reviews, which are then validated by a network of more than 1000 collaborators. After screening over 1,400,000 records we have identified more than 300,000 systematic reviews, which are now stored in a single place and accessible through an easy-to-use search engine. This makes Epistemonikos the largest database of its kind. Conclusions Using a systematic approach, recruiting a broad network of collaborators and implementing automated methods, we developed a one-stop shop for systematic reviews relevant for health decision making. Supplementary Information The online version contains supplementary material available at 10.1186/s12874-020-01157-x.
Collapse
Affiliation(s)
- Gabriel Rada
- Centro Evidencia UC, Pontificia Universidad Católica de Chile, Santiago, Chile. .,Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile.
| | - Daniel Pérez
- Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Felipe Araya-Quintanilla
- Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile.,Rehabilitation in Health Research Center (CIRES), Universidad de las Américas, Santiago, Chile.,Faculty of Health Sciences, Universidad SEK, Santiago, Chile
| | - Camila Ávila
- Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Gonzalo Bravo-Soto
- Centro Evidencia UC, Pontificia Universidad Católica de Chile, Santiago, Chile.,Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Rocío Bravo-Jeria
- Centro Evidencia UC, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Aldo Cánepa
- Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Daniel Capurro
- Centro Evidencia UC, Pontificia Universidad Católica de Chile, Santiago, Chile.,Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile.,School of Computing and Information Systems, University of Melbourne, Melbourne, Australia
| | | | - Valeria Contreras
- Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Javiera Edwards
- Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Jorge Faúndez
- Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Damián Garrido
- Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Magdalena Jiménez
- Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Valentina Llovet
- Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Diego Lobos
- Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Francisco Madrid
- Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | | | - Antonia Mendoza
- Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Ignacio Neumann
- Centro Evidencia UC, Pontificia Universidad Católica de Chile, Santiago, Chile.,Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile.,Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada
| | - Luis Ortiz-Muñoz
- Centro Evidencia UC, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - José Peña
- Centro Evidencia UC, Pontificia Universidad Católica de Chile, Santiago, Chile.,Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Marcelo Pérez
- Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | | | - Carmen Rain
- Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Solange Rivera
- Centro Evidencia UC, Pontificia Universidad Católica de Chile, Santiago, Chile.,Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Javiera Sepúlveda
- Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Mauricio Soto
- Centro Evidencia UC, Pontificia Universidad Católica de Chile, Santiago, Chile.,Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Felipe Valverde
- Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Juan Vásquez
- Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Francisca Verdugo-Paiva
- Centro Evidencia UC, Pontificia Universidad Católica de Chile, Santiago, Chile.,Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Camilo Vergara
- Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | - Cynthia Zavala
- Centro Evidencia UC, Pontificia Universidad Católica de Chile, Santiago, Chile.,Epistemonikos Foundation, Avenida Holanda 895, Providencia, Santiago, Chile
| | | | | |
Collapse
|
30
|
Cuyul-Vasquez I, Gutiérrez-Espinoza H, Araya-Quintanilla F. Reply to second letter to the editor about the article "The addition of blood flow restriction to resistance exercise in individuals with knee pain: a systematic review and meta-analysis". Braz J Phys Ther 2020; 24:564-565. [PMID: 33199240 DOI: 10.1016/j.bjpt.2020.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Revised: 09/29/2020] [Accepted: 11/03/2020] [Indexed: 11/30/2022] Open
Affiliation(s)
- Iván Cuyul-Vasquez
- Faculty of Health, Therapeutic Process Department, Temuco Catholic University, Temuco, Chile
| | - Héctor Gutiérrez-Espinoza
- Rehabilitation in Health Research Center (CIRES), Universidad de las Américas, Santiago, Chile; School of Health Sciences, Physical Therapy Department, Universidad Gabriela Mistral, Santiago, Chile.
| | - Felipe Araya-Quintanilla
- Rehabilitation in Health Research Center (CIRES), Universidad de las Américas, Santiago, Chile; Faculty of Health, Universidad SEK, Santiago, Chile
| |
Collapse
|
31
|
Gutiérrez-Espinoza H, Araya-Quintanilla F, Olguín-Huerta C, Gutiérrez-Monclus R, Jorquera-Aguilera R, Mathoulin C. Effectiveness of early versus delayed motion in patients with distal radius fracture treated with volar locking plate: A systematic review and meta-analysis. Hand Surg Rehabil 2020; 40:6-16. [PMID: 33144249 DOI: 10.1016/j.hansur.2020.10.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Revised: 10/04/2020] [Accepted: 10/09/2020] [Indexed: 10/23/2022]
Abstract
The aim of this study was to determine the effectiveness of early versus delayed motion on the functional outcomes in patients with distal radius fracture (DRF) treated with a volar locking plate. A systematic review and meta-analysis of randomized clinical trials was performed. An electronic search was performed in the Medline, Central, Embase, PEDro, Lilacs, Cinahl, SPORTDiscus, and Web of Science databases. The eligibility criteria included randomized clinical trials that compared the effect of early versus delayed motion on wrist and/or upper limb function, pain, grip strength, and wrist range of motion in subjects older than 18 years with DRF treated with a volar locking plate. Five clinical trials were included that met the eligibility criteria for the quantitative synthesis. At 6 weeks, the PRWE questionnaire showed a mean difference (MD) of -10.6 points (p < 0.001), the MD was -11.1 points for the DASH questionnaire (p < 0.001), -0.56 cm for pain on VAS (p = 0.01), 5.0 kg for grip strength (p = 0.01), 12.5 degrees for wrist flexion (p = 0.07), and 12.8 degrees for wrist extension (p = 0.05). All differences favored the early motion treatment. At 3 months of follow-up, only the DASH, pain on VAS, and grip strength showed significant differences in favor of early motion. At 1 year of follow-up, none of the variables studied were different between groups. In the short term, there was moderate to high evidence of clinically and statistically significant differences in the functional outcomes in favor of early versus delayed motion in patients with DRF treated with a volar locking plate. But these differences were not observed at 1 year of follow-up. PROSPERO registration no.: CRD42020158706.
Collapse
Affiliation(s)
- H Gutiérrez-Espinoza
- Rehabilitation in Health Research Center (CIRES), Universidad de las Americas, Echaurren Street 140, 2nd floor, Santiago, Chile; School of Health Sciences, Physiotherapy Department, Universidad Gabriela Mistral, Ricardo Lyon Avenue 1177, Santiago, Chile.
| | - F Araya-Quintanilla
- Faculty of Health Sciences, Universidad SEK, Fernando Manterola Street 0789, Santiago, Chile
| | - C Olguín-Huerta
- Rehabilitation in Health Research Center (CIRES), Universidad de las Americas, Echaurren Street 140, 2nd floor, Santiago, Chile
| | - R Gutiérrez-Monclus
- Orthopedic Surgeon, Instituto Traumatológico, San Martin Street 771, Santiago, Chile
| | - R Jorquera-Aguilera
- Orthopaedic Surgeon, Clínica Indisa, Santa Maria Avenue 1810, Santiago, Chile
| | - C Mathoulin
- Institut de la Main, Clinique Bizet, 23, rue Georges Bizet, Paris, France
| |
Collapse
|
32
|
Cuyul-Vasquez I, Gutiérrez-Espinoza H, Araya-Quintanilla F. Reply to letter to the Editor about the article "The addition of blood flow restriction to resistance exercise in individuals with knee pain: a systematic review and meta-analysis". Braz J Phys Ther 2020; 24:561-562. [PMID: 32487448 PMCID: PMC7779945 DOI: 10.1016/j.bjpt.2020.05.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2020] [Revised: 05/17/2020] [Accepted: 05/20/2020] [Indexed: 01/09/2023] Open
Abstract
•The effect of resistance exercise with BRF is not more effective that resistance exercise in in patients with knee pain. •Our study was unable to demonstrate the clinical benefits of resistance exercise with BRF in subjects with knee pain. •Further studies are needed to support the clinical effect of BRF in pain intensity and knee function in these patients.
Collapse
Affiliation(s)
- Iván Cuyul-Vasquez
- Faculty of Health, Therapeutic Process Department, Temuco Catholic University, Temuco, Chile
| | - Héctor Gutiérrez-Espinoza
- Rehabilitation in Health Research Center, CIRES, Universidad de las Américas, Echaurren Street 140, 3rd floor, Santiago, Chile; Physical Therapy Department, Clinical Hospital San Borja Arriaran, Santiago, Chile.
| | - Felipe Araya-Quintanilla
- Rehabilitation in Health Research Center, CIRES, Universidad de las Américas, Echaurren Street 140, 3rd floor, Santiago, Chile; Faculty of Health Sciences, Universidad SEK, Santiago, Chile
| |
Collapse
|
33
|
Araya-Quintanilla F, Gutiérrez-Espinoza H, Jesús Muñoz-Yanez M, Rubio-Oyarzún D, Cavero-Redondo I, Martínez-Vizcaino V, Álvarez-Bueno C. The Short-term Effect of Graded Motor Imagery on the Affective Components of Pain in Subjects with Chronic Shoulder Pain Syndrome: Open-Label Single-Arm Prospective Study. Pain Med 2020; 21:2496-2501. [PMID: 32003812 DOI: 10.1093/pm/pnz364] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
OBJECTIVE To determine the short-term effect of graded motor imagery (GMI) on the affective components of pain and range of motion in subjects with chronic shoulder pain syndrome. DESIGN Open-label single-arm prospective study. SETTING The Physical Therapy Laboratory, Universidad de las Americas. SUBJECTS One hundred seven patients with chronic shoulder pain syndrome. METHODS The subjects received a six-week GMI program based on laterality training, imagined movements, and mirror therapy. We assessed pain intensity using a visual analog scale (VAS), fear of movement was assessed using the Tampa Scale of Kinesiophobia (TSK), and catastrophizing was assessed using the Pain Catastrophizing Scale (PCS). The patient's flexion active range of motion (AROM) was also recorded. RESULTS At the end of treatment, the VAS showed a decrease of 4.2 cm (P < 0.001, Cohen's d = 3.3), TSK showed a decrease of 17.0 points (P < 0.001, Cohen's d = 2.8), catastrophizing showed a decrease of 19.2 points (P < 0.001, Cohen's d = 3.2), and shoulder flexion AROM showed an increment of 30.3º (P < 0.000, Cohen's d = 1.6). CONCLUSIONS We conclude that a short-term GMI program improves the affective components of pain and shoulder flexion AROM in patients with chronic shoulder pain syndrome.
Collapse
Affiliation(s)
- Felipe Araya-Quintanilla
- Rehabilitation and Health Research Center CIRES, Universidad de Las Americas, Santiago, Chile.,Faculty of Health Sciences, Universidad SEK, Santiago, Chile
| | - Héctor Gutiérrez-Espinoza
- Rehabilitation and Health Research Center CIRES, Universidad de Las Americas, Santiago, Chile.,Physical Therapy Department, Clinical Hospital San Borja Arriaran, Santiago, Chile
| | - María Jesús Muñoz-Yanez
- Rehabilitation and Health Research Center CIRES, Universidad de Las Americas, Santiago, Chile
| | - David Rubio-Oyarzún
- Rehabilitation and Health Research Center CIRES, Universidad de Las Americas, Santiago, Chile
| | - Iván Cavero-Redondo
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain.,Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay
| | - Vicente Martínez-Vizcaino
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain.,Faculty of Health Sciences, Universidad Autonoma de Chile, Talca, Chile
| | - Celia Álvarez-Bueno
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain.,Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay
| |
Collapse
|
34
|
Abstract
Background: Ginger has been proposed as a complementary treatment for musculoskeletal
pain. However, efficacy, type, and safety remains unclear.
Objectives: To determine the effectiveness of consumption or topical application of ginger
for pain relief and knee function improvement in patients with knee osteoarthritis.
Study Design: Systematic review with meta-analysis of randomized clinical trials.
Methods: An electronic search was performed on Medline, Central, CINAHL, PEDro,
SPORTDiscus, and LILACS databases. The eligibility criteria for selecting studies included
clinical trials that compared consumption and/or topical ginger with placebo or other
interventions for the pain relief and knee function in patients with medical diagnosis of knee
osteoarthritis.
Results: Seven clinical trials met the eligibility criteria, and for the quantitative synthesis, 4
studies were included. For the comparison capsules versus placebo, mean difference for pain
was −7.88 mm; 95% confidence interval (CI), 11.92 to 3.85 (P = 0.00), and standard mean
difference for knee function was −1.61 points; 95% CI, −4.30 to −1.09 (P = 0.24). For the
comparison of topical ginger versus standard treatment, standard mean difference for pain
was 0.79 mm; 95% CI, −1.97 to 0.39 (P = 0.19), and standard mean difference for knee
function was −0.51 points; 95% CI, −1.15 to 0.13 (P = 0.12).
Limitations: The current evidence is heterogeneous and has a poor methodologic quality.
Conclusions: There is insufficient evidence to support the use of oral ginger compared with
placebo in the pain relief and function improvement in patients with knee osteoarthritis. For
other comparisons, no statistically significant differences were found.
Key words: Osteoarthritis, knee osteoarthritis, ginger, pain, randomized clinical trial,
systematic review
Collapse
Affiliation(s)
- Felipe Araya-Quintanilla
- Rehabilitation and Health Research Center (CIRES), Universidad de las Américas, Santiago, Chile; 2 Faculty of Health Sciences, Universidad SEK, Santiago, Chile; 2 Physical Therapy Department, Clinical Hospital San Borja Arriarán, Santiago, Chile
| |
Collapse
|
35
|
Gutiérrez-Espinoza H, Araya-Quintanilla F, Álvarez-Bueno C, Cavero-Redondo I. Reply to comment on "Does pectoralis minor stretching provide additional benefit over an exercise program in subacromial pain syndrome? A randomized controlled trial" in volume 44, December 2019. Musculoskelet Sci Pract 2020; 46:102127. [PMID: 32217273 DOI: 10.1016/j.msksp.2020.102127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Héctor Gutiérrez-Espinoza
- Rehabilitation and Health Research Center. CIRES, Universidad de Las Américas. Santiago, Chile; Physical Therapy Department, Clinical Hospital San Borja Arriaran, Santiago, Chile
| | - Felipe Araya-Quintanilla
- Rehabilitation and Health Research Center. CIRES, Universidad de las Américas, Santiago, Chile; Faculty of Health, Universidad SEK, Santiago, Chile
| | - Celia Álvarez-Bueno
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain.
| | - Iván Cavero-Redondo
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain
| |
Collapse
|
36
|
Cuyul-Vásquez I, Leiva-Sepúlveda A, Catalán-Medalla O, Araya-Quintanilla F, Gutiérrez-Espinoza H. The addition of blood flow restriction to resistance exercise in individuals with knee pain: a systematic review and meta-analysis. Braz J Phys Ther 2020; 24:465-478. [PMID: 32198025 DOI: 10.1016/j.bjpt.2020.03.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2019] [Revised: 02/04/2020] [Accepted: 03/03/2020] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Blood flow restriction (BFR) is an effective clinical intervention used to increase strength in healthy individuals. However, its effects on pain and function in individuals with knee pain are unknown. OBJECTIVE To determine the effectiveness of adding BFR to resistance exercise for pain relief and improvement of function in patients with knee pain. METHODS Systematic review with meta-analysis of randomized clinical trials. Medline, Central, Embase, PEDro, Lilacs, CINAHL, SPORTDiscus, and Web of Science databases were searched from inception to May 2019. Randomized clinical trials that compared resistance exercise with or without BFR to treat knee pain and function in individuals older than 18 years of age with knee pain were included. RESULTS Eight randomized clinical trials met the eligibility criteria and for the quantitative synthesis, five studies were included. The pooled standardized mean difference (SMD) estimate showed that resistance exercises with BFR was not more effective than resistance exercises for reducing pain (SMD: -0.37cm, 95% CI=-0.93, 0.19) and improving knee function (SMD=-0.23 points, 95% CI=-0.71, 0.26) in patients with knee pain. CONCLUSION In the short term, there is low quality of evidence that resistance exercise with BFR does not provide significant differences in pain relief and knee function compared to resistance exercises in patients with knee pain. PROSPERO registration number: CRD42018102839.
Collapse
Affiliation(s)
- Iván Cuyul-Vásquez
- Faculty of Health, Therapeutic Process Department, Temuco Catholic University, Temuco, Chile
| | | | - Oscar Catalán-Medalla
- Faculty of Health, Therapeutic Process Department, Temuco Catholic University, Temuco, Chile
| | - Felipe Araya-Quintanilla
- Rehabilitation and Health Research Center (CIRES), Universidad de las Américas, Santiago, Chile; Faculty of Health Sciences, Universidad SEK, Santiago, Chile
| | - Hector Gutiérrez-Espinoza
- Rehabilitation and Health Research Center (CIRES), Universidad de las Américas, Santiago, Chile; Physical Therapy Department, Clinical Hospital San Borja Arriaran, Santiago, Chile.
| |
Collapse
|
37
|
Araya-Quintanilla F, Gutierrez-Espinoza H, Munoz-Yanez MJ, Sanchez-Montoya U, Lopez-Jeldes J. Effectiveness of Ginger on Pain and Function in Knee Osteoarthritis: A PRISMA Systematic Review and Meta-Analysis. Pain Physician 2020; 23:E151-E161. [PMID: 32214292] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
BACKGROUND Ginger has been proposed as a complementary treatment for musculoskeletal pain. However, efficacy, type, and safety remains unclear. OBJECTIVES To determine the effectiveness of consumption or topical application of ginger for pain relief and knee function improvement in patients with knee osteoarthritis. STUDY DESIGN Systematic review with meta-analysis of randomized clinical trials. METHODS An electronic search was performed on Medline, Central, CINAHL, PEDro, SPORTDiscus, and LILACS databases. The eligibility criteria for selecting studies included clinical trials that compared consumption and/or topical ginger with placebo or other interventions for the pain relief and knee function in patients with medical diagnosis of knee osteoarthritis. RESULTS Seven clinical trials met the eligibility criteria, and for the quantitative synthesis, 4 studies were included. For the comparison capsules versus placebo, mean difference for pain was -7.88 mm; 95% confidence interval (CI), 11.92 to 3.85 (P = 0.00), and standard mean difference for knee function was -1.61 points; 95% CI, -4.30 to -1.09 (P = 0.24). For the comparison of topical ginger versus standard treatment, standard mean difference for pain was 0.79 mm; 95% CI, -1.97 to 0.39 (P = 0.19), and standard mean difference for knee function was -0.51 points; 95% CI, -1.15 to 0.13 (P = 0.12). LIMITATIONS The current evidence is heterogeneous and has a poor methodologic quality. CONCLUSIONS There is insufficient evidence to support the use of oral ginger compared with placebo in the pain relief and function improvement in patients with knee osteoarthritis. For other comparisons, no statistically significant differences were found. KEY WORDS Osteoarthritis, knee osteoarthritis, ginger, pain, randomized clinical trial, systematic review.
Collapse
Affiliation(s)
- Felipe Araya-Quintanilla
- Rehabilitation and Health Research Center (CIRES), Universidad de las Américas, Santiago, Chile; Faculty of Health Sciences, Universidad de las Américas, Santiago, Chile
| | - Hector Gutierrez-Espinoza
- Rehabilitation and Health Research Center (CIRES), Universidad de las Américas, Santiago, Chile; Physical Therapy Department, Clinical Hospital San Borja Arriarán, Santiago, Chile
| | - Maria Jesus Munoz-Yanez
- Rehabilitation and Health Research Center (CIRES), Universidad de las Américas, Santiago, Chile
| | | | | |
Collapse
|
38
|
Araya-Quintanilla F, Gutiérrez-Espinoza H, Sánchez-Montoya U, Muñoz-Yañez M, Baeza-Vergara A, Petersen-Yanjarí M, Fernández-Lecaros L. Effectiveness of omega-3 fatty acid supplementation in patients with Alzheimer disease: A systematic review and meta-analysis. Neurología (English Edition) 2020. [DOI: 10.1016/j.nrleng.2017.07.014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
|
39
|
Gutiérrez-Espinoza H, Araya-Quintanilla F, Pinto-Concha S, Zavala-González J, Gana-Hervias G, Cavero-Redondo I, Álvarez-Bueno C. Effectiveness of supervised early exercise program in patients with arthroscopic rotator cuff repair: Study protocol clinical trial. Medicine (Baltimore) 2020; 99:e18846. [PMID: 31977882 PMCID: PMC7004761 DOI: 10.1097/md.0000000000018846] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Based on the available evidence, it is difficult to make a clinical decision about the best exercise program and to establish the most favorable time to start postoperative treatment after rotator cuff (RC) repair. The aim of this trial is to evaluate the effects of adding a supervised early exercise program to standard treatment for functional improvement and pain relief compared with standard treatment alone in patients with arthroscopic RC repair. METHOD/DESIGN A total of 118 patients between the ages of 18 and 50 years with arthroscopic RC repair will be randomized to 2 treatment arms. The control group will receive a standard exercise program based on a consensus statement on shoulder rehabilitation developed by the American Society of Shoulder and Elbow Therapists. The intervention group will receive a supervised early exercise program in combination with standard treatment. This supervised exercise program will be based on electromyographic evidence. Three evaluations will be performed: before surgery, at 6 weeks, and at 12 weeks. The primary outcome measure will be the shoulder function by the Constant-Murley questionnaire, and the secondary outcome measures will be the upper limb function by the disabilities of the arm, shoulder, and hand questionnaire; pain by the visual analog scale; and the shoulder range of motion by a goniometer. DISCUSSION We hypothesize that patients who receive a supervised early exercise program in combination with standard treatment will benefit more in respect to shoulder function, pain reduction, and range of motion than those who receive a standard exercise program. If this is confirmed, our study can be used clinically to enhance the recovery of patients with arthroscopic RC repair. TRIAL REGISTRATION Brazilian registry of clinical trials UTN number U1111-1224-4143. Registered December 18, 2018.
Collapse
Affiliation(s)
- Héctor Gutiérrez-Espinoza
- Rehabilitation and Health Research Center, CIRES, University of the Americas
- Physical Therapy Department, Clinical Hospital San Borja Arriaran
| | - Felipe Araya-Quintanilla
- Rehabilitation and Health Research Center, CIRES, University of the Americas
- Faculty of Health Sciences, University SEK
| | | | - Jonathan Zavala-González
- Rehabilitation and Health Research Center, CIRES, University of the Americas
- Physical Therapy Department, Clinical Hospital San Borja Arriaran
| | - Gonzalo Gana-Hervias
- Adult Orthopedic Department, Clinical Hospital San Borja Arriaran, Santiago, Chile
| | - Iván Cavero-Redondo
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain
- Universidad Politécnica y Artística del Paraguay, Mayor Sebastián Bullo, Asunción, Paraguay
| | - Celia Álvarez-Bueno
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain
| |
Collapse
|
40
|
Araya-Quintanilla F, Gutiérrez-Espinoza H, Muñoz-Yánez MJ, Cavero-Redondo I, Álvarez-Bueno C, Martinez-Vizcaíno V. Effectiveness of a multicomponent treatment versus conventional treatment in patients with fibromyalgia: Study protocol. Medicine (Baltimore) 2020; 99:e18833. [PMID: 31977878 PMCID: PMC7004771 DOI: 10.1097/md.0000000000018833] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
BACKGROUND Fibromyalgia (FM) is a chronic pain syndrome characterized by widespread musculoskeletal pain and multiple symptoms. It is a common clinical condition whose etiology is unclear. Currently, there is no gold standard treatment for FM. Management of this condition is therefore aimed at reducing symptoms and maintaining the individual's ability to function optimally. Based on the principal symptoms and characteristics of individuals with FM, we hypothesized that the implementation of a multicomponent treatment (with physical exercise, cognitive behavioral therapy adding to a graded motor imagery program, and therapeutic neuroscience education) would be more effective than conventional treatment in women with FM. This paper describes the rationale and methods of study intended to test the effectiveness of multicomponent treatment versus conventional treatment in patients with FM. METHOD/DESIGN Fifty-six female individuals between 18 and 65 years of age, who were referred to the physical therapy department of the Rehabilitar Center in Chile, will be randomized into two treatment arms. The intervention group will receive a multicomponent treatment program for duration of 12 weeks. The control group will receive a conventional treatment for this condition for 12 weeks. The primary outcome measure will be the pain intensity score, measured by the numeric pain rating scale (NPRS), and the secondary outcomes will be the FM Impact Questionnaire (FIQ), and affective components of pain, such as catastrophizing using the Pain Catastrophizing Scale (PCS), fear of movement using the Tampa Scale Kinesiophobia (TSK), and sleep quality as measured by the Pittsburgh Sleep Quality Index (PSQI). DISCUSSION This paper reports the design of a randomized clinical trial aimed at assessing the effectiveness of the multicomponent treatment versus conventional treatment in women with FM. TRIAL REGISTRATION Brazilian registry of clinical trials UTN number U1111-1232-0862. Registered 22 April 2019.
Collapse
Affiliation(s)
- Felipe Araya-Quintanilla
- Rehabilitation and Health Research Center. CIRES, Universidad de las Américas
- Faculty of Health Sciences, Universidad SEK
| | - Héctor Gutiérrez-Espinoza
- Rehabilitation and Health Research Center. CIRES, Universidad de las Américas
- Physical Therapy Department, Clinical Hospital San Borja Arriaran, Santiago, Chile
| | | | - Iván Cavero-Redondo
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain
- Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay
| | - Celia Álvarez-Bueno
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain
- Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay
| | - Vicente Martinez-Vizcaíno
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain
- Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Talca, Chile
| |
Collapse
|
41
|
Gutiérrez-Espinoza H, Araya-Quintanilla F, Cereceda-Muriel C, Álvarez-Bueno C, Martínez-Vizcaíno V, Cavero-Redondo I. Effect of supervised physiotherapy versus home exercise program in patients with subacromial impingement syndrome: A systematic review and meta-analysis. Phys Ther Sport 2019; 41:34-42. [PMID: 31726386 DOI: 10.1016/j.ptsp.2019.11.003] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2019] [Revised: 10/14/2019] [Accepted: 11/05/2019] [Indexed: 12/17/2022]
Abstract
OBJECTIVE To determine whether supervised physiotherapy is more effective for functional improvement and pain relief than a home exercise program in subjects with subacromial impingement syndrome. DESIGN Systematic review and meta-analysis of randomized clinical trials. METHODS An electronic search was performed in Medline, Central, Embase, PEDro, Lilacs, Cinahl, SPORTDiscus, and Web of Science databases. The eligibility criteria for selecting studies included randomized clinical trials that compared supervised physiotherapy versus home exercise program, in the shoulder function, pain, and range of motion in subjects older than 18 years of age with a medical diagnosis of subacromial impingement syndrome treated conservatively. RESULTS Seven clinical trials met the eligibility criteria, and for the quantitative synthesis, four studies were included. The standardized mean difference for shoulder function was -0.14 points (95% CI: -1.04 to 0.76; p = 0.760), mean difference 0.21 cm (95% CI: -1.36 to 1.78; p = 0.790) for pain, and mean difference 0.62° (95% CI: -7.15 to 8.38; p = 0.880) for range of motion of flexion. CONCLUSION Supervised physical therapy and home-based progressive shoulder strengthening and stretching exercises for the rotator cuff and scapular muscles are equally effective in patients with subacromial impingement syndrome treated conservatively. TRIAL REGISTRATION NUMBER CRD42018086348.
Collapse
Affiliation(s)
- Héctor Gutiérrez-Espinoza
- Faculty of Health, Universidad de Las Americas, Santiago, Chile; Physical Therapy Department, Clinical Hospital San Borja Arriaran, Santiago, Chile
| | - Felipe Araya-Quintanilla
- Faculty of Health, Universidad de Las Americas, Santiago, Chile; Faculty of Health Sciences, Universidad SEK, Santiago, Chile
| | | | - Celia Álvarez-Bueno
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain; Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay.
| | - Vicente Martínez-Vizcaíno
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain; Universidad Autonoma de Chile, Faculty oh Health Sciences, Talca, Chile
| | - Iván Cavero-Redondo
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain; Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay
| |
Collapse
|
42
|
Gutiérrez-Monclus R, Gutiérrez-Espinoza H, Zavala-González J, Olguín-Huerta C, Rubio-Oyarzún D, Araya-Quintanilla F. Correlation Between Radiological Parameters and Functional Outcomes in Patients Older Than 60 Years of Age With Distal Radius Fracture. Hand (N Y) 2019; 14:770-775. [PMID: 29661068 PMCID: PMC6900695 DOI: 10.1177/1558944718770203] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Background: The relationship between radiographic and functional outcomes is controversial in the elderly. The objective of this study is to determine whether there is a correlation between functional outcome and acceptable distal radius fracture (DRF) alignment in patients older than 60 years of age. Methods: This correlation study was carried out at the Central Metropolitan Health Service of Chile. A total of 180 patients diagnosed with extra-articular DRF, according to the AO classification, were prospectively recruited. Radiological parameters, including radial inclination, residual dorsal angulation, ulnar variance, and articular step-off, were evaluated to assess the results of orthopedic reduction. Functional outcome was assessed immediately following cast removal and again at the 6-month follow-up. The Disabilities of the Arm, Shoulder and Hand (DASH) and Patient-Rated Wrist Evaluation (PRWE) questionnaires were administered to assess upper extremity function, and the visual analog scale (VAS) was used to assess pain intensity. Results: Only 68 patients (37.8%) showed acceptable DRF alignment. After cast removal, the correlations between alignment and the functional outcome measures were as follows: DASH 0.071 (P = .546), PRWE 0.03 (P = .823), and VAS 0.12 (P = .631). At the 6-month follow-up, the correlations between alignment and the functional outcome measures were as follows: DASH 0.029 (P = .768), PRWE 0.014 (P = .895), and VAS 0.09 (P = .614). Conclusions: There was no significant correlation between acceptable alignment according to radiological parameters and short- or medium-term functional outcome in patients older than 60 years with extra-articular DRF treated conservatively.
Collapse
Affiliation(s)
- Rodrigo Gutiérrez-Monclus
- Hand Team of Traumatology Institute of
Santiago, Chile,Rodrigo Gutiérrez-Monclus, Orthopedic
Surgeon, Hand Team of Traumatology Institute of Santiago, San Martin Street 771,
Santiago 8320000, Chile.
| | | | - Jonathan Zavala-González
- University of the Americas, Santiago,
Chile,Clinical Hospital San Borja Arriaran,
Santiago, Chile
| | | | | | | |
Collapse
|
43
|
Gutiérrez-Espinoza H, Araya-Quintanilla F, Gutiérrez-Monclus R, Cavero-Redondo I, Álvarez-Bueno C. The effectiveness of adding a scapular exercise programme to physical therapy treatment in patients with distal radius fracture treated conservatively: a randomized controlled trial. Clin Rehabil 2019; 33:1931-1939. [PMID: 31353941 DOI: 10.1177/0269215519866240] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To determine the effectiveness of a scapular exercise programme in addition to a physical therapy treatment in patients with distal radius fracture. DESIGN A single-blinded randomized controlled trial was conducted. SETTING Clinical Hospital San Borja Arriaran, Santiago, Chile. PARTICIPANTS A total of 102 patients above 60 years of age with extra-articular distal radius fracture were randomly divided into two groups. INTERVENTIONS The control group (n = 51) received a six-week physical therapy treatment; the intervention group (n = 51) received the same treatment plus a scapular exercise programme. OUTCOME MEASURES The two groups were assessed at baseline and after the six-week treatment. The arm function was assessed with the disabilities of the arm, shoulder and hand (DASH) questionnaire; secondary outcomes were measured by the patient-rated wrist evaluation (PRWE) questionnaire and visual analogue scale (VAS). RESULTS A total of 102 patients, 51 in the control group (40 women; mean age of 65.3 ± 4.8 years) and 51 in the intervention group (42 women; mean age of 67.2 ± 5.4 years), were analysed. At the end of the treatment, the difference between groups for the DASH was 16.7 points (P < 0.001), 1.5 points (P = 0.541) for the PRWE, 0.2 cm (P = 0.484) for the VAS at rest, and 1.7 cm (P < 0.001) for the VAS at movement. All differences were in favour of the intervention group. CONCLUSION In the short term, adding a scapular exercise programme provides a significant clinical benefit in arm function and pain relief with movement in patients above 60 years of age with extra-articular distal radius fracture treated conservatively.
Collapse
Affiliation(s)
- Héctor Gutiérrez-Espinoza
- Faculty of Health, University of the Americas, Santiago, Chile.,Physical Therapy Department, Clinical Hospital San Borja Arriaran, Santiago, Chile
| | - Felipe Araya-Quintanilla
- Faculty of Health, University of the Americas, Santiago, Chile.,Faculty of Health, Universidad SEK, Santiago, Chile
| | | | - Iván Cavero-Redondo
- Universidad de Castilla-La Mancha, Centro de Estudios Sociosanitarios, Cuenca, España.,Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay
| | - Celia Álvarez-Bueno
- Universidad de Castilla-La Mancha, Centro de Estudios Sociosanitarios, Cuenca, España.,Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay
| |
Collapse
|
44
|
Gutiérrez-Espinoza H, Araya-Quintanilla F, Zavala-González J, Gana-Hervias G, Martínez-Vizcaino V, Álvarez-Bueno C, Cavero-Redondo I. Rationale and methods of a randomized clinical trial to compare specific exercise programs versus home exercises in patients with subacromial impingement syndrome. Medicine (Baltimore) 2019; 98:e16139. [PMID: 31348227 PMCID: PMC6709276 DOI: 10.1097/md.0000000000016139] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2019] [Accepted: 05/30/2019] [Indexed: 01/10/2023] Open
Abstract
BACKGROUND Subacromial impingement syndrome (SIS) is a common clinical condition with a multifactorial etiology. Currently, there is a great variety of therapeutic exercise modalities aimed at treating SIS. Based on alterations of the glenohumeral and/or dysfunctional scapular kinematics associated with SIS, we hypothesize that the implementation of a specific exercise program with special focus on the correction of muscle deficits should be more effective than nonspecific exercises performed at home. This article describes the rationale and methods of study aimed at testing the effectiveness of specific exercise programs versus home exercises in patients with SIS. METHOD/DESIGN Ninety-four patients between the ages of 18 and 50 years referred to the Physical Therapy department of the Clinical Hospital San Borja Arriaran in Chile will be randomized to 2 treatment arms. The intervention group will receive a program of specific exercises with a duration of 12 weeks, taking as a reference the algorithm of clinical decision proposed by a panel of experts. The control group will receive a program of nonspecific exercises to perform at home. Three evaluations will be performed: before the initiation of treatment, and at the 12-week and 1-year follow-up. The primary outcome measure will be the shoulder function by the Constant-Murley questionnaire, and the secondary outcome measures will be the upper extremity function by the Disabilities of the Arm, Shoulder and Hand questionnaire, and pain by the visual analog scale. DISCUSSION This article reports the design of a randomized clinical trial aimed at assessing the effectiveness of a specific exercise program versus home exercises in patients with SIS. TRIAL REGISTRATION Brazilian registry of clinical trials UTN number U1111-1204-0268. Registered 27 September 2017.
Collapse
Affiliation(s)
- Héctor Gutiérrez-Espinoza
- Faculty of Health, University of the Americas
- Physical Therapy Department, Clinical Hospital San Borja Arriaran
| | - Felipe Araya-Quintanilla
- Faculty of Health, University of the Americas
- Physical Therapy School, University Gabriela Mistral
| | - Jonathan Zavala-González
- Faculty of Health, University of the Americas
- Physical Therapy Department, Clinical Hospital San Borja Arriaran
| | - Gonzalo Gana-Hervias
- Adult Orthopedic Department, Clinical Hospital San Borja Arriaran, Santiago, Chile
| | - Vicente Martínez-Vizcaino
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain
- Universidad Autónoma de Chile, Faculty oh Health Sciences, Talca, Chile
| | - Celia Álvarez-Bueno
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain
| | - Iván Cavero-Redondo
- Universidad de Castilla-La Mancha, Health and Social Research Center, Cuenca, Spain
| |
Collapse
|
45
|
Araya-Quintanilla F, Gutiérrez-Espinoza H, Moyano-Gálvez V, Muñoz-Yánez MJ, Pavez L, García K. Effectiveness of black tea versus placebo in subjects with hypercholesterolemia: A PRISMA systematic review and meta-analysis. Diabetes Metab Syndr 2019; 13:2250-2258. [PMID: 31235165 DOI: 10.1016/j.dsx.2019.05.019] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2019] [Accepted: 05/22/2019] [Indexed: 01/27/2023]
Abstract
AIM To determine if the black tea is more effective in serum lipid profile that placebo in subjects with hypercholesterolemia. DESIGN Systematic review with meta-analysis of randomized clinical trials (RCTs). DATA SOURCES The databases Medline, Central, Embase, Lilacs, Cinahl, SPORTDiscus, and Web of Science were searched from inception up to January 2019. ELIGIBILITY CRITERIA FOR SELECTING STUDIES RCTs that compared black tea versus placebo, that included serum lipid profile outcomes in subjects older than 18 years of age with hypercholesterolemia. RESULTS Seven RCTs met the eligibility criteria, and for the quantitative synthesis, six studies were included. Mean difference for total cholesterol was 1.67 mg/dl 95% CI = -5.47 to 8.80 (p = 0.65), mean difference 0.28 mg/dl, 95% CI = -3.89 to 4.45 (p = 0.90) for triglycerides, mean difference 3.21 mg/dl, 95% CI = -11.02 to 4.60 (p = 0.42) for low density lipoprotein-cholesterol, mean difference 0.38 mg/dl, 95% CI = -1.12 to 1.87 (p = 0.62) for high density lipoprotein-cholesterol. CONCLUSION In the short term, no significant differences were found in lipid serum profile comparing black tea consumption with placebo.
Collapse
Affiliation(s)
- Felipe Araya-Quintanilla
- Faculty of Health Sciences, Universidad Gabriela Mistral. Santiago, Chile; Faculty of Health, Universidad de las Americas. Santiago, Chile.
| | - Héctor Gutiérrez-Espinoza
- Faculty of Health, Universidad de las Americas. Santiago, Chile; Center of Diagnostic and Treatment, Clinical Hospital San Borja Arriaran. Santiago, Chile
| | | | | | - Leonardo Pavez
- Instituto de Ciencias Naturales, Universidad de las Américas. Santiago, Chile; Departamento de Ciencias Químicas y Biológicas, Universidad Bernardo O'Higgins. Santiago, Chile
| | - Katherine García
- Instituto de Ciencias Biomédicas, Facultad de Ciencias de la Salud. Universidad Autónoma de Chile, Santiago, Chile
| |
Collapse
|
46
|
Gutiérrez-Espinoza H, Arriagada-Núñez V, Araya-Quintanilla F, Zavala-González J, Rubio-Oyarzún D, Sfeir-Castro R, Gana-Hervias G. Physical therapy in patients over 60 years of age with a massive and irreparable rotator cuff tear: a case series. J Phys Ther Sci 2018; 30:1126-1130. [PMID: 30154614 PMCID: PMC6110227 DOI: 10.1589/jpts.30.1126] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2018] [Accepted: 05/28/2018] [Indexed: 01/02/2023] Open
Abstract
[Purpose] Describe the effect of a Physical Therapy (PT) program in function improvement and pain reduction in patients over 60 years of age with massive and irreparable Rotator Cuff (RC) tear. [Participants and Methods] Ninety-two patients received a 12 weeks PT program that consisted in manual therapy and a specific exercises program. Before the start and at the end of the treatment, the shoulder function was assessed with Constant-Murley, the upper extremity function with DASH, and the pain during activity with the visual analog scale (VAS). [Results] At the end of the treatment, Constant-Murley exhibited an increment of 24.9 points, DASH showed a decrease of 28.7 points, and the VAS, a decrease of 3.6 cm (p=0.00). [Conclusion] A PT program based on manual therapy and specific exercises in a short term improves the function and reduces the pain during activity in patients with a massive and irreparable RC tear.
Collapse
Affiliation(s)
- Héctor Gutiérrez-Espinoza
- Physical Therapy School, University of the Americas: Echaurren St. 140, 3rd floor, Santiago, 8320000, Chile.,Physical Therapy Department, Clinical Hospital San Borja Arriaran, Chile
| | - Víctor Arriagada-Núñez
- Physical Therapy School, University of the Americas: Echaurren St. 140, 3rd floor, Santiago, 8320000, Chile
| | - Felipe Araya-Quintanilla
- Physical Therapy School, University of the Americas: Echaurren St. 140, 3rd floor, Santiago, 8320000, Chile.,Physical Therapy School, University Gabriela Mistral, Chile
| | - Jonathan Zavala-González
- Physical Therapy School, University of the Americas: Echaurren St. 140, 3rd floor, Santiago, 8320000, Chile.,Physical Therapy Department, Clinical Hospital San Borja Arriaran, Chile
| | - David Rubio-Oyarzún
- Physical Therapy School, University of the Americas: Echaurren St. 140, 3rd floor, Santiago, 8320000, Chile
| | - Roberto Sfeir-Castro
- Physical Therapy School, University of the Americas: Echaurren St. 140, 3rd floor, Santiago, 8320000, Chile
| | - Gonzalo Gana-Hervias
- Orthopaedic Surgeon, Adult Orthopedic Department, Clinical Hospital San Borja Arriaran, Chile
| |
Collapse
|
47
|
Araya-Quintanilla F, Gutiérrez-Espinoza H, Sánchez-Montoya U, Muñoz-Yañez MJ, Baeza-Vergara A, Petersen-Yanjarí M, Fernández-Lecaros L. Effectiveness of omega-3 fatty acid supplementation in patients with Alzheimer disease: A systematic review and meta-analysis. Neurologia 2017; 35:105-114. [PMID: 28986068 DOI: 10.1016/j.nrl.2017.07.009] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2017] [Accepted: 07/02/2017] [Indexed: 12/31/2022] Open
Abstract
INTRODUCTION Alzheimer disease (AD) is a neurodegenerative disease characterised by progressive dementia associated with global cognitive dysfunction. METHODS We conducted a systematic review and meta-analysis of clinical trials evaluating omega-3 supplementation in patients with AD. OBJECTIVE To determine if there is scientific evidence of the effectiveness of omega-3 supplementation in improving cognitive function in patients with AD. SEARCH STRATEGY We included only randomised controlled trials (RCTs) from the following databases: Medline, Cochrane Central, Cinahl, and LILACS. An electronic search was also conducted using Google Scholar. STUDY SELECTION Six articles met the eligibility criteria. The risk of bias was assessed following the Cochrane method. CONCLUSION There is no consistent evidence to support the effectiveness of omega-3 supplementation in improving cognitive function in AD patients in the short and medium term.
Collapse
Affiliation(s)
- F Araya-Quintanilla
- Universidad de las Américas, Facultad de Ciencias de la Salud, Santiago, Chile.
| | - H Gutiérrez-Espinoza
- Universidad de las Américas, Facultad de Ciencias de la Salud, Santiago, Chile; Unidad de Kinesiología, Centro de Diagnóstico y Tratamiento (CDT), Hospital Clínico San Borja-Arriarán, Santiago, Chile
| | - U Sánchez-Montoya
- Universidad de las Américas, Facultad de Ciencias de la Salud, Escuela de Nutrición y Dietética, Santiago, Chile
| | - M J Muñoz-Yañez
- Universidad Gabriela Mistral, Facultad de Ciencias de la Salud, Escuela de Kinesiología, Santiago, Chile
| | - A Baeza-Vergara
- Universidad de las Américas, Facultad de Ciencias de la Salud, Escuela de Nutrición y Dietética, Santiago, Chile
| | - M Petersen-Yanjarí
- Universidad de las Américas, Facultad de Ciencias de la Salud, Escuela de Nutrición y Dietética, Santiago, Chile
| | - L Fernández-Lecaros
- Universidad de las Américas, Facultad de Ciencias de la Salud, Escuela de Nutrición y Dietética, Santiago, Chile
| |
Collapse
|
48
|
Araya-Quintanilla F, Celis-Rosati A, Rodriguez-Leiva C, Silva-Navarro C, Silva-Pinto Y, Toro-Jeria B. [Effectiveness of a ketogenic diet in children with refractory epilepsy: a systematic review]. Rev Neurol 2016; 62:439-448. [PMID: 27149186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
INTRODUCTION Epilepsy is a brain disorder that affects both children and adults. From the 1920s the ketogenic diet has gained prestige as another treatment option for patients with refractory epilepsy. SUBJECTS AND METHODS A summary of the evidence will be made through a systematic review of randomized clinical trials that have compared a single ketogenic diet with other diet for the management of these patients. AIM To determine the effectiveness of the ketogenic diet in reducing episodes of seizures in patients with refractory epilepsy. The search strategy included randomized controlled trials and controlled clinical trials. Databases used were Medline, LILACS, Central and CINAHL. RESULTS Six articles that met our elegibility criteria. CONCLUSIONS There is limited evidence that the ketogenic diet compared to the medium-chain triglyceride diet is more effective in reducing the frequency of seizures. There is also moderate evidence that classical ketogenic diet compared to the gradual diet (2.5:1 and 3:1) is more effective in reducing seizures. There is moderate evidence that classical ketogenic diet compared to Atkins diet is more effective in reducing the frequency of seizure. The decision to apply this type of diet should also be based on costs, preferences and safety of treatment. It should also take into account the likelihood that studies have indexing problems have been left out of the review.
Collapse
Affiliation(s)
| | | | | | | | - Y Silva-Pinto
- Universidad de las Americas, Santiago de Chile, Chile
| | - B Toro-Jeria
- Universidad de las Americas, Santiago de Chile, Chile
| |
Collapse
|