lunes, 30 de junio de 2008

Saga de Neuro

En Resultado a la encuesta, las áreas que trataremos serán:

Neurología
Columna
Hombro.


Ahora vamos con una revisión de los distintos tratamientos para la parálisis cerebral.

Saludos!


Effectiveness of physical therapy interventions for children with
cerebral palsy: A systematic review (BMJ)

Heidi Anttila, Ilona Autti-Rämö, Jutta Suoranta, Marjukka Mäkelä
and Antti Malmivaara

Background: To assess the effectiveness of physical therapy (PT) interventions on functioning in
children with cerebral palsy (CP).
Methods: A search was made in Medline, Cinahl, PEDro and the Cochrane library for the period
1990 to February 2007. Only randomized controlled trials (RCTs) on PT interventions in children with diagnosed CP were included. Two reviewers independently assessed the methodological quality and extracted the data. The outcomes measured in the trials were classified using the International Classification of Functioning, Disability and Health (ICF).
Results: Twenty-two trials were identified. Eight intervention categories were distinguished. our trials were of high methodological quality. Moderate evidence of effectiveness was established for two intervention categories: effectiveness of upper extremity treatments on attained goals and active supination, and of prehensile hand treatment and neurodevelopmental therapy (NDT) or NDT twice a week on developmental status, and of constraint-induced therapy on amount and quality of hand use. Moderate evidence of ineffectiveness was found of strength training on walking speed and stride length. Conflicting evidence was found for strength training on gross motor function. For the other intervention categories the evidence was limited due to low methodological quality and the statistically insignificant results of the studies. Conclusion: Due to limitations in methodological quality and variations in population,
interventions and outcomes, mostly limited evidence on the effectiveness of most PT interventions is available through RCTs. Moderate evidence was found for some effectiveness of upper extremity training. Well-designed trials are needed especially for focused PT interventions.

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martes, 10 de junio de 2008

Encuestas



Estimados internautas:

He colocado dos encuestas para que ustedes puedan responderlas. La primera, que está ubicada en la parte superior de este blog, por debajo del slide de la jornada, tiene como finalidad saber si les interesa tanto a los estudiantes como a los kinesiólogos la práctica basada en evidencia. La segunda encuesta tiene por objetivo subir artículos del más alto nivel en relación a las 3 primeras opciones. Así, si ud quiere que suba artículos sobre patologías de hombro, seleccione esa opción.


Llevamos más de 11.000 visitas desde que abrió este blog, y me gustaría que así como ustedes reciben información, yo también recibirla y tener un mejor feedback.

Saludos!

domingo, 8 de junio de 2008

Lateral epicondylalgia: a musculoskeletal physiotherapy perspective


Sabía usted que existen 5 tipos de manifestaciones clínicas de la tendinopatía lateral de codo (ex-epicondilitis), y que cada una de ellas se trata de forma distinta??

Si lo sabía, es bueno repasar los conocimientos. Si no, le invito a disfrutar de esta clase magistral que nos regala el más famoso investigador en lo que se refiere a la fisioterapia en codo; el Doctor de la Filosofía (Ph.D) en terapia física y Master en deportes (Msc) Bill Vicenzino.



Masterclass

Tennis elbow or lateral epicondylalgia (LE) is a challenging musculoskeletal condition to treat.
This is largely due to the lack of research-based evidence of the clinical efficacy of the myriad of treatment approaches espoused in the literature. In view of this, successful rehabilitation of LE is based on choosing treatments that address the physical impairments found during clinical examination. The primary physical impairment in LE is a deficit in grip strength predominately due to pain and its consequences on motor function. Hence the mainstay of successful management of this condition is therapeutic exercise, providing it is not pain provocative. Adjunctive procedures such as manipulative therapy and sports taping techniques have recently been shown to provide substantial initial pain relief. Early relief of pain in the rehabilitation program helps accelerate recovery and most importantly motivates the client to persist with the therapeutic exercise program. The manipulative therapy and taping treatments presented in this masterclass warrant consideration in the clinical best practice management of LE, and serve as a model for other similar musculoskeletal conditions

B. Vicenzino


lunes, 2 de junio de 2008

Low Back Pain (Chronic)



Esta es una de las publicaciones más importantes y costosas. Es por ello que este artículo es un regalo para todos los kinesiólogos que gustan de leer literatura refinada.

Search date November 2004
Maurits van Tulder and Bart Koes

What are the effects of oral drug treatments?
What are the effects of injection therapy?
What are the effects of non-drug treatments?

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