Efectividad de la fisioterapia en el tratamiento de pacientes intervenidos de meniscectomía. Revisión sistemática
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2015-07-17
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Jaén: Universidad de Jaén
Resumen
[ES] Objetivo: Identificar, evaluar de forma crítica y reunir las principales evidencias disponibles en la actualidad sobre la efectividad de la fisioterapia en pacientes intervenidos de meniscectomía.
Materiales y métodos: Se realizó una búsqueda bibliográfica en las bases de datos Pubmed, Scopus y PEDro, con las palabras clave “Meniscectomy”, “Physiotherapy” y “Physical Therapy”. Fueron incluidos ensayos clínicos en inglés o español, con pacientes de cualquier sexo y edad, intervenidos de meniscectomía. Para evaluar la calidad metodológica de los estudios se emplearon las escalas “PEDro y Jadad”
Resultados: Tras la revisión y localización de 529 artículos, finalmente se analizaron 8 atendiendo a los criterios de inclusión y exclusión. Estos estudios fueron clasificados en cuatro grupos según el tipo de intervención de fisioterapia aplicada, hallándose como procedimientos utilizados: ejercicios neuromusculares, programa isocinético/isotónico, ejercicios funcionales y fisioterapia supervisada intensiva vs fisioterapia convencional.
Conclusiones: Esta revisión sistemática encontró evidencia limitada sobre la efectividad de la aplicación de ejercicios neuromusculares y ejercicios funcionales, evidencia insuficiente en la aplicación de un programa isocinético/isotónico en pacientes intervenidos de meniscectomía. Se encontró evidencia moderada sobre la efectividad de la aplicación combinada de fisioterapia supervisada unida a fisioterapia convencional frente a sólo fisioterapia convencional en pacientes con este tipo de intervención
[EN] Objective: To identify and assemble the main available evidences nowadays about the effectiveness of physiotherapy in patients undergoing meniscectomy. Materials and methods: A literature search in PubMed, Scopus and PEDro databases with the keywords "Meniscectomy ", "Physiotherapy" and "Physical Therapy" was performed. Clinical trials in English or Spanish, with patients of any sex or age, underwent meniscectomy were included. To assess the methodological quality of the studies the scales "PEDro and Jadad" were used Results: After the revision and localization of 529 articles, finally 8 of them were analysed according to the criteria of inclusion and exclusion. These studies were classified into four groups according to the type of physiotherapy intervention applied using the following procedures: neuromuscular exercises, isokinetic / isotonic program, supervised physiotherapy functional exercises and intensive vs conventional physiotherapy. Conclusions: This systematic review found limited evidence of the effectiveness of the application of neuromuscular exercises and functional exercises, insufficient evidence in the application of an isokinetic/isotonic program in patients undergoing meniscectomy. Moderate evidence of the effectiveness of the combined application of supervised physiotherapy coupled with conventional physiotherapy versus only conventional physiotherapy in patients with this type of intervention was found.
[EN] Objective: To identify and assemble the main available evidences nowadays about the effectiveness of physiotherapy in patients undergoing meniscectomy. Materials and methods: A literature search in PubMed, Scopus and PEDro databases with the keywords "Meniscectomy ", "Physiotherapy" and "Physical Therapy" was performed. Clinical trials in English or Spanish, with patients of any sex or age, underwent meniscectomy were included. To assess the methodological quality of the studies the scales "PEDro and Jadad" were used Results: After the revision and localization of 529 articles, finally 8 of them were analysed according to the criteria of inclusion and exclusion. These studies were classified into four groups according to the type of physiotherapy intervention applied using the following procedures: neuromuscular exercises, isokinetic / isotonic program, supervised physiotherapy functional exercises and intensive vs conventional physiotherapy. Conclusions: This systematic review found limited evidence of the effectiveness of the application of neuromuscular exercises and functional exercises, insufficient evidence in the application of an isokinetic/isotonic program in patients undergoing meniscectomy. Moderate evidence of the effectiveness of the combined application of supervised physiotherapy coupled with conventional physiotherapy versus only conventional physiotherapy in patients with this type of intervention was found.