Efectividad de la terapia física tras operación de ligamento cruzado anterior.
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2014-06-27
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Jaén: Universidad de Jaén
Resumen
[ES]Objetivo: Reunir las principales evidencias científicas para determinar la efectividad de la
terapia física en pacientes tras operación del ligamento cruzado anterior de la rodilla.
Método: Se realizo una búsqueda de ensayos clínicos aleatorizados en la bases de datos de Pubmed, PEDro con las palabras clave "Anterior Cruciate Ligament Reconstruction", "Physiotherapy" and "Physical Therapy". Se seleccionaron estudios publicados desde enero del 2005 hasta junio de 2014. Para evaluar la calidad de los estudios se empleo la escala de PEDro.
Resultados: Tras la revisión y localización de 1731 artículos, finalmente se analizaron 9 atendiendo a los criterios de inclusión y exclusión. Estos estudios fueron clasificados en 4 grupos, según el tipo de técnica utilizada, hallándose como procedimientos utilizados: Ejercicios específicos de cuádriceps, técnicas de ejercicios físico, estiramiento y propiocepcion, cadenas cinéticas y ejercicio excéntrico.
Conclusiones: Esta revisión sistemática no se encontró evidencia sobre la efectividad de los ejercicios específicos de cuádriceps, técnicas de ejercicio físico, estiramiento y propiocepcion y cadenas cinéticas y evidencia limitada de la mejora por la aplicación del ejercicio excéntrico.
[EN]Objective: Collect the key scientific evidence to determine the effectiveness of physical therapy in patients after operation of the anterior cruciate ligament of the knee. Method: A search of randomized trials in the databases Pubmed, PEDro with the keywords "Cruciate Ligament Reconstruction Previous" was conducted, "Physiotherapy" and "Physical Therapy". Studies published from January 2005 to June 2014 were selected. To assess the quality of studies PEDro scale was employed. Results: Following the 1731 review and position articles, nine were finally analyzed according to the criteria of inclusion and exclusion. These studies were classified into 4 groups according to the type of technique used, being used as methods: specific quadriceps exercises, physical exercise techniques, stretching and proprioception, kinetic chains and eccentric exercise. Conclusions: This systematic review evidence on the effectiveness of specific exercises for quadriceps, exercise techniques, stretching and proprioception and kinetic chains and limited evidence of improvement by the application of eccentric exercise was found.
[EN]Objective: Collect the key scientific evidence to determine the effectiveness of physical therapy in patients after operation of the anterior cruciate ligament of the knee. Method: A search of randomized trials in the databases Pubmed, PEDro with the keywords "Cruciate Ligament Reconstruction Previous" was conducted, "Physiotherapy" and "Physical Therapy". Studies published from January 2005 to June 2014 were selected. To assess the quality of studies PEDro scale was employed. Results: Following the 1731 review and position articles, nine were finally analyzed according to the criteria of inclusion and exclusion. These studies were classified into 4 groups according to the type of technique used, being used as methods: specific quadriceps exercises, physical exercise techniques, stretching and proprioception, kinetic chains and eccentric exercise. Conclusions: This systematic review evidence on the effectiveness of specific exercises for quadriceps, exercise techniques, stretching and proprioception and kinetic chains and limited evidence of improvement by the application of eccentric exercise was found.