Efectividad del entrenamiento propioceptivo para el tratamiento y prevención del esguince de tobillo y/o la inestabilidad cronica de tobillo: una revision sistematica.
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2018-04-17
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Jaén: Universidad de Jaén
Resumen
[ES] Objetivo: Determinar la efectividad del entrenamiento propioceptivo como tratamiento y prevención en esguinces de tobillo o en inestabilidad crónica de tobillo.
Material y métodos: Se realizó una búsqueda en las bases de datos Medline, PEDro y Cochrane. Se han incluido estudios sobre la terapia propioceptiva orientada a la mejora de los esguinces de tobillo y/o a la inestabilidad crónica de tobillo que tuviesen una escala PEDro no menos a 4, publicaciones posteriores a 2007 y en lengua española o inglesa.
Resultados: Se encontraron un total de 550 estudios, aunque sólo 8 ensayos cumplieron los criterios de elegibilidad. Las variables de estudio tenidas en cuenta fueron el dolor, el equilibrio estático y dinámico, el control postural y la disminución de las recidivas.
Conclusión: En esta revisión, se encontró evidencia moderada sobre la eficacia del entrenamiento propioceptivo. Debido a la escasez de ensayos clínicos de alta calidad que investigan el uso de programas propioceptivos no podemos aventurarnos en una conclusión firme pero si parece que el tratamiento y prevención mediante trabajo propioceptivo se postula como una opción al menos tan válida como el resto de técnicas de fisioterapia en el esguince de tobillo y/o la inestabilidad crónica de tobillo.
[EN] Objective: To determine the effectiveness of the training proprioceptive as treatment and prevention in ankle sprains or chronic ankle instability. Materials and methods: We searched the Medline, PEDro and Cochrane databases. We have includes trials on therapy proprioceptive aimed at improving ankle sprain or chronic ankle instability that had a PEDro scale of not less 4, publications after 2007 and in Spanish or English. Results: A total of 550 studies were found, although only 8 trials met the eligibility criteria. Study variables considered were pain, static and dynamic balance, postural control and the decrease of the relapses. Conclusion: In this review, moderate evidence was found on the efficacy of proprioceptive training. Due to the scarcity of high quality clinical trials investigating the use of proprioceptive programs we can not venture into a firm conclusion but if it seems that treatment and prevention through proprioceptive work is postulated as an option at least as valid as the rest of physical therapy techniques in ankle sprain or chronic ankle instability.
[EN] Objective: To determine the effectiveness of the training proprioceptive as treatment and prevention in ankle sprains or chronic ankle instability. Materials and methods: We searched the Medline, PEDro and Cochrane databases. We have includes trials on therapy proprioceptive aimed at improving ankle sprain or chronic ankle instability that had a PEDro scale of not less 4, publications after 2007 and in Spanish or English. Results: A total of 550 studies were found, although only 8 trials met the eligibility criteria. Study variables considered were pain, static and dynamic balance, postural control and the decrease of the relapses. Conclusion: In this review, moderate evidence was found on the efficacy of proprioceptive training. Due to the scarcity of high quality clinical trials investigating the use of proprioceptive programs we can not venture into a firm conclusion but if it seems that treatment and prevention through proprioceptive work is postulated as an option at least as valid as the rest of physical therapy techniques in ankle sprain or chronic ankle instability.