Efectividad de la fisioterapia en el tratamiento de la ciatica. Revision sistematica.
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2018-04-17
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Jaén: Universidad de Jaén
Resumen
[ES] Determinar la efectividad de la fisioterapia con distintos tipos de tratamiento para la ciática. Se realizó una búsqueda bibliográfica de ensayos clínicos controlados y aleatorizados en las bases de datos Pubmed, PEDro, Scopus y Cochrane. Se seleccionaron 18 ensayos clínicos con una puntuación mayor a 5 en la escala de PEDro, que determinaron la efectividad de los distintos tratamientos para la ciática. Un total de 18 artículos cumplían los criterios de inclusión y exclusión y la escala de calidad de PEDro. Estos estudios fueron divididos en 5 grupos según el tipo de intervención aplicada ( Terapias alternativas, terapia manual, terapia física, fisioterapia pasiva y tratamiento activo). Tras esta revisión, se han encontrado que muchos tratamientos son bastantes eficaces para la ciática. Los efectos adversos más frecuentes han sido la disminución del dolor y la mejora a nivel funcional. Aunque la mayoría son eficaces, habría que hacer más estudios para que haya una base científica más asentada sobre este tipo de lesión.
[EN] To determine the effectiveness of physiotherapy with different types of treatment for sciatica. A randomized controlled clinical trial was carried out in Pubmed, PEDro, Scopus and Cochrane databases. We selected 18 clinical trials with a score greater than 5 on the PEDro scale, which determined the effectiveness of different treatments for sciatica. A total of 18 articles fulfilled the inclusion and exclusion criteria and the PEDro quality scale. These studies were divided into 4 groups according to the type of intervention applied (Alternative Therapies, Manual Therapy, Physical Therapy and Active Treatment). After this review, many treatments have been found to be quite effective for sciatica. The most frequent adverse effects have been the reduction of pain and improvement at the functional level. Although most are effective, more studies would need to be done to have a more settled scientific basis on this type of injury.
[EN] To determine the effectiveness of physiotherapy with different types of treatment for sciatica. A randomized controlled clinical trial was carried out in Pubmed, PEDro, Scopus and Cochrane databases. We selected 18 clinical trials with a score greater than 5 on the PEDro scale, which determined the effectiveness of different treatments for sciatica. A total of 18 articles fulfilled the inclusion and exclusion criteria and the PEDro quality scale. These studies were divided into 4 groups according to the type of intervention applied (Alternative Therapies, Manual Therapy, Physical Therapy and Active Treatment). After this review, many treatments have been found to be quite effective for sciatica. The most frequent adverse effects have been the reduction of pain and improvement at the functional level. Although most are effective, more studies would need to be done to have a more settled scientific basis on this type of injury.