Efectividad de la fisioterapia en pacientes con síndrome del latigazo cervical: Revisión sistemática
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2015-07-17
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Jaén: Universidad de Jaén
Resumen
[ES] El objetivo de esta revisión es reunir las principales evidencias científicas sobre los efectos de la fisioterapia, y técnicas complementarias a ella, en pacientes diagnosticados de síndrome de latigazo cervical (WAD). Se realizó una búsqueda bibliográfica en las bases de datos: Pubmed, Scopus, y PEDro. Se seleccionaron 8 ensayos clínicos aleatorizados donde se evaluaban pacientes con WAD a los que se les realizaba tratamiento fisioterápico. Las variables estudiadas fueron principalmente: intensidad del dolor, ROM cervical, grado de discapacidad y situación laboral. En todos los grupos experimentales de los 8 ensayos clínicos hay disminución del dolor tras el tratamiento, aunque el resultado para las otras variables difiere según la terapia empleada. Hay evidencia moderada de la efectividad de la aplicación de Kinesio Tape, la electroacupuntura y el tratamiento con terapia física combinada. Para el resto de terapias estudiadas la evidencia es limitada. Son necesarios más estudios científicos respecto a este tema.
[EN] The aim of this review is to summarize and to analyze the evidences about the effects of physiotherapy and some of its complementary techniques, in patients with whiplash associated disorders (WAD). A literature search was done in the databases: Pubmed, Scopus, and PEDro. Eight randomized clinical trials were selected, in where patients with WAD which received a physiotherapy treatment were evaluated. The main variables studied were: pain intensity, cervical ROM, disability, and employment status. In all the experimental groups of the 8 clinical trials there is a reduction in pain after the treatment, but the results for the other study variables change depending on the therapy used. There is moderate evidence of the effectiveness of the application of Kinesio Tape, electroacupuncture and a treatment with a combined physical therapy. For the other therapies studied there is limited evidence. More scientific studies in reference to this theme are necessary.
[EN] The aim of this review is to summarize and to analyze the evidences about the effects of physiotherapy and some of its complementary techniques, in patients with whiplash associated disorders (WAD). A literature search was done in the databases: Pubmed, Scopus, and PEDro. Eight randomized clinical trials were selected, in where patients with WAD which received a physiotherapy treatment were evaluated. The main variables studied were: pain intensity, cervical ROM, disability, and employment status. In all the experimental groups of the 8 clinical trials there is a reduction in pain after the treatment, but the results for the other study variables change depending on the therapy used. There is moderate evidence of the effectiveness of the application of Kinesio Tape, electroacupuncture and a treatment with a combined physical therapy. For the other therapies studied there is limited evidence. More scientific studies in reference to this theme are necessary.