Publique un comentario Efectividad de la fisioterapia para el dolor de espalda baja apoyada en recursos digitales
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El número de intervenciones terapéuticas apoyadas en el uso de los recursos digitales aumenta cada dÃa como vÃa para facilitar el acceso a cualquier tipo de atención sanitaria. Se realizó una revisión sistemática con el objetivo de analizar la efectividad (estado funcional, la intensidad del dolor y la adherencia al tratamiento) de la intervención de fisioterapia, apoyada en recursos digitales, frente a la fisioterapia convencional en pacientes adultos con dolor de espalda. Este estudio consultó las bases de datos cientÃficas: PubMed, Biblioteca Virtual en Salud, Cochrane, Base de datos de Fisioterapia basada en la evidencia, Science Direct, Scopus, Episteminikos y Google Académico. La selección inicial de los estudios, la evaluación exhaustiva de los artÃculos completos y la extracción de las caracterÃsticas necesarias para la investigación fueron realizadas por los seis investigadores y revisadas por dos revisores independientes. Se incluyeron 12 artÃculos (10 ensayos clÃnicos y dos estudios de cohorte). Los resultados de la revisión sistemática soportan el uso de los recursos digitales disponibles para el manejo de dolor de espalda baja, con una importante relación con la reducción de los niveles de dolor y la mejora en la funcionalidad. Es necesario realizar más estudios de alta calidad para evidenciar estos resultados, pues están por determinarse los criterios de la intervención.
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Maher C, Underwood M, Buchbinder R. Non-specific low back pain. The Lancet. 2017;389(10070):736-47. DOI: https://doi.org/10.1016/S0140-6736(16)30970-9
Hurwitz E, Randhawa K, Torres P, Yu H, Verville L, Hartvigsen J, et al. The Global Spine Care Initiative: a summary of the global burden of low back and neck pain studies. European Spine Journal. 2018;27(6):802-15. DOI: https://doi.org/10.1007/s00586-017-5393-z
Chou R, Deyo R, Friedly J, Skelly A, Hashimoto R, Weimer M, et al. Nonpharmacologic therapies for low back pain: a systematic review for an American College of Physicians Clinical Practice Guideline. Annals of internal medicine. 2017;166(7):493-505. DOI: https://doi.org/10.7326/M16-2459
Nicholl B, Sandal L, Stochkendahl M, McCallum M, Suresh N, Vasseljen O, et al. Digital support interventions for the self-management of low back pain: a systematic review. Journal of medical Internet research. 2017;19(5):e179. DOI: https://doi.org/10.2196/jmir.7290
Acevedo JC. TeorÃa de la compuerta (Ronald Melzack y Patrick D. Wall, 1965). Universitas Médica. 2012;53(4):395-419. DOI: https://doi.org/10.11144/Javeriana.umed53-4.tcrm
Slim K, Nini E, Forestier D, Kwiatkowski F, Panis Y, Chipponi J. Methodological index for non-randomized studies (minors): development and validation of a new instrument. J. Surg. 2003;73:712-6. DOI: https://doi.org/10.1046/j.1445-2197.2003.02748.x
De Morton NA. The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study. Australian Journal of Physiotherapy. 2009;5(2):129-33. DOI: https://doi.org/10.1016/s0004-9514(09)70043-1
Shebib R, Bailey J, Smittenaar P, Perez D, Mecklenburg G, Hunter S. Randomized controlled trial of a 12-week digital care program in improving low back pain. NPJ Digit Med. 2019;2:1-8. DOI: https://doi.org/10.1038/s41746-018-0076-7
Mayer J, Charity L, O’Dane B, Chen H, Yuanyuan L, Johnson, B, et al. Comparison of Supervised and Telehealth Delivery of Worksite Exercise for Prevention of Low Back Pain in Firefighters: A Cluster Randomized Trial. Journal of Occupational and Environmental Medicine. 2020;62(10): e586-e92. DOI: https://doi.org/10.1097/JOM.0000000000001993
Almhdawi K, Obeidat D, Kanaan S, Oteir A, Mansour Z, Alrabbaei H. Efficacy of an innovative smartphone application for office workers with chronic non-specific low back pain: a pilot randomized controlled trial. Clinical Rehabilitation. 2020;34(10):1282-91. DOI: https://doi.org/10.1177/0269215520937757
Priebe J, Haas K, Moreno L, Schoefmann K, Utpadel-Fischler D, Stockert, et al. Digital treatment of back pain versus standard of care: the cluster-randomized controlled trial, rise-uP. Journal of Pain Research. 2020;13:1823-38. DOI: https://doi.org/10.2147/JPR.S260761
Fatoye F, Gebrye T, Fatoye C, Mbada C, Olaoye M, Odole A, et al. The clinical and cost-effectiveness of telerehabilitation for people with nonspecific chronic low back pain: randomized controlled trial. JMIR mHealth and uHealth. 2020;8(6):e15375. DOI: https://doi.org/10.2196/15375
Suman A, Schaafsma F, Van Dongen J, Elders P, Buchbinder R, Van Tulder M, et al. Effectiveness and cost-utility of a multifaceted eHealth strategy to improve back pain beliefs of patients with non-specific low back pain: a cluster randomised trial. BMJ open. 2019;9(12): e030879. DOI: https://doi.org/10.1136/bmjopen-2019-030879
Mbada C, Olaoye M, Dada O, Ayanniyi O, Johnson O, Odole A, et al. Comparative efficacy of clinic-based and telerehabilitation application of Mckenzie therapy in chronic low-back pain. International Journal of Telerehabilitation. 2019;11(1):41-58. DOI: https://doi.org/10.5195/ijt.2019.6260
Toelle T, Utpadel-Fischler D, Haas K, Priebe J. App-based multidisciplinary back pain treatment versus combined physiotherapy plus online education: a randomized controlled trial. NPJ digital medicine. 2019;2(1):1-9. DOI: https://doi.org/10.1038/s41746-019-0109-x
Amorim A, Pappas E, Simic M, Ferreira M, Jennings M, Tiedemann A, et al. Integrating Mobile-health, health coaching, and physical activity to reduce the burden of chronic low back pain trial (IMPACT): a pilot randomised controlled trial. BMC musculoskeletal disorders. 2019;20(1):1-14. DOI: https://doi.org/10.1186/s12891-019-2454-y
Chhabra H, Sharma S, Verma S. Smartphone app in self-management of chronic low back pain: a randomized controlled trial. European Spine Journal. 2018;27(11):2862-74. DOI: https://doi.org/10.1007/s00586-018-5788-5
Bailey J, Agarwal V, Zheng P, Smuck M, Fredericson M, Kennedy D, et al. Digital care for chronic musculoskeletal pain: 10,000 participant longitudinal cohort study. Journal of medical Internet research. 2020;22(5):e18250. DOI: https://doi.org/10.2196/18250
Huber S, Priebe J, Baumann K, Plidschun A, Schiessl C, Tölle T. Treatment of low back pain with a digital multidisciplinary pain treatment app: short-term results. JMIR rehabilitation and assistive technologies. 2017;4(2):e11. DOI: https://doi.org/10.2196/rehab.9032
Kloek C, Van Tilburg M, Staal J, Veenhof C, Bossen D. Development and proof of concept of a blended physiotherapeutic intervention for patients with non-specific low back pain. Physiotherapy. 2019;105(4):483-91. DOI: https://doi.org/10.1016/j.physio.2018.12.006
Thomson S, Huygen F, Prangnell S, De Andrés J, Baranidharan G, Belaïd H, et al. Appropriate referral and selection of patients with chronic pain for spinal cord stimulation: European consensus recommendations and e-health tool. Eur J Pain. 2020;24:1169-81. DOI: https://doi.org/10.1002/ejp.1562
Seron P, Oliveros M, Gutiérrez R, Fuentes R, Torres R, Merino C et al. Effectiveness of Telerehabilitation in Physical Therapy: A Rapid Overview. Phys Ther. 2020;101(6): pzab053. DOI: https://doi.org/10.1093/ptj/pzab053
MartÃnez de la Cal J, Fernández-Sánchez M, Matarán-Peñarrocha GA, Hurley DA, Castro-Sánchez AM, Lara-Palomo IC. Physical Therapists' Opinion of E-Health Treatment of Chronic Low Back Pain. Int J Environ Res Public Health. 2021;18(4):1889. DOI: https://doi.org/10.3390/ijerph18041889
Palazzo C, Klinger E, Dorner V, Kadri A, Thierry O, Boumenir Y, et al. Barriers to home-based exercise program adherence with chronic low back pain: Patient expectations regarding new technologies. Ann Phys Rehabil Med. 2016;59(2):107-13. DOI: https://doi.org/10.1016/j.rehab.2016.01.009
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