Examinando por Autor "Araya-Quintanilla, F."
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Ítem Effectiveness of multicomponent treatment in patients with fibromyalgia: protocol for a systematic review and meta-analysis(BioMed Central Ltd, 2022-12) Araya-Quintanilla, F.; Gutiérrez-Espinoza, H.; Fuentes, J.; Prieto-Lafrentz, F.; Pavez, L.; Cristi-Montero, C.; Cavero-Redondo, I.; Álvarez-Bueno, C.The purpose of this protocol is to provide a new systematic review with meta-analysis using the current methodology to compare the effectiveness of multicomponent treatment versus other interventions for patients with fibromyalgia. Methods: This protocol conforms to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) and the recommendations of the Cochrane Collaboration Handbook. An electronic search will be conducted in MEDLINE, EMBASE, Web of Science, Cochrane CENTRAL, LILACS, CINAHL, and PEDro, from inception until April 2022. There will be no language restrictions. The Cochrane Collaboration tool for assessing the risk of bias (RoB2) will be used. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) scale will be used to evaluate the strength of the evidence. The Hartung-Knapp-Sidik-Jonkman random effects or Mantel-Haenszel fixed effects methods will be used, depending on the heterogeneity, to compute a pooled estimate of the mean difference (MD) or standardized mean difference (SMD) and respective 95% confidence intervals for clinical outcomes. Discussion: This systematic review will synthesize evidence on the effectiveness of multicomponent treatment in patients with fibromyalgia and could add important evidence in the treatment of FM to improve clinical practice and decision-making/actions in this field. This new systematic review will try to show the effects of multicomponent treatment by type (endurance, resistance, stretching, or mind-body exercises [pilates or taichi]) and intensity (light, moderate, moderate-to-vigorous, vigorous) of exercise in patients with FM. The results will be disseminated by publication in a peer-reviewed journal. Ethics approval will not be needed because the data used for this systematic review will be obtained from individual trials and there will be no concerns about privacy. However, if we identify ethical issues during the development of the systematic review, these findings will be reported in the discussion of the study.Ítem Functional outcomes after physiotherapy program in patients with massive and irreparable rotator cuff tear(Spanish Society of Orthopaedic Surgery and Traumatology, 2021) Gutiérrez-Espinoza, H.; Lorenzo-García, P.; Valenzuela-Fuenzalida, J.; Araya-Quintanilla, F.Objective To evaluate the short term and 1-year follow-up functional effects of a physiotherapy programme in patients over 60 years of age with massive and irreparable Rotator Cuff (RC) tear. Methods A total of 96 patients with massive and irreparable RC tear were prospectively recruited. All patients were treated with a 12-week physiotherapy programme. Three evaluations were performed, at the beginning, at the end of the treatment and at one year of follow-up. The Constant–Murley questionnaire was used to assess shoulder function, the DASH questionnaire for upper limb function, and the Visual Analogue Scale (VAS) for pain intensity. Results At the end of the treatment, all the variables showed a clinically and statistically significant difference (p < .05). At one year of follow-up, the Constant–Murley showed an increase of 26.5 points (Cohen's d = 1.7; 95% CI: 23.5–29.5; p < .001), DASH showed a decrease of 31.4 points (Cohen's d = 2.2; 95% CI: 28.5–34.3; p < .001), and the VAS showed a decrease of 3.9 cm (Cohen's d = 3.6; 95% CI: 3.6–4.1; p < .001). Conclusion In the short term and 1-year follow-up, a physiotherapy programme showed clinically and statistically significant results in all functional variables in patients older than 60 years with massive and irreparable RC tear.