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Efectividad de las corrientes de Träbert en un programa de fisioterapia para el manejo del dolor musculoesquelético : una revisión sistemática
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Fecha
2022
Profesor/a Guía
Facultad/escuela
Idioma
es
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Editor
Universidad Andrés Bello
Nombre de Curso
Licencia CC
Licencia CC
Resumen
Introducción: La corriente Träbert (CT) es un recurso de terapia física descrito para el manejo del dolor musculoesquelético (DME). Ella combina los efectos del galvanismo y la estimulación sensitiva ofreciendo variadas aplicaciones analgésicas, aunque pareciera ser que los estudios que apoyan su
efectividad son limitados. Objetivo: el objetivo del estudio fue evaluar la efectividad de la CT en un plan de terapia física para el manejo del DME. Materiales y método: Se realizaron búsquedas de ensayos clínicos aleatorios (ECA) en las bases de datos PubMed, Web of Science, Scopus, Cinahl, Science Direct y PEDro (última actualización 31 de mayo de 2022). Se incluyeron ECA que compararon la CT con otras intervenciones de terapia física. Siete estudios cumplieron los criterios de elegibilidad y se incluyeron en la síntesis cualitativa, mientras que cinco contribuyeron al meta-análisis. El riesgo de sesgo y la validez interna se evaluó mediante la herramienta Rob2 (Cochrane) y la escala PEDro. Resultados: Los ECA fueron valorados con una validez interna favorable (PEDro), a pesar de la falta de asignación oculta y cegamiento, traduciéndose en un riesgo de sesgo incierto en D2 y D5 (Rob2). Los estudios reportaron una disminución del dolor y discapacidad para los grupos experimentales (p<0.05), aunque el meta-análisis reveló un efecto agrupado (SMD=0.2-0.5) no significativo en favor de los controles y con heterogeneidad entre los estudios (I2=50-75%). Conclusión: La CT pareciera ser eficaz para el manejo del DME, aunque se hacen necesario mejorar la calidad de los ensayos para conducir un análisis cuantitativo concluyente.
Introduction: The Träbert current (CT) is a physical therapy resource described for the management of musculoskeletal pain (MSP). It combines the effects of galvanism and sensory stimulation, offering various analgesic applications, although it seems that the studies that support its effectiveness are limited. Objective: The objective of the study was to evaluate the effectiveness of CT in a physical therapy plan for the management of MSD. Materials and methods: Randomized clinical trials (RCTs) were searched in PubMed, Web of Science, Scopus, Cinahl, Science Direct, and PEDro databases (last updated May 31, 2022). RCTs comparing CT with other physical therapy interventions were included. Seven studies met the eligibility criteria and were included in the qualitative synthesis, while five contributed to the metaanalysis. The clinical conditions treated included knee osteoarthritis, low back pain, and epicondylalgia. Risk of bias and internal validity were assessed using the Rob2 tool (Cochrane) and the PEDro scale. Results: RCTs were rated as having favorable internal validity (PEDro), despite a lack of concealed allocation and blinding, resulting in an unclear risk of bias on D2 and D5 (Rob2). The studies reported a decrease in pain and disability for the experimental groups (p<0.05), although the meta-analysis revealed a non-significant pooled effect for the standardized mean difference (SMD=0.2-0.5, p>0.05) in favor of the controls and with heterogeneity between the studies (I2=50-75%). Conclusion: CT seems to be effective for the management of MSD, although it is necessary to improve the quality of the trials to conduct a conclusive quantitative analysis.
Introduction: The Träbert current (CT) is a physical therapy resource described for the management of musculoskeletal pain (MSP). It combines the effects of galvanism and sensory stimulation, offering various analgesic applications, although it seems that the studies that support its effectiveness are limited. Objective: The objective of the study was to evaluate the effectiveness of CT in a physical therapy plan for the management of MSD. Materials and methods: Randomized clinical trials (RCTs) were searched in PubMed, Web of Science, Scopus, Cinahl, Science Direct, and PEDro databases (last updated May 31, 2022). RCTs comparing CT with other physical therapy interventions were included. Seven studies met the eligibility criteria and were included in the qualitative synthesis, while five contributed to the metaanalysis. The clinical conditions treated included knee osteoarthritis, low back pain, and epicondylalgia. Risk of bias and internal validity were assessed using the Rob2 tool (Cochrane) and the PEDro scale. Results: RCTs were rated as having favorable internal validity (PEDro), despite a lack of concealed allocation and blinding, resulting in an unclear risk of bias on D2 and D5 (Rob2). The studies reported a decrease in pain and disability for the experimental groups (p<0.05), although the meta-analysis revealed a non-significant pooled effect for the standardized mean difference (SMD=0.2-0.5, p>0.05) in favor of the controls and with heterogeneity between the studies (I2=50-75%). Conclusion: CT seems to be effective for the management of MSD, although it is necessary to improve the quality of the trials to conduct a conclusive quantitative analysis.
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Tesis (Kinesiólogo)
Palabras clave
Manejo del Dolor, Fisioterapia, Electroterapia