Eficacia de la punción seca en el dolor y/o mejora de la funcionalidad en adultos con lumbago crónico : una revisión sistemática de la literatura
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Fecha
2022
Profesor/a Guía
Facultad/escuela
Idioma
es
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Universidad Andrés Bello
Nombre de Curso
Licencia CC
Licencia CC
Resumen
Resumen Objetivo: Evaluar la evidencia actual de la efectividad de la punción seca en pacientes con dolor lumbar crónico (LBP) y/o funcionalidad. Métodos: Se realizó búsquedas en las bases de datos PubMed, Cochrane, Web of Science, CINAHL, scopus. Selección de estudios: ensayos controlados aleatorios (ECA) que usaron punción seca como tratamiento principal y que incluyeron participantes diagnosticados con dolor lumbar crónico y/o pérdida de la funcionalidad debido al dolor lumbar (LBP). Extracción de datos: 4 revisores examinaron los artículos de forma independiente, calificaron la calidad metodológica y extrajeron los datos. Los resultados principales fueron una mejora en los pacientes tratados con punción seca como tratamiento complementario y/o por sí sola. Resultados: Se incluyeron en la revisión un total de 11 ECA con 614 pacientes. Todos los ensayos que se examinaron tenían que evaluar la eficacia de la punción seca (PS) sobre el dolor y/o funcionalidad en pacientes con lumbago crónico. Los resultados de la búsqueda arrojaron que la PS, en comparación con otros tratamientos, es eficaz al momento de tratar dolor y funcionalidad. Discusión: Esta investigación encontró que la PS es efectiva para el dolor y para la funcionalidad. La calidad metodológica mostró que los artículos fueron de moderada y alta calidad. Los efectos adversos fueron dolor post punción. Conclusión: Los resultados de esta revisión sistemática sugieren que la PS como técnica de intervención, permite una mejora de forma significativa en el dolor y funcionalidad a corto plazo, debido a que el seguimiento evidenció que hasta los 3 meses continuaron estas mejoras. La utilización de la PS como una técnica complementaria ayuda a mejorar el efecto de otras intervenciones conservadoras de manera considerable. Registro: esta revisión se registró́ en PROSPERO (PROSPERO CRD42022334041) y se alineó con las pautas de elementos de informe preferidos para revisiones sistemáticas y metaanálisis (PRISMA) para informar revisiones sistemáticas que evalúan intervenciones de atención médica.
Objective: To evaluate the current evidence of the effectiveness of dry needling in patients with chronic low back pain (LBP) and/or functionality. Methods: PubMed, Cochrane, Web of Science, CINAHL, Scopus databases were searched. Study selection: Randomized controlled trials (RCTs) using dry needling as the main treatment and including participants diagnosed with chronic low back pain and/or loss of function due to low back pain (LBP). Data extraction: 4 reviewers independently screened articles, rated methodological quality and extracted data. The main results were an improvement in patients treated with dry needling as adjunctive therapy and/or alone. Results: A total of 11 RCTs with 614 patients were included in the review. All trials that were reviewed had to assess the efficacy of dry needling (DS) on pain and/or function in patients with chronic low back pain. The search results showed that PS, compared to other treatments, is effective when treating pain and functionality. Discussion: This investigation found that PS is effective for pain and for functionality. The methodological quality showed that the articles were of moderate and high quality. Adverse effects were post-puncture pain. Conclusion: The results of this systematic review suggest that PS as an intervention technique allows a significant improvement in pain and functionality in the short term, since the follow-up showed that these improvements continued up to 3 months. The use of PS as a complementary technique helps to considerably improve the effect of other conservative interventions. Registration: This review was registered with PROSPERO (PROSPERO CRD42022334041) and aligned with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for reporting systematic reviews evaluating healthcare interventions
Objective: To evaluate the current evidence of the effectiveness of dry needling in patients with chronic low back pain (LBP) and/or functionality. Methods: PubMed, Cochrane, Web of Science, CINAHL, Scopus databases were searched. Study selection: Randomized controlled trials (RCTs) using dry needling as the main treatment and including participants diagnosed with chronic low back pain and/or loss of function due to low back pain (LBP). Data extraction: 4 reviewers independently screened articles, rated methodological quality and extracted data. The main results were an improvement in patients treated with dry needling as adjunctive therapy and/or alone. Results: A total of 11 RCTs with 614 patients were included in the review. All trials that were reviewed had to assess the efficacy of dry needling (DS) on pain and/or function in patients with chronic low back pain. The search results showed that PS, compared to other treatments, is effective when treating pain and functionality. Discussion: This investigation found that PS is effective for pain and for functionality. The methodological quality showed that the articles were of moderate and high quality. Adverse effects were post-puncture pain. Conclusion: The results of this systematic review suggest that PS as an intervention technique allows a significant improvement in pain and functionality in the short term, since the follow-up showed that these improvements continued up to 3 months. The use of PS as a complementary technique helps to considerably improve the effect of other conservative interventions. Registration: This review was registered with PROSPERO (PROSPERO CRD42022334041) and aligned with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for reporting systematic reviews evaluating healthcare interventions
Notas
Tesis (Licenciado en Kinesiología)
Palabras clave
Punción Seca, Dolor de la Región Lumbar