Effectiveness of exercise and manual therapy in osteoporotic vertebral fractures .
This report has been verified
by one or more authors of the
original publication.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2013;1(2):180 BMC Musculoskelet Disord. 2010 Feb 17;11:36.20 patients (>50 yr of age) with a history of painful osteoporotic vertebral fracture were randomized to a structured exercise program or no treatment for a period of 10 weeks. At 11 weeks, it was observed that combined manual therapy and exercise were effective in reducing pain and improving physical function for patients with osteoporotic vertebral fractures.
Was the allocation sequence adequately generated?
Was allocation adequately concealed?
Blinding Treatment Providers: Was knowledge of the allocated interventions adequately prevented?
Blinding Outcome Assessors: Was knowledge of the allocated interventions adequately prevented?
Blinding Patients: Was knowledge of the allocated interventions adequately prevented?
Was loss to follow-up (missing outcome data) infrequent?
Are reports of the study free of suggestion of selective outcome reporting?
Were outcomes objective, patient-important and assessed in a manner to limit bias (ie. duplicate assessors, Independent assessors)?
Was the sample size sufficiently large to assure a balance of prognosis and sufficiently large number of outcome events?
Was investigator expertise/experience with both treatment and control techniques likely the same (ie.were criteria for surgeon participation/expertise provided)?
Sí = 1
Incierto = 0,5
No relevante = 0
No = 0
La evaluación de los criterios de información evalúa la transparencia con la que los autores informan de las características metodológicas y del ensayo dentro de la publicación. La evaluación se divide en cinco categorías que se presentan a continuación.
3/4
Randomization
3/4
Outcome Measurements
4/4
Inclusion / Exclusion
4/4
Therapy Description
3/4
Statistics
Detsky AS, Naylor CD, O'Rourke K, McGeer AJ, L'Abbé KA. J Clin Epidemiol. 1992;45:255-65
El Índice de Fragilidad es una herramienta que ayuda en la interpretación de hallazgos significativos, proporcionando una medida de fuerza para un resultado. El Índice de Fragilidad representa el número de eventos consecutivos que es necesario añadir a un resultado dicotómico para que el hallazgo deje de ser significativo. Un número pequeño representa un hallazgo más débil y un número grande un hallazgo más fuerte.
¿Por qué se necesitaba ahora este estudio?
Pharmacological therapy is the primary treatment for patients with vertebral fractures. However, the majority of the drugs have no direct effect on pain and physical impairments that patients experience. There is a dearth of literature that investigates the role of physiotherapy in patients with vertebral fractures, which is alluded to in this study.
¿Cuál era la pregunta principal de la investigación?
In people with a history of painful osteoporotic vertebral fracture, what is the effectiveness of a physiotherapy program in reducing pain after 10 weeks?
- After the 10-week trial, the intervention group had a statistically significant reduction in pain during movement and at rest, compared to the control group.
- There was a statistically significant difference between the two groups in the time loaded standing test; the intervention group experienced an improvement in trunk and arm muscle endurance, while the control group experienced deterioration.
- A statistically significant difference in physical function was observed between the intervention group had an improvement in the Qualeffo physical function score compared with the control group.
- The two groups did not differ with respect to the AQoL scores and changes in thoracic kyphosis.
- 82% of patients with the physical therapy, compared to 11% of patients in control group, judged their pain to be much better than at the time of enrollment.
¿Qué es lo que más debo recordar?
Study findings showed that patients with osteoporotic vertebral fractures experienced reduction in pain and improvement in physical function after undergoing a 10-week physiotherapy program. As this was a pilot study with a small sample size, the results should be interpreted with caution and necessitate confirmation with a larger sample size RCT.
¿Cómo afectará esto al cuidado de mis pacientes?
In treating patients with a history of painful osteoporotic vertebral fracture, a structured monitored physiotherapy program with an expert clinician and regular home exercises may be effective in improving quality of life parameters of patients. However, due to the small sample size of participants featured in this trial, it is difficult to draw definitive conclusions on the efficacy of the physiotherapy regimen used in this trial. Additional research, including outcome at follow-up, is necessary to further examine the physiotherapy's effect on pain in osteoporotic individuals.
DESCARGO DE RESPONSABILIDAD
El contenido de esta página tiene únicamente fines informativos y no pretende sustituir el consejo, diagnóstico o tratamiento médico profesional. Si necesita tratamiento médico, busque siempre el consejo de su médico o acuda al servicio de urgencias más cercano. Las opiniones, creencias y puntos de vista expresados por las personas sobre el contenido que se encuentra en esta página no reflejan las opiniones, creencias y puntos de vista de OrthoEvidence.
0 de 4 artículos mensuales GRATIS desbloqueados
