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Cerebral palsy (CP) treatment includes physical therapy and various complementary therapies to the standard clinical treatment. However, there are not many reviews that focus on the methods used and evaluation procedures. This study aims to analyze which tools are most suitable for the evaluation and methodology of patients with CP treated with physical therapy. Following the PRISMA statement, through a PICOS strategy, PubMed/MEDLINE, Web of Science (WOS), Scopus, Science Direct, and Scielo were searched with the following terms: cerebral palsy AND (physical therapy modalities OR therapeutics) AND outcome assessment. The methodological quality of the RCTs was assessed with the Evidence Project risk of bias tool. Thirty-seven RCTs and six RCT protocols, comprising 1359 participants with different types of CP: spastic hemiplegia/paresis, spastic diplegia/paresis, and spastic CP, met the inclusion criteria, uncovering 21 variables measured through 77 different instruments and several interventions. The therapies most widely used in CP are gaming or technology-assisted therapies, aerobic training, hippotherapy, music therapy, gait training, and aquatic exercises. This study provides an overview of what the authors used in the neurorehabilitation field through procedure evaluation and checking the technological advance that began to be used.
Maria Apolo-Arenas; Aline Jerônimo; Alejandro Caña-Pino; Orlando Fernandes; Joana Alegrete; Jose Parraca. Standardized Outcomes Measures in Physical Therapy Practice for Treatment and Rehabilitation of Cerebral PALSY: A Systematic Review. Journal of Personalized Medicine 2021, 11, 604 .
AMA StyleMaria Apolo-Arenas, Aline Jerônimo, Alejandro Caña-Pino, Orlando Fernandes, Joana Alegrete, Jose Parraca. Standardized Outcomes Measures in Physical Therapy Practice for Treatment and Rehabilitation of Cerebral PALSY: A Systematic Review. Journal of Personalized Medicine. 2021; 11 (7):604.
Chicago/Turabian StyleMaria Apolo-Arenas; Aline Jerônimo; Alejandro Caña-Pino; Orlando Fernandes; Joana Alegrete; Jose Parraca. 2021. "Standardized Outcomes Measures in Physical Therapy Practice for Treatment and Rehabilitation of Cerebral PALSY: A Systematic Review." Journal of Personalized Medicine 11, no. 7: 604.
Nonspecific chronic low back pain (NSCLBP) is one of the most common and frequent health problems. to compare postural control (i.e. center of pressure (CoP) displacement and energy spectral density (ESD)) using technological devices (accelerometers and pressure platform) between subjects with NSCLBP and healthy subjects. A cross-sectional case-control study was conducted. Observational study (STROBE). The final sample consisted of 60 subjects (30 NSCLBP subjects and 30 healthy subjects). Triaxial accelerometer and pressure platform were used in order to obtain ESD and CoP displacement measurements during four balance tasks (i.e. with and without vision and on stable versus unstable surface). Independent t tests were used to compare participants with NSCLBP and healthy controls in the two clinical measurements (i.e., CoP displacement and ESD) for the four balance tests. A multivariate analysis of variance (MANOVA) together with a Fisher's linear discrimination was applied in order to categorize NSPLBP. Patients with NSCLBP showed greater CoP migration in the positions eyes open, stable surface on the anteroposterior axis (p = 0.012), eyes closed, stable surface on the mediolateral axis (p = 0.025), eyes closed, stable surface on the anteroposterior axis (p = 0.001), eyes open, unstable surface on the anteroposterior axis (p = 0.040), eyes closed, unstable surface on the anteroposterior axis (p = 0.015). Also the ESD was significantly greater for the four situations described (p ≤ 0.01) in subjects with NSCLBP. Accelerometer appears to be a technological device that could offer a potential benefit within the battery of tests on physical performance among subjects with NSCLBP and healthy subjects.
Alejandro Caña-Pino; Luís Espejo-Antúnez; Pablo Carmona del Barco; Jesús Montanero-Fernández; Enrique Lluch-Girbés; Nathalie A. Roussel; Ma Dolores Apolo-Arenas. Energy spectral density as valid parameter to compare postural control between subjects with nonspecific chronic low back pain vs healthy subjects: A case-control study. Musculoskeletal Science and Practice 2021, 53, 102370 .
AMA StyleAlejandro Caña-Pino, Luís Espejo-Antúnez, Pablo Carmona del Barco, Jesús Montanero-Fernández, Enrique Lluch-Girbés, Nathalie A. Roussel, Ma Dolores Apolo-Arenas. Energy spectral density as valid parameter to compare postural control between subjects with nonspecific chronic low back pain vs healthy subjects: A case-control study. Musculoskeletal Science and Practice. 2021; 53 ():102370.
Chicago/Turabian StyleAlejandro Caña-Pino; Luís Espejo-Antúnez; Pablo Carmona del Barco; Jesús Montanero-Fernández; Enrique Lluch-Girbés; Nathalie A. Roussel; Ma Dolores Apolo-Arenas. 2021. "Energy spectral density as valid parameter to compare postural control between subjects with nonspecific chronic low back pain vs healthy subjects: A case-control study." Musculoskeletal Science and Practice 53, no. : 102370.
Background: The joint position sense (JPS) has been used as an indirect marker of proprioception in subjects with non-specific chronic low back pain (NSCLBP), showing impairment in previous studies. It seems necessary to devise reliable tests to measure proprioceptive deficits in subjects with NSLBP. The objective of this study was to analyse the test–retest reliability and smallest real difference (SRD) of lumbar proprioception through the JPS indicator in a sample of patients with NSCLBP. Methods: Fifty participants with NSCLBP performed three repetitions of 30° lumbar flexion while standing and sitting using the iPhone® inclinometer application to measure the lumbar joint repositioning error. For the reliability analysis, we performed an intra-session test–retest. Results: The total sample ICC values were excellent for standing (0.96) and sitting (0.93) 30° lumbar flexion. In addition, our results showed that, for the total sample, an SRD < 12% can be considered as a true change in proprioception concerning this procedure. On the other hand, men have better reliability than women in both standing and sitting positions. Additionally, the sitting position has better reliability than the standing position. The standard error of measurement (SEM) percentage was 4.2 for standing and 3.8 for sitting. The SRD percentage was 11.6 for standing and 10.4 for sitting. Conclusions: The iPhone® inclinometer seems reliable for assessing proprioceptive ability through the lumbar joint repositioning error in subjects with NSCLBP in both standing (ICC = 0.96) and sitting (ICC = 0.93) positions. This technological device showed a lower measurement error for sitting position (SRD < 12%).
Alejandro Caña-Pino; Luís Espejo-Antúnez; José Adsuar; María Apolo-Arenas. Test–Retest Reliability of an iPhone® Inclinometer Application to Assess the Lumbar Joint Repositioning Error in Non-Specific Chronic Low Back Pain. International Journal of Environmental Research and Public Health 2021, 18, 2489 .
AMA StyleAlejandro Caña-Pino, Luís Espejo-Antúnez, José Adsuar, María Apolo-Arenas. Test–Retest Reliability of an iPhone® Inclinometer Application to Assess the Lumbar Joint Repositioning Error in Non-Specific Chronic Low Back Pain. International Journal of Environmental Research and Public Health. 2021; 18 (5):2489.
Chicago/Turabian StyleAlejandro Caña-Pino; Luís Espejo-Antúnez; José Adsuar; María Apolo-Arenas. 2021. "Test–Retest Reliability of an iPhone® Inclinometer Application to Assess the Lumbar Joint Repositioning Error in Non-Specific Chronic Low Back Pain." International Journal of Environmental Research and Public Health 18, no. 5: 2489.