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Comparação dos efeitos isolados da terapia manual e do exercício em disfunções musculoesqueléticas da coluna: uma revisão bibliográfica
| Nome: | Descrição: | Tamanho: | Formato: | |
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| Projeto de graduação_42727 | 468.05 KB | Adobe PDF |
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A presente revisão foi elaborada seguindo as diretrizes da PRISMA e teve como objetivo comparar os efeitos da terapia manual e do exercício de forma isolada em indivíduos com disfunções musculoesqueléticas da coluna avaliando dor,funcionalidade e custos socioeconomicos. Foram incluídos 18 ensaios clínicos randomizados que compararam de forma isolada ambas as intervenções. Estudos que combinavam as intervenções foram excluídos. A pesquisa foi realizada nas bases PubMed, PEDro, Web of Science e Google Académico. A qualidade metodológica foi avaliada através da escala PEDro. Ambos os tratamentos demonstraram-se efetivos com uma tendência favorável para a terapia manual na dor e funcionalidade. Apenas três estudos tiveram como foco os custos, o que não permite conclusões robustas. A heterogeneidade entre os estudos foi uma das principais limitações. Ambas as intervenções demonstraram-se eficazes e a escolha deve considerar perfil clínico do fisioterapeuta, as preferências do paciente e os recursos disponíveis.
This review was prepared following the PRISMA guidelines and aimed to compare the effects of manual therapy and exercise in isolation in individuals with musculoskeletal disorders of the spine, assessing pain, functionality and socioeconomic costs. Eighteen randomized clinical trials that compared both interventions in isolation were included. Studies that combined the interventions were excluded. The search was performed in the PubMed, PEDro, Web of Science and Google Scholar databases. The methodological quality was assessed using the PEDro scale. Both treatments proved to be effective, with a favorable trend for manual therapy in pain and functionality. Only three studies focused on costs, which does not allow robust conclusions. The heterogeneity between the studies was one of the main limitations. Both interventions proved to be effective and the choice should consider the clinical profile of the physiotherapist, patient preferences and available resources.
This review was prepared following the PRISMA guidelines and aimed to compare the effects of manual therapy and exercise in isolation in individuals with musculoskeletal disorders of the spine, assessing pain, functionality and socioeconomic costs. Eighteen randomized clinical trials that compared both interventions in isolation were included. Studies that combined the interventions were excluded. The search was performed in the PubMed, PEDro, Web of Science and Google Scholar databases. The methodological quality was assessed using the PEDro scale. Both treatments proved to be effective, with a favorable trend for manual therapy in pain and functionality. Only three studies focused on costs, which does not allow robust conclusions. The heterogeneity between the studies was one of the main limitations. Both interventions proved to be effective and the choice should consider the clinical profile of the physiotherapist, patient preferences and available resources.
Descrição
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciado em Fisioterapia.
Palavras-chave
Terapia manual Exercício Coluna Disfunções musculoesqueléticas Manual therapy Exercise Spine Musculoskeletal disorder