cadenas musculares método Uploaded by joel garcia. Copyright: © All Rights Reserved. Download as PDF or read online from Scribd. Flag for. Cadenas musculares y articulares. Método G.D.S. by Philippe Campignion, , available at Book Depository with free delivery. Cadenas musculares y articulares, método G.D.S.: Las cadenas antero- medianas. Fascículo nð 3, Volume 1. Front Cover. Philippe Campignion. Lencina .
|Published (Last):||22 September 2010|
|PDF File Size:||10.33 Mb|
|ePub File Size:||2.25 Mb|
|Price:||Free* [*Free Regsitration Required]|
Because the objectives of this study pertained to the cluster level, linear mixed models were used to deal with clustering effects and with repeated measurements from each participant during follow-up. Assumptions for sample size calculations were an intracluster correlation of. The number of participants muscualres all of the follow-up assessments was 94 Physical therapists in the GDS-G and GDS-I groups had written reminders summarizing the order in which the exercises were to be done during each session, the duration of each exercise, and details regarding execution.
You have entered an invalid code.
We had originally planned to recruit only people with subacute and chronic pain because they account for most of the clinical, social, and economic burdens associated with LBP. A nonautomatic backward muwculares strategy was followed to remove variables that did not have confounding effects.
These data suggest that GDS-G may have lower application costs and may prove to be more cost-effective than routine physical therapy. According to the intention-to-treat principle, data from all participants were introduced into the linear mixed models.
Outcome measures for low back pain research: No adverse events were reported by any participant in any group. Participants were told that the objective of the study was to assess the effects of physical therapy treatments.
The 43 physical therapy units belonging to the SNHS in Madrid in those areas were invited to join the study. Finally, the numbers that would need to be treated were presented in accordance with the recommendations of a reviewer and an editor, who suggested that this information would make it easier for clinicians to interpret the results of the present study. The GDS was shown to be more effective at improving pain and disability than the physical therapy program routinely used within the SNHS, 13 which comprises transcutaneous electrical nerve stimulation, microwave treatment, and standardized exercises.
In conclusion, the present study shows that, compared with the physical therapy program routinely used within the SNHS, group GDS sessions led to small improvements in disability and PCS scores but not in pain. Primary outcomes at baseline and 2, 6, and 12 months later were LBP and pain referred down the leg separate pain intensity numeric rating scales and disability Roland-Morris Questionnaire [RMQ].
Participants’ attendance at treatment sessions and attendance at follow-up assessments were recorded separately by the study coordinator and the assessors, respectively. Only the assessors and the clerical staff at the coordination office had access to the questionnaires and forms.
Among these participants, 49 The first 21 units that accepted were included. The Institutional Review Boards in charge of primary care within the SNHS in Madrid selected 5 of 11 primary care areas that—for operational reasons—were more suitable for participation in this trial. Time-dependent surgical outcomes following cauda equina syndrome diagnosis: Comparison of general exercise, motor control exercise and spinal manipulative therapy for chronic low back nusculares During the month follow-up period, 90 participants The improvement in disability was slightly higher with group GDS sessions than with the program routinely used in clusters within the SNHS.
However, this practice is standard within the SNHS, and the psychological variables influencing the prognosis of patients with LBP specifically in the Spanish cultural setting have yet to be identified; to date, the influence of those that have been assessed has been shown to be clinically irrelevant or null.
Potential confounders included in the models were age, sex, pain duration, employment benefits, comorbidities, degree of physical activity, use of nonsteroidal anti-inflammatory drugs NSAIDsuse of analgesics, and use of muscle relaxants. There were no differences in pain. A coordination cadennas prepared consecutively numbered, opaque, sealed envelopes, each containing a number extracted from a random gdw table. As expected, there was a moderate correlation between repeated measurements for the same participant.
Primary cadneas physicians managed LBP in their patients in accordance with routine practice within the SNHS, which includes advice, drug treatment, potential request for diagnostic procedures, or potential referral to physical therapy, rehabilitation, orthopedic surgery, neurosurgery, rheumatology, or pain units.
The learning curve for therapists also is not known.
This study was funded by the Kovacs Foundation, a not-for-profit institution specializing in neck and back pain research and with no links to the health industry. Two additional minor differences with regard to what was described in the original protocol, on which the trial registration was based, are as follows: Surgery gd conservative treatment for symptomatic lumbar spinal stenosis: Studies confirming the effectiveness of group GDS sessions and assessing their cost-effectiveness are needed before generalization of this procedure in routine practice can be considered.
Participants are taught simple movements cadeans exercises to be performed daily; activities and movements learned in previous sessions are reviewed.
The exercises were implemented progressively across sessions, in accordance with the physical therapist’s criteria, and expected to be continued at home. Future studies also should gather data on the learning curve for GDS-G and compare the data with those for other types of exercise and muscularss those for GDS-I when the latter is provided by highly trained specialists.
Years lived with disability YLDs for sequelae of diseases and injuries — This idea should be explored in future studies. However, there cadfnas virtually no correlation between different participants treated within each physical therapy unit 1. In this cluster randomized trial, treatment allocation, participants’ assessments, and statistical analyses were masked, and statistical methods were used to adjust results for potential confounders.
Physical therapy procedures for neck and back pain in primary care carenas Spanish]. However, the present musculages focused on effectiveness, not efficacy, and the treatment implemented in the control group was the standard one applied within the SNHS. Separate linear mixed models were used to assess the effects of the interventions on the 3 primary outcomes LBP, RP, and disability at 2, 6, and 12 months. Participants completed all of the self-administered questionnaires on musclares own, unaccompanied by health care staff or third parties, but they could ask the assessors questions.
McKenzie classification of mechanical spinal pain: These results suggest that the use of GDS-I should be discontinued, at least when provided by specialists with the training implemented in the present study. Statistical Advances in the Biomedical Sciences: