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  1. Artikel: Psychological Factors Associated with Functional Disability in Patients with Hip and Knee Osteoarthritis.

    López-Bravo, María Dolores / Zamarrón-Cassinello, María Dolores / Touche, Roy La / Muñoz-Plata, Rosa / Cuenca-Martínez, Ferran / Ramos-Toro, Mónica

    Behavioral medicine (Washington, D.C.)

    2020  Band 47, Heft 4, Seite(n) 285–295

    Abstract: Several studies have shown an association between psychosocial variables and functional capacity in chronic pain processes such as osteoarthritis. The aim of this study was to test a structural equations model that shows the predictive weight of certain ... ...

    Abstract Several studies have shown an association between psychosocial variables and functional capacity in chronic pain processes such as osteoarthritis. The aim of this study was to test a structural equations model that shows the predictive weight of certain variables such as catastrophizing, self-efficacy and kinesiophobia on functional pain and WOMAC subscales scores of pain and physical function of older patients diagnosed with hip and knee osteoarthritis. We also assessed the specific weight of age in terms of the factors. The study was conducted on a sample of 170 patients (142 women and 28 men mean age, 74.44 years range, 50-96 years). The main variables evaluated were WOMAC subscales scores of pain and physical function, self-efficacy, catastrophizing and kinesiophobia. To assess these variables, we used the Spanish validated version of the Western Ontario and McMaster Universities questionnaire, the Chronic Pain Self-Efficacy Scale, the Pain Catastrophizing Scale and the Tampa Scale for Kinesiophobia, respectively. We tested a structural equations model (IBM SPSS Amos version 22). The results showed the predominant predictive weight (both direct and indirect) of catastrophizing while simultaneously ruling out the relevance of age as a predictor of WOMAC subscales scores of pain and physical function. This study provides data of interest on the explanatory mechanisms that underlie the direct and inverse relationships between the studied psychological variables.
    Mesh-Begriff(e) Aged ; Catastrophization ; Female ; Humans ; Male ; Osteoarthritis, Hip ; Osteoarthritis, Knee ; Pain ; Pain Measurement
    Sprache Englisch
    Erscheinungsdatum 2020-09-10
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 623101-9
    ISSN 0896-4289
    ISSN 0896-4289
    DOI 10.1080/08964289.2020.1813682
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Ejercicio terapéutico como tratamiento de las migrañas y cefaleas tensionales: revisión sistemática de ensayos clínicos aleatorizados.

    Gil-Martínez, Alfonso / Kindelan-Calvo, Paula / Agudo-Carmona, Diego / Muñoz-Plata, Rosa / López-de-Uralde-Villanueva, Ibai / La Touche, Roy

    Revista de neurologia

    2013  Band 57, Heft 10, Seite(n) 433–443

    Abstract: AIM. To analyse the effectiveness of therapeutic exercise on migraines and tension-type headaches (TTH). MATERIALS AND METHODS. Electronic databases were used to search the literature for relevant articles. Eligibility criteria were: controlled ... ...

    Titelübersetzung Therapeutic exercise as treatment for migraine and tension-type headaches: a systematic review of randomised clinical trials.
    Abstract AIM. To analyse the effectiveness of therapeutic exercise on migraines and tension-type headaches (TTH). MATERIALS AND METHODS. Electronic databases were used to search the literature for relevant articles. Eligibility criteria were: controlled randomised clinical trials (RCT), conducted on patients with migraine or TTH, in which the therapeutic intervention was based on therapeutic exercise, and the papers had been published in English and Spanish. Two independent reviewers performed the analysis of the methodological quality using the Delphi scale. RESULTS. Ten RCT were selected, seven of which offered good methodological quality. According to all the studies analysed, the intensity and frequency of pain diminished in comparison to the situation prior to establishing therapeutic exercise, and in five studies the effect was higher than in the control group. The qualitative analysis showed strong evidence of the absence of adverse events following the application of therapeutic exercise. Furthermore, strong evidence was also found of the effect of physiotherapeutic treatment, including therapeutic exercise, in lowering the intensity, frequency and duration of pain in patients with TTH. Limited evidence was also found of the effectiveness of aerobic exercise in patients with migraine, although it was not better than the effects derived from other forms of treatment. CONCLUSIONS. Results show that therapeutic exercise is a safe treatment that provides beneficial effects on migraines or TTH. Further RCT are required in the future with appropriate methodological designs to confirm these results.
    Mesh-Begriff(e) Acupuncture Therapy ; Adult ; Analgesics/therapeutic use ; Combined Modality Therapy ; Evidence-Based Medicine ; Exercise Movement Techniques ; Female ; Fructose/analogs & derivatives ; Fructose/therapeutic use ; Humans ; Male ; Migraine Disorders/drug therapy ; Migraine Disorders/prevention & control ; Migraine Disorders/rehabilitation ; Migraine Disorders/therapy ; Neck Muscles/physiopathology ; Pain Management/methods ; Physical Therapy Modalities ; Randomized Controlled Trials as Topic ; Relaxation Therapy ; Research Design ; Tension-Type Headache/drug therapy ; Tension-Type Headache/prevention & control ; Tension-Type Headache/rehabilitation ; Tension-Type Headache/therapy ; Treatment Outcome
    Chemische Substanzen Analgesics ; topiramate (0H73WJJ391) ; Fructose (30237-26-4)
    Sprache Spanisch
    Erscheinungsdatum 2013-11-16
    Erscheinungsland Spain
    Dokumenttyp English Abstract ; Journal Article ; Review
    ZDB-ID 1468278-3
    ISSN 1576-6578 ; 0210-0010
    ISSN (online) 1576-6578
    ISSN 0210-0010
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: A Systematic Review and Meta-Analysis on the Effectiveness of Graded Activity and Graded Exposure for Chronic Nonspecific Low Back Pain.

    López-de-Uralde-Villanueva, Ibai / Muñoz-García, Daniel / Gil-Martínez, Alfonso / Pardo-Montero, Joaquín / Muñoz-Plata, Rosa / Angulo-Díaz-Parreño, Santiago / Gómez-Martínez, Miguel / La Touche, Roy

    Pain medicine (Malden, Mass.)

    2016  Band 17, Heft 1, Seite(n) 172–188

    Abstract: Objective: Our aim was to systematically review and meta-analyze the effectiveness of graded activity (GA) or graded exposure (GEXP) for chronic nonspecific low back pain (CNSLBP).: Methods: A literature search of multiple databases (MEDLINE, EMBASE, ...

    Abstract Objective: Our aim was to systematically review and meta-analyze the effectiveness of graded activity (GA) or graded exposure (GEXP) for chronic nonspecific low back pain (CNSLBP).
    Methods: A literature search of multiple databases (MEDLINE, EMBASE, PEDro, CINAHL, and PsychINFO) was conducted to identify randomized control trials (RCTs). Standardized mean difference (SMD) and 95% confidence intervals (CI) were calculated for relevant outcome measures (pain intensity, disability, quality of life, and catastrophizing).
    Results: Thirteen RCTs met the inclusion criteria. Only nine studies were included in the meta-analysis. GA was significantly more effective than the control group (CG) for improvements in disability in the short term (three studies: n = 254, SMD = -0.3, 95% CI -0.55 to -0.05, P = 0.02) and long term (two studies: n = 238, SMD = -0.53, 95% CI -0.79 to -0.27, P < 0.0001). GA was significantly less effective than GEXP for the improvement of disability in the short term (two studies: n = 105, SMD = 0.39, 95% CI 0.003-0.78, P = 0.048). GA was also significantly less effective than GEXP at improving catastrophizing in the short term (two studies: n = 105, SMD = 0.48, 95% CI 0.09-0.87, P = 0.02).
    Conclusion: Limited evidence has been found to show that GA significantly reduces disability in the short and long term when compared with the CG in CNSLBP. There is moderate evidence that GEXP more effectively decreases catastrophizing than GA in the short term. No difference was found between GA and other exercise for any variable.
    Mesh-Begriff(e) Chronic Pain/therapy ; Humans ; Low Back Pain/diagnosis ; Low Back Pain/therapy ; Pain Management ; Quality of Life ; Randomized Controlled Trials as Topic ; Time ; Treatment Outcome
    Sprache Englisch
    Erscheinungsdatum 2016-01
    Erscheinungsland England
    Dokumenttyp Journal Article ; Meta-Analysis ; Review
    ZDB-ID 2015903-1
    ISSN 1526-4637 ; 1526-2375
    ISSN (online) 1526-4637
    ISSN 1526-2375
    DOI 10.1111/pme.12882
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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