No abstract

No abstract

El presente estudio tiene como objetivo evaluar la efectividad de los ejercicios hipopresivos sobre los síntomas de incontinencia urinaria y calidad de vida en mujeres adultas menopáusicas en comparación con un grupo control u otro tipo de entrenamiento de suelo pélvico. Se realizó una búsqueda en las siguientes bases de datos: PEDro, Pubmed, The Cochrane, Scielo y Science direct hasta el 06 de agosto del 2022. Se incluyeron ensayos clínicos aleatorizados que evaluaron los efectos del ejercicio hipopresivo sobre la incontinencia urinaria y calidad de vida en mujeres. Se consideró la declaración PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) para la realización de la revisión sistemática, para evaluar la calidad metodológica se utilizó la escala Physiotherapy Evidence Database (PEDro) y la clasificación Grades of Recommendation, Assessment, Development, and Evaluation (GRADE) para evaluar el nivel de calidad de la evidencia. Fueron identificados 87 estudios de los cuales solo 3 de ellos cumplían con los criterios de inclusión. Los artículos seleccionados presentaban una muestra constituida por 266 mujeres adultas con una edad entre 42 y 68 años. Los resultados de la presente revisión sistemática indicaron un nivel de calidad de la evidencia moderado para los ejercicios hipopresivos sobre los síntomas de incontinencia urinaria y calidad de vida en mujeres menopáusicas. Palabras Claves: ejercicios hipopresivos, calidad de vida, incontinencia urinaria Abstract. The present study aims to evaluate the effectiveness of hypopressive exercises on urinary incontinence symptoms and quality of life in adult menopausal women compared to a control group or another type of pelvic floor training. PEDro, Pubmed, The Cochrane, Scielo and Science direct databases were searched until 6 of august 2022. Randomized clinical trials evaluating the effects of hypopressive exercise on urinary incontinence and quality of life in women were included. The PRISMA statement (Preferred Reporting Items for Systematic reviews and Meta-Analyses) was considered to carry out the systematic review. To assess the methodological quality of studies it was used the Physiotherapy Evidence Database (PEDro) scale and the Grades of Recommendation, Assessment, Development Classification and Evaluation (GRADE) was used to assess the quality level of the evidence. 87 studies were identified, of which only 3 of them met the inclusion criteria. The selected articles presented a sample made up of 266 adult women aged between 42 and 68 years. The results indicated a moderate level of quality of evidence for hypopressive exercises on symptoms of urinary incontinence and quality of life in menopausal women. Keywords: hypopressive exercises, quality of life, urinary incontinence.

Background: Therapeutic exercise has an important role to manage chemotherapy-induced peripheral neuropathy symptoms. However, there is little evidence of its effectiveness. Objective: To synthesize the evidence regarding therapeutic exercise during chemotherapy to improve peripheral neuropathy symptoms. Databases: PubMed, CINAHL, Cochrane Library, PEDro, ScienceDirect, Scopus, Web of Science and BIREME. Methodology: Randomized clinical trials were included. GRADE was used to synthesize evidence and an inverse variance model for meta-analysis. Results: Up to May 2022, 2172 references were analyzed and 14 studies that evaluated 1094 participants were included. The exercises were highly effective in improving pain threshold and moderately effective in improving peripheral neuropathy symptoms at the 8-week follow-up and the 4–24 weeks. Furthermore, the evidence was low in improving thermal threshold, tactile and vibratory sensitivity. Conclusion: Therapeutic exercise generates a significant reduction in peripheral neuropathy symptoms in patients in short- and long-term follow-up with a moderate level of evidence quality.

Objective. To assess the effectiveness of the resistance training to improve fatigue levels in people with cancer who are enrolled in adjuvant and/or neoadjuvant treatment. Methods. MEDLINE, Web of Science, Embase, SPORTDiscus, LILACS, CENTRAL, and CINAHL databases were searched from May to December 7, 2021. Randomized clinical trials (RCT) that evaluate the effects of resistance training on fatigue levels in people undergoing cancer treatment were included. The PEDro scale was considered to assess methodological quality of studies, and the evidence was summarized through the GRADE system. The standardized average differences, effect size, and inverse variance model for meta-analysis were calculated. Results. Fifteen RCT for qualitative synthesis and thirteen for meta-analysis were selected. A moderate to high level of evidence of resistance training was identified to improve fatigue in people undergoing cancer treatment. Meta-analysis showed a significant reduction in fatigue ( SMD = − 0.31 , CI   95 % = − 0.58 , -0.12, P = 0.001 ) after 10 to 35 sessions of resistance training. Conclusion. The 10 to 35 sessions of resistance training are effective in reducing fatigue level in cancer patients who are undergoing cancer treatment and have a moderate level of quality evidence.