Movimientos pasivos para el tratamiento y la prevención de contracturas
Información
- DOI:
- https://doi.org/10.1002/14651858.CD009331.pub2Copiar DOI
- Base de datos:
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- Cochrane Database of Systematic Reviews
- Versión publicada:
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- 28 diciembre 2013see what's new
- Tipo:
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- Intervention
- Etapa:
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- Review
- Grupo Editorial Cochrane:
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Grupo Cochrane de Lesiones
- Copyright:
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- Copyright © 2014 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
Cifras del artículo
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Autores
Contributions of authors
RKRP conceived of the review, coordinated the review, culled the searches, extracted the data, performed the analyses, wrote the first draft and edited the final draft. NS culled the searches, extracted the data and edited drafts. LAH culled the searches, checked all data extracted, created the Summary of findings tables, contributed to the write‐up of the review and edited the final draft. The search strategy was formulated through consultation with the Cochrane Injuries Group Trials Search Co‐ordinator.
Declarations of interest
None known.
Acknowledgements
We are thankful to the South Asian Cochrane Network for the constant support and guidance provided. The review authors are also grateful to J Bowden and K Higgins for assistance with data extraction, data entry and proofreading.
Version history
| Published | Title | Stage | Authors | Version |
| 2013 Dec 28 | Passive movements for the treatment and prevention of contractures | Review | Rama KR Prabhu, Narasimman Swaminathan, Lisa A Harvey | |
| 2011 Sep 07 | Passive movements for the treatment and prevention of contractures | Protocol | Rama K. R. Prabhu, Narasimman Swaminathan, Lisa A Harvey | |
Differences between protocol and review
These are the differences between the protocol and the review.
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The protocol states that we would "search the Internet to identify relevant websites and conference proceedings". This was not done.
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The protocol states: "Two review authors (RKRP and NS) will independently screen the results of the search for relevant articles based on the title and abstract." This was done by the three review authors (RKRP, NS and LAH).
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The protocol states: "Data will be extracted by three review authors (RKRP, NS and LAH) independently." The data were extracted independently by two review authors (RKRP and NS) because the third review author (LAH) was an author on an included trial. LAH and J Bowden checked all data extracted.
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The protocol states: "The summary of findings tables will include the following outcomes: joint mobility, pain, activity limitations and quality of life". The summary of findings tables include joint mobility, spasticity and pain because neither of the two included trials included measures of activity limitations or quality of life.
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The protocol states: "Adverse outcomes will be grouped in the following ways: joint subluxations or dislocations, heterotopic ossification, autonomic dysreflexia, fractures, pain and muscle tears". Pain was removed from this list because it was a secondary outcome.
Keywords
MeSH
Medical Subject Headings (MeSH) Keywords
Medical Subject Headings Check Words
Humans;
PICO
Study flow diagram.
Risk of bias graph: review authors' judgements about each risk of bias item presented as percentages across all included studies. Two studies are included in this review.
Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
Comparison 1 Joint mobility—short‐term effects, Outcome 1 Spinal cord injury.
Comparison 2 Spasticity—short‐term effects, Outcome 1 Paratonia.
Comparison 3 Pain—short‐term effects, Outcome 1 Paratonia.
| Short‐term effects on spasticity, pain and joint mobility | ||||||
| Patient or population: patients with or at risk of contractures | ||||||
| Outcomes | Illustrative comparative risks* (95% CI) | Relative effect | No. of participants | Quality of the evidence | Comments | |
| Assumed risk | Corresponding risk | |||||
| Control | PMs versus no PMs | |||||
| Spasticity | Data were not pooled | Data were not pooled | Not estimable | 121 | ⊕⊝⊝⊝ | |
| Pain | Mean pain in control groups was | Mean pain in intervention groups was | Not estimable | 101 | ⊕⊝⊝⊝ | |
| Joint mobility | Mean joint mobility in control groups was | Mean joint mobility in intervention groups was | Not estimable | 40 | ⊕⊝⊝⊝ | |
| *The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI). | ||||||
| GRADE Working Group grades of evidence. | ||||||
| 1Consistency had been downgraded by one point because only one trial is included, and therefore the results cannot be consistent across different trials. | ||||||
| Outcome or subgroup title | No. of studies | No. of participants | Statistical method | Effect size |
| 1 Spinal cord injury Show forest plot | 1 | Mean Difference (IV, Random, 95% CI) | Totals not selected | |
| Outcome or subgroup title | No. of studies | No. of participants | Statistical method | Effect size |
| 1 Paratonia Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
| Outcome or subgroup title | No. of studies | No. of participants | Statistical method | Effect size |
| 1 Paratonia Show forest plot | 1 | Mean Difference (IV, Fixed, 95% CI) | Totals not selected | |
