Physical therapy in transtibial amputations: a systematic review

Introduction: Physical therapy contributes to the rehabilitation of persons following a transtibial amputation, but may also intervene in prevention and complications treatment. Objective: To investigate the physical therapy intervention in persons following a transtibial amputation. Methods: A syst...

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Detalles Bibliográficos
Autores: Luz, Jussara Paula da, Ruaro, João Afonso, Ruaro, Marinêz Boeing, Kerppers, Ivo Ilvan, Melo, Sibele de Andrade, Fréz, Andersom Ricardo
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2016
País:Brasil
Institución:Universidade Nove de Julho (UNINOVE)
Repositorio:Revista Conscientiae Saúde (Online)
Idioma:portugués
OAI Identifier:oai:ojs.periodicos.uninove.br:article/5589
Acceso en línea:https://periodicos.uninove.br/saude/article/view/5589
Access Level:acceso abierto
Palabra clave:Amputation
Physical therapy modalities
Review.
Amputação
Modalidades de fisioterapia
Revisão.
Descripción
Sumario:Introduction: Physical therapy contributes to the rehabilitation of persons following a transtibial amputation, but may also intervene in prevention and complications treatment. Objective: To investigate the physical therapy intervention in persons following a transtibial amputation. Methods: A systematic review of the PubMed, CINAHL, EMBASE, SPORTDiscus, PEDro, LILACS and SciELO databases was performed. The keywords “amputation” and “transtibial” were combined with the keywords “physiotherapy” or “physical therapy”. The search was conducted in February 2013 without language restrictions. We included randomized controlled trials that focused on physical therapy intervention in persons following a transtibial amputation. The Jadad score and the PEDro score were used to assess the methodological quality. Results: Twenty-three studies were obtained from the search. Three were included in the review. One used errorless learning to fit a prosthetic limb, another investigated the effects of a strength training program, and the third study compared the conventional banding and decongestive physiotherapy to reduce edema postoperatively. Only one was considered of high or good methodological quality by Jadad and PEDro scales. The other two studies were rated low methodological quality by two scales. Conclusion: There was limited evidence for physiotherapy modalities used.