The role of rehabilitative ultrasound imaging technique in the lumbopelvic region as a diagnosis and treatment tool in physiotherapy: Systematic review, meta-analysis and meta-regression
Rehabilitative ultrasound imaging (RUSI) technique seems to be a valid and reliable tool for diagnosis and treatment in physiotherapy and has been widely studied in the lumbopelvic region the lastthree decades. The aims forthis utility in clinical settings must be review through a systematic review,...
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| Tipo de recurso: | artículo |
| Fecha de publicación: | 2021 |
| País: | España |
| Institución: | Universidad de Alcalá (UAH) |
| Repositorio: | e_Buah Biblioteca Digital Universidad de Alcalá |
| Idioma: | inglés |
| OAI Identifier: | oai:ebuah.uah.es:10017/50157 |
| Acceso en línea: | http://hdl.handle.net/10017/50157 https://dx.doi.org/10.3390/jcm10235699 |
| Access Level: | acceso abierto |
| Palabra clave: | Rehabilitative ultrasound imaging Real time ultrasound imaging Lumbar region Abdominal wall Pelvic floor Fisioterapia Physical therapy |
| Sumario: | Rehabilitative ultrasound imaging (RUSI) technique seems to be a valid and reliable tool for diagnosis and treatment in physiotherapy and has been widely studied in the lumbopelvic region the lastthree decades. The aims forthis utility in clinical settings must be review through a systematic review, meta?analysis and meta?regression. A systematic review was designed following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta?Analyses) guidelines with PROSPERO registration and perreview in all phases of the process using COVIDENCE, analysis ofrisk of bias and meta?analysis using REVMAN, and meta?regression calculation using STATA. Database screening provided 6544 references, out of which 321 reported narrative synthesis, and 21 reported quantitative synthesis, while only 7 of them provided comparable data to meta?analyze the variables pain and muscle thickness. In most cases, the forest plots showed considerable I2 heterogeneity indexes for multifidus muscle thickness (I2 = 95%), low back pain (I2 = 92%) and abdominal pain (I2 = 95%), not important for transversus abdominis muscle thickness (I2 = 22%), significant heterogenity (I2 = 69%) depending on the subgroup and not important internal oblique muscle thickness (I2 = 0%) and external oblique muscle thickness (I2 = 0%). Meta?regression did not provide significant data forthe correlations between the variables analyzed and the intervention, age, and BMI (Body Mass Index). This review reveals that RUSI could contribute to a high reliability of the measurements in the lumbopelvic region with validity and reliability for the assessments, as well as showing promising results for diagnosis and intervention assessment in physiotherapy compared to the traditional model, allowing for future lines of research in this area. |
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