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      Análisis del patrón de la marcha en mujeres con fibromialgia. Revisión sistemática Translated title: Walking motor pattern analysis in women with fibromyalgia. A systematic review

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          Abstract

          Resumen Objetivo. El objetivo de esta revisión fue recopilar información sobre los artículos publicados hasta la actualidad que se centren en el análisis del patrón de la marcha realizados en una población con fibromialgia, una enfermedad reumatológica con una serie de síntomas asociados que produce en los pacientes que la sufren limitaciones funcionales y alteraciones en el patrón motor que afectan en su rutina diaria y su calidad de vida. Método. Para ello se realizó una búsqueda en la base de datos PubMed, donde un total de 13 artículos fueron finalmente seleccionados tras aplicar una serie de criterios de inclusión y de exclusión. El método PRISMA fue aplicado en la elaboración de esta revisión, obteniendo los datos por el planteamiento PICOS. El nivel de evidencia de los artículos incluidos fue determinado por el Dutch Institute for Healtcare Improvement. Resultados. Los resultados evidenciaron que los pacientes con fibromialgia sufren alteraciones en el patrón motor que se traducen fundamentalmente en una reducción en la velocidad, cadencia y longitud de zancada principalmente. Otras variables como la frecuencia de zancada, el balanceo y las fases de apoyo también mostraron alteraciones respecto a sujetos sanos. Conclusiones. Las alteraciones que mostraron los resultados analizados fueron causadas por síntomas característicos de la fibromialgia como la fatiga, el dolor o la falta de actividad física, y hacen que aumente considerablemente el riesgo de sufrir caídas y lesiones. En base a estas evidencias, se subraya la importancia que tiene el análisis del patrón de la marcha desde un punto de vista clínico, tanto de los resultados significativos como de los no significativos, como valoración complementaria de los pacientes con esta enfermedad y para adecuar las terapias y tratamientos basados en actividad física que se implementen en pacientes con fibromialgia.

          Translated abstract

          Abstract Objective. The main aim of this review was to collect information in the current literature about motor walking pattern analyses performed in people suffering from fibromyalgia, a rheumatologic disorder whose associated symptoms produce several consequences such as functional limitations and alterations in the motor walking pattern that affect their daily life routine and quality of life. Method. To this end, an electronic search was made in the PubMed database, and a total of 13 articles were finally selected after applying a series of inclusion and exclusion criteria. The PRISMA methodology was applied to perform this review Data collections was obtained according to the PICOS approach. The level of evidence for the included articles was established by the Dutch Institute for Healthcare Improvement. Results. The results obtained evidenced that fibromyalgia patients suffer alterations in the walking motor pattern that mainly translate into a reduction in speed, cadence and stride length. Other variables such as stride frequency swing and support phases also showed alterations with regard to healthy control subjects. Conclusions. The impairments showed by these results analysed were caused by symptoms characteristic of fibromyalgia such as fatigue, pain, or lack of physical activity. Thus, patients suffering from this syndrome considerably increase their risk of falls and injuries. Based on this evidence, both significant and non-significant walking motor patterns analysis could become a useful tool from a clinical point of view as a complementary assessment of fibromyalgia patients. Furthermore, this analysis may provide objective and thorough information in order to adapt therapies and treatments based on physical activity implemented in patients with fibromyalgia.

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          Most cited references45

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          The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration.

          Systematic reviews and meta-analyses are essential to summarize evidence relating to efficacy and safety of health care interventions accurately and reliably. The clarity and transparency of these reports, however, is not optimal. Poor reporting of systematic reviews diminishes their value to clinicians, policy makers, and other users. Since the development of the QUOROM (QUality Of Reporting Of Meta-analysis) Statement-a reporting guideline published in 1999-there have been several conceptual, methodological, and practical advances regarding the conduct and reporting of systematic reviews and meta-analyses. Also, reviews of published systematic reviews have found that key information about these studies is often poorly reported. Realizing these issues, an international group that included experienced authors and methodologists developed PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) as an evolution of the original QUOROM guideline for systematic reviews and meta-analyses of evaluations of health care interventions. The PRISMA Statement consists of a 27-item checklist and a four-phase flow diagram. The checklist includes items deemed essential for transparent reporting of a systematic review. In this Explanation and Elaboration document, we explain the meaning and rationale for each checklist item. For each item, we include an example of good reporting and, where possible, references to relevant empirical studies and methodological literature. The PRISMA Statement, this document, and the associated Web site (www.prisma-statement.org) should be helpful resources to improve reporting of systematic reviews and meta-analyses.
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            Reliability of the PEDro scale for rating quality of randomized controlled trials.

            Assessment of the quality of randomized controlled trials (RCTs) is common practice in systematic reviews. However, the reliability of data obtained with most quality assessment scales has not been established. This report describes 2 studies designed to investigate the reliability of data obtained with the Physiotherapy Evidence Database (PEDro) scale developed to rate the quality of RCTs evaluating physical therapist interventions. In the first study, 11 raters independently rated 25 RCTs randomly selected from the PEDro database. In the second study, 2 raters rated 120 RCTs randomly selected from the PEDro database, and disagreements were resolved by a third rater; this generated a set of individual rater and consensus ratings. The process was repeated by independent raters to create a second set of individual and consensus ratings. Reliability of ratings of PEDro scale items was calculated using multirater kappas, and reliability of the total (summed) score was calculated using intraclass correlation coefficients (ICC [1,1]). The kappa value for each of the 11 items ranged from.36 to.80 for individual assessors and from.50 to.79 for consensus ratings generated by groups of 2 or 3 raters. The ICC for the total score was.56 (95% confidence interval=.47-.65) for ratings by individuals, and the ICC for consensus ratings was.68 (95% confidence interval=.57-.76). The reliability of ratings of PEDro scale items varied from "fair" to "substantial," and the reliability of the total PEDro score was "fair" to "good."
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              Gait speed and survival in older adults.

              Survival estimates help individualize goals of care for geriatric patients, but life tables fail to account for the great variability in survival. Physical performance measures, such as gait speed, might help account for variability, allowing clinicians to make more individualized estimates. To evaluate the relationship between gait speed and survival. Pooled analysis of 9 cohort studies (collected between 1986 and 2000), using individual data from 34,485 community-dwelling older adults aged 65 years or older with baseline gait speed data, followed up for 6 to 21 years. Participants were a mean (SD) age of 73.5 (5.9) years; 59.6%, women; and 79.8%, white; and had a mean (SD) gait speed of 0.92 (0.27) m/s. Survival rates and life expectancy. There were 17,528 deaths; the overall 5-year survival rate was 84.8% (confidence interval [CI], 79.6%-88.8%) and 10-year survival rate was 59.7% (95% CI, 46.5%-70.6%). Gait speed was associated with survival in all studies (pooled hazard ratio per 0.1 m/s, 0.88; 95% CI, 0.87-0.90; P < .001). Survival increased across the full range of gait speeds, with significant increments per 0.1 m/s. At age 75, predicted 10-year survival across the range of gait speeds ranged from 19% to 87% in men and from 35% to 91% in women. Predicted survival based on age, sex, and gait speed was as accurate as predicted based on age, sex, use of mobility aids, and self-reported function or as age, sex, chronic conditions, smoking history, blood pressure, body mass index, and hospitalization. In this pooled analysis of individual data from 9 selected cohorts, gait speed was associated with survival in older adults.
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                Author and article information

                Journal
                jonnpr
                Journal of Negative and No Positive Results
                JONNPR
                Research and Science S.L. (Madrid, Madrid, Spain )
                2529-850X
                2021
                : 6
                : 4
                : 683-704
                Affiliations
                [1] Extremadura orgnameUniversidad de Extremadura. España
                Article
                S2529-850X2021000400683 S2529-850X(21)00600400683
                10.19230/jonnpr.3780
                5c6a1df0-9b60-4302-b2b0-f02e586f61a1

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 12 October 2020
                : 21 May 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 45, Pages: 22
                Product

                SciELO Spain

                Categories
                Revisión

                cadencia,bradicinesia,cinemática,zancada,velocidad,Caminar,bradykinesia,kinematic,stride,cadence,velocity,Walking

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