Resumen
En este estudio se evaluó si una evaluación postural en decúbito prono (P-test) puede predecir la efectividad de al menos 3 meses de fisioterapia en adultos con trastornos estructurales de la columna vertebral.
Se incluyeron 76 adultos que recibieron fisioterapia semanalmente durante al menos 3 meses.
Se encontró que la P-test positiva se asoció con la mejora clínicamente importante en la discapacidad medida por el Índice de Discapacidad Oswestry.
Por lo tanto, la P-test puede ser útil para los fisioterapeutas como una herramienta de evaluación para predecir la efectividad del tratamiento en pacientes con trastornos estructurales de la columna vertebral.
Evaluación postural y el P-test: claves para optimizar la fisioterapia
La evaluación postural y el uso del P-test han demostrado ser herramientas valiosas para los fisioterapeutas. Estas técnicas permiten predecir la efectividad de la terapia y mejorar el éxito en las clínicas de fisioterapia. Incorporar la evaluación postural y el P-test en la práctica profesional puede marcar la diferencia en los resultados del tratamiento.
Abstract original
Novel assessment of physiotherapy outcomes in adults with structural spinal disorders
Purpose: The aim is to investigate whether a simple prone posture assessment test (P-test) at baseline can be predict the effectiveness of at least 3 months of physiotherapy for adults with structural spinal disorders.
Methods: Seventy-six adults (age 71.0 ± 7.1 years) with structural spinal disorders who visited our outpatient clinic and underwent physiotherapy, which included muscle strength and range of motion training was provided once a week for a minimum of 3 months, and where the load was adjusted individually by the physiotherapist. The P-test is performed with the subject lying on the bed in a prone position and is positive if no low back pain is seen and the abdomen touches the bed. The Oswestry Disability Index (ODI) was used to assess disability. The minimum clinically important difference (MCID) was set at 10% improvement of the ODI score. Logistic regression analysis was performed to investigate the association between baseline P-test and achievement of ODI-MCID.
Results: The study population characteristics were: Sagittal vertical axis 138.1 ± 73.2 mm; Pelvic tilt, 36.9 ± 9.8 degrees; Pelvic incidence minus lumbar lordosis, 45.3 ± 22.1 degrees; and maximum coronal Cobb angle, 21.3 ± 19.7 degrees. Logistic regression analysis showed that being positive on the P-test was associated with the achievement of ODI-MCID (Odds ratio, 8.381; 95% confidence interval, 2.487-35.257).
Conclusions: This study found that our developed P-test was a useful predictor of achieving the ODI-MCID in a cohort of adults with structural spinal disorders receiving at least 3 months of physiotherapy.
| Autores | Keita Sato Toshikazu Ito Tatsuya Endo Takuya Miura Masumi Iwabuchi Osamu Shirado |
| revista | Eur Spine J |
| DOI | 10.1007/s00586-023-07696-3 |