Efectos de la terapia manual en personas con fibromialgia: Revisión sistemática y metaanálisis

Effects of Manual Therapy in People with Fibromyalgia: Systematic Review and Meta-Analysis

Publicado 2024-03-27

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Vol. 6 Núm. 2 (2024)
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Artículos de revisión
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Efectos de la terapia manual en personas con fibromialgia: Revisión sistemática y metaanálisis. Rev. Investig. Innov. Cienc. Salud [Internet]. 2024 Mar. 27 [cited 2024 Nov. 21];6(2):219-47. Available from: https://riics.info/index.php/RCMC/article/view/273
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https://doi.org/10.46634/riics.273
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Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.

Christopher Cereceda-Muriel
Facultad de Salud y Ciencias Sociales; Universidad de las Américas; Santiago; Chile.
    https://orcid.org/0000-0002-0773-4811
    Marianna Valdés-Silva
    Facultad de Salud y Ciencias Sociales; Universidad de las Américas; Santiago; Chile.
      https://orcid.org/0009-0006-0166-5583
      Danithza Chacón-Perez
      Facultad de Salud y Ciencias Sociales; Universidad de las Américas; Santiago; Chile.
        https://orcid.org/0009-0007-5942-128X
        Denisse Concha-Valdebenito
        Facultad de Salud y Ciencias Sociales; Universidad de las Américas; Santiago; Chile.
          https://orcid.org/0009-0002-4788-7238
          Mostrar biografía de los autores

          Objetivo. El objetivo de esta revisión sistemática con metaanálisis es sintetizar la evidencia científica disponible sobre los efectos de la terapia manual aplicada de forma aislada en comparación a otras intervenciones en el dolor, la capacidad funcional, la impresión global de mejoría y severidad de síntomas autopercibida en personas con fibromialgia.

          Metodología. Se realizó una revisión sistemática y metaanálisis con búsqueda electrónica en MEDLINE, WoS, SCOPUS, PEDro, CENTRAL y LILACS.

          Resultados. Once estudios cumplieron con los criterios de selección y seis fueron incluidos en una síntesis cuantitativa. El dolor al terminar el tratamiento tuvo una diferencia de medias de -0.42 (IC al 95% -1.14, 0.30, p = 0.25), el estado funcional al terminar el tratamiento tuvo una diferencia de medias de -0.15 (IC al 95% -0.69, 0.40, p = 0.60), la impresión global de salud al terminar el tratamiento tuvo una diferencia de media de -1.13 (IC al 95% -1.68, -0.57 p = <0.00) y posterior a doce meses una diferencia de media de -0.48 (IC al 95% -0.78, -0.19 p = <0.00), la impresión global de severidad después de la intervención tuvo una diferencia de medias de -0.62 (IC al 95% -1.22, -0.03, p = 0.04) y posterior a doce meses una diferencia de medias de -0.43 (IC al 95% -1.18, 0.32, p = 0.26).

          Conclusiones. La terapia manual aislada es una intervención que podría mejorar significativamente la autopercepción del estado global de mejoría y severidad de síntomas a corto plazo en comparación a agentes físicos placebo. Sin embargo, no es mejor que otras intervenciones para disminuir el dolor y mejorar la capacidad funcional.

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