Examinando por Materia "SISTEMA MUSCULOESQUELETICO"

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  • Miniatura
    Artículo
    "The dark side of musculoskeletal Care” : why do ineffective techniques seem to work? a comprehensive review of complementary and alternative therapies
    (MDPI Multidisciplinary Digital Publishing Institute, Suiza, 2025) Mamud Meroni, Lucas; Tarcaya, Germán E.; Carrasco Uribarren, Andoni; Rossettini, Giacomo; Flores Cortes, Mar; Ceballos Laita, Luis
    The increasing interest in complementary and alternative medicines (CAMs) for musculoskeletal care has sparked significant debate, particularly regarding their biological plausibility and clinical effectiveness. This comprehensive review critically examines the use of two of the most widely utilized CAMs—osteopathy and chiropractic care—over the past 25 years, focusing on their biological plausibility, clinical effectiveness, and potential mechanisms of action. Our analysis of current research and clinical studies reveals that osteopathy and chiropractic are based on concepts such as “somatic dysfunction” and “vertebral subluxation”, which lack robust empirical validation. While these therapies are often presented as credible treatment options, studies evaluating their effectiveness frequently exhibit serious methodological flaws, providing insufficient empirical support for their recommendation as first-line treatments for musculoskeletal conditions. The effects and mechanisms underlying osteopathy and chiropractic remain poorly understood. However, placebo responses—mediated by the interaction of contextual, psychological, and non-specific factors—appear to play a significant role in observed outcomes. The integration of therapies with limited biological plausibility, whose effects may primarily rely on placebo effects, into healthcare systems raises important ethical dilemmas. This review highlights the need for rigorous adherence to scientific principles and calls for a more comprehensive investigation into biobehavioral, contextual, and psychosocial factors that interact with the specific effects of these interventions. Such efforts are essential to advancing our understanding of CAMs, enhancing clinical decision-making, promoting ethical practices, and guiding future research aimed at improving patient care in musculoskeletal disorders.
  • Miniatura
    Trabajo Final Integrador
    Método pilates y dolor lumbar crónico por contracturas
    (Universidad de Flores, 2011) Luna, Lía Micaela; Zainato, Cecilia; Gómez, Valeria
    El presente trabajo de investigación intentó de mostrar la eficacia del método Pilates reformer sobre el dolor lumbar crónico por contracturas en una mujer de sesenta y cuatro años, comparándolo con el mismo método pero realizado en colchonetas. Para ello se realizó un estudio de caso, y los resultados obtenidos fueron comparados con los resultados de uno de nuestros antecedentes que refiere a “Pilates y dolores lumbares crónicos”: se buscó que las características de ambos casos fueran similares para una mejor medición. Se evaluaron la intensidad y frecuencia del dolor, sus características, el tipo, frecuencia de uso y efectos de medición utilizados para la disminución del dolor, los tratamientos previos realizados, otros métodos utilizados para la disminución del dolor lumbar, sus hábitos posturales, las alteraciones posturales que pueden tener, su peso, talla, los factores emocionales que influyen en su dolor, la incapacidad que el dolor provoca y otras variables que influyen en la aparición o prevención del dolor.