Agentes electrofísicos en la práctica clínica de fisioterapeutas ortopédicos y deportivos en Brasil
DOI:
https://doi.org/10.1590/1809-2950/19019727022020Palabras clave:
Terapia por Estimulación Eléctrica, Electroterapia, Terapia por UltrasonidoResumen
Los estudios ya han descrito el uso de agentes electrofísicos (AE) por fisioterapeutas en todo el mundo. Todavía no se ha explorado el uso de los AE por fisioterapeutas brasileños. El presente estudio tuvo como objetivo describir el acceso, el uso y la percepción sobre los AE por fisioterapeutas ortopédicos y deportivos en Brasil. Se invitó a los profesionales para responder a un cuestionario en línea. Se solicitaron los datos demográficos e informaciones sobre el acceso, el uso y la percepción de profesionales sobre los AE en la práctica clínica. Entre los 376 fisioterapeutas incluidos, el 89% declararon utilizar los AE en la práctica clínica. La electroterapia sensorial con corriente pulsada (TENS), el ultrasonido terapéutico, la electroterapia excitomotora con corriente pulsada (FES/NMES) y la crioterapia son accesibles para más de 3/4 de los participantes. Los artículos científicos y la experiencia clínica son los factores que más influyeron en la elección de los AE. El ultrasonido es el AE más utilizado, seguido de Tens, crioterapia, fotobiomodulación, bolsas calientes y FES/NMES. Los cinco AE más útiles en la práctica clínica enumerados por los fisioterapeutas fueron: (1) ultrasonido; (2) fotobiomodulación; (3) TENS; (4) crioterapia; y (5) FES/NMES. Los AE son ampliamente utilizados por los profesionales de la ortopedia y el deporte en Brasil. El ultrasonido terapéutico, TENS, FES/NMES
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Referencias
World Confederation for Physical Therapy subgroups. International
Society for Electrophysical Agents in Physical Therapy (ISEAPT)
[Internet]. Milwaukee: Marquette University; 2017 [cited 2017
Oct 13]. Available from: http://www.wcpt.org/iseapt
Canadian Physiotherapy Association. Electrophysical Agents:
contraindications and precautions: an evidence-based approach
to clinical decision making in physical therapy. Physiother Can.
;62(5):1-80. doi: 10.3138/ptc.62.5
Cameron M. Physical agents in rehabilitation: from research
to practice. Sant Louis: Elsevier; 2003.
Robertson VJ, Chipchase L, Laakso E, Whelan K, McKenna,
L. Guidelines for the clinical use of electrophysical agents.
Melbourne: Australian Physiotherapy Association; 2001.
Watson T. The role of electrotherapy in contemporary
physiotherapy practice. Man Ther. 2000;5(3):132-41. doi:
1054/math.2000.0363
Chipchase L. Is there a future for electrophysical agents in
musculoskeletal physiotherapy? Man Ther. 2012;17(4):265-6.
doi: 10.1016/j.math.2012.04.001
Crosbie J, Gass E, Jull G, Morris M, Rivett D, Ruston S,
et al. Sustainable undergraduate education and professional
competency. Aust J Physiother. 2002;48(1):5-7. doi: 10.1016/
S0004-9514(14)60276-2
Laakso EL, Robertson VJ, Chipchase LS. The place of
electrophysical agents in Australian and New Zealand entry-level
curricula: is there evidence for their inclusion? Aust J Physiother.
;48(4):251-4. doi: 10.1016/S0004-9514(14)60164-1
Lindsay D, Dearness J, Richardson C, Chapman A, Cuskelly G.
A survey of electromodality usage in private physiotherapy
practices. Aust J Physiother. 1990;36(4):249-6. doi: 10.1016/
S0004-9514(14)60527-4
Robertson VJ, Spurritt D. Electrophysical agents: implications
of their availability and use in undergraduate clinical
placements. Physiotherapy. 1998;84(7):335-44. doi: 10.1016/
S0031-9406(05)63462-1
Chipchase L, Williams MT, Robertson V. A national study of
the availability and use of electrophysical agents by Australian
physiotherapists. Physiother Theor Pract. 2009;25(4):279-6.
doi: 10.1080/09593980902782611
Taylor E, Humphry R. Survey of physical agent modality use.
Am J Occup Ther. 1991;45(10):924-31. doi: 10.5014/ajot.45.10.924
Greco J, Lamberg EM, McKenna RF, Muratori LM. Trends
in availability and usage of biophysical agents among
physical therapists in the United States. Phys Ther Rev.
;23:(2);116-23. doi: 10.1080/10833196.2018.1449921
Lindsay D, Dearness J, McGinley C. Electrotherapy usage
trends in private physiotherapy practice in Alberta. Physiother
Can. 1995;47(1):30-4.
Pope GD, Mockett SP, Wright JP. A survey of electrotherapeutic
modalities: ownership and use in the NHS in England. Physiotherapy.
;81(2):82-91. doi: 10.1016/S0031-9406(05)67050-2
Cooney M, Gallen C, Mullins G. A survey of ownership and
use of electrotherapeutic modalities in public outpatient
departments and private practice in the Republic of Ireland.
Physiother Irel. 2000;21:3-8.
Springer S, Laufer Y, Elboim-Gabyzon M. Clinical decision
making for using electro-physical agents by physiotherapists,
an Israeli survey. Isr J Health Policy Res. 2015;4:14-9. doi:
1186/s13584-015-0015-x
Abe Y, Goh A, Kei Miyoshi K. Availability, usage, and factors
affecting usage of electrophysical agents by physical
therapists: a regional cross-sectional survey. J Phys Ther Sci.
;28(11):3088-94. doi: 10.1589/jpts.28.3088
Shah SGS, Farrow A. Trends in the availability and usage
of electrophysical agents in physiotherapy practices from
to 2010: a review. Phys Ther Rev. 2012;17(4):207-26. doi:
1179/1743288X12Y.0000000007
CoFFiTO-Conselho Federal de Fisioterapia e Terapia
Ocupacional. Perguntas mais frequentes: quantitativo de
profissionais [Internet]. Brasília, DF: Coffito, 2018 [cited 2019
Jan 20]. Available from: http://www.coffito.gov.br
Silva TM, Costa LC, Garcia AN, Costa LO. What do
physical therapists think about evidence-based practice?
A systematic review. Man Ther. 2015;20(3):388-401. doi:
1016/j.math.2014.10.009
Herbert R, Jamtvedt G, Hagen KB, Mead J. Practical evidencebased physiotherapy. 2nd ed. Oxford: Elsevier, 2011.
Wu Y, Zhu S, Lv Z, Kan S, Wu Q, Song W, et al. Effects of
therapeutic ultrasound for knee osteoarthritis: a systematic
review and meta-analysis. Clin Rehabil. 2019;33(12):1863-75.
doi: 10.1177/0269215519866494
Zhu Y, Feng Y, Peng L. Effect of transcutaneous electrical
nerve stimulation for pain control after total knee arthroplasty:
a systematic review and meta-analysis. J Rehabil Med.
;49(9):700-4. doi: 10.2340/16501977-2273
Griffin XL, Parsons N, Costa ML, Metcalfe D. Ultrasound
and shockwave therapy for acute fractures in adults.
Cochrane Database Syst Rev. 2014;23;(6):CD008579. doi:
1002/14651858.CD008579.pub3
Ebadi S, Henschke N, Nakhostin Ansari N, Fallah E, van
Tulder MW. Therapeutic ultrasound for chronic low-back
pain. Cochrane Database Syst Rev. 2014;(3):CD009169. doi:
1002/14651858.CD009169.pub2
Brosseau L, Casimiro L, Welch V, Milne S, Shea B, Judd M,
et al. WITHDRAWN: Therapeutic ultrasound for treating
patellofemoral pain syndrome. Cochrane Database Syst Rev.
;(2):CD003375. doi: 10.1002/14651858.CD003375.pub2
Gibson W, Wand BM, O’Connell NE. Transcutaneous
electrical nerve stimulation (TENS) for neuropathic pain in
adults. Cochrane Database Syst Rev. 2017;(9):CD011976. doi:
1002/14651858.CD011976.pub2
Khadilkar A, Odebiyi DO, Brosseau L, Wells GA. Transcutaneous
electrical nerve stimulation (TENS) versus placebo for
chronic low-back pain. Cochrane Database Syst Rev.
;(4):CD003008. doi: 10.1002/14651858.CD003008.pub3
Gibson W, Wand BM, Meads C, Catley MJ, O’Connell NE.
Transcutaneous electrical nerve stimulation (TENS) for chronic
pain – an overview of Cochrane Reviews. Cochrane Database Syst
Rev. 2019;2019(4):CD011890. doi: 10.1002/14651858.CD011890.pub3
French SD, Cameron M, Walker BF, Reggars JW, Esterman AJ.
Superficial heat or cold for low back pain. Cochrane Database Syst
Rev. 2006;(1):CD004750. doi: 10.1002/14651858.CD004750.pub2
Dubois B, Esculier JF. Soft-tissue injuries simply need PEACE
and LOVE. Br J Sports Med. 2019;54(2):72-3. doi: 10.1136/
bjsports-2019-101253
Alves AN, Fernandes KP, Deana AM, Bussadori SK, MesquitaFerrari RA. Effects of low-level laser therapy on skeletal
muscle repair: a systematic review. Am J Phys Med Rehabil.
;93(12):1073-85. doi: 10.1097/PHM.0000000000000158
Chow RT, Johnson MI, Lopes-Martins RA, Bjordal JM. Efficacy
of low-level laser therapy in the management of neck pain: a
systematic review and meta-analysis of randomised placebo or
active-treatment controlled trials. Lancet. 2009;374(9705):1897-
doi: 10.1016/S0140-6736(09)61522-1
Yamaura M, Yao M, Yaroslavsky I, Cohen R, Smotrich M,
Kochevar IE. Low level light effects on inflammatory cytokine
production by rheumatoid arthritis synoviocytes. Lasers Surg
Med. 2009;41(4):282-90. doi: 10.1002/lsm.20766
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Derechos de autor 2020 Francine Pereira da Silva, Lucas Severo-Silveira, Rodrigo Della Méa Plentz, João Luiz Quagliotti Durigan, Bruno Manfredini Baroni
Esta obra está bajo una licencia internacional Creative Commons Atribución-CompartirIgual 4.0.
