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dc.contributor.author | Martínez Pozas, Oliver | |
dc.contributor.author | Sánchez Romero, Eleuterio | |
dc.contributor.author | Beltrán Alacreu, Héctor | |
dc.contributor.author | Arribas Romano, Alberto | |
dc.contributor.author | Cuenca Martínez, Ferran | |
dc.contributor.author | Villafañe, Jorge Hugo | |
dc.contributor.author | Fernández Carnero, Josué![]() |
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dc.date.accessioned | 2023-11-10T18:53:26Z | |
dc.date.available | 2023-11-10T18:53:26Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | Martínez-Pozas, O., Sánchez-Romero, E. A., Beltrán-Alacreu, H., Arribas-Romano, A., Cuenca-Martínez, F., Villafañe, J. H., & Fernández-Carnero, J. (2023). Effects of Orthopedic Manual Therapy on Pain Sensitization in Patients With Chronic Musculoskeletal Pain: An Umbrella Review With Meta-Meta-analysis. American Journal of Physical Medicine & Rehabilitation, 102(10), 879–885. https://doi.org/10.1097/PHM.0000000000002239 | spa |
dc.identifier.issn | 0894-9115 | |
dc.identifier.issn | 1537-7385 | |
dc.identifier.uri | http://hdl.handle.net/11268/12361 | |
dc.description.abstract | Objective: The aim of this umbrella review with meta-meta-analysis was to assess the effectiveness of orthopedic manual therapy in isolation on pain sensitization in patients with chronic musculoskeletal pain. Design: A systematic search was performed in different databases including systematic reviews with or without meta-analysis. The outcome measures included were pressure pain threshold, temporal summation, and conditioned pain modulation. The results of the different reviews were statistically synthesized through a random-effect meta-analysis, of all standardized mean differences and the corresponding 95% confidence interval reported by each study. Results: For mechanical hyperalgesia, the meta-meta-analysis of three meta-analyses revealed a statistically significant small-moderate effect of orthopedic manual therapy, with no evidence of heterogeneity and moderate-quality evidence. In terms of temporal summation, one meta-analysis revealed a statistically significant small effect of orthopedic manual therapy intervention, with moderate heterogeneity and low quality of evidence. Finally, one review without meta-analysis found that orthopedic manual therapy improved endogenous analgesia with low-quality evidence. Conclusion: Orthopedic manual therapy in isolation improved mechanical hyperalgesia with moderate-quality evidence, as well as temporal summation and conditioned pain modulation with low-quality evidence. However, its effects are limited only to immediate and short-term. | spa |
dc.description.sponsorship | Sin financiación | spa |
dc.language.iso | eng | spa |
dc.subject.other | Dolor crónico | spa |
dc.subject.other | Dolor musculoesquelético | spa |
dc.subject.other | Manipulaciones musculoesqueléticas | spa |
dc.title | Effects of Orthopedic Manual Therapy on Pain Sensitization in Patients With Chronic Musculoskeletal Pain: An Umbrella Review With Meta-Meta-analysis | spa |
dc.type | article | spa |
dc.description.impact | 3.0 Q1 JCR 2022 | spa |
dc.description.impact | 0.739 Q1 SJR 2022 | spa |
dc.description.impact | No data IDR 2022 | spa |
dc.identifier.doi | 10.1097/PHM.0000000000002239 | |
dc.rights.accessRights | closedAccess | spa |
dc.subject.unesco | Rehabilitación médica | spa |
dc.subject.unesco | Tratamiento médico | spa |
dc.description.filiation | UEM | spa |
dc.relation.publisherversion | https://doi.org/10.1097/PHM.0000000000002239 | spa |
dc.peerreviewed | Si | spa |
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