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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To evaluate the effectiveness of a specific physical therapy treatment on stiffness&#44; pain and quality of life &#40;HRQL&#41; in rheumatic patients&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Experimental&#44; prospective&#44; longitudinal and intervention study&#46; It involved 29 individuals with a mean age &#40;SD&#41; of 54&#46;16 &#40;11&#46;9&#41; years&#44; belonging to the Salmantina Association of Rheumatoid Arthritis Patients&#44; randomized into 2 groups&#58; treatment &#40;GT&#41; and control &#40;GC&#41;&#46; The study analyzed the time in minutes of morning stiffness&#44; pain -using the Downie Scale- and CVRS through the Nottingham Health Profile &#40;NHP&#41; and the Health Questionnaire SF-36 &#40;SF-36&#41;&#46; It carries out an individual treatment that includes mainly physiotherapy manual techniques in one or two sessions per week for six months&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The time of early morning stiffness showed a mean &#40;SD&#41; 21&#46;38 &#40;29&#46;99&#41; minutes &#40;GC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>20&#46;38&#44; GT<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>22&#46;19&#41;&#44; increasing in GC &#40;26&#46;82&#41; and decreasing in GT &#40;12&#46;5&#41;&#46; Pain presented at the beginning a mean &#40;SD&#41; 3&#46;6 &#40;2&#46;03&#41; points &#40;GC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#46;85&#44; GT<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4&#46;22&#41; decreasing in GT &#40;3&#46;68&#41; and increasing in GC &#40;3&#46;45&#41;&#46; There was an improvement of CVRS in the GT with decreased scores on four dimensions of NHP &#40;pain&#44; sleep&#44; physical mobility and emotional reactions&#41; and increases in SF-36 &#40;physical problems&#44; social function&#44; pain&#44; function physics&#41;&#46; In any case the results were statistically significant&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The study cannot conclude the effectiveness of physiotherapy in the treatment of rheumatoid arthritis although the results show a decrease of morning stiffness and pain and increased CVRS&#44; which is clinically interesting&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Evaluar la eficacia de un tratamiento de fisioterapia sobre rigidez&#44; dolor y calidad de vida relacionada con la salud &#40;CVRS&#41; en pacientes reum&#225;ticos&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todo</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio experimental&#44; prospectivo&#44; longitudinal y de intervenci&#243;n&#46; Participan 29 sujetos con edad media &#40;SD&#41; de 54&#44;16 &#40;11&#44;9&#41; a&#241;os&#44; pertenecientes a la Asociaci&#243;n Salmantina de Pacientes con Artritis Reumatoide distribuidos aleatoriamente en 2 grupos&#58; tratamiento &#40;GT&#41; y control &#40;GC&#41;&#46; Se valora la rigidez matinal en minutos&#44; el dolor mediante la Escala de Downie y la CVRS a trav&#233;s del Perfil de Salud de Nottingham &#40;NHP&#41; y el Cuestionario de Salud short form-36 &#40;SF-36&#41;&#46; Se lleva a cabo un tratamiento individual de fisioterapia que incluye principalmente t&#233;cnicas manuales en una o 2 sesiones semanales durante 6 meses&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">La rigidez matinal present&#243; al inicio una media &#40;SD&#41; de 21&#44;38 &#40;29&#44;99&#41; min &#40;GC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>20&#44;38&#44; GT<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>22&#44;19&#41;&#44; aumentando en GC &#40;26&#44;82&#41; y disminuyendo en GT &#40;12&#44;5&#41;&#46; El dolor present&#243; al inicio media &#40;SD&#41; de 3&#44;6 &#40;2&#44;03&#41; puntos &#40;GC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44;85&#44; GT<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4&#44;22&#41; disminuyendo en GT &#40;3&#44;68&#41; y aumentando en GC &#40;3&#44;45&#41;&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Se registr&#243; una mejora de CVRS en el GT con disminuci&#243;n de las puntuaciones en 4 dimensiones del NHP &#40;dolor&#44; sue&#241;o&#44; movilidad f&#237;sica y reacciones emocionales&#41; y aumento en el SF-36 &#40;problemas f&#237;sicos&#44; funci&#243;n social&#44; dolor&#44; funci&#243;n f&#237;sica&#41;&#46; En ning&#250;n caso los resultados fueron estad&#237;sticamente significativos&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">El estudio no puede concluir la eficacia de la fisioterapia en el tratamiento de la artritis reumatoide aunque los resultados apuntan a una disminuci&#243;n de la rigidez matinal y del dolor y un aumento de la CVRS&#44; cl&#237;nicamente interesantes&#46;</p>"
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Influence of the physical therapy on the health and quality of life of the rheumatic patient
Influencia de la fisioterapia sobre el estado de salud y la calidad de vida del paciente reumático
Elena Penelope De Dios Sanchoa, Ana M. Martin-Noguerasa,b,
Corresponding author
anamar@usal.es

Corresponding author.
a Área de Fisioterapia, Departamento de Física, Ingeniería y Radiología Médica, Universidad de Salamanca, Salamanca, Spain
b Escuela Universitaria de Enfermería y Fisioterapia, Salamanca, Spain
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To evaluate the effectiveness of a specific physical therapy treatment on stiffness&#44; pain and quality of life &#40;HRQL&#41; in rheumatic patients&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Experimental&#44; prospective&#44; longitudinal and intervention study&#46; It involved 29 individuals with a mean age &#40;SD&#41; of 54&#46;16 &#40;11&#46;9&#41; years&#44; belonging to the Salmantina Association of Rheumatoid Arthritis Patients&#44; randomized into 2 groups&#58; treatment &#40;GT&#41; and control &#40;GC&#41;&#46; The study analyzed the time in minutes of morning stiffness&#44; pain -using the Downie Scale- and CVRS through the Nottingham Health Profile &#40;NHP&#41; and the Health Questionnaire SF-36 &#40;SF-36&#41;&#46; It carries out an individual treatment that includes mainly physiotherapy manual techniques in one or two sessions per week for six months&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The time of early morning stiffness showed a mean &#40;SD&#41; 21&#46;38 &#40;29&#46;99&#41; minutes &#40;GC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>20&#46;38&#44; GT<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>22&#46;19&#41;&#44; increasing in GC &#40;26&#46;82&#41; and decreasing in GT &#40;12&#46;5&#41;&#46; Pain presented at the beginning a mean &#40;SD&#41; 3&#46;6 &#40;2&#46;03&#41; points &#40;GC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#46;85&#44; GT<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4&#46;22&#41; decreasing in GT &#40;3&#46;68&#41; and increasing in GC &#40;3&#46;45&#41;&#46; There was an improvement of CVRS in the GT with decreased scores on four dimensions of NHP &#40;pain&#44; sleep&#44; physical mobility and emotional reactions&#41; and increases in SF-36 &#40;physical problems&#44; social function&#44; pain&#44; function physics&#41;&#46; In any case the results were statistically significant&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The study cannot conclude the effectiveness of physiotherapy in the treatment of rheumatoid arthritis although the results show a decrease of morning stiffness and pain and increased CVRS&#44; which is clinically interesting&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Evaluar la eficacia de un tratamiento de fisioterapia sobre rigidez&#44; dolor y calidad de vida relacionada con la salud &#40;CVRS&#41; en pacientes reum&#225;ticos&#46;</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todo</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Estudio experimental&#44; prospectivo&#44; longitudinal y de intervenci&#243;n&#46; Participan 29 sujetos con edad media &#40;SD&#41; de 54&#44;16 &#40;11&#44;9&#41; a&#241;os&#44; pertenecientes a la Asociaci&#243;n Salmantina de Pacientes con Artritis Reumatoide distribuidos aleatoriamente en 2 grupos&#58; tratamiento &#40;GT&#41; y control &#40;GC&#41;&#46; Se valora la rigidez matinal en minutos&#44; el dolor mediante la Escala de Downie y la CVRS a trav&#233;s del Perfil de Salud de Nottingham &#40;NHP&#41; y el Cuestionario de Salud short form-36 &#40;SF-36&#41;&#46; Se lleva a cabo un tratamiento individual de fisioterapia que incluye principalmente t&#233;cnicas manuales en una o 2 sesiones semanales durante 6 meses&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">La rigidez matinal present&#243; al inicio una media &#40;SD&#41; de 21&#44;38 &#40;29&#44;99&#41; min &#40;GC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>20&#44;38&#44; GT<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>22&#44;19&#41;&#44; aumentando en GC &#40;26&#44;82&#41; y disminuyendo en GT &#40;12&#44;5&#41;&#46; El dolor present&#243; al inicio media &#40;SD&#41; de 3&#44;6 &#40;2&#44;03&#41; puntos &#40;GC<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>2&#44;85&#44; GT<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4&#44;22&#41; disminuyendo en GT &#40;3&#44;68&#41; y aumentando en GC &#40;3&#44;45&#41;&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Se registr&#243; una mejora de CVRS en el GT con disminuci&#243;n de las puntuaciones en 4 dimensiones del NHP &#40;dolor&#44; sue&#241;o&#44; movilidad f&#237;sica y reacciones emocionales&#41; y aumento en el SF-36 &#40;problemas f&#237;sicos&#44; funci&#243;n social&#44; dolor&#44; funci&#243;n f&#237;sica&#41;&#46; En ning&#250;n caso los resultados fueron estad&#237;sticamente significativos&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">El estudio no puede concluir la eficacia de la fisioterapia en el tratamiento de la artritis reumatoide aunque los resultados apuntan a una disminuci&#243;n de la rigidez matinal y del dolor y un aumento de la CVRS&#44; cl&#237;nicamente interesantes&#46;</p>"
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ISSN: 21735743
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