The role of rehabilitative ultrasound imaging technique in the lumbopelvic region as a diagnosis and treatment tool in physiotherapy: Systematic review, meta-analysis and meta-regression
Authors
Fernández Carnero, SamuelIdentifiers
Permanent link (URI): http://hdl.handle.net/10017/50157DOI: 10.3390/jcm10235699
ISSN: 2077-0383
Date
2021-12-03Academic Departments
Universidad de Alcalá. Departamento de Fisioterapia
Teaching unit
Unidad Docente Fisioterapia
Bibliographic citation
Fernández‐Carnero, S. et al., 2021. The role of rehabilitative ultrasound imaging technique in the lumbopelvic region as a diagnosis and treatment tool in physiotherapy: Systematic review, meta‐analysis and meta‐regression. Journal of Clinical Medicine, v. 10, n. 23, p.5699.
Keywords
Rehabilitative ultrasound imaging
Real time ultrasound imaging
Lumbar region
Abdominal wall
Pelvic floor
Document type
info:eu-repo/semantics/article
Version
info:eu-repo/semantics/publishedVersion
Rights
Attribution 4.0 International (CC BY 4.0)
© 2021 The Authors. Licensee MDPI
Access rights
info:eu-repo/semantics/openAccess
Abstract
Rehabilitative ultrasound imaging (RUSI) technique seems to be a valid and reliable tool for diagnosis and treatment in physiotherapy and has been widely studied in the lumbopelvic region the lastthree decades. The aims forthis utility in clinical settings must be review through a systematic review, meta?analysis and meta?regression. A systematic review was designed following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta?Analyses) guidelines with PROSPERO registration and perreview in all phases of the process using COVIDENCE, analysis ofrisk of bias and meta?analysis using REVMAN, and meta?regression calculation using STATA. Database screening provided 6544 references, out of which 321 reported narrative synthesis, and 21 reported quantitative synthesis, while only 7 of them provided comparable data to meta?analyze the variables pain and muscle thickness. In most cases, the forest plots showed considerable I2 heterogeneity indexes for multifidus muscle thickness (I2 = 95%), low back pain (I2 = 92%) and abdominal pain (I2 = 95%), not important for transversus abdominis muscle thickness (I2 = 22%), significant heterogenity (I2 = 69%) depending on the subgroup and not important internal oblique muscle thickness (I2 = 0%) and external oblique muscle thickness (I2 = 0%). Meta?regression did not provide significant data forthe correlations between the variables analyzed and the intervention, age, and BMI (Body Mass Index). This review reveals that RUSI could contribute to a high reliability of the measurements in the lumbopelvic region with validity and reliability for the assessments, as well as showing promising results for diagnosis and intervention assessment in physiotherapy compared to the traditional model, allowing for future lines of research in this area.
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Files | Size | Format |
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role_fernandez_JCM_2021.pdf | 844.1Kb |
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