https://hdl.handle.net/10481/17535 2026-04-17T12:19:48Z https://hdl.handle.net/10481/112848 Ultrasound improves motor distal latency on patients with carpal tunnel syndrome: systematic review and meta-analysis Peris Moya, Alicia; Pérez Mármol, José Manuel; Khoury Martín, Elias F.; García Ríos, María Del Carmen INTRODUCTION: Is the application of ultrasound effective on pain, the severity of the symptoms, physical function, strength, and neurophysi- ological parameters of the median nerve conduction in patients with carpal tunnel syndrome? EVIDENCE ACQUISITION: A systematic review and meta-analysis of randomized controlled trials was performed by using a structured search strategy in Scopus, CINAHL, Web of Science and PEDro databases. All the primary studies included samples with carpal tunnel syn- drome treated by: ultrasound versus no treatment, therapeutic ultrasound versus sham ultrasound, ultrasound and usual care versus usual care, or ultrasound and other intervention versus the same intervention. The outcomes measures registered were pain, severity of symptoms, function, strength, and neurophysiological parameters (motor distal latency and sensory distal latency) of the median nerve. Methodological quality was evaluated by PEdro Scale. EVIDENCE SYNTHESIS: Ten clinical trials met the inclusion criteria for the systematic review. Eight trials were meta-analyzed, which in cluded a total of 2069 patients with carpal tunnel syndrome. The methodological quality of the included studies ranged among limited (5 trials), moderate (3 trials), and high (2 trials). In one of the electrophysiological parameters (motor distal latency), a significant difference between groups after the use of ultrasound was observed (MD=-0.10; fixed 95% CI=-0.20, -0.01; P=0.04). No significant differences between groups were observed at post-treatment for pain (P=0.29), severity of symptoms (P=0.99), function (P=0.54), strength (P=0.27) and for the rest of the electrophysiological parameters evaluated (P>0.05). CONCLUSIONS: The use of ultrasound on patients with carpal tunnel syndrome seems to improve motor distal latency. This finding implies a partial improvement at the neurophysiological level, representing a reduction in the grade of clinical severity. Additional clinical trials with a high methodological quality are needed to investigate the doses at which ultrasound are most effective. https://hdl.handle.net/10481/35348 Recursos informativos para Terapia Ocupacional Basada en la Evidencia, informe para profesionales de Terapia Ocupacional Ortega-Valdivieso, Azucena Se ofrece un directorio de recursos y fuentes de información de interés para localizar evidencias para la toma de decisiones clínicas de los terapeutas ocupacionales. Se identifica un conjunto de recursos útiles para realizar la fase dos de la Terapia Ocupacional Basada en la Evidencia correspondiente a la búsqueda bibliográfica en fuentes de información. La selección de las fuentes se ha realizado con visión amplia y holística de las variadas necesidades de información que un terapeuta ocupacional puede tener atendiendo al carácter multidisciplinar de Terapia Ocupacional.; A directory of information resources and sources of interest to locate evidence for occupational therapists’ clinical decision making are available. A set of useful resources are identified for phase two of Evidence-Based Occupational Therapy corresponding to the literature search sources. The selection of sources has been performed with broad and holistic view of the varied information needs an occupational therapist could have attending the multidisciplinary nature of Occupational Therapy. https://hdl.handle.net/10481/18595 Exploración y tratamiento fisioterapéutico de la hiperhidrosis palmar Moreno Lorenzo, Carmen; Esteban Moreno, Bernabé; García Ríos, María Del Carmen; Fernández Fernández, María Jesús; Villaverde Gutiérrez, María del Carmen; Guisado Barrilao, Rafael En este artículo, se estudian las técnicas de valoración más utilizadas en la exploración de la hiperhidrosis palmar. Así mismo se describe detalladamente la técnica fisioterapéutica aplicada en la citada afección, mediante iontoforesis por agua corriente (del grifo), con distintas guías terapéuticas, lo que permite una mayor versatilidad en relación a la idiosincrasia de los pacientes.; This paper deals with the most used valuation techniques for palm hyperhidrosis exploration. Moreover, physiotherapy techniques applied to the treatment of this illness are detailed, this treatment being based on iontophoresis by current water with different therapeutic guides that allow more versality regarding patient idiosyncrasy.