Clijsen, Ron; Stoop, Rahel; Hohenauer, Erich; Aerenhouts, Dirk; Clarys, Peter; Deflorin, Carlina; Taeymans, Jan (2022). Local Heat Applications as a Treatment of Physical and Functional Parameters in Acute and Chronic Musculoskeletal Disorders or Pain Archives of Physical Medicine and Rehabilitation, 103(3), pp. 505-522. Elsevier 10.1016/j.apmr.2021.06.015
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Objectives: The aim of this systematic review and meta-analysis was to evaluate the effectiveness of local heat applications (LHAs) in individuals with acute or chronic musculoskeletal disorders. Data sources: An electronic search was conducted on MEDLINE, Cochrane Controlled Register of Trials, Current Nursing and Allied Health Literature, and the Physiotherapy Evidence databases up to December 2019. Study selection: Studies incorporating adults with any kind of musculoskeletal issues treated by LHA compared with any treatment other than heat were included. Data extraction: Two authors independently performed the methodological quality assessment using the Cochrane Risk of Bias tool. Data synthesis: LHA showed beneficial immediate effects to reduce pain vs no treatment (P<.001), standard therapy (P=.020), pharmacologic therapy (P<.001), and placebo/sham (P=.044). Physical function was restored after LHA compared with no treatment (P=.025) and standard therapy (P=.006), whereas disability improved directly after LHA compared with pharmacologic therapy (P=.003) and placebo/sham (P<.028). Quality of life was improved directly after LHA treatment compared with exercise therapy (P<.021). Range of motion increased and stiffness decreased after LHA treatment compared with pharmacologic therapy (P=.009, P<.001) and placebo/sham (P<.001, P=.023). The immediate superior effects of LHA on muscular strength could be observed compared with no treatment (P<.001), cold (P<.001), and placebo/sham (P=.023). Conclusions: Individuals with acute musculoskeletal disorders might benefit from using LHA as an adjunct therapy. However, the studies included in this meta-analysis demonstrated a high heterogeneity and mostly an unclear risk of bias. Keywords: Hot temperature; Meta-analysis; Musculoskeletal diseases; Pain; Physical therapy modalities; Quality of life; Rehabilitation; Review.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
School of Health Professions |
Name: |
Clijsen, Ron 0000-0001-7125-5332; Stoop, Rahel; Hohenauer, Erich; Aerenhouts, Dirk; Clarys, Peter; Deflorin, Carlina and Taeymans, Jan 0000-0003-1583-4043 |
ISSN: |
00039993 |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Jan Taeymans |
Date Deposited: |
14 Feb 2022 14:43 |
Last Modified: |
08 Mar 2022 01:30 |
Publisher DOI: |
10.1016/j.apmr.2021.06.015 |
PubMed ID: |
34283996 |
ARBOR DOI: |
10.24451/arbor.16379 |
URI: |
https://arbor.bfh.ch/id/eprint/16379 |
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