Primary care randomized clinical trial: manual therapy effectiveness in comparison with TENS in patients with neck pain

This study investigated effectiveness of manual therapy (MT) with transcutaneous electrical nerve stimulation (TENS) to reduce pain intensity in patients with mechanical neck disorder (MND). A randomized multi-centered controlled clinical trial was performed in 12 Primary Care Physiotherapy Units in Madrid Region. Ninety patients were included with diagnoses of subacute or chronic MND without neurological damage, 47 patients received MT and 43 TENS. The primary outcome was pain intensity measured in millimeters using the Visual Analogue Scale (VAS). Also disability, quality of life, adverse effects and sociodemographic and prognosis variables were measured. Three evaluations were performed (before, when the procedure ?nished and six months after). Seventy-one patients (79%) completed the follow-up measurement at six months. In more than half of the treated patients the procedure had a clinically relevant ?short term? result after having ended the intervention, when either MT or TENS was used. The success rate decreased to one-third of the patients 6 months after the intervention. No differences can be found in the reduction of pain, in the decrease of disability nor in the quality of life between both therapies. Both analyzed physiotherapy techniques produce a short-term pain reduction that is clinically relevant.Ministerio de SanidadInstituto de Salud Carlos II

Guía de Biovigilancia de Órganos, Células y Tejidos de Andalucía

Coordinación Autonómica de Trasplantes. Dirección General de Asistencia Sanitaria. Servicio Andaluz de SaludYesLa presente Guía ha sido elaborada por el Grupo de Trabajo de Biovigilancia de Andalucía con el objetivo de unificar y mejorar la actuación de todos los profesionales que intervienen en el proceso de donación y trasplantes de órganos, células y tejidos, y recoge el circuito a seguir en caso de detectar un incidente o una reacción adversa relacionada con el uso terapéutico de células y tejidos humanos y el trasplante de órganos. Incluye un listado de posibles incidentes y reacciones adversas elaborado por el grupo de trabajo de Biovigilancia, con la colaboración y aportaciones de profesionales expertos y consensuado con diferentes Equipos Andaluces de trasplantes de órganos y la Comisión de trasplantes de progenitores hematopoyéticos de Andalucía