<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-0807</journal-id>
<journal-title><![CDATA[Revista de la Universidad Industrial de Santander. Salud]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Univ. Ind. Santander. Salud]]></abbrev-journal-title>
<issn>0121-0807</issn>
<publisher>
<publisher-name><![CDATA[Universidad Industrial de Santander]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-08072017000200364</article-id>
<article-id pub-id-type="doi">10.18273/revsal.v49n2-2017009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Enfoques del ejercicio terapéutico sobre la espasticidad en miembro inferior post-Enfermedad Cerebro Vascular: revisión sistemática]]></article-title>
<article-title xml:lang="en"><![CDATA[Approaches of therapeutic exercise over lower limb spasticity after stroke: a systematic review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bacca]]></surname>
<given-names><![CDATA[Odair A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Patiño]]></surname>
<given-names><![CDATA[María S]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera]]></surname>
<given-names><![CDATA[Esperanza]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barela]]></surname>
<given-names><![CDATA[José A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Industrial de Santander  ]]></institution>
<addr-line><![CDATA[Bucaramanga ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Cruzeiro del Sur  ]]></institution>
<addr-line><![CDATA[Sao Paulo ]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2017</year>
</pub-date>
<volume>49</volume>
<numero>2</numero>
<fpage>364</fpage>
<lpage>378</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-08072017000200364&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-08072017000200364&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-08072017000200364&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  En la enfermedad cerebro vascular uno de los principales problemas es la espasticidad, que compromete el control postural, la funcionalidad y la calidad de vida. Para lograr la mayor recuperación funcional, se han utilizado los enfoques neuromusculares del ejercicio terapéutico (Ej: Rood, Bobath, Brunnstrom y la Facilitación Neuromuscular Propioceptiva), sin embargo, existe controversia sobre la eficacia de estas intervenciones.  Objetivo:  Realizar un análisis crítico de la evidencia científica disponible sobre el efecto de los enfoques tradicionales en la espasticidad de los miembros inferiores en personas post-Enfermedad Cerebro Vascular.  Métodos:  Se incluyeron ensayos clínicos controlados de las bases de datos PUBMED, MEDLINE, PEDro, CINAHL, SCIENCEDIRECT y SCOPUS. La calidad metodológica de los artículos incluidos se evaluó por medio de la escala PeDro.  Resultados: Once estudios cumplieron con los criterios de inclusión, obteniendo una calidad metodológica de intermedia a alta. Entre las limitaciones de los estudios revisados se destacan principalmente la ausencia del cálculo del tamaño de muestra, de enmascaramiento de los evaluadores, pérdida de participantes, muestras heterogéneas, carencia de protocolos estandarizados y diversidad de variables evaluadas.  Conclusión:  El tratamiento fisioterapéutico para disminuir la espasticidad puede ser efectivo aplicado entre tres y cinco días por semana, durante 40 minutos. Sin embargo, estos resultados están soportados en estudios con limitaciones metodológicas y dificultades en su comparación. Por ello, se requieren nuevos estudios para evaluar la eficacia de dichos enfoques, con el fin implementar intervenciones fisioterapéuticas basadas en la mejor evidencia, que contribuyan en una mejor calidad de vida de esta población.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Spasticity due to a stroke is one of the major changes that leads to sensorimotor deficits, causing postural control and functional capability deficits. In order to achieve the best possible functional recovery, several neuromuscular therapeutic exercise approaches have been employed (eg Rood, Bobath, Brunnstrom and proprioceptive neuromuscular facilitation), but still there are many doubts about the effectiveness of these interventions.  Purpose:  To perform a critical analysis of the available scientific evidence on the effect of the traditional approaches in spasticity recovery of the lower limbs in post-stroke individuals.  Methods:  Randomized controlled Trials available in PubMed, MEDLINE, PEDro, CINAHL, and Scopus data SCIENCEDIRECT bases were included in this study. The methodological quality of included articles was evaluated by the PEDro scale.  Results:  Eleven studies were included, obtaining a methodological quality of intermediate to high. The main observed limitations of the analyzed studies were: the absence of sample size estimation, the lack of blind evaluators, loss of participants, heterogeneous samples, lack of standardized protocols and diversity of employed variables.  Conclusions:  Based upon the results, it can be suggested that spasticity reduction can be effective applying from three to five days interventions per week, lasting 40 minutes. However, such suggestions are supported by studies with methodological limitations and employing different procedures that prevent a direct comparison among the studies. Therefore new studies are required to evaluate the effectiveness of such approaches, to implement physiotherapy interventions based on the scientific evidences that would further contribute to a better quality of life of post-stroke individuals.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Terapia por ejercicio]]></kwd>
<kwd lng="es"><![CDATA[accidente cerebrovascular]]></kwd>
<kwd lng="es"><![CDATA[espasticidad muscular]]></kwd>
<kwd lng="es"><![CDATA[fisioterapia]]></kwd>
<kwd lng="es"><![CDATA[rehabilitación]]></kwd>
<kwd lng="en"><![CDATA[Exercise therapy]]></kwd>
<kwd lng="en"><![CDATA[stroke]]></kwd>
<kwd lng="en"><![CDATA[muscle spasticity]]></kwd>
<kwd lng="en"><![CDATA[physical therapy modalities]]></kwd>
<kwd lng="en"><![CDATA[rehabilitation]]></kwd>
</kwd-group>
</article-meta>
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<article-title xml:lang=""><![CDATA[Pitfalls in effectiveness research a comparative analysis of treatment goals and outcome measures in stroke rehabilitation]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lettinga]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Reynders]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Mulder]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Mol]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Clin Rehabil]]></source>
<year>2002</year>
<volume>16</volume>
<page-range>174-81</page-range></nlm-citation>
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</article>
