Patricia Martín Casas

C0065 Different feedback methods to improve lumbar multifidus contraction

Background The high prevalence of non-specific low back pain and its correlation with the findings in the lumbar multifidus muscles (electromyography activity, morphology and thickness) and good results in motor control exercises programs to reduce pain and disability justifies the use of tools to facilitate the integration of the muscle contraction. Methods Experimental study, randomised controlled trial single-blinded formed by 3 parallel groups: verbal order (n=5), visual feedback (n=6) and visual feedback with transcutaneous electrical stimulation (n=6). Descriptive data (age, gender, height and weight) and thickness of multifidus by ultrasound imaging data (2 pre-intervention and 2 post-intervention) were collected. Results Statistically significant differences were found in lumbar multifidus thickness after interventions between groups (p<0.001). Thickness differences were greater in visual feedback group (0.64 cm) and visual feedback with transcutaneous electrical stimulation (0.56 cm) than verbal order group (0.29 cm). Pre-intervention measurements error were less than 0.05 cm. Conclusions The results of this study suggest that the use of visual feedback by ultrasound imaging with or without transcutaneous electrical stimulation improve the lumbar multifidus contraction capacity in asymptomatic subjects.

Detection Systems of Occupational Diseases in Primary Care in Spain

Background: The underreporting of work-related illnesses is a recognized problem worldwide because there are also difficulties in recognizing and reporting them. Specific detection systems could be a good option to obtain data about occupational diseases and improving their approach. Objective: To analyze the different detection systems of occupational diseases in primary care in Spain. Methods: A literature search of the databases PubMed, CINAHL and Cochrane and official information systems from 2007 to the end of 2015 was conducted to select the studies related to the identification of occupational diseases in primary care. Results: Studies about primary care and occupational diseases in our country are limited. Detection systems of occupational diseases in primary care in Spain are still insufficient and there are important differences between different Autonomous Communities. Conclusions: Communication between primary care physicians and the managing entity for work-related health must improve through effective systems for appropriate notification and treatment of occupational diseases.