[ General postural rehabilitation in musculoskeletal diseases: scientific evidence and clinical indications].
Several studies on the treatment of musculoskeletal diseases with physiotherapy and clinical experiences on the basis of a method called Rééducation Posturale Globale (RPG), have highlighted the usefulness of this treatment. Although such treatment technique is commonly used in physical therapy practice, only few studies support its therapeutic effectiveness.


OBJECTIVE
To search the literature for evidence of RPG effectiveness, in order to identify the most appropriate therapeutic contexts for its use.


METHODS
A review of the literature through the following databases: PubMed, Embase, Cinahl, Pedro, and Medscape. The keywords used for the search in the databases are: Rééducation Posturale Globale, Souchard, Posture, and Manual Therapy. The following clinical studies were selected: randomized controlled studies, non-randomized controlled studies, observation studies, and case reports, in English, Spanish, Portuguese, and Italian.


RESULTS
Out of 18 studies found, 9 were analyzed: 2 randomized controlled studies, 2 non-randomized controlled studies, 3 non-controlled studies, and 2 case reports.


CONCLUSIONS
The RPG method has been shown to be an effective treatment technique for musculoskeletal diseases, in particular for ankylosing spondylitis, acute and chronic low back pain, and lumbar discherniation. Although the scarcity of rigorous experimental trials on a large scale does not allow the drawing of undisputable conclusions, the results gathered up to now are an encouragement to carry on research in the field of conservative treatment.
Vanti
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Dipartimento di Fisioterapia, Università di Bologna, Italia.
Generali
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A
Ferrari
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Nava
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T
Tosarelli
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D
Pillastrini
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P
D018849:Controlled Clinical Trials as Topic / Q000706:statistics & numerical data; D019317:Evidence-Based Medicine; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D009140:Musculoskeletal Diseases / Q000534:rehabilitation*; D026741:Physical Therapy Modalities; D011187:Posture; D016032:Randomized Controlled Trials as Topic / Q000706:statistics & numerical data; D016896:Treatment Outcome