DigitalUM :: Browsing by browse.metadata.contributordepartment "Fisioterapia"

Browsing by browse.metadata.contributordepartment "Fisioterapia"

Now showing 1 - 20 of 49

Open Access
A new treatment for mammillary fistulas using ultrasound-guided percutaneous needle electrolysis
(MDPI, 2020-02-28) García Vidal, José Antonio; Escolar Reina, María P.; Medina Mirapeix, Francesc; Guzmán Aroca, Florentina; Berná Mestre, Juan de Dios; Berná Serna, Juan De Dios; Piñero Madrona, A.; Fisioterapia
The aim of this study was to investigate the efficacy of ultrasound-guided percutaneous needle electrolysis (PNE) in mammillary fistulas (MFs). A prospective study was performed in 18 patients with MF who were treated with the PNE technique. The technique was repeated in the case of no response or recurrence. The results obtained show that MFs revealing an elongated appearance with the ultrasound (US) are generally resolved with two sessions of PNE, whereas ovoid MFs require several sessions of PNE for complete resolution and they tend to recur. Success of the treatment with PNE was observed in 88.8% of the patients (16/18), and failure, after five or six sessions in two cases (11.2%), which were referred for surgery. Conclusions: To the best of our knowledge this is the first study to reveal that the PNE technique is safe, effective, quick, and well-tolerated by patients.
Open Access
Apuntes de la Asignatura Técnicas de Tejidos Blandos y Estimulación
(Universidad de Murcia, 2024-05) Lozano Meca, J. A.; Fisioterapia; Facultad de Medicina
Open Access
Association of kinesiophobia with pain, disability and functional limitation in adults with knee osteoarthritis: A systematic review and meta-analysis
(Elsevier, 2024) Lozano Meca, José Antonio; Gacto Sánchez, Mariano Luis; Montilla Herrador, Joaquina; Fisioterapia; Facultades de la UMU::Facultad de Medicina
Knee osteoarthritis (KOA) is a prevalent degenerative joint disease associated with pain, disability, and functional limitations. Kinesiophobia, the fear of movement, has been linked to disability and pain in KOA patients. This study aimed to analyze the relationship between kinesiophobia and symptoms of KOA. A comprehensive literature search was conducted in four electronic databases (PubMed/Medline, Web of Science, Scopus and Science Direct) with the following inclusion criteria: 1) recruited participants with diagnostic of knee osteoarthritis; 2) measures of pain, disability and/or functional limitation through questionnaires or physical tests; 3) articles exploring the correlation between kinesiophobia, and pain, disability, and/or functional limitation as principal or secondary outcome; 4) primary data studies (observational and experimental). A total of 17 studies involving 1,574 participants (mean age 61.04 ± 5.79 years) were included in the corresponding meta-analyses. Results showed a moderate correlation between kinesiophobia and disability (r = 0.519; p-value=0.004), and fair correlations of kinesiophobia with pain (r = 0.362; p-value<0.001), and functional limitation (r = 0.270; p-value<0.001). Despite high heterogeneity (I2: 89.4% for pain, 94.6% for disability, and 90.4% for functional limitation), 52% of studies displayed low risk of bias. In conclusion, kinesiophobia positively correlates with pain, disability, and functional limitation in KOA patients.
Open Access
Burden of disability in children and adolescents must be integrated into the global health agenda
(BMJ Publishing Group, 2021-03-18) Cieza, Alarcos; Kamenov, Kaloyan; Gacto Sánchez, Mariano Luis; Balasegaram, Mangai; Chatterji, Somnath; Lincetto, Ornella; Servili, Chiara; Bermejo, Raoul; Ross, David; Fisioterapia
Disability has low priority in the general agenda of child and adolescent health. Although one billion people have some form of disability, people with disability are among the world’s most marginalised and discriminated against groups. Driven by global goals, most countries have focused primarily on reducing childhood mortality, leaving disability low in their priorities. Few countries provide adequate quality services. There are at least three good reasons why countries urgently need to tackle this. Firstly, the number of people living with disability is set to increase dramatically because of epidemiological and demographic trends, such as the relatively young populations of low income countries. These trends are usually considered in terms of increasing disability among older people with chronic conditions, rather than among children. With child survival increasing but not all children who survive being able to thrive, more children will need health services to optimise their developmental outcomes. However, most health systems lack capacity to deal with current needs of children with disability, let alone meet the rising demand. Secondly, children with disability often need specific rehabilitation services related to their impairment or disability. Rehabilitation interventions—which can tackle impairments, functioning limitations, and restrictions such as mobility, vision, and cognition—can have a profound impact on functioning and wellbeing. Rehabilitation is often required for considerable periods of time. The limited evidence available shows major gaps and unmet needs for such services, particularly in low income countries. Lastly, access to appropriate care is a fundamental human right. Children with disability repeatedly face barriers to care, including physical ones, causing much suffering, hardship, and isolation. But the greatest obstacles they encounter are negative or ill informed attitudes. Without a shift in attitudes, it is likely that they will continue to be denied access to care by health providers.
Open Access
Burnout and physical symptoms in healthcare professionals: a cross-sectional study
(Wiley, 2025-11-23) Puigtió Rebollo, Núria; Serdà Ferrer, Bernat Carles; Sitjar Suñer, Miquel; Gacto Sánchez, Mariano Luis; Fisioterapia
Aim: The Burnout syndrome (BOS) generates sustained stress and an inability to cope with demands. The aims of this cross-sectional study were (1) to describe the prevalence of BOS; (2) to explore the relation of the BOS with physical symptoms; and (3) to determine the profile favouring the development of the BOS. Design: A cross-sectional descriptive study. Methods: The study was conducted among a sample of 759 healthcare professionals. Data on sociodemographic variables, physical symptoms, the Maslach Burnout Inventory, Cervical Disability Index and Numeric Pain Rating Scale were collected. Results: The prevalence of BOS was high, since more than one out of two participants experienced the syndrome. Mild-moderate levels of burnout were the most prevalent, whilst a low percentage of healthcare professionals displayed signs of severe burnout. High Emotional Exhaustion was the most common dimension, followed by high Depersonalisation, and low levels of Personal Fulfilment. Roughly three out of four participants experienced muscle pain. A nurse of young age working in a hospital or an emergency department emerges as a specific vulnerable profile. Conclusion: The high prevalence of BOS detected among healthcare professionals propels stakeholders to take proactive actions to prevent and revert this health condition, especially considering the profile of nurses at a young age working at a hospital or emergency department, since this specific profile is at a higher risk. The current study confirms the need to prevent and overcome BOS by means of developing and implementing multidimensional tailored interventions to decrease and/or revert symptoms, including psychological aspects associated with the syndrome itself, alongside decreasing unspecific muscle pain in the vertebral region. Implications for the profession and/or patient care: Gender is not a specific predictor of the development of BOS. Nurses usually show high Emotional Exhaustion and low Personal Fulfilment. The presence of BOS is also associated with muscle pain. Advocacy on prevention, assessment and screening of BOS in the field of healthcare is of paramount importance. Impact: Proactive actions shall be adopted to prevent and overcome BOS in healthcare professionals by means of developing and implementing multidimensional tailored interventions to decrease and/or revert symptoms including psychological aspects associated to the syndrome alongside decreasing unspecific muscle pain in the vertebral region.
Open Access
Cervical Magnetic Resonance Imaging Profiles and Their Association with Cervical Pain in Dentists: A Cluster Analysis Study
(MDPI, 2026-01-09) Aitor Baño ALcaraz; Ana López Morales; Manuel López Nicolás; José Antonio García Vidal; Germán Cánovas Ambit; Fisioterapia
Open Access
Concurrent validity of the 2-and 6-minute walk test in knee osteoarthritis
(Elsevier, 2023-06-01) Gacto Sánchez, Mariano Luis; Lozano Meca, José Antonio; Montilla Herrador, Joaquina; Lozano-Guadalajara, Juan Vicente; Fisioterapia
Background: The 6-Minute Walk Test (6MWT) is frequently used for the assessment of walking distances in several conditions, as knee osteoarthritis, but it can be both timeconsuming for the researcher or clinician, and exhausting of painful for the subject suffering from this condition. The objective of our study was to analyze the concurrent validity of the 2-Minute Walk Test (2MWT) for patients with knee osteoarthritis compared to the 6-Minute Walk Test (6MWT). Methods: Cross-sectional validation study. Scores from the 6MWT of 42 ambulatory patients affected by knee osteoarthritis were compared to those from the shorter 2MWT. An initial correlation test was used to assess correlation between both measures, and a subsequent univariate regression analysis was performed with the aim of comparing the estimated outcomes of the 6MWT versus the actual 6MWT. Results: The scores from the 2MWT and 6MWT showed excellent correlation (Pearson’s correlation coefficient r = 0.976; p-value < 0.001); the predictive equation based on the scores from the 2MWT (R2 = 0.952, p-value < 0.001) estimates the 6MWT scores with a relative error of 3.23%. Conclusions: The 2MWT may be a practical assessment tool in replacement for the 6MWT in clinical assessment due to its low burden on patients and as a means of improving efficiency in a timely manner.
Open Access
Diferencias en el volumen inspiratorio máximo obtenido mediante el uso de dos tipos de inspirómetros de incentivo entre sujetos obesos y con normopeso
(2020-05-15) Quiles Mateo, Antonio; Ríos Cortés, Antonio Tomás; Fisioterapia; Medicina
Introducción: Las personas obesas son una población susceptible de requerir Fisioterapia respiratoria debido a las complicaciones pulmonares postoperatorias que pueden presentan. Entre ellas se encuentran las atelectasias y las complicaciones postquirúrgicas pulmonares, situaciones donde está indicado el inspirómetro de incentivo. El objetivo del estudio fue analizar las posibles diferencias respecto al volumen máximo obtenido entre sujetos obesos y sujetos con normopeso, con los que se encuentran emparejados, e intentar determinar la relación de las diferentes variables antropométricas y de función pulmonar. Métodos: El estudio que se llevó a cabo fue de tipo observacional transversal. Las funciones pulmonares fueron registradas por un espirómetro, al cual se conectó el inspirómetro incentivado volumétrico y el inspirómetro incentivado de flujo (subiendo 2 bolas y 3 bolas) para calcular el volumen máximo alcanzado. Posteriormente, se registró el esfuerzo percibido y la preferencia por un dispositivo o forma de uso. Resultados: Se analizaron datos de 30 obesos emparejados. Las diferencias en el volumen máximo obtenido, expresado en porcentaje, fueron estadísticamente significativas entre ambos grupos, tanto con el inspirómetro incentivado volumétrico como con el incentivador de flujo (ascendiendo 2 bolas), aunque no se observan diferencias dentro de cada grupo. El IMC no se correlaciona con esas diferencias. Además, los sujetos exfumadores alcanzaron un mayor volumen con el inspirómetro incentivado de flujo elevando 2 bolas, mientras que la otra versión de su uso, elevando 3 bolas, produjo más cansancio en la población obesa.
Open Access
Effect of different types of exercise on fitness in people with multiple sclerosis: a network meta-analysis
(Wiley, 2023-05-24) Reina Gutiérrez, Sara; Meseguer Henarejos, Ana Belén; Torres Costoso, Ana; Álvarez Bueno, Celia; Cavero Redondo, Iván; Núñez de Arenas Arroyo, Sergio; Guzmán Pavón, María José; Sánchez López, Mairena; Martínez Vizcaíno, Vicente; Fisioterapia
Background: It is assumed that people with multiple sclerosis (MS) who participate in programs of physical exercise improve their physical fitness. Objective: The aim of this network meta-analysis (NMA) was to analyze the effect of different types of exercise on muscular fitness and cardiorespiratory fitness (CRF) among people with MS and to determine the best type of exercise according to disease severity. Methods: MEDLINE, the Physiotherapy Evidence Database, the Cochrane Library, SPORTDiscus, Scopus, and Web of Science were searched from inception to April 2022 to identify randomized controlled trials (RCTs) concerning the effect of physical exercise on fitness in people with MS. We ranked the types of physical exercise by calculating the surface under the cumulative ranking (SUCRA). Results: We included 72 RCTs involving 2543 MS patients in this NMA. A ranking of five types of physical exercise (aerobic, resistance, combined [aerobic and resistance], sensorimotor training, and mind–body exercises) was achieved. Combined and resistance training had the highest effect sizes (0.94, 95% CI 0.47, 1.41, and 0.93, 95% CI 0.57, 1.29, respectively) and the highest SUCRA (86.2% and 87.0%, respectively) for muscular fitness. The highest effect size (0.66, 95% CI 0.34, 0.99) and SUCRA (86.9%) for CRF was for aerobic exercise. Conclusions: Combined and resistance training seem to be the most effective exercises to improve muscular fitness and aerobic exercise for CRF in people with MS.
Open Access
Factors Associated with Parents' Adherence to Different Types of Exercises in Home Programs for Children with Disabilities
(2019-04-05) Lillo Navarro, Carmen; Montilla Herrador, Joaquina; Escolar Reina, Pilar; Oliveira Sousa, Silvana Loana de; García Vidal, José Antonio; Medina Mirapeix, Francesc; Fisioterapia
There is a lack of knowledge with regard to the adherence to different types of exercises prescribed for children with disabilities. The aim was to examine parents' adherence to prescriptions of different types of home exercises; to identify associated factors related to the parents, the children and the environment, and to assess the relative influence of the behaviour of health professionals. Parents (393) were recruited from 18 early intervention centres. A cross-sectional survey using a self-reported questionnaire was used to examine whether three types of exercises ("flexibility exercises", "neuromotor development training" and "body mechanics and postural stabilisation") were prescribed in their home programs; if the child had received exercises according to a prescription; and items related to the parents, child, environment, and health professionals. The adherence rates were different among the types of exercises. Parents with low perception of barriers and high self-efficacy had a higher adherence to neuromotor development training and postural stabilization, whereas parents with a high level of knowledge increased their odds of adherence to flexibility exercises. Health professionals' behaviour had a distinct influence on the adherence to different exercises. This study suggests the need to specifically consider the types of exercises prescribed in the management of adherence to home programs.
Open Access
Frailty transitions and associated clinical outcomes in patients with stable COPD: A longitudinal study
(2020-04-03) Bernabeu Mora, Roberto; Oliveira Sousa, Silvana Loana de; Sánchez Martínez, Piedad; García Vidal, José Antonio; Gacto Sánchez, Mariano; Medina Mirapeix, Francesc; Fisioterapia
Background: Although frailty is a frequent occurrence in chronic obstructive pulmonary disease (COPD) patients, evidence on the frequency of frailty transition is scarce. Aims: The present study aimed to describe the frailty status transition rates over a 2-year period and their associated clinical outcomes in stable COPD patients, and to determine predictors of improvement in frailty status. Methods: We prospectively included 119 patients with stable COPD (mean age ± SD, 66.9 ± 7.9 years) over a follow-up period of 2 years. Frailty was assessed using the Fried criteria (unintentional weight loss, weakness, exhaustion, low activity level, and slow walking speed). Several demographic, clinical, and health-related variables were measured. We calculated the rates for each of the frailty transitions (no change, improvement, or worsening) between baseline and 2 years. Outcomes were compared using one-way analysis of variance and predictors of improvement were identified in multivariate logistic regression. Results: After 2 years of follow-up, 21 (17.6%) patients had an improved frailty status, 14 (11.7%) had worsened, and 84 (70.5%) had maintained the same frailty status. The worsening group (vs no change group) had greater dyspnea (p = 0.013) and disability (p = 0.036) and lower handgrip strength (p = 0.001). In contrast, the improved group (vs no change group) had greater handgrip (p<0.001) and quadriceps strength (p = 0.032). Furthermore, the improved group had greater handgrip strength (p<0.001), quadriceps strength (p = 0.003), physical activity (p = 0.008), and lower disability (p = 0.019) than the worsening group. Additionally, we determined that the 5STS test (≤ 13.6s) and exacerbations (≥ 2) were independent predictors for improvement in frailty status [adjusted OR 9.46, p = 0.058 and adjusted OR 0.12, p = 0.026, respectively]. Conclusions: Frailty is a dynamic process for approximately one-third of patients with stable COPD and transitions in frailty status are associated with significant changes in clinical outcomes. The 5STS and exacerbations were independent predictors of improvement in frailty status.
Open Access
Galvanic current activates the NLRP3 inflammasome to promote Type I collagen production in tendon
(eLife Sciences Publications, 2022-02-24) Peñin Franch, Alejandro; García Vidal, José Antonio; Escolar Reina, Pilar; Martínez Ojeda, Rosa M. ; Gómez, Ana I.; Bueno García, Juan Manuel; Minaya-Muñoz, Francisco; Valera-Garrido, Fermín; Escolar Reina, Pilar; Bueno García, Juan Manuel; Medina i Mirapeix, Francesc; Martínez Cáceres, Carlos Manuel; Fisioterapia
The NLRP3 inflammasome coordinates inflammation in response to different pathogen- and damage-associated molecular patterns, being implicated in different infectious, chronic inflammatory, metabolic and degenerative diseases. In chronic tendinopathic lesions, different non-resolving mechanisms produce a degenerative condition that impairs tissue healing and which therefore complicates their clinical management. Percutaneous needle electrolysis consists of the application of a galvanic current and is an emerging treatment for tendinopathies. In the present study, we found that galvanic current activates the NLRP3 inflammasome and induces an inflammatory response that promotes a collagen-mediated regeneration of the tendon in mice. This study establishes the molecular mechanism of percutaneous electrolysis that can be used to treat chronic lesions and describes the beneficial effects of an induced inflammasome-related response.
Open Access
Group exercise in long-term care facilities, alignment with World Health Organization recommendations: a cross-sectional survey
(Springer Nature, 2025-02-22) Montilla Herrador, Joaquina; Poveda López, Salud; Lillo Navarro, Carmen; Fisioterapia; Facultades de la UMU::Facultad de Medicina
Background: Maintaining functional status in institutionalized older people is a challenge for long-term care (LTC) institutions. In this regard, exercise may have positive effects. The World Health Organization (WHO) has issued guidelines which include recommendations of exercise for each population group. Nonetheless, the literature shows that the levels of exercise among institutionalized population are still low. Aims: This study sought to determine: (1) the characteristics of exercise programs for older people performed by health professionals in LTC facilities, (2) the knowledge and use of the WHO recommendations and guidelines for exercising among older people in LTC facilities; (3) the limitations identified by health professionals regarding the application of the WHO guidelines. Materials and methods: A cross-sectional national survey following STROBE guideline was performed. Sample: professionals developing exercise programs for institutionalized older people. A Delphi study was conducted to create the survey which included sociodemographic data, exercise characteristics, knowledge about WHO recommendations and limitations regarding their application. Descriptive statistics were used on the data, such as Pearson's χ2 and independent t- test. Results: Many professionals do not know (27,5%) or do not follow (52%) the guidelines proposed by the WHO. There is a low weekly frequency for strength exercises (30%) and aerobic exercise (51%). The professional contract influences the weekly frequency of exercise. Most identified limitations for using the WHO recommendations were the lack of time and large groups. Discussion and conclusions: Recommendations of WHO guidelines are familiar to many professionals, however, some are difficult to implement in exercise programs in LTC facilities.
Embargo
Higiene postural y prevención de lumbalgias
(Ediciones Pirámide, 2003) Gómez Conesa, Antonia; Garcés de los Fayos Ruiz, Enrique; Martínez González, Mariano; Fisioterapia
Open Access
Identifying COPD patients with poor health status and low exercise tolerance through the five-repetition sit-to-stand test and modified Medical Research Council Dyspnea Score
(Elsevier, 2024-07-01) Bernabeu Mora, Roberto; Oliveira Sousa, Silvana Loana de; Medina i Mirapeix, Francesc; Gacto Sánchez, Mariano Luis; Fisioterapia
Background: The objective of this study was to determine whether the concomitant presence of poor health status (COPD Assessment Test, CAT ≥ 10 points) and low exercise tolerance (6-Minute Walking Test, 6MWT < 350 m) is associated with worse clinical characteristics in patients with COPD. In addition, we aimed to develop a readily applicable diagnostic model to discriminate COPD patients with these conditions. Methods: A cross-sectional multicenter study involving 208 stable COPD patients (FEV1/FVC < 0.7, smoking history of at least 10 pack-years, and chronic respiratory symptoms) was carried out. The outcome measures were the 6MWT, CAT score, 5-repetition sit-to-stand test (5STS) and modified Medical Research Council Dyspnea Scale (mMRC). Patients were categorized into three groups: no condition (6MWT ≥ 350 m and CAT < 10 points), one condition (6MWT < 350 m or CAT ≥ 10 points), and both conditions (6MWT < 350 m and CAT ≥ 10 points). Results: A total of 26 patients (12,5%) presented both conditions. These patients experienced a higher degree of dyspnea (p = 0.001), smoking pack-years (p = 0.011), severe obstruction (p = 0.006), and time on 5STS (p = 0.001). The probability of having both conditions directly increased with the time spent on the 5STS (β=0.188; p = 0.010) and the degree of dyspnea (β=1.920; p < 0.001) (R2=0.413). The scoring system, using the 5STS and dyspnea as surrogate measures, demonstrated adequate calibration between the predicted and observed risk (linear R2=0.852). Conclusions: COPD patients with concurrent conditions have worse clinical status. The diagnostic model developed to discriminate these patients shows good internal validation.
Open Access
In vitro bacteriological effect of tri-beveled needle electrolysis against Staphylococcus aureus
(Nature Research, 2022-07-06) García Vidal, José Antonio; Salinas, Jesús; Escolar Reina, Pilar; Camacho Alonso, Fabio; Medina Mirapeix, Francesc; Ortega Hernández, Nieves; Fisioterapia
Percutaneous needle electrolysis using tri-beveled needles with a specific protocol (5 mA applied for 25 s) has demonstrated to provoke a clinical reduction of recurrent bacterial infections in mammary fistulas. However, the bactericidal effect of needle electrolysis in this pathology remains theoretical. This in vitro study evaluated the bactericidal effect of this protocol and whether it changed when introducing small variations. Staphylococcus aureus were generated in saline solution (9 Log10 CFU/mL) and treated in three different experiments including the main protocol and introducing variations in needle gauge, intensity, and total dosage, respectively. After 24 h, the viable cell count showed that the protocol had an average reduction of 5 log10 CFU/ml compared to the control group. While variations in needle gauge did not modify this effect, variations in current intensity or dosage did. This study demonstrated that the bacterial effect was greater by increasing either current intensity or total dosage, and it decreased with substantial reductions of these parameters.
Open Access
Infrared thermography, intratendon vascular resistance and echotexture in athletes with patellar tendinopathy: a cross-sectional study
(SAGE Publications, 2023-03) Molina Payá, Francisco J.; Ríos Díaz, José; Carrasco Martínez, Francisco; Martínez Payá, Jacinto Javier; Fisioterapia
Background: Ultrasonographic signs of tendinopathies are an increase in thickness, loss of alignment in collagen fibers and the presence of neovascularization. Nevertheless, analysis of intratendinous vascular resistance (IVR) can be more useful for understanding the physiological state of the tissue. Objective: To show thermal, echotextural and Doppler signal differences in athletes with patellar tendinopathy and controls. Methods: Twenty-six athletes with patellar tendinopathy (PT) participants (30.1 yrs; SD= 9.0 yrs) and 27 asymptomatic athletes (23.3 yrs; SD= 5.38 yrs) were evaluated with thermographic and Doppler ultrasonography (DS). Area of Doppler signals (DS), echotextural parameters (echointensity and echovariation) and IVR were determined by image analysis. The statistical analysis was performed by Bayesian methods and the results were showed by Bayes Factor (BF10: probability of alternative hypothesis over null hypothesis), and Credibility intervals (CrI) of the effect. Results: The absolute differences of temperature (TD) were clearly greater (BF10= 19) in the tendinopathy group (patients) than in controls. Regarding temperature differences between the affected and healthy limb, strong evidence was found (BF10= 14) for a higher temperature (effect= 0.53 ºC; 95% CrI=0.15 to 0.95 ºC) and very strong for reduced IVR compared (BF10= 71) (effect= -0.67; 95% CrI=- 1.10 to -0.25). The differences in area of DS (BF10= 266) and EV (BF10= 266) were higher in tendinopathy group. TD showed a moderate positive correlation with VISA-P scores (tau-B=.29; 95% CrI=.04 to .51) and strong correlation with IVR (r=-.553; 95%CrI=-.75 to -.18). Conclusion: Athletes with patellar tendinopathy showed a more pronounced thermal difference, a larger area of Doppler signal, a lower IVR and a moderately higher echovariaton than controls. The correlation between temperature changes and IVR might be related with the coexistence of degenerative and inflammatory process in PT.
Restricted
Intra- and inter-rater reliability of electrical impedance myography using adhesive electrodes in healthy volunteers
(Elsevier, 2020-09-02) Martínez González, Mariano; Montilla Herrador, Joaquina; García Vidal, José Antonio; Escolar Reina, Pilar; Gacto Sánchez, Mariano; Medina Mirapeix, Francesc; Fisioterapia
In spite of the growing use of the electrical impedance myography (EIM) measures for clinical assessment and follow-up of diseased muscle tissue, reliability studies are scarce. We evaluate the reliability of the (EIM) technique using four adhesive electrodes over the muscle of interest. Intra- and inter-rater reliability was studied within the same session and between sessions. Thirty-one healthy and volunteer subjects aged between 20 and 26 years were recruited. Phase angle, reactance and resistance were assessed for each EIM measurement. Intraclass correlation coefficient (ICC) was used to determine the relative reliability. Absolute reliability was expressed as the standard error of measurement and the minimum detectable change. Relative reliability within the same session and between sessions for the EIM technique was excellent (ICCs > 0.9) concerning both intra- and inter-rater reliability, except for the component reactance. The absolute reliability was very high for the three EIM components. EIM measures using four adhesive electrodes over the area of interest is a reliable technique to assess muscle tissue status. This study confirms that these measurement results barely vary depending on the examiner and the moment. The present study also confirms phase angle as the least affected EIM component by examiner and evaluation moment.
Restricted
Kinesiotape on quadriceps and gluteus in counter movement jump and sprint in soccer players
(Elsevier, 2021-03-04) Reina Abellan, J.; Yuste Lucas, Juan Luis; Mora Cabrera, O.; Gómez-Tomás, C.; Fisioterapia; Expresión Plástica, Musical y Dinámica
Background: Kinesiotape (KT) is a technique commonly used in sports practice. It may be beneficial in enhancing muscle function by additional cutaneous afferent stimulation. The objective of this study was to analyse the effect of KT on countermovement jump (CMJ) and 20-m sprints (sp) immediately and 24 h after its application on the quadriceps and gluteus maximus. Methods: 37 male soccer players (19.7 ± 0.9 years old) were randomly assigned to one of 3 groups: experimental group: KT activation (KTact), placebo group: sham tape (KTst), and control group (CG). Participants performed a 30-min preliminary warm-up, after which they conducted CMJ and 20-m sp tests. These tests were repeated later (with KT application or not) and after 24 h. Results: Intergroup results found no significant differences either post-test (CMJ, p = 0.115; sp, p = 0.307) or after 24 h (p = 0.053). Intragroup results showed no significant results for CMJ, although 20-m sp seemed to display significant differences in the (KTst) (p = 0.002, post-hoc: 0.015 in pre_sp vs post_sp) and the (KTact) (0.021, in post-hoc: 0.007 in pre_sp vs post_sp), with a moderate effect in pre_sp vs post_sp (0.66) in the (KTact) after KT was applied. Conclusion: KT application on the gluteus maximus and quadriceps in young soccer players increases the sprint execution time immediately and 24 h after application, even that the sprint execution time had not been grater that one tenth of the second (0.08 s). It also has no effect on CMJ.
Open Access
Knowledge and Attitudes towards Patient Safety among Students in Physical Therapy in Spain: A Longitudinal Study
Montilla Herrador, J.; Lozano Meca, J. A.; Baño Alcaraz, A.; Lillo Navarro, M. C.; Martín San Agustín, R.; Gacto Sanchez, M. L.; Fisioterapia
Background: Patient safety is a discipline of health care management aiming to prevent and reduce errors and harm to patients. The assessment of knowledge and attitudes on patient safety among students in physical therapy is still scarce; no studies have yet explored the changes that internship periods may produce. Objectives: 1. to determine the attitudes and knowledge of students in physical therapy with respect to patient safety in a Spanish University; and 2. to explore changes following a practical internship period. (2) Methods: Longitudinal study. Data from the Attitudes to Patient Safety Questionnaire III (APSQ-III) before and after the internship period were obtained from an initial sample of 125 students and average positive response rates were compared. (3) Results: “Team functioning”, “Importance of patient safety in the curriculum”, and “Error inevitability” displayed the highest scores, in accordance with the current literature. After the internship period, the dimensions “Patient safety training received” (p = 0.001), “Error reporting confidence” (p = 0.044), and “Professional incompetence as an error cause” (p = 0.027) showed significant changes. (4) Conclusions: The current study, highlighting areas of strengths and weaknesses in the knowledge and attitudes of students in physical therapy towards patient safety, may be a foundation to adopt tailored programs to enhance students’ competencies in patient safety