Browsing by Subject "Physiotherapy"
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- PublicationOpen AccessEffect 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; FisioterapiaBackground: 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.
- PublicationOpen AccessEngaño académico en contexto de pandemia: Reporte de estudiantes de fisioterapia(Centro de Estudios en Educación Médica de la Universidad de Murcia (CeuEM) y Universidad de Murcia. Servicio de publicaciones, 2022) Reinoso-González, EduardoIntroducción: En el marco del actual escenario sanitario, la educación médica ha debido alinear sus procesos de formación con base en el confinamiento y la modalidad e-learning. ElSARS COV-2 impulsó el uso masivo de la tecnología para continuar con los diferentes programas, lo que no sólo ha significado un cambio en la modalidad de entrega de contenidos, prácticas clínicas y evaluación, sino un aumento significativo en los comportamientos de engaño académicopor parte del cuerpo estudiantil. Objetivo: Describir el reporte de estudiantes de segundo año de la salud sobre el engaño académico en contexto de pandemia. Método: Estudio cualitativo fenomenológico hermenéutico con técnica de análisis de contenido, mediante recolección de datos por entrevista individual a una muestra de 73 estudiantes de segundo año de fisioterapia de la Universidad Católica de la Santísima Concepción, Chile. Resultados: Se obtuvieron categorías del discurso estudiantil sobre el engaño académico: a) Motivación del fenómeno, b) Recomendaciones para evitar el fenómeno, c) Obstaculizadores del fenómeno, d) Facilitadores del fenómeno y e)Reflexiones sobre el fenómeno. Conclusiones: Los estudiantes que reconocen realizar engaño académico durante la modalidad e-learning relacionan la modalidad virtual como uno de los facilitadores de esta conducta, que fortalece vínculos sociales y académicos con sus pares y recomiendan modificaciones en las formas de evaluación
- PublicationOpen AccessFactors 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; FisioterapiaThere 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.
- PublicationOpen AccessPatient's commitment to practicing home therapeutic exercises correctly(Universidad de Murcia. Servicio de Publicaciones, 2025) Almalty, Abdulmajeed R.; Mashaal, Ahmed Hussein; Hawamdeh, Mohannad; Sin departamento asociadoHome exercises are targeted exercises for specific muscles or muscle groups to be done by the patient at home without supervision. Prescribing physiotherapy home exercises is one of the most essential aspects of the treatment plan for any patient. The aim of this study was to explore the problem of adherence to physiotherapy home exercise in Jordan and find out the main obstacles that face Jordanian citizens in applying their prescribed home exercises. An online survey accessed through a hyperlink was directed to clients (n=76 ; 50% female, 50% male ) of physiotherapy centers in Jordan, aged 18 22 years. The link to survey was given to clients who were asked to re share the link with them friends and relatives who visit other physiotherapy centers on regular basis in order to reach maximum number of participants. Low adherence to home exercises could be attributed to participants’ laziness, no time and not understanding what they were supposed to do. However, regarding p erceived importance and benefits , most declared the need for home exercise and stated that they could help with everyday activities if done regularly, despite the poor level of commitment.
- PublicationOpen AccessTaxonomía de tipos de desempeño en Fisioterapia, desde saberes procedimentales técnicos al desempeño profesional(Universidad de Murcia. Servicio de publicaciones, 2025) Korell, Mario; Merlo, María Laura; DepartamentosEl trabajo presenta una taxonomía de los tipos de desempeño como marco de referenciapara la planificación y programación de planes de enseñanza orientados al desarrollo decompetencias en Fisioterapia, aunque puede aplicarse a otras profesiones. En la literatura existendiversos marcos de referencia basados en el logro de competencias que dan fundamento a la construcción de la taxonomía, además, se han consultado trabajos relacionados con la temática. Se trata de un trabajo de desarrollo, cualitativo, mediante análisis documental y consulta por encuesta a kinesiólogos que se desempeñan como docentes de prácticas clínicas en la Universidad. A partir de la revisión de la literatura queda planteada la necesidad de aportar una clasificación de los desempeños en base a saberes procedimentales considerando los grados de integración y niveles de complejidad. Se identificaron 5 tipos de desempeño: basados en procedimientos técnicos,procedimientos estratégicos, tareas profesionales, actividades profesionales y el ser profesional. El artículo concluye enfatizando la relevancia de la taxonomía para el diseño curricular, la enseñanza de prácticas kinésicas y la formación de profesionales de la salud.
- PublicationOpen AccessTres semanas de docencia virtual en la Universidad de Murcia (II): Fisioterapia, Odontología, Cirugía y Fisiología(Centro de Estudios en Educación Médica de la Universidad de Murcia (CeuEM) y Editum (Servicio de Publicaciones de la Universidad de Murcia), 2020) Gómez Conesa, Antonia; Ortiz Ruiz, Antonio José; Cascales Campos, Pedro Antonio; García-Estañ López, JoaquínPresentamos un resumen de las actividades que algunos de los profesores de la Facultad de Medicina de Murcia han llevado a cabo durante las 3 semanas previas a las vacaciones de primavera. En éstas, la docencia presencial tuvo que ser sustituída por actividades en línea o virtuales, a causa de la implantación del estado de alarma en España, que motivó el cierre completo de las Universidades desde el 13 de marzo de 2020. Las experiencias son de Fisioterapia, Odontología Pediátrica,Fundamentos de Cirugía y Fisiología.
- PublicationOpen AccessUncertainty Tolerance in Physiotherapists: implications for their education from an observational study(Universidad de Murcia. Servicio de publicaciones, 2024) Infante Guedes, Aday; Etopa Bitata, María del Pilar; Quintana Montesdeoca, María del PinoAlthough uncertainty is common in the field of physiotherapy, little research has beenconducted on the topic of uncertainty tolerance (UT). This study builds on previous research thatexplored UT in novice physiotherapists and identified their educational needs in relation to UTusing the self-developed "Tolerance to Uncertainty in Physiotherapy" (TUP) questionnaire. Thepresent work aims to explore UT in experienced physiotherapists, identify their educational needsregarding uncertainty management, and compare them with novice physiotherapists. A cross-sectional quantitative observational study was conducted involving 40 physiotherapists with anaverage work experience of 11.9 (+7.52) years participated. The results show that the evaluatedphysiotherapists had a medium-high UT with 51 points (5.99) on the TUP scale. Years ofexperience could not be confirmed as a good predictor of UT, although a trend towards improvedUT was observed (r= -0.075, p-value = 0.645). Experienced physiotherapists were less nervous oranxious about unknown diagnoses and had less difficulty switching off mentally. However, theywere in agreement with novice physiotherapists in terms of requesting more diagnostic tests ormore frequent appointments. Implementing educational programmes to improve UT during thetraining period and in experienced professionals is essential