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Sánchez Martínez, Mª Piedad

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Sánchez Martínez, Mª Piedad
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Universidad de Murcia. Departamento de Fisioterapia
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    Stability and predictors of poor 6-min walking test performance over 2 years in patients with COPD
    (MDPI, 2020-04-18) Sánchez Martínez, Mª Piedad; Bernabeu Mora, Roberto; Martínez González, Mariano; Gacto Sánchez, Mariano Luis; Martín San Agustín, Rodrigo; Medina i Mirapeix, Francesc; Fisioterapia; Facultad de Medicina
    Poor performance in the 6-min walk test (6MWT < 350 m) is an important prognostic indicator of mortality and risk of exacerbations in patients with chronic obstructive pulmonary disease (COPD). Little is known about the stability of this state over time and what factors might predict a poor 6MWT performance. To determine the stability of 6MWT performance over a 2-year period in COPD patients participating in annual medical follow-up visits, and to assess the ability of several clinical, pulmonary, and non-pulmonary factors to predict poor 6MWT performance, we prospectively included 137 patients with stable COPD (mean age, 66.9 8.3 years). The 6MWT was scored at baseline and 2-year follow-up. To evaluate clinical, pulmonary, and non-pulmonary variables as potential predictors of poor 6MWT performance, we used multiple logistic regression models adjusted for age, sex, weight, height, and 6MWT performance at baseline. Poor 6MWT performance was stable over 2 years for 67.4% of patients. Predictors of poor 6MWT performance included a five-repetition sit-to-stand test score 2 (OR, 3.01; 95% CI, 1.22–7.42), the percentage of mobility activities with limitations (OR, 1.03; 95% CI, 1.00–1.07), and poor 6MWT performance at baseline (OR, 4.64; 95% CI, 1.88–11.43). Poor 6MWT performance status was stable for the majority of COPD patients. Lower scores on the five-repetition sit-to-stand test and a higher number of mobility activities with limitations were relevant predictors of poor 6MWT performance over 2 years. Prognostic models based on these non-pulmonary factors can provide non-inferior discriminative ability in comparison with prognostic models based on only pulmonary factors.
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    Relación entre el sexo, edad e índice de masa corporal y el Foot Function Index en pacientes con fascitis plantar
    (Universidad Complutense de Madrid, 2018-09-12) Baño Alcaraz, Aitor; Sánchez Martínez, Mª Piedad; García Vidal, José Antonio; Belmonte Albaladejo, Agustín; Martín San Agustín, Rodrigo; Fisioterapia
    La fascitis plantar es una de las patologías de miembro inferior que más impacto causan en la persona produciendo dolor, discapacidad y limitación funcional. Una serie de factores incrementan el riesgo de sufrir fascitis plantar tales como predominio del sexo femenino, edad avanzada y un índice de masa corporal (IMC) elevado. El impacto que produce la fascitis plantar en la persona ser cuantificado por escalas para darnos información en la clínica acerca del estado de nuestros pacientes. Métodos y objetivos: Se realizó un estudio observacional transversal con 28 participantes que sufrían fascitis plantar y se les administra la encuesta FFI-sp con el propósito de determinar la relación entre las subescalas incluidas en el FFI-sp con el sexo, edad e IMC en pacientes con fascitis plantar. Resultados: No se han obtenido resultados significativos que indiquen relación del sexo, edad e IMC con las subescalas incluidas en el FFI-sp. Conclusión: No se ha encontrado relación entre FFI-sp y las variables sexo, edad e IMC.
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    Mobility limitations related to reduced pulmonary function amongaging people with chronic obstructive pulmonary disease
    (Plos One, 2018-05-01) Medina i Mirapeix, Francesc; Bernabeu Mora, Roberto; Sánchez Martínez, Mª Piedad; Montilla Herrador, Joaquina; Myriam Bernabeu Mora; Escolar Reina, Pilar; Fisioterapia; Facultades de la UMU::Facultad de Medicina
    Background Chronic obstructive pulmonary disease (COPD) is a major cause of disability. We aimed to analyse the impact of reduced pulmonary function on non-respiratory impairments and mobility activity limitations in an elderly population with COPD and to elucidate which spe cific limitations on mobility are related to reduced pulmonary function Methods Cross-sectional study of 110 patients with COPD, recruited from public and university hospi tal. The effect of impaired pulmonary function on the risk of non-respiratory impairments and mobility limitations was analysed using validated measures, including: the 6-Minute Walk Test (6MWT), skeletal muscle strength, the Short Physical Performance Battery (SPPB), andself-reported mobility questionnaire. Multivariate analysis was used to control for con founders such as age, sex, height, education, and cigarette smoking. Results Greater impairment of pulmonary function was associated with less distance walked during the 6MWT,poorerSPPBscores,andgreater risk of self-reported mobility limitations (p<0.05). Lower forced expiratory volume in 1 s was also associated with a greater risk of limitations in carrying items under 10 pounds (4.54 kg), walking alone up and down a flight of stairs, and walking two or three neighbourhood blocks. There was no clear statistical rela tionship between pulmonary function impairment and skeletal muscle strength. Conclusions Impaired pulmonary function was associated with the 6MWT score and limitations on perfor mance-based and self-reported mobility activities, but not with skeletal muscle strength amongelderly COPDpatients
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