R. López-Liria , D. Padilla Góngora , D.J. Catalán Matamoros , M.I.M.P. Sousa Coutinho , A.M. da Silva Miranda , A.C. Correia Brito
{"title":"Los servicios de fisioterapia domiciliaria en el sistema sanitario público de la Península Ibérica","authors":"R. López-Liria , D. Padilla Góngora , D.J. Catalán Matamoros , M.I.M.P. Sousa Coutinho , A.M. da Silva Miranda , A.C. Correia Brito","doi":"10.1016/j.rifk.2009.01.001","DOIUrl":"10.1016/j.rifk.2009.01.001","url":null,"abstract":"<div><h3>Objectives</h3><p>To become acquainted with the principal homecare physiotherapy services that are offered within the Public Health System for dependent elderly patients in the Iberian Peninsula (Spain and Portugal).</p></div><div><h3>Methods</h3><p>A thorough and up-dated review of the literature regarding previous studies, research stays in Hospitals, Primary Health Care Centers and Public Health institutions in both countries financed by the Public Health Administration; in-depth interviews with specific informants.</p></div><div><h3>Results</h3><p>The situation of homecare physiotherapy in Spain from the year 1987 to the August 2008 is described. In Portugal, these services are established within the services regulated by Primary Health Care (Decree-Law no. 28/2008, of February 22).</p></div><div><h3>Conclusions</h3><p>There are few studies in the Iberian Peninsula that offer scientific evidence based information on the effectiveness of these physiotherapy services, user satisfaction and the effect they have in relation to other treatments. However, these studies are needed in order to evaluate the current health legislations, appropriate distribution of resources, to review the clinical programs, clinical action methodologies, etc.</p></div>","PeriodicalId":101113,"journal":{"name":"Revista Iberoamericana de Fisioterapia y Kinesiología","volume":"12 1","pages":"Pages 46-57"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rifk.2009.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81963679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Iontoforesis en lesiones deportivas","authors":"J.A. Fernández Romeo","doi":"10.1016/j.rifk.2008.11.001","DOIUrl":"https://doi.org/10.1016/j.rifk.2008.11.001","url":null,"abstract":"","PeriodicalId":101113,"journal":{"name":"Revista Iberoamericana de Fisioterapia y Kinesiología","volume":"12 1","pages":"20-27"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rifk.2008.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72241970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Revisión narrativa del rol de la sentadilla en los programas de acondicionamiento neuromuscular y rehabilitación","authors":"I. Chulvi-Medrano","doi":"10.1016/j.rifk.2008.11.002","DOIUrl":"https://doi.org/10.1016/j.rifk.2008.11.002","url":null,"abstract":"","PeriodicalId":101113,"journal":{"name":"Revista Iberoamericana de Fisioterapia y Kinesiología","volume":"12 1","pages":"35-45"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rifk.2008.11.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72241967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Efectividad del uso combinado de varias escalas para medir el riesgo de caídas en ancianos","authors":"J. A. Gómez","doi":"10.1016/S1138-6045(08)76324-X","DOIUrl":"https://doi.org/10.1016/S1138-6045(08)76324-X","url":null,"abstract":"","PeriodicalId":101113,"journal":{"name":"Revista Iberoamericana de Fisioterapia y Kinesiología","volume":"37 1","pages":"60-67"},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78561334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Efectividad del uso combinado de varias escalas para medir el riesgo de caídas en ancianos","authors":"Javier Aceituno Gómez","doi":"10.1016/S1138-6045(08)76324-X","DOIUrl":"https://doi.org/10.1016/S1138-6045(08)76324-X","url":null,"abstract":"<div><h3>Objective</h3><p>To attempt to establish a relationship among combined actions of several assessment scales of risk of falls related to previous reports of involuntary falls by elderly institutionalized subjects in a day care service during the last year.</p></div><div><h3>Patients and methods</h3><p>Evaluations of day care center users were carried out with the Tinetti test, Timed up and Go, Functional Reach test and JH Dowton fall risk scale. In addition to age, the Barthel index of functional capacity and existence or not of falls during the last year was recorded.</p></div><div><h3>Results</h3><p>38 people (25 women and 13 men) were studied. Mean age was 81.5 (SD: 5.4) and the Barthel index 84.1(17.2). Individual tests showed a similar proportion of falls among users at risk (approx. 55 %) and a greater difference among users without risks. In an isolated way, the greatest predictive effectiveness on falls followed the next sequence: Tinetti, JH Dowton, Timed Up and Go and Functional Reach. Nevertheless, when the four trials are combined, it can be observed that 63.6% of the elderly have had 3 or 4 positive trials have suffered at least one fall during the last year, while this percentage is reduced to 25 % among those with 2 or less positives on the risk assessment scales.</p></div><div><h3>Conclusions</h3><p>The combined use of the four assessment scales used in this study shows better sensitivity to the risk of fall than evaluation with individual use of the above-mentioned tests.</p></div>","PeriodicalId":101113,"journal":{"name":"Revista Iberoamericana de Fisioterapia y Kinesiología","volume":"11 2","pages":"Pages 60-67"},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1138-6045(08)76324-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91649112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Programa de fisioterapia mejora a largo plazo las habilidades motoras en pacientes con enfermedad de Parkinson","authors":"Inés Gago Fernández, Jesús Seco Calvo","doi":"10.1016/S1138-6045(08)76326-3","DOIUrl":"https://doi.org/10.1016/S1138-6045(08)76326-3","url":null,"abstract":"<div><p>The objective of this study is to examine the effect physical therapy on patients with Parkinson's Disease (PD).</p><p>Nineteen patients were evaluated with the Unified Parkinson's Disease Rating Scale (UPDRS). UPDRS is a multidimensional scale composed of four sections: 1) mental state, behavior and attitude; 2) daily activities; 3) motor examination; 4) therapeutic complications and modified Hoehn-Yahr scale. The motor complications caused by the PD have an important effect on physical and functional capacity.</p><p>The results relative to motor examination in the stage pre-intervention and post-intervention are shown with the linear regression, using SPSS software version 14.0<sup>®</sup>.</p><p>Measurements of central trend of the global punctuation reached in the pre-intervention and post-intervention stages are: in the on stage, the average goes from 64.22<!--> <!-->±<!--> <!-->16.383 before physical therapy intervention to 50.89<!--> <!-->±<!--> <!-->19.499 after the intervention; in the off stage, the value of the average goes from 85.78<!--> <!-->±<!--> <!-->12.549 to 75.78<!--> <!-->±<!--> <!-->17.745.</p><p>Quantitative reduction of muscular strength in the back, hips, ankles, with damage in propioception, visual sense and the lowest support base, are the main causes of instability in patients with Parkinson's Disease.</p><p>If the number of sessions (groups 3 and 4) are increased to a range of 7-12, the scores on the motor examination are higher. This indicates that neck stiffness, body posture, balance and gait improve, and this improvement is longer-lasting.</p></div>","PeriodicalId":101113,"journal":{"name":"Revista Iberoamericana de Fisioterapia y Kinesiología","volume":"11 2","pages":"Pages 81-92"},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1138-6045(08)76326-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91648681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. B. M. Henarejos, F. M. I. Mirapeix, P. E. Reina, J. M. Herrador, Nuria Hernández Cascales, M. H. García
{"title":"Calidad percibida en la fisioterapia de atención primaria: situación y oportunidades de mejora en la atención a la cervicalgia","authors":"A. B. M. Henarejos, F. M. I. Mirapeix, P. E. Reina, J. M. Herrador, Nuria Hernández Cascales, M. H. García","doi":"10.1016/S1138-6045(08)76325-1","DOIUrl":"https://doi.org/10.1016/S1138-6045(08)76325-1","url":null,"abstract":"","PeriodicalId":101113,"journal":{"name":"Revista Iberoamericana de Fisioterapia y Kinesiología","volume":"10 1","pages":"68-80"},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79312033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana Belén Meseguer Henarejos , Francesc Medina i Mirapeix , Pilar Escolar Reina , Joaquina Montilla Herrador , Nuria Hernández Cascales , M. Carmen Hidalgo García
{"title":"Calidad percibida en la fisioterapia de atención primaria: situación y oportunidades de mejora en la atención a la cervicalgia","authors":"Ana Belén Meseguer Henarejos , Francesc Medina i Mirapeix , Pilar Escolar Reina , Joaquina Montilla Herrador , Nuria Hernández Cascales , M. Carmen Hidalgo García","doi":"10.1016/S1138-6045(08)76325-1","DOIUrl":"https://doi.org/10.1016/S1138-6045(08)76325-1","url":null,"abstract":"<div><h3>Objectives</h3><p>To describe and compare how frequently patients with neck pain perceive different aspects related with the quality of physical therapy care of several health care centers.</p></div><div><h3>Material and Methods</h3><p>A descriptive, cross-sectional and analytic study was conducted. Patients with mechanical and non-traumatic neck pain were included. Information was collected using a self-report and previously validated questionnaire. Rate of answer and non- answer bias were analyzed. An adjusted descriptive analysis was performed, using indicators and the perceived quality was compared among centers based on indicators in each center, and the value average and percentiles of all centers.</p></div><div><h3>Results</h3><p>A total of 111 out of 162 questionnaires were collected. No significant differences were detected among those who responded and those who did respond to the questionnaire in relationship to gender and study level, but there were significant differences for age and previous physical therapy use. The dimensions of Waiting Time and Professional Competence are those that present the higher percentage of problems of perceived quality, 61.4% (52.4-70.4) and 51.7% (42.4-61.0), respectively. The dimension Organization has the lowest percentage of problems, 24.4 % (16.4-32.4). There are differences in the levels of quality perceived between most of the centers regarding the dimensions of Information and Professional Competence, and only between some centers regarding Time of wait and Organization.</p></div><div><h3>Conclusions</h3><p>The areas of Information and Professional Competence are those that accumulate the most problems of perceived quality. There is variability in the levels of perceived quality among the participant centers of health care.</p></div>","PeriodicalId":101113,"journal":{"name":"Revista Iberoamericana de Fisioterapia y Kinesiología","volume":"11 2","pages":"Pages 68-80"},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1138-6045(08)76325-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91649114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Índice de materias","authors":"","doi":"10.1016/S1138-6045(08)76330-5","DOIUrl":"https://doi.org/10.1016/S1138-6045(08)76330-5","url":null,"abstract":"","PeriodicalId":101113,"journal":{"name":"Revista Iberoamericana de Fisioterapia y Kinesiología","volume":"11 2","pages":"Pages 107-108"},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1138-6045(08)76330-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91648679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}