Fisioterapia最新文献

{"title":"La fisioterapia pediátrica en el contexto educativo: hacia una práctica inclusiva","authors":"I. Calvo Muñoz, S. Montero Mendoza","doi":"10.1016/j.ft.2026.06.006","DOIUrl":"10.1016/j.ft.2026.06.006","url":null,"abstract":"","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 5","pages":"Pages 163-164"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861923","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":"Activación electromiográfica del miembro inferior durante imaginería motora: de la mente al músculo","authors":"S.B. Cacuango-Collaguazo,&nbsp;S. Santiago-Martín,&nbsp;N.J. Calero-Villacis,&nbsp;A.M. Martín-Nogueras","doi":"10.1016/j.ft.2026.04.003","DOIUrl":"10.1016/j.ft.2026.04.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Motor imagery (MI) is a widely used tool in fields such as sports and neurorehabilitation, as it has been shown to cause brain activation similar to that produced during movement. However, evidence of its ability to induce peripheral muscle activation in the lower limb is limited. The aim of this study was to analyse electromyographic (EMG) activity during different conditions of actual execution and MI of the lower limb.</div></div><div><h3>Materials and methods</h3><div>Seventeen healthy adults participated, and superficial EMG activity of the rectus femoris and biceps femoris was recorded during four conditions: real execution and guided IM of a simple motor pattern (knee extension) and a goal-oriented motor programme (ball striking). All participants performed a single experimental session. The EMG signal was processed in a standardised manner and normalised to the maximum observed during actual performance.</div></div><div><h3>Results</h3><div>IM of the simple pattern was associated with subthreshold but significant increases in EMG activity compared to rest, while IM of the motor programme showed greater interindividual variability and no consistent differences from baseline. No significant correlations were observed between EMG activity and overall IM capacity.</div></div><div><h3>Conclusion</h3><div>These results suggest that IM can induce low-amplitude peripheral muscle activation, especially in simple motor tasks, while increased functional complexity may reduce the consistency of such activation.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 5","pages":"Pages 165-172"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861966","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}

{"title":"Professional competencies of physiotherapists in neonatal intensive care units: A systematic review","authors":"F. Olave-Godoy,&nbsp;P. Astudillo-Díaz,&nbsp;M. Illesca-Pretty","doi":"10.1016/j.ft.2026.06.004","DOIUrl":"10.1016/j.ft.2026.06.004","url":null,"abstract":"<div><h3>Introduction</h3><div>The role of the physiotherapist in neonatal intensive care units (NICUs) extends beyond clinical practice due to interdisciplinary interaction and the educational support provided to parents. This requires a set of competencies to support professional performance. In countries such as Chile, competency profiles exist for pediatric intensive care physiotherapists, but not specifically for the neonatal area, which may impact the quality of care. This highlights the need to systematically synthesize the available scientific evidence to guide training and professional practice in this specialized field.</div></div><div><h3>Objective</h3><div>To identify and synthesize the professional competencies of physiotherapists working in NICUs.</div></div><div><h3>Methods</h3><div>A systematic review was conducted following PRISMA 2020 guidelines. The databases searched were Cochrane Library, TripDatabase, PubMed-MEDLINE, Web of Science, Embase, SciELO, LILACS and PEDro. Primary qualitative and/or quantitative studies involving physiotherapists working in NICUs were included, with no publication year restrictions up to January 2025. Sensitive and specific search strategies were applied using free-text terms, MeSH terms, and Boolean operators.</div></div><div><h3>Results</h3><div>Sixteen studies were included. Among the generic competencies, research skills and the ability to adapt to stressful situations were prominent. Specific competencies included physiotherapeutic diagnosis, treatment planning, documentation, communication, and comprehensive education for parents and caregivers.</div></div><div><h3>Conclusions</h3><div>The identified competencies extend beyond cognitive and procedural domains, incorporating interpersonal and communication skills with both healthcare teams and families. These findings contribute to the development of training frameworks and to strengthening the specialized role of physiotherapists in NICUs.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 5","pages":"Pages 196-204"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859345","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":"Effect of neural mobilization in patients with cervico-brachial neuralgia: A randomized controlled study","authors":"S. Bouden,&nbsp;S. Mhamdi,&nbsp;A. Cherif,&nbsp;L. Rouached,&nbsp;S. Ben Dhia,&nbsp;O. Saidane,&nbsp;I. Mahmoud,&nbsp;R. Tekaya,&nbsp;A. Ben Tekaya,&nbsp;L. Abdelmoula","doi":"10.1016/j.ft.2026.06.001","DOIUrl":"10.1016/j.ft.2026.06.001","url":null,"abstract":"<div><h3>Background</h3><div>Cervico-brachial neuralgia (CBN) can be acute or chronic, affecting the cervical spine and upper limbs, often causing significant pain and disability. Neural mobilization (NM) has emerged as a promising technique to restore neurodynamic balance.</div></div><div><h3>Objective</h3><div>To compare the effectiveness of NM combined with a clearly defined conventional rehabilitation program versus conventional rehabilitation alone in patients with chronic CBN.</div></div><div><h3>Methods</h3><div>A randomized controlled trial included patients with chronic CBN, which were randomized into two groups: the control group received a conventional rehabilitation program including education, manual therapy, stretching, strengthening exercises, and functional activities, while the NM group received the same conventional rehabilitation with additional NM techniques. Evaluations were conducted pre- and post-treatment, assessing pain, cervical mobility, functional disability and psychological state.</div></div><div><h3>Results</h3><div>Thirty-two patients with chronic CBN were included: 16 in the NM group and 16 in the control group. After treatment, pain assessment revealed that the control group's initial visual analog scale (VAS) score of 8<!--> <!-->±<!--> <!-->0.2 decreased to 5<!--> <!-->±<!--> <!-->1.6 (<em>p</em> <!-->&lt;<!--> <!-->0.05), while the NM group's VAS improved from 8<!--> <!-->±<!--> <!-->0.8 to 3<!--> <!-->±<!--> <!-->0.7 (<em>p</em> <!-->&lt;<!--> <!-->0.05; intergroup difference <em>p</em> <!-->=<!--> <!-->0.008). Functional assessment using the Copenhagen Neck Functional Disability Scale showed the control group's score improving from 15.2<!--> <!-->±<!--> <!-->3.6 to 5.5<!--> <!-->±<!--> <!-->2.8 (<em>p</em> <!-->&lt;<!--> <!-->0.05), while NM group's scores improved from 13.9<!--> <!-->±<!--> <!-->2.1 to 3.1<!--> <!-->±<!--> <!-->2.8 (<em>p</em> <!-->&lt;<!--> <!-->0.05; intergroup difference <em>p</em> <!-->=<!--> <!-->0.001). Psychological assessment indicated improvement in both groups, though intragroup and intergroup differences were not statistically significant (<em>p</em> <!-->&gt;<!--> <!-->0.05).</div></div><div><h3>Conclusion</h3><div>NM combined with conventional rehabilitation significantly improves pain and functional outcomes in patients with chronic CBN, while psychological status shows no significant changes.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 5","pages":"Pages 180-185"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861969","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":"A community-based interdisciplinary pain education and lifestyle intervention in older adults with chronic pain: An exploratory pre–post study","authors":"R. Núñez-Cortés,&nbsp;Á. Besoaín-Saldaña,&nbsp;F. Herrera-Labra,&nbsp;M. Loncomilla-Meléndez,&nbsp;S. Barahona,&nbsp;M. Moena-León,&nbsp;G. Horment-Lara,&nbsp;C. Cruz-Montecinos","doi":"10.1016/j.ft.2026.04.005","DOIUrl":"10.1016/j.ft.2026.04.005","url":null,"abstract":"<div><h3>Background</h3><div>Chronic pain is highly prevalent among older adults, representing a growing challenge for health systems. Pain science education (PSE) and lifestyle-based strategies have been shown to be beneficial, but their combined application in a community setting has scarcely been studied.</div></div><div><h3>Objective</h3><div>To explore changes in pain, physical activity, sleep, adherence to the Mediterranean diet, and stress following an interdisciplinary, group-based intervention focused on PSE and healthy lifestyle promotion in older adults with chronic pain.</div></div><div><h3>Methods</h3><div>The intervention consisted of three 60-min group sessions delivered every two weeks over a 6-week period. Outcomes included pain intensity (NRS 0–10), physical activity (METs/week), sleep quality (PSQI), adherence to the Mediterranean diet (MedDiet Score), and perceived stress (PSS-4). Statistical analyses used paired <em>t</em>-tests or Wilcoxon signed-rank tests, according to data distribution.</div></div><div><h3>Results</h3><div>Fifteen participants were included (mean age: 69 years; 87% women). A significant reduction was observed in pain intensity (<em>p</em> <!-->=<!--> <!-->0.024, effect size: 0.667) and perceived stress (<em>p</em> <!-->=<!--> <!-->0.046, effect size: 0.467). No significant changes were detected in physical activity (<em>p</em> <!-->=<!--> <!-->0.927, effect size: 0.462), sleep quality (<em>p</em> <!-->=<!--> <!-->0.476, effect size: 0.016), or adherence to the Mediterranean diet (0.115, effect size: 0.325). Participants reported high confidence in pain self-management, with most strongly agreeing they could distinguish safe from harmful pain (80%) and recognize stress factors (80%).</div></div><div><h3>Conclusions</h3><div>A group-based intervention combining PSE and lifestyle promotion was associated with reductions in pain and stress in older adults with chronic pain.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 5","pages":"Pages 173-179"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861967","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":"Efectos de la magnetotransducción extracorpórea (EMTT®) sobre la densidad mineral ósea en una paciente posmenopáusica con osteoporosis lumbar: informe de caso fisioterapéutico","authors":"R.C. Valencia-Sermeño,&nbsp;G. Salmon-Mulanovich","doi":"10.1016/j.ft.2026.03.007","DOIUrl":"10.1016/j.ft.2026.03.007","url":null,"abstract":"<div><h3>Background</h3><div>Conventional treatments for osteoporosis include antiresorptive (bisphosphonates, denosumab) and anabolic (teriparatide) drugs, along with exercise and supplementation. Despite its efficacy, outcomes usually require more than 12 months to show significant densitometric changes. Extracorporeal magnetotransduction therapy (EMTT®) as a regenerative technique, could accelerate the improvement of bone mineral density (BMD) through cell stimulation and increased bone metabolism. The objective of this article is to present the case of a postmenopausal patient diagnosed with lumbar osteoporosis after treatment with a strength exercise program and EMTT®.</div></div><div><h3>Methods</h3><div>Baseline information was collected from the patient and EMTT® was applied twice a week was initiated between December 2024 and July 2025. This treatment was in addition to the strength exercises that the patient performed regularly.</div></div><div><h3>Results</h3><div>After treatment with the exercise program and EMTT®, bone densitometry tests showed an improvement of 5.8% in the lumbar spine (L1-L4) and 9.8% in the femoral neck, reversing the diagnosis of this area from osteoporosis to mild osteopenia.</div></div><div><h3>Conclusion</h3><div>This case presents the potential usefulness of EMTT® as a complementary tool, as part of a multimodal physiotherapy program, for the treatment of patients with postmenopausal osteoporosis.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 5","pages":"Pages 205-208"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861922","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":"Estudio observacional sobre la ocupación del tiempo de actividad física ligera y sedentarismo en personas con ictus crónico","authors":"M.C. Sobrino-Sánchez,&nbsp;M.A. Ruescas-Nicolau,&nbsp;M. Spotti,&nbsp;A. Miralles-Albalat,&nbsp;M.L. Sánchez-Sánchez","doi":"10.1016/j.ft.2026.06.002","DOIUrl":"10.1016/j.ft.2026.06.002","url":null,"abstract":"<div><h3>Background</h3><div>People with chronic stroke tend to spend most of the time sitting, interspersed with light physical activity (PA). However, there is a paucity of evidence regarding the occupation of daily activity/sedentary time in this population.</div></div><div><h3>Objectives</h3><div>To analyze the pattern of time used in light PA and sedentary behavior in people with chronic stroke, to explore the factors that influence sedentary time, and to identify sex differences in PA/sedentary behavior and its occupation.</div></div><div><h3>Methods</h3><div>A cross-sectional study of 60 individuals with physical sequelae from stroke in the chronic phase (time since stroke ≥ six months) was conducted. PA habits and sedentary behavior were assessed using the Multimedia Activity Recall for Children and Adults (MARCA) questionnaire. Sociodemographic and clinical data were also collected. Descriptive analyses, correlation analyses, multiple linear regression analyses, and comparisons by sex were performed.</div></div><div><h3>Results</h3><div>Participants spent 699<!--> <!-->±<!--> <!-->187.14<!--> <!-->min/day on sedentary behavior and 105.92<!--> <!-->±<!--> <!-->93.59<!--> <!-->min/day on light PA. Television viewing was the sedentary activity to which they devoted the most time. Sedentary time was associated with age (r<!--> <!-->=<!--> <!-->0.46, p&lt;<!--> <!-->0.001), with age being the only independent predictor of sedentary behavior in the multivariable analysis (β=0.380, p<!--> <!-->=<!--> <!-->0.004). Women spent more time on household chores (p&lt;<!--> <!-->0.002), while men spent more time in front of screens (p<!--> <!-->=<!--> <!-->0.042).</div></div><div><h3>Conclusions</h3><div>People with chronic stroke spend a lot of time in sedentary behavior and very little time in PA, with differences by sex that may be influenced by sociocultural factors and gender roles. These findings may guide the design of future physical therapy interventions, although further studies are required to confirm their clinical utility.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 5","pages":"Pages 186-195"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148861968","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}

{"title":"Comunicar también es tratar","authors":"F. Ramos-Gómez,&nbsp;A.M. Rodríguez-Rodríguez,&nbsp;M. Blanco-Díaz","doi":"10.1016/j.ft.2026.04.002","DOIUrl":"10.1016/j.ft.2026.04.002","url":null,"abstract":"","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 4","pages":"Pages 119-121"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148556476","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":"¿Por qué discuten mamá y papá? Un debate necesario en torno al diagnóstico de Fisioterapia","authors":"J.F. García-Vázquez","doi":"10.1016/j.ft.2026.03.006","DOIUrl":"10.1016/j.ft.2026.03.006","url":null,"abstract":"","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 4","pages":"Page 161"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148558300","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":"Comparative effects of probiotic supplementation and high-intensity interval training on functional disability in non-radiographic axial spondyloarthritis: A pilot randomized controlled trial","authors":"Á. Otero-Campos,&nbsp;E.S. Rodríguez-López,&nbsp;S. Arponen,&nbsp;V.E. Garnacho-Garnacho,&nbsp;E. Armentia-Carbajo,&nbsp;A.M. Heredia-Rizo","doi":"10.1016/j.ft.2026.03.003","DOIUrl":"10.1016/j.ft.2026.03.003","url":null,"abstract":"<div><h3>Background</h3><div>Non-pharmacological therapies are often used for the management of axial spondyloarthritis (axSpA). This randomized controlled trial aimed to investigate the effect of probiotic supplementation, compared with high-intensity interval training (HIIT), in patients with non-radiographic axSpA.</div></div><div><h3>Materials and methods</h3><div>Individuals with non-radiographic axSpA were recruited and allocated to a probiotic supplementation group or to an online-delivered strength training program for 12 consecutive weeks. The online program was delivered synchronously in small groups under professional supervision. The primary outcome was functional disability, assessed with the Bath Ankylosing Spondylitis Functional Index (BASFI). Secondary measures included disease activity (the Bath Ankylosing Spondylitis Disease Activity Index), spinal mobility (the Bath Ankylosing Spondylitis Metrology Index, and the Ankylosing Spondylitis Quality of Life Questionnaire). Measures were collected one week before randomization (baseline) and at 6, 12, and 24 weeks after baseline. For statistical analysis, a linear mixed model for repeated measures was used. Both statistical significance and clinical relevance (based on the minimum clinically important difference thresholds) were analyzed. Analyses were conducted under the intention-to-treat principle.</div></div><div><h3>Results</h3><div>Twenty patients were initially included. Of those, 8 participants discontinued intervention. No adverse events were reported. There was a non-significant time effect or time*group interaction for the mean changes in the BASFI score after baseline. Lack of significant differences between groups was observed for the secondary measures. However, more than half of participants in both groups achieved clinically relevant improvements in the BASFI score at follow-up assessments.</div></div><div><h3>Conclusion</h3><div>These preliminary results should be interpreted with caution, as they are exploratory and hypothesis-generating rather than confirmatory. Both interventions showed potential benefits but require further testing in larger, adequately powered trials.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 4","pages":"Pages 122-129"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148558840","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}