Fisioterapia最新文献

{"title":"Fe de errores a artículos publicados previamente en Fisioterapia","authors":"","doi":"10.1016/j.ft.2026.02.001","DOIUrl":"10.1016/j.ft.2026.02.001","url":null,"abstract":"","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 2","pages":"Page 77"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147712961","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":"Stretching exercises or walking did not produce clinically meaningful improvements in the quality of life of patients with fibromyalgia: A non-randomized controlled clinical trial","authors":"A. Pontes-Silva,&nbsp;M.A. Avila","doi":"10.1016/j.ft.2026.01.001","DOIUrl":"10.1016/j.ft.2026.01.001","url":null,"abstract":"<div><h3>Overview</h3><div>Considering that walking is the most studied exercise in fibromyalgia trials, and it has not been tested as a positive-control in previous trials, the question arises: does stretching exercises provide similar clinical benefits to walking as a positive-control in fibromyalgia patients?</div></div><div><h3>Objective</h3><div>To test the effects of stretching exercises on quality of life (single primary outcome) against a positive-control group of moderate-intensity walking in fibromyalgia patients.</div></div><div><h3>Methods</h3><div>Non-randomized controlled clinical trial. We used the FIQ-R to evaluate the single primary outcome of the study: quality of life. Intervention in positive-control group: 40<!--> <!-->min of moderate-intensity walking, 2×/week, 12 weeks duration<!--> <!-->+<!--> <!-->12 weeks follow-up without exercise. Intervention in the stretching group: moderate intensity stretching, 2×/week, 12 weeks duration<!--> <!-->+<!--> <!-->10 weeks follow-up without exercise. We compared the quality of life using mixed linear models, time<!--> <!-->×<!--> <!-->group interaction, Bonferroni post hoc, and Cohen's <em>d</em> to test the effect size of significant differences (<em>α</em> <!-->=<!--> <!-->0.05).</div></div><div><h3>Results</h3><div>The total sample consisted of 225 volunteer fibromyalgia patients who were divided into two groups: a walking group (<em>n</em> <!-->=<!--> <!-->15, age 45<!--> <!-->±<!--> <!-->9.93) and a stretching group (<em>n</em> <!-->=<!--> <!-->210, age 47.81<!--> <!-->±<!--> <!-->1.57). Our study found no adverse effects and no adherence to the intervention. Between-group comparisons revealed non-significant differences (<em>p</em> <!-->&gt;<!--> <!-->.05) in quality of life for fibromyalgia patients at all time points: baseline, 6th week, 12th week, and follow-up. In the within-group comparisons, only the walking group showed significant differences (<em>p</em> <!-->≤<!--> <!-->.05, <em>d</em> <!-->≥<!--> <!-->.5) from baseline at all time points: baseline–6th week (17.44 [95% CI: 4.30, 30.57]), baseline–12th week (17.19 [95% CI: 1.16, 33.21]), and baseline–follow-up (16.84 [95% CI: 1.78, 31.90]). However, these differences did not reach the minimal clinically important difference threshold.</div></div><div><h3>Conclusion</h3><div>Stretching exercises or walking did not produce clinically meaningful improvements in the quality of life of patients with fibromyalgia.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 2","pages":"Pages 55-61"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147712969","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":"Comparación del cálculo del índice de asimetría con electromiografía entre los músculos bíceps femoral y semitendinoso en mujeres deportistas","authors":"N.A. Osorio Sampayo ,&nbsp;V. Perez Hortua ,&nbsp;J.A. Lasprilla Bueno","doi":"10.1016/j.ft.2025.11.003","DOIUrl":"10.1016/j.ft.2025.11.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Muscle asymmetries can affect athletic performance. Current literature documents five main formulas used to calculate the asymmetry index. The objective of this study was to describe the differences in the interlimb hamstring activation asymmetry index using five calculation methods.</div></div><div><h3>Methods</h3><div>This comparative cross-sectional study analyzed five formulas with secondary data from electromyographic activation marking of both limbs during the sliding bridge exercise. The median, percentiles, and Lin's coefficient of agreement were analyzed, using the Index 7 formula as the reference formula.</div></div><div><h3>Results</h3><div>21 athlete registrations with a mean age of 21<!--> <!-->±<!--> <!-->2 years, height 160.9<!--> <!-->±<!--> <!-->5<!--> <!-->cm, weight 60.2<!--> <!-->±<!--> <!-->9.1<!--> <!-->kg. The medians of the asymmetry indices between the extremities of the Biceps femoral/semitendinosus for each formula were: Index 7 (15.86 −2.56), Index 9 (15.86 −2.77%), Index 10 (8.61 −1.4%), Index 11 (5.7 −0.89%) and Index 12 (17.27-2.81%). Lin's agreement, among the formulas for the BF/ST were: Index 7 and Index 9 (0.97-0.98), Index 7 and Index 10 (0.79-0.8), Index 7 and Index 11 (0.56-0.57), Index 7 and Index 12 (−0.84 −0.96).</div></div><div><h3>Conclusions</h3><div>The Index 7 and Index 9 formulas showed high concordance and similar results, being the most consistent for analyzing muscle asymmetry in unilateral exercises. It is recommended that the Index 10 formula be evaluated in bilateral exercises and emphasizes the need to choose the appropriate formula based on the type of exercise, the objective of the analysis, and the sample.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 2","pages":"Pages 49-54"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147712970","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":"Análisis de adherencia en modelos híbridos de fisioterapia: estudio observacional","authors":"A. Jaime Sanchez ,&nbsp;M. Ferrando Margeli ,&nbsp;A. Miguel Romeo ,&nbsp;B. Rueda Martin ,&nbsp;M. Mar Sancho Garcia ,&nbsp;N. Vera Blasco","doi":"10.1016/j.ft.2026.01.003","DOIUrl":"10.1016/j.ft.2026.01.003","url":null,"abstract":"<div><h3>Background and objective</h3><div>The rising number of patients with musculoskeletal disorders and the need to improve continuity of care have led the implementation of hybrid physiotherapy models, which combine in-person sessions with telerehabilitation. Therapeutic adherence and dropout rates are key indicators of the effectiveness of these programmes. The objective of this study was to describe and analyse the level of treatment adherence and compliance, in our patient cohort, to three hybrid physiotherapy care models.</div></div><div><h3>Materials and methods</h3><div>An observational, analytical, and longitudinal study was conducted, based on retrospective data from the Electronic Health Records of Hospital Universitario Miguel Servet. Data were collected and analysed from adult patients diagnosed with musculoskeletal diseases who received treatment through hybrid models with varying levels of in-person attendance: H1 (low), H2 (moderate), and H3 (high). Sociodemographic variables, adherence (in-person, remote, and total), and clinical dropout were assessed.</div></div><div><h3>Results</h3><div>The final cohort included 105 patients who began treatment using one of the three hybrid models. Total adherence showed statistically significant differences between the models (p<!--> <!-->=<!--> <!-->0.015), as did adherence to telerehabilitation sessions (p<!--> <!-->=<!--> <!-->0.021). Adherence to in-person sessions was high across all groups, with no significant differences between them. The overall dropout rate was 19%, with significant differences observed between the models (p<!--> <!-->=<!--> <!-->0.014).</div></div><div><h3>Conclusions</h3><div>An appropriate balance between in-person sessions and telerehabilitation enhances therapeutic adherence and reduces dropout rates. The strategic inclusion of face-to-face sessions strengthens patient engagement and promotes continuity of care.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 2","pages":"Pages 62-68"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147712972","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":"Neuromodulación… ¿truco o trato?","authors":"L. Espejo Antúnez","doi":"10.1016/j.ft.2025.11.001","DOIUrl":"10.1016/j.ft.2025.11.001","url":null,"abstract":"","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 2","pages":"Pages 39-40"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147713555","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":"Trastornos musculoesqueléticos relacionados con el trabajo en trabajadores de unidades de cardiología intervencionista: Revisión sistemática exploratoria","authors":"S. Ramos-Avasola ,&nbsp;A. Arellano ,&nbsp;L. González ,&nbsp;C. Vega ,&nbsp;S. Zapata ,&nbsp;N. Espinosa ,&nbsp;M. Querales","doi":"10.1016/j.ft.2026.01.002","DOIUrl":"10.1016/j.ft.2026.01.002","url":null,"abstract":"<div><h3>Background</h3><div>Work-related musculoskeletal disorders (WMSDs) are highly prevalent among interventional catheterization professionals due to prolonged use of lead aprons and ergonomically unfavorable postures, negatively impacting their quality of life and job performance.</div></div><div><h3>Objective</h3><div>To conduct a scoping review on the prevalence, risk factors, and prevention strategies for WMSDs in this professional group.</div></div><div><h3>Methods</h3><div>A systematic search was performed in PubMed, SCOPUS, Web of Science, and CINAHL following PRISMA-ScR guidelines. Observational studies reporting WMSD prevalence in exposed and non-exposed personnel were included, analyzing methodologies, risk estimators, and biomechanical factors.</div></div><div><h3>Results</h3><div>Out of 1,136 identified articles, six met the inclusion criteria. Reported cervical and lumbar disc disease rates were 6.5% and 7.5%, respectively, among interventional cardiologists. Additionally, over 50% of professionals experienced musculoskeletal pain associated with lead apron use. Identified risk factors included repetitive axial flexion and rotation, along with sustained mechanical load on the spine. Ergonomic strategies and innovative protective devices, such as suspended systems and exoskeletons, were described to mitigate these risks.</div></div><div><h3>Conclusions</h3><div>WMSDs are highly prevalent among interventional catheterization professionals and are linked to forced postures and prolonged use of radiological protective equipment. The implementation of ergonomic interventions and technological innovations is crucial to improving occupational safety in this workforce.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 2","pages":"Pages 69-76"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147712960","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":"Changes in physiotherapy practices in Chilean intensive care units during the COVID-19 pandemic: A longitudinal nationwide survey","authors":"C. Caceres-Parra ,&nbsp;R. Adasme ,&nbsp;J.L. Sufán ,&nbsp;M. Leiva-Corvalán ,&nbsp;F. González-Seguel","doi":"10.1016/j.ft.2025.11.002","DOIUrl":"10.1016/j.ft.2025.11.002","url":null,"abstract":"<div><h3>Background</h3><div>COVID-19 impacted ICUs and physiotherapy services; however, its impact on physiotherapy teams remains unclear. This study examines changes in staffing, organization, and interventions in Chilean adult ICUs during the first pandemic year.</div></div><div><h3>Methods</h3><div>A nationwide online survey was conducted at four time points: pre-pandemic (before March 2020, T1), beginning (July 2020, T2), mid-year (October 2020, T3), and one-year pandemic (March 2021, T4). ICU representatives reported data on bed capacity, staffing, workload, specialized training, and interventions.</div></div><div><h3>Results</h3><div>Eighty-four ICU sites completed all four surveys. Median ICU beds increased from 10 (6–15) at T1 to 30 (12–44) at T2, decreased to 15 (11–27) at T3, and then increased to 24 (14–54) at T4 (<em>p</em> <!-->&lt;<!--> <!-->0.001). Bed-to-physiotherapist ratio decreased from 8 (6–10) at T1 to 6 (6–8) at T2, during daytime/weekend shift (<em>p</em> <!-->=<!--> <!-->0.049), while 24/7 coverage increased from 64% to 88% (<em>p</em> <!-->&lt;<!--> <!-->0.001). At T4, 30% of sites reported specialized physiotherapists. High-flow oxygen and ventilator-related interventions were reported in ≥96% of sites at T4 (<em>p</em> <!-->&lt;<!--> <!-->0.001). In-bed mobilization remained highly reported (96–100%), and in-bed cycling increased from 20% at T1 to 32% at T4 (<em>p</em> <!-->=<!--> <!-->0.013). Among team-based interventions, prone positioning assistance increased from 83% at T1 to 99% at T4 (<em>p</em> <!-->&lt;<!--> <!-->0.001) and in-person shift handover and intra-hospital patient transportation also increased (<em>p</em> <!-->&lt;<!--> <!-->0.001).</div></div><div><h3>Conclusions</h3><div>Chilean ICUs reported significant changes in their physiotherapy practices during COVID-19, with tripled bed capacity, doubled staffing, and advanced interventions. These findings underscore the need for strategic staffing planning, education, and standardized protocols for future crises.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 2","pages":"Pages 41-48"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147712971","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":"Salud planetaria y fisioterapia comunitaria: una relación necesaria en línea con el Plan de Acción Mundial sobre Cambio Climático y Salud","authors":"B. Paz-Lourido","doi":"10.1016/j.ft.2025.09.004","DOIUrl":"10.1016/j.ft.2025.09.004","url":null,"abstract":"","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 1","pages":"Pages 1-2"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145876916","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":"Determinantes funcionales del riesgo de caídas en adultos mayores. Circunferencia de pantorrilla y velocidad de marcha","authors":"L.J. Caichihua Marca,&nbsp;R.N. Pizarro Andrade,&nbsp;Y. Enriquez Canto","doi":"10.1016/j.ft.2025.10.004","DOIUrl":"10.1016/j.ft.2025.10.004","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Falls represent a growing public health issue amid an ageing population, particularly in countries like Peru, where older adults face multiple risk factors associated with loss of functionality. This study evaluates the factors associated with fall risk in older adults, determining the mediating role of calf circumference and gait speed in the relationship between age and fall risk.</div></div><div><h3>Methods</h3><div>This cross-sectional study involved 80 older adults from the Comprehensive Centre for Older Adults in Carabayllo, Lima, Peru. Fall risk was assessed using the Tinetti scale, gait speed was measured with a 4-metre test, and calf circumference was assessed using a tape measure. Descriptive analyses, correlation, multiple linear regression, and mediation analysis were applied to estimate coefficients and their 95% confidence intervals.</div></div><div><h3>Results</h3><div>In the linear regression analysis, gait speed (β<!--> <!-->=<!--> <!-->-0.42, p &lt;<!--> <!-->0.001) and calf circumference (β<!--> <!-->=<!--> <!-->-0.381, p &lt;<!--> <!-->0.001) were inversely associated with fall risk. Mediation analysis indicated that calf circumference explained 88.3% and gait speed 63.6% of the indirect effect of age on fall risk.</div></div><div><h3>Conclusions</h3><div>Age significantly influences fall risk, mediated by functional parameters such as calf circumference and gait speed, highlighting the importance of preventive interventions targeting these modifiable factors.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 1","pages":"Pages 10-16"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145876922","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":"Telerrehabilitación en fisioterapia neurológica para la función motora del miembro superior en personas adultas tras accidente cerebrovascular: revisión sistemática","authors":"M. Hernández González,&nbsp;A. Ibáñez Vázquez,&nbsp;A. Melián Ortiz","doi":"10.1016/j.ft.2025.10.003","DOIUrl":"10.1016/j.ft.2025.10.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Stroke is one of the leading causes of disability and mortality worldwide, and telerehabilitation has emerged as an innovative alternative to improve access to and continuity of physiotherapy services.</div></div><div><h3>Objective</h3><div>To analyze the scientific evidence on the effectiveness of telerehabilitation for upper limb motor recovery in stroke patients.</div></div><div><h3>Materials and methods</h3><div>A systematic review was conducted in accordance with PRISMA guidelines. Medline, Cochrane Library and PEDro were searched up to January 2025. Methodological quality was assessed using the PEDro scale, and risk of bias was evaluated with the Cochrane tool. A descriptive approach was applied to analyze the results, reporting means and standard deviations, and considering <em>P</em> <!-->&lt;<!--> <!-->.05 reported by the original authors as statistically significant.</div></div><div><h3>Results</h3><div>Out of 183 initial records, 9 randomized clinical trials were included (400 participants, mean age 57<!--> <!-->years). Methodological quality was rated as «good» in most studies. Telerehabilitation interventions consisted of an average of 5 sessions per week over 8 weeks. The findings indicate that telerehabilitation is at least as effective as face-to-face rehabilitation in improving upper limb motor function, with high patient adherence and satisfaction. However, only three studies reported statistically significant differences (<em>P</em> <!-->&lt;<!--> <!-->.05) in favor of telerehabilitation.</div></div><div><h3>Conclusions</h3><div>These results suggest that telerehabilitation can be incorporated into routine neurological physiotherapy practice to enhance access to and continuity of post-stroke motor rehabilitation.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 1","pages":"Pages 17-29"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145876923","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}