Fisioterapia最新文献

The arrangement of short exercise intervals protocols influences the amount of carbohydrate oxidation in inactive overweight adult men: Pilot study 短时间运动间隔方案的安排会影响不运动的超重成年男性的碳水化合物氧化量：试点研究

Fisioterapia Pub Date : 2024-09-01 DOI: 10.1016/j.ft.2024.07.002

S. Villanueva , L.M. Trujillo , F. Vargas , A. von Oetinger

{"title":"The arrangement of short exercise intervals protocols influences the amount of carbohydrate oxidation in inactive overweight adult men: Pilot study","authors":"S. Villanueva , L.M. Trujillo , F. Vargas , A. von Oetinger","doi":"10.1016/j.ft.2024.07.002","DOIUrl":"10.1016/j.ft.2024.07.002","url":null,"abstract":"<div><h3>Objectives</h3><p>The aim of this research is to explore the influence of different exercise protocols on carbohydrate oxidation.</p></div><div><h3>Design</h3><p>Uncontrolled experimental study.</p></div><div><h3>Methods</h3><p>They recruited ten inactive male subjects, 30–39 years old, with elevated body mass index (BMI). Each participant was evaluated in four separate sessions. First session consisted in determining peak aerobic power (<em>p</em>AP), following sessions participants realized three equivalent exercise protocols; each one consisted of three bouts of 15-min exercise separated by 5min. Constant intensity protocol (CIP) included exercise at 55% of <em>p</em>AP, while the other (increasing and decreasing) consisted in exercise at 40%, 55% and 70% of <em>p</em>AP in an increasing or decreasing order respectively.</p></div><div><h3>Results</h3><p>IIP (increasing intensity protocol) causes a progressive increase in carbohydrate oxidation comparative to DIP (decreasing intensity protocol and CIP protocols (<em>p</em>  <!-->0.01). In the third period of protocol IIP oxidized significantly more carbohydrate than the other two.</p></div><div><h3>Conclusions</h3><p>Carbohydrate oxidation in exercises at intervals of different intensity depends on the order of these periods, being greater when performed increasingly, being more useful for sedentary subjects with insulin resistance and diabetes mellitus. This approach undoubtedly enhances patient adherence and reduces the perception of effort when compared to continuous exercise routines.</p></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"46 5","pages":"Pages 275-281"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141840813","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}

引用次数: 0

Consenso de expertos para determinar las competencias mínimas para la práctica clínica del fisioterapeuta en la unidad de cuidados intensivos en México 专家共识，确定墨西哥重症监护室理疗师临床实践的最低能力要求。

Fisioterapia Pub Date : 2024-09-01 DOI: 10.1016/j.ft.2024.05.002

M.Á. Martínez-Camacho , R.A. Jones-Baro , D.S. Lugo-García , A. Gómez-González , A.G. Rivera-Elias , J.S. Pérez-Duarte , D. Huicochea-González , Á.A. Pérez-Calatayud

{"title":"Consenso de expertos para determinar las competencias mínimas para la práctica clínica del fisioterapeuta en la unidad de cuidados intensivos en México","authors":"M.Á. Martínez-Camacho , R.A. Jones-Baro , D.S. Lugo-García , A. Gómez-González , A.G. Rivera-Elias , J.S. Pérez-Duarte , D. Huicochea-González , Á.A. Pérez-Calatayud","doi":"10.1016/j.ft.2024.05.002","DOIUrl":"10.1016/j.ft.2024.05.002","url":null,"abstract":"<div><h3>Background and objective</h3><p>The physical therapist is a member of the multidisciplinary team providing care to critically ill patients. The competencies of physical therapists working in the Intensive Care Unit (ICU) can vary depending on the geographical region. Currently, Mexico lacks a standardized framework for defining the competencies of physical therapists working in the ICU. The objective of this study is to establish minimum standards for clinical practice among physical therapists in the ICU in Mexico.</p></div><div><h3>Material and methods</h3><p>An expert consensus was achieved using a Delphi technique, involving three rounds of electronic questionnaire-based inquiries.</p></div><div><h3>Results</h3><p>A total of 41 experts participated in the first two rounds, and 38 in the third round. A comprehensive evaluation of 258 items led to the identification of 207 essential items and 51 non-essential items for the clinical practice of physical therapists in the ICU.</p></div><div><h3>Conclusion</h3><p>Standardizing the competencies of physical therapists in the ICU will promote safer and more effective care for critically ill patients.</p></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"46 5","pages":"Pages 260-265"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141694436","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}

引用次数: 0

Impacto positivo de la telerrehabilitación en estudiantes universitarios con síndrome de text neck durante la pandemia por COVID-19 在 COVID-19 大流行期间，远程康复对患有文字颈综合症的大学生的积极影响

Fisioterapia Pub Date : 2024-09-01 DOI: 10.1016/j.ft.2024.03.002

J.F. May Euán, D.F. Estrella Castillo, G. Uicab Pool, H. Rubio Zapata, R. Arcila Novelo, N. Pérez Herrera

{"title":"Impacto positivo de la telerrehabilitación en estudiantes universitarios con síndrome de text neck durante la pandemia por COVID-19","authors":"J.F. May Euán, D.F. Estrella Castillo, G. Uicab Pool, H. Rubio Zapata, R. Arcila Novelo, N. Pérez Herrera","doi":"10.1016/j.ft.2024.03.002","DOIUrl":"10.1016/j.ft.2024.03.002","url":null,"abstract":"<div><h3>Introduction</h3><p>The increasing use of mobile devices among students has led to a rise in the prevalence of text neck syndrome, characterized by pain and tension in the neck.</p></div><div><h3>Objective</h3><p>Assessing the positive impact of a tele-rehabilitation program specifically designed to mitigate the effects of text neck syndrome in university students during the COVID-19 pandemic.</p></div><div><h3>Materials and methods</h3><p>A quasi-experimental study was conducted in which a tele-rehabilitation program was designed, implemented, and evaluated to reduce neck pain in university students with text neck syndrome. The program included stretching and strengthening exercises, lasting for four weeks through the specialized platform Physiotec®. Twenty-four individuals with a medical diagnosis of text neck syndrome participated, and variables such as pain, generic and cervical disability, as well as range of motion, were analyzed.</p></div><div><h3>Results</h3><p>The results indicated significant improvements in pain symptoms, with a notable shift towards the mild pain category, while cases of moderate to severe pain decreased. Additionally, significant improvements were observed in cervical disability.</p></div><div><h3>Conclusion</h3><p>The tele-rehabilitation program demonstrated a positive impact, particularly in reducing pain and cervical disability in university students with text neck syndrome.</p></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"46 5","pages":"Pages 251-259"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141702536","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}

引用次数: 0

La lumbalgia. Un desafío para los fisioterapeutas y para la sociedad. ¿Qué sabemos y hacia dónde vamos? 腰背痛。物理治疗师和社会面临的挑战：我们知道什么？

Fisioterapia Pub Date : 2024-09-01 DOI: 10.1016/j.ft.2024.04.001

J.M. García-Moreno , I. Calvo-Muñoz , A. Gómez-Conesa

引用次数: 0

Efectos de un programa de fisioterapia multimodal en pilotos de caza con dolor cervical relacionado con el vuelo: ensayo clínico no controlado 多模式物理治疗计划对患有飞行相关颈部疼痛的战斗机飞行员的影响：一项非对照临床试验。

Fisioterapia Pub Date : 2024-09-01 DOI: 10.1016/j.ft.2024.03.001

{"title":"Efectos de un programa de fisioterapia multimodal en pilotos de caza con dolor cervical relacionado con el vuelo: ensayo clínico no controlado","authors":"","doi":"10.1016/j.ft.2024.03.001","DOIUrl":"10.1016/j.ft.2024.03.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Flight-related neck pain has been defined as a specific clinical entity in fighter pilots. The mechanisms underlying its development may be related to the physical and cognitive demands of combat flying. However, there is no clear consensus on the most effective approach to its treatment.</p></div><div><h3>Objective</h3><p>To analyse the effects of a 4-week multimodal physiotherapy programme combining supervised laser-guided neck exercise and electro-massage (consisting of manual therapy and interferential current) on the workplace in fighter pilots with flight-related neck pain.</p></div><div><h3>Methods</h3><p>A total of 14 fighter pilots with flight-related neck pain were recruited. The intervention consisted of 8 sessions (twice weekly) for 4 weeks. A follow-up period of 4 weeks was established. Perceived pain intensity, pain threshold to pressure, cervical disability, active cervical range of motion, cervical joint repositioning error, kinesiophobia and pain catastrophizing were assessed.</p></div><div><h3>Results</h3><p>Statistically significant changes (<em>P</em><.05) were obtained in all variables analysed at immediate post-treatment. These differences were maintained between baseline measurement and 4-week follow-up except for catastrophizing, kinesiophobia and right and left cervical rotation.</p></div><div><h3>Conclusions</h3><p>These results support that the proposed multimodal physiotherapy programme could improve symptoms arising from flight-related neck pain in fighter pilots.</p></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"46 5","pages":"Pages 242-250"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0211563824000403/pdfft?md5=63efdda2d607b97f4e9ddcef8bd87d8b&pid=1-s2.0-S0211563824000403-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140760628","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}

引用次数: 0

Composición corporal, fuerza prensil y antecedentes de lesiones de miembros superiores en deportistas paralímpicos formativos 训练中的残奥运动员的身体成分、前伸力量和上肢受伤史。

Fisioterapia Pub Date : 2024-09-01 DOI: 10.1016/j.ft.2024.06.002

L.M. Tierradentro , G. Hernández Oñate , M.Á. Campo , O.L. Hincapié Gallón

{"title":"Composición corporal, fuerza prensil y antecedentes de lesiones de miembros superiores en deportistas paralímpicos formativos","authors":"L.M. Tierradentro , G. Hernández Oñate , M.Á. Campo , O.L. Hincapié Gallón","doi":"10.1016/j.ft.2024.06.002","DOIUrl":"10.1016/j.ft.2024.06.002","url":null,"abstract":"<div><h3>Background and aim</h3><p>Paralympic sport is currently considered high performance, so it has been proposed to find factors that contribute to sports performance and injury prevention. People with physical disabilities suffer a loss of muscle mass and excess weight, thus intensifying the existence of health problems, such as musculoskeletal injuries due to the characteristics of sport and daily life activities. The aim of the study is to identify the anthropometric characteristics, handgrip strength and injury history of upper limb in Paralympic athletes of initiation.</p></div><div><h3>Methods</h3><p>A descriptive cross-sectional study was carried out in 30 Paralympic athletes in the initiation process of Wheelchair Basketball, Wheelchair Tennis, Para Swimming and Para-Powerlifting between 18 and 60 years of age with physical disability. They were assessed with dynamometry and subcutaneous folds.</p></div><div><h3>Results</h3><p>The body mass index of women exceeded that of men by 5.3kg/m2, being a state of overweight. The fat mass index of women was higher than that of men by 2.9kg/m2. In men, a statistically significant difference was found between athletes with and without history of injury in weight (p=0.01), fat free mass (0.00+) and right upper limb strength (p=0.01).</p></div><div><h3>Conclusions</h3><p>Athletes with history of injury presented high values in body composition, which could interfere in their progression process to high performance sport. Female Paralympic athletes have a higher body fat index.</p></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"46 5","pages":"Pages 266-274"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848545","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}

引用次数: 0

Entrenamiento en la técnica de respiración glosofaríngea en 2 mujeres sanas. Informe de casos 对两名健康女性进行舌咽呼吸技术培训。病例报告

Fisioterapia Pub Date : 2024-09-01 DOI: 10.1016/j.ft.2024.07.001

B. Valencia-Aristizabal , E.C. Wilches-Luna , J. Betancourt-Peña

{"title":"Entrenamiento en la técnica de respiración glosofaríngea en 2 mujeres sanas. Informe de casos","authors":"B. Valencia-Aristizabal , E.C. Wilches-Luna , J. Betancourt-Peña","doi":"10.1016/j.ft.2024.07.001","DOIUrl":"10.1016/j.ft.2024.07.001","url":null,"abstract":"<div><h3>Introduction</h3><p>The glossopharyngeal breathing technique consists of propelling air towards the trachea and sending it to the lungs, using the muscles of the tongue, pharynx, and larynx. The use of Glossopharyngeal breathing has been reported in the sport of freediving and some chronic neuromuscular diseases. We report two cases, healthy women, non-athletes, over 18 years old, who underwent a 6-week training program in the Glossopharyngeal breathing technique.</p></div><div><h3>Objective</h3><p>To describe the changes in maximum inspiratory pressure, diaphragmatic mobility and forced vital capacity in two healthy non-athletic women older than 18 years, after a six-week training program in the Glossopharyngeal breathing technique.</p></div><div><h3>Results</h3><p>An increase in maximum inspiratory pressure diaphragmatic mobility and forced vital capacity was observed in one of the cases.</p></div><div><h3>Conclusion</h3><p>In two non-athlete women, 6 weeks of training with the Glossopharyngeal breathing technique were enough to increase in maximum inspiratory pressure and diaphragmatic mobility, showed an increase in one of the cases.</p></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"46 5","pages":"Pages 299-303"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141838734","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}

引用次数: 0

Tratamiento rehabilitador en un paciente con citrulinemia tipo I asociada a deficiencia de beta-ureidopropionasa, primer caso reportado I 型瓜氨酸血症伴 beta-ureidopropionase 缺乏症患者的康复治疗，首例报告

Fisioterapia Pub Date : 2024-09-01 DOI: 10.1016/j.ft.2024.06.001

P.A. López Hernandez , M. Hernández García , A. Ramirez Castillo , S. Bezares Reyes , J. Mantilla Capacho

{"title":"Tratamiento rehabilitador en un paciente con citrulinemia tipo I asociada a deficiencia de beta-ureidopropionasa, primer caso reportado","authors":"P.A. López Hernandez , M. Hernández García , A. Ramirez Castillo , S. Bezares Reyes , J. Mantilla Capacho","doi":"10.1016/j.ft.2024.06.001","DOIUrl":"10.1016/j.ft.2024.06.001","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Beta-ureidopropionase deficiency and citrullinemia type I are rare inborn errors of metabolism. The objective of this study is to present a clinical case with the presence of the two genetic pathologies confirmed with molecular analysis and to design a multidisciplinary rehabilitative treatment based on the International Classification of Functioning, Disability and Health (ICF).</p></div><div><h3>Materials and methods</h3><p>A female patient with a moderate physical and intellectual disability is presented, with neurological damage secondary to metabolic deregulation; additionally, he has deficiencies in: gait, posture, neurosensory area and limitations in Basic Activities of Daily Living (BADL). A therapeutic intervention based on the ICF was carried out and multidisciplinary rehabilitation treatments of physiotherapy (20 sessions), occupational therapy (10 sessions) and psychology (15 sessions) were designed. The results obtained were evaluated with clinical and psychological assessments and with the application of scales such as: EPlfant, WeeFIM and the Get Up and Go Test and visual gait analysis.</p></div><div><h3>Results</h3><p>A result of 70% improvement in gait and posture was obtained. 70% improvement in ABDL, in the neurosensory and psychomotor area. Better psychosocial performance was promoted, with improvement in cognitive and recreational activities.</p></div><div><h3>Conclusions</h3><p>This is the first case reported in the literature with a new mutation not registered in ClinVar. It is important to apply the ICF in all patients with disabilities, to determine specific rehabilitation treatment objectives in a multidisciplinary manner.</p></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"46 5","pages":"Pages 292-298"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142149032","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}

引用次数: 0

Implementación de telerrehabilitación en Latinoamérica: revisión sistemática exploratoria 拉丁美洲远程康复的实施情况：探索性系统回顾

Fisioterapia Pub Date : 2024-09-01 DOI: 10.1016/j.ft.2024.05.001

O.M. Hernández Orobio , N.L. Hernández , R. González Cabanach , L. González Doníz

{"title":"Implementación de telerrehabilitación en Latinoamérica: revisión sistemática exploratoria","authors":"O.M. Hernández Orobio , N.L. Hernández , R. González Cabanach , L. González Doníz","doi":"10.1016/j.ft.2024.05.001","DOIUrl":"10.1016/j.ft.2024.05.001","url":null,"abstract":"<div><p>Telerehabilitation (TR) is a service delivery modality that favors access to rehabilitation; there is a need for research about TR implementation in Latin America (LA) to demonstrate development strategies and impact results.</p></div><div><h3>Aim</h3><p>To identify characteristics, barriers and facilitators of TR implementation in LA.</p></div><div><h3>Method</h3><p>Scoping review from January 1, 2010, to December 31, 2022, using the databases Virtual Health Library (VHL); Scielo; PubMed; Scopus; Web of Science; EBSCO; CINAHL and Google Scholar; also, manual and gray literature searches.</p></div><div><h3>Results</h3><p>17 articles were identified reporting TR implementation processes in Brazil, Chile, Colombia, Mexico, Guatemala and Haiti. The TR implementation scenarios included primary health care, education and therapeutic intervention services. The most frequently identified barriers were: lack of connectivity; availability of therapeutic implements; difficulties in the use of Information and Communication Technologies (ICTs); quality of ICTs; and organizational and administrative difficulties. Among the facilitators</p><p>: the existence of regulations; ICT education of professionals and users; functionality; beneficiaries’ satisfaction of use and acceptance of TR.</p></div><div><h3>Conclusions</h3><p>TR in LA is emerging, and current literature reveals heterogeneity in terms of populations, settings and implementation outcomes. The identification of barriers and facilitators contributes to the implementation of TR in the region. There is an urgent need for research on TR implementation to respond to the challenges of the Latin American context in various rehabilitation scenarios.</p></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"46 5","pages":"Pages 282-291"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142149024","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}

引用次数: 0

P-5. EL EFECTO DE LA REALIDAD VIRTUAL EN PACIENTES CON DOLOR MUSCULOESQUELÉTICO: UNA REVISIÓN SISTEMÁTICA P-5.虚拟现实对肌肉骨骼疼痛患者的影响：系统综述。

Fisioterapia Pub Date : 2024-07-01 DOI: 10.1016/S0211-5638(24)60065-9

E. Carrasco González, D. Casanova Rodriguez, R. Bertoletti Rodriguez, A. Lerín Calvo

引用次数: 0