Fisioterapia最新文献

Experiencias del trabajo interprofesional en intervenciones pediátricas: perspectiva cualitativa desde la fisioterapia 儿科干预的专业间工作经验：从物理治疗的定性视角

Fisioterapia Pub Date : 2025-09-01 DOI: 10.1016/j.ft.2025.05.005

L.A. Borges Méndez, J.M. Gesualdo Zayas, A. Rivera Viera, C.M. Santiago Olivera, L.M. Vélez-Jiménez

{"title":"Experiencias del trabajo interprofesional en intervenciones pediátricas: perspectiva cualitativa desde la fisioterapia","authors":"L.A. Borges Méndez, J.M. Gesualdo Zayas, A. Rivera Viera, C.M. Santiago Olivera, L.M. Vélez-Jiménez","doi":"10.1016/j.ft.2025.05.005","DOIUrl":"10.1016/j.ft.2025.05.005","url":null,"abstract":"<div><h3>Background and objective</h3><div>Families with children with disabilities usually need health services and therapies from different disciplines. The purpose of our research was to explore and describe the experiences of different health professionals working interprofessionally in pediatric intervention.</div></div><div><h3>Method</h3><div>Our research followed a qualitative methodology with a phenomenological design. We selected a purposive sample with 7participants: orthopedist, neurologist, pediatrician, speech-language pathologist, occupational therapist, and 2pediatric physical therapists. The information was collected through a sociodemographic profile, semi-structured interviews and a reflection exercise. The analysis of the data led to identifying categories and themes for horizontalization with significant statements. A textual and structural description was achieved to obtain the essence of the phenomenon.</div></div><div><h3>Results</h3><div>Participants describe interprofessional work as an experience of learning, professional growth, respect between professions, and beneficial to the population they serve. They highlight the importance of key facilitators such as willingness, commitment and communication. However, challenges and barriers have been identified such as lack of time, patient overload and administrative support.</div></div><div><h3>Conclusion</h3><div>Interprofessional work stands out as an effective dynamic between various health professionals, including physiotherapy. In this style of work in which there is a valuable and different skill set, the pediatric patient is seen as a whole and receives complete and effective treatment.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 5","pages":"Pages 241-249"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922716","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

Complex Regional Pain Syndrome Type I and risk factors in adult population: A systematic review 成人复杂区域疼痛综合征I型及其危险因素：系统综述

Fisioterapia Pub Date : 2025-09-01 DOI: 10.1016/j.ft.2025.06.001

S. Barreda-Bezerra Da Silva , B.E. Patiño-Palma , A. Gómez-Rodas , M. Ceretta-Maestro , R. Escamilla-Ugarte

{"title":"Complex Regional Pain Syndrome Type I and risk factors in adult population: A systematic review","authors":"S. Barreda-Bezerra Da Silva , B.E. Patiño-Palma , A. Gómez-Rodas , M. Ceretta-Maestro , R. Escamilla-Ugarte","doi":"10.1016/j.ft.2025.06.001","DOIUrl":"10.1016/j.ft.2025.06.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Complex Regional Pain Syndrome Type I (CRPS-I) is a chronic and debilitating condition characterized by unclear pathophysiology and controversial treatment options. This study aims to identify specific factors associated with CRPS-I development.</div></div><div><h3>Methods</h3><div>A systematic review was conducted following the PRISMA guidelines. An extensive electronic search was performed across six databases: MEDLINE, Cochrane, Google Scholar, Web of Science, Scopus, and Embase. Only case–control and cohort studies that identified CRPS-I adult patients’ risk factors were included. Out of 708 initially identified studies, 9 met the eligibility criteria. The risk of bias was assessed using the Newcastle–Ottawa scale.</div></div><div><h3>Results</h3><div>The review identified 13 distinct variables related to CRPS-I development. Key factors included upper limb fractures with high pain levels (over 5/10 on a numeric rating scale), significantly associated with increased CRPS-I risk (OR: 3.6). Additional significant risk factors included female gender and comorbidities like migraines (OR: 2.7), fibromyalgia (OR: 2.5), and rheumatoid arthritis (OR: 2.1). Fracture characteristics, such as high-impact injuries or open surgical reductions, were also contributing factors (OR: 1.3). Psychological, genetic, and metabolic factors also played roles in CRPS-I development.</div></div><div><h3>Conclusion</h3><div>Despite the low risk of bias in the included studies, the results were inconsistent for a meta-analysis, highlighting the need for further research to clarify these associations. The review emphasizes the importance of fracture management, hormonal influences, and genetic predispositions in CRPS-I. Future research should explore genetic, hormonal, and inflammatory interactions to enhance understanding and treatment strategies for CRPS-I.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 5","pages":"Pages 258-269"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922718","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

Eficacia del vendaje neuromuscular en parálisis facial: estudio cuasiexperimental 神经肌肉绷带治疗面瘫的有效性：准实验研究

Fisioterapia Pub Date : 2025-09-01 DOI: 10.1016/j.ft.2025.07.001

C. Villarón-Casales , J. Gámez-Paya , B. Prieto-Moure , J. Alarcón-Jimenez , A. Villarón-Romero

{"title":"Eficacia del vendaje neuromuscular en parálisis facial: estudio cuasiexperimental","authors":"C. Villarón-Casales , J. Gámez-Paya , B. Prieto-Moure , J. Alarcón-Jimenez , A. Villarón-Romero","doi":"10.1016/j.ft.2025.07.001","DOIUrl":"10.1016/j.ft.2025.07.001","url":null,"abstract":"<div><h3>Background and objective</h3><div>Facial palsy compromises the functionality of the facial musculature, and conventional physiotherapy treatments show limitations, especially in early stages. This study evaluates the effectiveness of neuromuscular taping (NMT) as a therapeutic alternative, analyzing its impact on facial function and synkinesis reduction using the House-Brackmann (HBS) and Sunnybrook (SUN) scales.</div></div><div><h3>Materials and methods</h3><div>A three-month quasi-experimental study was conducted with 34 adults diagnosed with facial palsy, assigned to a control group (conventional treatment) or an experimental group (NMT) based on order of arrival and availability. Both groups received two weekly sessions. Pre- and post-intervention evaluations were performed using the HBS and SUN scales by an independent evaluator. Assessment order was randomized. Wilcoxon and Mann-Whitney U tests were used for statistical analysis (<em>P</em>  >.05). After the intervention, the experimental group showed greater improvements in facial function (SUN: median 95.5 vs. 34.5; <em>P</em>  <.05). Effect sizes were high for both scales (r=0.81 and r=0.84).</div></div><div><h3>Conclusions</h3><div>NMT was effective in improving facial function and reducing synkinesis in patients with facial palsy who had not shown favorable evolution in early stages. It may represent a non-invasive therapeutic option. Further research with larger sample sizes and subgroup analysis is recommended.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 5","pages":"Pages 250-257"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922717","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

Uso de ondas de choque radiales como cointervención en el manejo del síndrome de espalda fallida: un reporte de caso 利用放射状冲击波协助管理背痛失败：案例报告

Fisioterapia Pub Date : 2025-09-01 DOI: 10.1016/j.ft.2025.05.002

I. Silva-Satlov, J. Stammer Acevedo, F. Aranguiz Salas, M. Venegas de la Paz

{"title":"Uso de ondas de choque radiales como cointervención en el manejo del síndrome de espalda fallida: un reporte de caso","authors":"I. Silva-Satlov, J. Stammer Acevedo, F. Aranguiz Salas, M. Venegas de la Paz","doi":"10.1016/j.ft.2025.05.002","DOIUrl":"10.1016/j.ft.2025.05.002","url":null,"abstract":"<div><h3>Background and objective</h3><div>Failed back surgery syndrome (FBSS) is a complex condition characterized by persistent pain after spinal surgery. This study evaluates the effectiveness of radial shockwaves as a co-intervention in combination with conventional physiotherapy to improve pain and functionality in a case of FBSS.</div></div><div><h3>Patient and method</h3><div>A prospective, single-case study was conducted on a 62-year-old patient with pain and severe functional limitation, secondary to FBSS. During 14 sessions, manual therapy and therapeutic exercise were applied, incorporating radial shockwaves from the 5th session onwards. These were administered in 2 phases: preparation (500 pulses at 1.5bar and 14Hz) and treatment (2000 pulses at 5bar and 5Hz), distributed bilaterally in the paravertebral musculature (T10-L5), quadratus lumborum, and painful points in the gluteal region. Pain was assessed using the visual analog scale, functionality with the Roland-Morris Questionnaire, and motor control with the modified Timed Up and Go test with accelerometer (inertial measurement unit).</div></div><div><h3>Results</h3><div>A total reduction in pain was observed (visual analog scale: 4.3 to 0) and an 81.25% improvement in functionality (Roland-Morris Questionnaire). The Timed Up and Go test reflected 24.67% less total time, an increase in step cadence, and a significant reduction in the sit-to-stand phase. The greatest changes coincided with the application of radial shockwaves.</div></div><div><h3>Conclusion</h3><div>Radial shockwaves, combined with physiotherapy, may be an effective co-intervention in the rehabilitation of patients with FBSS, optimizing the multimodal management of pain and functionality.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 5","pages":"Pages 270-274"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922666","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

Prevalencia de dolor musculoesquelético y disfunciones de suelo pélvico en artistas escénicos: estudio preliminar 表演艺术家肌肉骨骼疼痛和骨盆底功能障碍的患病率：初步研究

Fisioterapia Pub Date : 2025-09-01 DOI: 10.1016/j.ft.2025.05.003

P. Moreno-López , L. Lorenzo-Gallego , M. Torres-Lacomba

{"title":"Prevalencia de dolor musculoesquelético y disfunciones de suelo pélvico en artistas escénicos: estudio preliminar","authors":"P. Moreno-López , L. Lorenzo-Gallego , M. Torres-Lacomba","doi":"10.1016/j.ft.2025.05.003","DOIUrl":"10.1016/j.ft.2025.05.003","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the prevalence of musculoskeletal pain and symptoms of pelvic floor dysfunction (PFD) in professional performing artists, including dancers, singers, and musicians.</div></div><div><h3>Methodology</h3><div>A descriptive cross-sectional study in which male and female participants were assessed through a five-section questionnaire: 1) Informed consent, 2) Sociodemographic data, 3) Standardized Nordic Questionnaire (SNQ), 4) Pelvic Floor Distress Inventory (PFDI-20), and 5) Open-ended questions regarding knowledge of the pelvic floor muscles (PFM).</div></div><div><h3>Results</h3><div>A total of 45 participants completed the questionnaire, of which 2 were excluded, leaving 9 men and 34 women. The median age was 24 years, and the median experience in their field was 13 years.</div><div>All participants (100%) reported musculoskeletal pain in the past 12 months, primarily in the neck (88%) and lower back (86%). Additionally, 47% were unable to perform their usual work due to pain. The prevalence of PFD symptoms was 86%. Urinary symptoms were the most prevalent in both sexes, representing 91.2% of the total. Moreover, 66.7% of participants did not recognize the structures and functions of the PFM, although 71.4% knew how to contract them.</div></div><div><h3>Conclusions</h3><div>The prevalence of musculoskeletal pain, particularly in the neck and lumbar region, is high, as is the prevalence of PFD symptoms among performing artists. Understanding these aspects can help in proposing effective strategies and interventions to improve the health conditions of performing artists.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 5","pages":"Pages 224-232"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922714","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

El trastorno del desarrollo de la coordinación: el papel clave del fisioterapeuta 协调发展障碍：物理治疗师的关键作用

Fisioterapia Pub Date : 2025-09-01 DOI: 10.1016/j.ft.2025.06.002

S. Montero Mendoza , I. Calvo Muñoz

引用次数: 0

Posturas de hombro y codo durante el gesto motor de saque en bandeja según el historial de la lesión musculoesquelética en los padelistas de la ciudad de Talca, Chile 根据智利塔尔卡市（Talca）运动员的肌肉骨骼损伤史，在铲球运动中肩膀和肘部的姿势

Fisioterapia Pub Date : 2025-09-01 DOI: 10.1016/j.ft.2025.05.004

S. Castro-Núñez , M. Garrido-Fuentes , D. López-Bravo , M.J. Pasmiño-Aravena , P. Medina-González

{"title":"Posturas de hombro y codo durante el gesto motor de saque en bandeja según el historial de la lesión musculoesquelética en los padelistas de la ciudad de Talca, Chile","authors":"S. Castro-Núñez , M. Garrido-Fuentes , D. López-Bravo , M.J. Pasmiño-Aravena , P. Medina-González","doi":"10.1016/j.ft.2025.05.004","DOIUrl":"10.1016/j.ft.2025.05.004","url":null,"abstract":"<div><h3>Background and objective</h3><div>Padel has experienced significant growth. It requires repetitive and intense motor gestures (MG), which are associated with musculoskeletal injuries (MSI). The objective was to evaluate shoulder and elbow postures during the tray serve MG in amateur padel players from Talca, Chile.</div></div><div><h3>Methodology</h3><div>For this observational and cross-sectional study, 30 padel players from Talca, Chile were recruited. They were grouped into those with a history of MSI (wMSI, n=14, age [95% <span>C</span>I]=32.9 [29.5-36.4] years) and without a history of MSI (woMSI, n=16, age [95% CI]=29.3 [26.7-31.8] years). Angular positions in a sagittal plane of the shoulder and elbow were analyzed for the MG of the serve during a regular game in an official championship. Photogrammetry (Kinovea®) was used for the initial (beginning of the gesture), mid (maximum extension to prepare the stroke), and final (ball impact) postures.</div></div><div><h3>Results</h3><div>For the shoulder, the initial position is similar in both groups (∼21° flexion), while the mid position is significantly more extended in the woMSI athletes (∼55 vs. ∼45°; <em>P</em>=.002), and this remains in the final phase (∼38 vs. ∼32°). For the elbow, the postures are similar (∼120°). The woMSI athletes achieve greater relative extension at the moment of ball impact (∼141 vs. ∼130°).</div></div><div><h3>Conclusions</h3><div>The beginning of the MG of the serve shows similar angular postures among all padel players. However, the woMSI athletes exhibit a posture with greater shoulder and elbow extension during the mid and final phases.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 5","pages":"Pages 233-240"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922715","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

Aplicaciones móviles en el seguimiento y la recuperación funcional tras artroplastia de cadera: ¿realidad consolidada o potencial en desarrollo? 髋关节置换术后监测和功能恢复的移动应用：巩固的现实还是发展的潜力？

Fisioterapia Pub Date : 2025-09-01 DOI: 10.1016/j.ft.2025.05.006

J. Zambrano-Martín , A. Gómez-Conesa , R. Méndez-Sánchez , M. Mendoza-Puente

引用次数: 0

Evolución histórica y desafíos científicos de la fisioterapia en España: hacia una rehabilitación integral y avanzada 西班牙物理治疗的历史发展和科学挑战：走向全面和先进的康复

Fisioterapia Pub Date : 2025-07-01 DOI: 10.1016/j.ft.2025.02.006

E.A. Sánchez-Romero , S. Fernández-Carnero , P. Martínez-Lozano , F. Selva-Sarzo , J.N. Cuenca-Zaldívar

引用次数: 0

Trayectorias y narrativas de actividad física posterior al tratamiento de cáncer de mama: estudio cualitativo 乳腺癌治疗后身体活动的轨迹和叙述：定性研究

Fisioterapia Pub Date : 2025-07-01 DOI: 10.1016/j.ft.2025.05.001

C.E. Corso-Amado

{"title":"Trayectorias y narrativas de actividad física posterior al tratamiento de cáncer de mama: estudio cualitativo","authors":"C.E. Corso-Amado","doi":"10.1016/j.ft.2025.05.001","DOIUrl":"10.1016/j.ft.2025.05.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Breast cancer is the most incident neoplasm in women; the disease and treatment has an impact on the transformations of the body and the everyday life of women. Physical activity is a bodily action that can mediate side effects.</div></div><div><h3>Objective</h3><div>To analyse the meanings and experiences of physical activity practice of women breast cancer survivors, in relation to the uses of the body and health care.</div></div><div><h3>Methodology</h3><div>A qualitative approach was followed, with the methodological foundations of grounded theory. Semi-structured interviews were conducted, recorded and transcribed for analysis. Discourse analysis was carried out with line-by-line, open and then selective coding.</div></div><div><h3>Results</h3><div>Nine women were interviewed between 2022 and 2023. Five different trajectories were interpreted which are mediated by various factors such as previous experience of physical activity, age, educational level, medical recommendations and disease symptomatology. Physical activity is perceived as both a physical and mental action that can be performed for the pursuit of well-being, satisfaction and as a therapeutic resource.</div></div><div><h3>Conclusion</h3><div>Physical activity has a role to play in the integral recovery of women after diagnosis and treatment of breast cancer, which is why the creation of specific programmes should be promoted, as well as the training of professionals in the field of physical activity.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 4","pages":"Pages 209-216"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144523020","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