Fisioterapia最新文献

Efectividad de la terapia intensiva bimanual incluyendo y no las extremidades inferiores, en la función manual en niños con parálisis cerebral: revisión sistemática

Fisioterapia Pub Date : 2025-01-01 DOI: 10.1016/j.ft.2024.10.003

S. Montero Mendoza, J. Barqueros Galea

{"title":"Efectividad de la terapia intensiva bimanual incluyendo y no las extremidades inferiores, en la función manual en niños con parálisis cerebral: revisión sistemática","authors":"S. Montero Mendoza, J. Barqueros Galea","doi":"10.1016/j.ft.2024.10.003","DOIUrl":"10.1016/j.ft.2024.10.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Cerebral palsy (CP) is a non-progressive neurological disorder that can affect both gross and fine motor skills limiting quality of life. Bimanual intensive therapy (HABIT) and bimanual intensive therapy including lower extremities (HABIT-ILE) are used to stimulate bimanual coordination through structured movements and activities that require the use of both hands with control of the trunk and lower extremities in children with unilateral spastic CP. The objective of the review is to analyse the scientific evidence of HABIT and HABIT-ILE on manual function in children with CP.</div></div><div><h3>Material and method</h3><div>A systematic review was conducted following the PRISMA guidelines. Randomised clinical trials and before-after studies focusing on HABIT and HABIT-ILE for the treatment of impaired manual skills in children with CP were selected. We used the tool proposed by the Cochrane Handbook to analyse the risk of bias. The last search was conducted on 3 May 2024.</div></div><div><h3>Results</h3><div>Significant improvements were found in bimanual skill performance but not in palmar strength. Combining HABIT or HABIT-ILE with other therapies may improve manual skill outcomes..</div></div><div><h3>Conclusions</h3><div>HABIT or HABIT-ILE therapy can improve manual function in children with CP, functional Independence and quality of life. Further studies are needed to determine the most effective treatment protocol and the combination with other therapies that may improve outcomes.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 1","pages":"Pages 35-43"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143097060","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

Condición clínica y respuesta fisiológica en el test de caminata de los 6 minutos en pacientes con EPOC en diferentes alturas sobre el nivel del mar

Fisioterapia Pub Date : 2025-01-01 DOI: 10.1016/j.ft.2024.09.006

J. Betancourt-Peña , J.C. Ávila-Valencia , L. de Ávila-Quintana , E. Tapia-Caez

{"title":"Condición clínica y respuesta fisiológica en el test de caminata de los 6 minutos en pacientes con EPOC en diferentes alturas sobre el nivel del mar","authors":"J. Betancourt-Peña , J.C. Ávila-Valencia , L. de Ávila-Quintana , E. Tapia-Caez","doi":"10.1016/j.ft.2024.09.006","DOIUrl":"10.1016/j.ft.2024.09.006","url":null,"abstract":"<div><h3>Introduction</h3><div>The 6-minute walk test (6MWT) is the most frequently used functional assessment test in patients with cardiorespiratory diseases, including COPD. Little has been investigated regarding the chronic response to different altitudes above sea level.</div></div><div><h3>Aim</h3><div>This study aimed to describe the clinical condition and physiological response to performing the 6MWT at different altitudes above sea level and, subsequently, to describe the correlation with distance traveled in a population of patients diagnosed with COPD living in four Colombian cities.</div></div><div><h3>Materials and methods</h3><div>A cross-sectional study in patients with COPD diagnosis belonging to the pulmonary rehabilitation department of the four Colombian cities located at different altitudes above sea level. Sociodemographic, clinical and related variables were linked to the 6MWT.</div></div><div><h3>Results</h3><div>A total of 268 patients participated with a mean age of 71.1±10.16. The distance covered in all the patients in the 6MWT was 376.4±117.5, higher in medium altitude 466.7±66.2 p-value=0.000. Desaturation was higher in the mid-altitude group. Age, VO2e, and METs correlated with all altitude groups above sea level.</div></div><div><h3>Conclusions</h3><div>Patients linked to the high-altitude group with a diagnosis of COPD show lower distance traveled in the 6MWT and higher mMRC dyspnea score compared to the other groups; Additionally, in all height groups above sea level, age presents the best correlation with the distance traveled in the 6MWT.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 1","pages":"Pages 11-19"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143140926","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

Dolor y catastrofismo en el síndrome del túnel del carpo

Fisioterapia Pub Date : 2025-01-01 DOI: 10.1016/j.ft.2024.10.001

O. del Pozo Blanco , E. González García

{"title":"Dolor y catastrofismo en el síndrome del túnel del carpo","authors":"O. del Pozo Blanco , E. González García","doi":"10.1016/j.ft.2024.10.001","DOIUrl":"10.1016/j.ft.2024.10.001","url":null,"abstract":"<div><h3>Objectives</h3><div>To determine which variable influences pain in patients with carpal tunnel syndrome (CTS), specifically whether it is the severity of nerve injury or pain-associated catastrophization (PC). Additionally, to assess the relationship between electromyography (EMG) results and perceived pain in both hands.</div></div><div><h3>Method</h3><div>A prospective observational study of CTS patients with EMG results, who completed two questionnaires: the Pain Catastrophizing Scale (PCS) to quantify PC, and the McGill Pain Questionnaire to assess pain. For the latter, only the Visual Analog Scale (VAS) was used due to the difficulty patients faced in selecting the most appropriate term.</div></div><div><h3>Results</h3><div>A total of 74 subjects with CTS were studied. The intensity of pain and the severity of median nerve injury were not statistically significant in the right hand (<em>p</em>  =0.270). A positive association was found between the PCS and pain in the right hand (<em>p</em>  =0.050). The relationship of the results between both hands was statistically significant for both EMG (<em>p</em>  =0.000).</div></div><div><h3>Conclusions</h3><div>Pain in CTS is determined by PC rather than the severity of nerve injury. There is similarity in pain perception and the degree of median nerve injury between both hands.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 1","pages":"Pages 20-27"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143097523","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

Physiotherapy and mental health: Depression and suicide attempt case report

Fisioterapia Pub Date : 2025-01-01 DOI: 10.1016/j.ft.2024.10.005

J.A. Name-Guerra , M. Villegas-Gallego , J. Arango-Castaño , I. Amador-Osorio

{"title":"Physiotherapy and mental health: Depression and suicide attempt case report","authors":"J.A. Name-Guerra , M. Villegas-Gallego , J. Arango-Castaño , I. Amador-Osorio","doi":"10.1016/j.ft.2024.10.005","DOIUrl":"10.1016/j.ft.2024.10.005","url":null,"abstract":"<div><h3>Background</h3><div>Clinical practice shows that there is a relationship between cervical spine and temporomandibular joint pathologies. The following case was treated simultaneously by psychiatry, neurosurgery, psychology and physiotherapy, showing rapid and considerable improvement, recognizing the importance of multidisciplinary treatments to address mental pathologies.</div></div><div><h3>Objective</h3><div>To analyze the case of a 36-year-old patient with severe depression and consequently attempted suicide who received multidisciplinary care.</div></div><div><h3>Methods</h3><div>Informed consent was obtained from the patient and the EQUATOR guideline corresponding to the type of studies (CARE) was followed.</div></div><div><h3>Results</h3><div>The patient was under psychiatric treatment for 3 months without improvement. She was prescribed multidisciplinary treatment, including physiotherapy intervention. Ten physiotherapy sessions were ordered with the following protocols: cervical spine and TMJ mobilization exercises, cold/heat therapy, ultrasound and electrotherapy. Ten sessions of psychological therapy accompanied by medical treatment for pain and muscle tension were also ordered. Three months after this multidisciplinary intervention, the physical and mental discomfort began to decrease.</div></div><div><h3>Conclusions</h3><div>This case demonstrates that physiotherapy is a favorable tool for the intervention of mental disorders such as depression.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 1","pages":"Pages 44-47"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143097061","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

Asociación entre el síndrome de burnout con la presencia de eventos adversos y segunda víctima por la pandemia COVID-19 en profesionales de fisioterapia

Fisioterapia Pub Date : 2025-01-01 DOI: 10.1016/j.ft.2024.10.004

C.A. Estupiñan Ruiz

{"title":"Asociación entre el síndrome de burnout con la presencia de eventos adversos y segunda víctima por la pandemia COVID-19 en profesionales de fisioterapia","authors":"C.A. Estupiñan Ruiz","doi":"10.1016/j.ft.2024.10.004","DOIUrl":"10.1016/j.ft.2024.10.004","url":null,"abstract":"<div><h3>Introduction</h3><div>In Colombia, there are few studies carried out on the association of working conditions and their relationship with the presence or absence of adverse events and the presentation of a second victim. Second victims have been defined as the actors in charge of providing any health service and those who participate in some way in an adverse event. Impacting clinical care processes, lengthening hospital stay and lower job satisfaction.</div></div><div><h3>Objectives</h3><div>Determine the relationship between working conditions and their elevation with adverse events and second victims in physiotherapy professionals due to the Covid-19 pandemic in a high complexity hospital in Bogotá, Colombia.</div></div><div><h3>Methodology</h3><div>Cross-sectional analytical study in which surveys were applied to investigate working conditions, presence of adverse events and perception of a second victim in 2021. Descriptive and bivariate analyzes were carried out using the SPSS v statistical software. 25.</div></div><div><h3>Results</h3><div>The results It was observed that 46.6% (n=7) of professionals who experienced adverse events in the last year also presented work exhaustion. However, a small percentage, 3.8% (n=1) indicated having committed an adverse event without feeling exhausted or having burnout syndrome.</div></div><div><h3>Conclusions</h3><div>it was possible to identify a high percentage of physiotherapists who presented work exhaustion. And added to that condition, they had presented an adverse event, for which they were never followed up and supported in the face of the deterioration of their physical and mental health after the presentation of the event.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 1","pages":"Pages 28-34"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143097059","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

Satisfacción laboral de los fisioterapeutas del ámbito público de las Islas Canarias

Fisioterapia Pub Date : 2025-01-01 DOI: 10.1016/j.ft.2024.09.005

A. Javier-Ormazábal , M. Santos-Arrieta

{"title":"Satisfacción laboral de los fisioterapeutas del ámbito público de las Islas Canarias","authors":"A. Javier-Ormazábal , M. Santos-Arrieta","doi":"10.1016/j.ft.2024.09.005","DOIUrl":"10.1016/j.ft.2024.09.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Job satisfaction is an indicator of the well-being and quality of life of workers. The evaluation of levels of job satisfaction is of vital importance both for the workers themselves and for the companies in which they work. The objective of this study is to know the job satisfaction of physiotherapists who work in the public sphere of the Autonomous Community of the Canary Islands in addition to analyzing the relationship of job satisfaction with other social and work variables.</div></div><div><h3>Methods</h3><div>A cross-sectional descriptive study was carried out. Physiotherapists were included who will provide their care in the public sector of the community. The sociodemographic variables and the General Satisfaction Scale were recognized. A correlational analysis was carried out between the variables.</div></div><div><h3>Results</h3><div>Forty-two physical therapists responded to the survey. The average age of the population was 41.17±10.03 years and 61.90% were women. The average score of general satisfaction with their work was 65.64±15.51 points out of a total of 105. Significant differences were found between permanent and temporary staff (<em>P</em>  <!-->.028).</div></div><div><h3>Conclusions</h3><div>Most physiotherapists working in the SCS have medium-high levels of job satisfaction. These results should serve the different management levels to make decisions regarding the employment situation and sociodemographic situation of physiotherapists in the autonomous community of the Canary Islands.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 1","pages":"Pages 4-10"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143140925","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

Comunicación en fisioterapia: la clave para una buena práctica en la era digital y de la desinformación

Fisioterapia Pub Date : 2025-01-01 DOI: 10.1016/j.ft.2024.09.004

D. Catalán-Matamoros

引用次数: 0

¿Prestan suficiente atención los fisioterapeutas en evaluar y diagnosticar los problemas de cadera o ingle en adultos activos?

Fisioterapia Pub Date : 2024-11-01 DOI: 10.1016/j.ft.2024.07.003

M.Á. Alcocer-Ojeda , A. Gómez-Conesa

引用次数: 0

Características y desacondicionamiento físico de pacientes con COVID persistente en un servicio ambulatorio de Medicina Física y Rehabilitación de Perú: un estudio transversal

Fisioterapia Pub Date : 2024-11-01 DOI: 10.1016/j.ft.2024.07.004

R. De la Cerna-Luna , F. Ylaquita-Chicata , A. Taype-Rondan

{"title":"Características y desacondicionamiento físico de pacientes con COVID persistente en un servicio ambulatorio de Medicina Física y Rehabilitación de Perú: un estudio transversal","authors":"R. De la Cerna-Luna , F. Ylaquita-Chicata , A. Taype-Rondan","doi":"10.1016/j.ft.2024.07.004","DOIUrl":"10.1016/j.ft.2024.07.004","url":null,"abstract":"<div><h3>Background and objective</h3><div>Physical deconditioning in Long COVID patients seems to be the main cause of impaired exercise capacity. Despite its relevance, we do not have studies to understand how it is manifesting in our country. Therefore, our objective was to describe the characteristics and physical deconditioning of Long COVID patients in a Physical Medicine and Rehabilitation (PM&R) outpatient service in Peru.</div></div><div><h3>Materials and methods</h3><div>Retrospective cohort of Long COVID patients treated by PM&R at EsSalud between July 2 and October 27, 2021. We reviewed the medical records and extracted the variables of interest.</div></div><div><h3>Results</h3><div>We included 104 patients (median age: 61years, male: 62.5%). 99% had adequate cognitive function, 76% reported comorbidities, 85.6% reported mild or no functional limitation, 91.4% reported independence or mild dependence for basic activities of daily living, and 51% underwent post-discharge physiotherapy. The most frequent signs or symptoms were pain, cough, arrhythmia, and muscle weakness. 58% had reduced aerobic power, 45.6% had reduced flexibility, 22.5% had reduced anaerobic power, and 6.2% had reduced balance. The reduction in aerobic power and balance was statistically significant in those over 60years of age.</div></div><div><h3>Conclusions</h3><div>Physical deconditioning was a frequent complication in Long COVID patients, especially in those assessed for aerobic power and flexibility. In those over 60 years old, a significant reduction in aerobic power and balance was observed.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"46 6","pages":"Pages 307-314"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143144704","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

Physiotherapy education: Simulation-based learning on biopsychosocial training in chronic pain – A mixed-methods study

Fisioterapia Pub Date : 2024-11-01 DOI: 10.1016/j.ft.2024.09.002

D. Barranco-i-Reixachs , C. Bravo , A. Orio , F. Rubí-Carnacea

引用次数: 0