Fisioterapia最新文献

La inteligencia artificial es una realidad, ¿debemos definir las «soft skills» esenciales en Fisioterapia?

Fisioterapia Pub Date : 2025-03-01 DOI: 10.1016/j.ft.2024.11.001

S. Santiago-Pescador

引用次数: 0

Efectos de la fisioterapia cardiopulmonar sobre la fisiología en pacientes post-COVID-19

Fisioterapia Pub Date : 2025-03-01 DOI: 10.1016/j.ft.2025.02.001

J.M. Rodríguez-Gómez , A. Arranz-Escudero , M. Puertas-Duarte , J. Izquierdo-García , N. Pérez-Mallada

{"title":"Efectos de la fisioterapia cardiopulmonar sobre la fisiología en pacientes post-COVID-19","authors":"J.M. Rodríguez-Gómez , A. Arranz-Escudero , M. Puertas-Duarte , J. Izquierdo-García , N. Pérez-Mallada","doi":"10.1016/j.ft.2025.02.001","DOIUrl":"10.1016/j.ft.2025.02.001","url":null,"abstract":"<div><h3>Introduction</h3><div>The respiratory difficulty caused by COVID-19 in severe cases leads to Intensive Care Units Acquired Weakness (ICUAW) after prolonged bed rest and treatment by invasive mechanical ventilation (IMV), which leads to a decrease in health status due to deconditioning.</div></div><div><h3>Objective</h3><div>To study the effects of a cardiopulmonary training program on muscle mass and strength in post-COVID-19 patients.</div></div><div><h3>Methods</h3><div>A quasi-experimental study was conducted with post-COVID-19 patients who were admitted to the ICU and developed ICUAW. The main variables were the diameter of the rectus femoris muscle (assessed with ultrasound), the knee extensors strength (assessed with a manual dynamometer), the strength of the inspiratory and expiratory muscles (assessed with a RPM™ system) measured at the beginning and end of the program. The program was composed of warm-up, aerobic exercise on a cycle ergometer, strength exercise and relaxation; guided by a physiotherapist. Student's t-test was used to study changes in the variables and Cohen's d statistic to study the magnitude of the change, with an alpha significance level of 0.05.</div></div><div><h3>Results</h3><div>25 patients completed the program (48% men). Statistically significant changes were obtained in all variables at the end of the program (<em>P</em>      <!-->0.8) for the diameter of the rectus femoris and respiratory muscle strength.</div></div><div><h3>Conclusions</h3><div>The cardiopulmonary program in post-COVID-19 patients with ICUAW may have beneficial effects and clinically relevant impact on muscle mass and strength.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 2","pages":"Pages 66-73"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680965","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

Identidad y evolución de la fisioterapia

Fisioterapia Pub Date : 2025-03-01 DOI: 10.1016/j.ft.2024.11.005

R. Fernández Cervantes , S. Souto Camba , L. González Doniz

引用次数: 0

Validity and reliability of wearable motion sensors in knee joint range of motion measurement

Fisioterapia Pub Date : 2025-03-01 DOI: 10.1016/j.ft.2025.01.001

A. Koçak , A. Çetinkaya , M.G. Yavuzer

{"title":"Validity and reliability of wearable motion sensors in knee joint range of motion measurement","authors":"A. Koçak , A. Çetinkaya , M.G. Yavuzer","doi":"10.1016/j.ft.2025.01.001","DOIUrl":"10.1016/j.ft.2025.01.001","url":null,"abstract":"<div><h3>Objective</h3><div>Joint range of motion (ROM) is one of the factors that determine the function of the musculoskeletal system. This parameter must be able to be measured and recorded in an accurate and repeatable method. The aim of this study is to examine the validity and reliability of a wearable motion sensor, which is an inertial measurement units (IMUs) sensor, in measuring knee joint active flexion movement angles.</div></div><div><h3>Methods</h3><div>The study, an observational validation study, included 70 Health Sciences Faculty students between the ages of 18–25. The dominant knee joint ROM of the participants was measured by two raters with a digital goniometer (Meloq EasyAngle) and wearable motion sensors (MetaMotionRL).</div></div><div><h3>Results</h3><div>70 participants (40 female, 30 male) with an average age of 21.03±1.34 years were included in the study. Intra-rater ICC was found to be 0.959 and inter-rater ICC was 0.961. An excellent correlation was found in the first rater's measurements of the Meloq EasyAngle and MetaMotionRL motion sensors (ICC: 0.934, %95CI [0.894–0.959]). Additionally, a significant correlation was found between the raters’ knee joint ROM measured with a digital goniometer and their ROM measured with a wearable motion sensor (<em>p</em>  <!-->0.05).</div></div><div><h3>Conclusion</h3><div>It was concluded that the MetamotionRL device, a wearable motion sensor, is a valid and reliable method for measuring knee joint ROM. The use of IMU motion sensors is considered potentially important for monitoring and optimizing lower extremity kinematics during assessment and rehabilitation interventions.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 2","pages":"Pages 59-65"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680992","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

Efecto del tratamiento de estimulación eléctrica nerviosa transcutánea en el músculo tríceps sural tras un accidente cerebrovascular. Estudio de caso

Fisioterapia Pub Date : 2025-03-01 DOI: 10.1016/j.ft.2024.10.002

Y.M. Gutiérrez Ramos, J.I. Vázquez Duarte, I.A. Cuadros Rodríguez, F. Carreto Guadarrama

{"title":"Efecto del tratamiento de estimulación eléctrica nerviosa transcutánea en el músculo tríceps sural tras un accidente cerebrovascular. Estudio de caso","authors":"Y.M. Gutiérrez Ramos, J.I. Vázquez Duarte, I.A. Cuadros Rodríguez, F. Carreto Guadarrama","doi":"10.1016/j.ft.2024.10.002","DOIUrl":"10.1016/j.ft.2024.10.002","url":null,"abstract":"<div><h3>Background</h3><div>In Cerebrovascular Accident (CVA) the brain tissue is affected by a sudden interruption of blood supply, which determines the ability to control the affected side and compromises the coordination of agonist and antagonist muscles, experiencing spasticity increased muscle tone.</div></div><div><h3>Objective</h3><div>The objective of this case study was to evaluate the changes in the triceps surae muscle to stimulate improvement in motor function suffering from spasticity following a cerebrovascular event through treatment with transcutaneous electrical nerve stimulation.</div></div><div><h3>Patient</h3><div>A left hemiparesis secondary to CVA and three-year evolution spasticity in the triceps surae clinical case is presented.</div></div><div><h3>Material and methods</h3><div>Transcutaneous Nerve Electrostimulation was applied to the triceps surae. It was evaluated at the beginning and at the end of the thirteen sessions through the Joint Mobility Test to assess the left ankle, the Asworth scale for muscle tone, and the skeletal muscle ultrasonography of the triceps surae.</div></div><div><h3>Results</h3><div>The affected limb presented significant clinical changes in ankle mobility, improvement in muscle tone and modifications in the morphology of the triceps surae, reducing the fibrosis that was found at the beginning of the treatment.</div></div><div><h3>Conclusions</h3><div>The changes presented in the affected limb in the range of motion are interpreted into the functionality and morphology of the triceps surae with increased elasticity derived from the mechanobiology of muscle function; however, future research is required with a wider sample, suggesting adding other physical agents such as therapeutic exercise to obtain statistically significant changes.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 2","pages":"Pages 98-101"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680960","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 de la fisioterapia pediátrica en la prevención y tratamiento de la plagiocefalia posicional: una revisión sistemática

Fisioterapia Pub Date : 2025-03-01 DOI: 10.1016/j.ft.2024.11.004

I. Calderón-Fresco , A. González-Castro , P. Hernandez-Lucas , M.J. Álvarez-Álvarez

{"title":"Eficacia de la fisioterapia pediátrica en la prevención y tratamiento de la plagiocefalia posicional: una revisión sistemática","authors":"I. Calderón-Fresco , A. González-Castro , P. Hernandez-Lucas , M.J. Álvarez-Álvarez","doi":"10.1016/j.ft.2024.11.004","DOIUrl":"10.1016/j.ft.2024.11.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Positional plagiocephaly is a flattened and asymmetrical deformity of the skull in infants, caused by constant external pressure on one area of the head. Prevention and treatment are important to avoid developmental problems in the infant. This systematic review aimed to analyze and evaluate the current evidence regarding the prevention and non-surgical approaches to positional plagiocephaly.</div></div><div><h3>Material and methods</h3><div>Systematic searches were conducted in Scopus, Web of Science, and ScienceDirect. The ROBINS-I tool was used to assess the risk of bias in non-randomized studies, while the RoB tool was used to evaluate the risk of bias in randomized studies.</div></div><div><h3>Results</h3><div>A total of 10 articles were included. Of these, 8 had a therapeutic objective, and 2 were preventive. The most common intervention involved a combination of parental education with manual therapy techniques or orthopedic elements. The risk of bias in 6 of the analyzed articles was high. No adverse effects were identified in any of the articles.</div></div><div><h3>Conclusions</h3><div>Manual therapy interventions, such as myofascial and manipulative techniques, parental education, and the use of cranial orthoses, are effective and safe for treating and preventing positional plagiocephaly. Their use may help reduce the incidence of this condition worldwide.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 2","pages":"Pages 74-82"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680962","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

Actualización del tratamiento de fisioterapia en la histerectomía. Una revisión sistemática

Fisioterapia Pub Date : 2025-03-01 DOI: 10.1016/j.ft.2025.02.002

S. Rodríguez-Movilla , A. Alonso-Calvete , I. da Cuña-Carrera , M. Fernández-Paz , L. Núñez-Remiseiro

{"title":"Actualización del tratamiento de fisioterapia en la histerectomía. Una revisión sistemática","authors":"S. Rodríguez-Movilla , A. Alonso-Calvete , I. da Cuña-Carrera , M. Fernández-Paz , L. Núñez-Remiseiro","doi":"10.1016/j.ft.2025.02.002","DOIUrl":"10.1016/j.ft.2025.02.002","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>Hysterectomy is one of the most frequent gynecological operations that consists in the surgical removal of the uterus. Like any operation, it entails different consequences and complications that can be treated by means of physical therapy techniques. The aim of this study was to analyze through a systematic review the effectiveness of physiotherapy techniques in recovery after hysterectomy.</div></div><div><h3>Material and methods</h3><div>A search was carried out PubMed, Web of Science, Scopus, Cochrane, Medline, Cinahl and PEDro in February 2023. Randomized controlled trials in English or Spanish were included, in which a hysterectomy was performed for benign or malign reasons.</div></div><div><h3>Results</h3><div>Of the 1,179 initial results, 9 articles were chosen for analysis. The interventions performed were varied, including massage therapy, manual lymphatic drainage, therapeutic exercise and electrotherapy. The variables analyzed were pain, physical, bladder and bowel function, quality of life, edema severity and pelvic floor strength.</div></div><div><h3>Conclusion</h3><div>Physiotherapy techniques were beneficial for hysterectomy recovery, although further research by physiotherapists is needed.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 2","pages":"Pages 83-97"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680959","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

Efectos de la exposición gradual al ejercicio y la realidad virtual en un paciente diagnosticado de fibromialgia y agorafobia. Estudio de caso

Fisioterapia Pub Date : 2025-03-01 DOI: 10.1016/j.ft.2024.11.003

A. Mahiques , M. Martínez-Soler , P. Blanco-Gimenez , J. Vicente-Mampel

{"title":"Efectos de la exposición gradual al ejercicio y la realidad virtual en un paciente diagnosticado de fibromialgia y agorafobia. Estudio de caso","authors":"A. Mahiques , M. Martínez-Soler , P. Blanco-Gimenez , J. Vicente-Mampel","doi":"10.1016/j.ft.2024.11.003","DOIUrl":"10.1016/j.ft.2024.11.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Fibromyalgia is characterized by widespread chronic pain associated with various comorbidities.</div></div><div><h3>Objective</h3><div>The objective of this study was to describe the clinical effects generated by the gradual exposure to exercise and virtual reality in a patient diagnosed with fibromyalgia and agoraphobia.</div></div><div><h3>Methods</h3><div>A single case study was conducted over a duration of 12 weeks. In the first four weeks, the patient engaged in exercise; during the next four weeks, she was exposed to virtual reality while exercising; and in the final four weeks, the exercise was performed in isolation. Pain perception, psychosocial constructs, central sensitization, pressure pain thresholds, and levels of anxiety and depression were evaluated using different scales.</div></div><div><h3>Results</h3><div>A reduction in fear of movement was observed, along with a decrease in catastrophic thoughts and levels of central sensitization. However, the subjective perception of pain increased, along with a slight rise in depression levels, while the patient's anxiety decreased by the end of the treatment.</div></div><div><h3>Conclusion</h3><div>The integration of exercise and virtual reality positively affected various clinical aspects, except for pain perception and depression levels.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 2","pages":"Pages 102-106"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680961","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

¿Quieren los pacientes ir de manera directa al fisioterapeuta? Un estudio para el caso gallego

Fisioterapia Pub Date : 2025-03-01 DOI: 10.1016/j.ft.2024.11.002

J. Rama Caamaño , O. Iglesias Sousa , D. López Filomena , Á. Coutado Belon , J. Rama

{"title":"¿Quieren los pacientes ir de manera directa al fisioterapeuta? Un estudio para el caso gallego","authors":"J. Rama Caamaño , O. Iglesias Sousa , D. López Filomena , Á. Coutado Belon , J. Rama","doi":"10.1016/j.ft.2024.11.002","DOIUrl":"10.1016/j.ft.2024.11.002","url":null,"abstract":"<div><h3>Introduction</h3><div>The possibility of direct access to physiotherapy has long been advocated by the profession. Understanding the profiles of patients who are more in favor of such access and those who have a greater preference for medical professional guidance or referral will aid in the implementation of new healthcare systems.</div></div><div><h3>Materials and methods</h3><div>A survey was carried out on the population that attends physiotherapy privately or for health insurance. Of the latter (89 patients), whose referral depends on a medical professional, they were consulted about the preference of medical regimen or not and about the possibility of direct access to physiotherapy.</div></div><div><h3>Results</h3><div>It is observed that two variables have a more direct impact on the preference regarding the guidance of rehabilitative treatment. Both age (older age) and gender (male) are statistically related to a greater preference for guidance by a medical professional in the rehabilitative protocol, while the female gender and younger population are more inclined to accept guidance by the physiotherapy professional themselves.</div></div><div><h3>Conclusions</h3><div>There is a significant acceptance for direct access to physiotherapy. Statistically, there is greater acceptance for the physiotherapy professional to guide the treatment among the younger, female population.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 2","pages":"Pages 52-58"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680964","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

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