Fisioterapia最新文献

Examination of risks affecting the formation of cervical disc herniation with FMEA and Pareto analysis methodology 用FMEA和Pareto分析方法检查影响颈椎间盘突出症形成的风险

Fisioterapia Pub Date : 2025-04-09 DOI: 10.1016/j.ft.2025.02.005

B. Can, E. Atici

引用次数: 0

Prevalencia de dolor en escaladores: resultados del estudio exploratorio CLIMB-PAIN 攀岩者疼痛流行率：CLIMB-PAIN探索性研究结果

Fisioterapia Pub Date : 2025-04-09 DOI: 10.1016/j.ft.2025.03.001

A. Martín-Clemente , L. Lorenzo-Gallego , S. Muñoz-Pastor , M. Torres-Lacomba

{"title":"Prevalencia de dolor en escaladores: resultados del estudio exploratorio CLIMB-PAIN","authors":"A. Martín-Clemente , L. Lorenzo-Gallego , S. Muñoz-Pastor , M. Torres-Lacomba","doi":"10.1016/j.ft.2025.03.001","DOIUrl":"10.1016/j.ft.2025.03.001","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the prevalence of pain in climbers, analyzing its distribution by sex, the most common pain locations, the relationship with anthropometric and sport-related factors, and its impact on daily activities.</div></div><div><h3>Methods</h3><div>A preliminary prevalence study was conducted between February and September 2023, in which 271 climbers completed a self-administered digital questionnaire. Participants who spent more hours on other sports than on climbing, as well as minors, were excluded.</div></div><div><h3>Results</h3><div>The prevalence of pain was 42.6%. The hand was the most affected area, with 24.7% of cases; however, in men, the fingers of the hand were the most prevalent (27.6%), while in women, the shoulder was the most affected region (23.5%). Statistically significant relationships were found between the presence of pain and age (p=0.038) and climbing experience (<em>P</em>   <!-->months. Mood was the most affected aspect by pain. Additionally, pain tends to increase after climbing, with the lowest intensity reported before the activity.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 3","pages":"Pages 152-161"},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838634","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 tratamiento de fisioterapia en el síndrome genitourinario de la menopausia: revisión sistemática 物理治疗对更年期泌尿生殖系统综合症的疗效：系统综述

Fisioterapia Pub Date : 2025-04-04 DOI: 10.1016/j.ft.2025.02.004

M. Blanco Vázquez , P. Rangel de la Mata , L. Lorenzo-Gallego , B. Navarro-Brazález

{"title":"Eficacia del tratamiento de fisioterapia en el síndrome genitourinario de la menopausia: revisión sistemática","authors":"M. Blanco Vázquez , P. Rangel de la Mata , L. Lorenzo-Gallego , B. Navarro-Brazález","doi":"10.1016/j.ft.2025.02.004","DOIUrl":"10.1016/j.ft.2025.02.004","url":null,"abstract":"<div><h3>Background and objective</h3><div>Genitourinary Syndrome of Menopause (GSM) is a progressive and prevalent condition in postmenopausal women. This study aims to describe the efficacy and safety of physiotherapy in managing GSM symptoms, including urinary incontinence, sexual dysfunction, and pain.</div></div><div><h3>Materials and methods</h3><div>A peer-reviewed systematic review was conducted using the PubMed, Cochrane, PEDro, Web of Science, and Lilacs databases. The search terms included «menopause», «genitourinary syndrome of menopause», «physiotherapy», and «pelvic floor». Randomized controlled trials were selected, and methodological quality was assessed using the PEDro scale, while levels of evidence and recommendation grades were determined according to the SIGN scale.</div></div><div><h3>Results</h3><div>A total of 19 studies were included, most of which demonstrated high methodological quality and a recommendation grade of 1+. Three main treatment strategies were identified: education, therapeutic exercise—particularly pelvic floor muscle training—and radiofrequency. Improvements were observed in quality of life, reduction of urinary symptoms, enhancement of sexual function, overall satisfaction, and pelvic floor muscle strength, with no reported adverse effects.</div></div><div><h3>Conclusions</h3><div>Physiotherapy is an effective and safe treatment for managing GSM, potentially improving urinary and vulvovaginal symptoms, as well as the quality of life and sexual function of postmenopausal women. Further studies with adequate sample sizes are needed to define specific treatment strategies and optimal dosing.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 3","pages":"Pages 162-177"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839272","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

Adaptaciones musculotendinosas del tendón extensor común del codo en jugadores profesionales de bádminton: un estudio observacional 职业羽毛球运动员常见的肘部伸展肌腱的肌肉毒性适应：一项观察性研究

Fisioterapia Pub Date : 2025-03-25 DOI: 10.1016/j.ft.2025.02.003

I. Cancela Cilleruelo, C. Fernández de las Peñas, J. Rodríguez Jiménez, J.L. Arias Buría

{"title":"Adaptaciones musculotendinosas del tendón extensor común del codo en jugadores profesionales de bádminton: un estudio observacional","authors":"I. Cancela Cilleruelo, C. Fernández de las Peñas, J. Rodríguez Jiménez, J.L. Arias Buría","doi":"10.1016/j.ft.2025.02.003","DOIUrl":"10.1016/j.ft.2025.02.003","url":null,"abstract":"<div><h3>Introduction</h3><div>High-level sports practice can generate tissue adaptations in the athlete's musculotendinous structures. In asymmetrical sports, such as badminton, these adaptations can vary between the dominant and non-dominant side. The aim of the study was to evaluate the structural and functional characteristics of the common extensor tendon in professional badminton players, as well as to see the difference between women and men.</div></div><div><h3>Methods</h3><div>Twelve players from the Spanish Badminton National Team (50% female, age: 23 years, SD: 5 years) participated. Ultrasound evaluation and subsequent image analysis were performed to assess the thickness and cross-sectional area of the common extensor tendon, as well as the area of extensor carpi radialis brevis muscle. Furthermore, a quantitative analysis of echogenicity, neovascularisation and ultrasound alterations was performed. Bilateral hand grip strength was also assessed.</div></div><div><h3>Results</h3><div>Analysis revealed greater tendon thickness on the dominant side compared to the non-dominant side (0.4±0.2mm, <em>P</em><.05). Analysis of ultrasound characteristics showed differences in neovascularisation and other ultrasound characteristics, but these were not statistically significant, except for tendon echo-intensity which was significantly lower on the dominant side than on the non-dominant side (<em>P</em><.05). There was also a difference in grip strength between males and females (49.1±8.9 vs 35.9±9.4kg; <em>P</em><.05), although no significant differences were found between them in morphological measurements.</div></div><div><h3>Conclusions</h3><div>It seems that professional badminton practice can generate structural asymmetries in the common extensor tendon of the athlete, which can be considered as tissue adaptations to the load received.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 3","pages":"Pages 128-137"},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839270","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

Conocimientos, actitudes y prácticas de fisioterapeutas sobre la intervención en el paciente adulto con quemaduras en servicios de hospitalización, unidad de quemados y/o unidad de cuidado intensivo en 3 ciudades del suroccidente colombiano. Año 2023 在哥伦比亚西南部的3个城市，物理治疗师对住院服务、烧伤单位和/或重症监护单位中烧伤成人患者的干预的知识、态度和实践。2023年

Fisioterapia Pub Date : 2025-03-24 DOI: 10.1016/j.ft.2025.01.004

M.A. Valencia , V. Ramos Lasso , N.M. Perdomo Oliver , E.C. Wilches-Luna

{"title":"Conocimientos, actitudes y prácticas de fisioterapeutas sobre la intervención en el paciente adulto con quemaduras en servicios de hospitalización, unidad de quemados y/o unidad de cuidado intensivo en 3 ciudades del suroccidente colombiano. Año 2023","authors":"M.A. Valencia , V. Ramos Lasso , N.M. Perdomo Oliver , E.C. Wilches-Luna","doi":"10.1016/j.ft.2025.01.004","DOIUrl":"10.1016/j.ft.2025.01.004","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study was to identify the knowledge, attitudes and practices of physiotherapists regarding the intervention in adult patients with burns in hospitalization services, special burn unit and/or general intensive care unit in 3 cities in southwestern Colombia in the year 2023.</div></div><div><h3>Methods</h3><div>A cross-sectional descriptive study was carried out. A validated CAP type survey was used. The population of interest was made up of physiotherapists who work with adult patients with burns in hospitalization services, special burn units and/or general intensive care units, from 3 cities in southwestern Colombia. The sampling was non-probabilistic for convenience, covering a sample in 3 cities in southwestern Colombia: Cali, Pasto and Popayán.</div></div><div><h3>Results</h3><div>Twenty-nine physiotherapists participated, 13 (44.8%) from Popayán, 10 (33.5%) from Cali and 6 (20.7%) from Pasto. The overall response rate was 91%. Average age was 34.9 years, and 69% were women. The distribution, according to the classification of knowledge achieved, was high 13.8%, medium 44.8% and low 41.4%. A percentage of 10.3 responded that they were afraid when intervening on a patient with burns, and 31% reported that they do not have an institutional protocol.</div></div><div><h3>Conclusions</h3><div>This study highlights the need to strengthen continuing education and postgraduate training in the area of burn physiotherapy.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 3","pages":"Pages 118-127"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838637","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 fisioterapia cardiopulmonar sobre la fisiología en pacientes post-COVID-19 心肺物理疗法对COVID-19后患者生理机能的影响

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

La inteligencia artificial es una realidad, ¿debemos definir las «soft skills» esenciales en Fisioterapia? 人工智能是现实，我们应该定义物理治疗中必不可少的“软技能”吗？

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

S. Santiago-Pescador

引用次数: 0

Identidad y evolución de la fisioterapia 物理治疗的身份与演变

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 可穿戴运动传感器在膝关节运动范围测量中的有效性和可靠性

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 脑卒中后经皮神经电刺激治疗对南三头肌的影响。案例研究

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