Fisioterapia最新文献_第2页

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

El efecto Hawthorne en fisioterapia: mejorando la rehabilitación a través del impacto observacional

Fisioterapia Pub Date : 2025-02-25 DOI: 10.1016/j.ft.2025.01.002

R. Tedeschi

引用次数: 0

Impacto de la fisioterapia en la salud mental de los adultos mayores jubilados en México

Fisioterapia Pub Date : 2025-02-17 DOI: 10.1016/j.ft.2025.01.003

D. Vigueras Becerril , A. Juarez Lira

{"title":"Impacto de la fisioterapia en la salud mental de los adultos mayores jubilados en México","authors":"D. Vigueras Becerril , A. Juarez Lira","doi":"10.1016/j.ft.2025.01.003","DOIUrl":"10.1016/j.ft.2025.01.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Approximately 14% of older adults experience mental disorders, contributing significantly to the global burden of disability-adjusted life years (DALYs) at 10.6%. Depression and anxiety are the most prevalent conditions, disproportionately affecting low-income countries, where 80% of cases are reported. In Latin America, mental disorders are a primary cause of disability, underscoring the need for complementary treatment approaches such as physiotherapy.</div></div><div><h3>Objective</h3><div>This study evaluates the impact of physiotherapy on the mental health of retired older adults.</div></div><div><h3>Materials and methods</h3><div>A cross-sectional study was conducted in a geriatric clinic in Querétaro, involving 213 older adults. Data were collected between February and April 2023 and analyzed with IBM SPSS v.25. The Chi-square test and multiple logistic regression were employed to assess the association between physiotherapy and mental health, with a 95% confidence interval and a significance level of 0.05.</div></div><div><h3>Results</h3><div>Among participants, 44.1% had a mental disorder, yet only 24.2% engaged in physiotherapy. Chi-square analysis indicated a significant association between physiotherapy and better mental health outcomes (<em>P</em>=.001), with an odds ratio of 0.30 (95% CI: 0.146-0.615), suggesting that physiotherapy lowers the risk of developing mental health issues.</div></div><div><h3>Conclusions</h3><div>The findings indicate that physiotherapy may serve as a protective factor against mental disorders in older adults. Incorporating physical therapists into mental health care teams is recommended to enhance treatment outcomes through tailored physical activity interventions.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 3","pages":"Pages 112-117"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838636","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

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