Fisioterapia最新文献

{"title":"Análisis comparativo de los valores de las presiones respiratorias máximas con los valores de referencia en una población pediátrica española sana","authors":"M. Barral-Fernández ,&nbsp;M.A. Jácome Pumar ,&nbsp;S. Souto-Camba ,&nbsp;L. González-Doniz ,&nbsp;M.A. Ramón Belmonte ,&nbsp;M. Amor-Barbosa ,&nbsp;A. Arbillaga-Etxarri ,&nbsp;G. Mazzucco ,&nbsp;P. Bravo Cortés ,&nbsp;T. del Corral ,&nbsp;R. Martín-Valero ,&nbsp;C. Llorca Cerdà ,&nbsp;F. Murcia Lillo ,&nbsp;J.A. Sánchez-Santos ,&nbsp;M. Francín-Gallego ,&nbsp;C. Martín Cortijo ,&nbsp;E. García Delgado ,&nbsp;C. Serrano Veguillas ,&nbsp;A.B. Varas de la Fuente ,&nbsp;P. San José Herranz ,&nbsp;A. Lista-Paz","doi":"10.1016/j.ft.2025.03.002","DOIUrl":"10.1016/j.ft.2025.03.002","url":null,"abstract":"<div><h3>Background and aim</h3><div>Maximal inspiratory and expiratory pressures (PImax/PEmax) are the most common test in clinical practice to assess respiratory muscle strength in different populations, even pediatrics. The main aim was to analyse to what extent the existing predictive equations for the maximal inspiratory and expiratory pressures in the Spanish pediatric population are reliable.</div></div><div><h3>Material and methods</h3><div>Cross-sectional study in 9<!--> <!-->autonomous communities that includes 164 healthy boys and girls aged 8-17 years. PImax/PEmax were performed using a digital manometer according to the standards of Spanish Society of Pulmonology and Thoracic Surgery (SEPAR). The results were compared with predictive equations proposed by Domènech-Clar <em>et al.</em> in 2003.</div></div><div><h3>Results</h3><div>The sample consisted of 86 girls (11.5<!--> <!-->±<!--> <!-->2.7 years; PImax: 93.8<!--> <!-->±<!--> <!-->25 cmH₂O; PEmax: 115.1<!--> <!-->±<!--> <!-->29 cmH₂O) and 78 boys (12.2<!--> <!-->±<!--> <!-->2.8 years; PIM: 109<!--> <!-->±<!--> <!-->29.2 cmH₂O; PEM: 132.7<!--> <!-->±<!--> <!-->33.3 cmH₂O). Girls showed a significant difference between the observed and predictive values: 13.7<!--> <!-->±<!--> <!-->26.4 cmH₂O (<em>P</em> <!-->&lt;<!--> <!-->.001) for PImax and 14.9<!--> <!-->±<!--> <!-->30.1 cmH₂O (<em>P</em> <!-->&lt;<!--> <!-->.001) for PEmax. A significant difference was also observed for boys between observed and estimated PImax: 9.1<!--> <!-->±<!--> <!-->28.5 cmH₂O (<em>P</em> <!-->=<!--> <!-->.006), without significant differences for PEmax.</div></div><div><h3>Conclusions</h3><div>The predicted values from the available predictive equations for PImax and PEmax in the Spanish pediatric population differ significantly from the obtained values. The results of this study highlight the need of new reference equations in order to get representative values for Spanish children.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 4","pages":"Pages 184-193"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144523018","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}

{"title":"El movimiento para esculpir el cerebro: fisioterapia basada en neurociencia","authors":"A.M. Martín-Nogueras","doi":"10.1016/j.ft.2024.12.002","DOIUrl":"10.1016/j.ft.2024.12.002","url":null,"abstract":"","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 4","pages":"Pages 181-183"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144522533","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}

{"title":"Equilibrio y propiocepción en adultos mayores psiquiátricos de larga estancia. Serie de 7 casos","authors":"O.D. Ponce Rodríguez,&nbsp;E. García Rojas","doi":"10.1016/j.ft.2025.03.003","DOIUrl":"10.1016/j.ft.2025.03.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Aging and psychiatric problems affect balance and proprioception. Specific training in these areas, over 11 to 12<!--> <!-->weeks, can significantly improve motor skills and reduce the risk of falls in older adults.</div></div><div><h3>Material and methods</h3><div>An observational, analytical study was carried out to evaluate proprioception, gait and balance in male psychiatric patients using tests such as Tinetti, Romberg, Tandem and Get Up and Go for. An exercise program was designed to improve these abilities and functionality within the mental health hospital in Villahermosa, Tabasco, in 2024.</div></div><div><h3>Results</h3><div>Seven psychiatric patients were evaluated and improved their balance, coordination and proprioception. Final assessments showed significant improvements in overall functionality and reduced risk of falls, with the Tinneti test (<em>P</em> <!-->=<!--> <!-->.022), Get Up and Go (0.021), Romberg, Tandem and diadokinesia improving at the end of the study.</div></div><div><h3>Conclusion</h3><div>The use of physiotherapy improves proprioception, balance and mobility in older adults in a mental health hospital.</div><div>These tests were applied to a total series of 7 cases.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 4","pages":"Pages 194-200"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144522534","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}

{"title":"Empathy for patients among Colombian physical therapy students: A cross-sectional study","authors":"C.F. Giraldo-Jiménez ,&nbsp;M. Lotero-Pereira ,&nbsp;J. Gamarra-Moncayo ,&nbsp;A. Reyes-Reyes ,&nbsp;F. Reyes-Reyes ,&nbsp;V. Díaz-Narváez","doi":"10.1016/j.ft.2025.04.001","DOIUrl":"10.1016/j.ft.2025.04.001","url":null,"abstract":"<div><h3>Background</h3><div>To improve intersubjective connection with a patient, empathy is an essential quality. Empathy contributes to a more humane approach to patient care. The objective of this study is to perform an empathic diagnosis on Colombian physical therapy students.</div></div><div><h3>Materials and methods</h3><div>Cross-sectional observational study. The study sample comprises 460 Colombian physical therapy students, obtained through convenience sampling. Empathy was measured using the Empathy Scale for Health Sciences Professionals adapted for students (Version S). The data were subjected to psychometric analysis, invariance, and reliability studies. Additionally, cutoff points were estimated using Livingston's <em>K</em>² coefficient.</div></div><div><h3>Results</h3><div>The estimated cutoff points made it possible to classify each of the studied dimensions of empathy (compassionate care, perspective taking, and “walking in the patient's shoes”) as “average” values. These values indicate deficiencies in the empathic training of physical therapy students since high scores on the empathy and empathy dimensions, in general, are directly related to better patient care.</div></div><div><h3>Conclusion</h3><div>The empathic diagnosis of the participants revealed that all the dimensions of empathy were at average levels, which can be deemed insufficient compared to the need of empathic training for improving healthcare professional–patient relationships.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 4","pages":"Pages 201-208"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144523019","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}

{"title":"Examination of risks affecting the formation of cervical disc herniation with FMEA and Pareto analysis methodology","authors":"B. Can,&nbsp;E. Atici","doi":"10.1016/j.ft.2025.02.005","DOIUrl":"10.1016/j.ft.2025.02.005","url":null,"abstract":"<div><h3>Background and objectives</h3><div>The study aims to determine risk levels of incorrect movements and behaviors that affect the formation of Cervical Disc Herniation (CDH) using Failure Mode and Effect Analysis (FMEA), and identify critical risks with Pareto Analysis.</div></div><div><h3>Methods</h3><div>22 risks that affect the formation of CDH have been identified, evaluated by the FMEA team, and a Risk Priority Number (RPN) has been calculated to create an FMEA table. Pareto Analysis has been conducted.</div></div><div><h3>Results</h3><div>According to the 40–60% ratio values in Pareto Analysis, it is observed that traffic accidents, weakness in neck muscles, manual therapy performed by non-experts, and mobile phone usage stand out and are significant risks.</div></div><div><h3>Discussion</h3><div>It is understood that by focusing on solving the top 4 risks that stand out in the RPN ranking, which we have identified through FMEA and Pareto Analysis systems, a large part of this problem can be solved by addressing a small number of risks.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 3","pages":"Pages 138-151"},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839271","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}

{"title":"Prevalencia de dolor en escaladores: resultados del estudio exploratorio CLIMB-PAIN","authors":"A. Martín-Clemente ,&nbsp;L. Lorenzo-Gallego ,&nbsp;S. Muñoz-Pastor ,&nbsp;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> <!-->=<!--> <!-->.002).</div></div><div><h3>Conclusions</h3><div>Pain in climbers is highly prevalent, with the hand being the most affected area overall, although shoulder pain is more prevalent in women. Pain is significantly related to age and the duration of climbing practice. Pain intensity is moderate, and the most common duration exceeds 12<!--> <!-->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}

{"title":"Eficacia del tratamiento de fisioterapia en el síndrome genitourinario de la menopausia: revisión sistemática","authors":"M. Blanco Vázquez ,&nbsp;P. Rangel de la Mata ,&nbsp;L. Lorenzo-Gallego ,&nbsp;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}

{"title":"Adaptaciones musculotendinosas del tendón extensor común del codo en jugadores profesionales de bádminton: un estudio observacional","authors":"I. Cancela Cilleruelo,&nbsp;C. Fernández de las Peñas,&nbsp;J. Rodríguez Jiménez,&nbsp;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<!--> <!-->±<!--> <!-->0.2<!--> <!-->mm, <em>P</em>&lt;.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>&lt;.05). There was also a difference in grip strength between males and females (49.1<!--> <!-->±<!--> <!-->8.9 vs 35.9<!--> <!-->±<!--> <!-->9.4<!--> <!-->kg; <em>P</em>&lt;.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}

{"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 ,&nbsp;V. Ramos Lasso ,&nbsp;N.M. Perdomo Oliver ,&nbsp;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}

{"title":"Efectos de la fisioterapia cardiopulmonar sobre la fisiología en pacientes post-COVID-19","authors":"J.M. Rodríguez-Gómez ,&nbsp;A. Arranz-Escudero ,&nbsp;M. Puertas-Duarte ,&nbsp;J. Izquierdo-García ,&nbsp;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> <!-->&lt;<!--> <!-->.05) and a moderate effect size (d<!--> <!-->&gt;<!--> <!-->0.5) for knee strength, and large (d<!--> <!-->&gt;<!--> <!-->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}