Fisioterapia最新文献

{"title":"Relación entre el burnout académico y la memoria subjetiva en estudiantes de Kinesiología de Chile. Estudio de corte transversal","authors":"I. Rodríguez-Núñez,&nbsp;P. Figueroa,&nbsp;L. Arriagada,&nbsp;K. Barriga,&nbsp;G. Navarrete,&nbsp;D. Jerez","doi":"10.1016/j.ft.2026.03.004","DOIUrl":"10.1016/j.ft.2026.03.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Academic burnout is a multidimensional syndrome that affects university students, particularly in health-related fields. It is characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment. During the COVID-19 pandemic, its prevalence increased significantly, potentially impacting cognitive functions such as subjective memory. This study aimed to examine the relationship between burnout and subjective memory in a sample of physiotherapy students in Chile.</div></div><div><h3>Methods</h3><div>A cross-sectional analytical study was conducted with 135 physiotherapy students from 3<!--> <!-->Chilean universities. Participants completed the Maslach Burnout Inventory–Student Survey and the Multifactorial Memory Questionnaire. Associations between burnout dimensions and subjective memory were analyzed using simple and multiple lineal regression models, adjusting for sociodemographic variables.</div></div><div><h3>Results</h3><div>Burnout was present in 54.8% of the sample, with emotional exhaustion being the most prevalent dimension (88.9%), especially among women. Regarding subjective memory, the strategy subscale had the lowest score (40.9%), followed by satisfaction (58.6%) and capacity (62.4%). Men reported higher satisfaction with their memory, while women reported greater use of strategies. Emotional exhaustion was significantly associated with lower scores in capacity and satisfaction, and higher scores in strategy. Multivariate models confirmed emotional exhaustion as the strongest negative predictor of subjective memory perception.</div></div><div><h3>Conclusions</h3><div>In the study sample, burnout, particularly emotional exhaustion; was significantly associated with impaired subjective memory in physiotherapy students. These findings highlight the need for interventions that promote emotional well-being and metacognitive strategy development to support academic performance in physiotherapy students.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 4","pages":"Pages 130-136"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148558295","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":"Efecto de la introducción de un programa de descanso activo en profesionales del Hospital Universitario de Guadalajara durante la jornada laboral: ensayo clínico aleatorizado","authors":"M. Martínez-Aparicio,&nbsp;L. Lozano-Muñoz,&nbsp;R. Olaya-Sánchez,&nbsp;A.B. Marco-Marco,&nbsp;J. Ballesteros-Frutos,&nbsp;V. Forcada-Sánchez","doi":"10.1016/j.ft.2026.04.001","DOIUrl":"10.1016/j.ft.2026.04.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Active breaks are interventions with physical activity in work environments with workdays longer than 6 consecutive hours that are emerging as a promising action measure to improve work quality. Health workers face demanding tasks with physical and mental fatigue. This study analyzed the effects of introducing an active break program in professionals at the University Hospital of Guadalajara.</div></div><div><h3>Material and methods</h3><div>Clinical trial with control and intervention group, both with 16 participants over 18 years old, signing informed consent. Participants were randomized with blinding of assignment from an external service.</div><div>The intervention group performed 20<!--> <!-->minutes of moderate, progressive, guided and supervised physical exercise during the working day, 2 times/week, 6 consecutive weeks. With initial and final assessment with a survey, dynamometry, health questionnaire SF-12, Work ability index; International Physical Activity Questionnaire and Multidisciplinary Fatigue Inventory.</div></div><div><h3>Results</h3><div>with the groups being initially homogeneous, significant differences were found in the comparison of dominant hand grip (p<!--> <!-->=<!--> <!-->0.009) in favour of the experimental group and an increase in metabolic rate units (METS)/week. 15 experimental participants rated the program with an average score of 9.5/10. Limitations in inclusion were identified.</div></div><div><h3>Conclusion</h3><div>Differences were found in dynamometry as well as a high satisfaction among participants. No differences were found in health variables, work capacity and fatigue. The need for open rooms close to staff with simple and safe materials and inclusion criteria, evaluating initial scores were detected.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 4","pages":"Pages 143-150"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148558298","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":"Efficacy of extracorporeal shock wave therapy for anterior cruciate ligament reconstruction: A GRADE-assessed systematic review and meta-analysis of randomized controlled trials","authors":"E. Naser,&nbsp;M.S. Saleh,&nbsp;H. Samy,&nbsp;M. Hesham Sallam,&nbsp;H. Hesham Elkhodary,&nbsp;M. Mohamed Sayed,&nbsp;A. Said Ashour,&nbsp;A. Hesham Mohamed,&nbsp;M. Hassan Zaghloul,&nbsp;E. Ramadan Elbathesh,&nbsp;H. Vaish,&nbsp;M.E. Fahmy Mohamed,&nbsp;A. Ibrahim Abdelhamed","doi":"10.1016/j.ft.2026.02.005","DOIUrl":"10.1016/j.ft.2026.02.005","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>We aimed to investigate the efficacy of extracorporeal shock wave therapy (ESWT) on knee functionality, pain, range of motion (ROM), gait, postural control, and bone mineral density (BMD) in patients with anterior cruciate ligament reconstruction (ACLR).</div></div><div><h3>Materials and methods</h3><div>Six databases were systematically searched for randomized controlled trials (RCTs). The methodological quality was assessed using the Cochrane Risk of Bias tool (ROB 2.0). The quality of evidence was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation approach (GRADE). Meta-analysis was conducted using Review Manager.</div></div><div><h3>Results</h3><div>We included five RCTs (<em>n</em> <!-->=<!--> <!-->255). ESWT significantly improved knee function, as measured by IKDC at three months (MD: 7.83, 95% CI: 3.03, 12.62, <em>P</em> <!-->=<!--> <!-->0.001; 95% PI: −52.58, 68.24) and 12 months (MD: 6.45, 95% CI: 3.27, 9.64, <em>P</em> <!-->&lt;<!--> <!-->0.0001; 95% PI: 76.14, 93.96), and as measured by the Lysholm score at three months (MD: 8.91, 95% CI: 2.02, 15.80, <em>P</em> <!-->=<!--> <!-->0.01), 12 months (MD: 7.20, 95% CI: 6.33, 8.06, <em>P</em> <!-->&lt;<!--> <!-->0.00001), and 24 months (MD: 5.94, 95% CI: 3.18, 8.71, <em>P</em> <!-->&lt;<!--> <!-->0.0001). These changes did not exceed the clinically important difference. ESWT reduced pain after three months (MD: −1.26; 95% CI: −2.37, −0.15; <em>P</em> <!-->=<!--> <!-->0.03; 95% PI: −15.53 to 13.01). Pooling data on other outcomes was unfeasible.</div></div><div><h3>Conclusion</h3><div>This systematic review indicates that ESWT may provide significant short and long-term functional improvements, with no clinically important benefits. Also, it may decrease short-term pain. Given low to moderate evidence, future high quality RCTs are indicated.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 4","pages":"Pages 151-160"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148558299","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":"Asociación entre trabajo ventilatorio, lactato y oxigenación muscular en pacientes posquirúrgicos hospitalizados: un estudio exploratorio","authors":"F. Pérez Martínez,&nbsp;E. Rivera Alvarado,&nbsp;F. Silva Ehrenfeld,&nbsp;V. Sandoval,&nbsp;A. Lara Madrid,&nbsp;S. Martínez-Huenchullán","doi":"10.1016/j.ft.2026.03.008","DOIUrl":"10.1016/j.ft.2026.03.008","url":null,"abstract":"<div><h3>Background and aims</h3><div>Ventilatory function may be impaired in postoperative hospitalized patients due to anesthesia, pain, and prolonged bed rest. Such alterations impact metabolic and muscular homeostasis. Blood lactate and muscle oximetry are key indicators of tissue oxygenation, while the Kinesiological Ventilatory Workload Index (IKCTV) provides an objective assessment of respiratory effort. This study aimed to determine the relationship between ventilatory workload, blood lactate levels, and muscle oximetry in adults hospitalized after digestive or thoracic surgery.</div></div><div><h3>Material and methods</h3><div>Exploratory study including 42 adult patients in Valdivia, Chile. IKCTV, blood lactate (Accutrend Plus®), muscle oximetry (Moxy®), clinical parameters, and body composition were assessed. Spearman correlation coefficients were calculated and Wilcoxon tests for supine-standing differences were performed.</div></div><div><h3>Results</h3><div>Median age was 56<!--> <!-->years and 81% of the participants underwent digestive surgeries. Ventilatory workload was mild in 32 patients and moderate in 10. Lactate correlated positively with IKCTV (rho<!--> <!-->=<!--> <!-->0.443; <em>P</em> <!-->=<!--> <!-->.003) and with heart rate variation from supine to standing (rho<!--> <!-->=<!--> <!-->0.341; <em>P</em> <!-->=<!--> <!-->.031). Muscle oximetry was not associated with IKCTV but correlated negatively with bed rest days (rho<!--> <!-->=<!--> <!-->−0.556; <em>P</em> <!-->&lt;<!--> <!-->.001). Muscle mass showed inverse associations with glycemia and hemodynamic changes.</div></div><div><h3>Conclusions</h3><div>Integrating ventilatory workload, lactate, and muscle oximetry provides a novel approach to monitoring postoperative patients. These complementary measures may enhance functional and metabolic evaluation in the hospital setting.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 4","pages":"Pages 137-142"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148558296","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":"Fe de errores a artículos publicados previamente en Fisioterapia","authors":"","doi":"10.1016/j.ft.2026.02.001","DOIUrl":"10.1016/j.ft.2026.02.001","url":null,"abstract":"","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 2","pages":"Page 77"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147712961","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":"Stretching exercises or walking did not produce clinically meaningful improvements in the quality of life of patients with fibromyalgia: A non-randomized controlled clinical trial","authors":"A. Pontes-Silva,&nbsp;M.A. Avila","doi":"10.1016/j.ft.2026.01.001","DOIUrl":"10.1016/j.ft.2026.01.001","url":null,"abstract":"<div><h3>Overview</h3><div>Considering that walking is the most studied exercise in fibromyalgia trials, and it has not been tested as a positive-control in previous trials, the question arises: does stretching exercises provide similar clinical benefits to walking as a positive-control in fibromyalgia patients?</div></div><div><h3>Objective</h3><div>To test the effects of stretching exercises on quality of life (single primary outcome) against a positive-control group of moderate-intensity walking in fibromyalgia patients.</div></div><div><h3>Methods</h3><div>Non-randomized controlled clinical trial. We used the FIQ-R to evaluate the single primary outcome of the study: quality of life. Intervention in positive-control group: 40<!--> <!-->min of moderate-intensity walking, 2×/week, 12 weeks duration<!--> <!-->+<!--> <!-->12 weeks follow-up without exercise. Intervention in the stretching group: moderate intensity stretching, 2×/week, 12 weeks duration<!--> <!-->+<!--> <!-->10 weeks follow-up without exercise. We compared the quality of life using mixed linear models, time<!--> <!-->×<!--> <!-->group interaction, Bonferroni post hoc, and Cohen's <em>d</em> to test the effect size of significant differences (<em>α</em> <!-->=<!--> <!-->0.05).</div></div><div><h3>Results</h3><div>The total sample consisted of 225 volunteer fibromyalgia patients who were divided into two groups: a walking group (<em>n</em> <!-->=<!--> <!-->15, age 45<!--> <!-->±<!--> <!-->9.93) and a stretching group (<em>n</em> <!-->=<!--> <!-->210, age 47.81<!--> <!-->±<!--> <!-->1.57). Our study found no adverse effects and no adherence to the intervention. Between-group comparisons revealed non-significant differences (<em>p</em> <!-->&gt;<!--> <!-->.05) in quality of life for fibromyalgia patients at all time points: baseline, 6th week, 12th week, and follow-up. In the within-group comparisons, only the walking group showed significant differences (<em>p</em> <!-->≤<!--> <!-->.05, <em>d</em> <!-->≥<!--> <!-->.5) from baseline at all time points: baseline–6th week (17.44 [95% CI: 4.30, 30.57]), baseline–12th week (17.19 [95% CI: 1.16, 33.21]), and baseline–follow-up (16.84 [95% CI: 1.78, 31.90]). However, these differences did not reach the minimal clinically important difference threshold.</div></div><div><h3>Conclusion</h3><div>Stretching exercises or walking did not produce clinically meaningful improvements in the quality of life of patients with fibromyalgia.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 2","pages":"Pages 55-61"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147712969","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":"Comparación del cálculo del índice de asimetría con electromiografía entre los músculos bíceps femoral y semitendinoso en mujeres deportistas","authors":"N.A. Osorio Sampayo ,&nbsp;V. Perez Hortua ,&nbsp;J.A. Lasprilla Bueno","doi":"10.1016/j.ft.2025.11.003","DOIUrl":"10.1016/j.ft.2025.11.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Muscle asymmetries can affect athletic performance. Current literature documents five main formulas used to calculate the asymmetry index. The objective of this study was to describe the differences in the interlimb hamstring activation asymmetry index using five calculation methods.</div></div><div><h3>Methods</h3><div>This comparative cross-sectional study analyzed five formulas with secondary data from electromyographic activation marking of both limbs during the sliding bridge exercise. The median, percentiles, and Lin's coefficient of agreement were analyzed, using the Index 7 formula as the reference formula.</div></div><div><h3>Results</h3><div>21 athlete registrations with a mean age of 21<!--> <!-->±<!--> <!-->2 years, height 160.9<!--> <!-->±<!--> <!-->5<!--> <!-->cm, weight 60.2<!--> <!-->±<!--> <!-->9.1<!--> <!-->kg. The medians of the asymmetry indices between the extremities of the Biceps femoral/semitendinosus for each formula were: Index 7 (15.86 −2.56), Index 9 (15.86 −2.77%), Index 10 (8.61 −1.4%), Index 11 (5.7 −0.89%) and Index 12 (17.27-2.81%). Lin's agreement, among the formulas for the BF/ST were: Index 7 and Index 9 (0.97-0.98), Index 7 and Index 10 (0.79-0.8), Index 7 and Index 11 (0.56-0.57), Index 7 and Index 12 (−0.84 −0.96).</div></div><div><h3>Conclusions</h3><div>The Index 7 and Index 9 formulas showed high concordance and similar results, being the most consistent for analyzing muscle asymmetry in unilateral exercises. It is recommended that the Index 10 formula be evaluated in bilateral exercises and emphasizes the need to choose the appropriate formula based on the type of exercise, the objective of the analysis, and the sample.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 2","pages":"Pages 49-54"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147712970","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":"Análisis de adherencia en modelos híbridos de fisioterapia: estudio observacional","authors":"A. Jaime Sanchez ,&nbsp;M. Ferrando Margeli ,&nbsp;A. Miguel Romeo ,&nbsp;B. Rueda Martin ,&nbsp;M. Mar Sancho Garcia ,&nbsp;N. Vera Blasco","doi":"10.1016/j.ft.2026.01.003","DOIUrl":"10.1016/j.ft.2026.01.003","url":null,"abstract":"<div><h3>Background and objective</h3><div>The rising number of patients with musculoskeletal disorders and the need to improve continuity of care have led the implementation of hybrid physiotherapy models, which combine in-person sessions with telerehabilitation. Therapeutic adherence and dropout rates are key indicators of the effectiveness of these programmes. The objective of this study was to describe and analyse the level of treatment adherence and compliance, in our patient cohort, to three hybrid physiotherapy care models.</div></div><div><h3>Materials and methods</h3><div>An observational, analytical, and longitudinal study was conducted, based on retrospective data from the Electronic Health Records of Hospital Universitario Miguel Servet. Data were collected and analysed from adult patients diagnosed with musculoskeletal diseases who received treatment through hybrid models with varying levels of in-person attendance: H1 (low), H2 (moderate), and H3 (high). Sociodemographic variables, adherence (in-person, remote, and total), and clinical dropout were assessed.</div></div><div><h3>Results</h3><div>The final cohort included 105 patients who began treatment using one of the three hybrid models. Total adherence showed statistically significant differences between the models (p<!--> <!-->=<!--> <!-->0.015), as did adherence to telerehabilitation sessions (p<!--> <!-->=<!--> <!-->0.021). Adherence to in-person sessions was high across all groups, with no significant differences between them. The overall dropout rate was 19%, with significant differences observed between the models (p<!--> <!-->=<!--> <!-->0.014).</div></div><div><h3>Conclusions</h3><div>An appropriate balance between in-person sessions and telerehabilitation enhances therapeutic adherence and reduces dropout rates. The strategic inclusion of face-to-face sessions strengthens patient engagement and promotes continuity of care.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 2","pages":"Pages 62-68"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147712972","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":"Neuromodulación… ¿truco o trato?","authors":"L. Espejo Antúnez","doi":"10.1016/j.ft.2025.11.001","DOIUrl":"10.1016/j.ft.2025.11.001","url":null,"abstract":"","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 2","pages":"Pages 39-40"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147713555","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":"Trastornos musculoesqueléticos relacionados con el trabajo en trabajadores de unidades de cardiología intervencionista: Revisión sistemática exploratoria","authors":"S. Ramos-Avasola ,&nbsp;A. Arellano ,&nbsp;L. González ,&nbsp;C. Vega ,&nbsp;S. Zapata ,&nbsp;N. Espinosa ,&nbsp;M. Querales","doi":"10.1016/j.ft.2026.01.002","DOIUrl":"10.1016/j.ft.2026.01.002","url":null,"abstract":"<div><h3>Background</h3><div>Work-related musculoskeletal disorders (WMSDs) are highly prevalent among interventional catheterization professionals due to prolonged use of lead aprons and ergonomically unfavorable postures, negatively impacting their quality of life and job performance.</div></div><div><h3>Objective</h3><div>To conduct a scoping review on the prevalence, risk factors, and prevention strategies for WMSDs in this professional group.</div></div><div><h3>Methods</h3><div>A systematic search was performed in PubMed, SCOPUS, Web of Science, and CINAHL following PRISMA-ScR guidelines. Observational studies reporting WMSD prevalence in exposed and non-exposed personnel were included, analyzing methodologies, risk estimators, and biomechanical factors.</div></div><div><h3>Results</h3><div>Out of 1,136 identified articles, six met the inclusion criteria. Reported cervical and lumbar disc disease rates were 6.5% and 7.5%, respectively, among interventional cardiologists. Additionally, over 50% of professionals experienced musculoskeletal pain associated with lead apron use. Identified risk factors included repetitive axial flexion and rotation, along with sustained mechanical load on the spine. Ergonomic strategies and innovative protective devices, such as suspended systems and exoskeletons, were described to mitigate these risks.</div></div><div><h3>Conclusions</h3><div>WMSDs are highly prevalent among interventional catheterization professionals and are linked to forced postures and prolonged use of radiological protective equipment. The implementation of ergonomic interventions and technological innovations is crucial to improving occupational safety in this workforce.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 2","pages":"Pages 69-76"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147712960","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}