Fisioterapia最新文献

{"title":"Changes in physiotherapy practices in Chilean intensive care units during the COVID-19 pandemic: A longitudinal nationwide survey","authors":"C. Caceres-Parra ,&nbsp;R. Adasme ,&nbsp;J.L. Sufán ,&nbsp;M. Leiva-Corvalán ,&nbsp;F. González-Seguel","doi":"10.1016/j.ft.2025.11.002","DOIUrl":"10.1016/j.ft.2025.11.002","url":null,"abstract":"<div><h3>Background</h3><div>COVID-19 impacted ICUs and physiotherapy services; however, its impact on physiotherapy teams remains unclear. This study examines changes in staffing, organization, and interventions in Chilean adult ICUs during the first pandemic year.</div></div><div><h3>Methods</h3><div>A nationwide online survey was conducted at four time points: pre-pandemic (before March 2020, T1), beginning (July 2020, T2), mid-year (October 2020, T3), and one-year pandemic (March 2021, T4). ICU representatives reported data on bed capacity, staffing, workload, specialized training, and interventions.</div></div><div><h3>Results</h3><div>Eighty-four ICU sites completed all four surveys. Median ICU beds increased from 10 (6–15) at T1 to 30 (12–44) at T2, decreased to 15 (11–27) at T3, and then increased to 24 (14–54) at T4 (<em>p</em> <!-->&lt;<!--> <!-->0.001). Bed-to-physiotherapist ratio decreased from 8 (6–10) at T1 to 6 (6–8) at T2, during daytime/weekend shift (<em>p</em> <!-->=<!--> <!-->0.049), while 24/7 coverage increased from 64% to 88% (<em>p</em> <!-->&lt;<!--> <!-->0.001). At T4, 30% of sites reported specialized physiotherapists. High-flow oxygen and ventilator-related interventions were reported in ≥96% of sites at T4 (<em>p</em> <!-->&lt;<!--> <!-->0.001). In-bed mobilization remained highly reported (96–100%), and in-bed cycling increased from 20% at T1 to 32% at T4 (<em>p</em> <!-->=<!--> <!-->0.013). Among team-based interventions, prone positioning assistance increased from 83% at T1 to 99% at T4 (<em>p</em> <!-->&lt;<!--> <!-->0.001) and in-person shift handover and intra-hospital patient transportation also increased (<em>p</em> <!-->&lt;<!--> <!-->0.001).</div></div><div><h3>Conclusions</h3><div>Chilean ICUs reported significant changes in their physiotherapy practices during COVID-19, with tripled bed capacity, doubled staffing, and advanced interventions. These findings underscore the need for strategic staffing planning, education, and standardized protocols for future crises.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 2","pages":"Pages 41-48"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147712971","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":"Salud planetaria y fisioterapia comunitaria: una relación necesaria en línea con el Plan de Acción Mundial sobre Cambio Climático y Salud","authors":"B. Paz-Lourido","doi":"10.1016/j.ft.2025.09.004","DOIUrl":"10.1016/j.ft.2025.09.004","url":null,"abstract":"","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 1","pages":"Pages 1-2"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145876916","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":"Determinantes funcionales del riesgo de caídas en adultos mayores. Circunferencia de pantorrilla y velocidad de marcha","authors":"L.J. Caichihua Marca,&nbsp;R.N. Pizarro Andrade,&nbsp;Y. Enriquez Canto","doi":"10.1016/j.ft.2025.10.004","DOIUrl":"10.1016/j.ft.2025.10.004","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Falls represent a growing public health issue amid an ageing population, particularly in countries like Peru, where older adults face multiple risk factors associated with loss of functionality. This study evaluates the factors associated with fall risk in older adults, determining the mediating role of calf circumference and gait speed in the relationship between age and fall risk.</div></div><div><h3>Methods</h3><div>This cross-sectional study involved 80 older adults from the Comprehensive Centre for Older Adults in Carabayllo, Lima, Peru. Fall risk was assessed using the Tinetti scale, gait speed was measured with a 4-metre test, and calf circumference was assessed using a tape measure. Descriptive analyses, correlation, multiple linear regression, and mediation analysis were applied to estimate coefficients and their 95% confidence intervals.</div></div><div><h3>Results</h3><div>In the linear regression analysis, gait speed (β<!--> <!-->=<!--> <!-->-0.42, p &lt;<!--> <!-->0.001) and calf circumference (β<!--> <!-->=<!--> <!-->-0.381, p &lt;<!--> <!-->0.001) were inversely associated with fall risk. Mediation analysis indicated that calf circumference explained 88.3% and gait speed 63.6% of the indirect effect of age on fall risk.</div></div><div><h3>Conclusions</h3><div>Age significantly influences fall risk, mediated by functional parameters such as calf circumference and gait speed, highlighting the importance of preventive interventions targeting these modifiable factors.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 1","pages":"Pages 10-16"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145876922","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":"Telerrehabilitación en fisioterapia neurológica para la función motora del miembro superior en personas adultas tras accidente cerebrovascular: revisión sistemática","authors":"M. Hernández González,&nbsp;A. Ibáñez Vázquez,&nbsp;A. Melián Ortiz","doi":"10.1016/j.ft.2025.10.003","DOIUrl":"10.1016/j.ft.2025.10.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Stroke is one of the leading causes of disability and mortality worldwide, and telerehabilitation has emerged as an innovative alternative to improve access to and continuity of physiotherapy services.</div></div><div><h3>Objective</h3><div>To analyze the scientific evidence on the effectiveness of telerehabilitation for upper limb motor recovery in stroke patients.</div></div><div><h3>Materials and methods</h3><div>A systematic review was conducted in accordance with PRISMA guidelines. Medline, Cochrane Library and PEDro were searched up to January 2025. Methodological quality was assessed using the PEDro scale, and risk of bias was evaluated with the Cochrane tool. A descriptive approach was applied to analyze the results, reporting means and standard deviations, and considering <em>P</em> <!-->&lt;<!--> <!-->.05 reported by the original authors as statistically significant.</div></div><div><h3>Results</h3><div>Out of 183 initial records, 9 randomized clinical trials were included (400 participants, mean age 57<!--> <!-->years). Methodological quality was rated as «good» in most studies. Telerehabilitation interventions consisted of an average of 5 sessions per week over 8 weeks. The findings indicate that telerehabilitation is at least as effective as face-to-face rehabilitation in improving upper limb motor function, with high patient adherence and satisfaction. However, only three studies reported statistically significant differences (<em>P</em> <!-->&lt;<!--> <!-->.05) in favor of telerehabilitation.</div></div><div><h3>Conclusions</h3><div>These results suggest that telerehabilitation can be incorporated into routine neurological physiotherapy practice to enhance access to and continuity of post-stroke motor rehabilitation.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 1","pages":"Pages 17-29"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145876923","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":"Fisioterapia manual y ejercicio ocular en un adolescente con diplopía y visión borrosa postraumatismo craneofacial: informe de caso","authors":"B. Puerta Arroyo ,&nbsp;J.C. Benítez-Martínez","doi":"10.1016/j.ft.2025.10.002","DOIUrl":"10.1016/j.ft.2025.10.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Craniofacial trauma in adolescents can lead to visual complications such as diplopia (double vision), significantly affecting quality of life. This clinical case presents Lucas, a 16-year-old patient, who experienced diplopia and other symptoms after sustaining craniofacial trauma, prompting him to seek physiotherapeutic treatment.</div></div><div><h3>Case presentation</h3><div>Lucas, a 16-year-old adolescent, sought physiotherapy after undergoing craniofacial trauma. During the initial assessment, he reported diplopia in downgaze, blurred vision, and periorbital pain when looking downward. The medical evaluation reported a Glasgow Coma Scale score of 15, with suspicion of a fracture of the roof and/or floor of the left orbit and possible paralysis of the IV cranial nerve. Magnetic Resonance Imaging confirmed a fracture of the left orbital floor with a cortical step of approximately 3<!--> <!-->mm. The functional evaluation revealed that head tilt improved diplopia, suggesting a compensatory muscular component, leading to the hypothesis about the shortening of the left inferior oblique muscle.</div></div><div><h3>Results</h3><div>The physiotherapeutic treatment approach consisted of manual therapy on the cranial and facial bones, as well as specific oculomotor exercises for the extrinsic eye musculature. Eight sessions were conducted over a period of 4 weeks (Days 2–26 post-trauma), each lasting 45<!--> <!-->minutes. Objective measurements taken at a distance of 91<!--> <!-->cm identified the onset of blurred vision and diplopia. By the conclusion of treatment, the distance at which blurred vision appeared reduced from 95<!--> <!-->cm to 45.5<!--> <!-->cm, and diplopia from 87<!--> <!-->cm to 36<!--> <!-->cm. Progressive improvement was observed in each session, with pre-post differences exceeding 10<!--> <!-->cm in some cases.</div></div><div><h3>Conclusions</h3><div>Manual physiotherapy combined with oculomotor exercises was effective in resolving diplopia and blurred vision in this pediatric case following facial trauma. The treatment resulted in accelerated visual recovery without complications.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 1","pages":"Pages 33-38"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145876925","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":"Evaluación de la punción seca y ejercicio terapéutico en la osteoartritis de rodilla: ensayo clínico aleatorizado","authors":"A. Agost González ,&nbsp;I. Escobio Prieto ,&nbsp;M. Albornoz Cabello","doi":"10.1016/j.ft.2025.10.001","DOIUrl":"10.1016/j.ft.2025.10.001","url":null,"abstract":"<div><h3>Background and Objectives</h3><div>Therapeutic exercise is one of the recommended treatments for individuals with knee osteoarthritis (OA) and may be supplemented with additional interventions such as dry needling (DN). This study aims to assess and compare the effects of a specific therapeutic exercise program, alone or in combination with the dry needling (DN) technique applied to the popliteus muscle, on pain, functionality, range of motion, kinesiophobia, and pain catastrophizing in patients with knee osteoarthritis.</div></div><div><h3>Materials and Methods</h3><div>A total of 3<!--> <!-->O participants were randomly allocated into two groups: the dry needling plus therapeutic physical exercise group (<em>n</em> <!-->=<!--> <!-->15) and the therapeutic physical exercise alone group (<em>n</em> <!-->=<!--> <!-->15). Both groups followed the same exercise protocol, while the dry-needling group additionally received three sessions of this intervention over a period of three weeks.</div></div><div><h3>Results</h3><div>Variables such as pain, functionality, neuropathic pain, stiffness, range of motion, kinesiophobia, and pain catastrophizing were assessed before and after the intervention. Significant differences (p &lt;<!--> <!-->0.001) were observed between the two groups in pain intensity, kinesiophobia, and pain catastrophizing. Furthermore, statistically significant differences (p &lt;<!--> <!-->0.05) were also found in functionality and stiffness.</div></div><div><h3>Conclusions</h3><div>The combination of dry needling applied the popliteus muscle and therapeutic exercise led to greater improvements than therapeutic exercise alone in patients with knee osteoarthritis, with statistically significant differences observed post-intervention.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 1","pages":"Pages 3-9"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145876921","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":"Efectividad del tratamiento fisioterápico en mujeres con dispareunia: estudio de caso","authors":"P. Lucena Boscá,&nbsp;J. Leal García,&nbsp;P. Blanco Giménez,&nbsp;J. Vicente Mampel","doi":"10.1016/j.ft.2025.09.006","DOIUrl":"10.1016/j.ft.2025.09.006","url":null,"abstract":"<div><h3>Introduction</h3><div>Dyspareunia is defined as recurrent or persistent pain before, during or after reproductive intercourse that affects the psychosocial and physical conditions of the individual. The complexity of this disorder of genito-pelvic origin significantly impacts various aspects of the life of women with dyspareunia, increasing the risk of suffering from psychosocial disorders associated with the painful experience.</div></div><div><h3>Objectives</h3><div>To describe the short and medium-term effects obtained from a physical treatment protocol on pain, functionality and psychosocial variables in a patient diagnosed with dyspareunia.</div></div><div><h3>Methods</h3><div>A single case study design was used with a total of 4 sessions. Manual therapy, vibration and radiofrequency were the treatments implemented. Each session lasted 60<!--> <!-->minutes. Pain perception, functionality, strength and activation of the perineal muscles and quality of life were evaluated with different scales.</div></div><div><h3>Results</h3><div>The results showed relevant clinical changes in the variables measured with the scales used for our patient with dyspareunia.</div></div><div><h3>Conclusion</h3><div>According to the methods used in the research, manual therapy, vibration and radiofrequency could be an effective treatment for the treatment of dyspareunia in the variables used for the study.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"48 1","pages":"Pages 30-32"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145876924","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":"Effectiveness of physiotherapy in lumbar canal stenosis with scoliosis: Case study","authors":"A. Tanna ,&nbsp;Y. Dave ,&nbsp;E. Byiringiro ,&nbsp;A. Kakkad","doi":"10.1016/j.ft.2025.09.002","DOIUrl":"10.1016/j.ft.2025.09.002","url":null,"abstract":"<div><h3>Introduction</h3><div>This case study examines how a physiotherapy approach can help with chronic low back pain (LBP) due to lumbar canal stenosis, as well as how that affects their functional status, flexibility, and strength of their lower limbs.</div></div><div><h3>Material and methods</h3><div>A 20-year-old girl with a history of LBP for 3-months underwent a 16-weeks intervention consisting of manual therapy, interferential therapy, lumbar traction, self-neural tissue mobilization, targeted exercise programs, muscle flexibility, and strength training.</div></div><div><h3>Result</h3><div>Numerical Pain Rating Scale for pain, Active Range of Motion for flexibility, Manual Muscle Testing, Straight Leg Raise test, Treadmill Walking test, Extension Loading test, Core Muscle Endurance test, Modified Oswestry Disability Index, and Claudication Pain Scale were taken at baseline and after completing 4 weeks of physiotherapy intervention. Post-intervention, the subject exhibited marked reductions in pain and neurogenic symptoms, improved flexibility, increased muscle strength, and notable enhancements in the functional status.</div></div><div><h3>Conclusion</h3><div>This case study outlines an intensive physiotherapy treatment program for a subject with chronic back pain with postural affection. The physiotherapy plan reduces low back pain and helps to improve physical, mental, and functional status.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 6","pages":"Pages 317-321"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145420580","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":"Consideraciones para el tratamiento de fisioterapia en niños con síndrome de Down","authors":"M.G. de Santos Moreno ,&nbsp;A. Gómez-Conesa","doi":"10.1016/j.ft.2025.06.003","DOIUrl":"10.1016/j.ft.2025.06.003","url":null,"abstract":"","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 6","pages":"Pages 277-279"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145420104","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":"Nivel de actividad física y calidad de vida del personal sanitario de cuidado intensivo en el segundo pico de la pandemia COVID-19 en una clínica de Santiago de Cali, Colombia","authors":"A.G. Bravo Diaz ,&nbsp;M. Libreros Arciniegas","doi":"10.1016/j.ft.2025.06.004","DOIUrl":"10.1016/j.ft.2025.06.004","url":null,"abstract":"<div><h3>Background</h3><div>During the SARS-CoV-2 (COVID-19) lockdown, opportunities for physical activity were markedly restricted. Such limitations may have affected the health and quality of life of intensive-care-unit (ICU) healthcare personnel, who continued working extended shifts with reduced rest and heavier workloads.</div></div><div><h3>Objective</h3><div>To describe the physical-activity levels and quality of life of ICU healthcare personnel and to examine the relationship between these variables.</div></div><div><h3>Materials and methods</h3><div>A descriptive cross-sectional study was conducted in 92 ICU staff members. After standardized training, participants completed the Global Physical Activity Questionnaire (GPAQ) and the WHOQOL-BREF in person. Descriptive statistics and correlational analyses were performed.</div></div><div><h3>Results</h3><div>Overall, 44.5% of participants were classified as physically active: 41.3% at a moderate level and 3.26% at a high level. The remaining 55.4% had low physical-activity levels; most of these were women. Perceived overall quality of life was rated as good across the cohort.</div></div><div><h3>Conclusions</h3><div>Physical-activity levels in this ICU workforce did not meet World Health Organization recommendations. Nevertheless, participants reported good perceived quality of life, and no statistically significant association was found between physical-activity level and quality-of-life domains.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 6","pages":"Pages 280-287"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145420519","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}