Artículos (Fisioterapia)

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Using a Smartphone Application to Strengthen Pelvic Floor and Manage Symptomatology of Female Track and Field Athletes: A Randomized Controlled Study
(MDPI, 2024-12) Romero Franco, Natalia; Bosch-Donate, Elisa; Vico-Moreno, Elena; Oliva Pascual-Vaca, Ángel; Martínez-Bueso, Pau; Molina-Mula, Jesús; Fernández Domínguez, Juan Carlos; Universidad de Sevilla. Departamento de Fisioterapia; Consejo Superior de Deportes (CSD); European Union NextGenerationEU/PRTR; Universidad de Sevilla. CTS1043: Salud, Fisioterapia y Actividad Física
Despite the high prevalence of pelvic floor (PF) dysfunctions in female athletes, help-seeking is low due to embarrassment and disinformation. This study evaluated the effects of a 6-week exercise program guided by a specific app, with and without intravaginal biofeedback on the PF symptoms, strength, and sonographic measures of female athletes. Compliance with the program was evaluated. Thirty-nine athletes with PF symptoms used the app with different functionalities: experimental group 1 (n = 13) (EG1: exercises, PF information, and physiotherapists contact); experimental group 2 (n = 14) (EG2: exercises with biofeedback, PF information, and physiotherapists contact); and the control group (n = 12) (CG: PF information, and physiotherapists contact). Before and after the 6 weeks, PF symptoms, strength with the Oxford scale, and sonographic measures were evaluated. EG1 and EG2 improved strength (p = 0.028 and p = 0.001, respectively) and incontinence urinary symptoms (p = 0.041 and p = 0.002, respectively) over the baseline, without between-group differences (p > 0.05). No significant differences were observed in sonography (p > 0.05). Regarding compliance, 84.6 and 71.4% of athletes from EG1 and EG2 completed the program twice per week or more. A 6-week PF exercise program guided by the app improved PF symptoms and strength of female athletes and ensured high compliance with the program but was insufficient to improve sonography.
Effectiveness of the scapula mobilization technique on the neural mechanosensitivity of the upper limb neural test 1 in individuals with mechanical cervicalgia. A randomized controlled trial
(Elsevier Science Bv; Elsevier, 2024-10) Heredia Macías, Carlos; Ramos Ortega, Javier; Serrano Sánchez, Francisco Javier; Díaz Mancha, Juan Antonio; Fernández Seguín, Lourdes María; Cabañes-García, Jaime; Universidad de Sevilla. Departamento de Podología; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. CTS1136: Patología y Función del Pie; Universidad de Sevilla. CTS1043: Salud, Fisioterapia y Actividad Física; Universidad de Sevilla. CTS1110: Understanding Movement & Self in Health from Science
Objective: to observe whether the mobilization of the scapula improves the mechanosensitivity of the median nerve in patients with cervicalgia. Localized cervical pain caused by compression of a nerve root without pre- senting irradiated features along the nerve path is diagnosed as cervicalgia. Muscles around the scapula can be directly responsible of this compression. Methods: 60 adults diagnosed with cervicalgia and with a positive upper limb neural test 1(ULNT1) were recruited. Participants in the experimental group received a scapula mobilization technique. Participants in the control group, with electrodes on both sides of the neck and connected to turned off analgesic current device, received an abduction adduction mobilization of the calcaneus in the lower limb contralateral to the painful area. The variables measured were pain, goniometry of elbow extension in movement for the median neuro- dynamic test (ULNT1) and hand grip strength. Results: Results showed that the increase in strength (p = 0.01) and elbow extension movement (p = 0.01) and the decrease in pain (p < 0.01) from the intervention group showed significant changes compared to the changes from control group. Conclusion: Scapula mobilization technique in subjects presenting with cervicalgia and a positive ULNT1 significantly appears to help improve the neural mechanosensitivity of the median nerve and pain.
Idiopathic Neck Pain or Neck Pain of Gastric Origin? A Systematic Review of Rat Experimental Studies on Gastric Harm Pathophysiology and Therapy
(Wiley, 2025-05-22) Oliva Pascual-Vaca, Ángel; Navarro-Carmona, Ignacio; Oliva Pascual-Vaca, Jesús; Riquelme, Inmaculada; Luque Romero, Luis Gabriel; López Millán, José Manuel; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. Departamento de Medicina Preventiva y Salud Pública; Universidad de Sevilla. Departamento de Cirugía; Instituto de Biomedicina de Sevilla (IBIS); Universidad de Sevilla. CTS1043: Salud, Fisioterapia y Actividad Física; Universidad de Sevilla. CTS1050: Cuidados Complejos, Cronicidad y Resultados en Salud
Background: Most cases of neck pain are classified as nonspecific or idiopathic pain and show characteristics such as sensitization, hyperalgesia, limited range of motion, and muscle spasm. Visceral disorders can trigger all those features, and gastric disorders are related to neck pain. Furthermore, stress and anxiety are frequently somaticized as neck pain. However, its pathophysiological link has never been determined. Objectives: To identify the electromyographic and postural response to experimental gastric insult in rats. Methods: A systematic review was undertaken. Searches were conducted in the PubMed and Web of Science databases. The date of publication was not limited. References from included articles were assessed. The sample, experimental intervention, and the results were retrieved from each study. Results: Sixteen studies were included. Acromiotrapezius muscle showed the highest activity to gastric damage, being up to 8–10 times higher than abdominal muscles contraction. Also, a postural response compatible with neck muscles spasm was observed. The threshold for reaching cervical spasm was lowered by the addition of stress, gastritis, dyspepsia, ulcers, diabetes, or inflammation of the colon. Increased visceromotor response persisted even more than 60 days after gastric insult, despite no obvious injury was already visible in the stomach. Furthermore, prenatal or neonatal gastric injury also produced gastric hypersensitivity and increased trapezius spasm in adult rats. On the contrary, neck spasm was reduced by reversing diabetes or blocking the gastric receptors and its afferent pathways. Conclusions: Gastric harm triggers neck muscles spasm. Since many gastric conditions and hypersensitivity are common and tend to be chronic, this may contribute to explain the persistence of neck pain and sensitization in many patients. Prenatal and neonatal gastrointestinal suffering increases trapezius visceromotor response in adults. Furthermore, our findings might contribute to explain why stress is frequently somaticized as neck pain.
An expected goals on target (xGOT) model: accounting for goalkeeper performance in football
(MDPI, 2025-03-10) Cruz Torres, Blanca de la; Navarro Castro, Miguel; Ruiz de Alarcón Quintero, Anselmo; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. Departamento de Matemática Aplicada I (ETSII)
A key challenge in utilizing the expected goals on target (xGOT) metric is the limited public access to detailed football event and positional data, alongside other advanced metrics. This study aims to develop an xGOT model to evaluate goalkeeper (GK) performance based on the probability of successful actions, considering not only the outcomes (saves or goals conceded) but also the difficulty of each shot faced. Formal definitions were established for the following: (i) the initial distance between the ball and the GK at the moment of the shot, (ii) the distance between the ball and the GK over time post-shot, and (iii) the distance between the GK’s initial position and the goal, with respect to the y-coordinate. An xGOT model incorporating geometric parameters was designed to optimize performance based on the ball position, trajectory, and GK positioning. The model was tested using shots on target from the 2022 FIFA World Cup. Statistical evaluation using k-fold cross-validation yielded an AUC-ROC score of 0.67 and an 85% accuracy, confirming the model’s ability to differentiate successful GK performances. This approach enables a more precise evaluation of GK decision-making by analyzing a representative dataset of shots to estimate the probability of success.
The most effective therapeutic exercises for pain intensity in women with fibromyalgia: a systematic review and network meta-analysis
(Associacao brasileira pesquisa pos-graduacao fisioterapia-ABRAPG-FT, 2025) Rodríguez-Domínguez, Álvaro José; Rebollo Salas, Manuel; Chillón-Martínez, Raquel; Rosales Tristancho, Abel; Villa-del-Pino, Inmaculada; Jiménez Rejano, José Jesús; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. Departamento de Estadística e Investigación Operativa; Universidad de Sevilla. CTS305: Área de Fisioterapia
Background Therapeutic exercise (TE) is the only intervention with strong recommendation for fibromyalgia. However, there is controversy as to which type of exercise is the most beneficial. Objective To determine which TE approach is the most effective in reducing pain intensity in women with fibromyalgia. Methods A systematic review was performed with a network meta-analysis (NMA). Six databases were searched from inception until January 2024. Randomized controlled trials (RCTs) evaluating the effects of TE on pain intensity were included in women with fibromyalgia. Methodological quality was assessed using the Physiotherapy Evidence Database scale. The size of the effect and the clinically important difference were determined in the short-term (≤3 months) and long-term (>3 months). Results Sixty-one studies were identified, of which 51 were included in the quantitative synthesis (n = 2873). Fifteen TE interventions and eight comparison interventions (comparators) were identified. Aquatic exercise (p-score: 0.8713) was found to provide best benefits in the short-term and resistance training in the long-term (p-score: 0.9749). Statistically significant differences were found in favor of aquatic exercise, Pilates, qigong, resistance training, virtual reality, mixed exercise, and aerobic exercise (in the short-term) and in favor of resistance training, dance, functional training, aquatic exercise, virtual reality, and aerobic exercise (in the long-term) compared to usual care. Conclusion With a moderate level of evidence, our NMA shows that, in the short-term, aquatic exercise is the most effective TE intervention to reduce pain intensity in women with fibromyalgia, while resistance training is the most effective in the long-term. More RCTs are needed to strengthen these findings.
El masaje infantil como herramienta de intervención en el desarrollo de bebés con síndrome de Down. Estudio piloto
(Sociedad andaluza de fisioterapia, 2020-04-30) Piñero Pinto, Elena; Jiménez Rejano, José Jesús; Rebollo Roldán, Jesús; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. CTS1137: Neurophysius - Neurological Physiotherapy, Innovative Neurorehabilitation and Neurodevelopmental Disorders; Universidad de Sevilla. CTS305: Área de Fisioterapia
Objetivo: conocer los efectos del masaje infantil sobre el desarrollo madurativo del bebé con síndrome de Down a corto plazo, atendiendo a todas las áreas del desarrollo. Material y método: se comparan dos grupos de 11 bebés, experimental, que recibe masaje infantil, y control, que no recibe tratamiento. Se miden las variables de desarrollo (cociente de desarrollo, edades parciales y globales de desarrollo) en dos ocasiones, con 5 sema nas de diferencia con la Escala de Desarrollo Psicomotor de la Primera Infancia Brunet–Lézine–Revisada. Re sultados: ambos grupos mejoran con el tiempo, pero el experimental lo hace en todas las variables, tanto en las relativas a la edad de desarrollo como en los cocientes de desarrollo, aspecto este último que no se observa en el grupo control. En las variables relativas a la edad madurativa se produjeron diferencias significativas entre los grupos, siendo en todos los casos mejores los resultados en el grupo experimental. En la edad de desarrollo glo bal la media de las diferencias pretratamiento-postratamiento fue significativamente mayor en el grupo experi mental [47,45 (DT = 12,36)] frente al control [26,64 (DT = 16,35)]. En el cociente de desarrollo global la media de las diferencias del cambio entre las puntuaciones pre-postratamiento entre los grupos fue de 10,21 puntos [IC 3,41 ; 17,02]. El modelo mixto 2x2 de análisis de la varianza indicó una interacción estadísticamente significativa grupo-por tiempo para todos los cocientes de desarrollo, siendo mejores los del grupo experimental. Conclusión: el masaje infantil es un procedimiento que parece mejorar el desarrollo madurativo de los bebés con síndrome de Down a corto plazo de la muestra aplicada.
Feasibility of home-based early infant hybrid therapy in children with unilateral cerebral palsy
(Mdpi; Mdpi Ag, 2024-11-08) Palomo-Carrión, Rocío; Romay-Barrero, Helena; Piñero Pinto, Elena; Romero-Galisteo, Rita Pilar; Coello-Villalón, María; Ferri-Morales, Asunción; López-Muñoz, Purificación; Lirio-Romero, Cristina; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. CTS1137: Neurophysius - Neurological Physiotherapy, Innovative Neurorehabilitation and Neurodevelopmental Disorders
Abstract: Background: The first stage of childhood is characterized by great neuronal plasticity. In Unilateral Cerebral Palsy (UCP), it is essential to carry out early treatment, with family involvement. The aim of this study was to investigate the feasibility of Early Infant Hybrid Therapy (eI-Hybrid) ap plied at home with family involvement in children with UCP aged 9–18 months, and to assess its pre liminary effectiveness on bimanual functional performance. Methods: A single group of 10 children performed the eI-Hybrid therapy. The main outcome was measured with the mini Assisting Hand Assessment scale (mini-AHA), functional goals were measured with the Goal Attainment Scale (GAS), and satisfaction expectations on intensive therapy were also recorded. Three measures were performed (week 0, week 10, and month 6). A repeated-measures ANOVA test was performed on the mini-AHA in order to observe the statistically significant differences in pairwise comparison. Results: Ten children completed the study and the parents’ expectations were fulfilled, indicating high caregiver compliance and high adherence to the treatment. Clinically relevant changes were observed between pre- and post-intervention measurements in BFP (pre: 41.9 (SD: 7.7), post: 50.9 (SD: 6.0) and in the follow-up at 6 months (50.3 (SD:5.6); p < 0.001). Families reported a high satisfaction. Conclusions: infant hybrid treatment is feasible to be performed at home with the family’s involvement, obtaining improvements in the affected upper limb for early-age UCP.
Immediate effects of blood flow restriction combined with neuromuscular electrical stimulation in female amateur football players: A pilot trial
(MDPI, 2023) Afán-Argüín, Irene; Fernández-Morales, Carlos; Espejo Antúnez, Luis; Albornoz Cabello, Manuel; León-Morillas, Felipe; Cardero-Durán, María de los Ángeles; Universidad de Sevilla. Departamento de Fisioterapia
We aimed to investigate the acute effects of blood flow restriction (BFR) combined with neuromuscular electrical stimulation (NMES) on muscle strength, thigh circumference, and knee joint reposition sense in female amateur football players, as well as to determine whether this procedure is safe. Methods: This was a pilot trial. Twenty female amateur football players were randomized into two groups: group 1 (n = 10) received a single NMES session; group 2 (n = 10) received NMES + BFR. The measured variables included maximal voluntary eccentric contraction (MVEC) and maximal voluntary concentric contraction (MVCC), thigh circumference, and knee joint reposition sense test. The type of electrical current used was TENS (symmetrical biphasic rectangular pulse, 350 s, and 50 Hz), combined simultaneously with active knee extension (75 repetitions in 4 sets, 20% MVCC, 30 s rest between sets), for both groups. Group 2 had BFR added (80% of arterial occlusion pressure). Results: Statistically significant differences (p 0.05) were obtained for thigh circumference in both groups. The comparison between groups did not show statistically significant differences (p 0.05) in MVEC, MVCC, thigh circumference, or the knee joint reposition sense test. Conclusions: Both the isolated NMES intervention and its combination with BFR induced immediate changes in thigh circumference without impairing the muscle strength or proprioceptive ability of the football players. However, these results should be interpreted with caution, and future studies including a control group and isolated BFR application are needed.
Short- and medium-term effect of kinesio taping or electrical stimulation in hemiplegic shoulder pain prevention: A randomized controlled pilot trial
(IOS Press, 2017-12-15) Hochsprung, Anja; Domínguez-Matito, Angeles; López Hervás, Antonia; Herrera-monge, Patricia; Moron-Martin, Santos; Ariza-Martínez, Carmen; Granja-Dominguez, Anabel; Heredia Rizo, Alberto Marcos; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. CTS1110: Understanding Movement & Self in Health from Science
OBJECTIVE:To compare the short and medium-term effectiveness of combining Kinesio Tape (KT) or neuromuscular electrical stimulation (NMES) with a conventional approach to prevent shoulder pain after stroke. METHODS:Thirty-one first-time stroke survivors (58.06% females) were recruited and randomly assigned to one group; Control (n = 10), KT (n = 11), or NMES (n = 10). Ten of all participants were lost during follow-up because of death or a second stroke. The control group underwent conventional treatment (careful shoulder handling and daily mobilizations). This approach was combined with KT or NMES over deltoid muscles in the KT and NMES groups respectively. Measurements were taken at baseline, and at weeks 1, 2, 3, 4, 12, and 24 post-stroke. Data collected included self-perceived shoulder pain (Visual Analogue Scale), disability (Barthel Index and Berg scale), and upper limb function (Action Research Arm test). RESULTS:In all groups, shoulder pain did not appear during the first month (p < 0.001), but increased afterwards. In the between-groups analysis, all groups similarly improved disability and function, and no significant differences were observed for any measure (p > 0.05). CONCLUSION:The combination of KT or NMES with conventional treatment is no superior to conventional treatment alone to prevent hemiplegic shoulder pain.
Are you listening? Facilitation of the auditory blink response in people with fibromyalgia
(Churchill Livingstone, 2021-09) Berryman, Carolyn; Wallwork, Sarah B.; Heredia Rizo, Alberto Marcos; Knight, Emma; Camfferman, Danny; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. CTS1110: Understanding Movement & Self in Health from Science
The purpose of the current study was to determine whether auditory prepulse inhibition (PPI) and/or prepulse facilitation (PPF) were altered in people with fibromyalgia (FM) when compared with controls. Eyeblink responses were recorded from 29 females with FM and 27 controls, while they listened to 3 blocks of auditory stimuli that delivered pulses with either PPI or PPF. Using a linear mixed model, our main findings were that there was a GROUP*CONDITION interaction (F4, 1084 = 4.01, P= .0031) indicating that the difference in amplitude between FM group and control group changed depending on the condition (PPI or PPF). Post hoc tests revealed no differences between the groups in response to PPI. The FM group showed a greater reactivity of response to the PPF conditioned stimulus than the control group did (t(39.7) = 2.03, P= .0494). Augmentation of PPF, as demonstrated by the FM group is thought to be linked to alterations in information processing mediated by an autonomically driven general orienting process. Activities that decrease autonomic drive or rebalance autonomic and parasympathetic tone such as vagal stimulation might be pursued as effective interventions for people with FM.
Spiritual well-being, faith, meaning in life, peace, and purpose in life for cancer-related fatigue: systematic review with meta-analysis and meta-regressions
(Springer, 2024-04-18) Heredia Rizo, Alberto Marcos; Garcia Muñoz, Cristina; Cano García, Francisco Javier; Heredia Rizo, Alberto Marcos; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. Departamento de Personalidad, Evaluación y Tratamiento Psicológicos; Universidad de Sevilla. CTS1110: Understanding Movement & Self in Health from Science; Universidad de Sevilla. CTS111: Psicología Clínica y de la Salud
Background Cancer-related fatigue is associated with spiritual distress. Spiritual well-being, characterized by the presence of factors such as meaning in life or purpose in life, seems to play an important role in the management of symptoms of cancer. Currently, the number of studies evaluating the association between cancer-related fatigue and spiritual well-being is increasing and no systematic review has been conducted. Aim To summarize the association between cancer-related fatigue and spiritual well-being, faith, meaning in life, peace, and purpose in life. Design A systematic review with meta-analysis. Data sources The CINAHL, Embase, PsycINFO, and PubMed databases were searched from inception to 9 October 2023. We considered studies evaluating the cross-sectional or longitudinal association between cancer-related fatigue and the spiritual factors above mentioned. The Joanna Briggs Institute Checklist for Analytical Cross-Sectional Studies and the Quality in Prognosis Studies tool assessed the methodological quality of cross-sectional and longitudinal studies, respectively. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system rated the certainty of evidence. Meta-analyses, meta-regressions, subgroup meta-analyses, and sensitivity analyses were conducted. Results A total of 13 studies were included and no longitudinal findings were found. One meta-analysis showed that cancer-related fatigue may be negatively correlated with spiritual well-being (r = − 0.37 (95%CI − 0.44 to − 0.28) p < 0.01). In addition, another meta-analysis found the correlation between cancer-related fatigue and faith was not statistically significant (r = − 0.25 (95%CI − 0.66 to 0.28) p = 0.36). Conclusions Cancer-related fatigue may be correlated with spiritual well-being. However, the certainty of evidence was very low across the meta-analyzed outcomes. Implications for Cancer Survivors A negative correlation was observed between spiritual well-being and cancer-related fatigue.
Análisis cualitativo de la motivación del paciente tras sufrir un AVC. A propósito de un caso clínico
(Sociedad Andaluza de Fisioterapia, 2004) Heredia Rizo, Alberto Marcos; Heredia-Rizo,David; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. CTS1110: Understanding Movement & Self in Health from Science
La motivación es un elemento que juega un papel fundamental en el tratamiento de rehabilitación física. Este concepto debe ser entendido como compuesto por factores internos al propio individuo, pero influenciado también por elementos externos a él. Aspectos como el nivel de participación activa del paciente en todo el proceso repercutirán en su mayor o menor motivación hacia el mismo. Tras sufrir un AVC, muchos pacientes carecen de independencia propia y necesitan de la ayuda de otros. El papel del entorno del afectado (profesionales y familia o más cercanos) es esencial en esta nueva configuración de sus vidas. Como material y método, se han realizado entrevistas personales a un paciente con AVC, a su mujer y a dos profesionales, fisioterapeuta y médico rehabilitador, responsables de su programa de rehabilitación física. Respecto a los resultados, aparecen conflictos y discrepancias en lo referente a categorizar al paciente como motivado o no. Una de las principales razones fue el diferente comportamiento mostrado por éste en la sesión de rehabilitación física y durante el resto del día. Todos los entrevistados afirmaron tener cierto grado de responsabilidad en motivar al paciente, aunque valoraron la misma de forma diversa. El papel de la familia resultó ser vital a la vez que muy estresante para la esposa. Así, un mayor grado de comunicación entre profesionales y la inclusión del afectado como parte activa del proceso parecen esenciales. Del mismo modo, es necesario el desarrollo de programas de soporte a la familia. En definitiva, «cuidar del cuidador».
Revisión del concepto de motivatión en la literatura de rehabilitatión fsica
(Sociedad andaluza de fisioterapia, 2005-02-28) Heredia Rizo, Alberto Marcos; Heredia-Rizo, David; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. CTS1110: Understanding Movement & Self in Health from Science
El presente estudio analiza la conception que la literatura guarda sobre el concepto de motiva-cion. Esta es necesaria en cualquier proceso de aprendizaje. Motivar al paciente es, pues, probablemente, una de las tareas más importantes y a la vez más difíciles de afrontar por los profesionales de la salud. El principal interés del estudio es recopilar todos aquellos factores que pueden influenciar la motivación y revisar las estrategias consideradas válidas para estimular al paciente durante el proceso de rehabilitación fisica. Han sido revisadas diversas teorías psicológicas acerca del concepto de motivacion y fundamentalmente como este término ha sido interpretado en la literatura sobre rehabilitation física. Para ello se realizó una búsqueda a través de diferentes bases de datos en internet: Medline, PubMed, Pedro, Elsevier, fueron las utilizadas, empleando «motivation» (motivation), «rehabilitation» (rehabilitation) y «frontal lobe» (lóbulo frontal) como palabras claves. Del mismo modo se Ilevo a cabo una búsqueda manual en los archivos de la biblioteca de Satakunta Polytechnic en Pori (Finlandia). La motivación tiene su sustrato neurofisiológico en el sistema límbico. Igualmente, puede ser evaluada en base a muy diversas teorías filosóficas, como el Individualismo o la Teona de «Autodeterminación». En función del enfoque empleado, el análisis que se haga de las circunstancias variara por complete. Entender la motivación como influenciada por aspectos internes del individuo sumados a facto¬ res externos a él es la mejor manera de alcanzar una idea unificada de este término. Los intereses de pacientes, profesionales y familia deben ser considerados hasta lograr un consenso.
Evaluation de la capacidad para el trabajo de una camarera de piso de hotel
(Sociedad andaluza de fisioterapia, 2006-02-28) Heredia Rizo, Alberto Marcos; Mali-Hero; Heredia-Rizo,David; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. CTS1110: Understanding Movement & Self in Health from Science
El trabajo profesional en tareas de limpieza, desarrollado mayoritariamente por mujeres, implica tanto una enorme carga física motivada por las posturas forzadas y las tareas repetitivas como una gran carga mental, acentuada por el escaso reconocimiento social de esta actividad. El objetivo del presente estudio es analizar la capacidad de trabajo de una camarera de piso de un hotel y establecer, en la medida de Io posible, las acciones correctivas recomendadas desde el punto de vista de la Fisioterapia. Material y método: una entrevista, la observación y grabación de las tareas realizadas y el análisis de dos cuestionarios (Índice de Capacidad para el Trabajo y Cuestionario de Estrés Ocupacional) fueron los medios empleados para la evaluación de la actividad laboral. Resultados: de modo autónomo, las camareras de piso del hotel en estudio han organizado un sistema de trabajo en cadena que les permite repartir la carga física, Io que ha dado como resultado que la tarea físicamente más exigente era la de hacer la cama. La trabajadora parece responder bien a las exigencias mentales de su profesión, refiriendo estar en un ambiente óptimo. Su capacidad para el trabajo fue considerada como muy buena y próxima a excelente, por Io que las posibles medidas correctivas deben dirigirse a mantener tales capacidades. Conclusión: a pesar de la valoración positiva general, sería muy recomendable proponer un programa de ejercicios para prevenir alteraciones musculo esqueléticas de las extremidades superiores así como para mantener un estado físico óptimo, dada la posibilidad de deterioro físico progresivo y de la juventud de la trabajadora.
Immediate effects of the suboccipital muscle inhibition technique in craniocervical posture and greater occipital nerve mechanosensitivity in subjects with a history of orthodontia use: a randomized trial
(Mosby-Elsevier, 2016-08-14) Heredia Rizo, Alberto Marcos; Oliva Pascual-Vaca, Ángel; Albornoz Cabello, Manuel; Rodríguez Blanco, Cleofás; Piña-Pozo, Fernando; Carrasco, Antonio Luque; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. CTS1110: Understanding Movement & Self in Health from Science; Universidad de Sevilla. CTS1043: Salud, Fisioterapia y Actividad Física; Universidad de Sevilla. CTS947: Salud y Actividad Física para Calidad de Vida; Universidad de Sevilla. CTS954: Innovaciones en Salud y Calidad de Vida
Objective The purpose of this study was to measure the immediate differences in craniocervical posture and pressure pain threshold of the greater occipital (GO) nerve in asymptomatic subjects with a history of having used orthodontics, after intervention by a suboccipital muscle inhibition (SMI) technique. Methods This was a randomized, single-blind, clinical study with a sample of 24 subjects (21 ± 1.78 years) that were divided into an experimental group (n = 12) who underwent the SMI technique and a sham group (n = 12) who underwent a sham (placebo) intervention. The sitting and standing craniovertebral angle and the pressure pain threshold of the GO nerve in both hemispheres were measured. Results The between-group comparison of the sample indicated that individuals subjected to the SMI technique showed a statistically significant increase in the craniovertebral angle in both the sitting (P < .001, F1,22 = 102.09, R2 = 0.82) and the standing (P < .001, F1,22 = 21.42, R2 = 0.56) positions and in the GO nerve pressure pain threshold in the nondominant hemisphere (P = .014, F1,22 = 7.06, R2 = 0.24). There were no statistically significant differences observed for the GO nerve mechanosensitivity in the dominant side (P = .202). Conclusion Suboccipital muscle inhibition technique immediately improved the position of the head with the subject seated and standing, the clinical effect size being large in the former case. It also immediately decreased the mechanosensitivity of the GO nerve in the nondominant hemisphere, although the effect size was small.
No immediate changes on neural and muscular mechanosensitivity after first rib manipulation in subjects with cervical whiplash: A randomized controlled trial
(IOS Press, 2017-07-01) Peña Salinas, Marta; Oliva Pascual-Vaca, Jesús; Heredia Rizo, Alberto Marcos; Rodríguez Blanco, Cleofás; Ricard, François; Oliva Pascual-Vaca, Ángel; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. CTS1043: Salud, Fisioterapia y Actividad Física; Universidad de Sevilla. CTS1110: Understanding Movement & Self in Health from Science; Universidad de Sevilla. CTS954: Innovaciones en Salud y Calidad de Vida
BACKGROUND: Upper rib manipulative therapy appears to be effective on primary complaint of shoulder pain, but its efficacy has not been evaluated in subjects with whiplash-associated disorders. OBJECTIVE: To assess the immediate changes on neural and muscular mechanosensitivity after first-rib manipulation in patients with neck or cervicobrachial pain secondary to cervical whiplash (CW). METHODS: A single-blind (evaluators were blinded to subject allocation) randomized trial was conducted. Fifty-three (N = 53) subjects, 34.7 (SD 10.8 years; 56.6% females), with cervical or cervicobrachial pain following CW, were distributed into two groups. The experimental group(n = 27) underwent a single first-rib high-velocity low-amplitude manipulation technique, while the control group (n = 26) received a sham placebo intervention. Outcome measures were taken at baseline and immediately after intervention, of the pressure pain threshold over the trigeminal, median and ulnar nerves, and over the area described for the location of tense bands in the upper trapezius, masseter, biceps brachii and triceps brachii muscles. RESULTS: No significant differences in mechanosensitivity values were observed after intervention in the between-groups comparison(p > 0.05). CONCLUSION: The use of a sole first-rib thrust technique has no immediate effect on neural or muscular mechanosensitivity, when compared to placebo, in subjects with cervical or cervicobrachial pain after CW.
A feasibility study of brain-targeted treatment for people with painful knee osteoarthritis in tertiary care
(Taylor & Francis, 2018-06-11) Harms, Anton; Heredia Rizo, Alberto Marcos; Moseley, G Lorimer; Hau, Raphael; Stanton, Tasha R.; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. CTS1110: Understanding Movement & Self in Health from Science
Purpose: To assess the feasibility and clinical impact of brain-targeted treatment (BT; aiming to target sensorimotor processing) in knee osteoarthritis patients attending tertiary care. Methods: Randomized replicated case series. The study involved three phases, each of 2 weeks duration: (1) no-treatment phase; (2) BT phase (left/right judgments and touch discrimination training); and (3) usual care (education, strengthening, and stretching training). Primary outcomes were: timely recruitment; number of participants completing the interventions; treatment compliance and barriers; follow-up rates; and treatment impact on pain and function. Fear-avoidance beliefs and clinical measures of cortical body representation (tactile acuity and left/right judgment performance) were secondary outcomes. Results: A total of 5% (19/355) of all assessed patients were eligible to participate and of these, 58% (11/19) agreed to participate. Ten patients completed the study, and 9 were successfully followed up, with treatment compliance varying between interventions. Compliance was poor for the touch discrimination component of BT. No significant effects were observed for pain relief or knee function after any treatment. A positive impact of treatment was found for fear-avoidance beliefs (usual care vs. washout, p = 0.007; BT vs. washout, p = 0.029) and left/right judgment accuracy (usual care vs. washout; p = 0.006). Conclusions: Clear barriers were identified to implementing BT in tertiary care for knee osteoarthritis. Access to all available services (especially the use of interpreters), and treatment options that do not require additional assistance to perform (e.g., touch discrimination training) represent the main lessons learned.
Effectiveness of mind–body exercises in chronic respiratory diseases: an overview of systematic reviews with meta-analyses
(Taylor & Francis Ltd, 2023-07-22) Heredia Rizo, Alberto Marcos; Martínez Calderón, Javier; Piña-Pozo, Fernando; González García, Paula; García-Muñoz, Cristina; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. CTS1110: Understanding Movement & Self in Health from Science; Universidad de Sevilla. CTS1043: Salud, Fisioterapia y Actividad Física
Purpose To gather evidence on the effectiveness and safety of qigong, tai chi, and yoga to modulate symptoms associated with chronic respiratory diseases. Methods A search of systematic reviews was conducted in CINHAL, Embase, PubMed, PsycINFO, SPORTDiscus, and the Cochrane Library from inception to November 2022. Systematic reviews with meta-analyses investigating physical and psychological measures were eligible. The methodological quality of systematic reviews (AMSTAR-2), the spin of information in abstracts, and the overlap of primary studies were explored. Results Twenty-seven systematic reviews involving 37 000 participants, 146 studies, and 150 meta-analyses were included. Reviews investigated asthma (n = 4) and chronic obstructive pulmonary disease (COPD) (n = 23). Most reviews discussed their findings without considering the risk of bias of primary studies. The overlap ranged between slight (5%) and very high (35%). Yoga was better than control interventions to improve symptoms related with asthma. In adults with COPD, qigong improved dyspnoea, exercise endurance, lung function, and quality of life, while tai chi and yoga increased exercise endurance. Conclusions The impact of yoga on symptoms associated with asthma varied depending on the lung function parameter and the control group. Qigong, tai chi, and yoga could be effective to improve COPD-related symptoms, especially exercise endurance.
Integrative model for self-perception of well-being in cancer
(Taylor & Francis Ltd, 2023-06-11) Martínez Calderón, Javier; Casuso-Holgado, María Jesús; Cano García, Francisco Javier; Heredia Rizo, Alberto Marcos; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. Departamento de Personalidad, Evaluación y Tratamiento Psicológicos; Universidad de Sevilla. CTS1110: Understanding Movement & Self in Health from Science; Universidad de Sevilla. CTS111: Psicología Clínica y de la Salud
Purpose: Continual illness uncertainty can affect how people perceive and interpret their well-being. Some cognitive and spiritual factors may be involved in the management of disruptive thoughts and emotions that can emerge during the experience of cancer. Material and methods: An evidence-based integrative model was developed to evaluate and show the role that mindfulness, acceptance, self-efficacy, uncertainty, meaning, and purpose in life play in the self-perception of well-being in individuals with cancer. This evidence-based integrative model was conducted using relevant and selected studies. Results: An integrative model for self-perception of well-being has been proposed. This model integrates evidence-based findings and provides clear principles for clinicians and researchers. This integrative model proposes that mindfulness, acceptance, self-efficacy perception, and uncertainty can predict how people with cancer perceive their well-being. The model also posits that meaning and purpose in life can act as mediators or moderators of this prediction. Conclusions: This integrative model involves the multidimensionality of human beings and facilitates the understanding of some key factors for the design of therapeutic approaches such as Acceptance & Commitment Therapy or Meaning-Centered Psychotherapy.IMPLICATIONS FOR REHABILITATIONMindfulness, acceptance, self-efficacy, uncertainty, meaning, and purpose in life can be highly relevant for clinical oncology.An integrative model is proposed to understand the combined influence of these factors on patients with cancer.This model may favor a better integration of well-known interventions, such as Mindfulness-based approaches, Acceptance and Commitment Therapy (ACT), and Meaning-Centered Psychotherapy (MCP).
Translational pancreatic cancer research: a comparative study on patient-derived xenograft models
(Baishideng Publishing Group Inc, 2018-02-21) Rubio Manzanares Dorado, Mercedes; Marín Gómez, Luis Miguel; Aparicio Sánchez, Daniel Francisco; Pereira Arenas, Sheila; Praena Fernandez, Juan Manuel; Borrero Martín, Juan Jose; Farfán López, Francisco; Gómez Bravo, Miguel Ángel; Muntané Relat, Jordi; Padillo Ruiz, Francisco Javier; Universidad de Sevilla. Departamento de Cirugía; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. CTS664: Cirugía Avanzada y Trasplantes. Terapia Celular y Bioingeniería Aplicada a la Cirugía; Universidad de Sevilla. CTS1098: Mecanismos Moleculares del Hepatocarcinoma y Sus Estrategias Terapéuticas
AIM To assess the viability of orthotopic and heterotopic patient-derived pancreatic cancer xenografts implanted into nude mice. METHODS This study presents a prospective experimental analytical follow-up of the development of tumours in mice upon implantation of human pancreatic ade nocarcinoma samples. Specimens were obtained surgically from patients with a pathological diagnosis of pancreatic adenocarcinoma. Tumour samples from pancreatic cancer patients were transplanted into nude mice in three different locations (intraperitoneal, subcutaneous and pancreatic). Histological analysis (haematoxylin-eosin and Masson’s trichrome staining) and immunohistochemical assessment of apoptosis (TUNEL), proliferation (Ki-67), angiogenesis (CD31) and fibrogenesis (α-SMA) were performed. When a tumour xenograft reached the target size, it was re implanted in a new nude mouse. Three sequential tumour xenograft generations were generated (F1, F2 and F3). RESULTS The overall tumour engraftment rate was 61.1%. The subcutaneous model was most effective in terms of tissue growth (69.9%), followed by intraperitoneal (57.6%) and pancreatic (55%) models. Tumour development was faster in the subcutaneous model (17.7 ± 2.6 wk) compared with the pancreatic (23.1 ± 2.3 wk) and intraperitoneal (25.0 ± 2.7 wk) models (P = 0.064). There was a progressive increase in the tumour engraftment rate over successive generations for all three models (F1 28.1% vs F2 71.4% vs F3 80.9%, P < 0.001). There were no significant differences in tumour xenograft differentiation and cell proliferation between human samples and the three experimental models among the sequential generations of tumour xenografts. However, a progressive decrease in fibrosis, fibrogenesis, tumour vascularisation and apoptosis was observed in the three experimen tal models compared with the human samples. All three pancreatic patient-derived xenograft models presented similar histological and immunohistochemical characteristics. CONCLUSION In our experience, the faster development and greatest number of viable xenografts could make the subcutaneous model the best option for experimentation in pancreatic cancer.

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