Artículos (Fisioterapia)
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Artículo Compliance and adherence to pelvic floor exercise therapy in people with pelvic floor disorders: a systematic review and meta-analysis(MDPI, 2025-04-06) Inmaculada Villa-Del-Pino; Jiménez Rejano, José Jesús; Rebollo Salas, Manuel; Álvaro‐José Rodríguez‐Domínguez; Suárez Serrano, Carmen; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. CTS305: Área de fisioterapiaBackground: The impact of muscle-training treatment on quality of life and functional outcomes in people with pelvic floor dysfunction may be related to adherence rates. Methods: Nine electronic databases were searched for studies published up to 15 October 2024. A qualitative synthesis was used to describe the relationship between adherence or compliance with treatment, quality of life, and symptomatic severity. A meta-analysis of data from selected studies was performed that assessed quality of life and symptomatic severity in the short term. Results: Seven studies with 2190 participants were included. Of these studies, 42% showed rates greater than 80% in terms of adherence. A beneficial effect was found in terms of urinary incontinence severity without statistical differences between the groups (p = 0.813), while quality of life showed statistically significant improvements favoring the experimental group (p = 0.036). The quality of the evidence was collected or measured from low to high. Conclusions: People with pelvic floor disorders show high rates of adherence to pelvic floor muscle exercise and experience an improved quality of life in the short term, but more research is needed on the design of homogeneous systems to measure compliance and adherence to exercise-based treatments.Artículo Eficacia de la marcha en cinta rodante sobre el desarrollo motor de niños con parálisis cerebral y síndrome de Down(Fundación Revista Medicina, 2021) García-del Pino-Ramos, Silvia; Romero-Galisteo, Rita P.; Piñero Pinto, Elena; Lirio-Romero, Cristina; Palomo-Carrión, Rocío; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. CTS1137: Neurophysius - Neurological Physiotherapy, Innovative Neurorehabilitation and Neurodevelopmental DisordersLa parálisis cerebral y el síndrome de Down son dos afecciones que cursan con déficit del desarrollo motor. Este retraso mejora con el uso de cinta rodante. Se realizó una revisión sistemática en dife rentes bases de datos con el propósito de analizar estudios y su calidad metodológica en relación a la aplicación del uso exclusivo de cinta rodante y su combinación con otras terapias para fomentar la marcha y equilibrio en niños menores de 12 años con parálisis cerebral y síndrome de Down. Se seleccionaron únicamente ensayos clínicos aleatorizados publicados hasta la fecha en PubMed, PEDro, Cochrane y Science Direct. La calidad me todológica de los estudios identificados se evaluó a través de la escala PEDro. De los 324 artículos inicialmente encontrados, se seleccionaron los 10 que cumplieron con los criterios de inclusión establecidos para su análisis cualitativo. Las variables analizadas fueron la marcha y el equilibrio en ambas poblaciones tras la intervención con cinta rodante, con y sin suspensión del peso corporal. Concluimos que la aplicación de cinta rodante como única herramienta terapéutica resulta una intervención eficaz para favorecer el desarrollo de la marcha y el equilibrio en niños de 0 a12 años con parálisis cerebral y síndrome de Down.Artículo 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 FisioterapiaObjetivo: 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.Artículo Fisioterapia y realidad virtual para mejorar el equilibrio en niños/as con síndrome de Down: revisión sistemática(Sociedad andaluza de fisioterapia, 2020-02-29) Ruvira Quintana, Laura; Piñero Pinto, Elena; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. CTS1137: Neurophysius - Neurological Physiotherapy, Innovative Neurorehabilitation and Neurodevelopmental DisordersIntroducción: el síndrome de Down se caracteriza, entre otras cosas, por presentar problemas de control del equi-librio. Existen variedad de tratamientos para trabajar el equilibrio desde la Fisioterapia. La realidad virtual se confi-gura como una nueva herramienta desde la fisioterapia pediátrica. Objetivo: verificar en la literatura la eficacia de un tratamiento de fisioterapia combinado con la realidad virtual en el aumento de la mejora del equilibrio en niños/as con síndrome de Down. Material y método: se realizó una revisión sistemática, buscando artículos de interés en las bases de datos Medline, Cochrane y PEDro. Los estudios debían de incluir un tratamiento para el equilibrio en personas con síndrome de Down. Resultados: al realizar la búsqueda se seleccionaron 5 artículos. Se encontraron diferencias significativas en la comparación de las valoraciones pre y post-intervención para aspectos como el control postural o la agilidad, lo que parece indicar una mejora también en el equilibrio. Conclusiones: partiendo de la evidencia cien-tífica sobre el uso de realidad virtual para mejorar el equilibrio en niños/as con síndrome de Down, la herramienta más utilizada es la Nintendo Wii©. De igual forma, se aprecia una mejora en el equilibrio.Artículo 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 DisordersAbstract: 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.Artículo Implant prosthetic rehabilitation in a mandible osteosarcoma patient: A clinical report(MDPI, 2025) Arbelaez-Bonozo, Lady; Luis-Sánchez, Laura; Oliva-Ferrusola, Elena; Fernández-Morales, Carlos; Albornoz Cabello, Manuel; Gutiérrez Pérez, José Luis; Torres-Lagares, Daniel; Universidad de Sevilla. Departamento de FisioterapiaIntroduction: Generally, after an oral oncological therapeutic process in which, unfortunately, surgery plays a fundamental role, a reconstructive and rehabilitative procedure should be initiated, seeking as far as possible to recover the patient’s vital functions (mastication, aesthetics, and phonetics). Case report: We present the case of a patient who successfully underwent treatment for mandibular sarcoma. After a disease-free period of one year, following oncological treatment, an intervention was performed for the insertion of dental implants into the fibula to subsequently rehabilitate the patient prosthetically. There were several challenges, including free-end edentulous space in the lower jaw with a depth of 18 mm on peri-implant tissues consisting of osteoseptocutaneous skin graft, hypotonic perioral musculature, and high aesthetic expectations of the patient. An overdenture with a titanium milled bar substructure with retentive prosthetic components was chosen for treatment. This implant-supported removable prosthesis was selected to facilitate cleaning, since the patient did not maintain oral hygiene habits. The patient was educated on using and handling the prosthesis, and the treatment objectives were achieved (to restore aesthetics and masticatory function). Conclusions: Removable prostheses are a valid alternative for oncologic patients and patients with unfavorable conditions for more complex implant-supported rehabilitation.Artículo 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 FisioterapiaWe 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.Artículo 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 ScienceOBJECTIVE: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.Artículo 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 ScienceThe 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.Artículo Psychological and spiritual interventions to enhance meaning in adults diagnosed with cancer: a systematic review with meta-analysis and meta-regression(Springer, 2023-08-16) Martínez Calderón, Javier; García 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 SaludObjective: To summarize the evidence on the effectiveness that psychological and/or spiritual interventions may have to change the levels of meaning, measured with the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp), in adults diagnosed with cancer. Methods: Systematic review with meta-analysis and meta-regression. CINAHL (via EBSCOhost), Embase, PubMed, PsycINFO (via ProQuest), and the Cochrane Library were searched from inception to 21st October 2022. Manual searches were conducted. Only randomized clinical trials (RCTs) were included. The risk of bias was assessed with the Cochrane Risk of Bias tool 2. The Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) approach was used to judge the certainty of the evidence. Results: Eight RCTs were included (N = 1682). Although some individual studies showed positive effects to enhance meaning using mindfulness or dignity therapy, the overall and individual meta-analyses showed a lack of effect of psychological and spiritual interventions in comparison to comparator interventions (MD (95%CI) = -0.19 (-0.45 to 0.06), p = 0.11, Tau2 = 0.0015, I2 = 2%). Publication bias was undetected (Egger's test = 0.35). Furthermore, no RCTs were judged to have a low risk of bias and the overall certainty of the evidence was judged as low. Meta-regression and subgroups meta-analyses also found possible sources of heterogeneity such as some cancer characteristics, the educational stage, or the religious affiliation. Conclusions: Despite some RCTs may show promising results following mindfulness or dignity therapy, no effects were observed in the meta-analysis. Moreover, important methodological and clinical concerns precluded us to make sound clinical recommendations with the available evidence. OPEN SCIENCE FRAMEWORK DOI REGISTRATION: https://doi.org/10.17605/OSF.IO/4YMTK .Artículo 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 SaludBackground 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.Artículo 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 ScienceLa 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».Artículo Introducción a la figura del fisioterapeuta ocupacional: Conceptos y ámbitos de actuación(Sociedad andaluza de fisioterapia, 2005) Heredia Rizo, Alberto Marcos; Heredia-Rizo, David; Rodríguez-Rizo, I.; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. CTS1110: Understanding Movement & Self in Health from ScienceLos servicios de seguridad e higiene laboral han ido modificándose en el ámbito de la UE acorde con directrices de la OMS. El fisioterapeuta ocupacional (FO) es un profesional sanitario encaminado a actuar en el ámbito de la población activa procurando asegurar la salud de la población en edad de trabajar y apoyar su participación en la vida laboral. El objetivo del presente estudio es definir el marco de competencias dentro de esta disciplina. Material y método: Se ha llevado a cabo una revisión de bibliografía y a través de diferentes bases de datos en Internet empleando como palabras clave "Occupational Health Care" (Higiene Laboral) y "Occupational Physiotherapy" (Fisioterapia Ocupacional). Resultados.: El FO debe conocer y diferenciar aspectos como la carga física y mental del trabajo, y la capacidad del individuo para su actividad. Para la evaluación de los mismos dispone de numerosos métodos objetivos y subjetivos. Mantener o mejorar (si fuera necesario) la capacidad de la persona en su trabajo es su misión principal, logrando además un estado general de bienestar del conjunto de la comunidad laboral. Su actuación se debe entender desde la importancia de la actividad preventiva (promoción de la salud) y asistencial. Conclusiones: Siendo la Ergonomía una parte importante de las competencias del FO, es sólo un área más dentro de los conocimientos necesarios para ejercer esta tarea. El marco de actuaciones debe enmarcarse en coordinación con un equipo interdisciplinar. Discusión: En el ámbito de una sociedad con una mano de obra envejecida, la necesidad de intervenir como fiisioterapeutas procurando hábitos de vida saludables y una adaptación mutua de trabajador y ambiente laboral es prioritaria.Artículo 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 ScienceEl 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.Artículo 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 ScienceEl 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.Artículo Masticatory mechanosensitivity, mouth opening and impact of headache in subjects with a history of orthodontics use: a cross-sectional study(Edizioni Minerva Medica, 2014-08) Heredia Rizo, Alberto Marcos; Rodríguez Blanco, Cleofás; Oliva Pascual-Vaca, Ángel; Torres-Lagares, Daniel; Albornoz Cabello, Manuel; Piña-Pozo, Fernando; Luque-Carrasco, A.; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. Departamento de Estomatología; Universidad de Sevilla. CTS954: Innovaciones en Salud y Calidad de Vida; Universidad de Sevilla. CTS1110: Understanding Movement & Self in Health from Science; Universidad de Sevilla. CTS1043: Salud, Fisioterapia y Actividad Física; Universidad de Sevilla. CTS523: Innovación y Desarrollo en Técnicas y Fundamentos de Cirugía Bucal y Craneofacial; Universidad de Sevilla. CTS947: Salud y Actividad Física para Calidad de VidaBackground: The correlation between orthodontics and the development of signs and symptoms of temporomandibular disorders (TMD) is a major concern in the physical rehabilitation field. Aim: The aim of the study was to observe whether subjects with a history of orthodontics use show differences from subjects who have never used orthodontics in: 1) masseter and temporalis muscle mechanosensitivity; 2) maximal vertical mouth opening (VMO); and 3) the impact of headache on their quality of life. Design: Cross-sectional study. Setting: The study was carried out in the Faculty of Nursing, Physiotherapy and Podiatry of the University of Sevilla, Spain. Population: All participants were pre graduate students from the University of Sevilla, Spain. The final sample comprised 65 subjects (N.=65) with a mean age of 21 ± 2.46 years (18-29) divided into two groups; orthodontics group (N.=31) and non-orthodontics group (N.=34). Methods: All students followed the same testing protocol. Measurements were taken of the pressure pain threshold (PPT) in two locations of the masseter (M1, M2) and temporalis (T1, T2) muscles, the maximal VMO, and the incidence of headache (Headache Impact Test-6; HIT-6, Spanish version). Results: The measured values of the masticatory muscle PPTs were lower in the non-orthodontics group. Besides, the maximal VMO and HIT-6 scores were better in the orthodontics group. Nevertheless, none of these intergroup differences were statistically significant (ANOVA test): (M1 P=0.790); (M2 P=0.329); (T1 P=0.249); (T2 P=0.440); (HIT-6 P=0.443); (VMO P=0.626). Conclusion: A previous history of orthodontics use does not seem to lead to any greater sensitivity of the masticatory muscles, limitations of vertical mouth opening, or greater impact of headache on the subject's quality of life. Clinical rehabilitation impact: There is no evidence enough to support either a positive or negative correlation between orthodontics and signs and symptoms of TMD. Pain is a subjective perception and it is influenced by several factors. It remains uncertain if the use of orthodontics might be one of them.Artículo Visceral treatment and nutritional patterns in the management of low back pain: a case study(Mary Ann Liebert Inc, 2014-08-13) Díaz Mancha, Juan Antonio; Heredia Rizo, Alberto Marcos; Fernández Seguín, Lourdes María; Albornoz Cabello, Manuel; 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. CTS947: Salud y Actividad Física para Calidad de VidaArtículo 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 VidaObjective 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.Artículo Effect of interferential current therapy on pain perception and disability level in subjects with chronic low back pain: a randomized controlled trial(Sage Publications Ltd, 2016-03-14) Albornoz Cabello, Manuel; Maya-Martín, Julián; Domínguez-Maldonado, Gabriel; Espejo-Antúnez, Luis; Heredia Rizo, Alberto Marcos; Universidad de Sevilla. Departamento de Fisioterapia; Universidad de Sevilla. Departamento de Podología; Universidad de Sevilla. CTS947: Salud y Actividad Física para Calidad de Vida; Universidad de Sevilla. CTS1136: Patología y Función del Pie; Universidad de Sevilla. CTS1110: Understanding Movement & Self in Health from ScienceObjective: To assess the short-term efficacy of transregional interferential current therapy on pain perception and disability level in chronic non-specific low back pain. Design: A randomized, single-blinded (the assessor collecting the outcome data was blinded), controlled trial. Setting: A private physiotherapy research clinic. Subjects: A total of 64 individuals, 20 men and 44 women, mean (SD) age was 51 years (11.93), with low back pain of more than three months, with or without pain radiating to the lower extremities above the knee, were distributed into a control (n = 20) or an experimental group (n = 44). A 2:1 randomization ratio was used in favour of the latter. Interventions: A transregional interferential current electrotherapy protocol was performed for participants in the experimental group, while the control group underwent a ‘usual care’ treatment (massage, mobilization and soft-tissue techniques). All subjects received up to 10 treatment sessions of 25 minutes over a two-week period, and completed the intervention and follow-up evaluations. Outcome measures: Self-perceived pain was assessed with a Visual Analogue Scale. Secondary measure included the Oswestry Low Back Disability Index. Evaluations were collected at baseline and after the intervention protocol. Results: Significant between-group differences were found for interferential current therapy on pain perception (p = 0.032) and disability level (p = 0.002). The observed differences in the between-group mean changes were of 11.34 mm (1.77/20.91) and 13.38 points (4.97/21.78), respectively. Conclusions: A two-week transregional interferential current treatment has shown significant short-term efficacy, when compared with a ‘usual care’ protocol, on self-perceived pain and functionality in subjects with chronic low back pain.Artículo 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 VidaBACKGROUND: 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.