Fisioterapia最新文献

Salud planetaria y fisioterapia comunitaria: una relación necesaria en línea con el Plan de Acción Mundial sobre Cambio Climático y Salud 地球健康和社区物理治疗：与《气候变化与健康全球行动计划》的必要联系

Q4 Health Professions

Fisioterapia

Pub Date : 2026-01-01 DOI: 10.1016/j.ft.2025.09.004

B. Paz-Lourido

引用次数: 0

Determinantes funcionales del riesgo de caídas en adultos mayores. Circunferencia de pantorrilla y velocidad de marcha 老年人跌倒风险的功能决定因素。小腿圈和行走速度

Q4 Health Professions

Fisioterapia

Pub Date : 2026-01-01 DOI: 10.1016/j.ft.2025.10.004

L.J. Caichihua Marca, R.N. Pizarro Andrade, Y. Enriquez Canto

Background and objectives

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.

Methods

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.

Results

In the linear regression analysis, gait speed (β = -0.42, p < 0.001) and calf circumference (β = -0.381, p < 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.

Conclusions

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.

背景和目标在人口老龄化的背景下，跌倒是一个日益严重的公共卫生问题，特别是在秘鲁等国家，老年人面临着与功能丧失相关的多种风险因素。本研究评估了与老年人跌倒风险相关的因素，确定了小腿围和步态速度在年龄和跌倒风险之间的关系中的中介作用。方法：这项横断面研究涉及来自秘鲁利马卡拉巴约老年人综合中心的80名老年人。使用Tinetti量表评估跌倒风险，使用4米测试测量步态速度，使用卷尺评估小腿围。采用描述性分析、相关分析、多元线性回归和中介分析来估计系数及其95%置信区间。结果在线性回归分析中，步态速度（β = -0.42, p < 0.001）和小腿围（β = -0.381, p < 0.001）与跌倒风险呈负相关。中介分析表明，年龄对跌倒风险的间接影响中，小腿围和步态速度分别解释了88.3%和63.6%。结论sage显著影响跌倒风险，由小腿围和步态速度等功能参数介导，强调针对这些可改变因素进行预防干预的重要性。

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引用次数: 0

Telerrehabilitación en fisioterapia neurológica para la función motora del miembro superior en personas adultas tras accidente cerebrovascular: revisión sistemática 脑卒中成人上肢运动功能神经物理治疗的远程康复：系统回顾

Q4 Health Professions

Fisioterapia

Pub Date : 2026-01-01 DOI: 10.1016/j.ft.2025.10.003

M. Hernández González, A. Ibáñez Vázquez, A. Melián Ortiz

Introduction

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.

Objective

To analyze the scientific evidence on the effectiveness of telerehabilitation for upper limb motor recovery in stroke patients.

Materials and methods

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 P < .05 reported by the original authors as statistically significant.

Results

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 (P < .05) in favor of telerehabilitation.

Conclusions

These results suggest that telerehabilitation can be incorporated into routine neurological physiotherapy practice to enhance access to and continuity of post-stroke motor rehabilitation.

中风是世界范围内致残和死亡的主要原因之一，远程康复已经成为一种创新的替代方案，以改善物理治疗服务的可及性和连续性。目的分析远程康复对脑卒中患者上肢运动功能恢复效果的科学依据。材料和方法按照PRISMA指南进行系统评价。Medline、Cochrane Library和PEDro被检索到2025年1月。采用PEDro量表评估方法学质量，采用Cochrane工具评估偏倚风险。采用描述性方法分析结果、报告均值和标准差，并认为原作者报告的P <； 0.05具有统计学显著性。结果183份初始记录中，纳入9项随机临床试验（400名参与者，平均年龄57岁）。在大多数研究中，方法质量被评为“良好”。远程康复干预包括平均每周5次，持续8周。研究结果表明，远程康复在改善上肢运动功能方面至少与面对面康复一样有效，患者的依从性和满意度都很高。然而，只有三项研究报告了支持远程康复的统计学显著差异（P < 0.05）。结论远程康复可纳入常规神经物理治疗，提高脑卒中后运动康复的可及性和连续性。

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引用次数: 0

Fisioterapia manual y ejercicio ocular en un adolescente con diplopía y visión borrosa postraumatismo craneofacial: informe de caso 颅面创伤后复视和视力模糊青少年的手工物理治疗和眼部锻炼：案例报告

Q4 Health Professions

Fisioterapia

Pub Date : 2026-01-01 DOI: 10.1016/j.ft.2025.10.002

B. Puerta Arroyo , J.C. Benítez-Martínez

Introduction

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.

Case presentation

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.

Results

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.

Conclusions

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.

青少年颅面外伤可导致复视等视觉并发症，严重影响生活质量。本病例是16岁的患者Lucas，他在持续颅面外伤后出现复视等症状，促使他寻求物理治疗。卢卡斯，一名16岁的青少年，在经历颅面创伤后寻求物理治疗。在最初的评估中，他报告了下视复视、视力模糊和下视时的眶周疼痛。医学评估报告格拉斯哥昏迷评分为15分，怀疑左眶顶和/或眶底骨折，可能有颅静脉神经麻痹。磁共振成像证实左眶底骨折，皮质台阶约3mm。功能评估显示，头部倾斜改善复视，提示代偿性肌肉成分，导致关于左下斜肌缩短的假设。结果物理治疗方法包括颅面骨的手法治疗和眼外肌的特异性动眼肌锻炼。8次治疗持续4周（创伤后2-26天），每次45分钟。在距离91厘米处进行的客观测量确定了视力模糊和复视的开始。治疗结束后，出现视力模糊的距离由95 cm减少到45.5 cm，复视由87 cm减少到36 cm。每次治疗均观察到渐进式改善，在某些情况下前后差异超过10厘米。结论手工物理疗法结合动眼肌运动治疗小儿面部外伤后复视和视力模糊是有效的。治疗后视力恢复加快，无并发症。

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引用次数: 0

Evaluación de la punción seca y ejercicio terapéutico en la osteoartritis de rodilla: ensayo clínico aleatorizado 膝骨关节炎干穿刺和治疗运动的评估：随机临床试验

Q4 Health Professions

Fisioterapia

Pub Date : 2026-01-01 DOI: 10.1016/j.ft.2025.10.001

A. Agost González , I. Escobio Prieto , M. Albornoz Cabello

Background and Objectives

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.

Materials and Methods

A total of 3 O participants were randomly allocated into two groups: the dry needling plus therapeutic physical exercise group (n = 15) and the therapeutic physical exercise alone group (n = 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.

Results

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 < 0.001) were observed between the two groups in pain intensity, kinesiophobia, and pain catastrophizing. Furthermore, statistically significant differences (p < 0.05) were also found in functionality and stiffness.

Conclusions

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.

背景和目的治疗性运动是膝关节骨性关节炎（OA）患者的推荐治疗方法之一，可辅以干针（DN）等其他干预措施。本研究旨在评估和比较特定的治疗性运动方案，单独或联合干针（DN）技术应用于腘肌，对膝关节骨关节炎患者的疼痛，功能，活动范围，运动恐惧症和疼痛灾难的影响。材料与方法将30例受试者随机分为干针加治疗性体育锻炼组（n = 15）和单纯治疗性体育锻炼组（n = 15）。两组都遵循相同的运动方案，而干针组在三周内额外接受了三次这种干预。结果在干预前后对疼痛、功能、神经性疼痛、僵硬度、活动范围、运动恐惧症、疼痛灾难化等变量进行评估。两组在疼痛强度、运动恐惧症和疼痛灾难化方面存在显著差异（p < 0.001）。此外，在功能和僵硬度方面也发现有统计学意义的差异（p < 0.05）。结论对膝骨性关节炎患者，干针加腘肌配合治疗性运动治疗效果明显优于单纯治疗性运动治疗，干预后差异有统计学意义。

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引用次数: 0

Efectividad del tratamiento fisioterápico en mujeres con dispareunia: estudio de caso 物理治疗对残疾妇女的有效性：案例研究

Q4 Health Professions

Fisioterapia

Pub Date : 2026-01-01 DOI: 10.1016/j.ft.2025.09.006

P. Lucena Boscá, J. Leal García, P. Blanco Giménez, J. Vicente Mampel

Introduction

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.

Objectives

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.

Methods

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.

Results

The results showed relevant clinical changes in the variables measured with the scales used for our patient with dyspareunia.

Conclusion

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.

性交困难的定义是在生殖性交之前、期间或之后反复出现或持续的疼痛，影响个体的心理社会和身体状况。这种源自生殖盆腔的疾病的复杂性显著影响了性交困难妇女生活的各个方面，增加了与痛苦经历相关的心理社会障碍的风险。目的描述一种物理治疗方案对诊断为性交困难的患者的疼痛、功能和社会心理变量的短期和中期效果。方法采用单病例研究设计，共4期。手工治疗、振动和射频是实施的治疗方法。每节课持续60分钟。用不同的量表评估疼痛感、功能、会阴肌肉的力量和激活以及生活质量。结果结果显示，使用该量表测量的变量在我们的性交困难患者中有相关的临床变化。结论根据本研究采用的方法，在本研究使用的变量中，手工治疗、振动和射频治疗是治疗性交困难的有效方法。

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引用次数: 0

Effectiveness of physiotherapy in lumbar canal stenosis with scoliosis: Case study 物理治疗腰椎管狭窄伴脊柱侧凸的疗效：个案研究

Q4 Health Professions

Fisioterapia

Pub Date : 2025-11-01 DOI: 10.1016/j.ft.2025.09.002

A. Tanna , Y. Dave , E. Byiringiro , A. Kakkad

Introduction

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.

Material and methods

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.

Result

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.

Conclusion

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.

本病例研究探讨了物理治疗方法如何帮助治疗由腰椎管狭窄引起的慢性腰痛（LBP），以及这如何影响患者的功能状态、灵活性和下肢力量。材料和方法一名20岁的腰痛病史3个月的女孩接受了为期16周的干预治疗，包括手工治疗、干扰治疗、腰椎牵引、自我神经组织动员、有针对性的锻炼计划、肌肉柔韧性和力量训练。结果在基线和完成4周物理治疗干预后，分别进行疼痛数值评定量表、灵活活动度、手工肌肉测试、直腿抬高测试、跑步机行走测试、伸展负荷测试、核心肌耐力测试、改良Oswestry残疾指数和跛行疼痛量表。干预后，受试者表现出疼痛和神经源性症状明显减轻，柔韧性改善，肌肉力量增加，功能状态显著改善。结论：本病例研究概述了一项针对慢性背痛患者的强化物理治疗方案。物理治疗方案减少腰痛，有助于改善身体、精神和功能状态。

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引用次数: 0

Consideraciones para el tratamiento de fisioterapia en niños con síndrome de Down 对唐氏综合症患儿进行物理治疗的考虑因素

Q4 Health Professions

Fisioterapia

Pub Date : 2025-11-01 DOI: 10.1016/j.ft.2025.06.003

M.G. de Santos Moreno , A. Gómez-Conesa

引用次数: 0

Anquiloglosia, fisioterapia y deformidades craneales. Estudio de dos casos 关节镜，物理治疗和颅骨畸形。两个案例研究

Q4 Health Professions

Fisioterapia

Pub Date : 2025-11-01 DOI: 10.1016/j.ft.2025.09.005

Izaskun Montori Rodrigo , Ana María Insausti Serrano , Ana Beatriz Bays Moneo , Juancho de Quixano Bardají , Raquel Ramos Graciano , Paula Camelia Trandafir Trandafir

Introduction

Ankyloglossia is a congenital malformation of the lingual frenulum that limits tongue movement and can lead to difficulties with breastfeeding, swallowing, and speech. This restriction may cause muscular compensations in the orofacial and craneocervical structures, potentially contributing to cranial asymmetries.

The objective is to examine the relationship between ankyloglossia, cranial deformities, and the importance of post-frenectomy physiotherapy rehabilitation in their correction.

Materials and methods

A study of two cases was conducted following the CaRe guidelines. Two clinical cases of 4-month-old male infants diagnosed with ankyloglossia and cranial asymmetry were presented prior to frenectomy. Cranial measurements were taken before and three weeks after the procedure. The patients received physiotherapeutic rehabilitation on the scar, cervical, cranial, orofacial musculature, and the temporomandibular joint.

Results

In both cases, a significant reduction in cranial asymmetries was observed after the frenectomy with a reduction of 7 mm (Case 1) and 4 mm (Case 2). Physiotherapy rehabilitation focused on scar recovery and restoration of adequate tongue and muscle mobility.

Conclusions

Ankyloglossia can be a contributing factor in cranial asymmetries, so it may be necessary to include its evaluation. Frenectomy combined with physiotherapy rehabilitation seems to have a positive influence on significantly improving cranial symmetry, so it could be a type of rehabilitation to consider in similar cases.

舌系带粘连症是一种先天性舌系带畸形，它限制了舌头的运动，并可能导致哺乳、吞咽和说话困难。这种限制可能导致口面部和颅颈结构的肌肉代偿，潜在地导致颅骨不对称。目的是检查强直性咬合，颅骨畸形之间的关系，以及系带切除术后物理治疗康复在其矫正中的重要性。材料与方法按照CaRe指南对2例病例进行研究。本文报道两例4个月大男婴在系带切除术前被诊断为系带紧张症和颅不对称。在手术前和手术后三周分别进行颅骨测量。患者接受疤痕、颈椎、颅、口面部肌肉组织及颞下颌关节的理疗康复治疗。结果两例患者系带切除术后颅骨不对称均明显减少，分别减少7mm（病例1）和4mm（病例2）。物理治疗康复的重点是疤痕恢复和恢复足够的舌头和肌肉活动。结论脊椎骨缺失可能是导致颅骨不对称的一个因素，因此有必要对其进行评估。系带切除术联合物理治疗康复似乎对明显改善颅对称性有积极影响，因此在类似病例中可以考虑一种康复方式。

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引用次数: 0

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 哥伦比亚圣地亚哥德卡利（Santiago de Cali）一家诊所的重症监护医护人员在2019年新冠疫情第二高峰期间的身体活动水平和生活质量

Q4 Health Professions

Fisioterapia

Pub Date : 2025-11-01 DOI: 10.1016/j.ft.2025.06.004

A.G. Bravo Diaz , M. Libreros Arciniegas

Background

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.

Objective

To describe the physical-activity levels and quality of life of ICU healthcare personnel and to examine the relationship between these variables.

Materials and methods

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.

Results

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.

Conclusions

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.

在SARS-CoV-2 （COVID-19）封锁期间，体育活动的机会明显受限。这些限制可能影响了重症监护病房（ICU）医护人员的健康和生活质量，他们继续延长轮班，减少休息时间，加重工作量。目的探讨ICU医护人员的身体活动水平与生活质量的关系。材料与方法对92名ICU工作人员进行描述性横断面研究。经过标准化培训后，参与者亲自完成全球身体活动问卷（GPAQ）和WHOQOL-BREF。进行描述性统计和相关分析。结果总体而言，44.5%的参与者身体活动水平为中等水平，41.3%为高水平，3.26%为高水平。其余55.4%的人体力活动水平较低；其中大多数是女性。整个队列的总体生活质量被评为良好。结论ICU工作人员的身体活动水平未达到世界卫生组织的建议。然而，参与者报告了良好的感知生活质量，并且在体力活动水平和生活质量领域之间没有发现统计学上显著的关联。

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引用次数: 0