Pub Date : 2025-04-09DOI: 10.1016/j.ft.2025.02.005
B. Can, E. Atici
Background and objectives
The study aims to determine risk levels of incorrect movements and behaviors that affect the formation of Cervical Disc Herniation (CDH) using Failure Mode and Effect Analysis (FMEA), and identify critical risks with Pareto Analysis.
Methods
22 risks that affect the formation of CDH have been identified, evaluated by the FMEA team, and a Risk Priority Number (RPN) has been calculated to create an FMEA table. Pareto Analysis has been conducted.
Results
According to the 40–60% ratio values in Pareto Analysis, it is observed that traffic accidents, weakness in neck muscles, manual therapy performed by non-experts, and mobile phone usage stand out and are significant risks.
Discussion
It is understood that by focusing on solving the top 4 risks that stand out in the RPN ranking, which we have identified through FMEA and Pareto Analysis systems, a large part of this problem can be solved by addressing a small number of risks.
{"title":"Examination of risks affecting the formation of cervical disc herniation with FMEA and Pareto analysis methodology","authors":"B. Can, E. Atici","doi":"10.1016/j.ft.2025.02.005","DOIUrl":"10.1016/j.ft.2025.02.005","url":null,"abstract":"<div><h3>Background and objectives</h3><div>The study aims to determine risk levels of incorrect movements and behaviors that affect the formation of Cervical Disc Herniation (CDH) using Failure Mode and Effect Analysis (FMEA), and identify critical risks with Pareto Analysis.</div></div><div><h3>Methods</h3><div>22 risks that affect the formation of CDH have been identified, evaluated by the FMEA team, and a Risk Priority Number (RPN) has been calculated to create an FMEA table. Pareto Analysis has been conducted.</div></div><div><h3>Results</h3><div>According to the 40–60% ratio values in Pareto Analysis, it is observed that traffic accidents, weakness in neck muscles, manual therapy performed by non-experts, and mobile phone usage stand out and are significant risks.</div></div><div><h3>Discussion</h3><div>It is understood that by focusing on solving the top 4 risks that stand out in the RPN ranking, which we have identified through FMEA and Pareto Analysis systems, a large part of this problem can be solved by addressing a small number of risks.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 3","pages":"Pages 138-151"},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-09DOI: 10.1016/j.ft.2025.03.001
A. Martín-Clemente , L. Lorenzo-Gallego , S. Muñoz-Pastor , M. Torres-Lacomba
Objectives
To assess the prevalence of pain in climbers, analyzing its distribution by sex, the most common pain locations, the relationship with anthropometric and sport-related factors, and its impact on daily activities.
Methods
A preliminary prevalence study was conducted between February and September 2023, in which 271 climbers completed a self-administered digital questionnaire. Participants who spent more hours on other sports than on climbing, as well as minors, were excluded.
Results
The prevalence of pain was 42.6%. The hand was the most affected area, with 24.7% of cases; however, in men, the fingers of the hand were the most prevalent (27.6%), while in women, the shoulder was the most affected region (23.5%). Statistically significant relationships were found between the presence of pain and age (p = 0.038) and climbing experience (P = .002).
Conclusions
Pain in climbers is highly prevalent, with the hand being the most affected area overall, although shoulder pain is more prevalent in women. Pain is significantly related to age and the duration of climbing practice. Pain intensity is moderate, and the most common duration exceeds 12 months. Mood was the most affected aspect by pain. Additionally, pain tends to increase after climbing, with the lowest intensity reported before the activity.
{"title":"Prevalencia de dolor en escaladores: resultados del estudio exploratorio CLIMB-PAIN","authors":"A. Martín-Clemente , L. Lorenzo-Gallego , S. Muñoz-Pastor , M. Torres-Lacomba","doi":"10.1016/j.ft.2025.03.001","DOIUrl":"10.1016/j.ft.2025.03.001","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the prevalence of pain in climbers, analyzing its distribution by sex, the most common pain locations, the relationship with anthropometric and sport-related factors, and its impact on daily activities.</div></div><div><h3>Methods</h3><div>A preliminary prevalence study was conducted between February and September 2023, in which 271 climbers completed a self-administered digital questionnaire. Participants who spent more hours on other sports than on climbing, as well as minors, were excluded.</div></div><div><h3>Results</h3><div>The prevalence of pain was 42.6%. The hand was the most affected area, with 24.7% of cases; however, in men, the fingers of the hand were the most prevalent (27.6%), while in women, the shoulder was the most affected region (23.5%). Statistically significant relationships were found between the presence of pain and age (p<!--> <!-->=<!--> <!-->0.038) and climbing experience (<em>P</em> <!-->=<!--> <!-->.002).</div></div><div><h3>Conclusions</h3><div>Pain in climbers is highly prevalent, with the hand being the most affected area overall, although shoulder pain is more prevalent in women. Pain is significantly related to age and the duration of climbing practice. Pain intensity is moderate, and the most common duration exceeds 12<!--> <!-->months. Mood was the most affected aspect by pain. Additionally, pain tends to increase after climbing, with the lowest intensity reported before the activity.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 3","pages":"Pages 152-161"},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-04-04DOI: 10.1016/j.ft.2025.02.004
M. Blanco Vázquez , P. Rangel de la Mata , L. Lorenzo-Gallego , B. Navarro-Brazález
Background and objective
Genitourinary Syndrome of Menopause (GSM) is a progressive and prevalent condition in postmenopausal women. This study aims to describe the efficacy and safety of physiotherapy in managing GSM symptoms, including urinary incontinence, sexual dysfunction, and pain.
Materials and methods
A peer-reviewed systematic review was conducted using the PubMed, Cochrane, PEDro, Web of Science, and Lilacs databases. The search terms included «menopause», «genitourinary syndrome of menopause», «physiotherapy», and «pelvic floor». Randomized controlled trials were selected, and methodological quality was assessed using the PEDro scale, while levels of evidence and recommendation grades were determined according to the SIGN scale.
Results
A total of 19 studies were included, most of which demonstrated high methodological quality and a recommendation grade of 1+. Three main treatment strategies were identified: education, therapeutic exercise—particularly pelvic floor muscle training—and radiofrequency. Improvements were observed in quality of life, reduction of urinary symptoms, enhancement of sexual function, overall satisfaction, and pelvic floor muscle strength, with no reported adverse effects.
Conclusions
Physiotherapy is an effective and safe treatment for managing GSM, potentially improving urinary and vulvovaginal symptoms, as well as the quality of life and sexual function of postmenopausal women. Further studies with adequate sample sizes are needed to define specific treatment strategies and optimal dosing.
{"title":"Eficacia del tratamiento de fisioterapia en el síndrome genitourinario de la menopausia: revisión sistemática","authors":"M. Blanco Vázquez , P. Rangel de la Mata , L. Lorenzo-Gallego , B. Navarro-Brazález","doi":"10.1016/j.ft.2025.02.004","DOIUrl":"10.1016/j.ft.2025.02.004","url":null,"abstract":"<div><h3>Background and objective</h3><div>Genitourinary Syndrome of Menopause (GSM) is a progressive and prevalent condition in postmenopausal women. This study aims to describe the efficacy and safety of physiotherapy in managing GSM symptoms, including urinary incontinence, sexual dysfunction, and pain.</div></div><div><h3>Materials and methods</h3><div>A peer-reviewed systematic review was conducted using the PubMed, Cochrane, PEDro, Web of Science, and Lilacs databases. The search terms included «menopause», «genitourinary syndrome of menopause», «physiotherapy», and «pelvic floor». Randomized controlled trials were selected, and methodological quality was assessed using the PEDro scale, while levels of evidence and recommendation grades were determined according to the SIGN scale.</div></div><div><h3>Results</h3><div>A total of 19 studies were included, most of which demonstrated high methodological quality and a recommendation grade of 1+. Three main treatment strategies were identified: education, therapeutic exercise—particularly pelvic floor muscle training—and radiofrequency. Improvements were observed in quality of life, reduction of urinary symptoms, enhancement of sexual function, overall satisfaction, and pelvic floor muscle strength, with no reported adverse effects.</div></div><div><h3>Conclusions</h3><div>Physiotherapy is an effective and safe treatment for managing GSM, potentially improving urinary and vulvovaginal symptoms, as well as the quality of life and sexual function of postmenopausal women. Further studies with adequate sample sizes are needed to define specific treatment strategies and optimal dosing.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 3","pages":"Pages 162-177"},"PeriodicalIF":0.0,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-25DOI: 10.1016/j.ft.2025.02.003
I. Cancela Cilleruelo, C. Fernández de las Peñas, J. Rodríguez Jiménez, J.L. Arias Buría
Introduction
High-level sports practice can generate tissue adaptations in the athlete's musculotendinous structures. In asymmetrical sports, such as badminton, these adaptations can vary between the dominant and non-dominant side. The aim of the study was to evaluate the structural and functional characteristics of the common extensor tendon in professional badminton players, as well as to see the difference between women and men.
Methods
Twelve players from the Spanish Badminton National Team (50% female, age: 23 years, SD: 5 years) participated. Ultrasound evaluation and subsequent image analysis were performed to assess the thickness and cross-sectional area of the common extensor tendon, as well as the area of extensor carpi radialis brevis muscle. Furthermore, a quantitative analysis of echogenicity, neovascularisation and ultrasound alterations was performed. Bilateral hand grip strength was also assessed.
Results
Analysis revealed greater tendon thickness on the dominant side compared to the non-dominant side (0.4 ± 0.2 mm, P<.05). Analysis of ultrasound characteristics showed differences in neovascularisation and other ultrasound characteristics, but these were not statistically significant, except for tendon echo-intensity which was significantly lower on the dominant side than on the non-dominant side (P<.05). There was also a difference in grip strength between males and females (49.1 ± 8.9 vs 35.9 ± 9.4 kg; P<.05), although no significant differences were found between them in morphological measurements.
Conclusions
It seems that professional badminton practice can generate structural asymmetries in the common extensor tendon of the athlete, which can be considered as tissue adaptations to the load received.
高水平的运动练习可以在运动员的肌肉肌腱结构中产生组织适应性。在不对称的运动中，如羽毛球，这些适应可以在优势和非优势方面有所不同。本研究的目的是评估职业羽毛球运动员的总伸肌腱的结构和功能特征，并观察男女之间的差异。方法西班牙羽毛球国家队12名运动员，其中女性50%，年龄23岁，年龄5岁。通过超声评估和随后的图像分析来评估总伸肌腱的厚度和横截面积，以及桡侧短腕伸肌的面积。此外，还进行了回声性、新生血管和超声改变的定量分析。还评估了双侧手握力。结果分析显示优势侧肌腱厚度大于非优势侧（0.4±0.2 mm, P< 0.05）。超声特征分析显示新生血管和其他超声特征存在差异，但这些差异无统计学意义，除了优势侧的肌腱回声强度明显低于非优势侧（P< 0.05）。男女握力也存在差异(49.1±8.9 vs 35.9±9.4 kg；P<.05)，但在形态学测量中没有发现显著差异。结论专业羽毛球训练可使运动员的总伸肌腱产生结构不对称，这可能是组织对所受负荷的适应。
{"title":"Adaptaciones musculotendinosas del tendón extensor común del codo en jugadores profesionales de bádminton: un estudio observacional","authors":"I. Cancela Cilleruelo, C. Fernández de las Peñas, J. Rodríguez Jiménez, J.L. Arias Buría","doi":"10.1016/j.ft.2025.02.003","DOIUrl":"10.1016/j.ft.2025.02.003","url":null,"abstract":"<div><h3>Introduction</h3><div>High-level sports practice can generate tissue adaptations in the athlete's musculotendinous structures. In asymmetrical sports, such as badminton, these adaptations can vary between the dominant and non-dominant side. The aim of the study was to evaluate the structural and functional characteristics of the common extensor tendon in professional badminton players, as well as to see the difference between women and men.</div></div><div><h3>Methods</h3><div>Twelve players from the Spanish Badminton National Team (50% female, age: 23 years, SD: 5 years) participated. Ultrasound evaluation and subsequent image analysis were performed to assess the thickness and cross-sectional area of the common extensor tendon, as well as the area of extensor carpi radialis brevis muscle. Furthermore, a quantitative analysis of echogenicity, neovascularisation and ultrasound alterations was performed. Bilateral hand grip strength was also assessed.</div></div><div><h3>Results</h3><div>Analysis revealed greater tendon thickness on the dominant side compared to the non-dominant side (0.4<!--> <!-->±<!--> <!-->0.2<!--> <!-->mm, <em>P</em><.05). Analysis of ultrasound characteristics showed differences in neovascularisation and other ultrasound characteristics, but these were not statistically significant, except for tendon echo-intensity which was significantly lower on the dominant side than on the non-dominant side (<em>P</em><.05). There was also a difference in grip strength between males and females (49.1<!--> <!-->±<!--> <!-->8.9 vs 35.9<!--> <!-->±<!--> <!-->9.4<!--> <!-->kg; <em>P</em><.05), although no significant differences were found between them in morphological measurements.</div></div><div><h3>Conclusions</h3><div>It seems that professional badminton practice can generate structural asymmetries in the common extensor tendon of the athlete, which can be considered as tissue adaptations to the load received.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 3","pages":"Pages 128-137"},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-24DOI: 10.1016/j.ft.2025.01.004
M.A. Valencia , V. Ramos Lasso , N.M. Perdomo Oliver , E.C. Wilches-Luna
Objective
The objective of this study was to identify the knowledge, attitudes and practices of physiotherapists regarding the intervention in adult patients with burns in hospitalization services, special burn unit and/or general intensive care unit in 3 cities in southwestern Colombia in the year 2023.
Methods
A cross-sectional descriptive study was carried out. A validated CAP type survey was used. The population of interest was made up of physiotherapists who work with adult patients with burns in hospitalization services, special burn units and/or general intensive care units, from 3 cities in southwestern Colombia. The sampling was non-probabilistic for convenience, covering a sample in 3 cities in southwestern Colombia: Cali, Pasto and Popayán.
Results
Twenty-nine physiotherapists participated, 13 (44.8%) from Popayán, 10 (33.5%) from Cali and 6 (20.7%) from Pasto. The overall response rate was 91%. Average age was 34.9 years, and 69% were women. The distribution, according to the classification of knowledge achieved, was high 13.8%, medium 44.8% and low 41.4%. A percentage of 10.3 responded that they were afraid when intervening on a patient with burns, and 31% reported that they do not have an institutional protocol.
Conclusions
This study highlights the need to strengthen continuing education and postgraduate training in the area of burn physiotherapy.
{"title":"Conocimientos, actitudes y prácticas de fisioterapeutas sobre la intervención en el paciente adulto con quemaduras en servicios de hospitalización, unidad de quemados y/o unidad de cuidado intensivo en 3 ciudades del suroccidente colombiano. Año 2023","authors":"M.A. Valencia , V. Ramos Lasso , N.M. Perdomo Oliver , E.C. Wilches-Luna","doi":"10.1016/j.ft.2025.01.004","DOIUrl":"10.1016/j.ft.2025.01.004","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study was to identify the knowledge, attitudes and practices of physiotherapists regarding the intervention in adult patients with burns in hospitalization services, special burn unit and/or general intensive care unit in 3 cities in southwestern Colombia in the year 2023.</div></div><div><h3>Methods</h3><div>A cross-sectional descriptive study was carried out. A validated CAP type survey was used. The population of interest was made up of physiotherapists who work with adult patients with burns in hospitalization services, special burn units and/or general intensive care units, from 3 cities in southwestern Colombia. The sampling was non-probabilistic for convenience, covering a sample in 3 cities in southwestern Colombia: Cali, Pasto and Popayán.</div></div><div><h3>Results</h3><div>Twenty-nine physiotherapists participated, 13 (44.8%) from Popayán, 10 (33.5%) from Cali and 6 (20.7%) from Pasto. The overall response rate was 91%. Average age was 34.9 years, and 69% were women. The distribution, according to the classification of knowledge achieved, was high 13.8%, medium 44.8% and low 41.4%. A percentage of 10.3 responded that they were afraid when intervening on a patient with burns, and 31% reported that they do not have an institutional protocol.</div></div><div><h3>Conclusions</h3><div>This study highlights the need to strengthen continuing education and postgraduate training in the area of burn physiotherapy.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 3","pages":"Pages 118-127"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.ft.2024.11.001
S. Santiago-Pescador
{"title":"La inteligencia artificial es una realidad, ¿debemos definir las «soft skills» esenciales en Fisioterapia?","authors":"S. Santiago-Pescador","doi":"10.1016/j.ft.2024.11.001","DOIUrl":"10.1016/j.ft.2024.11.001","url":null,"abstract":"","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 2","pages":"Pages 107-108"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.ft.2025.02.001
J.M. Rodríguez-Gómez , A. Arranz-Escudero , M. Puertas-Duarte , J. Izquierdo-García , N. Pérez-Mallada
Introduction
The respiratory difficulty caused by COVID-19 in severe cases leads to Intensive Care Units Acquired Weakness (ICUAW) after prolonged bed rest and treatment by invasive mechanical ventilation (IMV), which leads to a decrease in health status due to deconditioning.
Objective
To study the effects of a cardiopulmonary training program on muscle mass and strength in post-COVID-19 patients.
Methods
A quasi-experimental study was conducted with post-COVID-19 patients who were admitted to the ICU and developed ICUAW. The main variables were the diameter of the rectus femoris muscle (assessed with ultrasound), the knee extensors strength (assessed with a manual dynamometer), the strength of the inspiratory and expiratory muscles (assessed with a RPM™ system) measured at the beginning and end of the program. The program was composed of warm-up, aerobic exercise on a cycle ergometer, strength exercise and relaxation; guided by a physiotherapist. Student's t-test was used to study changes in the variables and Cohen's d statistic to study the magnitude of the change, with an alpha significance level of 0.05.
Results
25 patients completed the program (48% men). Statistically significant changes were obtained in all variables at the end of the program (P < .05) and a moderate effect size (d > 0.5) for knee strength, and large (d > 0.8) for the diameter of the rectus femoris and respiratory muscle strength.
Conclusions
The cardiopulmonary program in post-COVID-19 patients with ICUAW may have beneficial effects and clinically relevant impact on muscle mass and strength.
{"title":"Efectos de la fisioterapia cardiopulmonar sobre la fisiología en pacientes post-COVID-19","authors":"J.M. Rodríguez-Gómez , A. Arranz-Escudero , M. Puertas-Duarte , J. Izquierdo-García , N. Pérez-Mallada","doi":"10.1016/j.ft.2025.02.001","DOIUrl":"10.1016/j.ft.2025.02.001","url":null,"abstract":"<div><h3>Introduction</h3><div>The respiratory difficulty caused by COVID-19 in severe cases leads to Intensive Care Units Acquired Weakness (ICUAW) after prolonged bed rest and treatment by invasive mechanical ventilation (IMV), which leads to a decrease in health status due to deconditioning.</div></div><div><h3>Objective</h3><div>To study the effects of a cardiopulmonary training program on muscle mass and strength in post-COVID-19 patients.</div></div><div><h3>Methods</h3><div>A quasi-experimental study was conducted with post-COVID-19 patients who were admitted to the ICU and developed ICUAW. The main variables were the diameter of the rectus femoris muscle (assessed with ultrasound), the knee extensors strength (assessed with a manual dynamometer), the strength of the inspiratory and expiratory muscles (assessed with a RPM™ system) measured at the beginning and end of the program. The program was composed of warm-up, aerobic exercise on a cycle ergometer, strength exercise and relaxation; guided by a physiotherapist. Student's t-test was used to study changes in the variables and Cohen's d statistic to study the magnitude of the change, with an alpha significance level of 0.05.</div></div><div><h3>Results</h3><div>25 patients completed the program (48% men). Statistically significant changes were obtained in all variables at the end of the program (<em>P</em> <!--><<!--> <!-->.05) and a moderate effect size (d<!--> <!-->><!--> <!-->0.5) for knee strength, and large (d<!--> <!-->><!--> <!-->0.8) for the diameter of the rectus femoris and respiratory muscle strength.</div></div><div><h3>Conclusions</h3><div>The cardiopulmonary program in post-COVID-19 patients with ICUAW may have beneficial effects and clinically relevant impact on muscle mass and strength.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 2","pages":"Pages 66-73"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-01DOI: 10.1016/j.ft.2025.01.001
A. Koçak , A. Çetinkaya , M.G. Yavuzer
Objective
Joint range of motion (ROM) is one of the factors that determine the function of the musculoskeletal system. This parameter must be able to be measured and recorded in an accurate and repeatable method. The aim of this study is to examine the validity and reliability of a wearable motion sensor, which is an inertial measurement units (IMUs) sensor, in measuring knee joint active flexion movement angles.
Methods
The study, an observational validation study, included 70 Health Sciences Faculty students between the ages of 18–25. The dominant knee joint ROM of the participants was measured by two raters with a digital goniometer (Meloq EasyAngle) and wearable motion sensors (MetaMotionRL).
Results
70 participants (40 female, 30 male) with an average age of 21.03 ± 1.34 years were included in the study. Intra-rater ICC was found to be 0.959 and inter-rater ICC was 0.961. An excellent correlation was found in the first rater's measurements of the Meloq EasyAngle and MetaMotionRL motion sensors (ICC: 0.934, %95CI [0.894–0.959]). Additionally, a significant correlation was found between the raters’ knee joint ROM measured with a digital goniometer and their ROM measured with a wearable motion sensor (p < 0.05).
Conclusion
It was concluded that the MetamotionRL device, a wearable motion sensor, is a valid and reliable method for measuring knee joint ROM. The use of IMU motion sensors is considered potentially important for monitoring and optimizing lower extremity kinematics during assessment and rehabilitation interventions.
{"title":"Validity and reliability of wearable motion sensors in knee joint range of motion measurement","authors":"A. Koçak , A. Çetinkaya , M.G. Yavuzer","doi":"10.1016/j.ft.2025.01.001","DOIUrl":"10.1016/j.ft.2025.01.001","url":null,"abstract":"<div><h3>Objective</h3><div>Joint range of motion (ROM) is one of the factors that determine the function of the musculoskeletal system. This parameter must be able to be measured and recorded in an accurate and repeatable method. The aim of this study is to examine the validity and reliability of a wearable motion sensor, which is an inertial measurement units (IMUs) sensor, in measuring knee joint active flexion movement angles.</div></div><div><h3>Methods</h3><div>The study, an observational validation study, included 70 Health Sciences Faculty students between the ages of 18–25. The dominant knee joint ROM of the participants was measured by two raters with a digital goniometer (Meloq EasyAngle) and wearable motion sensors (MetaMotionRL).</div></div><div><h3>Results</h3><div>70 participants (40 female, 30 male) with an average age of 21.03<!--> <!-->±<!--> <!-->1.34 years were included in the study. Intra-rater ICC was found to be 0.959 and inter-rater ICC was 0.961. An excellent correlation was found in the first rater's measurements of the Meloq EasyAngle and MetaMotionRL motion sensors (ICC: 0.934, %95CI [0.894–0.959]). Additionally, a significant correlation was found between the raters’ knee joint ROM measured with a digital goniometer and their ROM measured with a wearable motion sensor (<em>p</em> <!--><<!--> <!-->0.05).</div></div><div><h3>Conclusion</h3><div>It was concluded that the MetamotionRL device, a wearable motion sensor, is a valid and reliable method for measuring knee joint ROM. The use of IMU motion sensors is considered potentially important for monitoring and optimizing lower extremity kinematics during assessment and rehabilitation interventions.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 2","pages":"Pages 59-65"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In Cerebrovascular Accident (CVA) the brain tissue is affected by a sudden interruption of blood supply, which determines the ability to control the affected side and compromises the coordination of agonist and antagonist muscles, experiencing spasticity increased muscle tone.
Objective
The objective of this case study was to evaluate the changes in the triceps surae muscle to stimulate improvement in motor function suffering from spasticity following a cerebrovascular event through treatment with transcutaneous electrical nerve stimulation.
Patient
A left hemiparesis secondary to CVA and three-year evolution spasticity in the triceps surae clinical case is presented.
Material and methods
Transcutaneous Nerve Electrostimulation was applied to the triceps surae. It was evaluated at the beginning and at the end of the thirteen sessions through the Joint Mobility Test to assess the left ankle, the Asworth scale for muscle tone, and the skeletal muscle ultrasonography of the triceps surae.
Results
The affected limb presented significant clinical changes in ankle mobility, improvement in muscle tone and modifications in the morphology of the triceps surae, reducing the fibrosis that was found at the beginning of the treatment.
Conclusions
The changes presented in the affected limb in the range of motion are interpreted into the functionality and morphology of the triceps surae with increased elasticity derived from the mechanobiology of muscle function; however, future research is required with a wider sample, suggesting adding other physical agents such as therapeutic exercise to obtain statistically significant changes.
{"title":"Efecto del tratamiento de estimulación eléctrica nerviosa transcutánea en el músculo tríceps sural tras un accidente cerebrovascular. Estudio de caso","authors":"Y.M. Gutiérrez Ramos, J.I. Vázquez Duarte, I.A. Cuadros Rodríguez, F. Carreto Guadarrama","doi":"10.1016/j.ft.2024.10.002","DOIUrl":"10.1016/j.ft.2024.10.002","url":null,"abstract":"<div><h3>Background</h3><div>In Cerebrovascular Accident (CVA) the brain tissue is affected by a sudden interruption of blood supply, which determines the ability to control the affected side and compromises the coordination of agonist and antagonist muscles, experiencing spasticity increased muscle tone.</div></div><div><h3>Objective</h3><div>The objective of this case study was to evaluate the changes in the triceps surae muscle to stimulate improvement in motor function suffering from spasticity following a cerebrovascular event through treatment with transcutaneous electrical nerve stimulation.</div></div><div><h3>Patient</h3><div>A left hemiparesis secondary to CVA and three-year evolution spasticity in the triceps surae clinical case is presented.</div></div><div><h3>Material and methods</h3><div>Transcutaneous Nerve Electrostimulation was applied to the triceps surae. It was evaluated at the beginning and at the end of the thirteen sessions through the Joint Mobility Test to assess the left ankle, the Asworth scale for muscle tone, and the skeletal muscle ultrasonography of the triceps surae.</div></div><div><h3>Results</h3><div>The affected limb presented significant clinical changes in ankle mobility, improvement in muscle tone and modifications in the morphology of the triceps surae, reducing the fibrosis that was found at the beginning of the treatment.</div></div><div><h3>Conclusions</h3><div>The changes presented in the affected limb in the range of motion are interpreted into the functionality and morphology of the triceps surae with increased elasticity derived from the mechanobiology of muscle function; however, future research is required with a wider sample, suggesting adding other physical agents such as therapeutic exercise to obtain statistically significant changes.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 2","pages":"Pages 98-101"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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