Fisioterapia最新文献_第2页

Efecto del entrenamiento de la musculatura respiratoria en el rendimiento de la natación: revisión sistemática 呼吸肌肉训练对游泳成绩的影响：系统综述

Q4 Health Professions

Fisioterapia

Pub Date : 2025-11-01 DOI: 10.1016/j.ft.2025.09.001

S. Díaz Ruiz , M.J. Yuste Sánchez

Objective

The principal objective is to understand the effect of respiratory muscle training on swimming performance.

Methodology

A systematic review was carried out by consulting trials published from 10 years ago to the present in the PubMed, Cochrane Library, Web of Science and Scopus databases. The inclusion criteria were clinical trials with young swimmers without respiratory pathology in which peak inspiratory pressure was measured and respiratory muscle training was performed as an intervention. Studies that were not clinical trials, with subjects with pathology and that did not perform respiratory muscle training were excluded. A table was manually made to extract the data from each article chosen for the systematic review. A Cochrane manual of systematic reviews was consulted to analyse risk of bias.

Results

9 clinical trials were selected to assess the effect of respiratory muscle training on swimming performance, and these studies were carried out in 223 swimmers. Each trial compared an intervention group, which generally had significant improvements in inspiratory muscle strength, with a control group, in which swimming training was performed.

Conclusion

Respiratory muscle training has turned out to be a method that generates positive effects on lung function and development of strength of the mainly inspiratory muscles. There are no conclusive results about performance improvement. The sample size is not relatively large, so it cannot be extrapolated to young swimmers.

目的了解呼吸肌训练对游泳成绩的影响。方法通过咨询PubMed、Cochrane Library、Web of Science和Scopus数据库中10年前至今发表的试验进行系统评价。纳入标准是对无呼吸病理的年轻游泳者进行临床试验，测量吸气峰值压力，并进行呼吸肌训练作为干预。非临床试验、受试者有病理、不进行呼吸肌训练的研究被排除在外。手工制作表格，从系统评价中选择的每篇文章中提取数据。参考Cochrane系统评价手册分析偏倚风险。结果选择9项临床试验来评估呼吸肌训练对游泳成绩的影响，这些研究在223名游泳者中进行。每项试验都将干预组与对照组进行比较，前者通常在吸气肌力量方面有显著改善，后者进行游泳训练。结论呼吸肌训练是一种对肺功能和主要吸气肌力量发展有积极作用的训练方法。没有关于性能改进的结论性结果。样本量不是很大，所以不能外推到年轻的游泳运动员身上。

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引用次数: 0

Alteraciones en la autoeficacia y la confianza en el movimiento en las personas con dolor lumbar crónico: un estudio de casos y controles 慢性下腰痛患者自我效能和运动信心的改变：一项病例对照研究

Q4 Health Professions

Fisioterapia

Pub Date : 2025-11-01 DOI: 10.1016/j.ft.2025.07.002

S. Nieto Marcos , C. Palomo Rodrigo , A. Grijalvo García , A. Pinto-Carral , M.J. Álvarez-Álvarez

Background and objective

Chronic low back pain is a global health problem. Physiotherapy approaches include manual therapy, therapeutic exercise, and patient education. However, psycho-emotional and social factors also play a relevant role in the perception and progression of pain.

The aim of this study was to analyze the relationship between self-efficacy and movement confidence in individuals with nonspecific chronic low back pain and compare them with asymptomatic controls.

Materials and methods

A case-control observational study was conducted with 30 subjects with nonspecific chronic low back pain and 30 asymptomatic subjects. The instruments used were the OPTIMAL-confidence scale (0–100, with higher scores indicating lower confidence) and the Chronic Pain Self-Efficacy Questionnaire (0-100, with higher scores indicating greater self-efficacy). A descriptive analysis and association tests between variables were performed using SPSS® v26 software (P<.05).

Results

A total of 60 participants were included, with a mean age of 54.72 ± 13.96 years. Individuals with pain showed lower self-efficacy (68.51 ± 14.46 vs. 79.98 ± 9.86) and lower movement confidence (39.24 ± 24.29 vs. 11.78 ± 11.50) compared to the control group, with statistically significant differences (P<.05). Furthermore, a moderate, significant inverse correlation was observed between self-efficacy and movement confidence (r = −0.55; P<.001).

Conclusions

The findings suggest that individuals with nonspecific chronic low back pain present lower self-efficacy and movement confidence, highlighting the importance of incorporating these factors into physiotherapy education strategies.

背景与目的慢性腰痛是一个全球性的健康问题。物理治疗方法包括手工治疗、治疗性运动和患者教育。然而，心理情绪和社会因素也在疼痛的感知和进展中起着相关的作用。本研究的目的是分析非特异性慢性腰痛患者的自我效能感和运动信心之间的关系，并将其与无症状对照进行比较。材料与方法对30例非特异性慢性腰痛患者和30例无症状患者进行病例对照观察性研究。使用的工具是OPTIMAL-confidence量表（0-100分，得分越高，信心越低）和Chronic Pain Self-Efficacy Questionnaire（0-100分，得分越高，自我效能越高）。使用SPSS®v26软件进行描述性分析和变量之间的关联检验（P< 0.05）。结果共纳入60例患者，平均年龄54.72±13.96岁。疼痛组自我效能感（68.51±14.46比79.98±9.86）和运动自信（39.24±24.29比11.78±11.50）低于对照组，差异有统计学意义（P< 0.05）。此外，在自我效能感和运动自信之间观察到中度显著的负相关（r = - 0.55; P<.001）。结论非特异性慢性腰痛患者的自我效能感和运动信心较低，强调了将这些因素纳入物理治疗教育策略的重要性。

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引用次数: 0

Correlation between heart rate recovery after maximal exercise and insulin resistance in sedentary overweight adult Chilean men: A pilot study 久坐超重智利成年男性最大运动后心率恢复与胰岛素抵抗的相关性：一项初步研究

Q4 Health Professions

Fisioterapia

Pub Date : 2025-11-01 DOI: 10.1016/j.ft.2025.09.003

S. Villanueva , L.M. Trujillo , A. von Oetinger , V. Valenzuela

Introduction

Attenuated heart rate recovery (HRR) after exercise has been demonstrated as an independent predictor for mortality in healthy adults. The objective a cross-sectional pilot study was conducted in 10 sedentary overweight men to analyze the correlation between heart rate recovery (HRR) after maximal exercise and insulin resistance (HOMA-IR).

Material and methods

Ten volunteers with a mean age of 33.9 ± 0.9 years and with no conditions relevant to this research were recruited. Peak oxygen consumption (VO₂peak) was measured using an ergospirometer. Other measurements included body mass index, body fat percentage, waist circumference, fasting blood glycemia, insulin resistance (HOMA-IR), and lipid profile.

Results

Heart rate (HR), was recorded as an absolute value at 1, 3, and 30 min (HRR1, HRR3, and HRR30, respectively) post-exercise. HRR1, HRR3, and HRR30 showed a positive correlation with HOMA-IR (r = 0.88, 0.81, and 0.91, respectively; p ≤ 0.001), insulinemia (r = 0.71; p ≤ 0.001), and glycemia (r = 0.87; p ≤ 0.001). Also, there were significant differences for HRR1 (p < 0.001), HRR3 (p < 0.001) and HRR30 (p < 0.005), between insulin-resistant and non-insulin-resistant subjects.

Conclusions

Our results demonstrate that HRR was inversely associated with IR in sedentary overweight adult men, indicating the use of non-invasive techniques, such as HRR, can be important to investigate the possible relationship between metabolic disorders and the regulation of cardiac function.

运动后心率恢复（HRR）减弱已被证明是健康成人死亡率的独立预测因子。目的：对10名久坐超重男性进行横断面初步研究，分析最大运动后心率恢复（HRR）与胰岛素抵抗（HOMA-IR）之间的相关性。材料与方法招募10名志愿者，平均年龄33.9±0.9岁，无本研究相关条件。峰值耗氧量（vo2峰值）用肺活量计测定。其他测量包括体重指数、体脂率、腰围、空腹血糖、胰岛素抵抗（HOMA-IR）和血脂。结果记录运动后1、3、30分钟（HRR1、HRR3、HRR30）心率（HR）的绝对值。HRR1、HRR3、HRR30与HOMA-IR （r分别为0.88、0.81、0.91,p≤0.001）、胰岛素血症（r = 0.71, p≤0.001）、血糖（r = 0.87, p≤0.001）呈正相关。胰岛素抵抗组和非胰岛素抵抗组的HRR1 （p < 0.001）、HRR3 （p < 0.001）和HRR30 （p < 0.005）也存在显著差异。结论我们的研究结果表明，久坐超重成年男性的HRR与IR呈负相关，表明使用非侵入性技术，如HRR，可能对研究代谢紊乱与心功能调节之间的可能关系很重要。

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引用次数: 0

Experiencias del trabajo interprofesional en intervenciones pediátricas: perspectiva cualitativa desde la fisioterapia 儿科干预的专业间工作经验：从物理治疗的定性视角

Q4 Health Professions

Fisioterapia

Pub Date : 2025-09-01 DOI: 10.1016/j.ft.2025.05.005

L.A. Borges Méndez, J.M. Gesualdo Zayas, A. Rivera Viera, C.M. Santiago Olivera, L.M. Vélez-Jiménez

Background and objective

Families with children with disabilities usually need health services and therapies from different disciplines. The purpose of our research was to explore and describe the experiences of different health professionals working interprofessionally in pediatric intervention.

Method

Our research followed a qualitative methodology with a phenomenological design. We selected a purposive sample with 7 participants: orthopedist, neurologist, pediatrician, speech-language pathologist, occupational therapist, and 2 pediatric physical therapists. The information was collected through a sociodemographic profile, semi-structured interviews and a reflection exercise. The analysis of the data led to identifying categories and themes for horizontalization with significant statements. A textual and structural description was achieved to obtain the essence of the phenomenon.

Results

Participants describe interprofessional work as an experience of learning, professional growth, respect between professions, and beneficial to the population they serve. They highlight the importance of key facilitators such as willingness, commitment and communication. However, challenges and barriers have been identified such as lack of time, patient overload and administrative support.

Conclusion

Interprofessional work stands out as an effective dynamic between various health professionals, including physiotherapy. In this style of work in which there is a valuable and different skill set, the pediatric patient is seen as a whole and receives complete and effective treatment.

背景与目的有残疾儿童的家庭通常需要不同学科的保健服务和治疗。我们研究的目的是探索和描述不同的卫生专业人员在儿科干预方面的跨专业工作经验。方法采用现象学设计的定性研究方法。我们选择了一个有目的的样本，共有7名参与者：骨科医生、神经科医生、儿科医生、语言病理学家、职业治疗师和2名儿科物理治疗师。这些信息是通过社会人口统计资料、半结构化访谈和反思练习收集的。通过对数据的分析，确定了水平化的类别和主题，并给出了重要的说明。对这一现象进行了文本和结构的描述，以获得其本质。结果参与者将跨专业工作描述为一种学习、专业成长、专业之间的尊重和对他们所服务的人群有益的经历。他们强调了关键促进因素的重要性，如意愿、承诺和沟通。然而，已经确定了挑战和障碍，例如缺乏时间，患者超载和行政支持。结论跨专业工作是不同卫生专业人员之间的有效动力，包括物理治疗。在这种有价值和不同技能的工作方式中，儿科患者被视为一个整体，并接受完整和有效的治疗。

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引用次数: 0

Complex Regional Pain Syndrome Type I and risk factors in adult population: A systematic review 成人复杂区域疼痛综合征I型及其危险因素：系统综述

Q4 Health Professions

Fisioterapia

Pub Date : 2025-09-01 DOI: 10.1016/j.ft.2025.06.001

S. Barreda-Bezerra Da Silva , B.E. Patiño-Palma , A. Gómez-Rodas , M. Ceretta-Maestro , R. Escamilla-Ugarte

Introduction

Complex Regional Pain Syndrome Type I (CRPS-I) is a chronic and debilitating condition characterized by unclear pathophysiology and controversial treatment options. This study aims to identify specific factors associated with CRPS-I development.

Methods

A systematic review was conducted following the PRISMA guidelines. An extensive electronic search was performed across six databases: MEDLINE, Cochrane, Google Scholar, Web of Science, Scopus, and Embase. Only case–control and cohort studies that identified CRPS-I adult patients’ risk factors were included. Out of 708 initially identified studies, 9 met the eligibility criteria. The risk of bias was assessed using the Newcastle–Ottawa scale.

Results

The review identified 13 distinct variables related to CRPS-I development. Key factors included upper limb fractures with high pain levels (over 5/10 on a numeric rating scale), significantly associated with increased CRPS-I risk (OR: 3.6). Additional significant risk factors included female gender and comorbidities like migraines (OR: 2.7), fibromyalgia (OR: 2.5), and rheumatoid arthritis (OR: 2.1). Fracture characteristics, such as high-impact injuries or open surgical reductions, were also contributing factors (OR: 1.3). Psychological, genetic, and metabolic factors also played roles in CRPS-I development.

Conclusion

Despite the low risk of bias in the included studies, the results were inconsistent for a meta-analysis, highlighting the need for further research to clarify these associations. The review emphasizes the importance of fracture management, hormonal influences, and genetic predispositions in CRPS-I. Future research should explore genetic, hormonal, and inflammatory interactions to enhance understanding and treatment strategies for CRPS-I.

复杂区域疼痛综合征I型（CRPS-I）是一种慢性衰弱性疾病，其病理生理机制不明确，治疗方案也存在争议。本研究旨在确定与CRPS-I发展相关的特定因素。方法按照PRISMA指南进行系统评价。在MEDLINE、Cochrane、b谷歌Scholar、Web of Science、Scopus和Embase六个数据库中进行了广泛的电子搜索。仅纳入了确定CRPS-I成年患者危险因素的病例对照和队列研究。在最初确定的708项研究中，有9项符合资格标准。偏倚风险采用纽卡斯尔-渥太华量表进行评估。结果本综述确定了与CRPS-I发展相关的13个不同变量。关键因素包括上肢骨折伴高疼痛程度（数值评分超过5/10），与CRPS-I风险增加显著相关（OR: 3.6）。其他重要的危险因素包括女性和合并症，如偏头痛（OR: 2.7）、纤维肌痛（OR: 2.5）和类风湿性关节炎（OR: 2.1）。骨折特征，如高冲击力损伤或开放性手术复位，也是影响因素（or: 1.3）。心理、遗传和代谢因素也在crps - 1的发展中发挥作用。结论：尽管纳入的研究偏倚风险较低，但荟萃分析的结果不一致，强调需要进一步研究来澄清这些关联。这篇综述强调了骨折处理、激素影响和遗传易感性在CRPS-I中的重要性。未来的研究应探索遗传、激素和炎症的相互作用，以提高对CRPS-I的理解和治疗策略。

{"title":"Complex Regional Pain Syndrome Type I and risk factors in adult population: A systematic review","authors":"S. Barreda-Bezerra Da Silva , B.E. Patiño-Palma , A. Gómez-Rodas , M. Ceretta-Maestro , R. Escamilla-Ugarte","doi":"10.1016/j.ft.2025.06.001","DOIUrl":"10.1016/j.ft.2025.06.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Complex Regional Pain Syndrome Type I (CRPS-I) is a chronic and debilitating condition characterized by unclear pathophysiology and controversial treatment options. This study aims to identify specific factors associated with CRPS-I development.</div></div><div><h3>Methods</h3><div>A systematic review was conducted following the PRISMA guidelines. An extensive electronic search was performed across six databases: MEDLINE, Cochrane, Google Scholar, Web of Science, Scopus, and Embase. Only case–control and cohort studies that identified CRPS-I adult patients’ risk factors were included. Out of 708 initially identified studies, 9 met the eligibility criteria. The risk of bias was assessed using the Newcastle–Ottawa scale.</div></div><div><h3>Results</h3><div>The review identified 13 distinct variables related to CRPS-I development. Key factors included upper limb fractures with high pain levels (over 5/10 on a numeric rating scale), significantly associated with increased CRPS-I risk (OR: 3.6). Additional significant risk factors included female gender and comorbidities like migraines (OR: 2.7), fibromyalgia (OR: 2.5), and rheumatoid arthritis (OR: 2.1). Fracture characteristics, such as high-impact injuries or open surgical reductions, were also contributing factors (OR: 1.3). Psychological, genetic, and metabolic factors also played roles in CRPS-I development.</div></div><div><h3>Conclusion</h3><div>Despite the low risk of bias in the included studies, the results were inconsistent for a meta-analysis, highlighting the need for further research to clarify these associations. The review emphasizes the importance of fracture management, hormonal influences, and genetic predispositions in CRPS-I. Future research should explore genetic, hormonal, and inflammatory interactions to enhance understanding and treatment strategies for CRPS-I.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 5","pages":"Pages 258-269"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922718","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}

引用次数: 0

Eficacia del vendaje neuromuscular en parálisis facial: estudio cuasiexperimental 神经肌肉绷带治疗面瘫的有效性：准实验研究

Q4 Health Professions

Fisioterapia

Pub Date : 2025-09-01 DOI: 10.1016/j.ft.2025.07.001

C. Villarón-Casales , J. Gámez-Paya , B. Prieto-Moure , J. Alarcón-Jimenez , A. Villarón-Romero

Background and objective

Facial palsy compromises the functionality of the facial musculature, and conventional physiotherapy treatments show limitations, especially in early stages. This study evaluates the effectiveness of neuromuscular taping (NMT) as a therapeutic alternative, analyzing its impact on facial function and synkinesis reduction using the House-Brackmann (HBS) and Sunnybrook (SUN) scales.

Materials and methods

A three-month quasi-experimental study was conducted with 34 adults diagnosed with facial palsy, assigned to a control group (conventional treatment) or an experimental group (NMT) based on order of arrival and availability. Both groups received two weekly sessions. Pre- and post-intervention evaluations were performed using the HBS and SUN scales by an independent evaluator. Assessment order was randomized. Wilcoxon and Mann-Whitney U tests were used for statistical analysis (P < .05).

Results

At baseline, no statistically significant differences were found between groups (P > .05). After the intervention, the experimental group showed greater improvements in facial function (SUN: median 95.5 vs. 34.5; P < .05) and reduction in paralysis severity (HBS: median 1 vs. 3.5; P < .05). Effect sizes were high for both scales (r = 0.81 and r = 0.84).

Conclusions

NMT was effective in improving facial function and reducing synkinesis in patients with facial palsy who had not shown favorable evolution in early stages. It may represent a non-invasive therapeutic option. Further research with larger sample sizes and subgroup analysis is recommended.

背景与目的面瘫损害了面部肌肉组织的功能，传统的物理治疗有局限性，特别是在早期阶段。本研究利用House-Brackmann （HBS）和Sunnybrook （SUN）量表分析了神经肌肉贴敷（NMT）作为一种治疗选择的有效性，并分析了其对面部功能和联动性减少的影响。材料与方法对34例面瘫成人患者进行为期3个月的准实验研究，根据到诊顺序和可获得性将其分为对照组（常规治疗）和实验组（NMT）。两组都接受了每周两次的治疗。干预前和干预后的评估由独立评估者使用HBS和SUN量表进行。评估顺序随机化。采用Wilcoxon和Mann-Whitney U检验进行统计学分析（P < 0.05）。结果基线组间比较，差异无统计学意义（P > 0.05）。干预后，实验组在面部功能方面表现出更大的改善（SUN：中位数95.5 vs. 34.5; P < 0.05），麻痹严重程度减轻（HBS：中位数1 vs. 3.5; P < 0.05）。两个量表的效应量都很高（r = 0.81和r = 0.84）。结论snmt对早期未表现出良好进化的面瘫患者具有改善面瘫功能、减少面瘫联动的作用。它可能是一种非侵入性的治疗选择。建议进行更大样本量和亚组分析的进一步研究。

{"title":"Eficacia del vendaje neuromuscular en parálisis facial: estudio cuasiexperimental","authors":"C. Villarón-Casales , J. Gámez-Paya , B. Prieto-Moure , J. Alarcón-Jimenez , A. Villarón-Romero","doi":"10.1016/j.ft.2025.07.001","DOIUrl":"10.1016/j.ft.2025.07.001","url":null,"abstract":"<div><h3>Background and objective</h3><div>Facial palsy compromises the functionality of the facial musculature, and conventional physiotherapy treatments show limitations, especially in early stages. This study evaluates the effectiveness of neuromuscular taping (NMT) as a therapeutic alternative, analyzing its impact on facial function and synkinesis reduction using the House-Brackmann (HBS) and Sunnybrook (SUN) scales.</div></div><div><h3>Materials and methods</h3><div>A three-month quasi-experimental study was conducted with 34 adults diagnosed with facial palsy, assigned to a control group (conventional treatment) or an experimental group (NMT) based on order of arrival and availability. Both groups received two weekly sessions. Pre- and post-intervention evaluations were performed using the HBS and SUN scales by an independent evaluator. Assessment order was randomized. Wilcoxon and Mann-Whitney U tests were used for statistical analysis (<em>P</em>  >.05). After the intervention, the experimental group showed greater improvements in facial function (SUN: median 95.5 vs. 34.5; <em>P</em>  <.05). Effect sizes were high for both scales (r=0.81 and r=0.84).</div></div><div><h3>Conclusions</h3><div>NMT was effective in improving facial function and reducing synkinesis in patients with facial palsy who had not shown favorable evolution in early stages. It may represent a non-invasive therapeutic option. Further research with larger sample sizes and subgroup analysis is recommended.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 5","pages":"Pages 250-257"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922717","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}

引用次数: 0

Uso de ondas de choque radiales como cointervención en el manejo del síndrome de espalda fallida: un reporte de caso 利用放射状冲击波协助管理背痛失败：案例报告

Q4 Health Professions

Fisioterapia

Pub Date : 2025-09-01 DOI: 10.1016/j.ft.2025.05.002

I. Silva-Satlov, J. Stammer Acevedo, F. Aranguiz Salas, M. Venegas de la Paz

Background and objective

Failed back surgery syndrome (FBSS) is a complex condition characterized by persistent pain after spinal surgery. This study evaluates the effectiveness of radial shockwaves as a co-intervention in combination with conventional physiotherapy to improve pain and functionality in a case of FBSS.

Patient and method

A prospective, single-case study was conducted on a 62-year-old patient with pain and severe functional limitation, secondary to FBSS. During 14 sessions, manual therapy and therapeutic exercise were applied, incorporating radial shockwaves from the 5 th session onwards. These were administered in 2 phases: preparation (500 pulses at 1.5 bar and 14 Hz) and treatment (2000 pulses at 5 bar and 5 Hz), distributed bilaterally in the paravertebral musculature (T10-L5), quadratus lumborum, and painful points in the gluteal region. Pain was assessed using the visual analog scale, functionality with the Roland-Morris Questionnaire, and motor control with the modified Timed Up and Go test with accelerometer (inertial measurement unit).

Results

A total reduction in pain was observed (visual analog scale: 4.3 to 0) and an 81.25% improvement in functionality (Roland-Morris Questionnaire). The Timed Up and Go test reflected 24.67% less total time, an increase in step cadence, and a significant reduction in the sit-to-stand phase. The greatest changes coincided with the application of radial shockwaves.

Conclusion

Radial shockwaves, combined with physiotherapy, may be an effective co-intervention in the rehabilitation of patients with FBSS, optimizing the multimodal management of pain and functionality.

背景与目的脊柱手术失败综合征（FBSS）是一种以脊柱手术后持续疼痛为特征的复杂疾病。本研究评估了桡骨冲击波联合常规物理治疗改善FBSS患者疼痛和功能的有效性。患者和方法对一名继发于FBSS的62岁疼痛和严重功能限制患者进行了一项前瞻性单病例研究。在14次会议期间，应用了手工疗法和治疗性运动，从第5次会议开始纳入径向冲击波。这些药物分两个阶段给药：准备阶段（500次脉冲，1.5巴和14赫兹）和治疗阶段（2000次脉冲，5巴和5赫兹），分布在双侧椎旁肌肉组织（T10-L5）、腰方肌和臀区痛点。疼痛评估采用视觉模拟量表，功能评估采用Roland-Morris问卷，运动控制评估采用加速度计（惯性测量单元）改进的Timed Up and Go测试。结果观察到疼痛总减轻（视觉模拟评分：4.3 ~ 0），功能改善81.25% （Roland-Morris问卷）。Timed Up and Go测试反映出总时间减少了24.67%，步伐节奏增加，从坐到站阶段显著减少。最大的变化与径向冲击波的应用一致。结论放射冲击波联合物理治疗可能是FBSS患者康复的有效联合干预手段，可优化疼痛和功能的多模式管理。

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引用次数: 0

Prevalencia de dolor musculoesquelético y disfunciones de suelo pélvico en artistas escénicos: estudio preliminar 表演艺术家肌肉骨骼疼痛和骨盆底功能障碍的患病率：初步研究

Q4 Health Professions

Fisioterapia

Pub Date : 2025-09-01 DOI: 10.1016/j.ft.2025.05.003

P. Moreno-López , L. Lorenzo-Gallego , M. Torres-Lacomba

Objective

To determine the prevalence of musculoskeletal pain and symptoms of pelvic floor dysfunction (PFD) in professional performing artists, including dancers, singers, and musicians.

Methodology

A descriptive cross-sectional study in which male and female participants were assessed through a five-section questionnaire: 1) Informed consent, 2) Sociodemographic data, 3) Standardized Nordic Questionnaire (SNQ), 4) Pelvic Floor Distress Inventory (PFDI-20), and 5) Open-ended questions regarding knowledge of the pelvic floor muscles (PFM).

Results

A total of 45 participants completed the questionnaire, of which 2 were excluded, leaving 9 men and 34 women. The median age was 24 years, and the median experience in their field was 13 years.

All participants (100%) reported musculoskeletal pain in the past 12 months, primarily in the neck (88%) and lower back (86%). Additionally, 47% were unable to perform their usual work due to pain. The prevalence of PFD symptoms was 86%. Urinary symptoms were the most prevalent in both sexes, representing 91.2% of the total. Moreover, 66.7% of participants did not recognize the structures and functions of the PFM, although 71.4% knew how to contract them.

Conclusions

The prevalence of musculoskeletal pain, particularly in the neck and lumbar region, is high, as is the prevalence of PFD symptoms among performing artists. Understanding these aspects can help in proposing effective strategies and interventions to improve the health conditions of performing artists.

目的了解专业表演艺术家（包括舞者、歌手和音乐家）中肌肉骨骼疼痛和盆底功能障碍（PFD）症状的患病率。方法一项描述性横断面研究，通过五部分问卷对男性和女性参与者进行评估：1)知情同意，2)社会人口统计数据，3)标准化北欧问卷（SNQ）， 4)盆底窘迫量表（PFDI-20），以及5)关于盆底肌肉知识（PFM）的开放式问题。结果共45人完成问卷，其中2人被排除，男性9人，女性34人。平均年龄为24岁，平均工作经验为13年。所有参与者（100%）报告在过去的12个月中有肌肉骨骼疼痛，主要在颈部（88%）和下背部（86%）。此外，47%的人因疼痛无法完成日常工作。PFD症状的患病率为86%。泌尿系统症状在两性中最为普遍，占总数的91.2%。此外，66.7%的参与者不认识PFM的结构和功能，尽管71.4%的参与者知道如何收缩它们。结论：肌肉骨骼疼痛的患病率，特别是在颈部和腰椎区域，在表演艺术家中也是如此。了解这些方面有助于提出有效的策略和干预措施，以改善表演艺术家的健康状况。

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引用次数: 0

El trastorno del desarrollo de la coordinación: el papel clave del fisioterapeuta 协调发展障碍：物理治疗师的关键作用

Q4 Health Professions

Fisioterapia

Pub Date : 2025-09-01 DOI: 10.1016/j.ft.2025.06.002

S. Montero Mendoza , I. Calvo Muñoz

引用次数: 0

Posturas de hombro y codo durante el gesto motor de saque en bandeja según el historial de la lesión musculoesquelética en los padelistas de la ciudad de Talca, Chile 根据智利塔尔卡市（Talca）运动员的肌肉骨骼损伤史，在铲球运动中肩膀和肘部的姿势

Q4 Health Professions

Fisioterapia

Pub Date : 2025-09-01 DOI: 10.1016/j.ft.2025.05.004

S. Castro-Núñez , M. Garrido-Fuentes , D. López-Bravo , M.J. Pasmiño-Aravena , P. Medina-González

Background and objective

Padel has experienced significant growth. It requires repetitive and intense motor gestures (MG), which are associated with musculoskeletal injuries (MSI). The objective was to evaluate shoulder and elbow postures during the tray serve MG in amateur padel players from Talca, Chile.

Methodology

For this observational and cross-sectional study, 30 padel players from Talca, Chile were recruited. They were grouped into those with a history of MSI (wMSI, n = 14, age [95% CI] = 32.9 [29.5-36.4] years) and without a history of MSI (woMSI, n = 16, age [95% CI] = 29.3 [26.7-31.8] years). Angular positions in a sagittal plane of the shoulder and elbow were analyzed for the MG of the serve during a regular game in an official championship. Photogrammetry (Kinovea®) was used for the initial (beginning of the gesture), mid (maximum extension to prepare the stroke), and final (ball impact) postures.

Results

For the shoulder, the initial position is similar in both groups (∼21° flexion), while the mid position is significantly more extended in the woMSI athletes (∼55 vs. ∼45°; P=.002), and this remains in the final phase (∼38 vs. ∼32°). For the elbow, the postures are similar (∼120°). The woMSI athletes achieve greater relative extension at the moment of ball impact (∼141 vs. ∼130°).

Conclusions

The beginning of the MG of the serve shows similar angular postures among all padel players. However, the woMSI athletes exhibit a posture with greater shoulder and elbow extension during the mid and final phases.

背景和目标帕德尔经历了显著的增长。它需要重复和强烈的运动手势（MG），这与肌肉骨骼损伤（MSI）有关。目的是评估在托盘服务MG在塔尔卡，智利业余板球员肩部和肘部的姿势。在这项观察性和横断面研究中，从智利塔尔卡招募了30名模型运动员。将患者分为有MSI病史（wMSI, n = 14，年龄[95% CI] = 32.9[29.5-36.4]岁）和无MSI病史（woMSI, n = 16，年龄[95% CI] = 29.3[26.7-31.8]岁）两组。在一场官方锦标赛的常规比赛中，分析了肩部和肘部矢状面的角度位置对发球的影响。摄影测量（Kinovea®）用于初始（手势开始），中期（最大伸展准备击球）和最终（球冲击）姿势。结果：两组肩关节的初始位置相似（弯曲~ 21°），而woMSI运动员的中间位置明显更伸展（弯曲~ 55°vs.弯曲~ 45°；P= 0.002），并且在最后阶段仍然如此（弯曲~ 38°vs.弯曲~ 32°）。对于肘部，姿势相似（~ 120°）。woMSI运动员在球撞击时刻获得更大的相对伸展（~ 141°vs ~ 130°）。结论：所有球拍选手发球开始时的角度姿势相似。然而，woMSI运动员在中期和最后阶段表现出更大的肩部和肘部伸展的姿势。

{"title":"Posturas de hombro y codo durante el gesto motor de saque en bandeja según el historial de la lesión musculoesquelética en los padelistas de la ciudad de Talca, Chile","authors":"S. Castro-Núñez , M. Garrido-Fuentes , D. López-Bravo , M.J. Pasmiño-Aravena , P. Medina-González","doi":"10.1016/j.ft.2025.05.004","DOIUrl":"10.1016/j.ft.2025.05.004","url":null,"abstract":"<div><h3>Background and objective</h3><div>Padel has experienced significant growth. It requires repetitive and intense motor gestures (MG), which are associated with musculoskeletal injuries (MSI). The objective was to evaluate shoulder and elbow postures during the tray serve MG in amateur padel players from Talca, Chile.</div></div><div><h3>Methodology</h3><div>For this observational and cross-sectional study, 30 padel players from Talca, Chile were recruited. They were grouped into those with a history of MSI (wMSI, n=14, age [95% <span>C</span>I]=32.9 [29.5-36.4] years) and without a history of MSI (woMSI, n=16, age [95% CI]=29.3 [26.7-31.8] years). Angular positions in a sagittal plane of the shoulder and elbow were analyzed for the MG of the serve during a regular game in an official championship. Photogrammetry (Kinovea®) was used for the initial (beginning of the gesture), mid (maximum extension to prepare the stroke), and final (ball impact) postures.</div></div><div><h3>Results</h3><div>For the shoulder, the initial position is similar in both groups (∼21° flexion), while the mid position is significantly more extended in the woMSI athletes (∼55 vs. ∼45°; <em>P</em>=.002), and this remains in the final phase (∼38 vs. ∼32°). For the elbow, the postures are similar (∼120°). The woMSI athletes achieve greater relative extension at the moment of ball impact (∼141 vs. ∼130°).</div></div><div><h3>Conclusions</h3><div>The beginning of the MG of the serve shows similar angular postures among all padel players. However, the woMSI athletes exhibit a posture with greater shoulder and elbow extension during the mid and final phases.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 5","pages":"Pages 233-240"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922715","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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