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Aplicaciones móviles en el seguimiento y la recuperación funcional tras artroplastia de cadera: ¿realidad consolidada o potencial en desarrollo? 髋关节置换术后监测和功能恢复的移动应用:巩固的现实还是发展的潜力?
Q4 Health Professions Pub Date : 2025-09-01 DOI: 10.1016/j.ft.2025.05.006
J. Zambrano-Martín , A. Gómez-Conesa , R. Méndez-Sánchez , M. Mendoza-Puente
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引用次数: 0
Evolución histórica y desafíos científicos de la fisioterapia en España: hacia una rehabilitación integral y avanzada 西班牙物理治疗的历史发展和科学挑战:走向全面和先进的康复
Q4 Health Professions Pub Date : 2025-07-01 DOI: 10.1016/j.ft.2025.02.006
E.A. Sánchez-Romero , S. Fernández-Carnero , P. Martínez-Lozano , F. Selva-Sarzo , J.N. Cuenca-Zaldívar
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引用次数: 0
Trayectorias y narrativas de actividad física posterior al tratamiento de cáncer de mama: estudio cualitativo 乳腺癌治疗后身体活动的轨迹和叙述:定性研究
Q4 Health Professions Pub Date : 2025-07-01 DOI: 10.1016/j.ft.2025.05.001
C.E. Corso-Amado

Introduction

Breast cancer is the most incident neoplasm in women; the disease and treatment has an impact on the transformations of the body and the everyday life of women. Physical activity is a bodily action that can mediate side effects.

Objective

To analyse the meanings and experiences of physical activity practice of women breast cancer survivors, in relation to the uses of the body and health care.

Methodology

A qualitative approach was followed, with the methodological foundations of grounded theory. Semi-structured interviews were conducted, recorded and transcribed for analysis. Discourse analysis was carried out with line-by-line, open and then selective coding.

Results

Nine women were interviewed between 2022 and 2023. Five different trajectories were interpreted which are mediated by various factors such as previous experience of physical activity, age, educational level, medical recommendations and disease symptomatology. Physical activity is perceived as both a physical and mental action that can be performed for the pursuit of well-being, satisfaction and as a therapeutic resource.

Conclusion

Physical activity has a role to play in the integral recovery of women after diagnosis and treatment of breast cancer, which is why the creation of specific programmes should be promoted, as well as the training of professionals in the field of physical activity.
乳腺癌是女性发病率最高的肿瘤;这种疾病和治疗对妇女的身体变化和日常生活产生影响。体育活动是一种可以调节副作用的身体活动。目的分析妇女乳腺癌幸存者体育锻炼的意义和经验,探讨其对身体的利用和保健的影响。方法论采用定性方法,以扎根理论为方法论基础。进行半结构化访谈,记录和转录以供分析。语篇分析采用逐行编码、开放编码、选择性编码进行。结果在2022年至2023年期间对9名女性进行了访谈。我们解释了五种不同的轨迹,这些轨迹是由各种因素介导的,如以前的身体活动经历、年龄、教育水平、医疗建议和疾病症状。体育活动被认为是一种身心活动,可以为追求幸福、满足和作为一种治疗资源而进行。结论体育锻炼对乳腺癌诊断和治疗后妇女的整体康复有重要作用,因此应促进制定具体方案,并培训体育锻炼领域的专业人员。
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引用次数: 0
Análisis comparativo de los valores de las presiones respiratorias máximas con los valores de referencia en una población pediátrica española sana 西班牙健康儿科人群中最大呼吸压值与参考值的比较分析
Q4 Health Professions Pub Date : 2025-07-01 DOI: 10.1016/j.ft.2025.03.002
M. Barral-Fernández , M.A. Jácome Pumar , S. Souto-Camba , L. González-Doniz , M.A. Ramón Belmonte , M. Amor-Barbosa , A. Arbillaga-Etxarri , G. Mazzucco , P. Bravo Cortés , T. del Corral , R. Martín-Valero , C. Llorca Cerdà , F. Murcia Lillo , J.A. Sánchez-Santos , M. Francín-Gallego , C. Martín Cortijo , E. García Delgado , C. Serrano Veguillas , A.B. Varas de la Fuente , P. San José Herranz , A. Lista-Paz

Background and aim

Maximal inspiratory and expiratory pressures (PImax/PEmax) are the most common test in clinical practice to assess respiratory muscle strength in different populations, even pediatrics. The main aim was to analyse to what extent the existing predictive equations for the maximal inspiratory and expiratory pressures in the Spanish pediatric population are reliable.

Material and methods

Cross-sectional study in 9 autonomous communities that includes 164 healthy boys and girls aged 8-17 years. PImax/PEmax were performed using a digital manometer according to the standards of Spanish Society of Pulmonology and Thoracic Surgery (SEPAR). The results were compared with predictive equations proposed by Domènech-Clar et al. in 2003.

Results

The sample consisted of 86 girls (11.5 ± 2.7 years; PImax: 93.8 ± 25 cmH2O; PEmax: 115.1 ± 29 cmH2O) and 78 boys (12.2 ± 2.8 years; PIM: 109 ± 29.2 cmH2O; PEM: 132.7 ± 33.3 cmH2O). Girls showed a significant difference between the observed and predictive values: 13.7 ± 26.4 cmH2O (P < .001) for PImax and 14.9 ± 30.1 cmH2O (P < .001) for PEmax. A significant difference was also observed for boys between observed and estimated PImax: 9.1 ± 28.5 cmH2O (P = .006), without significant differences for PEmax.

Conclusions

The predicted values from the available predictive equations for PImax and PEmax in the Spanish pediatric population differ significantly from the obtained values. The results of this study highlight the need of new reference equations in order to get representative values for Spanish children.
背景和目的最大吸气和呼气压力(PImax/PEmax)是临床实践中最常用的测试,用于评估不同人群的呼吸肌力量,甚至是儿科。主要目的是分析西班牙儿童最大吸气和呼气压力的现有预测方程在多大程度上是可靠的。材料和方法在9个自治区进行横断面研究,包括164名8-17岁的健康男孩和女孩。根据西班牙肺科和胸外科学会(SEPAR)的标准,使用数字压力计进行PImax/PEmax。将结果与dom nech- clar等人在2003年提出的预测方程进行比较。结果86例女性(11.5±2.7岁;PImax: 93.8±25 cmH2O;女性:115.1±29 cmH2O),男性78例(12.2±2.8岁);PIM: 109±29.2 cmH2O;PEM: 132.7±33.3 cmH2O)。女孩的观察值与预测值之间存在显著差异:13.7±26.4 cmH2O (P <;.001), 14.9±30.1 cmH2O (P <;.001)。在男孩中,观察到的和估计的PImax也有显著差异:9.1±28.5 cmH2O (P = 0.006),而PEmax无显著差异。结论现有的预测公式对西班牙儿童人群中哌甲酸和哌甲酸的预测值与所得值存在显著差异。本研究的结果强调需要新的参考方程,以获得西班牙儿童的代表性值。
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引用次数: 0
El movimiento para esculpir el cerebro: fisioterapia basada en neurociencia 塑造大脑的运动:基于神经科学的物理治疗
Q4 Health Professions Pub Date : 2025-07-01 DOI: 10.1016/j.ft.2024.12.002
A.M. Martín-Nogueras
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引用次数: 0
Equilibrio y propiocepción en adultos mayores psiquiátricos de larga estancia. Serie de 7 casos 长期居住在精神病院的老年人的平衡和倾向感知。7例系列
Q4 Health Professions Pub Date : 2025-07-01 DOI: 10.1016/j.ft.2025.03.003
O.D. Ponce Rodríguez, E. García Rojas

Introduction

Aging and psychiatric problems affect balance and proprioception. Specific training in these areas, over 11 to 12 weeks, can significantly improve motor skills and reduce the risk of falls in older adults.

Material and methods

An observational, analytical study was carried out to evaluate proprioception, gait and balance in male psychiatric patients using tests such as Tinetti, Romberg, Tandem and Get Up and Go for. An exercise program was designed to improve these abilities and functionality within the mental health hospital in Villahermosa, Tabasco, in 2024.

Results

Seven psychiatric patients were evaluated and improved their balance, coordination and proprioception. Final assessments showed significant improvements in overall functionality and reduced risk of falls, with the Tinneti test (P = .022), Get Up and Go (0.021), Romberg, Tandem and diadokinesia improving at the end of the study.

Conclusion

The use of physiotherapy improves proprioception, balance and mobility in older adults in a mental health hospital.
These tests were applied to a total series of 7 cases.
年龄和精神问题影响平衡和本体感觉。对这些部位进行为期11至12周的专项训练,可以显著提高老年人的运动技能,降低跌倒的风险。材料与方法采用Tinetti、Romberg、Tandem和Get Up and Go for等测试对男性精神病患者的本体感觉、步态和平衡进行观察性分析研究。2024年,为了提高这些能力和功能,在塔巴斯科州维拉埃尔莫萨的精神病院设计了一个锻炼方案。结果对7例精神病患者进行了评估,并改善了他们的平衡、协调和本体感觉。最终评估显示整体功能显著改善,跌倒风险降低,Tinneti测试(P = 0.022), Get Up and Go (0.021), Romberg, Tandem和运动障碍在研究结束时得到改善。结论物理治疗可改善精神病院老年人本体感觉、平衡和活动能力。这些测试应用于总共7个病例。
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引用次数: 0
Empathy for patients among Colombian physical therapy students: A cross-sectional study 哥伦比亚物理治疗学生对病人的同理心:一项横断面研究
Q4 Health Professions Pub Date : 2025-07-01 DOI: 10.1016/j.ft.2025.04.001
C.F. Giraldo-Jiménez , M. Lotero-Pereira , J. Gamarra-Moncayo , A. Reyes-Reyes , F. Reyes-Reyes , V. Díaz-Narváez

Background

To improve intersubjective connection with a patient, empathy is an essential quality. Empathy contributes to a more humane approach to patient care. The objective of this study is to perform an empathic diagnosis on Colombian physical therapy students.

Materials and methods

Cross-sectional observational study. The study sample comprises 460 Colombian physical therapy students, obtained through convenience sampling. Empathy was measured using the Empathy Scale for Health Sciences Professionals adapted for students (Version S). The data were subjected to psychometric analysis, invariance, and reliability studies. Additionally, cutoff points were estimated using Livingston's K2 coefficient.

Results

The estimated cutoff points made it possible to classify each of the studied dimensions of empathy (compassionate care, perspective taking, and “walking in the patient's shoes”) as “average” values. These values indicate deficiencies in the empathic training of physical therapy students since high scores on the empathy and empathy dimensions, in general, are directly related to better patient care.

Conclusion

The empathic diagnosis of the participants revealed that all the dimensions of empathy were at average levels, which can be deemed insufficient compared to the need of empathic training for improving healthcare professional–patient relationships.
为了改善与病人的主体间联系,移情是必不可少的素质。同理心有助于以更人道的方式对待病人。本研究的目的是对哥伦比亚物理治疗学生进行共情诊断。材料与方法横断面观察研究。本研究样本为460名哥伦比亚物理治疗专业学生,采用方便抽样法获得。共情测量采用健康科学专业人员共情量表(S版)。这些数据进行了心理测量分析、不变性和可靠性研究。此外,使用Livingston’s K2系数估计截断点。结果:估计的截断点使得将共情的每个研究维度(富有同情心的关怀、视角的采取和“站在病人的角度思考”)分类为“平均值”成为可能。这些值表明物理治疗学生的共情训练存在不足,因为在共情和共情维度上的高分通常与更好的病人护理直接相关。结论被试共情诊断结果显示,共情各维度均处于平均水平,与改善医患关系所需的共情培训相比,共情水平尚显不足。
{"title":"Empathy for patients among Colombian physical therapy students: A cross-sectional study","authors":"C.F. Giraldo-Jiménez ,&nbsp;M. Lotero-Pereira ,&nbsp;J. Gamarra-Moncayo ,&nbsp;A. Reyes-Reyes ,&nbsp;F. Reyes-Reyes ,&nbsp;V. Díaz-Narváez","doi":"10.1016/j.ft.2025.04.001","DOIUrl":"10.1016/j.ft.2025.04.001","url":null,"abstract":"<div><h3>Background</h3><div>To improve intersubjective connection with a patient, empathy is an essential quality. Empathy contributes to a more humane approach to patient care. The objective of this study is to perform an empathic diagnosis on Colombian physical therapy students.</div></div><div><h3>Materials and methods</h3><div>Cross-sectional observational study. The study sample comprises 460 Colombian physical therapy students, obtained through convenience sampling. Empathy was measured using the Empathy Scale for Health Sciences Professionals adapted for students (Version S). The data were subjected to psychometric analysis, invariance, and reliability studies. Additionally, cutoff points were estimated using Livingston's <em>K</em><sup>2</sup> coefficient.</div></div><div><h3>Results</h3><div>The estimated cutoff points made it possible to classify each of the studied dimensions of empathy (compassionate care, perspective taking, and “walking in the patient's shoes”) as “average” values. These values indicate deficiencies in the empathic training of physical therapy students since high scores on the empathy and empathy dimensions, in general, are directly related to better patient care.</div></div><div><h3>Conclusion</h3><div>The empathic diagnosis of the participants revealed that all the dimensions of empathy were at average levels, which can be deemed insufficient compared to the need of empathic training for improving healthcare professional–patient relationships.</div></div>","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 4","pages":"Pages 201-208"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144523019","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
Examination of risks affecting the formation of cervical disc herniation with FMEA and Pareto analysis methodology 用FMEA和Pareto分析方法检查影响颈椎间盘突出症形成的风险
Q4 Health Professions Pub Date : 2025-04-09 DOI: 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.
背景和目的本研究旨在利用失效模式和效应分析(FMEA)确定影响颈椎间盘突出症(CDH)形成的不正确运动和行为的风险水平,并利用帕累托分析识别关键风险。方法22影响CDH形成的风险已被FMEA团队识别和评估,并计算风险优先级数(RPN)以创建FMEA表。进行了帕累托分析。结果根据帕累托分析中40-60%的比值值,交通事故、颈部肌肉无力、非专家进行的手工治疗和手机使用是突出的显著风险。可以理解的是,通过FMEA和Pareto分析系统确定,通过专注于解决RPN排名中突出的前4个风险,可以通过解决少数风险来解决这个问题的很大一部分。
{"title":"Examination of risks affecting the formation of cervical disc herniation with FMEA and Pareto analysis methodology","authors":"B. Can,&nbsp;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}
引用次数: 0
Prevalencia de dolor en escaladores: resultados del estudio exploratorio CLIMB-PAIN 攀岩者疼痛流行率:CLIMB-PAIN探索性研究结果
Q4 Health Professions Pub Date : 2025-04-09 DOI: 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.
目的评估攀岩者疼痛的患病率,分析其性别分布、最常见疼痛部位、与人体测量和运动相关因素的关系以及对日常活动的影响。方法于2023年2月至9月对271名登山者进行了初步患病率研究,其中271名登山者完成了一份自我管理的数字问卷。那些花在其他运动上的时间多于攀岩的参与者,以及未成年人,都被排除在外。结果疼痛发生率为42.6%。手部是感染最多的部位,占24.7%;然而,在男性中,手指是最常见的(27.6%),而在女性中,肩膀是最受影响的区域(23.5%)。疼痛的存在与年龄(p = 0.038)和攀岩经验(p = 0.002)有统计学意义的关系。结论西班牙在登山者中非常普遍,手是最受影响的区域,尽管肩关节疼痛在女性中更为普遍。疼痛与年龄和攀岩练习时间有显著关系。疼痛强度中等,最常见的持续时间超过12个月。情绪是受疼痛影响最大的方面。此外,攀登后疼痛倾向于增加,活动前报告的强度最低。
{"title":"Prevalencia de dolor en escaladores: resultados del estudio exploratorio CLIMB-PAIN","authors":"A. Martín-Clemente ,&nbsp;L. Lorenzo-Gallego ,&nbsp;S. Muñoz-Pastor ,&nbsp;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}
引用次数: 0
Eficacia del tratamiento de fisioterapia en el síndrome genitourinario de la menopausia: revisión sistemática 物理治疗对更年期泌尿生殖系统综合症的疗效:系统综述
Q4 Health Professions Pub Date : 2025-04-04 DOI: 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.
背景和目的绝经期泌尿系统综合征(GSM)是绝经后妇女的一种渐进性常见病。本研究旨在描述物理疗法在控制 GSM 症状(包括尿失禁、性功能障碍和疼痛)方面的有效性和安全性。检索词包括 "更年期"、"更年期泌尿生殖系统综合征"、"物理治疗 "和 "盆底"。结果 共纳入了 19 项研究,其中大部分研究的方法学质量较高,推荐等级为 1+。研究确定了三种主要治疗策略:教育、治疗性运动(尤其是盆底肌肉训练)和射频治疗。结论:物理治疗是一种有效、安全的治疗方法,可用于控制 GSM,潜在地改善绝经后妇女的泌尿和外阴症状,以及生活质量和性功能。要确定具体的治疗策略和最佳剂量,还需要进行样本量充足的进一步研究。
{"title":"Eficacia del tratamiento de fisioterapia en el síndrome genitourinario de la menopausia: revisión sistemática","authors":"M. Blanco Vázquez ,&nbsp;P. Rangel de la Mata ,&nbsp;L. Lorenzo-Gallego ,&nbsp;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}
引用次数: 0
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Fisioterapia
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