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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
Fisioterapia
Pub Date : 2025-05-01 Epub 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。
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引用次数: 0
Apnea obstructiva del sueño: enfoques emergentes desde la fisioterapia 阻塞性睡眠呼吸暂停：物理治疗的新方法
Q4 Health Professions
Fisioterapia
Pub Date : 2025-05-01 Epub Date: 2024-12-31 DOI: 10.1016/j.ft.2024.12.001
R. Torres-Castro , D. Ribeiro , S. Larrateguy , A. Cisternas
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引用次数: 0
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 在哥伦比亚西南部的3个城市，物理治疗师对住院服务、烧伤单位和/或重症监护单位中烧伤成人患者的干预的知识、态度和实践。2023年
Q4 Health Professions
Fisioterapia
Pub Date : 2025-05-01 Epub Date: 2025-03-24 DOI: 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.
目的本研究的目的是确定2023年哥伦比亚西南部3个城市的住院服务、特殊烧伤病房和/或普通重症监护病房的成年烧伤患者物理治疗师的干预知识、态度和做法。方法采用横断面描述性研究。采用了有效的CAP型调查。研究对象由来自哥伦比亚西南部3个城市的物理治疗师组成，他们在住院服务部门、特殊烧伤病房和/或普通重症监护病房治疗成年烧伤患者。为方便起见，抽样是非概率的，涵盖了哥伦比亚西南部的三个城市：卡利、帕斯托和Popayán。结果共有29名物理治疗师参与调查，其中Popayán有13名（44.8%），Cali有10名（33.5%），Pasto有6名（20.7%）。总有效率为91%。平均年龄为34.9岁，其中69%为女性。按知识所得分类，其分布依次为高13.8%、中44.8%和低41.4%。10.3%的人回答说，他们在干预烧伤患者时感到害怕，31%的人报告说他们没有机构协议。结论本研究强调了在烧伤物理治疗领域加强继续教育和研究生培养的必要性。
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引用次数: 0
Impacto de la fisioterapia en la salud mental de los adultos mayores jubilados en México 物理治疗对墨西哥退休老人心理健康的影响
Q4 Health Professions
Fisioterapia
Pub Date : 2025-05-01 Epub Date: 2025-02-17 DOI: 10.1016/j.ft.2025.01.003
D. Vigueras Becerril , A. Juarez Lira

Introduction

Approximately 14% of older adults experience mental disorders, contributing significantly to the global burden of disability-adjusted life years (DALYs) at 10.6%. Depression and anxiety are the most prevalent conditions, disproportionately affecting low-income countries, where 80% of cases are reported. In Latin America, mental disorders are a primary cause of disability, underscoring the need for complementary treatment approaches such as physiotherapy.

Objective

This study evaluates the impact of physiotherapy on the mental health of retired older adults.

Materials and methods

A cross-sectional study was conducted in a geriatric clinic in Querétaro, involving 213 older adults. Data were collected between February and April 2023 and analyzed with IBM SPSS v.25. The Chi-square test and multiple logistic regression were employed to assess the association between physiotherapy and mental health, with a 95% confidence interval and a significance level of 0.05.

Results

Among participants, 44.1% had a mental disorder, yet only 24.2% engaged in physiotherapy. Chi-square analysis indicated a significant association between physiotherapy and better mental health outcomes (P=.001), with an odds ratio of 0.30 (95% CI: 0.146-0.615), suggesting that physiotherapy lowers the risk of developing mental health issues.

Conclusions

The findings indicate that physiotherapy may serve as a protective factor against mental disorders in older adults. Incorporating physical therapists into mental health care teams is recommended to enhance treatment outcomes through tailored physical activity interventions.
大约14%的老年人患有精神障碍，这对全球10.6%的残疾调整生命年（DALYs）负担造成了重大影响。抑郁和焦虑是最普遍的疾病，对低收入国家的影响尤为严重，报告的病例中有80%发生在低收入国家。在拉丁美洲，精神障碍是导致残疾的一个主要原因，因此需要采用物理治疗等补充治疗方法。目的探讨物理治疗对退休老年人心理健康的影响。材料和方法在queremastaro的一家老年诊所进行了一项横断面研究，涉及213名老年人。数据收集于2023年2月至4月，并使用IBM SPSS v.25进行分析。采用卡方检验和多元logistic回归评估物理治疗与心理健康的相关性，置信区间为95%，显著性水平为0.05。结果44.1%的参与者存在精神障碍，但仅有24.2%的参与者接受了物理治疗。卡方分析显示，物理治疗与更好的心理健康结果之间存在显著关联（P=.001），优势比为0.30 (95% CI: 0.146-0.615)，表明物理治疗降低了发生心理健康问题的风险。结论物理治疗可能是老年人预防精神障碍的保护因素。建议将物理治疗师纳入精神卫生保健团队，通过量身定制的身体活动干预来提高治疗效果。
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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
Fisioterapia
Pub Date : 2025-05-01 Epub 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。
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引用次数: 0
Efectos de la fisioterapia cardiopulmonar sobre la fisiología en pacientes post-COVID-19 心肺物理疗法对COVID-19后患者生理机能的影响
Q4 Health Professions
Fisioterapia
Pub Date : 2025-03-01 Epub Date: 2025-02-26 DOI: 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.
新冠肺炎重症患者经长时间卧床休息和有创机械通气（IMV）治疗后，出现重症监护病房获得性虚弱（icu Acquired Weakness， ICUAW），因去适应导致健康状况下降。目的探讨心肺训练方案对新冠肺炎术后患者肌肉质量和力量的影响。方法对新冠肺炎（covid -19）后入住ICU并发生ICUAW的患者进行准实验研究。主要变量是在项目开始和结束时测量的股直肌直径（用超声评估）、膝关节伸肌力量（用手动测力仪评估）、吸气和呼气肌肉的力量（用RPM™系统评估）。该项目包括热身、自行车计力器有氧运动、力量锻炼和放松；由物理治疗师指导。采用Student's t检验研究变量的变化，采用Cohen's d统计量研究变化的幅度，α显著性水平为0.05。结果25例患者完成治疗，其中男性占48%。在项目结束时，所有变量都发生了统计学上显著的变化(P <；.05)和中等效应量(d >；0.5)为膝关节强度，且大(d >；0.8)为股直肌直径和呼吸肌力量。结论在covid -19后合并ICUAW患者中，心肺计划可能对肌肉质量和力量有有益的影响和临床相关的影响。
{"title":"Efectos de la fisioterapia cardiopulmonar sobre la fisiología en pacientes post-COVID-19","authors":"J.M. Rodríguez-Gómez ,&nbsp;A. Arranz-Escudero ,&nbsp;M. Puertas-Duarte ,&nbsp;J. Izquierdo-García ,&nbsp;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> <!-->&lt;<!--> <!-->.05) and a moderate effect size (d<!--> <!-->&gt;<!--> <!-->0.5) for knee strength, and large (d<!--> <!-->&gt;<!--> <!-->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}
引用次数: 0
La inteligencia artificial es una realidad, ¿debemos definir las «soft skills» esenciales en Fisioterapia? 人工智能是现实，我们应该定义物理治疗中必不可少的“软技能”吗？
Q4 Health Professions
Fisioterapia
Pub Date : 2025-03-01 Epub Date: 2025-01-04 DOI: 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}
引用次数: 0
Identidad y evolución de la fisioterapia 物理治疗的身份与演变
Q4 Health Professions
Fisioterapia
Pub Date : 2025-03-01 Epub Date: 2024-12-27 DOI: 10.1016/j.ft.2024.11.005
R. Fernández Cervantes , S. Souto Camba , L. González Doniz
{"title":"Identidad y evolución de la fisioterapia","authors":"R. Fernández Cervantes ,&nbsp;S. Souto Camba ,&nbsp;L. González Doniz","doi":"10.1016/j.ft.2024.11.005","DOIUrl":"10.1016/j.ft.2024.11.005","url":null,"abstract":"","PeriodicalId":34994,"journal":{"name":"Fisioterapia","volume":"47 2","pages":"Pages 49-51"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680993","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
Validity and reliability of wearable motion sensors in knee joint range of motion measurement 可穿戴运动传感器在膝关节运动范围测量中的有效性和可靠性
Q4 Health Professions
Fisioterapia
Pub Date : 2025-03-01 Epub Date: 2025-02-05 DOI: 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.
目的关节活动范围（ROM）是决定肌肉骨骼系统功能的因素之一。该参数必须能够以精确和可重复的方法测量和记录。本研究的目的是检验一种可穿戴运动传感器，即惯性测量单元（imu）传感器，在测量膝关节主动屈曲运动角度方面的有效性和可靠性。方法本研究是一项观察性验证研究，纳入70名年龄在18-25岁之间的健康科学学院学生。参与者的主要膝关节ROM由两位评分者用数字角计（Meloq EasyAngle）和可穿戴运动传感器（MetaMotionRL）测量。结果共纳入70例患者，其中女性40例，男性30例，平均年龄21.03±1.34岁。结果显示，评分内的ICC为0.959，评分间的ICC为0.961。在Meloq EasyAngle和MetaMotionRL运动传感器的第一等级测量中发现极好的相关性（ICC: 0.934, %95CI[0.894-0.959]）。此外，用数字测角仪测量的评分者膝关节ROM与用可穿戴运动传感器测量的评分者膝关节ROM之间存在显著的相关性(p <；0.05)。综上所述，可穿戴运动传感器MetamotionRL是一种有效可靠的测量膝关节ROM的方法。IMU运动传感器的使用对于在评估和康复干预期间监测和优化下肢运动学具有潜在的重要意义。
{"title":"Validity and reliability of wearable motion sensors in knee joint range of motion measurement","authors":"A. Koçak ,&nbsp;A. Çetinkaya ,&nbsp;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> <!-->&lt;<!--> <!-->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}
引用次数: 0
Efecto del tratamiento de estimulación eléctrica nerviosa transcutánea en el músculo tríceps sural tras un accidente cerebrovascular. Estudio de caso 脑卒中后经皮神经电刺激治疗对南三头肌的影响。案例研究
Q4 Health Professions
Fisioterapia
Pub Date : 2025-03-01 Epub Date: 2024-11-18 DOI: 10.1016/j.ft.2024.10.002
Y.M. Gutiérrez Ramos, J.I. Vázquez Duarte, I.A. Cuadros Rodríguez, F. Carreto Guadarrama

Background

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.
在脑血管意外（CVA）中，脑组织受到血液供应突然中断的影响，这决定了控制受累侧的能力，并损害了激动剂和拮抗剂肌肉的协调，经历肌肉张力增加的痉挛。目的本病例研究的目的是评估通过经皮神经电刺激治疗脑血管事件后痉挛的肱三头肌表面肌的变化，以刺激运动功能的改善。本文报道一例继发于CVA的左偏瘫伴三年演化性三头肌痉挛的临床病例。材料与方法经皮神经电刺激肱三头肌表面。在13个疗程的开始和结束时，通过关节活动测试来评估左脚踝，阿斯沃思肌肉张力量表和三头肌表面骨骼肌超声检查来评估。结果受影响肢体在踝关节活动度、肌肉张力改善和三头肌表面形态改变方面表现出明显的临床变化，减少了治疗开始时发现的纤维化。结论患肢在运动范围内的变化可以解释为三头肌表面的功能和形态变化，肌肉功能的力学生物学导致了三头肌弹性的增加；然而，未来的研究需要更广泛的样本，建议加入其他物理因素，如治疗性运动，以获得统计上显著的变化。
{"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,&nbsp;J.I. Vázquez Duarte,&nbsp;I.A. Cuadros Rodríguez,&nbsp;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}
引用次数: 0
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