Fisioterapia最新文献_第5页

¿Quieren los pacientes ir de manera directa al fisioterapeuta? Un estudio para el caso gallego 病人想直接去看理疗师吗？加利西亚案例研究

Q4 Health Professions

Fisioterapia

Pub Date : 2025-03-01 DOI: 10.1016/j.ft.2024.11.002

J. Rama Caamaño , O. Iglesias Sousa , D. López Filomena , Á. Coutado Belon , J. Rama

Introduction

The possibility of direct access to physiotherapy has long been advocated by the profession. Understanding the profiles of patients who are more in favor of such access and those who have a greater preference for medical professional guidance or referral will aid in the implementation of new healthcare systems.

Materials and methods

A survey was carried out on the population that attends physiotherapy privately or for health insurance. Of the latter (89 patients), whose referral depends on a medical professional, they were consulted about the preference of medical regimen or not and about the possibility of direct access to physiotherapy.

Results

It is observed that two variables have a more direct impact on the preference regarding the guidance of rehabilitative treatment. Both age (older age) and gender (male) are statistically related to a greater preference for guidance by a medical professional in the rehabilitative protocol, while the female gender and younger population are more inclined to accept guidance by the physiotherapy professional themselves.

Conclusions

There is a significant acceptance for direct access to physiotherapy. Statistically, there is greater acceptance for the physiotherapy professional to guide the treatment among the younger, female population.

长期以来，业内人士一直提倡直接接受物理治疗的可能性。了解那些更倾向于这种途径的患者和那些更倾向于医疗专业指导或转诊的患者的概况将有助于实施新的医疗保健系统。材料与方法对自费或参加医疗保险的人群进行了调查。在后者（89名患者）中，他们的转诊取决于医疗专业人员，他们被问及是否偏好医疗方案以及直接接受物理治疗的可能性。结果观察到两个变量对康复治疗指导的偏好有更直接的影响。年龄（较大）和性别（男性）在康复方案中更倾向于由医疗专业人员指导，而女性和年轻人群更倾向于接受物理治疗专业人员自己指导。结论患者对直接接受物理治疗的接受程度较高。统计数据显示，在年轻女性人群中，理疗专业人员指导治疗的接受度更高。

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引用次数: 0

El efecto Hawthorne en fisioterapia: mejorando la rehabilitación a través del impacto observacional 霍桑对物理治疗的影响：通过观察影响改善康复

Q4 Health Professions

Fisioterapia

Pub Date : 2025-02-25 DOI: 10.1016/j.ft.2025.01.002

R. Tedeschi

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 : 2025-02-17 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

Condición clínica y respuesta fisiológica en el test de caminata de los 6 minutos en pacientes con EPOC en diferentes alturas sobre el nivel del mar 对不同海拔高度的慢性阻塞性肺病患者进行的6分钟步行试验的临床状况和生理反应

Q4 Health Professions

Fisioterapia

Pub Date : 2025-01-01 DOI: 10.1016/j.ft.2024.09.006

J. Betancourt-Peña , J.C. Ávila-Valencia , L. de Ávila-Quintana , E. Tapia-Caez

Introduction

The 6-minute walk test (6MWT) is the most frequently used functional assessment test in patients with cardiorespiratory diseases, including COPD. Little has been investigated regarding the chronic response to different altitudes above sea level.

Aim

This study aimed to describe the clinical condition and physiological response to performing the 6MWT at different altitudes above sea level and, subsequently, to describe the correlation with distance traveled in a population of patients diagnosed with COPD living in four Colombian cities.

Materials and methods

A cross-sectional study in patients with COPD diagnosis belonging to the pulmonary rehabilitation department of the four Colombian cities located at different altitudes above sea level. Sociodemographic, clinical and related variables were linked to the 6MWT.

Results

A total of 268 patients participated with a mean age of 71.1 ± 10.16. The distance covered in all the patients in the 6MWT was 376.4 ± 117.5, higher in medium altitude 466.7 ± 66.2 p-value = 0.000. Desaturation was higher in the mid-altitude group. Age, VO2e, and METs correlated with all altitude groups above sea level.

Conclusions

Patients linked to the high-altitude group with a diagnosis of COPD show lower distance traveled in the 6MWT and higher mMRC dyspnea score compared to the other groups; Additionally, in all height groups above sea level, age presents the best correlation with the distance traveled in the 6MWT.

6分钟步行试验（6MWT）是包括COPD在内的心肺疾病患者最常用的功能评估试验。关于海平面以上不同高度的慢性反应的研究很少。目的本研究旨在描述在不同海拔高度进行6MWT的临床状况和生理反应，并随后描述生活在四个哥伦比亚城市的诊断为COPD的患者人群中与旅行距离的相关性。材料与方法对哥伦比亚四个海拔高度不同城市肺康复科诊断为COPD的患者进行横断面研究。社会人口学、临床和相关变量与6MWT有关。结果共纳入268例患者，平均年龄（71.1±10.16）岁。6MWT地区所有患者的覆盖距离为376.4±117.5，中海拔地区更高，为466.7±66.2 p值= 0.000。中海拔组去饱和度较高。年龄、VO2e和METs与海平面以上各海拔组相关。结论：与其他组相比，高海拔组诊断为COPD的患者在6MWT中行走距离较短，mMRC呼吸困难评分较高；此外，在海拔以上的所有高度组中，年龄与6MWT中行走距离的相关性最好。

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引用次数: 0

Efectividad de la terapia intensiva bimanual incluyendo y no las extremidades inferiores, en la función manual en niños con parálisis cerebral: revisión sistemática 两年一次的强化治疗（包括但不包括下肢）对脑瘫儿童手部功能的有效性：系统综述

Q4 Health Professions

Fisioterapia

Pub Date : 2025-01-01 DOI: 10.1016/j.ft.2024.10.003

S. Montero Mendoza, J. Barqueros Galea

Introduction

Cerebral palsy (CP) is a non-progressive neurological disorder that can affect both gross and fine motor skills limiting quality of life. Bimanual intensive therapy (HABIT) and bimanual intensive therapy including lower extremities (HABIT-ILE) are used to stimulate bimanual coordination through structured movements and activities that require the use of both hands with control of the trunk and lower extremities in children with unilateral spastic CP. The objective of the review is to analyse the scientific evidence of HABIT and HABIT-ILE on manual function in children with CP.

Material and method

A systematic review was conducted following the PRISMA guidelines. Randomised clinical trials and before-after studies focusing on HABIT and HABIT-ILE for the treatment of impaired manual skills in children with CP were selected. We used the tool proposed by the Cochrane Handbook to analyse the risk of bias. The last search was conducted on 3 May 2024.

Results

Significant improvements were found in bimanual skill performance but not in palmar strength. Combining HABIT or HABIT-ILE with other therapies may improve manual skill outcomes..

Conclusions

HABIT or HABIT-ILE therapy can improve manual function in children with CP, functional Independence and quality of life. Further studies are needed to determine the most effective treatment protocol and the combination with other therapies that may improve outcomes.

脑瘫（CP）是一种非进行性神经系统疾病，可影响粗大和精细运动技能，限制生活质量。采用双手法强化治疗（HABIT）和双手法强化治疗包括下肢（HABIT- ile），通过有组织的运动和活动来刺激单侧痉挛性脑瘫儿童的双手协调，这些运动和活动需要使用双手来控制躯干和下肢。本综述的目的是分析HABIT和HABIT- ile对脑瘫儿童手功能的科学证据遵循PRISMA指南。选择随机临床试验和前后研究，重点关注习惯和习惯- ile治疗CP患儿的手工技能受损。我们使用Cochrane手册提出的工具来分析偏倚风险。最后一次搜索于2024年5月3日进行。结果双手技能表现明显改善，手掌力量无明显改善。结论shabit或HABIT- ile治疗可改善CP患儿的手功能、功能独立性和生活质量。需要进一步的研究来确定最有效的治疗方案，并与其他可能改善结果的治疗方法相结合。

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引用次数: 0

Dolor y catastrofismo en el síndrome del túnel del carpo 鲤鱼隧道综合症的痛苦和灾难

Q4 Health Professions

Fisioterapia

Pub Date : 2025-01-01 DOI: 10.1016/j.ft.2024.10.001

O. del Pozo Blanco , E. González García

Objectives

To determine which variable influences pain in patients with carpal tunnel syndrome (CTS), specifically whether it is the severity of nerve injury or pain-associated catastrophization (PC). Additionally, to assess the relationship between electromyography (EMG) results and perceived pain in both hands.

Method

A prospective observational study of CTS patients with EMG results, who completed two questionnaires: the Pain Catastrophizing Scale (PCS) to quantify PC, and the McGill Pain Questionnaire to assess pain. For the latter, only the Visual Analog Scale (VAS) was used due to the difficulty patients faced in selecting the most appropriate term.

Results

A total of 74 subjects with CTS were studied. The intensity of pain and the severity of median nerve injury were not statistically significant in the right hand (p = 0.925) or the left hand (p = 0.270). A positive association was found between the PCS and pain in the right hand (p = 0.011) and in the left hand (p = 0.050). The relationship of the results between both hands was statistically significant for both EMG (p = 0.001) and pain (p = 0.000).

Conclusions

Pain in CTS is determined by PC rather than the severity of nerve injury. There is similarity in pain perception and the degree of median nerve injury between both hands.

目的探讨影响腕管综合征（CTS）患者疼痛的因素，特别是神经损伤的严重程度和疼痛相关的巨化（PC）。此外，评估肌电图（EMG）结果与双手感知疼痛之间的关系。方法对有肌电图结果的CTS患者进行前瞻性观察研究，他们完成了两份问卷：量化PC的疼痛灾难量表（PCS）和评估疼痛的McGill疼痛问卷。对于后者，由于患者难以选择最合适的术语，仅使用视觉模拟量表（VAS）。结果共调查74例CTS患者。两组疼痛程度、正中神经损伤程度差异无统计学意义（p = 0.925），左手疼痛程度差异无统计学意义（p = 0.270）。PCS与右手疼痛呈正相关（p = 0.011），左手疼痛呈正相关（p = 0.050）。双手肌电图（p = 0.001）和疼痛（p = 0.000）结果之间的关系具有统计学意义。结论CTS的西班牙程度与神经损伤程度无关，而与PC有关。双手的痛觉和正中神经损伤程度有相似之处。

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引用次数: 0

Physiotherapy and mental health: Depression and suicide attempt case report 物理治疗和心理健康：抑郁症和自杀企图病例报告

Q4 Health Professions

Fisioterapia

Pub Date : 2025-01-01 DOI: 10.1016/j.ft.2024.10.005

J.A. Name-Guerra , M. Villegas-Gallego , J. Arango-Castaño , I. Amador-Osorio

Background

Clinical practice shows that there is a relationship between cervical spine and temporomandibular joint pathologies. The following case was treated simultaneously by psychiatry, neurosurgery, psychology and physiotherapy, showing rapid and considerable improvement, recognizing the importance of multidisciplinary treatments to address mental pathologies.

Objective

To analyze the case of a 36-year-old patient with severe depression and consequently attempted suicide who received multidisciplinary care.

Methods

Informed consent was obtained from the patient and the EQUATOR guideline corresponding to the type of studies (CARE) was followed.

Results

The patient was under psychiatric treatment for 3 months without improvement. She was prescribed multidisciplinary treatment, including physiotherapy intervention. Ten physiotherapy sessions were ordered with the following protocols: cervical spine and TMJ mobilization exercises, cold/heat therapy, ultrasound and electrotherapy. Ten sessions of psychological therapy accompanied by medical treatment for pain and muscle tension were also ordered. Three months after this multidisciplinary intervention, the physical and mental discomfort began to decrease.

Conclusions

This case demonstrates that physiotherapy is a favorable tool for the intervention of mental disorders such as depression.

背景临床实践表明，颈椎与颞下颌关节病变有一定的关系。以下病例同时接受精神病学、神经外科、心理学和物理治疗，表现出迅速而可观的改善，认识到多学科治疗对解决精神病理的重要性。目的分析一名36岁的重度抑郁症患者在接受多学科治疗后自杀未遂的病例。方法获得患者的知情同意，并遵循与研究类型相对应的EQUATOR指南（CARE）。结果患者经精神科治疗3个月，无明显改善。她接受了多学科治疗，包括物理治疗干预。10个理疗疗程按以下方案进行：颈椎和颞下颌关节活动练习，冷/热疗法，超声和电疗。还安排了10次心理治疗，同时对疼痛和肌肉紧张进行药物治疗。经过3个月的多学科干预，身心不适开始减少。结论物理治疗是治疗抑郁症等精神障碍的有效手段。

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引用次数: 0

Asociación entre el síndrome de burnout con la presencia de eventos adversos y segunda víctima por la pandemia COVID-19 en profesionales de fisioterapia 物理治疗专业人员中倦怠综合征与2019年新冠疫情不良事件和第二受害者之间的关联

Q4 Health Professions

Fisioterapia

Pub Date : 2025-01-01 DOI: 10.1016/j.ft.2024.10.004

C.A. Estupiñan Ruiz

Introduction

In Colombia, there are few studies carried out on the association of working conditions and their relationship with the presence or absence of adverse events and the presentation of a second victim. Second victims have been defined as the actors in charge of providing any health service and those who participate in some way in an adverse event. Impacting clinical care processes, lengthening hospital stay and lower job satisfaction.

Objectives

Determine the relationship between working conditions and their elevation with adverse events and second victims in physiotherapy professionals due to the Covid-19 pandemic in a high complexity hospital in Bogotá, Colombia.

Methodology

Cross-sectional analytical study in which surveys were applied to investigate working conditions, presence of adverse events and perception of a second victim in 2021. Descriptive and bivariate analyzes were carried out using the SPSS v statistical software. 25.

Results

The results It was observed that 46.6% (n = 7) of professionals who experienced adverse events in the last year also presented work exhaustion. However, a small percentage, 3.8% (n = 1) indicated having committed an adverse event without feeling exhausted or having burnout syndrome.

Conclusions

it was possible to identify a high percentage of physiotherapists who presented work exhaustion. And added to that condition, they had presented an adverse event, for which they were never followed up and supported in the face of the deterioration of their physical and mental health after the presentation of the event.

在哥伦比亚，很少有关于工作条件及其与是否存在不良事件和出现第二名受害者的关系的研究。第二类受害者被定义为负责提供任何保健服务的行为者和以某种方式参与不良事件的行为者。影响临床护理流程，延长住院时间，降低工作满意度。目的探讨哥伦比亚波哥大某高复杂度医院新冠肺炎大流行期间物理治疗专业人员的工作条件及其升高与不良事件和二次受害者之间的关系。方法横断面分析研究，应用调查来调查工作条件、不良事件的存在以及对2021年第二个受害者的看法。采用SPSS v统计软件进行描述性和双变量分析。25.结果46.6% （n = 7）的专业人员在过去一年中经历过不良事件的同时表现为工作疲劳。然而，一小部分，3.8% （n = 1）的患者表示，他们发生了不良事件，但没有感到疲惫或倦怠综合征。结论有可能确定高比例的物理治疗师表现出工作疲劳。在这种情况下，他们还出现了一个不良事件，面对事件发生后他们的身心健康恶化，他们从未得到过跟踪和支持。

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引用次数: 0

Satisfacción laboral de los fisioterapeutas del ámbito público de las Islas Canarias 加那利群岛公共部门理疗师的工作满意度

Q4 Health Professions

Fisioterapia

Pub Date : 2025-01-01 DOI: 10.1016/j.ft.2024.09.005

A. Javier-Ormazábal , M. Santos-Arrieta

Introduction

Job satisfaction is an indicator of the well-being and quality of life of workers. The evaluation of levels of job satisfaction is of vital importance both for the workers themselves and for the companies in which they work. The objective of this study is to know the job satisfaction of physiotherapists who work in the public sphere of the Autonomous Community of the Canary Islands in addition to analyzing the relationship of job satisfaction with other social and work variables.

Methods

A cross-sectional descriptive study was carried out. Physiotherapists were included who will provide their care in the public sector of the community. The sociodemographic variables and the General Satisfaction Scale were recognized. A correlational analysis was carried out between the variables.

Results

Forty-two physical therapists responded to the survey. The average age of the population was 41.17 ± 10.03 years and 61.90% were women. The average score of general satisfaction with their work was 65.64 ± 15.51 points out of a total of 105. Significant differences were found between permanent and temporary staff (P = .028).

Conclusions

Most physiotherapists working in the SCS have medium-high levels of job satisfaction. These results should serve the different management levels to make decisions regarding the employment situation and sociodemographic situation of physiotherapists in the autonomous community of the Canary Islands.

工作满意度是员工幸福感和生活质量的一个指标。工作满意度水平的评估对员工本身和他们工作的公司都至关重要。本研究的目的是了解在加那利群岛自治区公共领域工作的物理治疗师的工作满意度，并分析工作满意度与其他社会和工作变量的关系。方法采用横断面描述性研究。物理治疗师也包括在内，他们将在社区公营机构提供治疗。社会人口学变量和总体满意度量表被认可。对变量之间进行了相关性分析。结果42名理疗师参与了调查。人口平均年龄为41.17±10.03岁，女性占61.90%。总体满意度的平均得分为65.64±15.51分（总分105分）。正式员工和临时员工之间存在显著差异（P = 0.028）。结论在SCS工作的物理治疗师大多具有中高水平的工作满意度。这些结果应服务于不同的管理级别，以制定关于加那利群岛自治区物理治疗师的就业情况和社会人口状况的决策。

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引用次数: 0

Comunicación en fisioterapia: la clave para una buena práctica en la era digital y de la desinformación 物理治疗中的沟通：数字和虚假信息时代良好实践的关键

Q4 Health Professions

Fisioterapia

Pub Date : 2025-01-01 DOI: 10.1016/j.ft.2024.09.004

D. Catalán-Matamoros

引用次数: 0