Fisioterapia最新文献

英文中文

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 : 2024-12-31 DOI: 10.1016/j.ft.2024.12.001

R. Torres-Castro , D. Ribeiro , S. Larrateguy , A. Cisternas

引用次数: 0

¿Prestan suficiente atención los fisioterapeutas en evaluar y diagnosticar los problemas de cadera o ingle en adultos activos? 理疗师在评估和诊断活跃的成年人的臀部或腹股沟问题时是否给予足够的关注？

Q4 Health Professions

Fisioterapia

Pub Date : 2024-11-01 DOI: 10.1016/j.ft.2024.07.003

M.Á. Alcocer-Ojeda , A. Gómez-Conesa

引用次数: 0

Características y desacondicionamiento físico de pacientes con COVID persistente en un servicio ambulatorio de Medicina Física y Rehabilitación de Perú: un estudio transversal 秘鲁物理医学和康复门诊服务中持续感染新型冠状病毒患者的特征和身体状况：一项横断面研究

Q4 Health Professions

Fisioterapia

Pub Date : 2024-11-01 DOI: 10.1016/j.ft.2024.07.004

R. De la Cerna-Luna , F. Ylaquita-Chicata , A. Taype-Rondan

Background and objective

Physical deconditioning in Long COVID patients seems to be the main cause of impaired exercise capacity. Despite its relevance, we do not have studies to understand how it is manifesting in our country. Therefore, our objective was to describe the characteristics and physical deconditioning of Long COVID patients in a Physical Medicine and Rehabilitation (PM&R) outpatient service in Peru.

Materials and methods

Retrospective cohort of Long COVID patients treated by PM&R at EsSalud between July 2 and October 27, 2021. We reviewed the medical records and extracted the variables of interest.

Results

We included 104 patients (median age: 61 years, male: 62.5%). 99% had adequate cognitive function, 76% reported comorbidities, 85.6% reported mild or no functional limitation, 91.4% reported independence or mild dependence for basic activities of daily living, and 51% underwent post-discharge physiotherapy. The most frequent signs or symptoms were pain, cough, arrhythmia, and muscle weakness. 58% had reduced aerobic power, 45.6% had reduced flexibility, 22.5% had reduced anaerobic power, and 6.2% had reduced balance. The reduction in aerobic power and balance was statistically significant in those over 60 years of age.

Conclusions

Physical deconditioning was a frequent complication in Long COVID patients, especially in those assessed for aerobic power and flexibility. In those over 60 years old, a significant reduction in aerobic power and balance was observed.

背景与目的长冠肺炎患者的身体机能障碍似乎是运动能力受损的主要原因。尽管它具有相关性，但我们没有研究来了解它如何在我国表现出来。因此，我们的目标是描述秘鲁物理医学和康复（PM&；R）门诊服务中长COVID患者的特征和身体状况。材料和方法回顾性队列研究于2021年7月2日至10月27日在埃萨卢德接受pm&r治疗的长COVID患者。我们查阅了医疗记录并提取了感兴趣的变量。结果纳入104例患者（中位年龄61岁，男性：62.5%）。99%有足够的认知功能，76%报告合并症，85.6%报告轻度或无功能限制，91.4%报告独立或轻度依赖基本日常生活活动，51%接受出院后物理治疗。最常见的体征或症状是疼痛、咳嗽、心律失常和肌肉无力。58%的人有氧能力下降，45.6%的人柔韧性下降，22.5%的人无氧能力下降，6.2%的人平衡能力下降。在60岁以上的人群中，有氧能力和平衡能力的下降具有统计学意义。结论长冠肺炎患者常见的并发症是身体机能障碍，尤其是有氧能力和柔韧性评估患者。在60岁以上的人群中，有氧能力和平衡能力明显下降。

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引用次数: 0

Physiotherapy education: Simulation-based learning on biopsychosocial training in chronic pain – A mixed-methods study 物理治疗教育：基于模拟学习的慢性疼痛生物心理社会训练-一项混合方法研究

Q4 Health Professions

Fisioterapia

Pub Date : 2024-11-01 DOI: 10.1016/j.ft.2024.09.002

D. Barranco-i-Reixachs , C. Bravo , A. Orio , F. Rubí-Carnacea

Background

Simulation-based learning has proven to be an effective tool for recreating real-life scenarios. Simulation provides a controlled environment where students can practice skills in a realistic case setting. However, there is a lack of research on the opinions and experiences of physiotherapy students undergoing simulation-based training. This study aimed to assess the effectiveness and student satisfaction after a simulation focused on chronic pain.

Methods

A mixed-methods approach was employed to investigate the effectiveness of simulation-based learning with a biopsychosocial approach in the context of chronic pain patients in physiotherapy.

Participants

The study included 66 students who participated in two simulation experiences. The students completed a questionnaire consisting of open-ended questions and Likert-scale responses. The open-ended responses were analyzed using Giorgi's method.

基于模拟的学习已被证明是一种有效的工具，用于再现现实生活场景。模拟提供了一个可控的环境，学生可以在一个现实的情况下练习技能。然而，关于物理治疗学生接受模拟训练的意见和经验的研究还很缺乏。本研究旨在评估慢性疼痛模拟后的有效性和学生满意度。方法采用混合方法研究模拟学习结合生物心理社会学方法在慢性疼痛患者物理治疗中的有效性。参与者这项研究包括66名学生，他们参加了两次模拟体验。学生们完成了一份由开放式问题和李克特量表回答组成的问卷。采用Giorgi方法对开放式问卷进行分析。

引用次数: 0

Realidad extendida en ciencias de la salud: más allá de lo médico 健康科学中的普遍现实：超越医学

Q4 Health Professions

Fisioterapia

Pub Date : 2024-11-01 DOI: 10.1016/j.ft.2024.07.005

H. Beltrán Alacreu

引用次数: 0

Análisis descriptivo de la situación académica de la Fisioterapia Cardiorrespiratoria en España 西班牙心肺物理治疗学术状况的描述性分析

Q4 Health Professions

Fisioterapia

Pub Date : 2024-11-01 DOI: 10.1016/j.ft.2024.09.001

V. Guerra Fandiño , S. Souto-Camba , L. González-Doniz , J. Vilaró , A. Lista-Paz

Background and aim

The presence of the Cardiorespiratory Physiotherapy (CRP) contents in the curriculum of the Physiotherapy Degrees in Spain is unknown. We aimed to analyse the presence of specific CRP contents and subjects in the curricula of the Spanish Physiotherapy bachelor's degree programs.

Material and methods

A cross-sectional study was conducted from December 2020 to September 2021. The contents of the programs for the 2020-21 course of the Degrees in Physiotherapy were analyzed, using a syllabus or list of contents (48 items) that was created and validated by CRP experts from all over the national territory, using the Delphi method. Chi-squared test was applied to compare the distribution of items and specific CRP subjects, according to their presence in the teaching programs and by universities and autonomous communities.

Results

A total of 252 subjects containing syllabus items were selected, corresponding to 56 universities (36 public). No significant differences were found in the distribution of the items in the teaching plans (p >0.05), nor in their distribution in public and private universities (p >0.05). Of the total subjects, 21.8% were specific to CRP, compared to the remaining 78.2% of non-specific subjects. Significant differences were found in the distribution of specific subjects according to universities (p = 0.04) and autonomous communities (p = 0.01), registering the highest proportion in Catalonia.

Conclusions

There is harmonization with regard to the CRP contents taught in the Spanish Physiotherapy bachelor's degrees, but not in the proportion of specific contents or in the specificity of the subjects themselves.

背景与目的西班牙物理治疗学位课程中是否存在心肺物理治疗（CRP）内容尚不清楚。我们的目的是分析西班牙物理治疗学士学位课程中特定CRP内容和科目的存在。材料与方法横断面研究于2020年12月至2021年9月进行。使用全国各地CRP专家制定并验证的教学大纲或内容清单（48个项目），采用德尔菲法对2020-21年物理治疗学位课程的课程内容进行分析。采用卡方检验比较项目和特定CRP科目的分布，根据它们在教学计划中的存在以及在大学和自治区的存在。结果共选取包含教学大纲项目的学科252门，分别来自56所高校（其中公立大学36所）。教案中项目分布差异无统计学意义（p >0.05），公立和私立高校项目分布差异无统计学意义（p >0.05）。在所有受试者中，21.8%的人对CRP有特异性，而其余78.2%的人对CRP没有特异性。各大学（p = 0.04）和自治区（p = 0.01）的具体科目分布有显著差异，其中加泰罗尼亚的比例最高。结论西班牙物理治疗学士学位课程CRP内容有一致性，但具体内容的比例和受试者自身的特异性不一致。

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引用次数: 0

Users’ opinion from a telerehabilitation platform to prescribe exercise therapy: A qualitative approach 用户意见从远程康复平台开处方运动疗法：定性方法

Q4 Health Professions

Fisioterapia

Pub Date : 2024-11-01 DOI: 10.1016/j.ft.2024.09.003

A. Buesa-Estéllez , S. Pérez-Palomares , N. Brandín-de la Cruz , C. Jiménez-Sánchez , P. Herrero , S. Calvo

Background and objective

Exercise therapy is one of the pillars of physiotherapy treatments. The development of new technologies and the growth of the number of people with Internet access open new options to the prescription of exercise therapy. The aim of this study is to analyze qualitatively how telerehabilitation is experienced from the perspective of two different types of users: (1) 4th year students of the Degree in Physiotherapy (future professionals), and (2) patients.

Materials and methods

Qualitative description research. One focus group for user type was registered. Data were coded and compared, and two researchers independently analyzed the data using a thematic analysis.

Results

The concept of telerehabilitation versus rehabilitation, the use of the interface (navigating the platform), and the strengths and points to be improved on the platform were the main themes that emerged. These detail users’ opinions and interaction with telerehabilitation and what options telerehabilitation offers.

Conclusions

The study has provided information about the opinion of users of a remote exercise therapy web platform. The application of technologies as a complement to physiotherapy seems to be quite accepted by both future professionals and patients, but further research in real clinical settings must be considered.

背景与目的运动疗法是物理疗法的支柱之一。新技术的发展和互联网接入人数的增长为运动疗法的处方提供了新的选择。本研究的目的是从两种不同类型的使用者(1)物理治疗学位四年级学生（未来专业人员）和(2)患者的角度定性分析远程康复的体验。材料与方法定性描述研究。为用户类型注册了一个焦点组。对数据进行编码和比较，两位研究人员使用主题分析独立分析数据。结果远程康复与康复的概念、界面（导航平台）的使用、平台的优势和有待改进之处是讨论的主要主题。这些详细说明了用户的意见和与远程康复的互动，以及远程康复提供了哪些选择。结论本研究提供了远程运动治疗网络平台用户的意见信息。技术的应用作为物理治疗的补充似乎被未来的专业人员和患者所接受，但必须考虑在实际临床环境中进行进一步的研究。

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引用次数: 0

The arrangement of short exercise intervals protocols influences the amount of carbohydrate oxidation in inactive overweight adult men: Pilot study 短时间运动间隔方案的安排会影响不运动的超重成年男性的碳水化合物氧化量：试点研究

Q4 Health Professions

Fisioterapia

Pub Date : 2024-09-01 DOI: 10.1016/j.ft.2024.07.002

S. Villanueva , L.M. Trujillo , F. Vargas , A. von Oetinger

Objectives

The aim of this research is to explore the influence of different exercise protocols on carbohydrate oxidation.

Design

Uncontrolled experimental study.

Methods

They recruited ten inactive male subjects, 30–39 years old, with elevated body mass index (BMI). Each participant was evaluated in four separate sessions. First session consisted in determining peak aerobic power (pAP), following sessions participants realized three equivalent exercise protocols; each one consisted of three bouts of 15-min exercise separated by 5 min. Constant intensity protocol (CIP) included exercise at 55% of pAP, while the other (increasing and decreasing) consisted in exercise at 40%, 55% and 70% of pAP in an increasing or decreasing order respectively.

Results

IIP (increasing intensity protocol) causes a progressive increase in carbohydrate oxidation comparative to DIP (decreasing intensity protocol and CIP protocols (p ≤ 0.01). In the third period of protocol IIP oxidized significantly more carbohydrate than the other two.

Conclusions

Carbohydrate oxidation in exercises at intervals of different intensity depends on the order of these periods, being greater when performed increasingly, being more useful for sedentary subjects with insulin resistance and diabetes mellitus. This approach undoubtedly enhances patient adherence and reduces the perception of effort when compared to continuous exercise routines.

方法他们招募了 10 名不运动的男性受试者，年龄在 30-39 岁之间，身体质量指数（BMI）较高。每名受试者分别接受了四次评估。第一个环节包括测定峰值有氧功率（pAP），随后的环节中，受试者实现了三个等效的锻炼方案；每个方案包括三次 15 分钟的锻炼，每次锻炼间隔 5 分钟。结果IIP（强度增加方案）与DIP（强度减少方案和CIP方案）相比，会导致碳水化合物氧化逐渐增加（P≤0.01）。结论在不同强度的间隔运动中，碳水化合物的氧化作用取决于这些时间段的先后顺序，强度越大，氧化作用越强，这对患有胰岛素抵抗和糖尿病的久坐受试者更有用。与连续锻炼相比，这种方法无疑能增强患者的坚持性，并减少费力的感觉。

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引用次数: 0

Consenso de expertos para determinar las competencias mínimas para la práctica clínica del fisioterapeuta en la unidad de cuidados intensivos en México 专家共识，确定墨西哥重症监护室理疗师临床实践的最低能力要求。

Q4 Health Professions

Fisioterapia

Pub Date : 2024-09-01 DOI: 10.1016/j.ft.2024.05.002

M.Á. Martínez-Camacho , R.A. Jones-Baro , D.S. Lugo-García , A. Gómez-González , A.G. Rivera-Elias , J.S. Pérez-Duarte , D. Huicochea-González , Á.A. Pérez-Calatayud

Background and objective

The physical therapist is a member of the multidisciplinary team providing care to critically ill patients. The competencies of physical therapists working in the Intensive Care Unit (ICU) can vary depending on the geographical region. Currently, Mexico lacks a standardized framework for defining the competencies of physical therapists working in the ICU. The objective of this study is to establish minimum standards for clinical practice among physical therapists in the ICU in Mexico.

Material and methods

An expert consensus was achieved using a Delphi technique, involving three rounds of electronic questionnaire-based inquiries.

Results

A total of 41 experts participated in the first two rounds, and 38 in the third round. A comprehensive evaluation of 258 items led to the identification of 207 essential items and 51 non-essential items for the clinical practice of physical therapists in the ICU.

Conclusion

Standardizing the competencies of physical therapists in the ICU will promote safer and more effective care for critically ill patients.

背景和目的理疗师是为重症患者提供护理的多学科团队成员之一。在重症监护室（ICU）工作的理疗师的能力因地理区域而异。目前，墨西哥缺乏一个标准化的框架来定义在重症监护室工作的理疗师的能力。本研究的目的是为墨西哥 ICU 物理治疗师的临床实践制定最低标准。材料和方法采用德尔菲技术，通过三轮电子问卷调查达成专家共识。通过对 258 个项目的综合评估，确定了重症监护室理疗师临床实践的 207 个基本项目和 51 个非基本项目。

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引用次数: 0

Impacto positivo de la telerrehabilitación en estudiantes universitarios con síndrome de text neck durante la pandemia por COVID-19 在 COVID-19 大流行期间，远程康复对患有文字颈综合症的大学生的积极影响

Q4 Health Professions

Fisioterapia

Pub Date : 2024-09-01 DOI: 10.1016/j.ft.2024.03.002

J.F. May Euán, D.F. Estrella Castillo, G. Uicab Pool, H. Rubio Zapata, R. Arcila Novelo, N. Pérez Herrera

Introduction

The increasing use of mobile devices among students has led to a rise in the prevalence of text neck syndrome, characterized by pain and tension in the neck.

Objective

Assessing the positive impact of a tele-rehabilitation program specifically designed to mitigate the effects of text neck syndrome in university students during the COVID-19 pandemic.

Materials and methods

A quasi-experimental study was conducted in which a tele-rehabilitation program was designed, implemented, and evaluated to reduce neck pain in university students with text neck syndrome. The program included stretching and strengthening exercises, lasting for four weeks through the specialized platform Physiotec®. Twenty-four individuals with a medical diagnosis of text neck syndrome participated, and variables such as pain, generic and cervical disability, as well as range of motion, were analyzed.

Results

The results indicated significant improvements in pain symptoms, with a notable shift towards the mild pain category, while cases of moderate to severe pain decreased. Additionally, significant improvements were observed in cervical disability.

Conclusion

The tele-rehabilitation program demonstrated a positive impact, particularly in reducing pain and cervical disability in university students with text neck syndrome.

引言学生们越来越多地使用移动设备，导致了以颈部疼痛和紧张为特征的 "文字颈综合症 "发病率的上升。目的评估在 COVID-19 大流行期间为减轻大学生文字颈综合症的影响而专门设计的远程康复项目的积极影响。该项目包括伸展和强化练习，通过专业平台 Physiotec® 进行，为期四周。结果表明，疼痛症状有了明显改善，明显转向轻度疼痛，而中度至重度疼痛的病例有所减少。此外，颈椎残疾情况也有明显改善。结论远程康复项目对患有颈部文字综合症的大学生产生了积极影响，尤其是在减轻疼痛和颈椎残疾方面。

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引用次数: 0

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