Fisioterapia最新文献

Introduction

Flight-related neck pain has been defined as a specific clinical entity in fighter pilots. The mechanisms underlying its development may be related to the physical and cognitive demands of combat flying. However, there is no clear consensus on the most effective approach to its treatment.

Objective

To analyse the effects of a 4-week multimodal physiotherapy programme combining supervised laser-guided neck exercise and electro-massage (consisting of manual therapy and interferential current) on the workplace in fighter pilots with flight-related neck pain.

Methods

A total of 14 fighter pilots with flight-related neck pain were recruited. The intervention consisted of 8 sessions (twice weekly) for 4 weeks. A follow-up period of 4 weeks was established. Perceived pain intensity, pain threshold to pressure, cervical disability, active cervical range of motion, cervical joint repositioning error, kinesiophobia and pain catastrophizing were assessed.

Results

Statistically significant changes (P<.05) were obtained in all variables analysed at immediate post-treatment. These differences were maintained between baseline measurement and 4-week follow-up except for catastrophizing, kinesiophobia and right and left cervical rotation.

Conclusions

These results support that the proposed multimodal physiotherapy programme could improve symptoms arising from flight-related neck pain in fighter pilots.

Background and aim

Paralympic sport is currently considered high performance, so it has been proposed to find factors that contribute to sports performance and injury prevention. People with physical disabilities suffer a loss of muscle mass and excess weight, thus intensifying the existence of health problems, such as musculoskeletal injuries due to the characteristics of sport and daily life activities. The aim of the study is to identify the anthropometric characteristics, handgrip strength and injury history of upper limb in Paralympic athletes of initiation.

Methods

A descriptive cross-sectional study was carried out in 30 Paralympic athletes in the initiation process of Wheelchair Basketball, Wheelchair Tennis, Para Swimming and Para-Powerlifting between 18 and 60 years of age with physical disability. They were assessed with dynamometry and subcutaneous folds.

Results

The body mass index of women exceeded that of men by 5.3 kg/m2, being a state of overweight. The fat mass index of women was higher than that of men by 2.9 kg/m2. In men, a statistically significant difference was found between athletes with and without history of injury in weight (p = 0.01), fat free mass (0.00 +) and right upper limb strength (p = 0.01).

Conclusions

Athletes with history of injury presented high values in body composition, which could interfere in their progression process to high performance sport. Female Paralympic athletes have a higher body fat index.

Introduction

The glossopharyngeal breathing technique consists of propelling air towards the trachea and sending it to the lungs, using the muscles of the tongue, pharynx, and larynx. The use of Glossopharyngeal breathing has been reported in the sport of freediving and some chronic neuromuscular diseases. We report two cases, healthy women, non-athletes, over 18 years old, who underwent a 6-week training program in the Glossopharyngeal breathing technique.

Objective

To describe the changes in maximum inspiratory pressure, diaphragmatic mobility and forced vital capacity in two healthy non-athletic women older than 18 years, after a six-week training program in the Glossopharyngeal breathing technique.

Results

An increase in maximum inspiratory pressure diaphragmatic mobility and forced vital capacity was observed in one of the cases.

Conclusion

In two non-athlete women, 6 weeks of training with the Glossopharyngeal breathing technique were enough to increase in maximum inspiratory pressure and diaphragmatic mobility, showed an increase in one of the cases.

Introduction and objectives

Beta-ureidopropionase deficiency and citrullinemia type I are rare inborn errors of metabolism. The objective of this study is to present a clinical case with the presence of the two genetic pathologies confirmed with molecular analysis and to design a multidisciplinary rehabilitative treatment based on the International Classification of Functioning, Disability and Health (ICF).

Materials and methods

A female patient with a moderate physical and intellectual disability is presented, with neurological damage secondary to metabolic deregulation; additionally, he has deficiencies in: gait, posture, neurosensory area and limitations in Basic Activities of Daily Living (BADL). A therapeutic intervention based on the ICF was carried out and multidisciplinary rehabilitation treatments of physiotherapy (20 sessions), occupational therapy (10 sessions) and psychology (15 sessions) were designed. The results obtained were evaluated with clinical and psychological assessments and with the application of scales such as: EPlfant, WeeFIM and the Get Up and Go Test and visual gait analysis.

Results

A result of 70% improvement in gait and posture was obtained. 70% improvement in ABDL, in the neurosensory and psychomotor area. Better psychosocial performance was promoted, with improvement in cognitive and recreational activities.

Conclusions

This is the first case reported in the literature with a new mutation not registered in ClinVar. It is important to apply the ICF in all patients with disabilities, to determine specific rehabilitation treatment objectives in a multidisciplinary manner.

Telerehabilitation (TR) is a service delivery modality that favors access to rehabilitation; there is a need for research about TR implementation in Latin America (LA) to demonstrate development strategies and impact results.

Aim

To identify characteristics, barriers and facilitators of TR implementation in LA.

Method

Scoping review from January 1, 2010, to December 31, 2022, using the databases Virtual Health Library (VHL); Scielo; PubMed; Scopus; Web of Science; EBSCO; CINAHL and Google Scholar; also, manual and gray literature searches.

Results

17 articles were identified reporting TR implementation processes in Brazil, Chile, Colombia, Mexico, Guatemala and Haiti. The TR implementation scenarios included primary health care, education and therapeutic intervention services. The most frequently identified barriers were: lack of connectivity; availability of therapeutic implements; difficulties in the use of Information and Communication Technologies (ICTs); quality of ICTs; and organizational and administrative difficulties. Among the facilitators

: the existence of regulations; ICT education of professionals and users; functionality; beneficiaries’ satisfaction of use and acceptance of TR.

Conclusions

TR in LA is emerging, and current literature reveals heterogeneity in terms of populations, settings and implementation outcomes. The identification of barriers and facilitators contributes to the implementation of TR in the region. There is an urgent need for research on TR implementation to respond to the challenges of the Latin American context in various rehabilitation scenarios.