94 results on '"Leirós-Rodríguez R"'
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2. Prevalence of urinary incontinence and its relation with sedentarism in Spain
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Leirós-Rodríguez, R., Romo-Pérez, V., and García-Soidán, J.L.
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- 2017
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3. Relación entre composición corporal y movimientos producidos durante la marcha en personas mayores
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Leirós-Rodríguez, R., Romo-Pérez, V., Arce, M.E., and García-Soidán, J.L.
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- 2017
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4. Reliability of accelerometric assessment of balance in children aged 6–12 years
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García-Liñeira, J., García-Soidán, J. L., Romo-Pérez, V., and Leirós-Rodríguez, R.
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- 2020
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5. Definition of the proper placement point for balance assessment with accelerometers in older women
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Leirós-Rodríguez, R., Arce, M.E., Míguez-Álvarez, C., and García-Soidán, J.L.
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- 2016
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6. Identificación de puntos de referencia anatómicos para la valoración del equilibrio mediante dispositivos cinemáticos
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Leirós-Rodríguez, R., Arce, M.E., Souto-Gestal, A., and García-Soidán, J.L.
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- 2015
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7. Los programas de revitalización geriátrica: posibilidades de los parques públicos para promocionar la actividad física saludable en personas mayores. Revisión bibliográfica
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Leirós-Rodríguez, R. and García-Soidán, J.L.
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- 2012
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8. The relationship between burnout and empathy in physiotherapists: a cross-sectional study
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Rodríguez-Nogueira, Ó., primary, Leirós-Rodríguez, R., additional, Pinto-Carral, A., additional, Álvarez-Álvarez, M. J., additional, Fernández-Martínez, Elena, additional, and Moreno-Poyato, A. R., additional
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- 2022
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9. RELACIÓN ENTRE COMPOSICIÓN CORPORAL Y MOVIMIENTOS REALIZADOS DURANTE LA MARCHA EN MUJERES
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Leirós-Rodríguez, R., primary, Romo-Pérez, V., additional, Arce-Fariña, M. E., additional, and García-Soidán, J. L., additional
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- 2018
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10. Definition of the proper placement point for balance assessment with accelerometers in older women
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Leirós-Rodríguez, R, primary, Arce, ME, primary, Míguez-Álvarez, C, primary, and García-Soidán, JL, primary
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- 2018
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11. Prevalencia de la incontinencia urinaria y su relación con el sedentarismo en España
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Leirós-Rodríguez, R., primary, Romo-Pérez, V., additional, and García-Soidán, J.L., additional
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- 2017
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12. Post-graduate education requirements for access to jobs in physical therapy
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Leirós-Rodríguez, R., Souto-Gestal, Antonio, García-Soidán, J.L., Leirós-Rodríguez, R., Souto-Gestal, Antonio, and García-Soidán, J.L.
- Abstract
[Abstract] Objective. To identify if physiotherapist employers require them to have some postgraduate training and, if there are such requirements, to identify them. Material and methods. For this study, a specific survey was designed, in which the clinic director had to answer questions about the training of the professionals hired. Results. The demands of 114 job bidders were analysed. Clinical directors (21.6%), require some postgraduate training so that the professional is able to adapt to the needs of the users of the centre. The most in-demand specialties were sports physiotherapy, gynaecology and obstetrics, osteopathy, neurology, and Pilates. Conclusions. The acquisition of skills and competencies, such as information management skills, problem solving and decision making, are not being adequately integrated into the degree course. Interventions are needed by educational institutions and professionals in the sector to achieve training that meets the needs of the physiotherapy employment market., [Resumen] Objetivo. Identificar si los contratantes de fisioterapeutas exigen como requisito tener alguna formación de posgrado y, de existir dichas exigencias, identificarlas. Material y método. Se diseñó una encuesta específica para este trabajo. En ella, el director de clínica debía responder a preguntas sobre la formación de los profesionales contratados. Resultados. Se analizaron las demandas de 114 ofertantes de empleo. Los directores de clínica, en un 21,6%, exigen alguna formación de posgrado para que el profesional se adecúe a las necesidades de los usuarios del centro. Las especialidades más demandadas fueron la fisioterapia deportiva, ginecología y obstetricia, osteopatía y terapia manual, neurología y Pilates. Conclusiones. La adopción de habilidades y competencias como la capacidad de gestión de la información, resolución de problemas y toma de decisiones no están siendo integradas durante la formación de la carrera de manera adecuada. Son necesarias intervenciones por parte de las instituciones educativas y profesionales del sector para alcanzar una formación que satisfaga las necesidades del mercado laboral en fisioterapia.
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- 2017
13. ASSOCIATIONS BETWEEN BODY COMPOSITION AND MOVEMENTS DURING GAIT IN WOMEN.
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Leirós-Rodríguez, R., Romo-Pérez, V., Arce-Fariña, M.E., and García-Soidán, J.L.
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GAIT in humans ,BODY composition - Abstract
Copyright of International Journal of Medicine & Science of Physical Activity & Sport / Revista Internacional de Medicina y Ciencias de la Actividad Física y del Deporte is the property of Revista Internacional de Medicina y Ciencias de la Actividad Fisica y del Deporte and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2018
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14. Prevalencia de la incontinencia urinaria y su relación con el sedentarismo en España
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Leirós-Rodríguez, R., Romo-Pérez, V., and García-Soidán, J.L.
- Abstract
Definir la prevalencia de la incontinencia urinaria en la población de adultos mayores españoles en ambos sexos e identificar la posible relación entre los hábitos de actividad física y la presencia de incontinencia urinaria en personas mayores.
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- 2024
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15. Definition of the proper placement point for balance assessment with accelerometers in older women
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Leirós-Rodríguez, R., Arce, M.E., Míguez-Álvarez, C., and García-Soidán, J.L.
- Abstract
To compare the behavior of the spinal levels for the accelerometric analysis and thus to define a proper placement point.
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- 2024
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16. Identificación de puntos de referencia anatómicos para la valoración del equilibrio mediante dispositivos cinemáticos
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Leirós-Rodríguez, R., Arce Fariña, Elena, Souto-Gestal, Antonio, García-Soidán, J.L., Leirós-Rodríguez, R., Arce Fariña, Elena, Souto-Gestal, Antonio, and García-Soidán, J.L.
- Abstract
[Resumen] Objetivo Analizar el comportamiento de los niveles raquídeos más empleados en el análisis cinemático y definir el punto óptimo de colocación de acelerómetros para la medida del equilibrio en adultos. Material y método Se valoró a un total de 71 sujetos sanos de los que la mayoría fueron mujeres (92,96%), con una edad media ± desviación estándar de 64,86 ± 7,63 años. Para la valoración se utilizaron 3 acelerómetros triaxiales ubicados en esternón, L4 y L5-S1, que registraron datos cinemáticos durante la realización de 2 pruebas de equilibrio: equilibrio monopodal con ojos cerrados y equilibrio dinámico monopodal. Se consideraron criterios de exclusión para participar en el estudio la incapacidad para realizar la marcha de forma independiente, para mantener el equilibrio estático bipodal con ojos abiertos durante 60 s o la presencia de alguna contraindicación. Todos los sujetos realizaron las pruebas descalzos con calcetines. Resultados Se encontró que las oscilaciones producidas en las 3 ubicaciones de referencia analizadas durante las pruebas de equilibrio se incrementan de forma proporcional a la distancia al centro de gravedad. En relación con el punto óptimo de colocación del dispositivo en la región lumbo-pélvica, los resultados obtenidos indicaron que no existen diferencias relevantes entre ubicar el dispositivo al nivel de L4 o L5-S1. Conclusiones Se recomienda la elección de la cuarta vértebra lumbar como punto de medición, ya que así se limita la introducción de ruido en la señal recogida por los acelerómetros derivada de la movilidad intrínseca de la cintura pélvica., [Abstract] Objective This paper has aimed to analyze the behavior of the spinal levels used most in the kinematic analysis and to define the best place for accelerometers to measure balance in adults. Material and method A total of 71 healthy adults were evaluated. Most were women (92.96%), with an average age of 64.86 years (SD ± 7.63). Three tri-axial accelerometers were used to evaluate balance. One was placed on the sternum and two more on L4 and L5-S1. Kinematic data was obtained from two balance tests: eyes closed monopodal balance and monopodal dynamic balance. Exclusion criteria included inability to walk independently; to be unable to maintain bipodal static balance with eyes wide-open for 60 seconds and the existence of contraindications to be tested. All the subjects performed the tests in bare feet with socks. Results The results showed that the three reference locations analyzed during the balance tests proportionally increased to the distance to the center of gravity. Regarding the optimal devise placement point in the lumbar-pelvic regions, the results obtained did not show significant differences between the accelerometer on L4 and L5-S1. Conclusions Using the fourth lumbar vertebra for measurement is recommended because it limits the introduction of noise on the accelerometer signal due to pelvic girdle motion.
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- 2014
17. Relación terapéutica e influencia de la formación en la calidad de la misma en fisioterapeutas españoles: estudio observacional
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Rodríguez Nogueira, O., Alba-Pérez, E., Álvarez-Barrio, L., Moreno-Poyato, A.R., and Leirós-Rodríguez, R.
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•La relación terapéutica es determinante para el desarrollo y los resultados en fisioterapia.•Los fisioterapeutas con formación en relación terapéutica obtienen mayor puntuación en el WAI-S.•Mayor experiencia profesional y ser mujer mejora la relación terapéutica.
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- 2022
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18. Prevalence of functional limitations during aging in a representative sample of Spanish population and its relationship with body mass index,Prevalencia de las limitaciones funcionales durante el envejecimiento en la población española y su relación con el índice de masa corporal
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Leirós-Rodríguez, R., Romo-Pérez, V., Soto-Rodríguez, A., and Jose Luis Garcia-Soidan
19. Treatment of Women With Primary Dysmenorrhea With Manual Therapy and Electrotherapy Techniques: A Systematic Review and Meta-Analysis.
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González-Mena Á, Leirós-Rodríguez R, and Hernandez-Lucas P
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- Humans, Female, Massage methods, Pain Measurement, Transcutaneous Electric Nerve Stimulation methods, Dysmenorrhea therapy, Musculoskeletal Manipulations methods, Electric Stimulation Therapy methods
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Objective: The objective of this study was to evaluate the efficacy of electrotherapy and manual therapy for the treatment of women with primary dysmenorrhea., Methods: Systematic searches were conducted in Scopus, Web of Science, PubMed, CINAHL, and MEDLINE. The articles must have been published in the last 10 years, had a sample exclusively of women with primary dysmenorrhea, had a randomized controlled trial design, and used interventions that included some form of manual therapy and/or electrotherapy techniques. Two reviewers independently screened articles for eligibility and extracted data. Difference in mean differences and their 95% CIs were calculated as the between-group difference in means divided by the pooled standard deviation. The I2 statistic was used to determine the degree of heterogeneity., Results: Twelve selected studies evaluated interventions, with 5 evaluating electrotherapy techniques and 7 evaluating manual therapy techniques. All studies analyzed identified improvements in pain intensity and meta-analysis confirmed their strong effect., Conclusions: Manual therapy and electrotherapy are effective for the treatment of women with primary dysmenorrhea. Transcutaneous electrical nerve stimulation combined with thermotherapy and effleurage massage stands out for its effects on the intensity and duration of pain with the application of a few sessions and their long-term effects., Impact: Manual therapy techniques and electrotherapy methods reduce the pain intensity of women with primary dysmenorrhea. Quality of life and degree of anxiety improved significantly with manual therapy interventions. Transcutaneous electrical nerve stimulation combined with thermotherapy and effleurage massage are the interventions with which positive effects were achieved with fewer sessions., (© The Author(s) 2024. Published by Oxford University Press on behalf of the American Physical Therapy Association. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
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- 2024
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20. Protective effects of exercise on cardiotoxicity induced by breast cancer treatments: A systematic review and meta-analysis.
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Fernández-Casas A, Leirós-Rodríguez R, Hernandez-Lucas P, and González-Represas A
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- Humans, Female, Antineoplastic Agents adverse effects, Exercise Therapy methods, Breast Neoplasms drug therapy, Cardiotoxicity etiology, Cardiotoxicity prevention & control, Exercise
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Objective: Currently, one of the main causes of death in women with breast cancer is cardiovascular disease caused by the oncologic therapies. Exercise has demonstrated positive effects on cardiovascular fitness in individuals without cancer. Therefore, the aim of this study was to evaluate the cardioprotective effects of exercise in women with breast cancer, during and after the application of their treatments., Methods: Systematic search was done in PubMed, Scopus, Web of Science, CINAHL, MEDLINE, SPORTDiscus, and PEDro. The articles must have been published in the last ten years; the intervention to be evaluated was to consist of an exercise program; the sample had to comprise women who were undergoing breast cancer treatment or who had completed it at the time of the intervention; and the outcome variables had to include at least one parameter for the assessment of cardiac function and/or structure., Results: Of the 28 articles identified, nine reported non-randomized controlled studies, 16 randomized clinical trials and three quasi-experimental studies. The effects of exercise on left ventricular ejection fraction, global longitudinal strain and the E/A waveforms ratio were not significant. However, its effect on VO
2 max was significant., Conclusions: Exercise does not seem to be effective in avoiding the cardiotoxic effects of oncological treatment for breast cancer. Although exercise seems to mitigate the symptomatology, reflected in improved functional capacity, more long-term studies are needed., Prospero Registration Code: CRD42023391441., Competing Interests: Declaration of competing interest The authors declare that they have no competing interest., (Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)- Published
- 2024
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21. The Applications of Artificial Intelligence for Assessing Fall Risk: Systematic Review.
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González-Castro A, Leirós-Rodríguez R, Prada-García C, and Benítez-Andrades JA
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- Humans, Risk Assessment methods, Postural Balance, Accidental Falls prevention & control, Artificial Intelligence
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Background: Falls and their consequences are a serious public health problem worldwide. Each year, 37.3 million falls requiring medical attention occur. Therefore, the analysis of fall risk is of great importance for prevention. Artificial intelligence (AI) represents an innovative tool for creating predictive statistical models of fall risk through data analysis., Objective: The aim of this review was to analyze the available evidence on the applications of AI in the analysis of data related to postural control and fall risk., Methods: A literature search was conducted in 6 databases with the following inclusion criteria: the articles had to be published within the last 5 years (from 2018 to 2024), they had to apply some method of AI, AI analyses had to be applied to data from samples consisting of humans, and the analyzed sample had to consist of individuals with independent walking with or without the assistance of external orthopedic devices., Results: We obtained a total of 3858 articles, of which 22 were finally selected. Data extraction for subsequent analysis varied in the different studies: 82% (18/22) of them extracted data through tests or functional assessments, and the remaining 18% (4/22) of them extracted through existing medical records. Different AI techniques were used throughout the articles. All the research included in the review obtained accuracy values of >70% in the predictive models obtained through AI., Conclusions: The use of AI proves to be a valuable tool for creating predictive models of fall risk. The use of this tool could have a significant socioeconomic impact as it enables the development of low-cost predictive models with a high level of accuracy., Trial Registration: PROSPERO CRD42023443277; https://tinyurl.com/4sb72ssv., (©Ana González-Castro, Raquel Leirós-Rodríguez, Camino Prada-García, José Alberto Benítez-Andrades. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 29.04.2024.)
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- 2024
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22. Effects of the combination of exercise and education in the treatment of low back and/or pelvic pain in pregnant women: Systematic review and meta-analysis.
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Diez-Buil H, Hernandez-Lucas P, Leirós-Rodríguez R, and Echeverría-García O
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- Humans, Female, Pregnancy, Patient Education as Topic methods, Randomized Controlled Trials as Topic, Low Back Pain therapy, Exercise Therapy methods, Pelvic Pain therapy, Pregnancy Complications therapy
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Background: Lumbopelvic pain is considered the most frequent complication during pregnancy., Objective: To compare whether the combination of exercise with education is more effective for the treatment of low back and/or pelvic pain (PP) than each of these interventions separately in pregnant women., Search Strategy: A systematic review was performed in WOS, PEDro, PubMed, Cochrane, and ClinicalTrials.gov. The terms used were low back pain, PP, pregnancy, pregnant woman, exercise, exercise therapy, health education, and prenatal education., Selection Criteria: The PICO question was then chosen as follows: P-population: pregnant women with nonspecific low back pain or PP; I-intervention: exercise therapy plus health education; C-control: only exercise therapy or only health education; O-outcome: characteristics of pain, disability, and kinesophobia; S-study designs: randomized controlled trial., Data Collection and Analysis: Two reviewers independently screened articles for eligibility. The following inclusion criteria were applied for the selection of studies: (i) published in the past 10 years; (ii) exercise plus health education was administered compared with a group receiving either exercise or education alone; and (iii) the sample consisted of pregnant women with nonspecific low back pain or PP. This review excluded: (i) nonrandomized controlled trials; and (ii) articles whose full text was not available. The meta-analysis was performed using the random-effects model, due to the observed heterogeneity., Main Results: A total of 13 articles were selected. There is a significant decrease in pain in the combination of exercise and education compared with education alone (standardized mean difference, -0.29 [95% confidence interval, -0.47 to -0.11]). With respect to disability, there is a significant decrease in the exercise and education group compared with the group that only addressed education (standardized mean difference, -0.37 [95% CI, -0.60 to -0.14]). One article analyzed kinesophobia, reporting no significant changes., Conclusion: The combination of exercise and education seems to be more effective in reducing pain and disability in pregnant women with low back and/or PP than the use of education alone. In kinesophobia, the results found are not significant., (© 2023 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.)
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- 2024
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23. The Effects of Back Schools on Non-Specific Back Pain: A Systematic Review and Meta-Analysis.
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Hernandez-Lucas P, Leirós-Rodríguez R, Lopez-Barreiro J, and García-Soidán JL
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Background: Non-specific back pain is a global concern. Exercise and health education are crucial components in its management. The Back School is a theoretical practical program that integrates both elements. The objective of this study is to determine if Back School-based programs are effective in reducing pain, disability, and kinesiophobia in patients with non-specific back pain., Methods: A systematic review of research involving participants with non-specific back pain was carried out on databases such as PubMed, Scopus, Web of Science, and Medline., Results: In total, 25 papers were chosen for review. All of these papers focused on the effects on the lumbar area, with the exception of one paper that specifically targeted the cervical region. The pain variable showed statistically significant results with standardized mean differences of -1.01 (950 confidence interval = -1.39 to -0.63; p < 0.001), and the disability variable had standardized mean differences of -0.98 (95% confidence interval = -1.38 to -0.58; p < 0.001), and only one study analysed the kinesiophobia variable and concluded that Back School programs have a positive effect on kinesiophobia between the baseline and post-intervention levels., Conclusions: Back School programs have shown effectiveness in reducing non-specific back pain and lowering disability rates.
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- 2024
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24. Conservative Treatment of Sever's Disease: A Systematic Review.
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Hernandez-Lucas P, Leirós-Rodríguez R, García-Liñeira J, and Diez-Buil H
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Background : Sever's disease, or calcaneal apophysitis, stands as the most prevalent cause of heel pain in children, often linked to sports like soccer, Australian football, and basketball. While various therapies are documented in the scientific literature, the standard choice is conservative treatment. Thus, the objective of this research was to assess the effectiveness of diverse conservative methods and techniques in alleviating Sever's disease symptoms. Methods: Systematic searches were conducted in October 2023 in PubMed, Web of Science, Scopus, SportDiscus, and PEDro, using terms like Osteochondritis, Osteochondrosis, Apophysitis, Sever's disease, Calcaneus, Adolescent, Child, and Childhood. The PEDro scale gauged methodological quality, and the Cochrane Risk of Bias tool evaluated the risk of bias. Results : Eight randomized controlled studies were included, featuring commonly used treatments such as insoles, therapeutic exercises, Kinesio taping, and foot orthoses. The methodological quality was generally good, with an average PEDro score of 6.75 points. Regarding bias, four articles had low risk, three had high risk, and one had some concern. Conclusions: Conservative treatment emerges as an effective option for alleviating symptoms associated with Sever's disease.
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- 2024
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25. Prevention of neck pain in adults with a Back School-Based intervention: a randomized controlled trial.
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Hernandez-Lucas P, Leirós-Rodríguez R, Lopez-Barreiro J, and García-Soidán JL
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Background: Neck pain is a health problem worldwide. To prevent it, experts recommend exercise and education., Objective: To evaluate the effects of a Back School-based intervention for the prevention of nonspecific neck pain in a healthy adult population., Methods: A randomized controlled trial with 58 participants with no history of neck pain within the past six months. The experimental group performed an 8-week Back School-based program. The control group maintained their usual lifestyle. Primary outcomes, which include the number of episodes, days and intensity of neck pain, and the number of medical visits, were recorded in a 1-year follow-up diary and analyzed using the Mann-Whitney test. Secondary outcomes, such as neck flexor, neck extensor, and scapular muscles endurance, were analyzed using the ANOVA test., Results: In the analysis of the primary outcomes, no significant differences were found in the number of episodes ( p = 0.068,d = -0.49), number of days ( p = 0.059,d = -0.54), or the average intensity of neck pain ( p = 0.061,d = -0.53). There were significant changes in the number of medical visits ( p = 0.033,d = -0.57). Moving to secondary outcomes, significant interactions were observed in neck flexor ( p = 0.045, ηp
2 = 0.036) and neck extensor endurance ( p = 0.049, ηp2 = 0.035), but not in scapular muscle endurance ( p = 0.536, ηp2 = 0.003)., Conclusions: The Back School-based program reduced the number of medical visits and increased the endurance of the cervical musculature. Trial registration in ClinicalTrials.gov: NCT05260645.- Published
- 2024
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26. Relationship between competency for evidence-based practice and level of burnout of physical therapists with the establishment of the therapeutic relationship.
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Rodríguez-Nogueira Ó, Leirós-Rodríguez R, Pinto-Carral A, Álvarez-Álvarez MJ, Morera-Balaguer J, and Moreno-Poyato AR
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- Humans, Cross-Sectional Studies, Evidence-Based Practice, Surveys and Questionnaires, Physical Therapists, Burnout, Professional, Psychological Tests, Self Report
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Background: Evidence-based practice (EBP) interventions and effective therapeutic alliance (TA) are associated with greater treatment success. Furthermore, burnout syndrome could be detrimental to the development of such TA., Objective: To examine the association between EBP competencies and burnout level with the quality of TA among Spanish physiotherapists., Methods: Cross-sectional research with an electronic survey including the EBP Questionnaire-19, Maslach Burnout Inventory and Working Alliance Inventory-Short (WAI-S) and administered to 471 physiotherapists., Results: Regarding the EBP Questionnaire-19, physiotherapists scored highest on attitude and lowest on knowledge. For WAIS which achieved appropriate results of internal consistency and validity in the sample analyzed, bond scored the highest and goals the lowest. Years of experience was significantly associated with the task ( r = 0.5; p = .003) and bond ( r = 0.7; p = .002) and the WAIS total score ( r = 0.8; p < .001), and all burnout subscales (-0.7 < r > 0.7; p < .001 for all)., Conclusion: Lower levels of burnout and improved EBP competencies are associated with a TA of greater quality. The association between attitudes toward EBP, a higher level of self-confidence and a lower perception of depersonalization appear to be determinant factors for improving TA.
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- 2024
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27. Prevention of non-specific back pain through exercise and education: A systematic review and meta-analysis.
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Hernandez-Lucas P, Leirós-Rodríguez R, Lopez-Barreiro J, and García-Soidán JL
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- Humans, Patient Education as Topic, Exercise Therapy methods, Back Pain prevention & control, Back Pain rehabilitation, Back Pain therapy
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Background: Clinical practice guidelines stress the importance of prevention and treatment of non-specific back pain through exercise therapy. However, it has not yet been confirmed whether the combination of exercise plus education is more effective than such interventions taken separately., Objective: To determine if the combination of exercise plus education is more effective for the prevention of non-specific back pain than exercise or education alone., Method: A systematic search of studies whose sample consisted of participants without non-specific back pain (primary prevention) and participants with non-specific back pain (secondary and tertiary prevention) was conducted in the following databases in March 2023: PubMed, Scopus, Web of Science and Medline., Results: A total of 16 articles were selected. Statistically significant results were found in the pain variable with SMD =-2.02 (95% CI =-2.71 to -1.33; p< 0.001), the disability variable with SMD =-1.14 (95% CI =-1.63 to -0.65; p< 0.001), and the kinesiophobia variable with SMD =-1.8 (95% CI =-2.54 to -1.05; p< 0.001)., Conclusion: Interventions that combine exercise and education seem to have a greater preventive effect on non-specific back pain, disability and kinesiophobia than those that include exercise or education in an isolated manner.
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- 2024
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28. Proposal for a physiotherapy assessment form for the evaluation of women patients with uro-gynecological disorders: A Delphi study.
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González-Castro A, Leirós-Rodríguez R, Rodríguez-Nogueira Ó, Álvarez-Álvarez MJ, Pinto-Carral A, and Andrade-Gómez E
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- Pregnancy, Humans, Female, Delphi Technique, Consensus, Physical Therapy Modalities, Surveys and Questionnaires, Gynecology, Medicine
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Background: The correct selection of treatment techniques and methods in physiotherapy depends directly on a well-structured anamnesis, examination and assessment. Within urogynecological and obstetric physiotherapy there is no standardized and protocolized assessment that allows to follow established steps. For all this, the main objective of this study was to identify the assessment items that should be included in the a physiotherapeutic uro-gynecological assessment., Methods: Delphi study through a group of experts. Prior to this, a systematic search was carried out, accompanied by a review of grey literature, to obtain the possible items to be included in the forms. Subsequently, a Delphi study with two consecutive rounds of questionnaires was developed. A total of 6 expert physiotherapists participated in the study., Results: The initial questionnaire had 97 items and after two rounds one item was eliminated to obtain a total of 96 items in the final questionnaire., Conclusions: The experts agreed on most of the choices and finally obtained a standardized and protocolized assessment in uro-gynecological physiotherapy. Furthermore, this proposal should be considered by other professionals involved in the process of evaluation and treatment of pelvi-perineal alterations., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2023 González-Castro et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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- 2023
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29. Transcranial direct current stimulation for post-stroke dysphagia: a meta-analysis.
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Gómez-García N, Álvarez-Barrio L, Leirós-Rodríguez R, Soto-Rodríguez A, Andrade-Gómez E, and Hernández-Lucas P
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- Humans, Deglutition, Treatment Outcome, Deglutition Disorders etiology, Deglutition Disorders therapy, Transcranial Direct Current Stimulation methods, Stroke complications, Stroke Rehabilitation methods
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Background: Strokes may cause some swallowing difficulty or associated dysphagia in 25-80% of patients. This phenomenon has been linked to increased morbidity and mortality. Therefore, the aim of this study was to evaluate the efficacy of transcranial direct current stimulation in patients with dysphagia in post-stroke patients., Methods: A systematic search in PubMed, Scopus, Web of Science and MEDLINE was conducted. The articles must have to evaluate an intervention that included transcranial direct current stimulation; the sample had to consist exclusively of patients with post-stroke dysphagia; and the experimental design consisted of randomized controlled trial. Difference in mean differences and their 95% confidence interval were calculated as the between-group difference in means divided by the pooled standard deviation. The I
2 statistic was used to determine the degree of heterogeneity., Results: Of the 9 investigations analyzed, all applied transcranial direct current stimulation in combination with conventional dysphagia therapy to the experimental group. All the studies analyzed identified improvements in swallowing function and meta-analysis confirmed their strong effect on reducing the risk of penetration and aspiration (Hedges's g = 0.55). The results showed that participants who received transcranial direct current stimulation significantly improved swallowing function., Conclusions: Transcranial direct current stimulation has positive effects in the treatment of poststroke dysphagia by improving swallowing function, oral and pharyngeal phase times and the risk of penetration and aspiration. Furthermore, its combination with conventional dysphagia therapy, balloon dilatation with catheter or training of the swallowing muscles ensures improvement of swallowing function. PROSPERO registration ID CRD42022314949., (© 2023. The Author(s).)- Published
- 2023
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30. Effects of exercise therapy using elastic bands on strength and pain in women with non-specific neck pain: A randomised controlled trial.
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Hernandez-Lucas P, Leirós-Rodríguez R, Lopez-Barreiro J, and García-Soidán JL
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Background: Cervical pain has a high incidence and worldwide socio-economic effect. Its incidence is lower in men than in women. Conservative and non-pharmacological therapeutic options include strength training. Elastic bands are commonly used in physiotherapy clinics for strength work in patients. Consequently, the objective of this research was to analyse the efficacy of an exercise therapy programme using elastic bands on decreasing pain and increasing strength of the neck flexor musculature, cervical extensor, and scapular stabilizing musculature in women suffering from non-specific cervical pain., Methods: A randomised clinical trial was carried out with 35 subjects with non-specific neck pain (age = 51.7 ± 9.5 and baseline intensity of pain in Visual Analogue Scale = 52.4 ± 9.6). The experimental group (n = 18) performed the exercise programme with elastic bands, consisting of a total of 16 sessions that lasted 45 min. The control group, consisting of 27 participants, reported that they maintained their usual lifestyle throughout the study. The evaluation tools used in this research included the Visual Analogue Scale, Neck Flexor Endurance Test, Neck Extensor Muscle Endurance Test, and Scapular Muscle Endurance Test., Results: The experimental group obtained significant improvements in the measurements taken using the Visual Analogue Scale (p < 0.001, d = 4.2), the Neck Flexor Endurance Test (p < 0.001, d = 3.4), the Neck Extensor Endurance Test (p < 0.001, d = 6.3), in the Scapular Muscle Endurance Test (p = 0.016, d = 0.9)., Conclusions: The assessed exercise therapy program utilizing elastic bands demonstrated favorable outcomes in managing non-specific neck discomfort. This intervention resulted in pain reduction and enhanced endurance of the cervical flexor and extensor muscles, along with improved endurance of the scapular stabilizing muscles.Protocol registration in ClinicalTrials.gov: NCT05433649 (registered prospectively, date of registration: June 27, 2022)., Competing Interests: None., (© 2023 The Authors.)
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- 2023
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31. Static and dynamic postural control assessment in schoolchildren: Reliability and reference values of the Modified Flamingo Test and Bar Test.
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García-Liñeira J, Leirós-Rodríguez R, Romo-Pérez V, and García-Soidán JL
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- Male, Child, Female, Humans, Reference Values, Reproducibility of Results, Cross-Sectional Studies, Postural Balance
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Introduction: Single-leg stance tests have been widely used to evaluate static balance, like the Modified Flamingo Test. The evaluation of dynamic balance on small support surfaces is the objective of some tests like the Bar Test., Research Question: How is the performance of postural control during the performance of these tests in schoolchildren between 6 and 11 years of age in both sexes? What are the reference values of these tests in this population?, Method: A cross-sectional study in which a total of 282 children. The evaluation included both tests., Results: The relative reliability was excellent (Intraclass Correlation Coefficient = 0.84-0.98), and the absolute reliability ranged between 4.5% and 7.1% for coefficient variation and between 0.5 and 1.5 for the standard error of measurement. The average results were 3.8 ± 2.7 floor touches for the Modified Flamingo Test and 5 ± 3.5 m for the Bar Test. The results of both tests improve progressively with the increase of age., Discussion: It can be asserted that children of different ages, as well as boys and girls of the same age, perform differently in these tests. Particularly, according to the analysis based on age subgroups, there were greater improvements in the performance of both tests between 8 and 11 years of age., Conclusions: The girls obtained in both tests better results, although between 6 and 7 years of age the differences between sexes are not significant., Competing Interests: Declaration of competing interest The authors declare no competing interests., (Copyright © 2023 Elsevier Ltd. All rights reserved.)
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- 2023
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32. Efficacy of perineal massage during the second stage of labor for the prevention of perineal injury: A systematic review and meta-analysis.
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Marcos-Rodríguez A, Leirós-Rodríguez R, and Hernandez-Lucas P
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- Humans, Female, Pregnancy, Labor Stage, Second, Delivery, Obstetric adverse effects, Parturition, Obstetric Labor Complications prevention & control, Lacerations prevention & control, Massage, Perineum injuries
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Background: Numerous interventions to reduce perineal trauma during childbirth have been studied in recent years, including perineal massage., Objective: To determine the efficacy of perineal massage during the second stage of labor to prevent perineal damage., Search Strategy: Systematic search in PubMed, Pedro, Scopus, Web of Science, ScienceDirect, BioMed, SpringerLink, EBSCOhost, CINAHL, and MEDLINE with the terms Massage, Second labor stage, Obstetric delivery, and Parturition., Selection Criteria: The articles must have been published in the last 10 years; the perineal massage was administered to the study sample; and the experimental design consisted of randomized controlled trial., Data Collection and Analysis: Tables were used to describe both the studies' characteristics and the extracted data. The PEDro and Jadad scales were used to assess the quality of studies., Main Results: Of the 1172 total results identified, nine were selected. Seven studies were included in the meta-analysis and indicated a statistically significant decreased number of episiotomies in perineal massage., Conclusions: Massage during the second stage of labor appears to be effective in preventing episiotomies and reducing the duration of the second stage of labor. However, it does not appear to be effective in reducing the incidence and severity of perineal tears., (© 2023 International Federation of Gynecology and Obstetrics.)
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- 2023
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33. Effectiveness of physical therapy interventions in women with dyspareunia: a systematic review and meta-analysis.
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Fernández-Pérez P, Leirós-Rodríguez R, Marqués-Sánchez MP, Martínez-Fernández MC, de Carvalho FO, and Maciel LYS
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- Humans, Female, Quality of Life, Physical Therapy Modalities, Pain, Dyspareunia therapy, Transcutaneous Electric Nerve Stimulation
- Abstract
Background: Dyspareunia is defined as the occurrence of pain during or after sexual intercourse, which directly affects physical, sexual, and mental health. This condition can lead to depression, anxiety, and low self-esteem in women who experience it., Objectives: The aim of this research was to evaluate the effectiveness of physical therapy interventions for the treatment of female dyspareunia., Design: A systematic review and meta-analysis was conducted., Method: Search of publications was conducted in Scopus, Medline, Pubmed, Cinahl and Web of Science. Treatment effects were defined as standardized mean difference and their 95% confidence intervals. Statistical heterogeneity was assessed using Crohan's Q test and quantified using the I
2 index., Results: Of the 19 articles selected, six applied multimodal physiotherapy treatments; five, electrotherapy; three, Thiele's massage; two, interdisciplinary interventions or pelvic floor muscle training; and one, extracorporeal shockwave therapy. The meta-analysis showed significant results for the variables pain and quality of life with the interventions based on electrotherapy and electrotherapy combined with pelvic floor muscle training. These interventions did not show significant results for the improvement of sexual function., Conclusions: Physiotherapy techniques are effective and procedures have been identified with reliable results in improving pain and quality of life in patients with dyspareunia. One of the most important aspects is the strengthening of the perineal musculature and the application of Transcutaneous Electrical Nerve Stimulation. Furthermore, manual trigger point release therapy and Thiele massage, optimize and guarantee the reduction of pain intensity., Prospero Registration: CRD42021236155., (© 2023. The Author(s).)- Published
- 2023
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34. Effects of a back school-based intervention on non-specific low back pain in adults: a randomized controlled trial.
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Hernandez-Lucas P, Leirós-Rodríguez R, Mota J, and García-Soidán JL
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- Humans, Adult, Quality of Life, Back Pain, Exercise, Exercise Therapy, Low Back Pain therapy
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Background: Non-specific low back pain is a common condition with significant global prevalence and socio-economic impact. Back School programs, which combine exercise and educational interventions, have been used to address back pain. This study aimed to investigate the effects of a Back School-based intervention on non-specific low back pain in adults. Secondary objectives included evaluating the impact of the program on disability, quality of life, and kinesiophobia., Methods: A randomized controlled trial was conducted involving 40 participants with non-specific low back pain, who were divided into two groups. The experimental group underwent an 8-week Back School-based program. The program comprised 14 practical sessions focusing on strengthening and flexibility exercises, along with two theoretical sessions covering anatomy and concepts related to a healthy lifestyle. The control group maintained their usual lifestyle. Assessment instruments included the Visual Analogue Scale, Roland Morris disability questionnaire, Short-Form Health Survey-36, and Tampa Scale of Kinesiophobia., Results: The experimental group showed significant improvements in the Visual Analogue Scale, Roland Morris disability questionnaire, physical components of the Short-Form Health Survey-36, and Tampa Scale of Kinesiophobia. However, there were no significant improvements in the psychosocial components of the Short-Form Health Survey-36. In contrast, the control group did not show significant results in any of the study variables., Conclusions: The Back School-based program has positive effects on pain, low back disability, physical components of quality of life, and kinesiophobia in adults with non-specific low back pain. However, it does not appear to improve the participants' psychosocial components of quality of life. Healthcare professionals can consider implementing this program to help reduce the significant socio-economic impact of non-specific low back pain worldwide., Trial Registration: NCT05391165 (registered prospectively in ClinicalTrials.gov: 25/05/2022)., (© 2023. The Author(s).)
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- 2023
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35. Accelerometric analysis of trunk acceleration during gait analysis in children between 6 and 11 years old: A cross-sectional study.
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García-Liñeira J, Leirós-Rodríguez R, Romo-Pérez V, and García-Soidán JL
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Background: Gait analysis in children with accelerometers is of special interest in daily clinical practice, as it eliminates possible biases related to the assessor and is not very sensitivity of visual analysis. The sensitivity of data collection by these instruments makes it possible to evaluate the efficiency of body movements during gait and to better understand the degree of motor development in childhood, assessing progress within normal developmental parameters or detecting possible deficits., Research Question: What are the accelerations of the center of mass during normal gait in children aged 6-11 years?, Methods: Descriptive cross-sectional study conducted with a total of 283 school children (girls = 142). The analyzed variables were the mean and maximum values obtained in each of the three body axes and their root mean square during normal gait 10 m out, turn and 10 m back over firm ground in a straight line three times., Results: The accelerometric data obtained showed similar values between sexes in each of the age sub-groups analyzed. Except for the medial-lateral axis in children aged 10-11 years where differences between sexes were detected (being significantly lower in girls). A reduction in medial-lateral axis average values over the years was also identified in both sexes. The regression models generated for the average accelerometric values showed significant values only in the average value of the medial-lateral axis. However, the maximum values were significant in all cases., Significance: The preferred motor strategies of boys and girls during gait include developing mainly control and adjustment movements in the frontal plane (hence the high magnitudes recorded there). Flexion-extension movements are the most reduced over the six years of age analyzed, particularly in girls. Conversely, rotational movements are the most constant in speed in both sexes and all age subgroups., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2023 The Authors.)
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- 2023
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36. Efficacy of percutaneous electrolysis for the treatment of tendinopathies: A systematic review and meta-analysis.
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Asensio-Olea L, Leirós-Rodríguez R, Marqués-Sánchez MP, de Carvalho FO, and Maciel LYS
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- Humans, Treatment Outcome, Pain, Electrolysis methods, Exercise Therapy methods, Tendinopathy therapy
- Abstract
Objective: To evaluate the efficacy of percutaneous electrolysis for the treatment of patients with tendinopathies., Data Sources: A systematic search of publications was conducted in Pubmed, Cinahl, Medline, Scopus and Web of Science., Methods: The Oxford 2011 Levels of Evidence and the Jadad scale were used to assess the quality of studies. The mean and standard deviation were obtained for each study group and used to calculate the effect size. The DerSimonian and Laird method was used to develop a random-effects model., Results: Of the 14 articles, four applied percutaneous electrolysis to the knee, three to the shoulder, three to the elbow, two to the hip and two to the ankle and foot. A meta-analysis on intensity of pain (evaluated with algometer and the Visual Analogue Scale) was performed on studies comparing percutaneous electrolysis with a control group, indicating that the groups treated with percutaneous electrolysis had better results ( p = 0.01). Although percutaneous electrolysis did not overcome the analgesic effect achieved by corticosteroid injections., Conclusions: The percutaneous electrolysis is effective for the treatment of tendinopathies. The combination of this technique with eccentric training has proven to be one of the most effective treatments to date for improving pain. PROSPERO Registration: CRD42021230005.
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- 2023
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37. The influence of the environment on the patient-centered therapeutic relationship in physical therapy: a qualitative study.
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Morera-Balaguer J, Martínez-González MC, Río-Medina S, Zamora-Conesa V, Leal-Clavel M, Botella-Rico JM, Leirós-Rodríguez R, and Rodríguez-Nogueira Ó
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Background: Currently, in the scientific literature there is a great interest on the study of strategies to implement patient-centered care. One of the main tools for this is the therapeutic relationship. Some studies suggest that the perception of the environment in which the treatment takes place can influence the perception of its quality, but this is not explored in physical therapy. For all these reasons, the aim of this study was to understand the influence of the environment in which physical therapy treatment takes place on the patients' perception of the quality of the patient-centered therapeutic relationship in public health centers in Spain., Methods: A qualitative study analysed thematically using a modified grounded theory approach. Data collection used semistructured interviewing during focus groups., Results: We conducted four focus groups. The size of the focus groups ranged from six to nine participants. In total, 31 patients participated in these focus groups. Participants described a series of specific experiences and perceptions relating to the environment, which they felt were influential in the establishment of therapeutic patient-centered relationships, including six physical factors (Architectural barriers, Furniture, Use of the computer, Physical space, Ambiet conditions, and Privacy) and six organizational factors (Patient-physical therapist ratio, Treatment interruptions, Social factors, Continuity with the professional, Lack of professional autonomy, and Coordination or communication among team members)., Conclusion: The results of this study highlight environmental factors that affect the quality of the therapeutic patient-centered relationship in physical therapy from the patient's point of view, and emphasize the need for physical therapists and administrators to underline the need to review these factors and take them into account in their service delivery., (© 2023. The Author(s).)
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- 2023
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38. Leadership and contagion by COVID-19 among residence hall students: A social network analysis approach.
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Marqués-Sánchez P, Martínez-Fernández MC, Leirós-Rodríguez R, Rodríguez-Nogueira Ó, Fernández-Martínez E, and Benítez-Andrades JA
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University students have changed their behaviour due to the COVID-19 pandemic. In this paper, we describe the characteristics of PCR+ and PCR- nodes, analyse the structure, and relate the structure of student leaders to pandemic contagion as determined by PCR+ in 93 residential university students. Leadership comes from the male students of social science degrees who have PCR +, with an eigenvector centrality structure, β-centrality, and who are part of the bow-tie structure. There was a significant difference in β-centrality between leaders and non-leaders and in β-centrality between PCR+ and non-leaders. Leading nodes were part of the bow-tie structure. MR-QAP results show how residence and scientific branch were the most important factors in network formation. Therefore, university leaders should consider influential leaders, as they are vectors for disseminating both positive and negative outcomes., (© 2023 Elsevier B.V. All rights reserved.)
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- 2023
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39. Effects of back school-based intervention on non-specific neck pain in adults: a randomized controlled trial.
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Hernandez-Lucas P, Leirós-Rodríguez R, Lopez-Barreiro J, and García-Soidán JL
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Background: Neck pain has a high prevalence and socioeconomic impact worldwide. The Back School consists of programs that include exercises and educational interventions to treat back pain. Accordingly, the main objective was to evaluate the effects of an intervention based on Back School on non-specific neck pain in an adult population. The secondary objectives were to analyze the effects on disability, quality of life and kinesiophobia., Methods: A randomized controlled trial was conducted with 58 participants with non-specific neck pain divided into two groups. The experimental group (EG) carried out the 8-week programme based on the Back School, (two sessions per week, for a total of 16 sessions, lasting 45 min). Of all the classes, 14 had a practical focus (strengthening and flexibility exercises) and the other two had a theoretical focus (concepts of anatomy and healthy lifestyle). The control group (CG) stated that they did not vary their lifestyle. The assessment instruments were: Visual Analogue Scale, Neck Disability Index, Short-Form Health Survey-36 and Tampa Scale of Kinesiophobia., Results: The EG reduced pain (-40 points, CI95% [-42 to -37], g = -1.03, p < 0.001), EG had less disability (-9.3 points, CI95% [-10.8 to -7.8], g = -1.22, p < 0.001), EG improved the physical dimension of the survey Short-Form Health Survey-36 (4.8 points, CI95% [4.1 to 5.5], g = 0.55, p = 0.01) but had not significant change in psychosocial dimension of the survey Short-Form Health Survey-36 and EG reduced Kinesiophobia (-10.8 points, CI95% [-12.3 to -9.3], g = -1.84, p < 0.001). The CG did not obtain significant results in any variable of the study. Significant differences in change between both groups were found on pain (-11 points, CI95% [5.6 to 16.6], p < 0.001, g = 1.04), disability (-4 points, CI95% [2.5 to 6.2], p < 0.001, g = 1.23), physical dimension of the survey Short-Form Health Survey-36 (3 points, CI95% [-4-4 to -2-5], p = 0.01, g = -1.88), and kinesiophobia ( 7 points, CI95%[-8.3 to -5.4], p < 0.001, g = 2.04), while no significant differences were found on psychosocial dimension of the survey Short-Form Health Survey-36 (-0.02, CI95% [-1.7 to 1.8], g = 0.01, p = 0.98)., Conclusions: The back school-based programme has beneficial effects on pain, neck disability, the physical dimension of quality of life and kinesiophobia in an adult population with non-specific neck pain. However, it did not lead to improvements in the psychosocial dimension of the participants' quality of life. This programme could be applied by health care providers with the aim of reducing the severe socio-economic impact of non-specific neck pain worldwide. TRIAL REGISTRATION IN CLINICALTRIALS.GOV: NCT05244876 (registered prospectively, date of registration: 17/02/2022)., (© 2023. The Author(s).)
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- 2023
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40. Immediate Effects of Whole-Body versus Local Dynamic Electrostimulation of the Abdominal Muscles in Healthy People Assessed by Ultrasound: A Randomized Controlled Trial.
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Álvarez-Barrio L, Rodríguez-Pérez V, Calvo-Lobo C, Leirós-Rodríguez R, Alba-Pérez E, and López-Rodríguez AF
- Abstract
Dynamic electrostimulation consists of the application of local or global electrostimulation together with physical exercise. This study aimed to investigate the immediate effects of a dynamic electrostimulation session on the thickness of the abdominal musculature, inter-rectus distance, heart rate, blood pressure, and body temperature, and to identify possible differences in its form of application. A total of 120 healthy participants were divided into three groups: the whole-body electrostimulation group, the local electrostimulation group, and the control group without electrical stimulation. All groups performed a single session with the same dynamic exercise protocol. Muscle thickness and inter-rectus distance were evaluated ultrasonographically using the Rehabilitative Ultrasound Imaging technique both at rest and in muscle contraction (the active straight leg raise test) to find the post-intervention differences. The results showed significant differences in immediate post-intervention heart rate, with a smaller increase in the local electrostimulation group compared to the control and whole-body electrostimulation groups. No significant differences were identified between the groups after the interventions in the rest of the variables analyzed. Therefore, a local application, with the same effects as a global application on the abdominal musculature, has fewer contraindications, which makes its use more advisable, especially in populations with cardiorespiratory disorders, for which more research is needed.
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- 2023
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41. Comparison of the Portuguese Version of the Pregnancy Physical Activity Questionnaire (PPAQ) with Accelerometry for Classifying Physical Activity among Pregnant Women with Obesity.
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Bernardo D, Carvalho C, Leirós-Rodríguez R, Mota J, and Santos PC
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- Female, Pregnancy, Humans, Reproducibility of Results, Portugal, Surveys and Questionnaires, Accelerometry, Obesity, Pregnant Women, Exercise
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In recent years, the number of pregnant women with obesity has increased exponentially; thus, it is important to evaluate and characterize the physical activity levels of this specific group. The aim of this study is to evaluate the reliability and validity of the Portuguese version of the Physical Activity and Pregnancy Questionnaire and Pregnancy Questionnaire in pregnant women with obesity and to classify physical activity using the Physical Activity and Pregnancy Questionnaire and accelerometry. An analytical observational study was carried out between May and August of 2019 at the University Hospital Center of São João, with a sample of 31 pregnant women with obesity (30.9 ± 4.6 years 36.5 ± 4.6 kg/m
2 of BMI and 21.5 ± 9 gestational weeks). The physical activity of participants was evaluated using an accelerometer and Physical Activity and Pregnancy Questionnaire at two time points (the first visit at the moment of consultation and the second seven days after, with accelerometer retest), the interclass correlation coefficient was used to test reliability between the Physical Activity and Pregnancy Questionnaire filled out at visit1 and the Physical Activity and Pregnancy Questionnaire filled out at visit2, and Pearson's correlation was used to determine validity between the Physical Activity and Pregnancy Questionnaire and accelerometry. The interclass correlation coefficient values for total activity were 0.95, 0.97 for moderate and 0.58 for vigorous intensities. It ranged from 0.74 for sports/exercise to 0.96 for domestic activities. The Pearson's correlations showed that the Physical Activity and Pregnancy Questionnaire is moderately valid for moderate intensity (r = 0.435). A total of 67.7% of the pregnant women complied with international physical activity recommendations.- Published
- 2023
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42. Is the combination of exercise therapy and health education more effective than usual medical care in the prevention of non-specific back pain? A systematic review with meta-analysis.
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Hernandez-Lucas P, Leirós-Rodríguez R, Lopez-Barreiro J, and García-Soidán JL
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- Humans, Exercise Therapy, Back Pain prevention & control, Pain Measurement, Health Education, Low Back Pain prevention & control, Low Back Pain psychology
- Abstract
Background: Clinical practice guidelines emphasize the importance of the prevention and treatment of non-specific back pain through exercise therapy and health education. However, it has not yet been confirmed that the combination of exercise plus education is more effective than usual medical care., Objective: The aim of this study was to determine if the combination of exercise plus education is more effective for the prevention of non-specific back pain than usual medical care., Materials and Methods: A systematic search in PubMed, Scopus, Web of Science and Medline was conducted with the terms Back Pain, Neck Pain, Musculoskeletal Pain, Exercise, Exercise Therapy, Health Education, Cognitive Behavioral Therapy, Primary Prevention, Secondary Prevention and Clinical Trial. The inclusion criteria were: articles published from 2016 to 2021, the intervention included exercise and education, and the sample consisted of non-specific back pain patients., Results: A total of 4 randomized controlled trials were selected (average PEDro score 6.5 points). The meta-analysis showed statistically significant differences in the pain intensity, standardized mean differences was found to be -0.75 (95% CI = -1.41 to -0.08; p = 0.03); and in disability, standardized mean differences was found to be -0.24 (95% CI = -0.38 to -0.1; p = 0.001)., Conclusions: Interventions combining exercise and education seem to have a greater preventive effect on non-specific back pain than usual medical care.Key messagesExercise therapy and health education combination prevent better non-specific back pain than usual care.Combining exercise with educational interventions has a higher improvement on disability and kinesophobia than usual care.
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- 2022
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43. Effects of a Cognitive-Behavioral Therapy Intervention on the Rowers of the Junior Spain National Team.
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Isorna-Folgar M, Leirós-Rodríguez R, López-Roel S, and García-Soidán JL
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Cognitive-behavioral therapy has been implemented in the training plans of many athletes and sports teams, obtaining very good results for the improvement of mental skills. These effects are achieved through improvements in cognitive skills such as motivation, mental concentration, and self-confidence, all within an appropriate context of specific physical, technical, and tactical training. However, there are few studies that consider the analysis of performance from a psychological point of view from a gender perspective. The objective of this study was to evaluate a mental training intervention (cognitive-behavioral therapy) in youth rowers in preparation for their participation in the Junior European Championship. A quasi-experimental study was carried out with the complete team of the Spanish youth rowing team ( n = 16). The setting where the intervention took place was during the team's stay prior to the European Rowing Junior Championships. Psychological variables were assessed using the Psychological Characteristics Related to Sport Performance Questionnaire. The final assessment was carried out the week before the championship (after finishing the 10th week of intervention). After the intervention, improvements were identified in the Stress Control and Influence of Performance Evaluation subscales in the total sample. However, in the analysis separated by sex, only women improved on the Influence of Performance Evaluation subscale. Lastly, the linear regression analysis adjusted for the sex variable was only significant with the age variable (with a negative effect). This intervention was found to be effective in improving only some of the psychological components related to athletic performance (Stress Control and Influence of Performance Evaluation). These improvements were not related to better results in the European Rowing Junior Championship. These results should be taken into account because they provide evidence for the efficacy of psychological interventions in the field of grassroots sport.
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- 2022
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44. Perineal Massage during Pregnancy for the Prevention of Postpartum Urinary Incontinence: Controlled Clinical Trial.
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Álvarez-González M, Leirós-Rodríguez R, Álvarez-Barrio L, and López-Rodríguez AF
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- Female, Humans, Pregnancy, Massage methods, Postpartum Period, Labor, Obstetric, Obstetric Labor Complications prevention & control, Urinary Incontinence prevention & control
- Abstract
Background and objectives : Urinary incontinence is any involuntary loss of urine. It may result in anxiety, depression, low self-esteem and social isolation. Perineal massage has spread as a prophylactic technique for treating complications during labor. Acknowledged effects of perineal massage are reduction of incidence and severity of perineal tear and use of equipment directly related to the intrapartum perineal trauma. The aim of this study was to determine the effectiveness of massage in urinary incontinence prevention and identification of possible differences in its form of application (self-massage or by a physiotherapist), with the previous assumption that it is effective and that there are differences between the different forms of application. Materials and Methods : A controlled clinical trial with a sample of 81 pregnant women was conducted. The participants were divided into three groups: a group that received the massage applied by a specialized physiotherapist, another group that applied the massage to themselves, and a control group that only received ordinary obstetric care. Results : No differences were identified in the incidence or severity of urinary incontinence among the three groups. The severity of the incontinence was only affected by the body mass index and the weight of the baby at the time of delivery. Conclusions : A relationship between perineal massage interventions and development of urinary incontinence has not been observed.
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- 2022
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45. Physical activity during pregnancy and its effects on neonatal outcomes.
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Santos PC, Leirós-Rodríguez R, Abreu S, Ferreira M, Alves O, and Mota J
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- Birth Weight, Exercise, Female, Humans, Infant, Infant, Newborn, Male, Pregnancy, Prospective Studies, Pregnancy Complications etiology, Pregnancy Outcome epidemiology
- Abstract
Introduction: Despite the acknowledgement that physical activity is beneficial during pregnancy and may result in positive health outcomes for the newborn child few studies have examined this issue. This research was deemed necessary with the primary objective of identifying possible associations between adherence to American College of Sports Medicine recommendations on neonatal outcome variables at birth., Methods: An observational, longitudinal and prospective study focused on a sample of 70 pregnant women (the power score achieved was estimated to be 0.3). Data was collected in three stages (1st and 2nd trimester of pregnancy and 48 h after delivery). The variables analyzed included the physical activity measurement (with accelerometry), neonatal outcomes at birth and the mother's anxiety, dietary intake, anthropometric measures and socio-demographic and lifestyle., Results: 21.4% women were active according to physical activity recommendations. There were no significant differences in neonatal outcomes at birth when comparing adherence to physical activity recommendations and the overall activity levels of the mothers. There were also no statistically significant differences in the birth weights of babies born to active and inactive mothers. Mother's anxiety level, weight gained and dietary intake were not statistically different according to compliance with physical activity behaviour or recommendations., Discussion: There is no relationship between adherence to physical activity recommendations on neonatal outcome variables at birth. There were also no significant associations with sociodemographic and lifestyle variables. There is a need to identify attitudes associated with negative physical activity behavior to reduce the incidence of comorbidities associated with sedentary lifestyles during pregnancy., Competing Interests: Declaration of competing interest The authors declare no conflict of interest., (Copyright © 2022 Elsevier Ltd. All rights reserved.)
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- 2022
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46. Detection of the most influential variables for preventing postpartum urinary incontinence using machine learning techniques.
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Benítez-Andrades JA, García-Ordás MT, Álvarez-González M, Leirós-Rodríguez R, and López Rodríguez AF
- Abstract
Background: Postpartum urinary incontinence is a fairly widespread health problem in today's society among women who have given birth. Recent studies analysing the different variables that may be related to Postpartum urinary incontinence have brought to light some variables that may be related to Postpartum urinary incontinence in order to try to prevent it. However, no studies have been found that analyse some of the intrinsic and extrinsic variables of patients during pregnancy that could give rise to this pathology., Objective: The objective of this study is to assess the most influential variables in Postpartum urinary incontinence by means of machine learning techniques, starting from a group of intrinsic variables, another group of extrinsic variables and a mixed group that combines both types., Methods: Information was collected on 93 patients, pregnant women who gave birth. Experiments were conducted using different machine learning classification techniques combined with oversampling techniques to predict four variables: urinary incontinence, urinary incontinence frequency, urinary incontinence intensity and stress urinary incontinence., Results: The results showed that the most accurate predictive models were those trained with extrinsic variables, obtaining accuracy values of 70% for urinary incontinence, 77% for urinary incontinence frequency, 71% for urinary incontinence intensity and 93% for stress urinary incontinence., Conclusions: This research has shown that extrinsic variables are more important than intrinsic variables in predicting problems related to postpartum urinary incontinence. Therefore, although not conclusive, it opens a line of research that could confirm that the prevention of Postpartum urinary incontinence could be achieved by following healthy habits in pregnant women., Competing Interests: Declaration of Conflicting Interests: The authors declare(s) that there is no conflict of interest., (© The Author(s) 2022.)
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- 2022
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47. The association between empathy and the physiotherapy-patient therapeutic alliance: A cross-sectional study.
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Rodríguez-Nogueira Ó, Leirós-Rodríguez R, Pinto-Carral A, Álvarez-Álvarez MJ, Morera-Balaguer J, and Moreno-Poyato AR
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- Cross-Sectional Studies, Humans, Physical Therapy Modalities, Surveys and Questionnaires, Empathy, Therapeutic Alliance
- Abstract
Background: The central component of person-centred care is in having a therapeutic realtionship. Furthermore, the empathy of the physiotherapist is one of the most important attributes in achieving a successful therapeutic alliance., Objective: The aim of the research was to determine the association between the constructs of empathy and therapeutic alliance in Spanish physical therapists and the possible influence of socio-professional variables on them., Design: Cross-sectional research., Methods: An electronic survey including the Working Alliance Inventory-Short Form, the Interpersonal Reactivity Index and sociodemographic data with 473 Spanish physiotherapists. A descriptive, bivariate and simple lineal regression analysis was carried out., Results: Work experience has a positive influence on bonding and the agreement on objectives and tasks (0.04 < B > 0.06; p < 0.01). The perspective taking dimensions and empathic concern positively influence the agreement on achievement (0.14 < B > 0.19; p < 0.001). Personal distress inversely influences bonding and the agreement on achievements and tasks (-0.13 < B > -0.09; p < 0.01)., Conclusions: The dimensions of perspective taking and empathic concern seem to facilitate successful shared decision making in terms of treating objectives. Furthermore, the physiotherapist's personal distress acts as an obstacle to the development of the three subcomponents of the therapeutic alliance analysed., (Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.)
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- 2022
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48. Effects of physiotherapy treatment in patients with bronchial asthma: A systematic review.
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Garagorri-Gutiérrez D and Leirós-Rodríguez R
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- Exercise Therapy methods, Humans, Lung, Physical Therapy Modalities, Respiratory Therapy, Asthma therapy
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Background : Bronchial asthma is a chronic inflammatory disease of the respiratory tract. Its physiotherapy treatment aims to reduce the frequency of asthmatic spells and the intensity of symptoms. The methods employed act mainly through the education of the patient in the correct handling of the asthma attacks and the improvement of the pulmonary elasticity. Objective : The objective of this review was to critically evaluate the available evidence on the effectiveness of different physiotherapy interventions in asthmatic patients. Methods : To achieve this, the search was focused on scientific databases with the key words Physiotherapy and Asthma. The search was limited to studies that evaluated the effects of a physiotherapy intervention in patients diagnosed with bronchial asthma. Results : 1794 articles were located and after the inclusion and exclusion criteria were applied, 12 studies were analyzed. Of these, 5 evaluated a respiratory reeducation intervention, 4 manual therapy techniques, 2 interventions based on therapeutic exercise and 1 relaxation techniques. Conclusions : The results obtained revealed that physiotherapy provides a wide range of treatment options for bronchial asthma and all of them provide positive results against the exclusive application of pharmacological treatment.
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- 2022
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49. Effectiveness of manual therapy in the treatment of cervicogenic headache: A systematic review.
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Núñez-Cabaleiro P and Leirós-Rodríguez R
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- Humans, Neck Muscles, Research Design, Manipulation, Spinal, Post-Traumatic Headache therapy, Tension-Type Headache therapy
- Abstract
Objective: The aim of this study was to identify the manual therapy (MT) methods and techniques that have been evaluated for the treatment of cervicogenic headache (CH) and their effectiveness., Background: MT seems to be one of the options with the greatest potential for the treatment of CH, but the techniques to be applied are varied and there is no consensus on which are the most indicated., Methods: A systematic search in Scopus, Medline, PubMed, Cinahl, PEDro, and Web of Science with the terms: secondary headache disorders, physical therapy modalities, musculoskeletal manipulations, cervicogenic headache, manual therapy, and physical therapy. We included articles published from 2015 to the present that studied interventions with MT techniques in patients with CH. Two reviewers independently screened 365 articles for demographic information, characteristics of study design, study-specific intervention, and results. The Oxford 2011 Levels of Evidence and the Jadad scale were used., Results: Of a total of 14 articles selected, 11 were randomized control trials and three were quasi-experimental studies. The techniques studied were: spinal manipulative therapy, Mulligan's Sustained Natural Apophyseal Glides, muscle techniques, and translatory vertebral mobilization. In the short-term, the Jones technique on the trapezius and ischemic compression on the sternocleidomastoid achieved immediate improvements, whereas adding spinal manipulative therapy to the treatment can maintain long-term results., Conclusions: The manual therapy techniques could be effective in the treatment of patients with CH. The combined use of MT techniques improved the results compared with using them separately. This review has methodological limitations, such as the inclusion of quasi-experimental studies and studies with small sample sizes that reduced the generalizability of the results obtained., (© 2022 The Authors. Headache: The Journal of Head and Face Pain published by Wiley Periodicals LLC on behalf of American Headache Society.)
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- 2022
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50. The Influence of the Locus of Control Construct on the Efficacy of Physiotherapy Treatments in Patients with Chronic Pain: A Systematic Review.
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Álvarez-Rodríguez J, Leirós-Rodríguez R, Morera-Balaguer J, Marqués-Sánchez P, and Rodríguez-Nogueira Ó
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The biopsychosocial paradigm contemplates the patient's personality traits in physiotherapy treatments for chronic pain. Among these traits, the locus of control has a direct relationship with the person's coping strategies in the face of their health problems. The objective of this systematic review was to assess the influence of locus of control on the efficacy of physiotherapy treatments in patients with chronic pain. A systematic review of the publications of the last ten years in Pubmed, Scopus, Science Direct and Web of Science databases was conducting with the terms physical therapy modalities, chronic pain, internal-external control, self-management, physical therapy and physiotherapy. The inclusion criteria were participants with chronic pain lasting at least three months who have received at least one session of physical therapy; the studies should have collected the patient's locus of control as a prognostic factor at the beginning of physiotherapy treatment; the variables studied should include the pain intensity or clinical variables related to pain. A total of 13 articles were found, of which three were experimental studies and ten were observational studies. The included samples had chronic knee pain, nonspecific back pain, low back pain or neck pain; were people over 65 years of age or patients who had undergone hand surgery. In patients with chronic pain for more than three months, the locus of control construct participates as a predictor of the results of physiotherapy treatment. The presence of an internal locus of control favors better results. The personality traits of the subjects represent an important factor to take into account when planning physiotherapy treatments.
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- 2022
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