In-home versus hospital preoperative balance and proprioceptive training in patients undergoing TKR; rationale, design, and method of a randomized controlled trial.
Abstract Background Severe knee osteoarthritis, as well as the surgical procedure of total knee replacement that aims to reduce its symptoms, cause great deterioration on the proprioceptive system. Taking this fact into account, and considering that balance abilities positively influence the capacity to perform basic functional tasks, this trial aims to find the short and mid-term effects of a preoperative balance and proprioceptive training when conducted by patients undergoing total knee replacement. Along with the effects, it is intended to determine whether in-home based training can be as effective as hospital training. The results will help to conclude whether the possible benefits ma…
A new methodology based on functional principal component analysis tostudy postural stability post-stroke
[EN] Background. A major goal in stroke rehabilitation is the establishment of more effective physical therapy techniques to recover postural stability. Functional Principal Component Analysis provides greater insight into recovery trends. However, when missing values exist, obtaining functional data presents some difficulties. The purpose of this study was to reveal an alternative technique for obtaining the Functional Principal Components without requiring the conversion to functional data beforehand and to investigate this methodology to determine the effect of specific physical therapy techniques in balance recovery trends in elderly subjects with hemiplegia post-stroke. Methods: A rand…
Efectos de un programa de ejercicio combinado de impacto, fuerza y resistencia en la prevención de osteoporosis de mujeres posmenopáusicas
Resumen Antecedentes y objetivo Las mujeres posmenopausicas son una poblacion susceptible de desarrollar osteoporosis. El objetivo del presente estudio fue determinar los efectos de un programa de ejercicio fisico combinado de impacto, fuerza y resistencia en mujeres posmenopausicas. Materiales y metodos Estudio de intervencion prospectivo, con un grupo que incluyo a mujeres posmenopausicas que no tenian pautado tratamiento farmacologico para la prevencion de osteoporosis. Se realizo una intervencion de 2 anos de duracion, con 2 sesiones de entrenamiento por semana, basada en ejercicios de impacto, fuerza y resistencia progresiva. Se estimo el indice T score en femur y columna para determin…
Effects of Three Interventions Combining Impact or Walking at Intense Pace Training, with or without Calcium and Vitamin Supplements, to Manage Postmenopausal Women with Osteopenia and Osteoporosis.
The purpose was to assess the effects of three interventions on bone mineral density (BMD) to prevent the onset or progression of osteoporosis in postmenopausal women. Specifically, thirty-nine postmenopausal women, diagnosed with osteopenia or osteoporosis, implemented either high-impact training (G1), the same training + calcium and vitamin D intake (G2), or walked at an intense pace + calcium and vitamin D (G3). Baseline change (BC) in BMD was estimated using the femoral neck and lumbar spine T-scores. Participants were classified as having suffered fractures and/or falls before (24-month) and during the 2-year intervention. The participants—aged 61.8 years—were allocated int…
Effect of 2 years of endurance and high-impact training on preventing osteoporosis in postmenopausal women: randomized clinical trial.
The aim of the study was to analyze the effects of endurance and high-impact training oriented toward preventing osteoporosis in postmenopausal women with calcium and vitamin D supplementation.This study was a randomized clinical trial. Thirty-six postmenopausal women were randomized to the control and experimental groups. Thirty-four women completed the 2-year interventions. The control group training involved walking at an intense pace. The experimental group conducted high-impact training specifically oriented to prevent osteoporosis. Dual-energy x-ray absorptiometry was used to estimate the T-scores of the lumbar spine and femoral neck.The fast-walking group showed constant T-scores in …
Use of physical restraint in nursing homes in Spain and relation with resident characteristics: a retrospective multi-centre cohort study with a self-organised maps approach
AbstractThis is a retrospective cohort study based on data from five nursing homes which aims to appraise how physical and cognitive characteristics of nursing home residents were associated with the use of restraints, and to provide information on their prevalence in Spain. The goal was to assess, in a visual way, the possible interactions between the nursing homes residents’ characteristics and their association with the use of restraints. Motivation, risk factors, characteristics of the residents analysed by validated rating systems that assess mobility, level of dependence, cognitive condition and nutritional status, and their association with the use of restraints, were described by me…
Efectos del método Pilates en la reducción de caídas, el riesgo y miedo a caer en el adulto mayor: una revisión sistemática
Resumen Antecedentes Las caidas son la segunda causa mundial de muerte por lesiones accidentales. La mayor tasa de mortalidad se produce en los adultos mayores. Objetivo Evaluar si la practica del metodo Pilates es efectiva para reducir las caidas y el riesgo de caida en el adulto mayor. Metodos Revision sistematica de articulos originales publicados desde el inicio hasta octubre de 2018. Bases de datos consultadas Medline, PubMed, Google Scholar, Web of Knowledge, OVID y ScienceDirect. Se incluyeron estudios experimentales y cuasi-experimentales en los que los participantes fueron adultos mayores y recibieron una intervencion basada en el metodo Pilates, y en los que se evaluaron los efect…
Balance training versus balance training and foot and ankle mobilization: a pilot randomized trial in community-dwelling older adults
Background: Balance limitations and foot and ankle problems are common in older adults. Objective: To determine the impact of augmented balance training with foot and ankle mobilizations (FAMs) on ...
Functional principal component analysis as a new methodology for the analysis of the impact of two rehabilitation protocols in functional recovery after stroke
[EN] Background: This study addressed the problem of evaluating the effectiveness of two protocols of physiotherapy for functional recovery after stroke. In particular, the study explored the use of Functional Principal Component Analysis (FPCA), a multivariate data analysis in order to assess and clarify the process of regaining independence after stroke. Methods: A randomized double-blind controlled trial was performed. Thirteen subjects with residual hemiparesis after a single stroke episode were measured in both in- and outpatient settings at a district hospital. All subjects were able to walk before suffering the stroke and were hemodynamically stable within the first week after stroke…
Utilización de las TIC en el aprendizaje autónomo del estudiante: aplicación en la asignatura Fisioterapia Cardiocirculatoria
El Espacio Europeo de Educación Superior (EEES) promueve un cambio metodológico en los estudios universitarios, al que sin duda contribuye el uso de las tecnologías de la información y la comunicación (TIC). En este artículo presentamos un material multimedia desarrollado en el contexto de la titulación de Fisioterapia, cuya finalidad es guiar y reforzar el aprendizaje del estudiante, tanto dentro como fuera del aula. La valoración del material por parte de los estudiantes en el aula mediante un estudio piloto puso de manifiesto tanto ventajas como inconvenientes en relación a las metodologías planteadas y el formato utilizado.
The effects of preoperative balance training on balance and functional outcome after total knee replacement: a randomized controlled trial.
Objective: To assess the effects of preoperative balance training on the early postoperative balance and functional outcomes after total knee replacement surgery and to test whether an outpatient intervention may be as effective as a domiciliary intervention. Design: This is a three-arm randomized controlled trial. Setting: University hospital. Subjects: Eighty-six individuals were recruited. Seventy-seven were analysed, aged 72.1 (SD 7.6) years, of which 68% were women. Outcome measures: Overall state of balance, as measured with the Berg Balance Scale, and patient-perceived functionality, as measured with the Knee Injury and Osteoarthritis Outcome Score Function in Activities in Daily Liv…
Intervención fisioterápica preventiva del deterioro de la musculatura respiratoria en ancianas institucionalizadas con limitación funcional
Introduccion En el anciano de edad avanzada (> 80 anos) la funcion respiratoria puede verse afectada cuando a la presencia de comorbilidad y la perdida de movilidad se suma el descenso de la fuerza de la musculatura respiratoria (MR). La literatura medica ha mostrado que el entrenamiento de la MR puede ser una intervencion efectiva para mejorar la funcionalidad y prevenir el deterioro clinico, especialmente en la poblacion con debilidad de la MR. El objetivo del estudio fue evaluar la efectividad del entrenamiento de la MR en la fuerza y resistencia de esta musculatura, en ancianas institucionalizadas con limitacion funcional. Metodo Se asignaron aleatoriamente 54 residentes con limitacion …
Physiotherapy Intervention for Preventing the Respiratory Muscle Deterioration in Institutionalized Older Women With Functional Impairment
Abstract Introduction In elderly seniors (>80 years), respiratory function may be compromised when, in addition to the presence of comorbidity and loss of mobility, there is also reduced respiratory muscle (RM) strength. The literature has shown that RM training could be an effective method to improve RM function and prevent clinical deterioration, particularly in population with RM weakness. The main purpose of this paper was to assess the effectiveness of RM training on the respiratory muscle strength and endurance of institutionalized elderly women with functional impairment. Method Fifty-four residents (mean=85 years, SD=6.7) were randomly assigned to either a control (n=27) or training…
Effects of balance and proprioceptive training on total hip and knee replacement rehabilitation: A systematic review and meta-analysis.
Abstract Backgound Balance and proprioceptive deficits are frequently persistent after total joint replacement, limiting functionality and involving altered movement patterns and difficulties in walking and maintaining postural control among patients. Research question The goal of this systematic review was to evaluate the short- and mid-term effects of proprioceptive and balance training for patients undergoing total knee and hip replacement. Methods This is a systematic review of literature. MEDLINE, Embase, Cochrane Library, PEDro, and Scopus were the databases searched. The review included randomized clinical trials in which the experimental groups underwent a training aimed at improvin…
La Diplomatura de Fisioterapia en el nuevo Espacio Europeo de Educación Superior: la visión del docente
Resumen La adaptacion al Espacio Europeo de Educacion Superior (EEES) promueve un nuevo paradigma del proceso de ensenanza y aprendizaje. En este, el docente proporciona al discente un enfoque mas autonomo de las estrategias de aprendizaje, lo que supone prestar una atencion especial al principal protagonista de este proceso: el estudiante. El principal objetivo de este estudio es investigar y evaluar, por un lado, el nivel de conocimiento y, por otro, que piensa y que espera (o que motivacion da al estudiante este nuevo paradigma metodologico) el estudiante de la adaptacion de la titulacion de fisioterapia al EEES. Para acometer este objetivo, nuestro enfoque metodologico se ha basado en u…
The efficacy of virtual reality tools for total knee replacement rehabilitation: A systematic review.
ABSTRACTPurpose. To assess the effects of training with virtual reality tools (VRT) during rehabilitation of patients after total knee replacement (TKR). Methods. Systematic review. Six databases w...
Effects of a vestibular physiotherapy protocol on adults with intellectual disability in the prevention of falls: A multi-centre clinical trial
Background Balance alterations are one of the main problems in people with intellectual disabilities (ID), increasing their risk of falls and impacting their life. Aims To describe a vestibular rehabilitation programme (VRP) and evaluate its effects on the ability to maintain balance and risk of suffering a fall. Methods Forty-seven adults with mild to moderate ID were randomly assigned to two groups: a control group (CG, N = 24), which performed a general physical exercise only, and an experimental group (EG, N = 23) which also completed a VRP. The variables, used pre- and post-training and 1 month after the intervention, were as follows: Center of Pressure Displacement, Berg Scale, Timed …
Descripción de los resultados y costes de una intervención preventiva a nivel respiratorio en el anciano institucionalizado: estudio controlado aleatorizado
Resumen Introduccion En el anciano institucionalizado con limitacion funcional se evidencia una mayor reduccion de la funcionalidad de la musculatura respiratoria (MR). Los objetivos de este estudio son evaluar los resultados y costes de una intervencion de entrenamiento de la MR mediante Pranayama en poblacion anciana institucionalizada con limitacion funcional. Material y metodos Estudio controlado aleatorizado desarrollado en ancianos institucionalizados con limitacion para la deambulacion (n = 54). La intervencion consistio en el entrenamiento de la MR mediante Pranayama, durante 6 semanas (5 sesiones/semana). Los resultados se midieron en relacion con la funcion de la MR mediante las p…
Preferred Outcome Measures Used in Randomized Clinical Trials of Total Knee Replacement Rehabilitation: A Systematic Review.
Objective To determine the most frequently used outcome measures in total knee replacement rehabilitation trials. Literature survey Systematic review of randomized trials searched in five databases: Web of Science, MEDical Literature Analysis and Retrieval System, Physiotherapy Evidence Database, Scopus, and Cochrane Library. Methodology Trials were included if participants underwent total knee replacement rehabilitation and outcome measures were used to assess rehabilitation outcomes. A descriptive synthesis determined the frequency of using outcome measures and preferred assessment time points. Outcomes were classified into eight categories: patient- and clinician-reported function, perfo…