Cost analysis of telerehabilitation after arthroscopic subacromial decompression.

Results The estimated total cost analysis shows a preliminary cost differential in favour of the telerehabilitation group, meaning that for each participant's total intervention, telerehabilitation saves 29.8% of the costs. Real cost analysis, only for received treatments, shows a cost differential in favour of telerehabilitation, meaning that for each participant's total intervention, telerehabilitation saves 22.15% of the costs incurred for conventional rehabilitation. Conclusions Our study provides direct and meaningful information about telerehabilitation opportunities and can be an essential component in further cost evaluations for different strategies after surgical procedures. This study demonstrates that there was a trend towards lower healthcare costs after ASD. Managers now have the responsibility to decide whether to implement telerehabilitation based on clinical and economic data

Orchis cazorlensis Lacaita en el Parque Natural de la Sierra de las Nieves (Málaga)

Orchis cazorlensis Lacaita in the Natural Park Sierra de las Nieves (Málaga) Palabras clave. Orchidaceae, Orchis cazorlensis, Serranía de Ronda, Sierra de las Nieves, Málaga.Key words. Orchidaceae, Orchis cazorlensis, Serranía de Ronda, Sierra de las Nieves, Málaga

Effectiveness of telerehabilitation programme following surgery in shoulder impingement syndrome (SIS): study protocol for a randomized controlled non-inferiority trial.

Shoulder pain is common in society, with high prevalence in the general population. Shoulder impingement syndrome (SIS) is the most frequent cause. Patients suffer pain, muscle weakness and loss of movement in the affected joint. Initial treatment is predominantly conservative. The surgical option has high success rates and is often used when conservative strategy fails. Traditional physiotherapy and post-operative exercises are needed for the recovery of joint range, muscle strength, stability and functionality. Telerehabilitation programmes have shown positive results in some orthopaedic conditions after surgery. Customized telerehabilitation intervention programmes should be developed to recover shoulder function after SIS surgery. The objective of this study is to evaluate the feasibility and effectiveness of a telerehabilitation intervention compared with usual care in patients after subacromial decompression surgery

¿Cómo y con quien nos comunicamos por medio de las TIC? Uso de internet en estudiantes y docentes universitarios del área de humanidades

 En esta investigación se analiza el uso de las Tecnologías de Información y Comunicación (TIC), en los docentes y estudiantes de seis carreras del área de humanidades en la Universidad Autónoma de Chihuahua. El objetivo principal fue establecer un perfil de los usuarios tomando en cuenta el tiempo que pasan conectados al internet, la temática abordada durante estas sesiones, los navegadores, buscadores y bases de datos utilizados y por último la forma y el tipo de personas con quien el usuario se comunica.  La muestra analizada constituye un nicho en el cual todos los encuestados tienen contacto constante con las TIC y aun cuando existe una brecha importante en las variables sociodemográficas de estudiantes y docentes, se detectó que estas diferencias digitales entre ambos grupos son muy pequeñas.Con la información recabada se podrá reflexionar sobre cuáles son los retos para dar a las TIC un uso que permita sacar su máximo provecho en aras de incrementar la productividad de estudiantes y maestros.   Fidel González-QuiñonesORCID: 0002-8404-0098Universidad Autónoma de Chihuahua Pastora Moreno EspinosaORCID: 0001-6494-130XUniversidad de Sevilla   

Evidence of Benefit of Telerehabitation After Orthopedic Surgery: A Systematic Review

Results: We found 3 studies with PEDro scores between 6 and 8, which is considered as level 1 evidence (good; 20% [3/15]), 4 studies with a score of 5, which is considered as level 2 evidence (acceptable; 27% [4/15]), and the remaining 8 studies had scores of 4 or less, which is considered (poor; 53% [8/15]). A total of 1316 participants received telerehabilitation intervention in the selected studies, where knee and hip replacement were 75% of all the studies. Strong and moderate grades of evidence (grade of recommendation A-B) were found in knee and hip replacement interventions. Studies on the upper limb were 25% of the studies, but only 1 study presented a moderate grade of evidence (grade of recommendation B) and the rest were of poor methodological quality with weak evidence (grade of recommendation C). Conclusions: Conclusive evidence on the efficacy of telerehabilitation for treatment after an orthopedic surgery, regardless of pathology, was not obtained. We found strong evidence in favor of telerehabilitation in patients following total knee and hip arthroplasty and limited evidence in the upper limb interventions (moderate and weak evidence). Future research needs to be more extensive and conclusive. To the best of the authors' knowledge, this is the first attempt at evaluating the quality of telerehabilitation intervention research after surgical procedures on orthopedic conditions in a systematic review. Clinical messages and future research recommendations are included in the review

Telerehabilitation after arthroscopic subacromial decompression is effective and not inferior to standard practice: Preliminary results

Results The preliminary efficacy of this telerehabilitation programme in terms of both physical and functional objective outcome measures was assessed on eight patients. Using the Constant-Murley score to evaluate functional outcome, patients in the telerehabilitation group were shown to have improved from a mean 43.50 ± 3.21 points to a mean 68.50 ± 0.86 points after 12 weeks. The physical and functional improvements in the telerehabilitation group were similar to those in the control group ( p = 0.213). There was a non-significant trend for greater improvements in the telerehabilitation group for most outcome measurements. Conclusion The results of this study provide evidence for the efficacy of telerehabilitation after shoulder arthroscopy in shoulder impingement syndrome. A telerehabilitation programme with range of motion, strengthening of the rotator cuff and scapula stabilizers exercises seems to be similar and not inferior to traditional face-to-face physiotherapy after subacromial arthroscopic decompression. Through this study, we are developing our preliminary dataset to evaluate the efficacy of telerehabilitation programmes following surgical procedures in musculoskeletal injuries and for comparison with more traditional interventions

Blood Flow Restriction in Oncological Patients: Advantages and Safety Considerations.

Background: Cancer, being a highly widespread disease on a global scale, has prompted researchers to explore innovative treatment approaches. In this regard, blood flow restriction has emerged as a promising procedure utilized in diverse clinical populations with favorable results including improvements in muscle strength, cardiovascular function, and postoperative recovery. The aim of this systematic review was to assess the efficacy of blood flow restriction in cancer survivors. Methods: An investigation was carried out using various databases until February 2023: PubMed, Scientific Electronic Library Online, Physiotherapy Evidence Database, Scopus, Web of Science, Cochrane Plus, SPORTDiscus, Physiotherapy and Podiatry of the Complutense University of Madrid, ScienceDirect, ProQuest, Research Library, Cumulative Index of Nursing and Allied Literature Complete Journal Storage, and the gray literature. To assess the methodological quality of the studies, the PEDro scale was utilized, and the Cochrane Collaboration tool was employed to evaluate the risk of bias. Results: Five articles found that blood flow restriction was beneficial in improving several factors, including quality of life, physical function, strength, and lean mass, and in reducing postoperative complications and the length of hospital stay. Conclusion: Blood flow restriction can be a viable and effective treatment option. It is important to note that the caution with which one should interpret these results is due to the restricted quantity of articles and significant variation, and future research should concentrate on tailoring the application to individual patients, optimizing load progression, ensuring long-term follow-up, and enhancing the methodological rigor of studies, such as implementing sample blinding.Partial funding for open access charge: Universidad de Málag

La imagen y la narrativa como herramientas para el abordaje psicosocial en escenarios de violencia. Municipios de Patía y Bolívar Cauca

El trabajo descrito a continuación contiene diversas actividades que se fortalecen desde el ámbito psicosocial en los diferentes escenarios de violencia que afrontan las familias que viven a lo largo y ancho del territorio colombiano. Las cuales se han visto cercadas en los diferentes conflictos que despliegan los grupos terroristas establecidos al interior de estos contextos. Cuyas afectaciones emocionales y psicológicas que padecen todos estos individuos se deben al desplazamiento forzado, por lo cual desde los enfoques narrativos se busca trasformar los efectos dejados por el conflicto armando y mediante la narrativa y empoderamiento de la situación vivida, los personajes afectados se conviertan en sobrevivientes de la guerra. También hace parte de este trabajo la profundización de relatos de vida de personajes víctimas del desplazamiento en diferentes escenarios, pero a la vez el grupo determina profundizar el análisis de un caso en especial, como es el caso de Ana Ligia quien junto a su grupo familiar enfrenta la guerra y la violencia de manera positiva a pesar de todas las adversidades e infortunios que padecen. En relación al caso en mención se formulan tres tipos de preguntas reflexivas, circulares, y estratégicas, analizando dicha problemática desde el rol de psicorientador en relación a la víctima. Desde la herramienta de la foto voz entrelazado con la narrativa se vislumbran diferentes escenarios marcados por el terrorismo, ya que cada territorio ha coexistido un impacto de violencia diferente y desde la dimensión de la subjetividad, la violencia se pueda simbolizar y vislumbrar mediante otro significado. Por lo cual la acción psicosocial se enmarca en permitir que las victimas relaten su historia, narren sus voces, para minimizar ese dolor que llevan dentro 5 y transfigurarlos en espacios de armonía y esperanza. A si mismo se realiza un abordaje psicosocial desde El Caso de las comunidades de Cacarica, como también el informe analítico y reflexivo de la experiencia del paso 3, con su respectivo link del blog, la conclusión y referencias bibliográficas.The work described below contains diverse activities that are strengthened from the psychosocial field in the different scenarios of violence faced by families living throughout the Colombian territory. This families have been encircled in the different conflicts that the terrorist groups established within these contexts unfold. The emotional and psychological afflictions suffered by all these individuals are due to forced displacement, which is why from the narrative approaches, it seeks to transform the effects left by the conflict by arming and through the narrative and empowerment of the lived situation, the affected characters become survivors of war. Also, part of this work is the deepening of life stories of characters victims of displacement in different settings, but at the same time the group determines to deepen the analysis of a particular case, such as the case of Ana Ligia, who along with her family group faces war and violence in a positive way despite all the adversities and misfortunes they suffer. In relation to the case in question, three types of reflective, circular, and strategic questions are formulated, analyzing this problem from the role of counselor in relation to the victim. From the tool of the photo voice intertwined with the narrative, different conflicts marked by terrorism are glimpsed, since each territory has coexisted a different impact of violence and from the dimension of subjectivity, violence can be symbolized and glimpsed through another meaning. For this reason, the psychosocial action is framed in allowing the victims to tell their 7 story, narrate their voices, to minimize the pain that they carry inside and transfigure them into spaces of harmony and hope. A psychosocial approach is made to itself from The Case of the communities of Cacarica, as well as the analytical and reflective report of the experience of step 3, with its respective blog link, conclusion and bibliographic references