Actualización de nuevas técnicas de vendaje neuromuscular en podología

El concepto de kinesiology taping, o vendaje neuromuscular, ha llegado a incrementarse de manera popular en la última década. En Podología es una técnica interesante, como una alternativa más dentro del arsenal terapéutico de la patología del pie, considerando interesante su combinación con otras terapias. La finalidad y utilidad del vendaje neuromuscular están ya evaluadas y han sido objeto de muchos trabajos científicos. Con el presente trabajo queremos reparar y profundizar en el conjunto de técnicas que se utilizan, recopilándolas en las patologías más importantes del pie, como son el síndrome de predislocación (articulación metatarsofalángica), neuroma de Morton, metatarsalgia, hallux valgus, fascitis plantar, dedo en garra y esguince de tobillo, describiendo nuevos tratamientos y activando un enfoque más actualizado

In search of health evidence. Proposal for self-learning

[ES] Las fuentes de información son una herramienta clave en la evolución social y tecnológica actual. Si bien es cierto que no todos son beneficios. Del mismo modo, la sobreinformación es evidente y puede conducir a la extracción de conclusiones que, en muchos casos, se vuelven confusas, difusas o incluso erróneas. En este contexto, el uso de la pirámide 6S puede ayudar a encontrar la mejor evidencia de investigación con la menor cantidad de tiempo y esfuerzo. Esta propuesta de trabajo expone los métodos y el desarrollo de un programa de apoyo y capacitación para la búsqueda en la salud. Para hacerlo, los recursos de aprendizaje se han convertido a través de un servidor de acceso libre, del Centro Nacional de Servicios y Herramientas (NCCMT) de la Universidad McMaster.Más tarde, se realizó la evaluación de las competencias.http://ocs.editorial.upv.es/index.php/HEAD/HEAD18Blasco-Igual, J.; Sanchis-Sánchez, E.; García-Molina, P.; Balaguer-López, E.; Georgieva, S.; Sánchez-Lorente, MM. (2018). In search of health evidence. Proposal for self-learning. Editorial Universitat Politècnica de València. 117-123. https://doi.org/10.4995/HEAD18.2018.7907OCS11712

Clinical simulation: innovative educational project in basic cardiopulmonary resuscitation and advanced in pediatrics and neonatology

Introducción: Hoy en día, la simulación clínica podría ser un eslabón clave en la enseñanza y el aprendizaje de diferentes procedimientos. Metodología: Este es un estudio cuasi-experimental, que utiliza un cuestionario de evaluación como un método para recopilar la información sobre el respeto de la adquisición de las competencias y la satisfacción de los estudiantes. Neonatal para estudiantes del 2º año de Enfermería de la Universidad de Valencia, para ello se capacitaron en 17 laboratorios de RCP, conformados por 228 alumnos. Resultados: Los estudiantes dieron una gran acogida a este proyecto, otorgando una puntuación de 8.82 (SD 0.42) sobre 10. El elemento más valorado (por los estudiantes) fue aquel en el que se recomendó a otros estudiantes que realizarán el laboratorio de RCP pediátrica con a 9.53 de 10. El conocimiento de los estudiantes mejoró en 7 de las 11 preguntas y empeoró en 4 de ellas. El mejor resultado fue el resultado de la intubación. Conclusiones: los estudiantes en general, después de la simulación, después de que se tiene que mantener el tiempo, el poder de los aspirantes se puede realizar con más simulaciones para poder mejorar los conocimientos teóricos

Shared learning between health sciences university students. Teaching-learning process of hand hygiene

El objetivo principal del proyecto ha sido el uso de metodologías de enseñanza activa para crear conciencia sobre la importancia de la higiene de manos en la atención médica. Metodología: El proyecto de innovación docente ha puesto en práctica el aprendizaje compartido de conocimientos y habilidades entre iguales. 11 estudiantes de Grado de Enfermería, con un trabajo cooperativo e individual previo, participan en un proceso de enseñanza-aprendizaje sobre higiene de manos con 82 estudiantes de Grado de Fisioterapia, utilizando Tics, talleres sobre desinfección de manos con autoevaluación, evaluación de conocimiento previo y posterior y evaluación de La satisfacción con la actividad. Resultados: La evaluación de los cuestionarios previos y posteriores revela un aumento en la cantidad de respuestas correctas. El 98.8% de los estudiantes considera que podrán aplicar los conocimientos adquiridos en su práctica profesional. La metodología aplicada se considera adecuada en un 95.1%. Los estudiantes han mostrado una gran satisfacción con la actividad. Conclusiones: los estudiantes de fisioterapia han considerado que la experiencia es muy satisfactoria y útil para la práctica profesional. El uso de la metodología de enseñanza-aprendizaje ha demostrado ser una opción válida para adquirir conocimientos y habilidades sobre higiene de manos.Sanchis-Sánchez, E.; Sánchez-Lorente, M.; Olmedo-Salas, Á.; Zurita-Round, NV.; García-Molina, P.; Balaguer-López, E.; Blasco-Igual, JM. (2020). Shared learning between health sciences university students. Teaching-learning process of hand hygiene. En 6th International Conference on Higher Education Advances (HEAd'20). Editorial Universitat Politècnica de València. (30-05-2020):131-138. https://doi.org/10.4995/HEAd20.2020.10998OCS13113830-05-202

Multi-robot group formation control algorithms

Consulta en la Biblioteca ETSI Industriales (8188)[EN] This Master Thesis has been developed on the basis of the goals and research questions posed by the GUARDIANS project. GUARDIANS is an EU funded project [41], the main objective of which is to deploy a swarm of robots to assist a fire fighter in the event or danger of fire. When a fire fighter goes inside a building where fire is being developed, they need help in determining their position and orientation; as often a dense smoke accompanies the fire that reduces dramatically the fire fighter visibility and makes more difficult conducting rescue operations. The GUARDIANS robot swarm major tasks are to provide the fire fighter a robust support in determining their localization, in leading them to the points of interests in the environment and in indicating the escape routes.Blasco Igual, JM. (2009). Multi-robot group formation control algorithms. http://hdl.handle.net/10251/33444.Archivo delegad

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 may outweigh the health costs. Methods Seventy-five participants will take part. The trial will include in-home and supervised hospital experimental training compared to a non-active control group in order to estimate the actual effect of the proposal against the benefits due exclusively to the surgical procedure. Interventions last 4 weeks prior to surgery, and the follow-up will be at 2w, 6w, and 1y following the operation. The primary outcomes are in agreement with the goals: self-reported functionality in terms of KOOS and overall balance in terms of the Berg Balance Scale. The secondary outcomes will include the measurements of static and dynamic balance abilities, pain, function, and quality of life. Discussion It is expected for the results of this trial to provide relevant information in order to decide if a specific intervention is cost-effective to be implemented in clinical practice. Trial registration Clinicaltrials.gov identifier NCT03100890 . Registered in April 4, 2017

Effectiveness of strategies to improve adherence to physical therapy in patients with knee and hip osteoarthritis: a systematic review and meta-analysis

Purpose: To determine the effectiveness of current strategies oriented to increase adherence to physical therapy in subjects with knee and hip osteoarthritis (OA). Material and methods: A systematic review of electronic databases was conducted from inception until March 2023. Studies with experimental interventions using strategies to increase adherence to physical therapy programs in subjects with knee or hip OA were included. A meta-analysis compared the effects of such interventions with usual care for adherence-related measures (primary outcome), and functional and pain outcomes, using standardized mean differences (SMD) with a 95% confidence interval (CI). GRADE was used to determine the strength of the resultant evidence and the external validity of the findings. Results: Fifteen articles, assessing 1,818 participants, were included. The interventions included cognitive-behavior strategies, telephone calls, internet-based interventions, communication technologies, and booster sessions. A meta-analysis revealed that the experimental interventions increased adherence over usual care with a moderate effect size of SMD = 0.39 (95%CI = 0.08-0.71) and moderate certainty in this evidence. Conclusion: Overall, this review supports that the strategies to promote adherence to physical therapy in individuals with knee and hip OA are effective. However, the positive impact on adherence rates does not always translate into improved clinical outcomes.Sin financiación2.2 Q2 JCR 20220.762 Q1 SJR 2022No data IDR 2022UE

Impact of hip abductor and adductor strength on dynamic balance and ankle biomechanics in young elite female basketball players

This study aimed to evaluate, in an isolated and relative manner, hip abductor (ABD) and adductor (AD) strength and to study the extent to which these factors are related to balance and ankle dorsiflexion mobility in young elite female basketball players. Sixty trainee-level elite female basketball players (13–18 years old), who voluntarily agreed to participate in the study, were divided into three subgroups based on competition age divisions (U14, U16, U18). Isometric hip ABD and AD strength in each leg was evaluated using the ForceFrame Strength Testing System, also calculating the strength ratio and imbalance between legs. Y Balance Test (YBT) and ankle dorsiflexion mobility were also assessed. ANOVA was used for between-group differences analysis. Likewise, the impact of hip strength on balance and ankle mobility was analyzed using Pearson's correlation coefficient. A linear regression model for dependent variables was created with all variables that exhibited significant correlations. A between-group comparison analysis for the three competition age subgroups (U14, U16, U18) revealed non-significant differences (p > 0.005) for the hip strength variables except for hip ABD strength. The correlation study showed low-moderate effect sizes for hip ABD (in both the contralateral and homolateral limb) and AD strength (only the homolateral limb) with YBT and ankle dorsiflexion. However, when performing a regression model, only right hip ABD significantly predicted right limb YBT scores (β = 0.592, p = 0.048). The present study indicated that, although both hip ABD and AD strength correlate with balance and ankle mobility with low-moderate effect sizes, only hip ABD strength was found to significantly predict YBT scores. Therefore, the potential role of hip ABD strength in particular, but also hip AD strength, for monitoring and enhancing balance and ankle mobility outcomes, should be taken into consideration when designing and implementing preventive strategies for lower-limb injuries.Sin financiación4.996 JCR (2021) Q1, 19/73 Multidisciplinary Science1.005 SJR (2021) Q1, 11/138 MultidisciplinaryNo data IDR 2020UE

Patient, clinician, and performance-based measures provide different information about clinical symptoms in patients with severe knee osteoarthritis presenting with depressive symptoms: a cross-sectional study

Background and purpose Clinical status of subjects with knee osteoarthritis (KOA) is influenced by a complex interaction of several biopsychosocial factors. The use of patient-reported measures (PROM) is considered the gold standard for their evaluation. However, considering that 1 in 5 subjects with KOA present with depressive symptoms, it is necessary to analyse how this psychological domain may influence the subjective perception of PROM. The objective was to study the impact that depressive symptoms have on functional outcome assessments, according to the degree of objectivity of diverse outcome measures. Methods Cross-sectional study. Subjects with severe KOA, verified with clinical and radiological symptoms, were assessed with patient-reported (Oxford Knee Score), clinician-reported (knee range of motion), and performancebased (Timed up and go test) measures. The existence of depressive symptoms was assessed with the Yesavage scale, and participants were classified for having no-, mild- or severe-symptoms. Linear correlations (r) and one-way analysis of variance compared groups (95% CI). Results 244 participants were analysed, of which 75 (30.7%) had depressive symptoms. These symptoms had an inverse moderate association with Oxford Knee Score (r = -0.387). However, the correlation with the Timed up and go test was low (r = 0.176), while there was no correlation with knee ROM (r = -0.087). Conclusions This study supports that patient-reported questionnaires may offer biased information on the clinical status of patients with severe knee osteoarthritis who present with depressive symptoms. Consideration of such symptoms may be critical to ensure data collected to accurately reflect patients’ capacities and perceptions.Sin financiación2.3 Q2 JCR 20220.716 Q2 SJR 2022No data IDR 2022UE

The Effects of Suspension Training on Dynamic, Static Balance, and Stability: An Interventional Study

Background and Objectives: While suspension training devices are increasingly gaining popularity, there is limited evidence on their effects on balance, and no comprehensive assessment has been conducted. This study aimed to evaluate the effects of a 9-session suspension training program on dynamic and static balance, stability, and functional performance. Materials and Methods: A total of forty-eight healthy adults, aged between 18 and 30, participated in a 9-session suspension training program. The program included exercises targeting upper and lower body muscles as well as core muscles. Balance was comprehensively assessed using various dynamic balance tests, including the Y Balance Test (YBT) as the primary outcome, single-leg Emery test, and sideways jumping test. Static balance was evaluated through the monopedal and bipedal Romberg tests. Changes from baseline were analyzed using a one-way ANOVA test. Results: Thirty-nine participants (mean age: 21.8 years) completed the intervention. The intervention resulted in significant improvements in YBT, jumping sideways, Emery, and 30s-SST scores (p 0.05). Conclusions: Suspension training is a safe and feasible method for improving dynamic balance and functional performance in healthy, untrained young adults. However, it does not appear to significantly impact the ability to maintain a static posture while standing.Sin financiación2.6 Q3 JCR 20220.59 Q3 SJR 2022No data IDR 2022UE