Effect of whole body vibration in Parkinson's disease: a controlled study

[Abstract] In the search of new strategies to improve the quality of life of Parkinson's disease patients, recent work has reported an amelioration of Parkinsonian symptoms using Whole Body Vibration (WBV). A double-blinded, placebo controlled design was used to evaluate the effect of a 12 WBV sessions-programme on a number of motor and clinical tests in 23 Parkinson's disease patients. Patients were assigned to one of two groups, one receiving WBV and the other a placebo group. At the end of the programme as well as during intra-session evaluation, there was no difference between the experimental (vibration) and placebo groups in any outcomes. These results suggest that reported benefits of vibration are due to a placebo response.Galicia. Consellería de Educación; 2007/000140-0Galicia. Consellería de Innovación, Industria e Comercio; PGIDIT06PXIC137004P

Physiotherapy in Smith-Magenis syndrome: a case report

[Resumen] El síndrome de Smith-Magenis es una alteración del desarrollo psicomotor de origen genético, incluido en el grupo de enfermedades raras. En el caso clínico que se presenta, se realizó una valoración inicial de la coordinación, la marcha y el equilibrio a través del test de desarrollo psicomotor (TEPSI), un circuito diseñado específicamente, la prueba del tablero de clavijas de Purdue y el test Timed up and Go. Al finalizar los 3 meses que duró el tratamiento, basado en actividades de tipo lúdico, se realizó una valoración final con las mismas pruebas, encontrándose importantes diferencias objetivas en los resultados obtenidos, además de una mejoría subjetiva reportada por los padres del paciente. A pesar de que la evidencia sobre el tratamiento de fisioterapia en este síndrome es escasa, atendiendo a los resultados encontrados creemos que dicho tratamiento está totalmente justificado en el abordaje integral de los pacientes que lo padecen.[Abstract] The Smith-Magenis syndrome is a genetic psychomotor development disorder included in the group of rare diseases. In the clinical case presented, we performed an initial assessment of coordination, gait and balance using four different tests. These were psychomotor development test (TEPSI scale), Purdue pegboard, time up and go test, and a circuit designed specifically for this clinical case. At the end of the 3 months of treatment, and based on recreational type activities, a final assessment was made with the same tests. Significant objectives differences in the results as well as subjective improvement reported by the patient's parents were found. Although there is little evidence on physiotherapy treatment for this syndrome, in accordance with the results found, we believe that this treatment is totally justified in the comprehensive approach to patients suffering this disorder

Calidad de vida relacionada con la salud en trabajadoras del sector pesquero usando el cuestionario SF-36

[Resumen] Objetivo. Determinar la calidad de vida relacionada con la salud (CVRS) mediante el cuestionario SF-36 en trabajadoras del sector pesquero, y compararla con valores normalizados de población de referencia y con valores de otras muestras similares que presentan trastornos musculoesqueléticos. Método. Mediante un estudio transversal se midió la CVRS en 917 mariscadoras a pie seleccionadas a partir de la participación voluntaria en un taller de fisioterapia. Se utilizó un cuestionario autoadministrado que incluía variables sociodemográficas, de estilo de vida, de comorbilidad, de prevalencia de dolor musculoesquelético y de CVRS. Para el SF-36 se calcularon puntuaciones crudas, puntuaciones estandarizadas y puntuaciones z. Resultados. La edad media de las participantes es de 50,6 años (desviación estándar: 8,8). En todas las dimensiones del SF-36 la muestra tuvo valores inferiores que la población general de referencia. Las mayores diferencias se observaron en las personas más jóvenes. Las dimensiones más afectadas, superando la diferencia mínimamente importante, fueron dolor corporal, vitalidad y salud general. Su salud física está más afectada que su salud mental. Conclusiones. Se demuestra que este grupo de trabajadoras tiene peor CVRS que la población general y que otras muestras poblacionales, sobre todo en los componentes físicos.[Abstract] Objective. To determine health-related quality of life (HRQoL) measured with the 36-item Short-Form (SF-36) questionnaire in women workers in the fishing industry, compared with norm-based values in the reference population and other similar samples of persons with musculoskeletal disorders. Method. A cross-sectional study was performed to measure HRQoL in 917 shellfish gatherers. Women taking part in a physiotherapy workshop were invited to participate. We used a self-administered questionnaire, including questions on sociodemographic variables, lifestyle, comorbidity, the prevalence of musculoskeletal disorders, and HRQoL. For the SF-36 raw scores, norm-based scores and z-scores were calculated. Results. The mean age of participants was 50.6 years (standard deviation: 8.8). In all dimensions of the SF-36, values in the sample were lower than in the general reference population. The greatest differences were in younger people. The most affected dimensions were bodily pain, vitality and general health. Physical health was more affected than mental health. Conclusions. HRQoL, especially physical components, was worse in women shellfish gatherers than in the general population and other population samples

Effects on venous flow of transcutaneous electrical stimulation, neuromuscular stimulation, and sham stimulation on soleus muscle: a randomized crossover study in healthy subjects

[Abstract] Background: Activation of venous flow has been shown with different types of electrical stimulation. The aim of this study is to compare the hemodynamic effects of transcutaneous electrical nerve stimulation (TENS), neuromuscular electrical stimulation (NMES), and sham stimulation on healthy young people. Methods: This randomized crossover study was conducted during June 2018 in the Faculty of Physical Therapy of A Coruña (Spain). Twenty-four university students (50% male) received in a randomized order 5 Hz-TENS, NMES, and sham stimulation on soleus muscle. Flow volume (FV) and peak velocity (PV) from popliteal vein were recorded via Doppler ultrasound, and relative changes from baseline were determined. Discomfort among the 3 stimulations was also compared. Results: The differences among the 3 stimulations were assessed using the ANOVA for repeated measured, the Friedman test and the Kendall tau test, according to the type of measurement to be compared. FV (mL/min) and PV (cm/s) increased significantly after NMES (percentual increase 37.2 ± 62.0%, P = .002; 264.4 ± 152.2%, P < .001, respectively) and TENS (226.2 ± 190.3%, P < .001; 202.7 ± 144.6%, P < .001, respectively). These percentual changes from basal level in hemodynamics were statistically different to those after placebo, which was ineffective enhancing hemodynamics. The improvements in FV were statistically higher with TENS than with NMES (P < .001), but there was no statistical difference in PV (P = .531). Despite NMES was applied at a significantly lower amplitude than TENS (P < .001), NMES protocol was the worst tolerated, though the differences in discomfort were not statistically significant. Conclusion: Both active electrical protocols but not sham stimulation increased hemodynamics in healthy people. TENS obtained higher flow volume increase from baseline than NMES, considered globally at not only in its on-time.Ministerio de Asuntos Económicos y Transformación Digital (España); MTM2014-52876-RXunta de Galicia; ED431C-2016-015Xunta de Galicia; ED431G/0