Hidroterapia y actividad física terapéutica en el medio acuático

El agua es el medio donde el desarrollo evolutivo se ve favorecido desde la edad temprana (Moreno y Borges, 2009; Pansu, 2010; Penik, 2011). Desarrollar la competencia acuática se ha convertido en uno de los objetivos importantes a tratar desde la más tierna infancia, y sus efectos en el organismo desde la infancia hasta la edad adulta han sido demostrados desde hace décadas (Diem, 1978, 1982; Parker y Blanksby, 1997). Si a estos beneficios se le añade el carácter terapéutico del medio, permite contemplar este recurso dentro de las áreas de la atención temprana, la pediatría, la neurología, las afecciones musculo-esqueléticas, el deporte, el suelo pélvico, etc. y en cualquier área donde la prevención y el tratamiento de la salud pueda ser abordado. La Organización Mundial de la Salud (OMS, 2002), define el término salud como “el estado completo de bienestar físico, mental y social y no la mera ausencia de enfermedad”. De ahí que afirmar que las prácticas acuáticas son beneficiosas, es confirmar la necesidad de que estas actividades formen parte de las experiencias que todo ser humano debiera tener en su vida, tanto en los procesos de salud como de enfermedad (Diem, Bresges, y Hellmich, 1978; Fouace, 1979; Zuoziené, Akelyté, y Zuoza, 2014)

Beneficios del ejercicio terapéutico en agua en mujeres embarazadas. Revisión sistemática

Antecedentes: Son numerosos los estudios que nos ofrecen datos sobre los beneficios de la actividad física terapéutica durante el embarazo en términos de salud, aunque además de los beneficios físicos y emocionales, es importante conocer también en qué términos dicha actividad ayuda a prevenir y tratar patologías frecuentes en el preparto y postparto, así como su influencia en el óptimo desarrollo del feto y la mejor adaptación al parto. Objetivos: Realizar una revisión sistemática de los estudios que abordan los beneficios, qué a nivel materno-fetal, posee la práctica de actividad física en el medio acuático durante el periodo de gestación y su influencia en el preparto y postparto a nivel de salud y prevención de patologías. Método: Se analizaron todos los estudios que relacionan el ejercicio terapéutico en el medio acuático con la mujer embarazada. Se llevó a cabo el análisis de 21 artículos para realizar dicha revisión sistemática, a través de las bases de datos Medline, Scielo, PEDro y Cochrane Library Resultados: La actividad física terapéutica en el medio acuático tiene efectos tanto en la madre como en el niño a nivel fisiológico y antropométricos, influyendo también en el tipo de parto y desarrollo evolutivo del bebé. Conclusiones: El ejercicio físico terapéutico en el medio acuático no solo no tiene efectos adversos materno-fetales, sino que ayuda a prevenir y tratar patologías durante el embarazo, parto y postparto.Background: There are numerous studies that offer us data on the benefits of therapeutic physical activity during pregnancy in terms of health, although in addition to physical and emotional benefits, it is also important to know in what terms such activity helps prevent and treat pathologies frequent in pre-delivery and postpartum as well as its influence on the optimal development of the fetus and the best adaptation to childbirth. Goals: To carry out a systematic review of the studies that address the benefits, which at the maternal-fetal level, has the practice of physical activity in the aquatic environment during the gestation period and its influence on pre-delivery and postpartum at the health and prevention level of pathologies Method: All the studies that relate the therapeutic exercise in the aquatic environment with the pregnant woman were analyzed. The analysis of 21 articles was carried out to perform this systematic review, through the Medline, Scielo, PEDro and Cochrane Library databases. Results: Therapeutic physical activity in the aquatic environment has effects on both the mother and the child at the physiological and antopometric levels, also influencing the type of birth and evolutionary development of the baby. Conclusions: Therapeutic physical exercise in the aquatic environment not only has no maternal-fetal adverse effects but also helps prevent and treat pathologies during pregnancy, childbirth and postpartum.Introdução: Existem numerosos estudos que nos oferecem dados sobre os benefícios da atividade física terapêutica durante a gravidez em termos de saúde, embora, além dos benefícios físicos e emocionais, também seja importante saber em que termos essa atividade ajuda a prevenir e tratar patologias freqüente no pré-parto e no pós-parto, bem como sua influência no desenvolvimento ideal do feto e na melhor adaptação ao parto. Objetivos: Realizar uma revisão sistemática dos estudos que abordam os benefícios que, no nível materno-fetal, tem a prática de atividade física no ambiente aquático durante o período gestacional e sua influência no parto e pós-parto no nível de saúde e prevenção de patologias Método: Todos os estudos que relacionam o exercício terapêutico no ambiente aquático com a gestante foram analisados. A análise de 21 artigos foi realizada para realizar esta revisão sistemática, através das bases de dados Medline, Lilacs, Scielo, PEDro e Cochrane Library. Resultados: A atividade física terapêutica no ambiente aquático afeta a mãe e a criança nos níveis fisiológico e antopométrico, influenciando também o tipo de nascimento e o desenvolvimento evolutivo do bebê. Conclusões: O exercício físico terapêutico no ambiente aquático não só não apresenta efeitos adversos materno-fetais, como também ajuda a prevenir e tratar patologias durante a gravidez, parto e pós-parto

Principios de control motor

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Impact of the COVID-19 Pandemic on the Work Activity of Spanish Physical Therapists and Their Response to Vaccination

Due to the COVID-19 pandemic, physical therapists have had to adopt a set of specific protection measures, which have had an impact on their clinical activity and economy. The objective was to evaluate the impact of the COVID-19 pandemic on the work of Spanish physical therapists, as well as their attitudes and predisposition to vaccination. An online questionnaire was divided into five sections: (1) demographic and professional data; (2) labor impact; (3) precautions and infection-control measures; (4) economic impact; and (5) vaccine acceptance and adverse effects. Of the 666 participants, 62.1% showed a reduction in their working hours motivated by: fear of infection (p = 0.007), financial issues (p = 0.002) and being in quarantine or isolation (p < 0.001). Of these, 36.4% were forced to close the clinic, 62.7% requested help from the government, but only 12.04% mentioned that it was adequate. The main prevention measures adopted were the use of gels and masks and, in the private sector, disinfection with ozone or ultraviolet light (p < 0.05). The acceptance of the vaccine was high, 87.5%, being lower among the group over 40 years of age, self-employed, widowed or separated. More adverse effects were mentioned after receiving the AstraZeneca-Oxford vaccine, compared to Pfizer-BioNTech or Moderna. In conclusion, this study assessed for the first time that the COVID-19 pandemic in Spain had a negative impact on work and finances of physical therapists. The vaccine was widely accepted, in part by the economic impact that an infection in the work setting could signify.This study recieved funding for open access publication fees from CEU-Cardenal Herrera University

Data from: Impact of the COVID-19 Pandemic on the Work Activity of Spanish Physical Therapists and Their Response to Vaccination

&lt;p&gt;Due to the COVID-19 pandemic, physical therapists have had to adopt a set of specific protection measures, which have had an impact on their clinical activity and economy. The objective was to evaluate the impact of the COVID-19 pandemic on the work of Spanish physical therapists, as well as their attitudes and predisposition to vaccination. An online questionnaire was divided into five sections: (1) demographic and professional data; (2) labor impact; (3) precautions and infection-control measures; (4) economic impact; and (5) vaccine acceptance and adverse effects. Of the 666 participants, 62.1%showed a reduction in their working hours motivated by: fear of infection (p = 0.007), financial issues (p = 0.002) and being in quarantine or isolation (p &lt; 0.001). Of these, 36.4% were forced to close the clinic, 62.7% requested help from the government, but only 12.04% mentioned that it was adequate. The main prevention measures adopted were the use of gels and masks and, in the private sector, disinfection with ozone or ultraviolet light (p &lt; 0.05). The acceptance of the vaccine was high, 87.5%, being lower among the group over 40 years of age, self-employed, widowed or separated. More adverse effects were mentioned after receiving the AstraZeneca-Oxford vaccine, compared to Pfizer-BioNTech or Moderna. In conclusion, this study assessed for the first time that the COVID-19 pandemic in Spain had a negative impact on work and finances of physical therapists. The vaccine was widely accepted, in part by the economic impact that an infection in the work setting could signify.&lt;/p&gt

Effectiveness of Telematic Behavioral Techniques to Manage Anxiety, Stress and Depressive Symptoms in Patients with Chronic Musculoskeletal Pain: A Systematic Review and Meta-Analysis

Anxiety, depressive symptoms and stress have a significant influence on chronic musculoskeletal pain. Behavioral modification techniques have proven to be effective to manage these variables; however, the COVID-19 pandemic has highlighted the need for an alternative to face-to-face treatment. We conducted a search of PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, APA PsychInfo, and Psychological and Behavioural Collections. The aim was to assess the effectiveness of telematic behavioral modification techniques (e-BMT) on psychological variables in patients with chronic musculoskeletal pain through a systematic review with meta-analysis. We used a conventional pairwise meta-analysis and a random-effects model. We calculated the standardized mean difference (SMD) with the corresponding 95% confidence interval (CI). Forty-one randomized controlled trials were included, with a total of 5018 participants. We found a statistically significant small effect size in favor of e-BMT in depressive symptoms (n = 3531; SMD = &minus;0.35; 95% CI &minus;0.46, &minus;0.24) and anxiety (n = 2578; SMD = &minus;0.32; 95% CI &minus;0.42, &minus;0.21) with low to moderate strength of evidence. However, there was no statistically significant effect on stress symptoms with moderate strength of evidence. In conclusion, e-BMT is an effective option for the management of anxiety and depressive symptoms in patients with chronic musculoskeletal pain. However, it does not seem effective to improve stress symptoms

Accuracy and prognostic impact of FDG PET/CT and biopsy in bone marrow assessment of follicular lymphoma at diagnosis : A Nation-Wide cohort study

Backgound: In the workup of follicular lymphoma (FL), bone marrow biopsy (BMB) assessment is a key component of FLIPI and FLIPI2, the most widely used outcome scores. During the previous decade, several studies explored the role of FDG-PET/CT for detecting nodal and extranodal disease, with only one large study comparing both techniques. Methods: The aim of our study was to evaluate the diagnostic accuracy and the prognostic impact of both procedures in a retrospective cohort of 299 FL patients with both tests performed at diagnosis. In order to avoid a collinearity bias, FLIPI2 was deconstructed in its founding parameters, and the bone marrow involvement (BMI) parameter separately included as: a positive BMB, a positive PET/CT, the combined "PET/CT and BMB positive" or "PET/CT or BMB positive". These variables were also confronted independently with the POD24 in 233 patients treated with intensive regimens. Results: In the total cohort, bone marrow was involved in 124 and 60 patients by BMB and PET/CT, respectively. In terms of overall survival, age > 60 y.o. and the combined "PET/CT or BMB positive" achieved statistical independence as a prognostic factor. In patients treated with an intensive regimen, only the combined "PET/CT or BMB positive" added prognostic value for a shorter overall survival, when confronted with the POD24. Conclusion: Our results show that in FL both BMB and PET/CT should be considered at diagnosis, as their combined assessment provides independent prognostic value in the context of the most widely use clinical scores