Muscle Quality Assessment by Ultrasound Imaging of the Intrinsic Foot Muscles in Individuals with and without Plantar Fasciitis: A Case–Control Study

[Abstract] Objective: The primary aim of the present study was to compare the echo intensity (EI) and echovariation (EV) of the intrinsic foot muscles (IFMs) between individuals with and without plantar fasciitis (PF), using ultrasound imaging. The secondary objective was to study the intra-rater reliability of the echotexture variables. Methods: A case–control study was conducted with 64 participants, who were divided into the following two groups: A, the PF group (n = 32); B, the healthy group (n = 32). Results: The comparison between the two groups did not identify significant differences (p > 0.05) between the flexor hallucis brevis (FHB), flexor digitorum brevis (FDB), quadratus plantae (QP) and abductor hallucis brevis (AHB) variables for the EI and EV. Moreover, excellent intra-rater reliability was reported for the following ultrasound imaging EI variables: ABH (ICC = 0.951), FHB (ICC = 0.949), FDB (ICC = 0.981) and QP (ICC = 0.984). Conclusions: The muscle quality assessment using the EI and EV variables did not identify differences in the FHB, FDB, AHB and QP muscles between individuals with and without PF through USI evaluation. The reliability of all the IFM measurements was reported to be excellent

Influence of Unstable Shoes on Women With Lumbopelvic Postpartum Pain: Randomized Clinical Trial

[Abstract] Background: Back pain is a normal symptom during pregnancy and is expected to become worse beyond the first three months after childbirth. Objectives: To determine the effectiveness of wearing unstable shoes instead of conventional shoes, regarding pain intensity, low back mobility and stability, among women with lumbopelvic pain (LPP) during the postpartum period. Design and setting: Prospective, single-blinded, randomized clinical trial conducted at a podiatry and physiotherapy clinical center. Methods: A nine-week program of wearing either unstable shoes (A) or conventional shoes (B) was implemented. The following outcomes were measured in three assessments: pain intensity, using a visual analogue scale (VAS); low-back mobility, using a modified Schober test; and stability, using a pressure platform. Results: The lateral stability speed, anterior stability speed and anterior center of pressure (COP) showed significant (P < 0.05) decreases in the unstable shoes group after nine weeks, in relation to the conventional group. Intra-group measurements showed significant differences (P < 0.05) in VAS between the second and third assessments and between the first and third assessments in both groups. Intra-group evaluations also showed statistically significant differences (P < 0.05) in the lateral stability speed and anterior stability speed. Conclusions: Unstable shoes were effective in decreasing the pain intensity at five and nine weeks in women with postpartum LPP. In addition, their use produced decreases in lateral stability speed, anterior stability speed and anterior COP at nine weeks

Features of Extrinsic Plantar Muscles in Patients with Plantar Fasciitis by Ultrasound Imaging: A Retrospective Case Control Research

[Abstract] The present study aimed to compare by ultrasound imaging (USI) the tibial posterior (TP), medial gastrocnemius (MG) and soleus muscle in patients with and without plantar fasciitis (PF). A sample of 42 individuals was recruited and divided into two groups: PF and a healthy group. The thickness, cross-sectional area (CSA), echointensity and echovariation were assessed in both groups by USI. TP, soleus and MG variables did not report differences (p > 0.05) for thickness and CSA. For the echotexture parameters significant differences were found for MG echointensity (p = 0.002), MG echovariation (p = 0.002) and soleus echointensity (p = 0.012). Non-significant differences (p > 0.05) were reported for soleus echovariation, TP echointensity and TP echovariation variables. The thickness and CSA of the TP, GM and soleus muscle did not show significant differences between individuals with and without PF measured by USI. Muscle quality assessment reported an increase of the MG echointensity and echovariation, as well as a decrease of echointensity of the soleus muscle in the PF group with respect to the healthy group. Therefore, the evaluation of the structure and muscle quality of the extrinsic foot muscles may be beneficial for the diagnosis and monitoring the physical therapy interventions

Heart Rate Variability monitoring during Interferential Current application in the lower back area : a cross-sectional study

[Abstract] Vasovagal reactions may occur occasionally during electrical stimulation using interferential current (IFC). The purpose of this study was to examine variations in autonomic activity during the application of IFC in asymptomatic participants by analysis of their heart rate variability (HRV). Seventy-three male volunteers were randomly assigned to a placebo group (n = 36; HRV was documented for 10 min, both at rest and during a placebo intervention) and an intervention group (n = 37; HRV was documented for 10 min in two conditions labelled as (1) rest and (2) application of IFC technique on the lumbar segment). The diameters of the Poincaré plot (SD1, SD2), stress score (SS), and the ratio between sympathetic and parasympathetic activity (S/PS) were measured. After interventions, differences amongst the placebo group and the IFC group were found in SD2 (p < 0.001), SS (p = 0.01) and S/PS ratio (p = 0.003). The IFC technique was associated with increased parasympathetic modulation, which could induce a vasovagal reaction. Monitorization of adverse reactions should be implemented during the application of IFC technique. HRV indicators might have a part in prevention of vasovagal reactions. Further studies in patients with lumbar pain are needed to explore possible differences in HRV responses due to the presence of chronic pai

Evaluación de la eficacia del calzado Masai Barefoot Technology (MBT) para la disminución del dolor y la inestabilidad lumbopélvica en el postparto

Tesis inédita presentada en la Universidad Europea de Madrid. Facultad de Ciencias de la Salud. Programa de Doctorado en Fisioterapia AvanzadaEl dolor relacionado con la falta de estabilidad lumbopélvica supone la complicación más frecuente durante el postparto. En la marcha podemos favorecer esta estabilización con el entrenamiento de determinados grupos musculares, sometiéndolos a situaciones de inestabilidad, utilizando un calzado que crea este tipo de desequilibrio. En el desarrollo de esta tesis se realizó el análisis de los resultados de las siguientes valoraciones: multitest diagnóstico de dolor sacroilíaco, escala visual analógica del dolor (EVA), estabilometría podológicca, escala de incapacidad por dolor lumbar, y cuestionario de calidad de vida en pacientes con incontinencia urinaria. El uso del calzado con suela inestable (MBT®) presentó diferencias significativas en la disminución del dolor medido con pruebas de provocación del dolor sacroilíaco, en la estabilidad lumbopélvica y a corto plazo en la percepción de la calidad de vida en mujeres con dolor lumbopélvico asociado a incontinencia urinaria en el postparto, respecto al uso del calzado deportivo convencional. [Resumen Teseo]UE

Grado en fisioterapia: desarrollo y evaluación de competencias para la formación integral del alumno oriendadas a la realidad de la práctica clínica

Dentro del marco del Espacio Europeo de Educación Superior (EEES) se plantea como objetivo principal de la formación universitaria, el desarrollo de competencias (transversales y específicas) de los estudiantes, asociadas a cada titulación. Esto llevó consigo, el diseño de los planes de estudios de cada carrera orientados al cumplimiento de este objetivo según el perfil de estudiante. Así se determinaron para cada asignatura o módulo, una serie de competencias a desarrollar. A partir de nuestra Memoria de Grado en Fisioterapia, los profesores de cada asignatura de la titulación, diseñamos y evaluamos actividades formativas con el objetivo de facilitar este proceso de aprendizaje. En esta ponencia se presenta la evaluación de las competencias desarrolladas en dos asignaturas de primer curso de Fisioterapia (TFB y TMB), con el fin de valorar si el alumno ha desarrollado las competencias necesarias para hacer frente a la realidad clínica asistencial a través de la asignatura de segundo curso de Estancias Clínicas I. Con el presente trabajo, presentamos el diseño de dichas asignaturas y la valoración de las mismas en cuanto a las actividades formativas desarrolladas y enfocadas a la adquisición de conocimientos, habilidades específicas y competencias transversales.SIN FINANCIACIÓNNo data 201

Estudio preliminar de algunos factores influyentes en el rendimiento académico de alumnos del grupo Executive Fisioterapia

SIN FINANCIACIÓNNo data 2008UE

Tutoría práctica grupo executive

SIN FINANCIACIÓNNo data 200

El uso del calzado con suela inestable Masai Barefoot technology (MBT®) para el dolor lumbopélvico en el posparto: estudio de un caso

El dolor lumbopélvico durante el postparto se presenta en una de cada tres mujeres. Se asocia a la inestabilidad lumbopélvica que surge durante el embarazo por los cambios posturales producidos. Es la causa principal de retraso en el reinicio de la actividad normal de la mujer. El objetivo de este estudio es evaluar la eficacia del calzado Masai Barefoot Technology (MBT®) para la disminución del dolor lumbopélvico durante el periodo postparto en una mujer de 39 años, primípara, con dolor lumbopélvico intenso tras parto instrumental con desgarro tipo I.Empresa MBT (OTRI 2012/12)No data (2016)UE

Calidad docente y organización departamental

SIN FINANCIACIÓNNo data 2007UE