29 research outputs found
The Lysholm score: Cross cultural validation and evaluation of psychometric properties of the Spanish version
This study aims at assessing the validity and reliability of the Spanish version of the Lysholm
score, a widely used instrument for assessing knee function and activity level after ligament
injuries. Ninety-five participants (67.4% male, 22±5 years) completed the questionnaire twice within
7 days and a subsample of 42 participants completed a test-retest reliability. Reliability,
validity and feasibility psychometric properties were studied. The validity of the questionnaire
was analysed using ceiling and floor effects. Factor structure and construct validity
were analysed with the SF-36, the Hip and Knee Questionnaire (HKQ) and one leg jump
test (OLJT). Criterion validity with the SF-36 Physical State was moderate (r = 0.50 and p<0.01), poor
and inverse relationship (r = -0.31, p<0.01) with HKQ and positive moderate (r = 0.59,
p<0.01) with OLJT. Measurement error from MDC90 was 3.9%. Exploratory factor analysis
demonstrated a one-factor solution explaining 51.5% of total variance. The x2 test for the
one-factor model was significant (x2 = 29.58, df = 20, p < 0.08). Test-retest reliability level
was high (ICC2.1 = 0.92, p<0.01) and also the internal consistency (α = 0.77). The Spanish Lysholm score demonstrated that it is a reliable and valid instrument that can
be used to assess knee function after ligament injuries.This study takes place thanks to the
additional funding from the University of Granada,
Plan Propio de Investigación 2016, Excellence
actions: Units of Excellence; Unit of Excellence on
Exercise and Health (UCEES)
Integral strategy to supportive care in breast cancer survivors through occupational therapy and a m-health system: design of a randomized clinical trial
Background: Technological support using e-health mobile applications (m-health) is a promising strategy to improve
the adherence to healthy lifestyles in breast cancer survivors (excess in energy intake or low physical activity are
determinants of the risk of recurrence, second cancers and cancer mortality). Moreover, cancer rehabilitation
programs supervised by health professionals are needed due to the inherent characteristics of these breast cancer
patients. Our main objective is to compare the clinical efficacy of a m-health lifestyle intervention system alone versus
an integral strategy to improve Quality of Life in breast cancer survivors.
Methods: This therapeutic superiority study will use a two-arm, assessor blinded parallel RCT design. Women will be
eligible if: they are diagnosed of stage I, II or III-A breast cancer; are between 25 and 75 years old; have a Body Mass
Index > 25 kg/m2; they have basic ability to use mobile apps; they had completed adjuvant therapy except for
hormone therapy; and they have some functional shoulder limitations. Participants will be randomized to one of
the following groups: integral group will use a mobile application (BENECA APP) and will receive a face-to-face
rehabilitation (8-weeks); m-health group will use the BENECA app for 2-months and will received usual care
information. Study endpoints will be assessed after 8 weeks and 6 months. The primary outcome will be Quality
of Life measured by The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core
and breast module. The secondary outcomes: body composition; upper-body functionality (handgrip, Disability of the
Arm, Shoulder and Hand questionnaire, goniometry); cognitive function (Wechsler Adult Intelligence Scale, Trail Making
Test); anxiety and depression (Hospital Anxiety and Depression Scale); physical fitness (Short version of the Minnesota
Leisure Time Physical Activity Questionnaire, Self-Efficacy Scale for Physical Activity); accelerometry and lymphedema.
Discussion: This study has been designed to seek to address the new needs for support and treatment of breast cancer
survivors, reflecting the emerging need to merge new low cost treatment options with much-needed involvement of
health professionals in this type of patients.
Trial registration: ClinicalTrials.gov Identifier: NCT02817724 (date of registration: 22/06/2016).The study was funded by the Spanish Ministry of Economy and Competitiveness
(Plan Estatal de I + D + I 2013-2016), Fondo de Investigación Sanitaria del Instituto
de Salud Carlos III (PI14/01627), Fondos Estructurales de la Unión Europea (FEDER)
and by the Spanish Ministry of Education (FPU14/01069). This is part of a Ph.D.
Thesis conducted in the Clinical Medicine and Public Health Doctoral Studies of
the University of Granada, Spain
Effects of supervised exercise on cancer-related fatigue in breast cancer survivors: a systematic review and meta-analysis
Background:
Cancer-related fatigue (CRF) is the most common and distressing symptom in breast cancer survivors. Approximately 40% to 80% of cancer patients undergoing active treatment suffer from CRF. Exercise improves overall quality of life and CRF; however, the specific effects of the training modalities are not well understood.Methods:
This study aimed to determine the pooled effects of supervised exercise interventions on CRF in breast cancer survivors. We searched PubMed/MEDLINE, EMBASE, Scopus, CENTRAL and CINAHL databases between December 2013 and January 2014 without language restrictions. Risk of bias and methodological quality were evaluated using the PEDro score. Pooled effects were calculated with a random-effects model according to the DerSimonian and Laird method. Heterogeneity was evaluated with the I2 test.Results:
Nine high-quality studies (n = 1156) were finally included. Supervised aerobic exercise was statistically more effective than conventional care in improving CRF among breast cancer survivors (SMD = −0.51, 95%CI −0.81 to −0.21), with high statistical heterogeneity (P = 0.001; I2 = 75%). Similar effects were found for resistance training on CRF (SMD = −0.41, 95%CI −0.76 to −0.05; P = 0.02; I2 = 64%). Meta-regression analysis revealed that exercise volume parameters are closely related with the effect estimates on CRF. Egger’s test suggested moderate evidence of publication bias (P = 0.04).Conclusions:
Supervised exercise reduces CRF and must be implemented in breast cancer rehabilitation settings. High-volume exercises are safe and effective in improving CRF and overall quality of life in women with breast cancer. Further research is encouraged.The authors would like to acknowledge Universidad Santo Tomás, Bogotá for the financial support to the GICAEDS Group (Project: Práctica del autoexamen de seno y los conocimientos, factores de riesgo y estilos de vida relacionados al cáncer de mama en mujeres jóvenes de la USTA – Number: 4110060001-008)
Highly favorable physiological responses to concurrent resistance and high-intensity interval training during chemotherapy: the OptiTrain breast cancer trial
Effectiveness of an individualized program of muscular strength and endurance with aerobic training for improving germ cell cancer-related fatigue in men undergoing chemotherapy: EFICATEST study protocol for a randomized controlled trial
The PICO project: aquatic exercise for knee osteoarthritis in overweight and obese individuals
Altered pattern of cervical muscle activation during performance of a functional upper limb task in breast cancer survivors
The effectiveness of a mobile application for the development of palpation and ultrasound imaging skills to supplement the traditional learning of physiotherapy students
Background: Many ‘routine’ interventions performed in hospital rooms have repercussions for the comfort of the
patient, and the decision to perform them should depend on whether the patient is identified as in a terminal
phase. The aim of this study is to analyse the health interventions performed and decisions made in the last days of
life in patients with advanced oncological and non-oncological illness to ascertain whether identifying the patient’s
terminal illness situation has any effect on these decisions.
Methods: Retrospective study of the clinical histories of deceased patients in four hospitals in Granada (Spain) in
2010. Clinical histories corresponding to the last three months of the patient’s life were reviewed.
Results: A total of 202 clinical histories were reviewed, 60 % of which were those of non-oncology patients. Opioid
prescriptions (58.4 %), palliative sedation (35.1 %) and Do Not Resuscitate (DNR) orders (34.7 %) were the decisions
most often reflected in the histories, and differences in these decisions were found between patients registered as
terminal and those who were not registered as terminal. The most frequent interventions in the final 14 days and
48 h were parenteral hydration (96–83 %), peripheral venous catheter (90.1–82 %) and oxygen therapy (81.2–70.
5 %). There were statistically significant differences between the patients who were registered as terminal and those
not registered as terminal in the number of interventions applied in the final 14 days and 48 h (p = 0.01–p = 0.00)
and in many of the described treatments.
Conclusion: The recognition of a patient’s terminal status in the clinical history conditions the decisions that are
made and is generally associated with a lower number of interventions.This work is part of an investigative project financed by the Department of
Health of the Board of Andalucía in its 2010 call for papers, titled ‘Variability
of Clinical Practice and Conditional Factors in the Implementation of the
Processes of Attention at End of Life’.Ref: PI-0670-2010
The Piper Fatigue Scale-Revised: Translation and psychometric evaluation in Spanish-speaking breast cancer survivors
Background Cancer-related fatigue (CRF) is the most common and distressing symptom reported by breast cancer survivors. The primary aim of this study was to translate and evaluate psychometrically for the first time a Spanish version of the Piper Fatigue Scale-Revised (S-PFS-R). Methods One hundred and eleven women with stage I–IIIA breast cancer who had completed their primary cancer therapy in the previous 6 months with the exception of hormone therapy completed the S-PFS-R, the Profile of Mood States (POMS) Fatigue (POMS-F) and Vigor subscales (POMS-V), and bilateral force handgrip testing. Data analysis included test–retest reliability, construct validity, criterion-related validity, and exploratory factor analyses. Results Test–retest reliability was satisfactory (r > 0.86), and all subscales showed moderate to high construct validity estimates [corrected item-subscale correlations (Pearson r = ≥ 0.65)]. The exploratory factor analysis revealed four dimensions with 75.5 % of the common variance explained. The S-PFS-R total score positively correlated with the POMS-F subscale (r = 0.50–0.78) and negatively with the POMS-V subscale (r = −0.13 to −0.44) confirming criterion-related validity. Negative correlations among force handgrip testing, subscales, and total scores were weak (r = −0.26 to −0.29). Conclusions The Spanish version of PFS-R shows satisfactory psychometric properties in a sample of breast cancer survivors. This is the first study to translate the PFS-R into Spanish and further testing is warranted