Construction, Factor Structure, and Internal Consistency Reliability of the Hospital Physical Therapy Perceived Satisfaction Questionnaire (H-PTPS)

The authors would like to thank the participants and physical therapy units from the three Spanish public hospitals for their involvement in this study.Patient satisfaction is a crucial aspect in the evaluation of the quality of health care provided by health services and units, especially in patients that require physical rehabilitation. This study aims to design and analyze the factor structure and internal consistency reliability of the Hospital Physical Therapy Perceived Satisfaction Questionnaire (H-PTPS) measuring the level of physical therapy patient satisfaction in hospital rehabilitation services. This study has a multicenter cross-sectional survey design. This study used the structural validity and internal consistency domains from COSMIN (consensus-based standards for the selection of health status measurement instruments) guideline. The H-PTPS questionnaire consists of 20 closed questions. A sample of 384 adult patients from physical therapy units from three Spanish public hospitals completed this questionnaire. A factor structure and internal consistency reliability analysis were performed. The factor analysis including the 20 items of the H-PTPS showed an adequacy index of 0.922 according to the Kaiser–Meyer–Olkin measure and the Barlett test allowed us to reject the null hypothesis (p < 0.001). In the rotated component matrix, four specific factors were obtained, explaining 66.75% of the accumulated variance. All factors present satisfactory internal reliability, achieving Cronbach’s alpha indices and Omega coefficients higher than 0.74. The H-PTPS questionnaire has shown a four-factor solution with satisfactory reliability evaluating the satisfaction of Spanish patients treated in physical therapy units in the hospital rehabilitation services

Psychophysiological responses to a multimodal physiotherapy program in fighter pilots with flight-related neck pain:A pilot trial

Background: The physical and cognitive demands of combat flying may influence the development and persistence of flight-related neck pain (FRNP). The aim of this pilot study was to analyse the effect of a multimodal physiotherapy program which combined supervised exercise with laser-guided feedback and interferential current therapy on psychophysiological variables in fighter pilots with FRNP.Methods: Thirty-one fighter pilots were randomly assigned to two groups (Intervention Group: n = 14; Control Group: n = 17). The intervention consisted of 8 treatment sessions (twice per week) delivered over 4 weeks. The following primary outcomes were assessed: perceived pain intensity (Numeric Pain Rating Scale–NPRS) and Heart Rate Variability (HRV; time-domain, frequency-domain and non-linear variables). A number of secondary outcomes were also assessed: myoelectric activity of the upper trapezius and sternocleidomastoid, pain catastrophizing (Pain Catastrophizing Scale–PCS) and kinesiophobia (TSK-11).Results: Statistically significant differences (p≤0.05) within and between groups were observed for all outcomes except for frequency domain and non-linear HRV variables. A significant time*group effect (one-way ANOVA) in favour of the intervention group was found for all variables (p &lt;0.001). Effect sizes were large (d≥0.6).Conclusions: The use of a multimodal physiotherapy program consisting of supervised exercise with laser-guided feedback and interferential current appears to show clinical benefit in fighter pilots with FRNP

Psychophysiological responses to a multimodal physiotherapy program in fighter pilots with flight-related neck pain:A pilot trial

Background: The physical and cognitive demands of combat flying may influence the development and persistence of flight-related neck pain (FRNP). The aim of this pilot study was to analyse the effect of a multimodal physiotherapy program which combined supervised exercise with laser-guided feedback and interferential current therapy on psychophysiological variables in fighter pilots with FRNP.Methods: Thirty-one fighter pilots were randomly assigned to two groups (Intervention Group: n = 14; Control Group: n = 17). The intervention consisted of 8 treatment sessions (twice per week) delivered over 4 weeks. The following primary outcomes were assessed: perceived pain intensity (Numeric Pain Rating Scale–NPRS) and Heart Rate Variability (HRV; time-domain, frequency-domain and non-linear variables). A number of secondary outcomes were also assessed: myoelectric activity of the upper trapezius and sternocleidomastoid, pain catastrophizing (Pain Catastrophizing Scale–PCS) and kinesiophobia (TSK-11).Results: Statistically significant differences (p≤0.05) within and between groups were observed for all outcomes except for frequency domain and non-linear HRV variables. A significant time*group effect (one-way ANOVA) in favour of the intervention group was found for all variables (p &lt;0.001). Effect sizes were large (d≥0.6).Conclusions: The use of a multimodal physiotherapy program consisting of supervised exercise with laser-guided feedback and interferential current appears to show clinical benefit in fighter pilots with FRNP

Detection of Changes on Parameters Related to Heart Rate Variability after Applying Current Interferential Therapy in Subjects with Non-Specific Low Back Pain

Interferential current therapy (ICT) is an electrotherapeutic intervention that combines the advantages of high permeability from middle frequency currents and efficient tissue stimulation from low frequency currents, delivering the maximum current with high tissue permeability. The aim was to evaluate the effects of ICT on heart rate variability (HRV) and on pain perception in patients with non-specific chronic low back pain (NSCLBP). In the study, 49 patients with NSCLBP were randomly divided into an experimental (EG) and a sham group (SG). All participants received a single intervention, ICT, or simulated intervention. Outcome measures including baseline (sit-down position) and postintervention (prone position) pain, heart rate (HR), time domain parameter (rMSSD), diameters of the Poincaré plot (SD1, SD2), stress score (SS), and sympathetic/parasympathetic (S/PS) ratio were investigated. In both groups, significant statistical differences were found in perceived pain and in all HRV parameters except in HRmax. Between-group comparisons showed statistically significant differences in all variables except for HRmin and HRmean in favor of the experimental group. These changes reported an increase in parasympathetic activity (rMSSD) (p < 0.05) and a decrease in sympathetic activity (increase in SD2 and decrease in SS) (p < 0.001) and perceived pain (p < 0.001), with a greater size effect (η2 = 0.44) in favor of the experimental group. In conclusion, a single session of ICT can shift the autonomic balance towards increase parasympathetic dominance and decrease the sympathetic dominance and intensity of pain perceived by patients with NSCLBP

Effects of Radiofrequency Diathermy Plus Therapeutic Exercises on Pain and Functionality of Patients With Patellofemoral Pain Syndrome: A Randomized Controlled Trial

Although consensus has been reached about the use of therapeutic exercise in patellofemoral pain syndrome, several techniques used worldwide such as radiofrequency diathermy could be useful as complementary therapy. The objective of this randomized controlled trial was to compare the effects of adding radiofrequency diathermy to therapeutic exercises in patients with patellofemoral pain syndrome. Fifty-six participants were randomly assigned either to radiofrequency diathermy plus therapeutic exercises group (n = 29) or therapeutic exercises group (n = 27). Both groups received the same therapeutic exercises, and the diathermy group additionally received monopolar dielectric diathermy for three weeks (5–3–2 weekly sessions). Data related to intensity of pain, probability of neuropathic pain, functionality, and range of movement of the knee were measured at baseline and three weeks after the intervention. Comparing pre-treatment and values obtained at the third week, significant improvements were found in intensity of pain, neuropathic pain, functionality, and range of motion in both groups (p < 0.05). The diathermy plus exercises group had significantly better intensity of pain than the control group at the end of the three weeks (p < 0.01). The addition of diathermy by emission of radiofrequency to the therapeutic knee exercise protocol is more effective than a therapeutic exercise protocol alone in the relief of intensity of pain in patients with patellofemoral pain in the immediate post-treatment follow-up compared with baseline scores

Lesiones musculares en el mundo del deporte. [Muscular injuries in the world of the sport]

Resumen En el mundo del deporte y no solo en este, sino en toda la práctica de una actividad física, son muy frecuentes las lesiones musculares. Hay muchos tipos de lesiones musculares de los que hablaremos más adelante, como pueden ser desgarros musculares, calambres, contracturas etc., que tienen mayor incidencia en la musculatura poli-articular, por condiciones de acumulación de fatiga, trabajo no realizado correctamente, o condiciones ambientales desfavorables. Es importante el diagnóstico y el tratamiento precoz, para poder intervenir y conseguir que el deportista vuelva lo antes posible a su actividad y al proceso de competición. En este artículo hablaremos de los distintos tipos de lesiones musculares, de las causas y mecanismos de producción, así como del tratamiento fisioterápico que se emplea en un deportista en estos casos. Palabras claves: Lesión, músculo, deporte. Abstract In the world of the sport and not only in this one, but in the whole practice of a physical activity, the muscular injuries are very frequent. There are many types of muscular injuries about which we are going to speak later, like can be muscular tears, cramps, contractions etc. That have major incident in the musculature poly-articulate, because of conditions of accumulation of fatigue, the work not done correctly, or  unfavorable environmental conditions.  The diagnosis and the precocious treatment is important, to be able to intervene and achieve that the sportsman come back as soon as possible to the activity and to the process of competition.  In this article we are going to speak about the different types of muscular injuries, about the reasons and mechanisms of production, as well as about the physical therapy diagnosed in these cases.  Key words: Injury, muscle, spor

Lesiones musculares en el mundo del deporte. [Muscular injuries in the world of the sport]

Resumen En el mundo del deporte y no solo en este, sino en toda la práctica de una actividad física, son muy frecuentes las lesiones musculares. Hay muchos tipos de lesiones musculares de los que hablaremos más adelante, como pueden ser desgarros musculares, calambres, contracturas etc., que tienen mayor incidencia en la musculatura poli-articular, por condiciones de acumulación de fatiga, trabajo no realizado correctamente, o condiciones ambientales desfavorables. Es importante el diagnóstico y el tratamiento precoz, para poder intervenir y conseguir que el deportista vuelva lo antes posible a su actividad y al proceso de competición. En este artículo hablaremos de los distintos tipos de lesiones musculares, de las causas y mecanismos de producción, así como del tratamiento fisioterápico que se emplea en un deportista en estos casos. Palabras claves: Lesión, músculo, deporte. Abstract In the world of the sport and not only in this one, but in the whole practice of a physical activity, the muscular injuries are very frequent. There are many types of muscular injuries about which we are going to speak later, like can be muscular tears, cramps, contractions etc. That have major incident in the musculature poly-articulate, because of conditions of accumulation of fatigue, the work not done correctly, or  unfavorable environmental conditions.  The diagnosis and the precocious treatment is important, to be able to intervene and achieve that the sportsman come back as soon as possible to the activity and to the process of competition.  In this article we are going to speak about the different types of muscular injuries, about the reasons and mechanisms of production, as well as about the physical therapy diagnosed in these cases.  Key words: Injury, muscle, spor

Muscular injuries in the world of the sport.

En el mundo del deporte y no solo en este, sino en toda la práctica de una actividad física, son muy frecuentes las lesiones musculares. Hay muchos tipos de lesiones musculares de los que hablaremos más adelante, como pueden ser desgarros musculares, calambres, contracturas etc., que tienen mayor incidencia en la musculatura poli-articular, por condiciones de acumulación de fatiga, trabajo no realizado correctamente, o condiciones ambientales desfavorables. Es importante el diagnóstico y el tratamiento precoz, para poder intervenir y conseguir que el deportista vuelva lo antes posible a su actividad y al proceso de competición. En este artículo hablaremos de los distintos tipos de lesiones musculares, de las causas y mecanismos de producción, así como del tratamiento fisioterápico que se emplea en un deportista en estos casos.In the world of the sport and not only in this one, but in the whole practice of a physical activity, the muscular injuries are very frequent. There are many types of muscular injuries about which we are going to speak later, like can be muscular tears, cramps, contractions etc. That have major incident in the musculature poly-articulate, because of conditions of accumulation of fatigue, the work not done correctly, or unfavorable environmental conditions. The diagnosis and the precocious treatment is important, to be able to intervene and achieve that the sportsman come back as soon as possible to the activity and to the process of competition In this article we are going to speak about the different types of muscular injuries, about the reasons and mechanisms of production, as well as about the physical therapy diagnosed in these cases.peerReviewe

Eficacia de dos métodos de intervención en fisioterapia aplicados en sujetos del ámbito socio-sanitario con dolor cervical inespecífico

Estudio experimental prospectivo, controlado y simple ciego en trabajadores del ámbito socio sanitario diagnosticados de dolor cervical inespecífico. El objetivo fue valorar la eficacia de dos tratamientos de fisioterapia (masoterapia y TENS / masoterapia y ejercicios de estiramientos) sobre las variables: grado de discapacidad, dolor percibido (Escala Visual Analógica y algometría), rango de movilidad articular y estado de salud así como determinar si existen diferencias en cuanto a los resultados obtenidos entre ambas intervenciones y de estas frente a un grupo control que no recibió intervención alguna. La muestra (n=75) fue divida aleatoriamente en tres grupos, dos experimentales (GET: 37.68±8.89 años; GEE: 38.44±10.39 años) y un GC 35.28±9.81años. La intervención consistió 10 sesiones (2 sesiones semanales) de 45 min cada una, durante 5 semanas. Se evaluaron las variables descritas en tres momentos (pre-intervención, post-intervención y seguimiento al mes). Se realizó una evolución en el consumo de fármacos de los tres grupos sometidos a estudio. El análisis de los datos se ha llevado a cabo mediante el software estadístico IBM SPSS Statistics 19 (SPSS Inc an IBM Company). Los resultados mostraron cambios estadísticamente significativos en la variable discapacidad, dolor percibido (Escala Visual Analógica y algometría) y rango de movimiento articular en al menos dos de los pares temporales sometidos a estudio (p≤0.05). Se produjeron cambios entre al menos uno de los grupos experimentales y el grupo control en las variables dolor percibido mediante EVA, dolor percibido mediante Algometría y rango de movimiento articular (salvo movimiento de ROT-D). Se observó una asociación estadísticamente significativa (p≤0.05) entre: dolor percibido vs discapacidad, discapacidad vs rango de movimiento a la extensión y ROT-I.Experimental prospective, controlled, single-blind social health field workers diagnosed with nonspecific neck pain. The objective was to assess the efficacy of two physiotherapy treatments (massage therapy and TENS / massage therapy and stretching exercises) on variables: degree of disability, perceived pain (Visual Analogue Scale and algometry), range of joint mobility and health and determine whether there are differences in the results between these two interventions against a control group that didn´t receive intervention. The sample (n = 75) were randomly divided into three groups, two experimental (GET: 37.68 ± 8.89 years; GEE: 38.44 ± 10.39 years) and 35.28 ± 9.81años GC. The intervention consisted of 10 sessions (2 sessions per week) for 45 minutes each, for 5 weeks. The variables were evaluated at three time points (pre-intervention, post-intervention and follow a month). The consumption of drugs was made in the three groups under study. The data analysis was carried out by SPSS statistical software Statistics 19 (SPSS Inc an IBM Company). The results showed statistically significant changes in variable: disability, perceived pain (Visual Analog Scale and algometry) and joint range of motion in at least two pairs of temporary under study (p ≤ 0.05). Changes between at least one of the experimental groups and the control group in variables pain perceived by EVA occurred, pain perceived by Algometry and joint range of motion (except movement ROT-D). A statistically significant association was observation in: disability vs. perceived pain, disability vs. range of motion to the extent and ROT-I (p ≤ 0.05)

Eficacia de dos métodos de intervención en fisioterapia aplicados en sujetos del ámbito socio-sanitario con dolor cervical inespecífico

Estudio experimental prospectivo, controlado y simple ciego en trabajadores del ámbito socio sanitario diagnosticados de dolor cervical inespecífico. El objetivo fue valorar la eficacia de dos tratamientos de fisioterapia (masoterapia y TENS / masoterapia y ejercicios de estiramientos) sobre las variables: grado de discapacidad, dolor percibido (Escala Visual Analógica y algometría), rango de movilidad articular y estado de salud así como determinar si existen diferencias en cuanto a los resultados obtenidos entre ambas intervenciones y de estas frente a un grupo control que no recibió intervención alguna. La muestra (n=75) fue divida aleatoriamente en tres grupos, dos experimentales (GET: 37.68±8.89 años; GEE: 38.44±10.39 años) y un GC 35.28±9.81años. La intervención consistió 10 sesiones (2 sesiones semanales) de 45 min cada una, durante 5 semanas. Se evaluaron las variables descritas en tres momentos (pre-intervención, post-intervención y seguimiento al mes). Se realizó una evolución en el consumo de fármacos de los tres grupos sometidos a estudio. El análisis de los datos se ha llevado a cabo mediante el software estadístico IBM SPSS Statistics 19 (SPSS Inc an IBM Company). Los resultados mostraron cambios estadísticamente significativos en la variable discapacidad, dolor percibido (Escala Visual Analógica y algometría) y rango de movimiento articular en al menos dos de los pares temporales sometidos a estudio (p≤0.05). Se produjeron cambios entre al menos uno de los grupos experimentales y el grupo control en las variables dolor percibido mediante EVA, dolor percibido mediante Algometría y rango de movimiento articular (salvo movimiento de ROT-D). Se observó una asociación estadísticamente significativa (p≤0.05) entre: dolor percibido vs discapacidad, discapacidad vs rango de movimiento a la extensión y ROT-I.Experimental prospective, controlled, single-blind social health field workers diagnosed with nonspecific neck pain. The objective was to assess the efficacy of two physiotherapy treatments (massage therapy and TENS / massage therapy and stretching exercises) on variables: degree of disability, perceived pain (Visual Analogue Scale and algometry), range of joint mobility and health and determine whether there are differences in the results between these two interventions against a control group that didn´t receive intervention. The sample (n = 75) were randomly divided into three groups, two experimental (GET: 37.68 ± 8.89 years; GEE: 38.44 ± 10.39 years) and 35.28 ± 9.81años GC. The intervention consisted of 10 sessions (2 sessions per week) for 45 minutes each, for 5 weeks. The variables were evaluated at three time points (pre-intervention, post-intervention and follow a month). The consumption of drugs was made in the three groups under study. The data analysis was carried out by SPSS statistical software Statistics 19 (SPSS Inc an IBM Company). The results showed statistically significant changes in variable: disability, perceived pain (Visual Analog Scale and algometry) and joint range of motion in at least two pairs of temporary under study (p ≤ 0.05). Changes between at least one of the experimental groups and the control group in variables pain perceived by EVA occurred, pain perceived by Algometry and joint range of motion (except movement ROT-D). A statistically significant association was observation in: disability vs. perceived pain, disability vs. range of motion to the extent and ROT-I (p ≤ 0.05)