Plan de intervención fisioterápico en un paciente con luxaciones recidivantes de hombro post artroscopia de Bankart

Introducción. La articulación glenohumeral es la más móvil del cuerpo y a la vez la más inestable, por ello cuenta con elementos estabilizadores pasivos y activos que trabajan conjunta y coordinadamente para asegurarle a la articulación dicha estabilidad. Cuando estos mecanismos fallan pueden producirse luxaciones que conllevan daño anatómico y déficits propioceptivos, a su vez estos déficits podrán dar lugar a luxaciones de repetición, entrando así en un círculo vicioso. La artroscopia de Bankart es la técnica de elección cuando el daño anatómico es muy grande y necesita tratamiento fisioterápico posterior a la intervención. Objetivos. Plantear un plan de intervención fisioterápica basado en la evidencia científica actual para un paciente que sufría luxaciones recidivantes, intervenido mediante artroscopia de Bankart. Metodología. Diseño intrasujeto (n=1) de tipo AB. En función de la valoración inicial se plantea un tratamiento fisioterápico en dos fases que está destinado a aliviar el dolor, normalizar el rango de movimiento (ROM) y la fuerza muscular y al entrenamiento de la estabilización glenohumeral para conseguir un nivel de función óptimo. Desarrollo. Se consiguió una disminución en el dolor y un aumento en el ROM y la fuerza muscular, así como se mejoró el control motor. Conclusiones. El plan de intervención fisioterápica se ha mostrado eficaz para el tratamiento post cirugía de Bankart en el caso descrito

Factors associated with depression and anxiety in adults =60 years old during the CPVID-19 pandemic: a systematic review

COVID-19 represents a threat to public health and the mental health of the aged population. Prevalence and risk factors of depression and anxiety have been reported in previous reviews in other populations; however, a systematic review on the factors associated with depression and anxiety in older adults is not currently present in the literature. We searched PubMed, Embase, Scopus, ProQuest Psychology Database, Science Direct, Cochrane Library and SciELO databases (23 February 2021). The results were obtained by entering a combination of MeSH or Emtree terms with keywords related to COVID-19, elderly, depression and anxiety in the databases. A total of 11 studies were included in the systematic review. Female gender, loneliness, poor sleep quality and poor motor function were identified as factors associated with both depression and anxiety. Aspects related to having a stable and high monthly income represent protective factors for both depression and anxiety, and exercising was described as protective for depression. This study synthesised information and analysed the main factors associated with depression and anxiety in the older population during the COVID-19 pandemic. However, the cross-sectional design of most of the included studies does not allow a causal relationship between the factors analysed and depression or anxiety

Application of Percutaneous Needle Electrolysis Does Not Elicit Temperature Changes: An In Vitro Cadaveric Study

Percutaneous needle electrolysis (PNE) consists of the ultrasound-guided application of a galvanic electrical current through a solid filament needle. One proposed therapeutic mechanism for this intervention is a potential thermal effect. The aim of this study was to investigate if the application of PNE induces changes in temperature in different cadaveric musculoskeletal tissues. A repeated measure experimental cadaveric study was designed with 10 cryopreserved knees (5 men, 5 women). Sterile stainless-steel needles of 40 mm length and 0.30 mm caliber were used in this study. An ultrasound-guided needling puncture was performed in the targeted tissue (patellar tendon, infra-patellar fat, and vastus medialis muscle). Additionally, the tip of the needle was placed next to the thermometer sensor at the minimum possible distance without direct contact with it. The temperature differences before and after different applications were measured. The applications were: three applications for 3 s of 3 mA of intensity (3:3:3) when the tendon was the targeted tissue, three applications for 3 s of 1.5 mA of intensity (1.5:3:3) when the fat or muscle was the targeted tissue, and 24 s of 1 mA of intensity (1:24:1) in all tissues. No statistically significant Group*Time interactions were found in any tissue (tendon: F = 0.571, p = 0.459, ŋ2 = 0.03; fat pad: F = 0.093; p = 0.764, ŋ2 = 0.01; muscle: F = 0.681; p = 0.420, ŋ2 = 0.04). Overall, no changes in temperature were observed between both applications in the tendon (3:3:3 vs. 1:24:1) and fat/muscle (1.5:3:3 vs. 1:24:1) tissues. The application of two different percutaneous needle electrolysis protocols did not produce appreciable thermal changes in the tendon, fat, and muscle tissues of human cadavers. The results from the current cadaver study support that a thermal effect should not be considered as a mechanism of clinical action regardless of the targeted human tissue when applying percutaneous needle electrolysis since no changes in temperature after its application were observed