Does laser therapy improve pain or pinch strength for thumb carpometacarpal joint osteoarthritis as an isolated treatment? A randomized controlled trial.

Objective: Osteoarthritis (OA) is a chronic and prevalent joint disorder that greatly impacts quality of life and has a high economic burden on health resources. Although a number of conservative therapies have proven to be effective for the management of hand OA, only modest treatment effects were reported for most individual interventions. The aim of the proposed study is to assess the effect of laser therapy on pain and pinch strength in subjects with thumb carpometacarpal osteoarthritis (CMC OA) Materials and Methods: 43 patients, (mean ± SD age: 71 ±12 years; 57% female) with the diagnosis of CMC joint OA grade 1-2 were randomized to the control (n=21) or experimental (n=23) groups. The primary outcome measures were pain intensity [Visual Analogue Scale (VAS)], and the secondary outcome measure was key pinch strength (dynamometer). The experimental group received laser therapy and control group received a placebo treatment. All outcome measures were collected at baseline, immediately following the intervention at 4 weeks, and at 12 weeks following the intervention. Results: The experimental group evidenced a 2-point improvement VAS pain score following the treatment. There was a gain of 0.7 kg of pinch strength in the experimental group following the treatment. The effects of both pinch strength gains and pain reduction diminished by the 12 week follow up. Conclusions: High intensity laser therapy effectively decreases pain intensity when used as a isolated treatment for early CMC OA, but the effect of treatment decreases after 3 months.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Anatomía. Reconocimiento de estructuras mediante la palpación

15 páginas.Capítulo incluido en el libro: Terapia de mano basada en el razonamiento y la práctica clínica. Raquel Cantero Téllez (coord.). Sevilla: Universidad Internacional de Andalucía, 2020. ISBN 978-84-7993-361-6. Enlace: http://hdl.handle.net/10334/544

Proyecto CONECTA: creación de comunidades de aprendizaje en el ámbito universitario.

Se describe la justificación, objetivos y metodología del proyecto CONECTA, que es un proyecto de mejora docente para la creación de comunidades de aprendizaje en el marco del Grado en Ciencias de la Actividad Física y del Deporte (CAFYD) de la Universidad de Málaga (UMA) durante el curso 2022-2023.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Alexithymia and depression in elderly people that get directed physical activity

La relación entre la alexitimia y la depresión y los factores sociodemográficos ha sido estudiada en personas mayores. Sin embargo, el papel atenuador del ejercicio en estas afecciones aún debe ser determinado. En el presente estudio se mide el grado de alexitimia y depresión en adultos mayores, comparando una muestra sedentaria con una de practicantes de actividad física. Se utilizó un diseño descriptivo transversal con una muestra compuesta por 27 participantes, 9 hombres y 18 mujeres de más de 60 años (64 ± 5.1 años), con objeto de medir el grado de alexitimia y depresión que presentaban en el momento de la recogida de datos. Los instrumentos utilizados fueron la escala de depresión de Yesavage, la Escala de Alexitimia de Toronto (TAS-20) y el Cuestionario de Salud SF-12. Los resultados mostraron que los practicantes de actividad física presentaban puntuaciones más bajas en alexitimia y depresión que los sujetos sedentarios, sin que éstas variables estuvieran relacionadas en función del género y la edad. A tenor de los resultados, el ejercicio pudiera jugar algún papel en la modulación de las alteraciones psicológicas

Alexitimia y depresión en mayores que practican actividad física dirigida

Associations between alexithymia and depression and sociodemographic factors have been investigated in elderly population. Whether exercise plays a role as a protective factor against these conditions has yet to be determined. Thus, the aim of this study was to investigate alexithymia and depression and its association with physical activity in elderly people. Twenty-seven participants, 9 men and 18 women (aged 64 ± 5.1). Subjects were assigned to either a sedentary group or a physically active group. All participants filled in Yesavage Scale, Toronto Alexithymia Scale (TAS)-20 and SF-12. Data were analyzed using Student’s t-test andmultiple linear regression analyses. Results showed that physically active elderly people scored lower for alexithymia and depression than sedentary subjects. These findings suggest that physical activity may have a role in benefiting mental disorders.La relación entre la alexitimia y la depresión y los factores sociodemográficos ha sido estudiada en personas mayores. Sin embargo, el papel atenuador del ejercicio en estas afecciones aún debe ser determinado. En el presente estudio se mide el grado de alexitimia y depresión en adultos mayores, comparando una muestra sedentaria con una de practicantes de actividad física. Se utilizó un diseño descriptivo transversal con una muestra compuesta por 27 participantes, 9 hombres y 18 mujeres de más de 60 años (64±5.1 años), con objeto de medir el grado de alexitimia y depresión que presentaban en el momento de la recogida de datos. Los instrumentos utilizados fueron la escala de depresión de Yesavage, la Escala de Alexitimia de Toronto (TAS-20) y el Cuestionario de Salud SF-12. Los resultados mostraron que los practicantes de actividad física presentaban puntuaciones más bajas en alexitimia y depresión que los sujetos sedentarios, sin que éstas variables estuvieran relacionadas en función del género y la edad. A tenor de los resultados, el ejercicio pudiera jugar algún papel en la modulación de las alteraciones psicológicas.

Efficacy and safety of intra-articular therapies in rheumatic and musculoskeletal diseases: an overview of systematic reviews

Objective To summarise the evidence on intra-articular therapies (IAT) to inform the 2020 EULAR recommendations. Methods An overview of systematic reviews (SR) including randomised-controlled trials (RCTs) of IAT in adults with arthropathies was performed up to July 2020. Pain, function, and frequency of adverse events were the main efficacy and safety outcomes, respectively. Quality was assessed with the A MeaSurement Tool to Assess Systematic Reviews (AMSTAR)-2 tool. Results Of 184 references identified, 16 met the inclusion criteria, and a search of their reference lists identified 16 additional SRs. After quality assessment, 29 were finally included. Of these, 18 focused on knee osteoarthritis (KOA), 6 on hip osteoarthritis (HOA), 3 on shoulder capsulitis (SC), and 3 on rheumatoid arthritis. Overall, hyaluronic acid showed a small effect on pain and function in KOA but not in HOA or shoulder capsulitis. Intra-articular glucocorticoids showed a small effect in pain and function in KOA and function in HOA and SC. Platelet-rich plasma showed benefit in pain and function in KOA but not in HOA. Mesenchymal stem cells behaved similarly. Most SR results were of moderate quality and RCTs included often presented a high risk of bias, mainly due to inadequate blinding and heterogeneous results. All interventions were well tolerated with no clear safety differences. Conclusions This overview underlines that most IAT currently used in KOA, HOA, and SC exert small effects and are well tolerated. However, no firm conclusions can be drawn for inflammatory arthritis due to the limited data found

Anthropometric characteristics and physical fitness in elite futsal male players. A systematic review

The purpose of the study was to summarize scientific literature on anthropometric characteristics and physical condition in high-level futsal male players. Potentially relevant publications were identified by searching electronic databases from inception to September 2019. Selected studies were independently reviewed for methodological quality and assigned a level of evidence. A total of 10 articles comprised this review, all of them being observational designs. Physical fitness studies included power, speed, agility, flexibility, and functional tests, maximum oxygen consumption (VO2max) and ventilatory threshold (VT) testing. PEDro scale values ranged from 4 to 7, with an average of 5.7 and low/moderate to moderate/strong methodological quality. Futsal players tend to show different physical profiles depending on their position. In general, field futsal players present higher VO2max, VT, and heart rate values than goalkeepers. Together with these findings, more interventional studies are needed for the purpose of defining proper physiological and anthropometric profile in high-level futsal