32 research outputs found
Model biopsychicalsocial in the syndromes of vertebral pain: implications for the protocolize
[Resumen] De forma tradicional el modelo biomédico ha predominado en la práctica asistencial. A diferencia de éste, el modelo biopsicosocial considera a la persona como un todo y hace énfasis sobre la función en lugar de centrarse exclusivamente en el alivio del dolor. En este sentido, la Fisioterapia para el tratamiento de los problemas de espalda, y en concreto para la cervicalgia, tiene que considerar, además del alivio del dolor, la cronicidad y la recurrencia como elementos a considerar en el diseño de actividades protocolizadas.[Abstract] In a traditional way the biomedical model has prevailed in the health care. Against it the biopsychicalsocial pattern considers to the person as a whole and it makes emphasis on the function instead of being centered exclusively in the relief of the pain. In this sense, Physiotheraphy for the treatment of the back problems and in this case for the neck pain, it has to consider besides the relief of the pain, the chronic and the new episodies like elements to consider in the design of protocolized activities
Mesenchymal dental stem cells in regenerative dentistry
In the last decade, tissue engineering is a field that has been suffering an enormous expansion in the regenerative medicine and dentistry. The use of cells as mesenchymal dental stem cells of easy access for dentist and oral
surgeon, immunosuppressive properties, high proliferation and capacity to differentiate into odontoblasts, cementoblasts, osteoblasts and other cells implicated in the teeth, suppose a good perspective of future in the clinical
dentistry. However, is necessary advance in the known of growth factors and signalling molecules implicated
in tooth development and regeneration of different structures of teeth. Furthermore, these cells need a fabulous
scaffold that facility their integration, differentiation, matrix synthesis and promote multiple specific interactions
between cells.
In this review, we give a brief description of tooth development and anatomy, definition and classification of stem
cells, with special attention of mesenchymal stem cells, commonly used in the cellular therapy for their trasdifferentiation ability, non ethical problems and acceptable results in preliminary clinical trials.
In terms of tissue engineering, we provide an overview of different types of mesenchymal stem cells that have
been isolated from teeth, including dental pulp stem cells (DPSCs), stem cells from human exfoliated deciduous
teeth (SHEDs), periodontal ligament stem cells (PDLSCs), dental follicle progenitor stem cells (DFPCs), and stem
cells from apical papilla (SCAPs), growth factors implicated in regeneration teeth and types of scaffolds for dental
tissue regeneration
El informe del usuario como instrumento para evaluar calidad percibida y científico - técnica en fisioterapia
La evaluación de la calidad de la atención sanitaria se ha basado durante mucho tiempo en la aplicación de estándares profesionales de calidad científico-técnica, y actualmente se está tendiendo cada vez más a integrar la percepción de calidad de los pacientes. La historia clínica ha sido la fuente de datos más utilizada para dicha evaluación. Ante la presencia de limitaciones, surge el informe del usuario como una nueva fuente de datos para evaluar si determinados estándares profesionales diagnósticos o terapéuticos se están aplicando, y como posible fuente de información capaz de proporcionar información objetiva acerca de las percepciones de los pacientes sobre sus experiencias asistenciales. Diversos informes han sido desarrollados en el ámbito médico y ninguno en el ámbito de la Fisioterapia. El principal objetivo de esta tesis ha sido construir y validar un informe del usuario capaz de medir calidad científico-técnica y calidad percibida en pacientes con cervicalgia. The evaluation of the quality of health care has been based for a long time in the application of professional standards of scientific-technical quality, and is now leaning more and more to integrate the perceived quality of the patients. The medical history has been the source of data used for this assessment. In the presence of constraints, user report comes as a new source of data to assess whether specific diagnostic or therapeutic professional standards are being applied and as a possible source of information capable of providing objective information about the perceptions of patient’s care experiences. Several reports have been developed in the medical field but none in the field of Physiotherapy. The main objective of this thesis is to construct and validate a user report, able to measure quality scientific-technical and perceived quality in patients with neck pai
Évaluation clinique et instrumentale podologique des patients atteints de sclérose en plaques
Characteristics that affect score reliability in the Berg Balance Scale: a meta-analytic reliability generalization study
INTRODUCTION: The Berg Balance Scale is the most widely used clinical scale used to assess balance performance in neurological conditions. Reliability is not an unalterable value of a scale across different applications, but is a property referring to the results obtained with the scale, not the instrument in itself. The results of a scale can vary depending on the context where it is applied and the characteristics of the participants, therefore the reliability coefficient should be reported in each study. A systematic review and meta-analysis of the reliability coefficients obtained in different applications of the test with the data at hand is the best method to examine how the reliability of a test scores varies. The objectives of this systematic revision are: To determine the mean of internal consistency, intra and interrater reliability of the Berg balance scale in the clinical, nonclinical and mixed populations, to determine the methodological and substantive characteristics and to propose a predictive model enabling researchers and clinicians to use it in the future to estimate the expected reliability based on the characteristics of the most relevant studies. EVIDENCE ACQUISITION: The MEDLINE (Pubmed), EMBASE and CINAHL databases were searched from 1989 to 2015. Two reviewers independently selected empirical studies published in English or in Spanish that applied the Berg Balance Scale and reported any reliability coefficient. EVIDENCE SYNTHESIS: The 80 samples in the 65 studies reported any the Berg Balance Scale reliability estimate. Coefficient alpha ranged from 0.62 to .98, with a mean of 0.92. For intra-rater agreement, the mean intraclass correlation was ICC+=0.957, and for inter-rater agreement ICC+=0.97. The SD of the Berg Balance Scale scores presented statistically significant relationships with the coefficient alpha and with ICC (intra-rater). In addition, the clinical population and the institutionalized population presented statistically significant relationships with the coefficient alpha. The sample size and mean scale results were also statistically related to ICCs (intra-rater). CONCLUSIONS: The alpha coefficient and intra- and inter-rater agreement for Berg Balance Scale scores was very satisfactory. Several characteristics of the studies were statistically associated to the alpha coefficient and with intra-rater reliability.This research was funded by a grant from the Ministerio de Economia, Industria y Competitividad y los Fondos FEDER (Spain: Project No. PSI 2016-77676-P)
Bone and joint complications and reduced mobility are associated with pain in children with cerebral palsy
Aim: To investigate the relationships between pain in the lower extremities and back, and spasticity, bone/joint complications and mobility. Methods: Retrospective population-based registry study. Participants (N = 3256) with cerebral palsy (CP), 2.5-16 years of age, participating in the Swedish Cerebral Palsy Follow-up Program were included. Spasticity was measured using scissoring and the Modified Ashworth Scale. Bone/joint complications consisted of hip displacement, range of motion, windswept posture and scoliosis. Mobility was measured using the Functional Mobility Scale (5-, 50- and 500-metres), wheelchair use (outdoors) and the ability to stand/get up from sitting/use stairs, respectively. Pain was measured as presence of pain in hips, knees, feet and back. Data were analysed using structural equation modelling. Results: Bone/joint complications had the strongest direct pathway with pain in the lower extremities (standardised regression coefficient = 0.48), followed by reduced mobility (standardised regression coefficient = −0.24). The pathways between spasticity and pain, and age and pain were not significant. The R2 of the model was 0.15. Conclusion: Bone/joint complications and reduced mobility were associated with pain in the lower extremities when controlling for sex. Considering the R2 of the model, other factors not included in the model are also associated with pain in the lower extremities in children with CP
Bone and joint complications and reduced mobility are associated with pain in children with cerebral palsy
Looking for effective instruments for secondary prevention in early intervention
El propósito de este trabajo consiste en determinar si
existe asociación entre las Escalas BSID-II y la Escala BINS
en niños de población sin patologías, y analizar el valor
predictivo de las cuatro áreas conceptuales de la Escala
BINS frente a las escalas BSID-II.
Los participantes fueron 16 niños, con edades entre los 12
y 22 meses. Se valoraron en un mismo momento temporal
con ambas escalas.
Los resultados indicaron asociación significativa entre
ambas escalas BINS y BSID-II, y un elevado valor predictivo
entre las escalas.
Los resultados permiten aceptar que la escala BINS puede
ser utilizada como instrumento de cribado.The aim of this study is twofold: first, to determine if there is an association between mental
and motor BSID-II scales and BINS scale in average infantile population, and second, to analyse the predictive value of the four conceptual areas of BINS scale as compared to
BSID-II scales.
The participants were 16 infants (aged 12-22 months), who were assessed through the
mentioned scales at the same time.
The results indicated a significant association between BINS scale and BSID-II scales, as well
as a high predictive value between them.
These results show that BINS scale can be used as a screening instrument
Buscando instrumentos eficaces para la prevención secundaria en Atención Temprana
El propósito de este trabajo consiste en determinar si existe asociación entre las Escalas BSID-II y la Escala BINS en niños de población sin patologías, y analizar el valor predictivo de las cuatro áreas conceptuales de la Escala BINS frente a las escalas BSID-II. Los participantes fueron 16 niños, con edades entre los 12 y 22 meses. Se valoraron en un mismo momento temporal con ambas escalas. Los resultados indicaron asociación significativa entre ambas escalas BINS y BSID-II, y un elevado valor predictivo entre las escalas. Los resultados permiten aceptar que la escala BINS puede ser utilizada como instrumento de cribado