152 research outputs found

    Fisioterapia en el síndrome subacromial del hombro. Revisión sistemática cualitativa.

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    Trabajo Fin de Grado (TFG)Antecedentes: El dolor de hombro es un problema muy frecuente, se estima que un tercio de la población sufre o sufrirá a lo largo de la vida dolor de hombro en alguna ocasión. El síndrome subacromial es la causa más común. La fisioterapia es la terapia de elección frente al síndrome subacromial, con una gran variedad abordajes fisioterapéuticos como los ejercicios terapéuticos, la terapia manual, el ultrasonido, la acupuntura, etc. Objetivo: El objetivo de este trabajo es conocer la efectividad de distintas modalidades fisioterapéuticas para el tratamiento del síndrome subacromial, así como determinar cuál es la modalidad más efectiva. Material y método: Se realizaron búsquedas bibliográficas entre noviembre de 2013 y julio de 2014, en las principales bases de datos de ciencias de la salud: PubMed, PEDro, Cochrane Plus, Web of Science, y Science Direct, complementa estas con una búsqueda manual en las revistas del área Cuestiones de Fisioterapia, y Fisioterapia. Tras aplicar los criterios de inclusión y exclusión, se analizó la calidad de los artículos incluidos mediante el factor de impacto, y las escalas SIGN y PEDro. Resultados: Se incluyeron 33 artículos en la revisión, 32 ensayos clínicos aleatorios y 1 metaanálisis. Trece artículos evaluaban los ejercicios terapéuticos, 5 el ultrasonido, 2 el láser, 2 la magnetoterapia, 1 la microonda, 4 la terapia manual, 3 el kinesiotape, y 3 otras técnicas. Conclusión: Los ejercicios terapéuticos son la modalidad fisioterapéutica con mayor efectividad para disminuir el dolor y mejorar la funcionalidad en los pacientes con síndrome subacromial. Debería ser considerado como la base del tratamiento, ya que la combinación de los ejercicios terapéuticos con otras modalidades terapéuticas como la acupuntura, kinesiotape y terapia manual pueden ofrecer resultados aún mejores.Background: Shoulder pain is a common complaint, it's estimated that one third of the population throughout life suffers shoulder pain, where the impingement syndrome is the cause in more than 50%. Physiotherapy is the therapy of choice used for impingement syndrome; there are many different types of techniques such as therapeutic exercises, manual therapy, ultrasound, acupuncture, etc. Objective: The aim of this work is to discover the effectiveness of several physiotherapy modalities for treating impingement syndrome, and to determine which one is the most effective. Methods: Searches were conducted between November 2013 and July 2014 in the major health-science databases: PubMed, PEDro, Cochrane, Web of Science, and Science Direct, supplemented by a manual search in journals Cuestiones de Fisioterapia and Fisioterapia. After applying the inclusion and exclusion criteria, the quality of included articles was evaluated by the impact factor and SIGN scale. Results: Finally, 33 articles were included in this review, 32 randomized clinical trials and 1 meta-analysis. Thirteen of them evaluated therapeutic exercises, 5 of ultrasound, 2 of laser, 2 of pulsed electromagnetic field, 1 of microwave, 4 of manual therapy, 3 of kinesiotape, and 3 of other techniques. Conclusion: The therapeutic exercise program is the most effective technique for treating the shoulder impingement syndrome to decreasing pain and to improving function. It should be considered as the mainstay of the treatment program, the combination of therapeutic exercises with other techniques such as acupuncture, manual therapy and kinesiotape, also can provides better results.Grado en Fisioterapi

    Fisioterapia en el síndrome subacromial del hombro. Revisión sistemática cualitativa.

    Get PDF
    Trabajo Fin de Grado (TFG)Antecedentes: El dolor de hombro es un problema muy frecuente, se estima que un tercio de la población sufre o sufrirá a lo largo de la vida dolor de hombro en alguna ocasión. El síndrome subacromial es la causa más común. La fisioterapia es la terapia de elección frente al síndrome subacromial, con una gran variedad abordajes fisioterapéuticos como los ejercicios terapéuticos, la terapia manual, el ultrasonido, la acupuntura, etc. Objetivo: El objetivo de este trabajo es conocer la efectividad de distintas modalidades fisioterapéuticas para el tratamiento del síndrome subacromial, así como determinar cuál es la modalidad más efectiva. Material y método: Se realizaron búsquedas bibliográficas entre noviembre de 2013 y julio de 2014, en las principales bases de datos de ciencias de la salud: PubMed, PEDro, Cochrane Plus, Web of Science, y Science Direct, complementa estas con una búsqueda manual en las revistas del área Cuestiones de Fisioterapia, y Fisioterapia. Tras aplicar los criterios de inclusión y exclusión, se analizó la calidad de los artículos incluidos mediante el factor de impacto, y las escalas SIGN y PEDro. Resultados: Se incluyeron 33 artículos en la revisión, 32 ensayos clínicos aleatorios y 1 metaanálisis. Trece artículos evaluaban los ejercicios terapéuticos, 5 el ultrasonido, 2 el láser, 2 la magnetoterapia, 1 la microonda, 4 la terapia manual, 3 el kinesiotape, y 3 otras técnicas. Conclusión: Los ejercicios terapéuticos son la modalidad fisioterapéutica con mayor efectividad para disminuir el dolor y mejorar la funcionalidad en los pacientes con síndrome subacromial. Debería ser considerado como la base del tratamiento, ya que la combinación de los ejercicios terapéuticos con otras modalidades terapéuticas como la acupuntura, kinesiotape y terapia manual pueden ofrecer resultados aún mejores.Background: Shoulder pain is a common complaint, it's estimated that one third of the population throughout life suffers shoulder pain, where the impingement syndrome is the cause in more than 50%. Physiotherapy is the therapy of choice used for impingement syndrome; there are many different types of techniques such as therapeutic exercises, manual therapy, ultrasound, acupuncture, etc. Objective: The aim of this work is to discover the effectiveness of several physiotherapy modalities for treating impingement syndrome, and to determine which one is the most effective. Methods: Searches were conducted between November 2013 and July 2014 in the major health-science databases: PubMed, PEDro, Cochrane, Web of Science, and Science Direct, supplemented by a manual search in journals Cuestiones de Fisioterapia and Fisioterapia. After applying the inclusion and exclusion criteria, the quality of included articles was evaluated by the impact factor and SIGN scale. Results: Finally, 33 articles were included in this review, 32 randomized clinical trials and 1 meta-analysis. Thirteen of them evaluated therapeutic exercises, 5 of ultrasound, 2 of laser, 2 of pulsed electromagnetic field, 1 of microwave, 4 of manual therapy, 3 of kinesiotape, and 3 of other techniques. Conclusion: The therapeutic exercise program is the most effective technique for treating the shoulder impingement syndrome to decreasing pain and to improving function. It should be considered as the mainstay of the treatment program, the combination of therapeutic exercises with other techniques such as acupuncture, manual therapy and kinesiotape, also can provides better results.Grado en Fisioterapi

    Fenofibrate Enhances the In Vitro Differentiation of Foxp3+ Regulatory T Cells in Mice

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    Foxp3+ regulatory T cells (Tregs) play a critical role in maintaining immune self-tolerance. Reduced number and activity of Tregs are usually found in autoimmune and inflammatory diseases, and enhancing the differentiation of Tregs may be a promising therapeutic strategy. Some reports suggested an anti-inflammatory and anti-autoimmune potential for fenofibrate, a hypolipidemic drug used worldwide, whose lipid effects are mediated by the activation of peroxisome proliferator-activated receptor α (PPARα). In the present paper, we found that fenofibrate dose-dependently increased transforming growth factor-β and interleukin-2-induced Treg differentiation in vitro, by 1.96-fold from 0 to 20 μM (12.59 ± 1.34% to 24.69 ± 3.03%, P < 0.05). Other PPARα activators, WY14643 (100 μM), gemfibrozil (50 μM), and bezafibrate (30 μM), could not enhance Treg differentiation. In addition, PPARα could not upregulate the promoter activity of the Treg-specific transcription factor Foxp3. Fenofibrate might exert its function by enhancing Smad3 phosphorylation, a critical signal in Treg differentiation, via Akt suppression. Our work reveals a new PPARα independent anti-inflammatory mechanism of fenofibrate in up-regulating mouse Treg differentiation

    GPU accelerated biochemical network simulation

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    Motivation: Mathematical modelling is central to systems and synthetic biology. Using simulations to calculate statistics or to explore parameter space is a common means for analysing these models and can be computationally intensive. However, in many cases, the simulations are easily parallelizable. Graphics processing units (GPUs) are capable of efficiently running highly parallel programs and outperform CPUs in terms of raw computing power. Despite their computational advantages, their adoption by the systems biology community is relatively slow, since differences in hardware architecture between GPUs and CPUs complicate the porting of existing code

    GPU accelerated biochemical network simulation

    Get PDF
    Motivation: Mathematical modelling is central to systems and synthetic biology. Using simulations to calculate statistics or to explore parameter space is a common means for analysing these models and can be computationally intensive. However, in many cases, the simulations are easily parallelizable. Graphics processing units (GPUs) are capable of efficiently running highly parallel programs and outperform CPUs in terms of raw computing power. Despite their computational advantages, their adoption by the systems biology community is relatively slow, since differences in hardware architecture between GPUs and CPUs complicate the porting of existing code
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