Patologías musculoesqueléticas en la hemofilia y tratamiento fisioterápico

La hemofilia es una de las enfermedades más documentadas a lo largo de la historia y sus tratamientos han sido tan variados como ineficaces. Sólo en los últimos 70 años se ha avanzado en la investigación y obtenido resultados efectivos. Los resangrados han dejado de ser la causa de muerte de estos pacientes, pero las lesiones musculoesqueléticas que conllevan se han convertido en el pricipal problema. Los hemartros, hematomas musculares y sinovitis son, sin duda, las patologías más frecuentes y los codos, tobillos y rodillas las articulaciones más afectadas. La prevención y el tratamiento fisioterápico, la imprescindible colaboración con cirujanos ortopédicos, hematólogos y el trabajo multidisciplinar de todo el personal sanitario parece ser la mejor vía de abordaje para que las secuelas no alteren la calidad de vida del paciente hemofílico

Reseñas de iniciativas de liderazgo de enfermería

La profesión de enfermería está evolucionando de manera paralela a los avances científicos de cada momento de la historia en la que se encuentra. Esta evolución ha llevado consigo un aumento de su presencia a nivel asistencial en los centros sanitarios con un aumento de la carga asistencial y de responsabilidad de la gestión de los cuidados de los pacientes

Iontoforesis, dosis y tratamientos

La iontoforesis es una técnica documentada desde el siglo XVII, pero aún hoy no se emplea con la precisión que requiere cualquier tratamiento. No existe un criterio común en la dosificación y en la aplicación de la técnica lo que dificulta obtener conclusiones de los estudios y tratamientos. Entre las posibilidades terapéuticas se encuentra la hiperhidrosis palmoplantar, las calcificaciones utilizando ácido acético y las induraciones, en las cuales se informa de resultados eficaces. No obstante, falta llegar a un consenso entre los profesionales para que la utilización de esta técnica deje de realizarse de forma empírica

Disaster Preparedness in the Philippines: From the Will to the Way

Geographically situated in the circle of fire in the Pacific and bordering the pacific tectonic plate, makes the Filipino archipelago one of the most disaster-prone areas in the world. As a result of this exposure, it is estimated that an annual USD 7.893 million are spent directly to the multi-hazard prevention, promotion and response, representing the 69% of social expenditure in the country. Multilevel efforts to prevent the results of the disasters hitting the Philippines have been developed, including the local, regional, country and regional areas. These efforts are being developed at operational and promotional levels, including the political initiatives at local, country and regional frameworks. There have been political efforts to create guidelines so as to work on disaster risk reduction and vulnerability reduction for the most vulnerable countries, with the first world conference held in 1994. The second one in Hyogo in 2005 produced a comprehensive guideline for the risk reduction for the most vulnerable countries, focusing on those most at risk like archipelagos, countries in high risk areas and high impact areas. There is a surprisingly small amount of literature published concerning the impact of the political initiatives and its impact on the health of such populated areas. The paper describes the responses generated by the Filipino government after Yolanda, based on the legal framework that Hyogo provided, as well as provides a literature review of the published manuscripts on different sources, finalising with several recommendations as the improvement of the coordination and communication between levels of implementation, the clarification of the real problems identified for each area and the coordination between all the actors involved (local government, INGOs, regional government, international initiatives…) in the DRR process in an area to avoid duplication of activities and looking forward to engaging in synergetic initiatives

Fracturas de fatiga en el deporte de alta competición: aportación de un caso clínico.

Las fracturas de fatiga se producen principalmente por microlesiones en la zona afectada que pueden solucionarse si se localiza al inicio el problema. Pero si no existen datos clínicos que puedan hacer pensar en una lesión de este tipo, las consecuencias para el paciente pueden ser de dolor, pérdida de movilidad y fuerza. Se presenta el caso de un varón de 27 años de edad, deportista de alto nivel con fractura por estrés en el cuarto metacarpiano. Se describen los hallazgos de la lesión, el diagnóstico, el tratamiento y la evolución de la misma

Modelos educactivos: del Taylorismo al e-learning

La sociedad y la educación en particular se han visto inmersas en un cambio profundo causado por la informática e Internet. Estos dos elementos han producido una recopceptualización de la sociedad y de los centros educativos que ha llevado al progresivo abandono del modelo Taylorista y marcado un nuevo enfoque hacia el e-learning. Asímismo, el modelo de Calidad Total parece quedarse atrás y la reingeniería de procesos avanza instaurandose como un marco de mejora permanete basado en la búsqueda de nuevos e imaginativos métodos de trabajo. Conceptos como versatilidad y flexibidad parecen que toman relevancia frente a marcos y conceptos rígidos que se han quedado en el pasado

Conference Title : ICP 2017 : 19th International Conference on Physiotherapy

Asthma is a heterogeneous disease which has always had a drug treatment. Osteopathic treatment that we propose is aimed, seen through a dorsal manipulation (Dog Technic D1-D4) and a technique for diaphragm (Longitudinal Stroke) forced expiratory flow in spirometry changes there are in particular that there is an increase in the volumes of the Peak Flow and Post intervention and effort and that the application of these two techniques together is more powerful if we applied only a Longitudinal (Stroke). Also rating if this type of treatment will have repercussions on breathlessness, a very common symptom in asthma. And finally to investigate if provided vertebra pain decreased after a manipulation. Methods—Participants were recruited between students and professors of the University, aged 18-65, patients (n = 18) were assigned randomly to one of the two groups, group 1 (longitudinal Stroke and manipulation dorsal Dog Technic) and group 2 (diaphragmatic technique, Longitudinal Stroke). The statistical analysis is characterized by the comparison of the main indicator of obstruction of via area PEF (peak expiratory flow) in various situations through the peak flow meter Datospir Peak-10. The measurements were carried out in four phases: at rest, after the stress test, after the treatment, after treatment and the stress test. After each stress test was evaluated, through the Borg scale, the level of Dyspnea on each patient, regardless of the group. In Group 1 in addition to these parameters was calculated using an algometer spinous pain before and after the manipulation. All data were taken at the minute. Results—12 Group 1 (Dog Technic and Longitudinal Stroke) patients responded positively to treatment, there was an increase of 5.1% and 6.1% of the post-treatment PEF and post-treatment, and effort. The results of the scale of Borg by which we measure the level of Dyspnea were positive, a 54.95%, patients noted an improvement in breathing. In addition was confirmed through the means of both groups group 1 in which two techniques were applied was 34.05% more effective than group 2 in which applied only a. After handling pain fell by 38% of the cases. Conclusions—The impact of the technique of Dog-Technic for D1-D4 and the Longitudinal Stroke technique for diaphragm in the volumes of peak expiratory flow (PEF) in asthmatic patients were positive, there was a change of the PEF Post intervention and post-treatment, and effort and showed the most effective group in which only a technique was applied. Furthermore this type of treatment decreased facilitated vertebrae pain and was efficient in the improvement of Dyspnea and the general well-being of the patient

Efectos de la fatiga sobre la actividad muscular durante sucesivos test de sentadilla (30 seg).

Resumen:  Introducción: La fatiga se define como la incapacidad del Sistema neuromuscular para mantener un nivel determinado de potencia. La monitorización de la pérdida de Altura de salto ha sido utilizada como un indicador de fatiga muscular. La Electromiografía (EMG) es también una herramienta adecuada para determinar la fatiga ya que tiene una alta correlación con las unidades motoras activas (reclutamiento de fibras musculares). El objetivo del presente estudio es evaluar los efectos de la fatiga sobre la actividad muscular en las extremidades inferiores durante sucesivos test de media sentadilla (30 segundos). Métodos: 5 sujetos sanos entrenados participaron en el estudio. Realizaron 2 sesiones de test, un test de potencia máxima de media sentadilla y 4 series de un test de capacidad anaeróbica de media sentadilla (30 seg.). Resultados: Se observaron diferencias significativas (P=0.002) en la comparativa de los efectos inter-sujetos (Vasto lateral vs. Recto femoral). Observamos también diferencias significativas en la comparación por pares (P<0.001). Conclusiones: Observamos cómo la fatiga modifica la activación neuromuscular del vasto lateral y el recto femoral durante la ejecución de 4 test consecutivos de media sentadilla (30 seg.).Peer Reviewe

Aprendizagem de anatomia musculoesquelética por meio de novas tecnologias: um ensaio clínico randomizado

Objetivo: investigar a influência da aplicação de novas metodologias na aprendizagem e a motivação de alunos da disciplina de Anatomia. Método: estudo de intervenção, prospectivo, longitudinal e randomizado. Um total de 62 alunos foram recrutados para se avaliar o impacto de diferentes metodologias. Eles foram distribuídos de forma aleatória para comparar os resultados de ensino usando o atlas 3D, o ultrassom e o método tradicional. Os parâmetros foram medidos por meio de um questionário de avaliação de satisfação do aluno e uma prova usando lâminas anatômicas. O teste ANOVA de medidas repetidas foi usado para determinar significância estatística. Resultados: relativo à satisfação dos alunos, 98,1% consideraram muito positivo ou positivo o uso dos seminários, além de afirmarem que o seminário havia estimulado seu interesse pela anatomia. Os alunos submetidos ao método com o atlas 3D apresentaram uma melhora em sua compreensão de anatomia (p=0,040). De forma geral, os alunos melhoraram suas pontuações em aproximadamente 20%. Conclusão: o método tradicional, junto com as novas tecnologias, contribui para aumentar o interesse dos alunos pela Anatomia Humana assim como na aquisição de habilidades e competências em seu processo de aprendizagem.Objetivo: investigar la influencia de la aplicación de nuevas metodologías en el aprendizaje y en la motivación de los alumnos en la asignatura Anatomia. Método: estudio de intervención, prospectivo, longitudinal y aleatorizado. Fueron convocados 62 alumnos para evaluar el impacto de diferentes metodologías. Se los dividió aleatoriamente para comparar resultados entre enseñanza con atlas 3D, ultrasonido y metodología tradicional. Los parámetros fueron analizados mediante un cuestionario de evaluación de satisfacción y láminas anatómicas. Se usó ANOVA de medidas repetidas para determinar la significancia estadística. Resultados: el 98,1% de los alumnos consideraron muy positiva o positiva la utilización de los seminarios, afirmaron asimismo que el seminario había estimulado su interés por la anatomía. Los alumnos que realizaron el aprendizaje con atlas 3D mejoraron su compresión de la anatomía (p=0,040). En general, los alumnos mejoraron sus puntajes en alrededor del 20%. Conclusión: el método tradicional con el agregado de las nuevas tecnologías permite a los alumnos incrementar su interés por la Anatomía Humana, así como adquirir habilidades y competencias en su proceso de aprendizaje.Objective: to investigate the influence of the application of new methodologies on learning and the motivation of students of the Anatomy discipline. Method: randomized, longitudinal, prospective, intervention study. Sixty-two students were recruited to assess the impact of different methodologies. The sample was randomized to compare the results of teaching with a 3D atlas, ultrasound and the traditional method. The parameters were assessed through a satisfaction evaluation questionnaire and anatomical charts. Repeated measures ANOVA was used to determine statistical significance. Results: in terms of the usefulness of the seminars, 98.1% of the students considered them to be very positive or positive, stating that they had stimulated their interest in anatomy. The students who learned with the 3D atlas improved their understanding of anatomy (p=0.040). In general, the students improved their grades by around 20%. Conclusion: the traditional method combined with new technologies increases the interest of students in human anatomy and enables them to acquire skills and competencies during the learning process

Muscle Recovery after a Single Bout of Functional Fitness Training

Background: Functional fitness training (FFT) is a new exercise modality that targets functional multi-joint actions via both muscle-strengthening exercises and aerobic training intervals. The aim of the study was to examine muscle recovery over a 20 min period after an FFT workout in trained adults. Materials and methods: Participants were 28 healthy trained subjects. In a single session, a countermovement jump (CMJ) was performed to determine several mechanical variables (jump height, maximum velocity, power) before (preFFT) and 4, 10, and 20 min after the FFT workout (postFFT). In parallel, capillary blood lactate concentrations were measured pre- and 3 min postFFT. Heart rate was also measured before and after the workout, and perceived exertion was measured postFFT. Results: Significant differences between the time points preFFT and 4 min and 10 min postFFT, respectively, were produced in jump height (p = 0.022, p = 0.034), maximum velocity (p = 0.016, p = 0.005), average power relative (p = 0.018, p = 0.049), and average power total (p = 0.025, p = 0.049). No differences were observed in any of the variables recorded preFFT and 20 min postFFT. Conclusions: While mechanical variables indicating muscle fatigue were reduced 4 and 10 min postFFT, pre-exercise jump ability only really started to recover 20 min after FFT although not reaching pre-exercise levels. This means that ideally intervals of around 20 min of rest should be implemented between training bouts.Sección Deptal. de Radiología, Rehabilitación y Fisioterapia (Enfermería)Fac. de Enfermería, Fisioterapia y PodologíaTRUEAlfonso X el Sabio University Foundationpu