Browsing by Subject "Functional capacity"

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    Current therapies for hypertrophic cardiomyopathy: a systematic review and meta-analysis of the literature
    (Oxford University Press, 2022-10-01) Bayonas Ruiz, Adrián; Muñoz Franco, Francisca María; Sabater Molina, María; Oliva Sandoval, María José; Gimeno Blanes, Juan Ramón; Bonacasa Fernández, Bárbara; Fisiología
    Aims The aim of this study was to synthesize the evidence on the effect of the current therapies over the pathophysiological and clinical characteristics of patients with hypertrophic cardiomyopathy (HCM). Methods and results A systematic review and meta-analysis of 41 studies identified from 1383 retrieved from PubMed, Web of Science, and Cochrane was conducted. Therapies were grouped in pharmacological, invasive and physical exercise. Pharmacological agents had no effect on functional capacity measured by VO2max (1.11 mL/kg/min; 95% CI: −0.04, 2.25, P < 0.05). Invasive septal reduction therapies increased VO2max (+3.2 mL/kg/min; 95% CI: 1.78, 4.60, P < 0.05). Structured physical exercise programmes did not report contraindications and evidenced the highest increases on functional capacity (VO2max + 4.33 mL/kg/min; 95% CI: 0.20, 8.45, P < 0.05). Patients with left ventricular outflow tract (LVOT) obstruction at rest improved their VO2max to a greater extent compared with those without resting LVOT obstruction (2.82 mL/kg/min; 95% CI: 1.97, 3.67 vs. 1.18; 95% CI: 0.62, 1.74, P < 0.05). Peak LVOT gradient was reduced with the three treatment options with the highest reduction observed for invasive therapies. Left ventricular ejection fraction was reduced in pharmacological and invasive procedures. No effect was observed after physical exercise. Symptomatic status improved with the three options and to a greater extent with invasive procedures. Conclusions Invasive septal reduction therapies increase VO2max, improve symptomatic status, and reduce resting and peak LVOT gradient, thus might be considered in obstructive patients. Physical exercise emerges as a coadjuvant therapy, which is safe and associated with benefits on functional capacity. Pharmacological agents improve reported NYHA class, but not functional capacity.
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    Effects of an adapted crossfit program combined with nutritional counseling on adiposity indicators, muscular fitness and functionality of young people with intellectual disabilities
    (2024) Ubilla Mejias, Melissa; Espoz-Lazo, Sebastián; Valdivia Moral, Pedro; Piñeiro Cossio, Javier; Antonio Castillo Paredes, Antonio; del Val Martín, Pablo; Andrades Ramirez, Oscar; Peña Baeza, Alonso; Farias Valenzuela, Claudio
    The aim of this study was to determine the effects of a combined adapted CrossFit® training program and nutritional counseling on indicators of adiposity, muscular fitness and functionality of school-age adolescents with intellectual disabilities. The sample was made up of (n=11) subjects belonging to the SPORT TK. Year 2024. Volume 13. Supplement 3. Article 4 2 work level of a special education center in Santiago de Chile. Anthropometric measurements of adiposity, muscle strength, and functional capacity were performed before and after a combined 15- week adapted Crossfit® training and nutritional counseling program. Significant changes were observed in adiposity indicators such as the waist-height ratio (Δ% = -6.12), in the landing force in the countermovement jump (Δ% = -18.34) and in the 5-hour functional tests. repetitions of getting up and sitting down. down from a chair (Δ% = -8.16), Timed up and go (Δ% = -8.15), Countermovement jump (Δ% = -8.36) and in the 4 x 10 m Agility test (Δ% = -8.00). In conclusion, a 15-week combined training program of adapted CrossFit® and nutritional counseling had positive effects on indicators of adiposity, muscular fitness and functionality in a sample of school-aged adolescents with intellectual disabilities. This intervention strategy is safe and can be used to promote the practice of physical exercise and healthy lifestyles from special educational establishments.
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    Isometric knee extension test: A practical, repeatable, and suitable tool for lower-limb screening among institutionalized older adults
    (Elsevier, 2021-09-26) Conesa Ros, Elena; Courel Ibáñez, Javier; Hernández Belmonte, Alejandro; Martínez Cava, Alejandro; García Conesa, Silverio; Buendía Romero, Ángel; Franco López, Francisco; Actividad Física y Deporte
    We aimed to analyze the isometric knee extension test (IKE) test in terms of i) intra- and inter-session repeatability, and ii) relationship with functional and body composition factors of sarcopenia among institutionalized older adults. Thirteen institutionalized older adults (age = 87 ± 10 years, body mass [BM] = 73.1 ± 10.9 kg, body mass index [BMI] = 28.5 ± 3.8 kg·m2) were recruited from a nursing home. Variability of maximal isometric force registered in three IKE trials performed on the same day was used to examine intra-session repeatability, whereas inter-session repeatability was analyzed by comparing maximal isometric force from two different days. Furthermore, functional (Handgrip, 6-m Gait Speed, Time Up and Go [TUG], and Sit-to-stand tests) and body composition (appendicular lean mass adjusted by BMI, ALM/BMI) evaluations were conducted. Statistics included the intraclass correlation coefficient (ICC) and the standard error of measurement (SEM), expressed in both absolute (N·kg-1) and relative terms (coefficient of variation, CV = 100 × SEM / mean). High to very high intra-session repeatability was found for both the dominant and non-dominant legs (CV ≤ 6.0%, ICC ≥ 0.989). Similarly, both legs showed high inter-session repeatability (SEM ≤ 0.26 N·kg-1, ICC ≥ 0.959). On the other hand, significant relationships were found between Dominant and Non-dominant IKE tests and 6-m Gait Speed (r = 0.77; r = 0.58), ALM/BMI (r = 0.62; r = 0.58), and Non-dominant Handgrip/BM (r = 0.60; r = 0.68). In addition, a significant association was found between Dominant IKE/BM and TUG (r = -0.74), as well as between Non-dominant IKE/BM and Dominant Handgrip/BM (r = 0.67). These findings suggest that the IKE test is a repeatable and suitable strategy for lower-limb screening in institutionalized older adults.
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    Percepción de la salud entre los adultos mayores según estilo de vida y capacidad funcional
    (Universidad de Murcia. Servicio de publicaciones, 2023) Simón Melchor, Alba; Jiménez Sesma, María Luísa; Solano Castán, Javier; Simón Melchor, Lucía; Ferrer Sorolla, Daniel; Bordonaba Bosque, Daniel
    Objetivos: Conocer la salud autopercibida, estilo de vida, capacidad funcional y relación existente entre ellas, en un grupo de adultos mayores de un centro de atención primaria rural. Métodos: Estudio observacional transversal. Los participantes diligenciaron un cuestionario compuesto por datos sociodemográficos, clínicos, de apoyo sociofamiliar, ligados al COVID-19 y 5 escalas: MEDAS-1, RAPA, Barthel, SARC-F y SF-36. Las variables se analizaron mediante contrastes de hipótesis y coeficiente de Pearson, considerando la significación estadística con un p<0.05. Resultados: La muestra se conformó por 142 adultos mayores, con una edad media de 75.85 años. La mayoría estaban casados, tenían estudios primarios, no eran cuidadores, no tenían hábitos tóxicos, estaban polimedicados, tomaban psicofármacos y no padecían temor ante el COVID-19. La muestra presentó globalmente normopeso, el 48.6% demostró una adherencia alta a la Dieta Mediterránea (DM), el 35.9% eran moderadamente activos, el 54.9% indicaron tener independencia para las ABVD y el 75.4% mostraron bajo riesgo de sarcopenia. La percepción de la salud de la muestra fue inferior en la mayoría de las subescalas analizadas del SF-36 que la de la población de referencia, siendo inferior en mujeres y conforme avanza de la edad. Los adultos mayores con baja adhesión a la DM, sedentarios, dependientes y con sarcopenia mostraron inferior percepción de salud. Los participantes con baja adhesión a la DM eran más sedentarios y los más dependientes tenían más riesgo de sarcopenia. Conclusiones: Un estilo de vida inadecuado y la limitación funcional reducen significativamente la autopercepción de la salud, debiendo intervenir para corregirlas.
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    Seguridad y eficacia del Método Pilates sobre el dolor físico, funcional y musculoesquelético en mujeres mayores
    (Universidad de Murcia. Servicio de Publicaciones, 2023) Brito, Dejair Lopes Santos de; Brandão, Thiago dos Santos; Santos, Isabel da Silva dos; Ramalho, Rodrigo; Freitas, Víctor Hugo de; Castro, Marcela Rodrigues de
    El Método Pilates (MP) se propone como una estrategia no farmacológica para el manejo del dolor. Sin embargo, se sabe poco sobre la seguridad del método aplicado a los ancianos. El objetivo fue identificar el impacto de la MP en mujeres ancianas sin quejas de dolor musculoesquelético severo general y específico, considerando el dolor musculoesquelético físico, funcional y crónico. 19 ancianas se sometieron a 24 semanas de intervención con MP. Medimos la percepción de funcionalidad, dolor general y segmentación respectivamente por tres subescalas del SF-36 (capacidad funcional, aspectos físicos y dolor) y el Cuestionario Nórdico Musculoesquelético (NMQ). Para SF-36 tuvimos: capacidad funcional χ 2 (2) = 1.529, p = 0.465, limitaciones por aspectos físicos χ 2 (2) = 1.960, p = 0.375 y dolor χ 2 (2) = 1.213, p = 0.545 , no se encontraron diferencias significativas para ninguna de las variables a lo largo del tiempo. En cuanto al NMQ, observamos una diferencia significativa solo para la cadera / muslo, disminuyendo las quejas de dolor, hormigueo y entumecimiento en Q2 en comparación con Q1 (p = 0.01) y aumentando en Q3 en comparación con Q2 (p = 0.03). Se sugiere que el MP es seguro y aplicable en este público, ya que presentó resultados estables y no agravó la condición de dolor (general y localizado).
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    Validity of an iPhone App to detect Prefrailty and Sarcopenia Syndromes in community-dwelling older adults: the protocol for a diagnostic accuracy study
    (MDPI, 2022-08-11) Montemurro, Alessio; Ruiz Cárdenas, Juan D.; Martínez García, María del Mar; Rodríguez Juan, Juan José; Fisioterapia
    Prefrailty and sarcopenia in combination are more predictive of mortality than either condition alone. Early detection of these syndromes determines the prognosis of health-related adverse events since both conditions can be reversed through appropriate interventions. Nowadays, there is a lack of cheap, portable, rapid, and easy-to-use tools for detecting prefrailty and sarcopenia in combination. The aim of this study is to validate an iPhone App to detect prefrailty and sarcopenia syndromes in community-dwelling older adults. A diagnostic test accuracy study will include at least 400 participants aged 60 or over without cognitive impairment and physical disability recruited from elderly social centers of Murcia (Spain). Sit-to-stand muscle power measured through a slow-motion video analysis mobile application will be considered as the index test in combination with muscle mass (calf circumference or upper mid-arm circumference). Frailty syndrome (Fried’s Phenotype) and sarcopenia (EWGSOP2) will both be considered as reference standards. Sensibility, specificity, positive and negative predictive values and likelihood ratios will be calculated as well as the area under the curve of the receiver operating characteristic. This mobile application will add the benefit for screening large populations in short time periods within a field-based setting, where space and technology are often constrained (NCT05148351).