Browsing by Subject "Physiotherapy"

Now showing 1 - 14 of 14
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    COVID-19 y la salud mental de los profesionales de la kinesiología: una revisión sistemática
    (Universidad de Murcia: servicio de publicaciones, 2025) Soto-Schulz, Katherine; Avilés-Aránguiz, Daniela; Guerrero-Flores, Constanza; Leal-Salamanca, Juan Pablo; Pérez-Romero, Nuria; Sin departamento asociado
    Covid-19 affected their mental health of kinesiologists through work overload, crucial decision making, and continuous exposure to the virus. The aim of this systematic review was to synthesize the evidence of Covid-19 on mental health in kinesiologists. We used PRISMA and 4 databases (Pubmed, Scopus, CINAHL and WOS), selected observational studies, which evaluated anxiety, depression, burnout, stress and post-traumatic stress in kinesiology professionals during Covid-19. Critical appraisal of the JBI's Critical Appraisal Checklist was performed. The 20included studies showed mild to severe stages for anxiety (n = 13), high prevalence of depressive symptoms (n = 15) and effects on burnout, stress and post-traumatic stress. Factors such as living with children, decreased income and continuous exposure to the virus are observed as aggravating factors. Actions should be promoted to protect the mental health of kinesiologists, considering the post-pandemic effects and generating prevention strategies in the face of high health demands
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    COVID-19 y la salud mental de los profesionales de la kinesiología: una revisión sistemática
    (Universidad de Murcia. Servicio de publicaciones, 2025) Soto-Schulz, Katherine; Avilés-Aránguiz, Daniela; Guerrero-Flores, Constanza; Leal-Salamanca, Juan Pablo; Pérez-Romero, Nuria; Sin departamento asociado
    Covid-19 affected their mental health of kinesiologists through work overload, crucial decision making, and continuous exposure to the virus. The aim of this systematic review was to synthesize the evidence of Covid-19 on mental health in kinesiologists. We used PRISMA and 4 databases (Pubmed, Scopus, CINAHL and WOS), selected observational studies, which evaluated anxiety, depression, burnout, stress and post-traumatic stress in kinesiology professionals during Covid-19. Critical appraisal of the JBI's Critical Appraisal Checklist was performed. The 20included studies showed mild to severe stages for anxiety (n = 13), high prevalence of depressive symptoms (n = 15) and effects on burnout, stress and post-traumatic stress. Factors such as living with children, decreased income and continuous exposure to the virus are observed as aggravating factors. Actions should be promoted to protect the mental health of kinesiologists, considering the post-pandemic effects and generating prevention strategies in the face of high health demands.
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    Effect of adding high-intensity strengthening exercises to conventional physiotherapy in athletes with shoulder impingement syndrome: A randomized controlled trial
    (Servicio de Publicaciones. Universidad de Murcia, 2025) Fayaz, Nadia Abdelazeem; Amr, Mohamed; Aboelwafa, Nagwa; Ibrahim, Mona Mohamed; Gamiel, Abdallah; Sin departamento asociado
    This study aimed to investigate the effect of adding high-intensity strengthening exercises (HISE) to the conventional physiotherapy program in athletes with shoulder impingement syndrome (SIS). Thirty-two athletes with SIS were randomly and equally assigned into two groups; HISE group (n=16) and conventional physiotherapy group (n=16). The HISE group received both HISE and conventional physiotherapy programs, while the conventional physiotherapy group received only the conventional physiotherapy program. Both groups received a total of 18 sessions at a rate of 3 sessions/week for six weeks. Outcome measures included shoulder function and performance, muscle strength of the external and internal rotators and supraspinatus, acromio-humeral distance at 0° and 90° abduction, and supraspinatus tendon thickness. There was a significant improvement in shoulder performance (p=0.029), shoulder muscle strength of external rotators at 0 abduction (p<0.001) and at 90-90 abduction/external rotation (p<0.001), internal rotators at 0 abduction (p=0.001) and at 90-90 abduction/external rotation (p=0.001), and supraspinatus muscle (p<0.001), acromio-humeral distance at 0 (p=0.031) and 90 degrees of active abduction (p<0.001), and supraspinatus tendon thickness (p=0.009) in the HISE group compared to the conventional physiotherapy group post-treatment. However, no significant difference was observed in shoulder function (p=0.259). It could be concluded that the addition of supervised progressive HISE to the conventional physiotherapy in SIS in athletes improves shoulder performance, muscle strength, acromio-humeral distance, and supraspinatus tendon thickness.
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    Effect of different types of exercise on fitness in people with multiple sclerosis: a network meta-analysis
    (Wiley, 2023-05-24) Reina Gutiérrez, Sara; Meseguer Henarejos, Ana Belén; Torres Costoso, Ana; Álvarez Bueno, Celia; Cavero Redondo, Iván; Núñez de Arenas Arroyo, Sergio; Guzmán Pavón, María José; Sánchez López, Mairena; Martínez Vizcaíno, Vicente; Fisioterapia
    Background: It is assumed that people with multiple sclerosis (MS) who participate in programs of physical exercise improve their physical fitness. Objective: The aim of this network meta-analysis (NMA) was to analyze the effect of different types of exercise on muscular fitness and cardiorespiratory fitness (CRF) among people with MS and to determine the best type of exercise according to disease severity. Methods: MEDLINE, the Physiotherapy Evidence Database, the Cochrane Library, SPORTDiscus, Scopus, and Web of Science were searched from inception to April 2022 to identify randomized controlled trials (RCTs) concerning the effect of physical exercise on fitness in people with MS. We ranked the types of physical exercise by calculating the surface under the cumulative ranking (SUCRA). Results: We included 72 RCTs involving 2543 MS patients in this NMA. A ranking of five types of physical exercise (aerobic, resistance, combined [aerobic and resistance], sensorimotor training, and mind–body exercises) was achieved. Combined and resistance training had the highest effect sizes (0.94, 95% CI 0.47, 1.41, and 0.93, 95% CI 0.57, 1.29, respectively) and the highest SUCRA (86.2% and 87.0%, respectively) for muscular fitness. The highest effect size (0.66, 95% CI 0.34, 0.99) and SUCRA (86.9%) for CRF was for aerobic exercise. Conclusions: Combined and resistance training seem to be the most effective exercises to improve muscular fitness and aerobic exercise for CRF in people with MS.
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    Effects of neuropilates on functional outcomes in chronic stroke: a randomized clinical trial
    (MDPI, 2024-04-17) García Bravo, Cristina; Delgado Lobete, Laura; Montes Montes, Rebeca; Rodríguez Pérez, María Pilar; Trugeda Pedrajo, Nuria; Fernández Gómez, Gemma; García Bravo, Sara; Atención Sociosanitaria; Facultades de la UMU::Facultad de Ciencias Sociosanitarias (Lorca)
    Neuropilates is an intervention approach that was developed as a modified version of the Pilates Method to be used for neurological rehabilitation. The main objective of this study was to analyze the effectiveness of regular physiotherapy and occupational therapy rehabilitation in comparison to a combination of traditional rehabilitation with Neuropilates in adults with post-stroke motor disabilities. This was a rater- and analyst-blinded randomized clinical trial with a three-month intervention and a one-month follow up. Participants were randomly allocated to either the experimental group (EG, receiving a combination of conventional therapy and Neuropilates; n = 15) or the control group (CG, receiving solely conventional therapy; n = 15). Once adjusted for baseline FIM scores, the results showed significant differences favoring the EG in daily functioning (FIM), static balance (FRT), right-hand manual dexterity (NHPT) and right-upper limb coordination (BBT). Satisfaction with the received treatment as measured with the CSQ-8 was significantly higher for the EG. In conclusion, the incorporation of Neuropilates, facilitated by a single experienced therapist, can be a valuable complement to conventional physical and occupational therapy. However, Neuropilates-based interventions should be supervised and tailored to each individual by a professional specifically trained in the method.
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    Engaño académico en contexto de pandemia: Reporte de estudiantes de fisioterapia
    (Centro de Estudios en Educación Médica de la Universidad de Murcia (CeuEM) y Universidad de Murcia. Servicio de publicaciones, 2022) Reinoso-González, Eduardo
    Introducción: En el marco del actual escenario sanitario, la educación médica ha debido alinear sus procesos de formación con base en el confinamiento y la modalidad e-learning. ElSARS COV-2 impulsó el uso masivo de la tecnología para continuar con los diferentes programas, lo que no sólo ha significado un cambio en la modalidad de entrega de contenidos, prácticas clínicas y evaluación, sino un aumento significativo en los comportamientos de engaño académicopor parte del cuerpo estudiantil. Objetivo: Describir el reporte de estudiantes de segundo año de la salud sobre el engaño académico en contexto de pandemia. Método: Estudio cualitativo fenomenológico hermenéutico con técnica de análisis de contenido, mediante recolección de datos por entrevista individual a una muestra de 73 estudiantes de segundo año de fisioterapia de la Universidad Católica de la Santísima Concepción, Chile. Resultados: Se obtuvieron categorías del discurso estudiantil sobre el engaño académico: a) Motivación del fenómeno, b) Recomendaciones para evitar el fenómeno, c) Obstaculizadores del fenómeno, d) Facilitadores del fenómeno y e)Reflexiones sobre el fenómeno. Conclusiones: Los estudiantes que reconocen realizar engaño académico durante la modalidad e-learning relacionan la modalidad virtual como uno de los facilitadores de esta conducta, que fortalece vínculos sociales y académicos con sus pares y recomiendan modificaciones en las formas de evaluación
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    Factors Associated with Parents' Adherence to Different Types of Exercises in Home Programs for Children with Disabilities
    (2019-04-05) Lillo Navarro, Carmen; Montilla Herrador, Joaquina; Escolar Reina, Pilar; Oliveira Sousa, Silvana Loana de; García Vidal, José Antonio; Medina Mirapeix, Francesc; Fisioterapia
    There is a lack of knowledge with regard to the adherence to different types of exercises prescribed for children with disabilities. The aim was to examine parents' adherence to prescriptions of different types of home exercises; to identify associated factors related to the parents, the children and the environment, and to assess the relative influence of the behaviour of health professionals. Parents (393) were recruited from 18 early intervention centres. A cross-sectional survey using a self-reported questionnaire was used to examine whether three types of exercises ("flexibility exercises", "neuromotor development training" and "body mechanics and postural stabilisation") were prescribed in their home programs; if the child had received exercises according to a prescription; and items related to the parents, child, environment, and health professionals. The adherence rates were different among the types of exercises. Parents with low perception of barriers and high self-efficacy had a higher adherence to neuromotor development training and postural stabilization, whereas parents with a high level of knowledge increased their odds of adherence to flexibility exercises. Health professionals' behaviour had a distinct influence on the adherence to different exercises. This study suggests the need to specifically consider the types of exercises prescribed in the management of adherence to home programs.
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    Knowledge and adherence to osteoarthritis clinical practice guidelines among physiotherapists in Saudi Arabia: a cross sectional study
    (Universidad de Murcia. Servicio de Publicaciones, 2025) Ibrahim, Ahmed A; Hussein, Hisham M.; Aljulaymi, Ibrahim S.; Dewir, Ibrahim M.; Abdelfattah, Mostafa S.; Albogamil, Saad Mohammed; Sin departamento asociado
    Antecedentes: Las guías de práctica clínica (GPC) son esenciales para el tratamiento eficaz de la osteoartritis (OA); sin embargo, su aplicación entre los fisioterapeutas sigue siendo inconsistente. Este estudio tuvo como objetivo evaluar el conocimiento y la adherencia de los fisioterapeutas en Arabia Saudita a las GPC sobre OA. Métodos: Se realizó un estudio transversal mediante un cuestionario en línea autoadministrado dirigido a fisioterapeutas colegiados en Arabia Saudita. La encuesta incluyó datos demográficos, una evaluación de conocimientos mediante declaraciones basadas en las GPC y una viñeta clínica para evaluar la adherencia. Los participantes se clasificaron como en cumplimiento, cumplimiento parcial o no cumplimiento según su alineamiento con las intervenciones recomendadas por las GPC. Resultados: De 384 participantes, el 69 % mostró una alta adherencia (cumplimiento), mientras que el 26,3 % no cumplió y el 4,7 % cumplió parcialmente. Una mayor adherencia se asoció con estudios de posgrado, mayor experiencia clínica, mayor exposición a casos de OA y el trabajo en centros universitarios o privados. A pesar de que el 93,5 % había leído al menos una guía práctica clínica (GPC), la adherencia varió significativamente entre los grupos. Conclusión: Si bien los fisioterapeutas tienen un alto nivel de conocimiento sobre las GPC para la artrosis, persisten lagunas en su aplicación práctica. Se necesita formación específica, apoyo en el entorno laboral e iniciativas políticas para mejorar la adherencia y la atención de la artrosis. Se recomienda que futuras investigaciones exploren las barreras para la implementación de las guías y prueben intervenciones personalizadas.
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    Patient's commitment to practicing home therapeutic exercises correctly
    (Universidad de Murcia. Servicio de Publicaciones, 2025) Almalty, Abdulmajeed R.; Mashaal, Ahmed Hussein; Hawamdeh, Mohannad; Sin departamento asociado
    Home exercises are targeted exercises for specific muscles or muscle groups to be done by the patient at home without supervision. Prescribing physiotherapy home exercises is one of the most essential aspects of the treatment plan for any patient. The aim of this study was to explore the problem of adherence to physiotherapy home exercise in Jordan and find out the main obstacles that face Jordanian citizens in applying their prescribed home exercises. An online survey accessed through a hyperlink was directed to clients (n=76 ; 50% female, 50% male ) of physiotherapy centers in Jordan, aged 18 22 years. The link to survey was given to clients who were asked to re share the link with them friends and relatives who visit other physiotherapy centers on regular basis in order to reach maximum number of participants. Low adherence to home exercises could be attributed to participants’ laziness, no time and not understanding what they were supposed to do. However, regarding p erceived importance and benefits , most declared the need for home exercise and stated that they could help with everyday activities if done regularly, despite the poor level of commitment.
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    Rehabilitación de la artroplastia total de cadera a través de una aplicación móvil : estudio observacional retrospectivo
    (Universidad de Murcia, 2025-11-07) Zambrano Martín, Joaquín; Gómez Conesa, Antonia; Mendoza Puente, Miguel; Méndez Sánchez, Roberto; Sin departamento asociado; Escuela Internacional de Doctorado
    Objetivo. El objetivo de esta tesis fue evaluar la efectividad de un programa de rehabilitación basado en el uso de una aplicación móvil que proporciona ejercicios de recuperación funcional e información educativa sobre el manejo del dolor frente a un programa de rehabilitación presencial de fisioterapia en pacientes sometidos a artroplastia total de cadera. La investigación buscó determinar si el uso de una aplicación móvil podía mejorar los resultados funcionales, evolución del dolor y la satisfacción de los pacientes a los tres meses de la cirugía. Metodología. Se realizó un estudio observacional, analítico, longitudinal y retrospectivo con diseño comparativo, que incluyó dos cohortes de 47 pacientes cada una: un grupo seguido mediante una app móvil y un grupo control emparejado mediante Propensity Score Matching (PSM). Las variables analizadas abarcaron características demográficas y clínicas previas a la cirugía, como la edad, el género, el índice de masa corporal (IMC), el nivel de actividad física y la clasificación según la escala ASA. Asimismo, se evaluaron medidas de resultados reportados por los pacientes (PROMs), como las escalas WOMAC, Harris Hip Score (HHS) y la EVA de dolor, junto con la escala funcional de Merle D’Aubigné. Adicionalmente, se consideraron medidas de experiencia del paciente (PREMs) relacionadas con la satisfacción. La recolección de datos se realizó en tres momentos: prequirúrgico, al mes y a los tres meses postoperatorios, siendo la satisfacción evaluada únicamente en el primer y tercer mes. El análisis estadístico incluyó pruebas paramétricas y no paramétricas según la distribución de los datos, ANOVA para medidas repetidas, pruebas de Wilcoxon y correcciones de Bonferroni para comparaciones múltiples. Los resultados mostraron mejoras significativas en el grupo de pacientes seguidos mediante la app móvil en comparación con el grupo control en las siguientes medidas de resultado: Harris Hip Score (HHS) a los tres meses (p=0,02), en la Escala Merle D’Aubigné en las dimensiones de movilidad (p=0,02) y capacidad de marcha (p<0,0001) a los tres meses, así como en la diferencia entre medias en la EVA de dolor tanto al mes (p=0,004) como a los tres meses (p=0,01). No obstante, no se encontraron diferencias significativas en los niveles de satisfacción entre ambos grupos. Conclusión. El uso de programa de rehabilitación basado en el uso de una aplicación móvil es más efectivo en la recuperación funcional, en términos de movilidad y capacidad de la marcha, así como en la reducción del dolor, en pacientes operados de artroplastia total de cadera, en comparación con un programa de rehabilitación presencial de fisioterapia.
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    Sex-Related Differences in Physical Therapy Career Expectations in Taif, Saudi Arabia.
    (Servicio de Publicaciones. Universidad de Murcia, 2025) Dewir, Ibrahim M.; Sin departamento asociado
    Background and Aims: Physical therapy is a critical component of healthcare, and women have historically dominated the field yet are underrepresented in leadership roles. Understanding these disparities is essential. This study investigates sex-based differences in career expectations among physical therapy students in Taif, Saudi Arabia. Methods: A descriptive cross-sectional study was conducted from June to December 2024, involving 105 participants (66 males and 39 females) from Taif University. Data were collected via an electronic survey adapted from Johanson’s framework, assessing demographics, specialty preferences, postgraduate aspirations, and future career expectations. Results revealed significant sex differences: males were more likely to prioritize managerial roles (92.4% vs. 48.7%) and research participation (66.7% vs. 38.5%), while females emphasized practicing as staff members (46.2% vs. 24.2%) and publishing in professional journals (35.9% vs. 28.8%). Males also perceived their practice as more prestigious compared to physicians (81.8% vs. 46.2%) and viewed their PT program as more rigorous (62.1% vs. 53.8%). Conclusion: Cultural traditions, family obligations, and gender-biased expectations emerged as major factors shaping these disparities. The results emphasize the necessity of tailored strategies—such as mentorship initiatives and career guidance—to empower female physical therapy professionals in overcoming obstacles and attaining leadership positions. This study adds to the scarce body of literature on career expectations in physical therapy within Saudi Arabia and reinforces the importance of addressing gender inequities to build a more inclusive and motivated workforce.
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    Taxonomía de tipos de desempeño en Fisioterapia, desde saberes procedimentales técnicos al desempeño profesional
    (Universidad de Murcia. Servicio de publicaciones, 2025) Korell, Mario; Merlo, María Laura; Departamentos
    El trabajo presenta una taxonomía de los tipos de desempeño como marco de referenciapara la planificación y programación de planes de enseñanza orientados al desarrollo decompetencias en Fisioterapia, aunque puede aplicarse a otras profesiones. En la literatura existendiversos marcos de referencia basados en el logro de competencias que dan fundamento a la construcción de la taxonomía, además, se han consultado trabajos relacionados con la temática. Se trata de un trabajo de desarrollo, cualitativo, mediante análisis documental y consulta por encuesta a kinesiólogos que se desempeñan como docentes de prácticas clínicas en la Universidad. A partir de la revisión de la literatura queda planteada la necesidad de aportar una clasificación de los desempeños en base a saberes procedimentales considerando los grados de integración y niveles de complejidad. Se identificaron 5 tipos de desempeño: basados en procedimientos técnicos,procedimientos estratégicos, tareas profesionales, actividades profesionales y el ser profesional. El artículo concluye enfatizando la relevancia de la taxonomía para el diseño curricular, la enseñanza de prácticas kinésicas y la formación de profesionales de la salud.
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    Tres semanas de docencia virtual en la Universidad de Murcia (II): Fisioterapia, Odontología, Cirugía y Fisiología
    (Centro de Estudios en Educación Médica de la Universidad de Murcia (CeuEM) y Editum (Servicio de Publicaciones de la Universidad de Murcia), 2020) Gómez Conesa, Antonia; Ortiz Ruiz, Antonio José; Cascales Campos, Pedro Antonio; García-Estañ López, Joaquín
    Presentamos un resumen de las actividades que algunos de los profesores de la Facultad de Medicina de Murcia han llevado a cabo durante las 3 semanas previas a las vacaciones de primavera. En éstas, la docencia presencial tuvo que ser sustituída por actividades en línea o virtuales, a causa de la implantación del estado de alarma en España, que motivó el cierre completo de las Universidades desde el 13 de marzo de 2020. Las experiencias son de Fisioterapia, Odontología Pediátrica,Fundamentos de Cirugía y Fisiología.
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    Uncertainty Tolerance in Physiotherapists: implications for their education from an observational study
    (Universidad de Murcia. Servicio de publicaciones, 2024) Infante Guedes, Aday; Etopa Bitata, María del Pilar; Quintana Montesdeoca, María del Pino
    Although uncertainty is common in the field of physiotherapy, little research has beenconducted on the topic of uncertainty tolerance (UT). This study builds on previous research thatexplored UT in novice physiotherapists and identified their educational needs in relation to UTusing the self-developed "Tolerance to Uncertainty in Physiotherapy" (TUP) questionnaire. Thepresent work aims to explore UT in experienced physiotherapists, identify their educational needsregarding uncertainty management, and compare them with novice physiotherapists. A cross-sectional quantitative observational study was conducted involving 40 physiotherapists with anaverage work experience of 11.9 (+7.52) years participated. The results show that the evaluatedphysiotherapists had a medium-high UT with 51 points (5.99) on the TUP scale. Years ofexperience could not be confirmed as a good predictor of UT, although a trend towards improvedUT was observed (r= -0.075, p-value = 0.645). Experienced physiotherapists were less nervous oranxious about unknown diagnoses and had less difficulty switching off mentally. However, theywere in agreement with novice physiotherapists in terms of requesting more diagnostic tests ormore frequent appointments. Implementing educational programmes to improve UT during thetraining period and in experienced professionals is essential