Efficacy of a multimodal therapeutic exercise program in shellfish gatherers for the prevention of musculoskeletal disorders: a quasi-experimental study.

AIM: Aim of the present study was to determine the efficacy of a therapeutic exercise program to modify the muscular endurance of the trunk, the localization and intensity of musculoskeletal pain, fear-avoidance beliefs, perceived change after the treatment and satisfaction. METHODS: The present study has a quasi-experimental design (N.=19) with measurements taken before and after 16 sessions. The measures included: trunk extensors and flexors endurance, localization and intensity of pain and fear avoidance behavior. At the end of the program the perception of changes at musculoskeletal level and satisfaction were also obtained. Statistical analysis was carried out using Student's T-test for paired data, Wilcoxon's test and McNemar's test. The study was approved by the Ethics Committee and the patients gave their informed consent. RESULTS: The 94% were women with a mean age of 58 years. The 42.1% had musculoskeletal pain, with the most frequent locations being the lower back, neck and shoulder regions. A significant increase in the muscular endurance of the trunk extensors and flexors (in seconds) was detected; (67.1±42 vs. 96.1±55.2) (P=0.005) and (28.2±18.3 vs. 67.8±41.1) (P=0.000), respectively. A decrease that was close to statistical significance (P=0.19) was observed in the score on the FABQ (53.9±18.8 vs. 48±19.7). The prevalence of lower back pain (84.2% vs. 47.4%; P=0.016) and upper back pain (42.1% vs. 10.5%; P=0.031) decreased significantly after the treatment. The 78.4% had improved and 89.5% were very satisfied with the treatment. CONCLUSION: The treatment increased the muscular endurance of both the trunk extensors and flexors. A decrease in the prevalence of lower back, upper back and neck pain was observed. The perceived change and satisfaction were high.

Tratamiento fisioterápico de las alteraciones posturales y reflejos orales en la parálisis cerebral infantil, y otras alteraciones neurológicas. Ayudas técnicas para la alimentación / Physiotherapy treatment of the postural changes and oral reflexes in the children cerebral palsy and other neurological changes. Aids to feeding

En este trabajo se pretende describir las alteraciones posturales más frecuentes en la parálisis cerebral infantil (PCI), traumatismo craneoencefálico (TCE), y en la hemiplejia; y analizar cómo influyen éstas en las alteraciones orofaciales, presentes en la mayoría de estos pacientes. Se presenta una valoración de fisioterapia analítica de la disfunción orofacial, y se muestra un posible tratamiento de fisioterapia, adaptable a las diferentes alteraciones presentes en estos pacientes (AU)

Síndrome de heminegligencia / Syndrome of heminegligenc

Aquellos pacientes que han sufrido un accidente cerebrovascular, teniendo afectado un lóbulo parietal, generalmente el derecho, y con alteraciones neuropsicológicas como el síndrome de heminegligencia (SH) presentan un grave problema en su tratamiento en Fisioterapia. Exponemos tres casos clínicos en los que se pueden identificar distintos grados de afección del SH. Analizamos la influencia del síndrome en la recuperación de las alteraciones del movimiento en el paciente afectado, observando que si no se identifican apropiadamente dificultan su posterior recuperación. Antes de clasificar a un paciente hemipléjico como indiferente, vago, torpe o no colaborador nos debemos preguntar por qué actúa de esa manera y a qué puede ser debido. En el caso de presentar el síndrome, los objetivos del tratamiento fisioterápico deben ir dirigidos a mejorar sus problemas motores, sensitivos, las alteraciones de percepción espacial y sus trastornos neuropsicológicos (AU)