Estudio descriptivo sobre la Clasificación Internacional del Funcionamiento y el diagnóstico de fisioterapia / Descriptive study on the International Classification of Functioning and diagnosis of physiotherapy

ANTECEDENTES/OBJETIVO: El diagnóstico de fisioterapia es uno de los eslabones menos desarrollados en la profesión y, aunque se reconoce a la Clasificación Internacional del Funcionamiento (CIF) como marco teórico, no se interpretan adecuadamente las propuestas y etiquetas diagnósticas. El objetivo de este estudio es describir los elementos clave que configuran el diagnóstico en fisioterapia integrando el contexto de la CIF. MÉTODO: Estudio descriptivo, observacional, transversal de corte cualitativo, basado en el modelo de análisis interpretativo de Grounded Theory. En primer lugar, se lleva a cabo una encuesta tipo Likert (n = 42) y, en segundo lugar, se realiza un análisis interpretativo de un grupo de discusión. RESULTADOS: El diagnóstico de fisioterapia es percibido por los participantes del grupo de discusión como un sello de identidad de la profesión, por su objetividad, su carácter científico y por favorecer la comunicación interdisciplinar. Se identificaron trece códigos organizados en cuatro categorías. Estas categorías son: las áreas de desarrollo del diagnóstico de fisioterapia, los perfiles de los fisioterapeutas, los conocimientos sobre la Clasificación, y las competencias de la Clasificación. Los códigos que definen estas categorías son, respectivamente: los roles académico, profesional e investigador; los perfiles clínico-asistencial, científico y afectivo-emocional; las definiciones, desventajas, mejoras y utilidad en el diagnóstico de fisioterapia; y los componentes de salud, conjuntos básicos y nivel internacional. CONCLUSIÓN: Los códigos obtenidos definen el diagnóstico de fisioterapia en el contexto actual de la CIF. Estos son aspectos para el estudio y elementos de referencia para desarrollar etiquetas diagnósticas acordes con las necesidades de la fisioterapia actual

BACKGROUND/OBJECTIVE: Physiotherapy assessment is one of the least developed elements of the profession. Diagnostic proposals and labels are not properly interpreted, although the International Classification of Functioning (ICF) is recognized as a theoretical framework. The objective of the study is to describe the key elements that make up the physiotherapy assessment within the context of the ICF. METHOD: A descriptive, observational, cross-sectional qualitative study based on the Grounded Theory interpretative analysis model. First, a Likert-type survey (n = 42) is carried out, and second, an interpretative analysis of a discussion group. RESULTS: Physiotherapy assessment is perceived by the discussion group respondents as a hallmark of the profession, due to its objectivity, its scientific nature and in promoting interdisciplinary communication. Thirteen codes organized into four categories were identified. These categories are areas of development of physiotherapy diagnosis, physiotherapist profiles, knowledge about the ICF, and domains of the classification. The codes that define these categories are: academic, professional and research roles; clinical, scientific and affective-emotional profiles; definitions, disadvantages, improvements and diagnostic suitability; and health-related domains, basic sets and international level. CONCLUSION: The codes obtained define the physiotherapy assessment in the current context of the ICF. These elements are essential for study and to develop diagnostic labels according to the needs of current physiotherapy

Corrigendum to "Effectiveness of Massage Therapy and Abdominal Hypopressive Gymnastics in Nonspecific Chronic Low Back Pain: A Randomized Controlled Pilot Study".

[This corrects the article DOI: 10.1155/2018/3684194.].

Effectiveness of Massage Therapy and Abdominal Hypopressive Gymnastics in Nonspecific Chronic Low Back Pain: A Randomized Controlled Pilot Study.

BACKGROUND: There are a great number of interventions in physiotherapy, but with little evidence of their effectiveness in chronic low back pain. Therefore, this study assesses effectiveness of Massage Therapy and Abdominal Hypopressive Gymnastics and the combination of both to decrease pain and lumbar disability while increasing joint mobility and quality of life in patients with chronic nonspecific low back pain. METHODS: A randomized, single-blinded, controlled, clinical trial with sample (n = 27) was comprised of patients between 20 and 65 years, diagnosed with pain of mechanical origin characterized by having a duration of at least 12 weeks and no serious complications. Each group received 8 interventions of 30 minutes. RESULTS: Friedman ANOVA test obtained statistically significant differences of Oswestry, NRS, and Schober variables (p < 0.05) in the three measurements (pretest, posttest 1, and posttest 2), in each individual group. ANOVA Kruskal-Wallis test was used for comparison between groups, and Oswestry Disability values were significantly higher (p = 0.024) in the group receiving both treatments. CONCLUSION: Both individual groups reduce pain levels, improve disability, and increase the flexibility of the lumbar spine. The combination therapy provides greater benefits in terms of lumbar disability. This study is registered on March 8, 2016, with NCT02721914.

Calidad de vida profesional de los fisioterapeutas en el ámbito hospitalario público de Sevilla / Professional quality of life in physiotherapists in public hospitals of Seville, Spain

Objetivo: Conocer el nivel de calidad de vida profesional percibida por los fisioterapeutas del ámbito hospitalario público del área metropolitana de Sevilla y analizar su relación con variables sociodemográficas y laborales. Material y métodos: Estudio multicéntrico descriptivo transversal, desarrollado en el área metropolitana de Sevilla: Hospital Universitario Virgen del Rocío, Virgen Macarena y Virgen de Valme. Los participantes fueron todos los fisioterapeutas de los hospitales anteriormente citados. La tasa de respuesta fue del 96 por mil (n=48). Instrumentos de medida: encuesta anónima que incluye el cuestionario de calidad de vida profesional CVP-35, además de variables sociodemográficas y laborales. Resultados: El perfil del fisioterapeuta es una mujer (72,9 por mil ), de 44 años (Q1 41,75; Q3 57), casada (79,2 por mil ), con 2 hijos (Q1 1; Q3 2), con un tiempo de experiencia profesional de 22 años (Q1 16,25; Q3 30), con una antigüedad en el puesto de 6,5 años (Q1 4; Q3 16,83), plaza en propiedad (64,6 por mil ), jornada completa (89,6 por mil ) y turno de mañana (95,8 por mil ). La valoración global sobre la calidad de vida profesional percibida es de 7 puntos (Q1 5; Q3 8). En relación con las 3 dimensiones valoradas, la media más alta se encuentra en la «motivación intrínseca», con 8,17 (DT 1), «cargas de trabajo», con 6,06 (DT 1,2), y «apoyo directivo», con 5,38 (DT 1,54). No existen diferencias estadísticamente significativas con las variables sociolaborales. Conclusiones: Los fisioterapeutas de los hospitales de la ciudad de Sevilla tienen una calidad de vida en el trabajo media-alta. Presentan una adecuada motivación para realizar su trabajo, pero muestran cierta insatisfacción relacionada con el apoyo directivo y la carga de trabajo

Objective: Evaluate the level of professional quality of life perceived by the public hospital physiotherapists of the metropolitan area of Seville, and analyse its relationship with sociodemographic and occupational variables. Methods: Multicentre descriptive cross-sectional observational study developed in metropolitan area of Seville, including the University Hospital Virgen del Rocío, Virgen Macarena and Virgen de Valme. The participants were all physiotherapists from the aforementioned hospitals. The response rate was 96 per-mille (n=48). The measurement tool used was a questionnaire on professional quality of life (CVP-35), as well as the collecting of sociodemographic and occupational variables. Results: The profile of the physiotherapist is female (72.9 per-mille ), 44 years-old (Q1 41.75; Q3 57), married (79.2 per-mille ), with 2 children (Q1 1; Q3 2), with a long experience as a physiotherapist of 22 years (Q1 16.25; Q3 30), with a job tenure of 6.5 years (Q1 4; Q3 16.83), tenured (64.6 per-mille ), full time (89.6 per-mille ), and morning shift (95.8 per-mille ). The overall assessment of the perceived professional quality of life scored 7 points (Q1 5; Q3 8). In relation to the 3 dimensions evaluated, the highest score obtained was in the "intrinsic motivation" with 8.17 (SD 1), "workloads", with 6.06 (SD 1.2), and "management support" with 5.38 (SD 1.54). There were no statistically significant differences as regards social and occupational variables. Conclusions: Physiotherapists in hospitals of the city of Seville have a medium-high professional quality of life. They have adequate motivation to do their job, but show some dissatisfaction as regards management support and workload

Tools assessment and diagnosis to infant colic: a systematic review.

BACKGROUND: Infant colic occurs between 10% and 40% of healthy born children in their first year of life. Its assessment is complex, and there are only a few instruments of appraisement and diagnosis. METHODS: Scientific articles located through a systematic review using the Pubmed, Scopus, Cochrane, PEDro, Dialnet, IME and Dialnet databases. Two researchers obtained data independently from relevant studies previously identified. Risk of bias was assessed according to the methods recommended by the Cochrane Collaboration, with reporting following the preferred reported items for systematic reviews and meta-analyses guidelines and evaluating their methodological quality based on the EMPRO scale. RESULTS: Four tools were obtained for valuation of infant colic. Parental diary of infant cry and fuss behaviour, Crying Pattern Questionnaire, Infant Colic Scale and, lastly, a validity of the Turkish version of the Infant Colic Scale. CONCLUSIONS: Analysis of the existing tools involves the need to design and validate new assessment scales for this clinical frame.