Intervención fisioterápica con vendaje neuromuscular en pacientes con cervicalgia mecánica. Un estudio piloto / Physiotherapy intervention with kinesio taping in patients suffering chronic neck pain. A pilot study

Objetivo: Comprobar si el vendaje neuromuscular mejora la eficacia del tratamiento fisioterápico más comúnmente utilizado y con mejores resultados demostrados en pacientes con cervicalgia mecánica. Material y método Se realizó un estudio prospectivo, tomándose una muestra de 10 pacientes con cervicalgia mecánica. Se asignó aleatoriamente a 5 pacientes al grupo control, con el fin de recibir tratamiento fisioterápico y 5 pacientes al grupo experimental, a los que se les aplicó el mismo tratamiento fisioterápico y el vendaje neuromuscular. Medidas Un evaluador a quien no se le informó de la asignación de los pacientes, recopiló datos de la intensidad del dolor en el cuello y en el brazo antes y después de la intervención con la escala analógica visual, de la movilidad del cuello y de la movilidad de la articulación del hombro con un goniómetro universal. Además se les administró la escala SF-36 y el cuestionario de dolor cervical. Resultados Los 10 pacientes finalizaron el estudio. En la comparación del grado de mejoría entre uno y otro procedimiento resultó que hubo una mejora significativa en la flexión del cuello en los sujetos del grupo experimental con respecto al grupo control (p<0,05). Lo mismo ocurrió con la extensión del cuello (p<0,02), la inclinación del cuello (p<0,05) y la rotación interna del hombro (p<0,01).Además, en el cuestionario de calidad de vida (SF-36), resultó estadísticamente significativa la mejora del estado de salud mental en el grupo experimental con respecto al grupo control, con una p<0,05. Conclusiones El vendaje neuromuscular ha mejorado la eficacia del tratamiento convencional de la cervicalgia mecánica (AU)

Objective: The main aim was to verify if the Kinesio Taping improves the efficacy of conventional treatments in those subjects who have chronic neck pain. Material and method: A prospective study using a sample of 10 patients with chronic neck pain was carried out. Five patients were randomly allocated to the control group in order to receive conventional physiotherapy. The remaining 5 were allotted to the experimental group in which conventional physiotherapy and neuromusclar kinesio taping were applied. Measures: Data was collected by an evaluator blinded to the treatment allocation of the patients on the intensity of the neck and arm pain before and after the intervention with the analogue visual scale, on the neck mobility and shoulder joint mobility using a universal goniometer. Moreover, the subjects were administered the SF-36 scale and the cervical pain questionnaire. Results: The 10 patients completed the study. When both procedures were compared for grade of improvement, it was found that there was a significant improvement in neck flexion of the experimental group compared to the control group (P<.05). The same was found with neck extension (P<.02), lateral tilt of the neck (P<.05) and the shoulder internal rotation (P<.01).In addition, mental health status was significantly improved according to the quality of life questionnaire (SF-36) in the experimental group compared to the control one (P<.05).Conclusions: Kinesio Taping has improved the efficiency of conventional chronic neck pain treatment (AU)

Estiramientos analíticos y stretching global activo en clases de educación física / Analytical stretching and active global stretching in physical education classes

Comprobar la efectividad del stretching global activo (SGA) en alumnos entre 16-17 años y compararlo con estiramientos analíticos.Material y métodosEstudio prospectivo, aleatorio. Criterio de inclusión: 16-17 años y consentimiento informado por parte de los padres. Criterios de exclusión: patología y/o dolor, practicar deporte de manera reglada. 33 alumnos se asignaron aleatoriamente a los grupos 1 (SGA), 2 (estiramientos analíticos) y 3 (educación física). Se valoraron, antes y después de la intervención: altura, velocidad, salto vertical, salto horizontal, zancada, distancia del occipital/dorsal/sacro a la vertical, postura corporal y flexibilidad: general, de la musculatura dorso-lumbar (en relación con la cadena anterior de los miembros inferiores y superiores), de isquiotibiales y de la cadena posterior.ResultadosLa prueba de chi al cuadrado de Pearson asocia al grupo SGA con mejoría en la sensación de mejora de flexibilidad y postura. Según el ANOVA y las pruebas post hoc de comparaciones múltiples, existe una mejora significativa del grupo SGA con respecto a los grupos 2 y/o 3 en: altura (p < 0,05), flexibilidad de la cadena posterior (p < 0,005), flexibilidad de isquiotibiales (miembro inferior izquierdo) (p < 0,05) y flexibilidad de la musculatura dorso-lumbar con respecto a la cadena anterior de miembros inferiores (p < 0,005). Según la prueba Brown-Forsythe y las post hoc, existe una mejora significativa del grupo SGA en: flexibilidad general (p<0,02) y distancia occipital-vertical (p<0,02). En las fotografías de diferentes posturas se aprecia en el grupo de SGA mejorías más significativas y en mayor número de fotografías.ConclusionesEl SGA es efectivo e incluso más que los estiramientos analíticos en los aspectos mencionados. Tras los buenos resultados, sería interesante continuar investigando en otros ámbitos y edades

To study the effectiveness of the global active stretching (SGA) in 16-17 year old students and to compare it to analytical stretching.Material and methodsA prospective, randomized study was performed. Inclusion criteria: 16-17 years-old and informed consent from parents. Exclusion criteria: pathology and/or pain, practice regulated sport. A total of 33 students were randomly assigned to groups 1 (SGA), 2 (analytical stretching) and 3 (physical education). Some aspects were assessed before and after the research: height, speed, vertical jump, horizontal jump, stride, distance from occipital/back/sacrum to the vertical, posture and flexibility: general, of the dorsal-lumbar musculature (showing the relation between the anterior chain and the lower and upper limbs), the hamstrings and the posterior chain.ResultsThe Pearson's chi-square test associated the SGA group with improved sense of improving flexibility and posture. According to the ANOVA and post-hoc tests of multiple comparisons, there was significant improvement in the SGA group compared to groups 2 and/or 3 in: height (P<.05), posterior chain flexibility (P<.005), left hamstring flexibility (P<.05) and flexibility of the dorsal-lumbar musculature in relation with the anterior chain of the lower limbs (P<.005). According to the Brown-Forsythe and the post-hoc, there is a significant improvement in SGA group in general flexibility (P<.02) and occipital-vertical distance (P <.02). It could be seen in the photographs obtained in different positions that the SGA group had the most significant improvements and in a greater number of photos.ConclusionsSGA is effective and even more than the analytical stretching in the aspects mentioned above. Due to the good results, further investigation in other areas and ages would be interesting (AU)

Health Science students' attitude to dying.

Health care professionals must be prepared, both as scientists and as humans, to treat, accompany and help anyone in the difficult moments prior to their death. The following study aims to identify the attitude of Health Sciences students to their own death process and the circumstances surrounding it, so as to be able to give them appropriate training in caring for those in this situation. 666 Health Sciences students at the University of Murcia were given a questionnaire dealing with different aspects of what would cause them peace or anxiety during their death process. We can see from the results that the thing that would most help them to die peacefully would be knowing that their life would not be prolonged artificially, and what worries them most is pain and suffering. We have reached the following conclusions from these results: we must train future health care professionals on a personal and professional level so that they are able to provide quality care and comfort in those situations and aspects that are associated with death in order to preclude wanting a quick death.

Efectos del interferón alfa y del lymphomyosot sobre el crecimiento delmelanoma B16F10 en ratones C57BL/6J# / Effects of interferon-alpha and Lymphomyosot on the growth of B16F10 melanoma in C57BL/6J mice

Propósito: Estudiar los efectos del Interferon (IFN alfa) y Lymphomyosot sobre el crecimiento del melanoma trasplantado a ratones C57BL/6J.- Material y Métodos: Realizamos tres experimentos (A, B y C) con 114 ratones a los que inoculamos melanoma B16F10, y tratamos con IFN-alfa y Lymphomyosot.. - Resultados: En los experimentos (A, B y C) los pesos tumorales de los grupos tratados con IFN-alfa y Lymphomyosot individualmente eran significativamente menores a los controles y combinado. El efecto del Lymphomyosot se mantuvo estable a lo largo de los tratamientos, independientemente de su duración y edad de los animales.- Conclusión: El melanoma prendió en todos los animales. Los tratamientos con IFN y Lymphomyosot fueron eficaces originando una disminución significativa de los pesos tumorales (AU)

Determination of eosinophil rate after nasal provocation test in allergic rhinitis diagnosis.

After nasal provocation test in patients with allergic rhinitis, using the allergen they were sensitized to, we have observed: 1) an increase in the percentage of nasal eosinophils after 2, 3, 24 and 48 hours; 2) sneezes, mainly in the first 30 minutes; 3) nasal obstruction in the first three hours; 4) absence of rhinorrhea, but not in all the patients; and 5) no predominance of nasal, auricular and/or palatine pruritus at any time. When patients without rhinitis, or with allergic rhinitis were stimulated using a pneumoallergen they were not sensitized to, no significative increase in the nasal eosinophils percentage was found. No symptoms were observed either. So, we can conclude that nasal secretion samples, for eosinophilia percentage determination, should be taken from 2 to 48 hours after nasal provocation, and that the most frequent symptoms, which are probably related to cellular changes, are nasal obstruction and sneezes.