RESUMO
OBJECTIVES: To evaluate the efficacy of a proprioceptive exercise program on functional mobility, musculoskeletal endurance, dynamic and static balance, gait, and risk of falls in institutionalized older adults. DESIGN: Randomized, single-blind, controlled trial. SETTING: A Spanish nursing home in the autonomous community of Extremadura, Spain. PARTICIPANTS: An initial sample was created by recruiting 148 older adult volunteers. The final sample (N=42) was randomly divided into 2 groups. INTERVENTIONS: Both the control and experimental group received physical therapy treatment based on a combination of adapted exercises and other physical therapy techniques (physical therapy intervention program) for a period of 12 weeks. This program consisted of 45 minutes (group intervention) plus 100 minutes (individual intervention) a week, for a total of 36 sessions (29 hours). The experimental group received a proprioceptive training program during the same intervention period, which was conducted twice weekly (24 sessions), with each session lasting 55 minutes. MAIN OUTCOME MEASURES: Timed Up and Go (TUG), Cooper, Tinetti, 1-leg stance, and the Morse Fall Scale (MFS). RESULTS: Analysis of variance showed a time × group interaction in TUG score (F=10.41, P=.002), Cooper test (F=5.94, P=.019), Tinetti score (F=6.41, P=.015), and MFS scores (F=5.24, P=.028). Differences between groups were achieved for TUG scores (d=0.76), Tinetti scores (d=1.12), 1-leg stance test scores (d=0.77), and MFS scale scores (d=0.85). In the experimental group, within-group analyses showed pre- to post-treatment differences for TUG scores (d=0.72), Cooper test scores in meters (d=0.18), Tinetti scores (d=0.60), 1-leg stance scores (d=0.55), and MFS scores (d=0.42). CONCLUSIONS: A proprioceptive exercise program demonstrated significant improvements compared with the control group in areas such as functional mobility, musculoskeletal endurance, balance, gait, and risk of falls in institutionalized older adults. This study may help to enhance our understanding of the impact of a specific protocol for a proprioceptive rehabilitation program.
Assuntos
Terapia por Exercício/métodos , Instituição de Longa Permanência para Idosos , Casas de Saúde , Desempenho Físico Funcional , Equilíbrio Postural/fisiologia , Propriocepção/fisiologia , Acidentes por Quedas , Idoso , Idoso de 80 Anos ou mais , Feminino , Marcha/fisiologia , Avaliação Geriátrica/métodos , Humanos , Masculino , Limitação da Mobilidade , Resistência Física , Amplitude de Movimento Articular , Método Simples-Cego , EspanhaRESUMO
Objetivo Conocer el efecto inmediato de la elongación muscular eléctrica por medio de corrientes interferenciales sobre la amplitud articular en sujetos con cortedad isquiotibial. Material y método Se realizó una valoración inicial (pretest) y final (postest) en donde la variable sometida a estudio fue la amplitud articular. Los test aplicados fueron el test de elevación de la pierna recta (EPR) y test de ángulo poplíteo (TAP). Se empleó una corriente interferencial bipolar con una modulación de la amplitud de la frecuencia de 100Hz y una frecuencia portadora de 4Khz.ResultadosSe obtuvieron mejoras estadísticamente significativas en la extensibilidad isquiosural tras aplicar elongación muscular eléctrica para ambos test angulares (p≤0,0001), siendo el tamaño efecto de R2=0,833 para TAP y de R2=0,752 para EPR. Conclusiones La aplicación de elongación muscular mediante corrientes interferenciales logra un aumento inmediato en la extensibilidad de la musculatura isquiosural tras ser medida con EPR y TAP(AU)
Objective To determine the immediate effect of electrical muscle elongation interferential currents through joint range of subjects with hamstring shortness. Material and method We performed an initial (pre-test) and final (post-test) assessment where the variable under study was the joint range. The tests applied were the straight leg raise test (SLR) and passive knee extension test (PKE). We used a bipolar interferential current with an amplitude modulation frequency of 100Hz and 4kHz carrier frequency. Results Statistically significant improvements were obtained in hamstring extensibility after applying electrical muscle elongation angle for both test (p ≤ 0.0001), with effect size for PKE of R2=0.833 and of R2=0.752 and for SLR. Conclusions The use of muscle elongation by interferential currents achieved an immediate increase in hamstring muscle extensibility after being measured by SLR and PKE (AU)
Assuntos
Humanos , Exercícios de Alongamento Muscular/métodos , Ísquio/fisiologia , Tíbia/fisiologia , Estimulação Elétrica/métodos , Avaliação de Resultado de Intervenções TerapêuticasRESUMO
El objetivo principal de este trabajo es conocer la eficacia del vendaje neuromuscular en un deportista de élite con síndrome del supraespinoso respecto a otros tratamientos conservadores en los que no se aplica. Se ha realizado una valoración inicial (pretest) y final (postest) en donde las variables sometidas a estudio fueron el dolor, la amplitud articular del hombro, la fuerza muscular y el índice de esfuerzo percibido. Los tratamientos aplicados con duración de 3 semanas se dividen en dos fases: fase 1, termoterapia de alta frecuencia, ultrasonidos y masoterapia, y fase 2, el tratamiento anterior combinado con la técnica de vendaje neuromuscular. Los resultados indican una reducción del dolor en ambas fases (mayor en la fase 2) y aumento y estabilización en cantidad y/o calidad de la movilidad glenohumeral en la fase 2. El vendaje neuromuscular podría considerarse una técnica complementaria al tratamiento conservador ya que podría reducir el dolor y mejorar la movilidad articular (AU)
The main objective of this work is to determine the effectiveness of kinesio taping in an elite athlete with supraspinatus syndrome compared to other conservative treatments in which this Taping was not used. An initial assessment (pretest) and final assessment (posttest) were carried out in which the variables studied were pain, shoulder range of motion, muscle strength and the Perceived Exertion Index. The treatments were applied for three weeks and were divided into two phases: Phase 1, high frequency thermotherapy, ultrasound and massage therapy and phase 2, previous treatment combined with the kinesio taping technique. The results indicate a reduction in pain in both phases (higher in phase 2) and an increase as well as stabilization in quantity and/or quality of glenohumeral mobility in phase 2. Kinesio taping can be considered a complementary technique to the conservative treatment as it may reduce pain and improve joint mobility (AU)
Assuntos
Humanos , Masculino , Adulto , Bandagens/tendências , Bandagens , Síndrome de Colisão do Ombro/reabilitação , Traumatismos em Atletas/reabilitação , Esportes/fisiologia , Hipertermia Induzida/métodos , Dinamômetro de Força Muscular , Síndrome de Colisão do Ombro/diagnóstico , Síndrome de Colisão do Ombro/fisiopatologia , Síndrome de Colisão do Ombro , Dor/etiologia , Dor/reabilitação , Dor/terapia , Imageamento por Ressonância Magnética/métodos , Dinamômetro de Força Muscular/tendênciasRESUMO
El objetivo de nuestro estudio se centra en describir la relación entre la presencia de os peroneum y el desarrollo de tendinopatía peronea causada por la existencia de un síndrome de fricción entre el hueso sesamoideo y el músculo peroneo lateral largo. El sujeto estudio fue un joven deportista que padece dolor difuso tipo quemazón en la parte lateral de la pierna derecha. El diagnóstico diferencial mediante radiografía oblicua y dorsoplantar confirma la presencia de os peroneum. La valoración se realiza comparativamente tras el tratamiento conservador y quirúrgico, midiendo el dolor mediante la escala visual analógica, la amplitud articular a la eversión del pie mediante goniometría manual y la funcionalidad mediante el índice de esfuerzo percibido tras realizar el test 6 minutos de marcha y la escala de valoración funcional AOFAS. Como resultados, destacamos la reducción del dolor y la readaptación a la práctica deportiva sin secuelas tras la cirugía (AU)
This study has focused on describing the relationship between the presence of Os peroneum and the development of peroneal tendinopathy caused by the existence of a friction syndrome between the sesamoid bone and the peroneus longus muscle. The subject studied was a young athlete who has diffuse burning pain in the side of the right leg. The differential diagnosis through dorsoplantar oblique radiography confirmed the presence of Os peroneum. Evaluation was made comparatively after conservative and surgical treatment through the measurement of pain with the Visual Analog Scale, the eversion range of motion of the foot using the manual goniometry and functionality using the Perceived Stress Index after the test 6 minute walking test and American Orthopedic Foot and Ankle Society (AOFAS) functional rating scale. As a result, we emphasize the reduction of pain and rehabilitation to sports activity without sequelae after surgery (AU)
Assuntos
Humanos , Traumatismos dos Tendões/terapia , Fricção , Ossos Sesamoides/lesões , Diagnóstico Diferencial , Fenômenos Biomecânicos/fisiologia , Doença de Charcot-Marie-Tooth/terapiaRESUMO
El objetivo del trabajo se basa en comparar la eficacia del tratamiento mediante fisioterapia, ejercicios isométricos y técnicas analíticas según el concepto Sohier en la articulación coxofemoral, respecto a la fisioterapia sin emplear rearmonizaciones en un paciente con rotura fibrilar recidivante del recto anterior. El sujeto de estudio fue un futbolista profesional de 33 años al que se le valoró el dolor, antes y después de las dos fases de que consta el tratamiento, mediante la Escala Visual Analógica (EVA), la amplitud articular de la cadera derecha mediante goniómetro manual de dos ramas y el índice de esfuerzo percibido (IEP) mediante la escala adaptada del índice de esfuerzo percibido para los músculos activos (Borg¿s RPE Scale). Como resultados destacamos la reducción del dolor en ambas fases (mayor en la fase 2) y aumento y estabilización en cantidad y/o calidad de la movilidad coxofemoral en la fase 2(AU)
This work has aimed to compare the effectiveness of treatment through physical therapy, isometric exercises and analytical techniques according to the Sohier method in the hip joint compared with physical therapy without using resets in a patient with recurrent muscle fiber strain of the rectus femoris. The study subject was a 33-year old professional football player who was studied prior to and following the two treatment phases. The study included pain with the Visual Analog Scale (VAS), amplitude of the right hip joint through two manual goniometer arms and the Borg's perceived exertion scale (PES), using the modified rate of perceived exertion scale for active muscles (Borg's RPE Scale). Standing out among the results are reduction of pain in both phases (higher in phase 2) and increase and stabilization in quantity or quality of hip mobility in phase 2(AU)
Assuntos
Humanos , Masculino , Adulto , Fenômenos Biomecânicos/fisiologia , Cabeça do Fêmur/lesões , Técnicas de Exercício e de Movimento , Exercícios de Alongamento Muscular/métodos , Fraturas do Fêmur/reabilitação , Fraturas do Fêmur/terapia , Fraturas do Colo Femoral/reabilitação , Cóccix , Pelve/patologia , Pelve , Diafragma da PelveRESUMO
La incidencia de las complicaciones derivadas de los alargamientos óseos cada vez supone menos en la recuperación íntegra de estos pacientes gracias al abordaje multidisciplinar que reciben, siendo la fisioterapia un elemento clave. El objetivo del estudio es conocer los efectos beneficiosos que logra la fisioterapia en procesos de alargamientos óseos en relación con la amplitud articular y al tono muscular, así como en la prevención de complicaciones a propósito de un caso. Nuestra paciente, diagnosticada de dismetría de miembros inferiores, se somete a elongación tibial mediante una distracción progresiva a partir de fijadores externos distractores. El seguimiento realizado valoró la amplitud articular mediante goniometría manual, tono muscular mediante la escala de Daniels, existencia de linfedema y longitud del miembro mediante cinta métrica y el dolor percibido mediante escala visual analógica. Como resultados, destacamos la ganancia completa del rango articular y la prevención del equinismo y linfedema secundario(AU)
The incidence of complications of bone lengthening is increasingly less in the full recovery of these patients thanks to the multidisciplinary approach received, physiotherapy being a key element. This study has aimed to determine the beneficial effects achieved by physiotherapy in bone lengthening procedures in relationship to range of motion and muscle tone and in the prevention of complications based on a case report. Our patient who was diagnosed with lower limb dysmetria underwent tibial lengthening by gradual distraction from distracting external fixator. The monitoring performed evaluated joint range by means of manual goniometry, muscle tone scale by the Daniels scale, existence of lymphedema and limb length by measuring tape and perceived pain by the Visual Analog Scale. Standing out among the results are the full gain of joint range and prevention of equinus and secondary lymphedema(AU)
