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1.
Rev. int. med. cienc. act. fis. deporte ; 22(87): 565-578, sept. 2022. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-211089

RESUMO

Los objetivos del presente estudio son evaluar la fiabililidad test-retest e inter-observador del software Kinovea® para la obtención de los principales parámetros espaciotemporales de la marcha, así como, estudiar la validez de criterio respecto a un sistema tridimensional de análisis del movimiento. Los resultados obtenidos son significativamente estadísticos (p < 0,05) en todos los parámetros estudiados. La fiabilidad test-retest muestra una correlación excelente en los parámetros de longitud de paso, longitud de zancada, tiempo de paso y tiempo de zancada (CCI > 0,90), y buena en la velocidad (CCI = 0,76-0,90). La fiabilidad inter-observador es excelente (CCI > 0,90) en todos los parámetros espaciotemporales estudiados en ambos observadores. La validez de criterio entre Kinovea® y VICON Motion System® es excelente para los parámetros estudiados (r > 0,80) en ambos evaluadores. Estos hallazgos respaldan el empleo de Kinovea® como una herramienta accesible y de fácil manejo, con la que obtener datos objetivos de la marcha. (AU)


The aims of this study are to evaluate test-retest ant inter-rater reliability of the software Kinovea® to obtain the spatiotemporal gait parameters, as well as to study the criterion validity with respect to a three-dimensional motion capture system. The results obtained are statically significant (p < 0.05) in all the parameters studied. The test-retest reliability shows an excellent correlation in the parameters of step length, stride length, step time and stride time (ICC > 0.90), and good in speed (ICC = 0.76-0.90). The inter-rater evaluation is excellent (ICC > 0.90) in all the spatiotemporal parameters studied in both raters. The criterion validity between Kinovea® and VICON Motion System® is excellent for the parameters studied (r > 0.80) in both raters. These findings support the use of Kinovea® as an accessible and easy-to-use tool with which to obtain objective gait data. (AU)


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Análise da Marcha , Reprodutibilidade dos Testes , Software , Teste de Caminhada , Fenômenos Biomecânicos
3.
Neurologia (Engl Ed) ; 36(7): 537-547, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34537167

RESUMO

INTRODUCTION: Tension-type headache is the most common primary headache, with a high prevalence and a considerable socioeconomic impact. Manual physical therapy techniques are widely used in the clinical field to treat the symptoms associated with tension-type headache. This systematic review aims to determine the effectiveness of manual and non-invasive therapies in the treatment of patients with tension-type headache. DEVELOPMENT: We conducted a systematic review of randomised controlled trials in the following databases: Brain, PubMed, Web of Science, PEDro, Scopus, CINAHL, and Science Direct. Ten randomised controlled trials were included for analysis. According to these studies, manual therapy improves symptoms, increasing patients' well-being and improving the outcome measures analysed. CONCLUSIONS: Manual therapy has positive effects on pain intensity, pain frequency, disability, overall impact, quality of life, and craniocervical range of motion in adults with tension-type headache. None of the techniques was found to be superior to the others; combining different techniques seems to be the most effective approach.


Assuntos
Manipulações Musculoesqueléticas , Cefaleia Pós-Traumática , Cefaleia do Tipo Tensional , Adulto , Cefaleia , Humanos , Qualidade de Vida , Cefaleia do Tipo Tensional/terapia
4.
Neurología (Barc., Ed. impr.) ; 36(7): 537-547, septiembre 2021. tab
Artigo em Espanhol | IBECS | ID: ibc-220090

RESUMO

Introducción: La cefalea tensional es la cefalea primaria más usual, con una prevalencia elevada y unas consecuencias socioeconómicas de gran impacto. Las técnicas de terapia manual, desde la fisioterapia, son muy utilizadas en el abordaje del conjunto de síntomas que puede provocar. El propósito fue realizar una revisión sistemática sobre la efectividad de las terapias manuales y no invasivas en el tratamiento de pacientes que presentan cefalea tensional en sus actuales formas.DesarrolloSe llevó a cabo una revisión sistemática de la literatura en busca de ensayos controlados y aleatorizados. Se emplearon las siguientes bases de datos: Brain, PubMed, Web of Science, PEDro, Scopus, CINHAL y Science Direct. Se analizaron 10 estudios, todos ellos ensayos controlados y aleatorizados. Según los estudios individuales, la intervención logra mejorar la clínica, aportando bienestar al paciente y mejorando las distintas medidas de resultado analizadas.ConclusionesLa terapia manual logra efectos positivos sobre la intensidad y la frecuencia del dolor, la discapacidad, el impacto, la calidad de vida y el rango de movimiento craneocervical en adultos con cefalea tensional. No se encuentra superioridad entre una técnica con respecto a otra, siendo más efectivo el tratamiento combinado de estas. (AU)


Introduction: Tension-type headache is the most common primary headache, with a high prevalence and a considerable socioeconomic impact. Manual physical therapy techniques are widely used in the clinical field to treat the symptoms associated with tension-type headache. This systematic review aims to determine the effectiveness of manual and non-invasive therapies in the treatment of patients with tension-type headache.DevelopmentWe conducted a systematic review of randomised controlled trials in the following databases: Brain, PubMed, Web of Science, PEDro, Scopus, CINAHL, and Science Direct. Ten randomised controlled trials were included for analysis. According to these studies, manual therapy improves symptoms, increasing patients’ well-being and improving the outcome measures analysed.ConclusionsManual therapy has positive effects on pain intensity, pain frequency, disability, overall impact, quality of life, and craniocervical range of motion in adults with tension-type headache. None of the techniques was found to be superior to the others; combining different techniques seems to be the most effective approach. (AU)


Assuntos
Humanos , Cefaleia do Tipo Tensional , Manipulações Musculoesqueléticas , Qualidade de Vida , Cefaleia do Tipo Tensional/terapia
6.
Rev Neurol ; 71(3): 85-92, 2020 Aug 01.
Artigo em Espanhol | MEDLINE | ID: mdl-32672346

RESUMO

INTRODUCTION: The partial body weight supported treadmill training is a common therapeutic strategy in rehabilitation of people with spinal cord injuries. AIM: To analyze its effects on gait, balance and muscle strength in people with incomplete spinal cord injury compared to conventional treatment or overground gait training. PATIENTS AND METHODS: A compilation of clinical trials from 2007 to 2019 was carried out. We included articles that evaluate the effects of body weight supported treadmill training on gait, balance and muscle strength in subjects with incomplete spinal cord injury. RESULTS: A total of six articles were analyzed. The walking cadence, speed and resistance improved in the participants that received the intervention compared to those that were treated with conventional training. The functionality, balance and strength improved in most studies, but there were not differences between them. CONCLUSIONS: Body weight supported treadmill training improves the spatiotemporal parameters of walking and resistance in subjects with incomplete spinal cord injury, but in most variables analyzed (balance, functionality and strength) the changes are not superior to those observed after conventional training.


TITLE: Entrenamiento en cinta rodante con soporte parcial del peso corporal en pacientes con lesión medular incompleta: revisión sistemática.Introducción. El entrenamiento de la marcha sobre pasarela rodante con soporte parcial del peso corporal es una estrategia terapéutica frecuente en la rehabilitación de personas con lesión medular. Objetivo. Analizar los efectos de esta intervención en la marcha, el equilibrio y la fuerza muscular en personas con lesión medular incompleta en comparación con un tratamiento de fisioterapia convencional o con un entrenamiento de la marcha sobre suelo. Pacientes y métodos. Se realizó una recopilación de ensayos clínicos desde 2007 hasta 2019. Se incluyeron trabajos que evaluasen el entrenamiento de la marcha con soporte parcial del peso corporal en cinta rodante en pacientes con lesión medular incompleta y que analizasen la marcha, el equilibrio y la fuerza muscular. Resultados. Se analizaron seis artículos. Según los resultados de los estudios incluidos, la cadencia, la velocidad y la resistencia de marcha mejoraron en los participantes que recibieron entrenamiento sobre pasarela rodante con soporte parcial del peso corporal respecto al grupo de control. Las variables de funcionalidad, equilibrio y fuerza mejoraron en ambos los grupos de intervención. Conclusiones. El entrenamiento de la marcha con soporte parcial del peso corporal sobre cinta rodante mejora los parámetros espaciotemporales de la marcha y la resistencia de los pacientes con lesión medular incompleta, pero, en la mayoría de las variables analizadas, los cambios no son superiores a los observados tras un entrenamiento convencional.


Assuntos
Terapia por Exercício/métodos , Aparelhos Ortopédicos , Traumatismos da Medula Espinal/reabilitação , Adolescente , Adulto , Idoso , Peso Corporal , Ensaios Clínicos como Assunto , Desenho de Equipamento , Terapia por Exercício/instrumentação , Feminino , Transtornos Neurológicos da Marcha/etiologia , Transtornos Neurológicos da Marcha/fisiopatologia , Transtornos Neurológicos da Marcha/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Força Muscular , Equilíbrio Postural , Corrida , Traumatismos da Medula Espinal/complicações , Resultado do Tratamento , Caminhada , Adulto Jovem
7.
Rehabilitación (Madr., Ed. impr.) ; 54(2): 79-86, abr.-jun. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-196645

RESUMO

INTRODUCCIÓN: El patrón de la marcha se ve alterado en los sujetos con amputación de la extremidad inferior. Para su evaluación es importante el uso de escalas de observación de la marcha con una buena validez de contenido. OBJETIVOS: Diseñar una escala de observación de la marcha atendiendo a las principales alteraciones de la marcha de los sujetos con amputación y analizar su validez de contenido. MATERIAL Y MÉTODOS: Para obtener una versión de la escala se conformó un comité de expertos. El mismo comité se ocupó de la evaluación de la escala. Se calculó el índice de validez de contenido (IVC), tanto para cada ítem como para la escala global. RESULTADOS: Se seleccionaron las principales alteraciones cinemáticas y espaciotemporales para el desarrollo de los ítems. La escala se compone de 2secciones y 25 ítems, con una puntuación máxima de 35 puntos. Se obtuvo una puntuación global IVC de 0,90, y un índice de validez para la mayoría de los ítems con valores superiores a 0,78. CONCLUSIÓN: La Escala observacional de la marcha del sujeto con amputación de la extremidad inferior ha mostrado una validez de contenido excelente de acuerdo con el IVC obtenido. Futuros estudios deben evaluar su fiabilidad y validez de constructo


INTRODUCTION: Gait pattern is altered in persons with lower extremity amputation. To assess gait pattern, it is important to use observational gait scales with a good content validity. OBJECTIVES: To design an observational gait scale and to analyze its content validity. MATERIAL AND METHODS: An expert committee was formed to obtain a version of the scale. The same committee was responsible for evaluating the scale. The content validity index (CVI) was calculated, both for each item and for the global scale. RESULTS: The main kinematic and spatiotemporal alterations were selected to design the items. The scale consists of 2sections and 25 items, with a maximum score of 35 points. An overall CVI score of 0.90 was obtained, and an index of validity for most items with values higher than 0.78. CONCLUSION: The Observational gait scale for persons with amputation of the lower extremity showed excellent content validity according to the CVI obtained. Future studies should evaluate its reliability and construct validity


Assuntos
Humanos , Amputação Cirúrgica/reabilitação , Extremidade Inferior/lesões , Teste de Caminhada/métodos , Análise da Marcha/instrumentação , Recuperação de Função Fisiológica , Psicometria/instrumentação , Reprodutibilidade dos Testes , Membros Artificiais/estatística & dados numéricos
8.
Rehabilitacion (Madr) ; 54(2): 79-86, 2020.
Artigo em Espanhol | MEDLINE | ID: mdl-32370832

RESUMO

INTRODUCTION: Gait pattern is altered in persons with lower extremity amputation. To assess gait pattern, it is important to use observational gait scales with a good content validity. OBJECTIVES: To design an observational gait scale and to analyze its content validity. MATERIAL AND METHODS: An expert committee was formed to obtain a version of the scale. The same committee was responsible for evaluating the scale. The content validity index (CVI) was calculated, both for each item and for the global scale. RESULTS: The main kinematic and spatiotemporal alterations were selected to design the items. The scale consists of 2sections and 25 items, with a maximum score of 35 points. An overall CVI score of 0.90 was obtained, and an index of validity for most items with values higher than 0.78. CONCLUSION: The Observational gait scale for persons with amputation of the lower extremity showed excellent content validity according to the CVI obtained. Future studies should evaluate its reliability and construct validity.


Assuntos
Comitês Consultivos/organização & administração , Amputados , Análise da Marcha/métodos , Extremidade Inferior , Escala Visual Analógica , Amputação Cirúrgica , Fenômenos Biomecânicos , Humanos , Idioma , Reprodutibilidade dos Testes , Fatores de Tempo
9.
Photodiagnosis Photodyn Ther ; 29: 101631, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31904551

RESUMO

BACKGROUND: Xeroderma pigmentosum (XP) is a very rare and severe genetic disorder with a DNA repair defect of ultraviolet (UV)-induced damage. Photodynamic therapy (PDT) has been successfully used in XP patients to treat actinic keratosis (AK) and daylight PDT (DL-PDT) has demonstrated similar efficacy to conventional PDT (C-PDT) for AK. OBJECTIVES: To assess DL-PDT for the treatment of AK in patients with XP. METHODS: Patients with XP were evaluated by a group of Spanish and African dermatologists. Clinical characteristics of the patients were assessed and divided in mild, severe or moderate affectation of AK in the face. A topical photosensitizer was extended on the patients' faces and after two hours of indoor light exposure, fluorescence was assessed and the cream was removed. Patients were examined two and seven days later to assess the reaction to PDT and followed up three months later. RESULTS: A total of 13 patients were treated on the whole face. Three were classified as severe AK, six as moderate AK and four as mild AK. Fluorescence assessment showed a soft yellow-green colour and a pink-color delineating the AK. Two days after treatment patients presented a scaly reaction. After one week the reaction healed, there was improvement and after three months no adverse events were noticed. CONCLUSIONS: PDT is an option for treatment of AK in patients with XP.


Assuntos
Ácido Aminolevulínico/uso terapêutico , Ceratose Actínica/tratamento farmacológico , Fotoquimioterapia/métodos , Fármacos Fotossensibilizantes/uso terapêutico , Xeroderma Pigmentoso/tratamento farmacológico , Adolescente , Adulto , África , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino
13.
Rehabilitacion (Madr) ; 53(2): 93-103, 2019.
Artigo em Espanhol | MEDLINE | ID: mdl-31186102

RESUMO

OBJECTIVE: To evaluate the effectiveness of top-down and bottom-up approaches in the rehabilitation of unilateral spatial neglect in stroke patients. METHODOLOGY: We carried out a systematic review of randomized controlled trials from January of 2013 to March of 2017. The following databases were searched: Scopus, Science Direct, Web of Science, Pubmed and CINHAL. The methodological quality, level of scientific evidence and the strength of recommendation were evaluated. RESULTS: We included 13 studies (294 subjects): nine studies (188 patients) carried out therapies with a bottom-up approach such us eye patching, virtual reality, optokinetic stimulation, transcranial magnetic stimulation and prism adaption; three studies (94 patients) evaluated therapies with a top-down approach such us visual scanning, sensory feedback and mental practice; one study incorporated both approaches. Nine of these studies showed improvements in spatial neglect scales; five of these used bottom-up approaches, another three used top-down approaches and the remaining study combined both approaches. Disability was evaluated by nine studies, and only three reported improvements. Three studies reported significant improvements in motor function in the intervention groups. CONCLUSIONS: Top-down and bottom-up approaches could improve unilateral spatial neglect, disability and motor function in patients with stroke.


Assuntos
Transtornos da Percepção/reabilitação , Reabilitação do Acidente Vascular Cerebral/métodos , Humanos , Transtornos da Percepção/etiologia , Ensaios Clínicos Controlados Aleatórios como Assunto , Acidente Vascular Cerebral/complicações , Resultado do Tratamento
14.
Rehabilitación (Madr., Ed. impr.) ; 53(2): 93-103, abr.-jun. 2019. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-185464

RESUMO

Objetivo: Evaluar la efectividad de los enfoques top-down (de arriba abajo) y bottom-up (de abajo arriba) en el tratamiento de la heminegligencia espacial en pacientes con ictus. Metodología: Se llevó a cabo una revisión sistemática de la literatura en busca de ensayos controlados y aleatorizados desde enero de 2013 hasta marzo de 2017. Se emplearon las siguientes bases de datos: Scopus, Science Direct, Web of Science, Pubmed y CINHAL. Se evaluaron la calidad metodológica, el nivel de evidencia científica y el grado de recomendación. Resultados: Se incluyeron 13 estudios (294 sujetos): nueve trabajos analizaron técnicas con enfoques bottom-up (188 participantes) como parches oculares, realidad virtual, estimulación optocinética, estimulación magnética transcraneal o adaptación al prisma; tres ensayos evaluaron procedimientos con un enfoque top-down (94 participantes) como escaneo visual, retroalimentación sensorial y práctica mental; y un estudio incorporó ambos enfoques. Nueve trabajos refirieron mejoras en escalas que evaluaban la heminegligencia espacial, cinco basándose en procedimientos bottom-up, tres utilizando técnicas top-down y uno de ellos combinando ambos enfoques. La discapacidad fue evaluada en nueve de los estudios, describiendo solo tres cambios positivos. Tres trabajos mostraron mejoras significativas en la función motora en los grupos de intervención. Conclusión: Los enfoques bottom-up y top-down podrían mejorar la heminegligencia espacial, la discapacidad y la función motora en sujetos con ictus


Objective: To evaluate the effectiveness of top-down and bottom-up approaches in the rehabilitation of unilateral spatial neglect in stroke patients. Methodology: We carried out a systematic review of randomized controlled trials from January of 2013 to March of 2017. The following databases were searched: Scopus, Science Direct, Web of Science, Pubmed and CINHAL. The methodological quality, level of scientific evidence and the strength of recommendation were evaluated. Results: We included 13 studies (294 subjects): nine studies (188 patients) carried out therapies with a bottom-up approach such us eye patching, virtual reality, optokinetic stimulation, transcranial magnetic stimulation and prism adaption; three studies (94 patients) evaluated therapies with a top-down approach such us visual scanning, sensory feedback and mental practice; one study incorporated both approaches. Nine of these studies showed improvements in spatial neglect scales; five of these used bottom-up approaches, another three used top-down approaches and the remaining study combined both approaches. Disability was evaluated by nine studies, and only three reported improvements. Three studies reported significant improvements in motor function in the intervention groups. Conclusions: Top-down and bottom-up approaches could improve unilateral spatial neglect, disability and motor function in patients with stroke


Assuntos
Humanos , Acidente Vascular Cerebral/complicações , Reabilitação do Acidente Vascular Cerebral/métodos , Percepção Espacial , Transtornos da Percepção/reabilitação , Desempenho Físico Funcional , Pessoas com Deficiência/reabilitação , Modalidades de Fisioterapia
15.
Actas dermo-sifiliogr. (Ed. impr.) ; 109(6): 536-542, jul.-ago. 2018. ilus, graf
Artigo em Espanhol | IBECS | ID: ibc-175616

RESUMO

INTRODUCCIÓN: A pesar de que los únicos fármacos con indicación aprobada en nuestro país para la alopecia androgénica (AGA) son minoxidil tópico y finasterida oral, es común la utilización de numerosas terapias fuera de indicación, provocando una gran variabilidad en el manejo de estos pacientes. El objetivo principal de este trabajo fue describir los hábitos de prescripción de los dermatólogos en España en AGA masculina (MAGA) y AGA femenina (FAGA). MATERIAL Y MÉTODOS: Estudio descriptivo transversal mediante cuestionarios digitales autocumplimentados por dermatólogos que ejercen en territorio español. RESULTADOS: Se incluyeron las respuestas de un total de 241 dermatólogos. En MAGA los tratamientos más utilizados fueron en este orden: minoxidil tópico (98%), finasterida oral (96%), nutricosméticos (44%), finasterida tópica (37%), dutasterida oral (33%), plasma rico en plaquetas (14%) y láser de baja potencia (8%). En FAGA premenopáusica: minoxidil tópico (98%), anticonceptivos orales (81%), nutricosméticos (72%), acetato de ciproterona (58%), finasterida oral (39%), finasterida tópica (39%), espironolactona (27%), plasma rico en plaquetas (20%), dutasterida oral (20%), flutamida oral (18%) y láser de baja potencia (7%). En FAGA posmenopáusica: minoxidil tópico (98%), finasterida oral (84%), nutricosméticos (68%), finasterida tópica (50%), dutasterida oral (35%), plasma rico en plaquetas (21%), espironolactona (16%), acetato de ciproterona (16%), flutamida oral (9%) y láser de baja potencia (9%). Como limitaciones de nuestro estudio, no se incluyeron terapias novedosas para AGA como minoxidil oral o microinyecciones de dutasterida. CONCLUSIONES: Los agentes terapéuticos más utilizados en MAGA y FAGA posmenopáusica por los dermatólogos en España fueron minoxidil tópico, finasterida oral y nutricosméticos, mientras que en FAGA premenopáusica fueron minoxidil tópico, anticonceptivos orales y nutricosméticos


BACKGROUND: Topical minoxidil and oral finasteride are the only drugs approved for the treatment of androgenetic alopecia (AGA) in Spain. However, the management of this condition is highly variable because numerous treatments are used off-label. The main aim of this study was to describe the prescribing habits of dermatologists in Spain for male AGA (MAGA) and female AGA (FAGA). MATERIAL AND METHODS: Descriptive cross-sectional study using online questionnaires completed by dermatologists working in Spain. RESULTS: The responses of 241 dermatologists were analyzed. The most common treatments prescribed for MAGA were minoxidil (98%), oral finasteride (96%), nutricosmetics (44%), topical finasteride (37%), oral dutasteride (33%), platelet-rich plasma (14%), and low-level laser therapy (8%). For premenopausal FAGA, the most common treatments were topical minoxidil (98%), oral contraceptives (81%), nutricosmetics (72%), cyproterone acetate (58%), oral finasteride (39%), topical finasteride (39%), spironolactone (27%), platelet-rich plasma (20%), oral dutasteride (20%), oral flutamide (18%), and low-level laser therapy (7%). Finally, for postmenopausal FAGA, the most common treatments prescribed were topical minoxidil (98%), oral finasteride (84%), nutricosmetics (68%), topical finasteride (50%), oral dutasteride (35%), platelet-rich plasma (21%), spironolactone (16%), cyproterone acetate (16%), oral flutamide (9%), and low-level laser therapy (9%). A limitation of our study is that we did not analyze novel AGA treatments such as oral minoxidil and dutasteride mesotherapy. CONCLUSIONS:The most common treatments prescribed for AGA by dermatologists in Spain are topical minoxidil, oral finasteride, and nutricosmetics for MAGA and postmenopausal FAGA and topical minoxidil, oral contraceptives, and nutricosmetics for premenopausal FAGA


Assuntos
Humanos , Prescrições/estatística & dados numéricos , Alopecia/epidemiologia , Fluxometria por Laser-Doppler/métodos , Dermatologistas/estatística & dados numéricos , Estudos Transversais , Alopecia/terapia , Finasterida/administração & dosagem , Dutasterida/administração & dosagem , Minoxidil/administração & dosagem , Inquéritos e Questionários , Espanha/epidemiologia
17.
Rehabilitación (Madr., Ed. impr.) ; 52(2): 107-113, abr.-jun. 2018. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-175685

RESUMO

Introducción: Las dificultades en la marcha y las alteraciones del equilibrio representan los principales problemas que sufren los pacientes con daño cerebral adquirido. Los programas de rehabilitación cuyo propósito sea mejorar estos aspectos, en los que se incluyan periodos de tarea dual, resultan de gran utilidad. El objetivo del presente trabajo fue analizar y evaluar los cambios en el equilibrio y en parámetros de la marcha tras un tratamiento en tapiz rodante con periodos de tarea dual. Pacientes y métodos: Siete sujetos con daño cerebral adquirido y capacidad de marcha independiente. Se llevó a cabo un protocolo de rehabilitación sobre tapiz rodante, incluyendo periodos de tarea dual. Se realizaron 3 evaluaciones (pretratamiento-T1, postratamiento-T2 y seguimiento-T3) para las que se emplearon: el test Timed Up and Go, la escala de equilibrio de Berg, la escala de Tinetti y el software gratuito Kinovea(R). Resultados: Tras la terapia intervención mediante el entrenamiento en tapiz rodante con tareas duales tras un periodo de 8 semanas se observaron mejoras en el equilibrio y en ciertos aspectos de la marcha. En concreto el test Timed Up and Go, el tiempo, la velocidad, la longitud de paso y de zancada obtuvieron datos estadísticamente significativos (p<0,05). Conclusiones: El protocolo empleado, mediante tapiz rodante y periodos de tarea dual, produce mejoras en el equilibrio y en parámetros de la marcha


Introduction: Difficulties in gait and disturbance of balance represent the main problems in patients with acquired brain injury (ABI). Rehabilitation programmes that aim to improve these parameters and which include periods of dual task training are very useful. The aim of this study was to analyse and evaluate changes in balance and gait parameters after dual-task treadmill training. Patients and methods: Seven subjects with ABI and independent gait participated in this study. A treadmill rehabilitation protocol was implemented, including dual-task periods. Three evaluations (pre-treatment, post-treatment and follow-up) were used for the tests: the Timed Up and Go Test, the Berg balance scale, the Tinetti scale and free Kinovea(R) software. Results: After the intervention with dual-task treadmill training for an eight-week period, improvements were observed in balance and gait parameters. Specifically, changes in the Timed Up and Go test, time, speed, step length and stride length were statistically significant (p<0,05). Conclusions: The protocol used, through the treadmill and dual task periods, improves balance and gait parameters


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Equilíbrio Postural/fisiologia , Transtornos das Sensações/reabilitação , Transtornos Neurológicos da Marcha/reabilitação , Encefalopatia Traumática Crônica/fisiopatologia , Modalidades de Fisioterapia , Transtornos das Sensações/fisiopatologia , Transtornos Neurológicos da Marcha/fisiopatologia , Resultado do Tratamento , Estudos Prospectivos
19.
Actas Dermosifiliogr (Engl Ed) ; 109(6): 536-542, 2018.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-29656764

RESUMO

BACKGROUND: Topical minoxidil and oral finasteride are the only drugs approved for the treatment of androgenetic alopecia (AGA) in Spain. However, the management of this condition is highly variable because numerous treatments are used off-label. The main aim of this study was to describe the prescribing habits of dermatologists in Spain for male AGA (MAGA) and female AGA (FAGA). MATERIAL AND METHODS: Descriptive cross-sectional study using online questionnaires completed by dermatologists working in Spain. RESULTS: The responses of 241 dermatologists were analyzed. The most common treatments prescribed for MAGA were minoxidil (98%), oral finasteride (96%), nutricosmetics (44%), topical finasteride (37%), oral dutasteride (33%), platelet-rich plasma (14%), and low-level laser therapy (8%). For premenopausal FAGA, the most common treatments were topical minoxidil (98%), oral contraceptives (81%), nutricosmetics (72%), cyproterone acetate (58%), oral finasteride (39%), topical finasteride (39%), spironolactone (27%), platelet-rich plasma (20%), oral dutasteride (20%), oral flutamide (18%), and low-level laser therapy (7%). Finally, for postmenopausal FAGA, the most common treatments prescribed were topical minoxidil (98%), oral finasteride (84%), nutricosmetics (68%), topical finasteride (50%), oral dutasteride (35%), platelet-rich plasma (21%), spironolactone (16%), cyproterone acetate (16%), oral flutamide (9%), and low-level laser therapy (9%). A limitation of our study is that we did not analyze novel AGA treatments such as oral minoxidil and dutasteride mesotherapy. CONCLUSIONS: The most common treatments prescribed for AGA by dermatologists in Spain are topical minoxidil, oral finasteride, and nutricosmetics for MAGA and postmenopausal FAGA and topical minoxidil, oral contraceptives, and nutricosmetics for premenopausal FAGA.


Assuntos
Alopecia/tratamento farmacológico , Dermatologia , Padrões de Prática Médica , Estudos Transversais , Prescrições de Medicamentos/estatística & dados numéricos , Feminino , Humanos , Masculino , Prática Privada , Setor Público , Autorrelato , Espanha
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