Economic Evaluation in Neurological Physiotherapy: A Systematic Review.

This systematic review was carried out to compile and assess original studies that included economic evaluations of neurological physiotherapy interventions. A thorough search of PubMED, Cochrane and Embase was developed using keywords such as health economics, neurological physiotherapy and cost analysis, and studies published during the last six-year term were selected. A total of 3124 studies were analyzed, and 43 were eligible for inclusion. Among the studies analyzed, 48.8% were interventions for stroke patients, and 13.9% were focused on Parkinson's disease. In terms of the countries involved, 46.5% of the studies included were developed in the UK, and 13.9% were from the USA. The economic analysis most frequently used was cost-utility, implemented in 22 of the studies. A cost-effectiveness analysis was also developed in nine of those studies. The distribution of studies including an economic evaluation in this discipline showed a clear geographic dominance in terms of the pathology. A clear upward trend was noted in the economic evaluation of interventions developed in neurological physiotherapy. However, these studies should be promoted for their use in evidence-based clinical practice and decision-making.

Strategies and Measurement Tools in Physical Activity Promotion Interventions in the University Setting: A Systematic Review.

The university environment is especially suitable for implementing health promotion interventions and specifically for physical activity promotion among university students. The objective of this systematic review was to describe the strategies employed and the physical activity data collection tools that have been used in said interventions. A systematic search for articles was conducted using the PubMED, Cochrane, and PEDro databases. The articles selected were those describing a physical activity promotion intervention aimed at university students in their own university setting in which there was a control group. Eventually, 1074 articles were identified, of which 13 fulfilled the selection criteria. The results show eight strategies and nine different instruments for collecting physical activity data. The strategies identified were used in combination and they were adapted in each of the complex interventions. Validated questionnaires were the most widely used instrument. Future original studies are needed to find out the impact of these strategies in physical activity promotion among university students specifically in the university context.

High-order synchronization, transitions, and competition among Arnold tongues in a rotator under harmonic forcing.

We consider a rotator whose equation of motion for the angle theta consists of the zeroth and first Fourier modes. Numerical analysis based on the trailing of saddle-node bifurcations is used to locate the n:1 Arnold tongues where synchronization occurs. Several of them are wide enough for high-order synchronization to be seen in passive observations. By sweeping the system parameters within a certain range, we find that the stronger the dependence of theta[over ] on theta , the wider the regions of synchronization. Use of a synchronization index reveals a vast number of very narrow n:m Arnold tongues. A competition phenomenon among the tongues is observed, in that they "push" and "squeeze" one another: as some tongues widen, others narrow. Two mechanisms for transitions between different n:m synchronization states are considered: slow variation of the driving frequency, and the influence of low-frequency noise on the rotator.