Assessing Content Assimilation in Health Research Methodology: A Comparative Study of Lecture and Flipped Classroom Instruction / Evaluación de la asimilación de contenidos en la metodología de investigación en salud: un estudio comparativo de la conferencia y la instrucción en el aula invertida

Virtual education has evolved significantly, driven by the integration of Information and Communication Technology (ICT) resources, particularly during the COVID-19 pandemic. Health Sciences, with their practical components, present unique challenges in virtual education, including maintaining student engagement. This study aimed to compare the effectiveness of the flipped learning methodology with and without in-class content reinforcement in a virtual classroom for previously assimilated materials within Health Sciences. The study involved students in a Kinesiology program using the Blackboard Learn platform. Two groups were established: one completing a questionnaire at the beginning of the virtual class (FLI group) and the other at the end following a content reinforcement session (FLI+TRA group). While no statistically significant score differences were found between the two groups, the FLI+TRA group showed higher pass rates and improved average scores, indicating practical benefits. These results suggest that combining flipped learning with traditional in-class instruction can enhance content assimilation in virtual education, fostering increased student engagement and participation. However, further research is needed to explore the full implications and adaptability of this approach. In conclusion, this study highlights the potential of the FLI+TRA approach to improve learning outcomes in complex subjects like Epistemology and Research Methodology within Health Sciences. As virtual education continues to evolve, educators should consider this hybrid teaching model as a valuable tool to provide a more holistic and effective learning experience (AU)

La educación virtual ha evolucionado significativamente, impulsada por la integración de recursos de Tecnologías de la Información y Comunicación (TIC), especialmente durante la pandemia de COVID-19. Las Ciencias de la Salud, con sus componentes prácticos, presentan desafíos únicos en la educación virtual, incluida la retención del interés de los estudiantes. Este estudio tuvo como objetivo comparar la efectividad de la metodología de aprendizaje invertido (flipped learning) con y sin refuerzo de contenido en clase en un aula virtual para materiales previamente asimilados en Ciencias de la Salud. El estudio involucró a estudiantes de un programa de Kinesiología utilizando la plataforma Blackboard Learn. Se establecieron dos grupos: uno completando un cuestionario al comienzo de la clase virtual (grupo FLI) y otro al final después de una sesión de refuerzo de contenido en clase (grupo FLI+TRA). Aunque no se encontraron diferencias estadísticamente significativas en las puntuaciones entre los dos grupos, el grupo FLI+TRA mostró tasas de aprobación más altas y puntajes promedio mejorados, lo que indica beneficios prácticos. Estos resultados sugieren que la combinación de aprendizaje invertido con instrucción tradicional en clase puede mejorar la asimilación de contenido en la educación virtual, fomentando un mayor compromiso y participación de los estudiantes. Sin embargo, se necesita más investigación para explorar las implicaciones y la adaptabilidad completas de este enfoque. En conclusión, este estudio resalta el potencial del enfoque FLI+TRA para mejorar los resultados de aprendizaje en materias complejas como Epistemología y Metodología de Investigación en Ciencias de la Salud. A medida que la educación virtual continúa evolucionando, los educadores deben considerar este modelo de enseñanza híbrido como una herramienta valiosa para proporcionar una experiencia de aprendizaje más holística y efectiva (AU)

Associação da educação sexual, cinesioterapia e terapia manual no tratamento de mulheres anorgásmicas: um estudo de caso / Association of sex education, kinesiotherapy and manual therapy in the treatment of anorgasmic women: a case study

O orgasmo é o ápice da excitação sexual e, quando comumente não experienciado, denomina-se anorgasmia, segunda queixa sexual mais frequente entre mulheres. A fisioterapia é um recurso que visa beneficiar a qualidade de vida das mulheres anorgásmicas por meio da prevenção, reparação de função e tratamento de quadros álgicos. O estudo teve como objetivo avaliar os efeitos da associação das técnicas de cinesioterapia aplicada à musculatura do assoalho pélvico, massagem perineal e conscientização acerca da sexualidade das participantes. Os métodos utilizados foram educação sexual, massagem perineal e cinesioterapia associada ao uso da sonda uroginecológica New PelviFit Trainer, como biofeedback visual, para promover conscientização e estimar os efeitos sobre a condição da musculatura do assoalho pélvico de mulheres com relato de anorgasmia. O resultado obtido com o protocolo da associação das técnicas terapêuticas em mulheres com disfunção orgásmica apresentou melhora da função sexual feminina, aumento da força e do estado de relaxamento da musculatura do assoalho pélvico, avaliados pelo questionário Índice de Função Sexual Feminina, quantificados por meio da escala de Oxford modificada e da escala de avaliação de flexibilidade vaginal, respectivamente. Como conclusão, a aplicação das técnicas fisioterapêuticas aliadas ao tratamento humanizado, com enfoque na conscientização das mulheres, autopercepção corporal e manutenção da função sexual, promoveu melhora da disfunção sexual orgásmica. Apesar de necessário maior embasamento científico relativo ao tema, a presente abordagem para o tratamento em questão apresentou-se promissora e pertinente à base de dados. (AU)

Orgasm is the peak of sexual excitement, when not commonly experienced, it is called anorgasmia, second most frequent sexual complaint among women. Physiotherapy is a resource that aims to improve the quality of life of anorgasmics women through prevention, function repair and pain management. The purpose of the study was to evaluate the effects of kinesiotherapy techniques applied on the pelvic floor muscles, associated with perineal massage and the participants' sexual awareness. The methods used were sexual education, perineal massage, kinesiotherapy associated with the use of the New PelviFit Trainer urogynecological probe, as a visual feedback, to promove awearness and estimate its effects on the pelvic floor muscles condition in women reporting anorgasmia. The result obtained with the protocol of association of therapeutic techniques in women with orgasmic dysfunction showed improvement in the female sexual function, assessed by the Female Sexual Function Index questionnaire, increased strength and pelvic floor muscles relaxation, quantified using the Modified Oxford scale and the vaginal flexibility assessment scale, respectively. As a conclusion, the application of physiotherapeutic techniques combined with humanized treatment, with a focus on awareness of women, body self-perception and maintenance of sexual function, promoted improvement of orgasmic sexual dysfunction. Despite the need for a greater scientific basis on the subject, the present approach to the treatment in question was promising and relevant to the database. (AU)

El término kinesiología, sus implicancias en la forma profesional y en el fondo disciplinar. Segunda parte: los matices en su desarrollo / The term kinesiology, its implications in the professional practice and disciplinary background. Second part: the nuances in its the development

Los matices que ha generado el término Kinesiología en el desarrollo disciplinar han podido justificar una importante cantidad de acciones profesionales que van desde la educación física, pasando por la investigación de laboratorio, cinética, cinemática del deporte y función ventilatoria, para culminar otorgando asistencias en el extremo de la disfunción y la inmovilidad concomitante al término de la gran mayoría de las enfermedades. Así la Kinesiología ha sido el soporte argumentativo para profesores, entrenadores, científicos y terapeutas que trabajan con el movimiento humano. No exentas de contribuir al objeto de estudio se encuentran las humanidades y las ciencias sociales que parten en la antropología y se consolidan en la biopolítica de organizaciones gremiales con carácter universal para fijar lineamientos de control. Ante la importante magnitud del campo de conocimientos acumulados, es posible sostener la evidente oportunidad de generar condiciones favorables que se encarguen de reflexionar otras soluciones inspiradas en la trascendencia de la funcionalidad y el movimiento. El denominador común de estos alcances comienza cuando la funcionalidad pasa a ser la meta epistemológica de los paradigmas al servicio del movimiento humano. En este contexto, el objetivo de esta investigación fue analizar el término Kinesiología en el contexto de los matices disciplinares para recomponer sus implicancias y determinar su posibilidad de sobrevida.

SUMMARY: The nuances that the term Kinesiology has generated in disciplinary development have upheld a significant number of professional actions, ranging from physical education to laboratory research, kinetics, sport kinematics and ventilator function. Such actions have ultimately assisted in the extreme dysfunction and immobility concomitant at the end of a vast majority of diseases. Therefore, Kinesiology has been the argumentative support for teachers, coaches, scientists and therapists working with human movement. Humanities and social sciences that commence with anthropology and are consolidated in the bio politics of global union organizations to establish control guidelines are also an important contribution to its study. Given the vast amount of knowledge in this field, there is an opportunity to generate favorable conditions that reflect on further solutions inspired by the transcendence of functionality and movement. When reflecting on these achievements, the common denominator is when functionality becomes the epistemological goal ofthe paradigms at the service of human movement. In this context, the objective of this research was to analyze the term Kinesiology in the context of disciplinary nuances to recompose its implications and to determine if it can survive as a discipline.

Razonamiento clínico en carreras de la salud: percepción de estudiantes y docentes / The perception of teachers and students about clinical reasoning in health care careers

BACKGROUND: Clinical reasoning (CR) is a training mainstay in health care careers. AIM: To describe the perception of students and teachers about the development of clinical CR in Kinesiology and Dentistry careers. MATERIAL AND METHODS: Exploratory descriptive qualitative study, with 12 informants (six teachers and six students), applying a script of questions through a semi-structured interview. A thematic inductive data analysis was carried out. RESULTS: Two hundred thirty-five meaning units, 38 codes, seven subcategories and three categories were collected. CR was reported as a basic analysis process in health care training. Its necessary elements are knowledge, a learning environment and a facilitator teacher, among others. Motivation, analysis models, variability and exposure are reported as facilitating factors for the development of CR. Teacher paternalism, resistance to change and few learning opportunities are presented as obstacles. Active strategies such as clinical cases, simulation and clinical practice are perceived as facilitators for the development of CR. Those situations where the student does not assume a leading role such as lectures and activities in large groups, are considered as obstacles. CONCLUSIONS: Both students and teachers point to CR as an analysis process that is indispensable in both careers. Exposure to variable educational experiences through active educational strategies in small groups encourages CR.

Auxetic structures used in kinesiology tapes can improve form-fitting and personalization.

Each year 65% of young athletes and 25% of physically active adults suffer from at least one musculoskeletal injury that prevents them from continuing with physical activity, negatively influencing their physical and mental well-being. The treatment of musculoskeletal injuries with the adhesive elastic kinesiology tape (KT) decreases the recovery time. Patients can thus recommence physical exercise earlier. Here, a novel KT based on auxetic structures is proposed to simplify the application procedure and allow personalization. This novel KT exploits the form-fitting property of auxetics as well as their ability to simultaneously expand in two perpendicular directions when stretched. The auxetic contribution is tuned by optimizing the structure design using analytical equations and experimental measurements. A reentrant honeycomb topology is selected to demonstrate the validity of the proposed approach. Prototypes of auxetic KT to treat general elbow pains and muscle tenseness in the forearm are developed.

Mejorando la elaboración de las hipótesis iniciales para el razonamiento clínico diagnóstico en estudiantes de kinesiología: una propuesta metodológica / Improving the development of initial hypotheses for clinical diagnostic reasoning in physical therapy students: a methodological proposal

El Razonamiento Clínico es un proceso fundamental para identificar los déficits en un paciente y formular un diagnóstico kinesiológico. El objetivo de este estudio es describir parte de la metodología y sus resultados, en el marco del curso de Razonamiento Clínico de la carrera de Kinesiología en la Universidad Finis Terrae, para mejorar el proceso de formulación de hipótesis iniciales para la evaluación kinesiológica. MUESTRA : MATERIALES Y MÉTODOS Los estudiantes fueron evaluados según la cantidad, coherencia y sintaxis de estas hipótesis iniciales, además de los dominios a los que pertenecían, al inicio y al final de la intervención que consistió en 3 actividades (2 clases presenciales y un informe de actividad de campo clínico). Las clases presenciales tenían como temas la Clasificación Internacional de la Funcionalidad, Salud y Enfermedad (CIF) de la OMS, y su rol en el razonamiento clínico diagnóstico; y la importancia de las hipótesis iniciales dentro del modelo hipotético deductivo de razonamiento y cómo escribirlas, junto con el uso de una herramienta (una "Tabla Hipocrática Modificada") para sistematizar la formulación de hipótesis iniciales con respecto a déficit en estructuras corporales. El informe de campo clínico integró todo lo anterior durante la evaluación de un paciente real. RESULTADOS La evaluación final mostró un aumento significativo en la cantidad (promedio ± DS inicial 10,1 ± 8,57, final 27 ± 9,23, p < 0,001) de hipótesis planteadas y en su coherencia con respecto a la información disponible. CONCLUSIÓN La sistematización descrita para la formulación de hipótesis diagnósticas en los estudiantes de kinesiología resulta en una mayor cantidad y calidad en sus hipótesis, validando esta metodología para la enseñanza inicial del razonamiento clínico diagnóstico en kinesiología

Clinical Reasoning is a fundamental process to identify deficits in a patient and state a diagnosis. The goal of this study is to describe part of the methodology and its results, within the framework of the Clinical Reasoning course of the Kinesiology career at Finis Terrae University, implemented to improve the process of formulating initial hypotheses for kinesiological evaluation. MATERIALS AND METHODS The students were evaluated according to the quantity, coherence and syntax of these initial hypotheses, in addition to the domains to which they belonged, at the beginning and at the end of the intervention that consisted of 3 activities (2 face-to-face classes and an activity report). The face-to-face classes had as topics the International Classification of Functioning, Health and Disease (ICF), WHO, and its role in diagnostic clinical reasoning; and the importance of initial hypotheses within the hypothetical deductive model of reasoning and how to write them, together with the use of a tool (a "Modified Hippocratic Table") to methodize the formulation of initial hypotheses regarding deficits in body structures. The report integrated all of the above during the evaluation of a real patient. RESULTS The final evaluation showed a significant increase in the quantity (mean ± initial SD 10.1±8.57, final 27±9.23, p < 0.001) of hypotheses raised and in their consistency to the available information. Conclusion: The Systematization described for formulating diagnostic hypotheses in kinesiology students results in a greater quantity and quality of their hypotheses, validating this methodology for the initial teaching of diagnostic clinical reasoning in kinesiology.

Utilização da fisioterapia na reabilitação de bezerro com poliartrite e paresia neuromuscular: relato de caso / Use of physiotherapy in the rehabilitation of calves with polyarthritis and neuromuscular paresis: case report / Uso de la fisioterapia en la rehabilitación de un ternero con poliartritis y parisia neuromuscular: reporte de caso

A reabilitação animal na medicina veterinária é um campo recente, porém crescente a cada dia. Neste sentido, a fisioterapia veterinária atua trazendo inúmeros benefícios, como melhoria dos movimentos, redução da dor, edema e outras. Interfere ainda no tempo de recuperação, redução de custos para o proprietário, podendo ser hoje utilizada como um tratamento na recuperação pós-cirúrgica. Desta forma, objetivou-se relatar o uso da fisioterapia em uma bezerra com poliartrite e paresia neuromuscular. O animal apresentou um aumento de volume nas articulações cárpicas e társicas após histórico de onfalite, permanecendo em decúbito esternal por vários dias. O proprietário resolveu aplicar ferro dextrano na região glútea do animal, o que causou uma lesão de nervo isquiático. Foram instituídos protocolos medicamentosos e fisioterápicos, que culminaram no estímulo da marcha, propriocepção, além de hipertrofia muscular. Porém, em virtude de complicações resultantes de onfalite, o animal veio a óbito.(AU)

Animal rehabilitation in veterinary medicine is a recent field, but growing every day. In this sense, veterinary physiotherapy works bringing numerous benefits, such as improved movements, reduced pain, edema and others. Reducing the recovery time, reducing costs for the owner, and today it can be used as a treatment in post-surgical recovery. In this sense, the objective was to report the use of physiotherapy in a heifer with polyarthritis and neuromuscular paresis. The animal showed an increase in volume in the carpal and tarsal joints after a history of omphalitis, remaining in sternal decubitus for several days. The owner decided to apply iron dextran to the animal's gluteal region, which caused an injury to the sciatic nerve. Medicinal and physical therapy protocols were instituted, which culminated in the stimulation of gait, proprioception, in addition to muscle hypertrophy. However, due to complications resulting from omphalitis, the animal died.(AU)

La rehabilitación animal en medicina veterinaria es un campo reciente, pero en crecimiento cada día. En este sentido, la fisioterapia veterinaria actúa aportando numerosos beneficios, como mejora de los movimientos, reducción del dolor, edemas y otros. Disminución del tiempo de recuperación, reducción de costos para el propietario, pudiendo ser utilizado hoy en día como tratamiento en la recuperación posquirúrgica. En ese sentido, el objetivo fue reportar el uso de fisioterapia en una vaquilla con poliartritis y paresia neuromuscular. El animal presentó un aumento de volumen en las articulaciones del carpo y del tarso tras un antecedente de onfalitis, permaneciendo en decúbito esternal durante varios días. El propietario decidió aplicar hierro dextrano en la región glútea del animal, lo que provocó una lesión en el nervio ciático. Se instauraron protocolos farmacológicos y de fisioterapia, que culminaron con estimulación de la marcha, propiocepción, además de hipertrofia muscular. Sin embargo, debido a complicaciones derivadas de la onfalitis, el animal falleció.(AU)

Research methods and information technology applications in movement science and sport psychology / Métodos de investigación y aplicaciones de la tecnología de la información en la ciencia del movimiento y la psicología del deporte

The primary purpose of this research study is to describe the methods and information technology applications in movement science and sports psychology. This research study depends upon theoretical form, and secondary data in this research paper describe the application of information technology in sport psychology and movement of sciences. For data determination, used EVIEWS software and some general tests included descriptive statistics, correlation coefficient, unit root test analysis, an examination of equality, and histogram & state related to the variables. The research study also defined the application of each variable. The overall result found positive methods and information technology applications in movement science and sports psychology.(AU)

Percepción de los estudiantes de kinesiología ante el uso de la creación, edición y revisión de vídeos como metodología para el aprendizaje de la anatomía / Kinesiology students' perception of the use of video creation, edition and review as a methodology for learning anatomy

Introducción: La enseñanza de la anatomía humana ha sufrido cambios en las últimas décadas, y ha pasado de métodos tradicionales que se centraban en la disección de cadáveres al uso de las herramientas tecnológicas disponibles en la actualidad. Muchos son los recursos tecnológicos utilizados; sin embargo, no es frecuente incorporar al estudiante en su creación. Aprender haciendo es un método activo para lograr aprendizajes profundos y significativos.Objetivo.Evaluar la incorporación de vídeos creados por los estudiantes como recurso didáctico para el aprendizaje de la anatomía humana.Materiales y métodos.Los estudiantes elaboraron un vídeo en relación con las temáticas trabajadas en el curso de Anatomía Humana II. En la intervención pedagógica participaron 40 estudiantes de kinesiología de la Universidad Católica de la Santísima Concepción, Concepción. La percepción de los estudiantes se obtuvo a través de una encuesta de percepción, que respondió el 82,5% de los participantes. El análisis de los datos se realizó basado en un estudio cuantitativo de carácter descriptivo.Resultados.El 82,8% de los estudiantes percibe que participar en la elaboración y la creación de recursos didácticos, como los vídeos, favorece su aprendizaje; un 72%, que contribuye a la autorregulación; y un 93% valora el papel del docente como facilitador y apoyo para su aprendizaje.ConclusiónLa elaboración y la creación de vídeos por parte de los estudiantes favorecen un aprendizaje activo y la motivación, y desarrollan la autorregulación en el estudiante. (AU)

Introduction: The teaching of human anatomy has undergone changes in recent decades, going from traditional methods that focused on the dissection of cadavers to the use of technological tools available today. There are many technological resources used, however, it is not frequent to incorporate the student in their creation. Learning by doing is an active method of achieving deep and meaningful learning.Objective.Evaluate the incorporation of videos created by students as a didactic resource for learning human anatomy.Materials and methods.The students made a video in relation to the topics covered in the human anatomy course. 40 Kinesiology students from the Universidad Católica de la Santísima Concepción, Concepción participated in the pedagogical intervention. The perception of the students was obtained through a perception survey, which was answered by 82.5% of the participants. The data analysis was carried out based on a descriptive quantitative study.Results.82.8% of students perceive that participating in the development and creation of teaching resources, such as videos, favors their learning, over 72% that it contributes to self-regulation and 93% value the role of the teacher as facilitator and support for their learning.Conclusion.The development and creation of videos by students favors active learning, motivation and develops self-regulation in the student. (AU)

[The perception of teachers and students about clinical reasoning in health care careers]. / Razonamiento clínico en carreras de la salud: percepción de estudiantes y docentes.

BACKGROUND: Clinical reasoning (CR) is a training mainstay in health care careers. AIM: To describe the perception of students and teachers about the development of clinical CR in Kinesiology and Dentistry careers. MATERIAL AND METHODS: Exploratory descriptive qualitative study, with 12 informants (six teachers and six students), applying a script of questions through a semi-structured interview. A thematic inductive data analysis was carried out. RESULTS: Two hundred thirty-five meaning units, 38 codes, seven subcategories and three categories were collected. CR was reported as a basic analysis process in health care training. Its necessary elements are knowledge, a learning environment and a facilitator teacher, among others. Motivation, analysis models, variability and exposure are reported as facilitating factors for the development of CR. Teacher paternalism, resistance to change and few learning opportunities are presented as obstacles. Active strategies such as clinical cases, simulation and clinical practice are perceived as facilitators for the development of CR. Those situations where the student does not assume a leading role such as lectures and activities in large groups, are considered as obstacles. CONCLUSIONS: Both students and teachers point to CR as an analysis process that is indispensable in both careers. Exposure to variable educational experiences through active educational strategies in small groups encourages CR.

Applied kinesiology and dentistry - A narrative review.

OBJECTIVE: To investigate the use of applied kinesiology in the field of dentistry. METHODS: A review of the literature was carried out looking for all articles written on the topic. PubMed, Ovid Medline, and The Cochrane Central Register of Controlled Trials (CENTRAL) databases were searched. RESULTS: Only one study was retrieved on the use of applied kinesiology in temporomandibular disorder patients, and only one study was published on dental material testing. A change in muscle strength associated with changes in dental occlusion has been observed in many of the articles selected. DISCUSSION: The use of applied kinesiology for the diagnosis and treatment of pathologies in the field of dentistry is not supported by scientific evidence. However, a relationship between dental occlusion or maxillo-mandibular relationship and isometric muscle strength has been noted.

Go tani and his influence on the kinesiology field in the brazilian scientific context / Go tani e sua influência no campo da cinesiologia no contexto científico brasileiro

ABSTRACT This study aimed to group some perspectives on Go Tani's epistemological activity in the context of Brazilian Physical Education (PE), establishing his contributions and reflections on Kinesiology for the structuring of undergraduate and graduate Physical Education in Brazil. This is a bibliographical and exploratory study, which prioritized Tani's production on the most varied platforms and the materials that circulated about Kinesiology in national and international literature. Finally, through the theoretical review, it was possible to identify that the PE field is a scenario full of disputes and that even with the transformations of paradigms that infer the legitimate alternatives in the scientific context, the relationships that are established between the different schools of PE thought have erupted in a process of mutual incomprehension that contributes to the circularity of perspectives and the maintenance of beliefs in the field.

RESUMO O presente estudo objetivou agrupar algumas perspectivas sobre a atividade epistemológica de Go Tani no contexto da Educação Física (EF) brasileira, estabelecendo suas contribuições e reflexões a partir da Cinesiologia para a estruturação da graduação e da pós-graduação em Educação Física no Brasil. Trata-se de um estudo bibliográfico e exploratório, o qual priorizou a produção de Tani nas mais variadas plataformas, bem como os materiais que circularam sobre a Cinesiologia na literatura nacional e internacional. Por fim, através da referida revisão teórica, foi possível identificar que o campo da EF é um cenário repleto de disputas e que mesmo com as transformações dos paradigmas que inferem nas alternativas legítimas no contexto científico, as relações que são estabelecidas entre as distintas escolas de pensamento da EF têm eclodido num processo de interincompreensão que contribui com a circularidade de perspectivas e a manutenção de crenças no campo.

The effect of hyper-pronated foot on postural control and ankle muscle activity during running and cutting movement / El efecto del pie hiperpronado sobre el control postural y la actividad de los músculos del tobillo durante el movimiento de carrera y cambio de dirección / O efeito do pé hiper-pronado no controlo postural e actividade muscular no tornozelo durante a corrida e movimentos cortantes

Objective: The aim of this study was to examine the effect of hyper pronated foot on postural control and ankle muscle activity during running and cutting movement (v-cut).Methods: In this Cross-Sectional study, 42 young physically active (exercising three times per week regularly) males participated in this study, including 21 with hyper-pronated feet and 21 with normal feet. Each participant completed a running and cutting task. Body postural control was measured using a force platform (1000Hz) which was synchronized with surface electromyography of selected ankle muscles. MATLAB software was used to process and analyze the data. One-away ANOVA was used to identify any differences between groups.Results: Differing muscle activation patterns in the surrounding ankle musculature (tibialis anterior, peroneus longus) through to reduced postural stability in the medial-lateral direction and increased vertical ground reaction forces were observed between groups.Conclusion: According to the obtained results it seems that subtalar hyper-pronation can be regarded as a factor affecting the biomechanics of cutting by changing activation patterns of the muscles surrounding the ankle, and reducing postural control of the body in medial-lateral direction, but not in anterior-posterior direction. (AU)

Objetivo: El objetivo de este estudio fue examinar el efecto del pie hiperpronado sobre el control postural y la actividad de los músculos del tobillo durante el movimiento de carrera y cambio de dirección.Métodos: En este estudio transversal, participaron 42 hombres jóvenes físicamente activos (ejercitándose tres veces por semana con regularidad), incluidos 21 con pies hiperpronados y 21 con pies normales. Cada participante completó una tarea de correr y cambiar de dirección. El control de la postura corporal se midió utilizando una plataforma de fuerza (1000 Hz) que se sincronizó con la electromiografía de superficie de los músculos seleccionados del tobillo. Se utilizó el software MATLAB para procesar y analizar los datos. Se utilizó un ANOVA de una distancia para identificar las diferencias entre los grupos.Resultados: Se observaron diferentes patrones de activación muscular en la musculatura del tobillo (tibial anterior, peroneo largo) con estabilidad postural reducida en la dirección medial-lateral y un aumento de las fuerzas de reacción vertical del suelo entre los grupos.Conclusión: De acuerdo con los resultados obtenidos, parece que la hiperpronación puede ser considerada como un factor que afecta la biomecánica del cambio de dirección al modificar los patrones de activación de los músculos que del tobillo y reducir el control postural del cuerpo en dirección medial-lateral, pero no en dirección anteroposterior. (AU)

Objetivo: O objetivo deste estudo é examinar o efeito do pé hiper-pronado no controlo postural e actividade muscular no tornozelo durante a corrida e movimentos cortantes.Métodos: Neste estudo seccionado, 42 rapazes fisicamente ativos (exercitam regularmente 3 vezes por semana) participaram neste estudo, incluindo 21 com pé hyper-pronated. Cada participante completou um desafio de corrida e corte. A postural corporal foi medida usando uma plataforma com potência de 1000Hz, cujo fora sincronizada com uma eletromiografia superficial do músculos do tornozelo seleccionados. O software MATLAB foi utilizado para processar e analisar os dados. ANOVA foi utilizado para identificar quaisquer diferenciações entre grupos.Resultados: Padrões divergentes de ativação por volta do músculo do tornozelo (tibialis anterior peroneus longus) pela redução de estabilidade postural na direção medial-lateral e foi observado um aumento de reacções verticais térreas entre grupos.Conclusão: De acordo com os resultados obtidos, parece que a hyper-pronation pode ser observada como um factor que afecta os biomecânica de corte através da mudança e ativação dos padrões dos músculos à volta do tornozelo, reduzindo assim o controlo do corpo na direção médio-lateral mas não na direção anterior-posterior. (AU)

La telerehabilitación durante la pandemia COVID-19: experiencia de las familias de niños con condiciones crónicas complejas / Telerehabilitation during the COVID-19 pandemic: experience of families of children with complex chronic conditions

La telerehabilitación ha sido una solución rápida y efectiva para la atención de pacientes durante la pandemia COVID-19. Nuestro objetivo ha sido describir la experiencia de las familias de niños con condiciones crónicas complejas (CCC) asistidos con la modalidad de telerehabilitación durante la pandemia. Materiales y métodos: Se ha realizado un estudio observacional, descriptivo y transversal de tipo encuesta online. Se encuestaron familias de niños (1 mes a 5 años de edad) con al menos una CCC que recibieron seguimiento interdisciplinario a distancia durante la pandemia de 2 o más áreas de rehabilitación (kinesiología, fonoaudiología y terapia ocupacional) pertenecientes al Servicio de Kinesiología del Hospital de Pediatría Juan P Garrahan, durante marzo a octubre de 2020. Resultados: El 88,3% de los participantes (n=43) se expresó satisfecho con la modalidad de telerehabilitación. Entre los facilitadores seleccionados por los participantes se mencionan la reducción de tiempos, mayor frecuencia de consultas, disminución de gastos por traslados y mayor comodidad, mientras que entre las barreras se destacaron: el no vínculo con profesionales, alargue en tiempos de tratamiento, problemas de conectividad. El análisis estadístico no indicó diferencias significativas entre quienes se reportaron como más satisfechos según su estrato social (alto o bajo), la disponibilidad de wifi propio, o respecto a la edad del niño. Se reportaron diferencias significativas en cuanto a la distancia al hospital (p=0.034). Conclusión: Esta forma de intervención ofreció nuevas posibilidades de atención que podrían considerarse a futuro en el seguimiento de nuestros pacientes. (AU)

Telerehabilitation has been a fast and effective solution in patient care during the COVID-19 pandemic. Our aim was to describe the experience of families of children with complex chronic conditions (CCC) treated through telerehabilitation during the pandemic. Materials and methods: An observational, descriptive, cross-sectional, online survey study was conducted. Families of children (1 month to 5 years of age) with at least one CCC who received interdisciplinary remote follow-up during the pandemic from two or more rehabilitation areas (physical therapy, speech therapy, and occupational therapy) belonging to the Department of Physical Therapy of Hospital de Pediatría Juan P Garrahan, from March to October 2020, were surveyed. Results: 88.3% of the participants (n=43) expressed satisfaction with the telerehabilitation modality. Among the facilitators selected by the participants, the following were mentioned: time saving, greater frequency of consultations, reduction of travel expenses and greater comfort, while among the barriers, the following stood out: no connection with the professionals, longer treatment times, connectivity problems. Statistical analysis did not show significant differences between those who reported being more satisfied according to socioeconomic level (high or low), availability of their own wifi connection, or age of the child. A significant difference was found for distance to the hospital (p=0.034). Conclusion: This type of intervention provided new possibilities of care that could be considered in the future follow-up of our patients (AU)

Effect of kinesio tape on scapular kinematics in subjects with scapular dyskinesis

Scapular dyskinesis is an abnormality in scapula static or dynamic position. There are several techniques for scapular dyskinesis conservative treatment, including Kinesio Tape application, which is used to promote and support scapula joint alignment, decrease pain and improve local muscle control. The study aim to investigate the effect of kinesio tape on scapular kinematics in subjects with scapular dyskinesis. Fourteen subjects with scapular dyskinesis performed flexion and scaption movements in two conditions: (1) without load and (2) holding a dumbbell. A scapular tape was applied over the lower trapezius (Y shaped) muscle with a 20% tension. Kinematic data were captured with 10 infrared cameras and analyzed based on Euler angles, peak values of upward rotation, internal rotation, and posterior tilt angles. To compare the situations with and without kinesio tape the repeated measures two-way ANOVAs (α = 0.05) was performed using SPSS software. Scapular tape increase upward rotation and posterior tilt during flexion of the shoulder. No interaction (Load x KT) was found during flexion, suggesting that KT effect in the peak values is the same, regardless the load condition. Scapular tape decreases internal rotation during scaption and a significant interaction was found between load x KT, suggesting the effect of using KT could depend the load u sed during this movement. The results suggest that kinesio tape may can be use as assistant to increase upward rotation, posterior tilt and decrease internal rotation in scapular dyskinesis subjects. (AU)

Rehabilitación de un paciente con fractura femoral distal izquierda con pérdida de sustancia ósea, fractura patelar y tibial izquierda: a propósito de un caso / Rehabilitation of a patient with a left distal femoral fracture with loss of bone substance, a left patellar and tibial fracture: about a case

La rehabilitación de un paciente con fractura es progresivos y secuenciales para la mejora del foco de fractura, en especial en este tipo de fracturas con pérdida de sustancia ósea ya que suelen ser agresivas y de difícil resolución, por tanto, el tratamiento ortopédico es cuidadoso y complejo como la recuperación es prolongada sujeta a varios pasos según la progresión del paciente. El objetivo de este artículo es la de describir la secuencia de pasos en la rehabilitación de este tipo de fracturas, ya que no hay un manual claro para el manejo en rehabilitación de casos similares. El seguimiento y recuperación de este caso dura 8 meses dividida en 3 etapas de rehabilitación en un total de 122 sesiones, teniendo 4 evaluaciones en base a los tres parámetros de evaluación de ingreso: dolor, movimiento, postura y fuerza muscular, mejorando progresivamente estos aspectos.

The rehabilitation of a fractured patient is progressive and sequential for the improvement of the fracture focus, especially in this type of fractures with loss of bone substance since they are usually aggressive and difficult to resolve, so orthopedic treatment is careful and complex. as the recovery is prolonged subject to several steps depending on the patient's progression. The objective of this article is to describe the sequence of steps in the rehabilitation of this type of fractures, since there is no clear manual for the management in rehabilitation of similar cases. The follow-up and recovery of this case lasts 8 months divided into 3 stages of rehabilitation in a total of 122 sessions, having 4 evaluations based on the three parameters of admission assessment: pain, movement, posture and muscular strength, progressively improving these aspects.

Osteoporosis - risk factors, pharmaceutical and non-pharmaceutical treatment.

Osteoporosis is a metabolic disease of the skeletal system which currently affects over 200 million patients worldwide. The WHO criteria define osteoporosis as low bone mineral density, with a T-score ≤ -2.5 found in the spine, the neck of the femur, or during a full hip examination. Osteoporosis considerably reduces a patient's quality of life. QoL should be carefully evaluated before fractures occur to enable the development of an appropriate treatment plan. The progression of osteoporosis may be significantly inhibited by following a proper diet, leading a healthy lifestyle, taking dietary supplements, and receiving appropriate treatment. Education and the prevention of the disease play a major role. Potentially modifiable risk factors for osteoporosis are vitamin D deficiency, smoking, alcohol consumption, low calcium intake, low or excessive phosphorus intake, protein deficiency or a high-protein diet, excessive consumption of coffee, a sedentary lifestyle or lack of mobility, and insufficient exposure to the sun. Pharmaceutical treatment for osteoporosis involves bisphosphonates, calcium and vitamin D3, denosumab, teriparatide, raloxifene, and strontium ranelate. Data indicates that 30%-50% of patients do not take their medication correctly. Other methods of treatment include exercise, kinesitherapy, treatment at a health resort, physical therapy, and diet.

Kinesiología en las unidades de hospitalización domiciliaria en Chile / Kinesiology in hospital at home units in Chile

INTRODUCCIÓN: La hospitalización domiciliaria nace con el objetivo de ser una alternativa a la hospitalización tradicional, similar en recursos y complejidad. Dentro de las prestaciones que se puede entregar, se encuentra la kinesiología. Sin embargo, no existen información específica sobre el perfil ni el quehacer de estos profesionales en dichas unidades. Por lo que se busca con este trabajo, describir y caracterizar el trabajo de los kinesiólogos/as que se desempeñan en unidades de hospitalización domiciliaria en hospitales públicos de Chile. Materiales y MÉTODO: Estudio descriptivo transversal realizado mediante una encuesta a kinesiólogos/as que trabajan en unidades de hospitalización a domicilio en hospitales públicos de Chile. Realizada entre marzo y agosto de 2019. Para el análisis estadístico se utilizó el software Rstudio. RESULTADOS: De 82 hospitales encuestados, 59 cuentan con hospitalización domiciliaria, de estos, 45 cuentan con kinesiología. Dentro de las áreas más desarrolladas en adultos, son la kinesiología respiratoria (95,3%), la kinesiología motora (93,4%), y la neurorrehabilitación (90,1%). En pediatría es la kinesiología respiratoria (28,1%). El 32% de las unidades cuenta con un coordinador/a de profesión kinesiólogo/a. CONCLUSIONES: La kinesiología permite entregar diferentes prestaciones en domicilio tanto a adultos como niños. Sin embargo, esto surge según la necesidad de cada hospital y no está definido a nivel nacional, por lo que se propone avanzar hacia lineamientos que permitan la estandarizar la incorporación de esta profesión a todas las unidades de hospitalización domiciliaria

INTRODUCTION: Home hospitalization was created with the aim of being an alternative to traditional hospitalization, similar in resources and complexity. Among the attentions that can be delivered, is kinesiology. However, there is no specific information on the profile or work of these professionals in these units. Therefore, this work seeks to describe and characterize the work of kinesiologists who work in home hospitalization units in public hospitals in Chile. MATERIALS AND METHOD: Cross-sectional descriptive study carried out by means of a survey of kinesiologists who work in home hospitalization units in public hospitals in Chile between March and August 2019. The Rstudio software was used for the statistical analysis. RESULTS: Of 82 hospitals surveyed, 59 have home hospitalization, of these, 45 have kinesiology. Among the most developed areas in adults are respiratory kinesiology (95.3%), motor kinesiology (93.4%), and neurorehabilitation (90.1%). In pediatrics it is respiratory kinesiology (28.1%). 32% of the units have a coordinator by profession kinesiologist. CONCLUSIONS: Kinesiology allows delivering different benefits at home to both adults and children. However, this arises according to the need of each hospital and is not defined at the national level, so it is proposed to move towards guidelines that allow the standardization of the incorporation of this profession to all home hospitalization units

Estrategias de enseñanza y aprendizaje de docentes y estudiantes de primer año de la carrera de kinesiología de la Universidad Finis Terrae / Learning strategies for first-year teachers and students of the physical therapy program at Universersity Finis Terrae

Las estrategias de aprendizaje explican el curso y organización del pensamiento, destacando tres momentos claves en su utilización: antes, donde se incluyen las condiciones para que ocurra el aprendizaje; durante, donde se llevan a cabo los procesos; y después, que presentan los resultados de esta secuencia. Para determinar cuáles son las estrategias que utilizan los estudiantes de primer año de Kinesiología se aplicó a 75 estudiantes el instrumento ACRA abreviado, que consiste en un cuestionario autoadministrado de 44 preguntas de escala Likert, Por otro lado, para conocer las estrategias que los docentes necesitan y exigen a sus estudiantes se realizó una encuesta estructurada validada por juicio de expertos a 5 profesores encargados de asignatura. Los resultados en los estudiantes destacan que la codificación es el proceso que presenta mayor debilidad y en los docentes destaca que, si bien se les exigen determinadas estrategias a los estudiantes, los docentes declaran no saber cómo enseñarlas. Esto contribuye a la persistencia de la brecha que los estudiantes traen desde la educación media en las estrategias de codificación y evidencia la necesidad de capacitación de los docentes.

The learning strategies explain the course and organization of thought, highlighting three key moments on their use: before, where the conditions for learning occurs are included; during, where the processes are carried out; and later, presenting the results of this sequence. To determine which are the strategies used for first-year Kinesiology students, the abbreviated ACRA instrument was applied to 75 students, which consists of a self-administrated questionnaire of 44 Likert Scale questions, and to know the strategies that teachers need that students have, a structured survey validated by expert's judgment was carried out to 5 teachers in charge of a course. The results in the students highlight that coding is the process that presents the greatest weakness and, in the teachers, although students are required to have certain strategies, the teachers declare that they do not know how to teach those. This contributes to the persistence of the gap that students bring from high school in coding strategies and shows the need for training in pedagogical tools for university teachers.

Conceptual physical education: A course for the future.

The conceptual physical education (CPE) innovation began in the mid-20th century as an alternative approach to college-level, activity-only basic instruction classes. In addition to physical activity sessions, CPE courses (classes) use text material and classroom sessions to teach kinesiology concepts and principles of health-related fitness and health-enhancing physical activity. CPE courses are now offered in nearly all college programs as either required or electives classes. Two decades later, the high school CPE innovation began, and Kindergarten-8 programs followed. In this commentary, I argue that historian Roberta Park was correct in her assessment that physical education has the potential to be the renaissance field of the 21st century. Scientific contributions of researchers in kinesiology will lead the way, but science-based CPE and companion fitness education programs that align with physical education content standards and fitness education benchmarks will play a significant role. CPE courses have been shown to be effective in promoting knowledge, attitudes, and out-of-school physical activity and have the potential to elevate physical education as we chart the course of our future.