ABSTRACT
Lifeguards are the first responders to any type of aquatic incident, including rapid rescue situations such as boating and sporting accidents, animal bites/attacks, and cases involving massive bleeding. In their line of work, rescue boats such as Rescue Water Craft (RWC) are commonly utilized the aim of this study is to evaluate the time and technique of placing a tourniquet on the sled of an RWC navigating at full speed. METHODS: A randomized crossover study design was used with a sample of 44 lifeguards. The inclusion criteria required that participants be certified lifeguards with experience in RWC operations and possess knowledge of responding to massive bleeding. Two CAT tourniquet placement tests were performed. In the 1) Beach-Tourniquet (B-TQ) test: it was performed on land and in the 2) Rescue Water Craft-tourniquet (RWC-TQ) test, sailing at a cruising speed of 20 knots. The evaluation was recorded in a checklist on the steps and timing of the correct application TQ by direct observation by an expert instructor. RESULTS: The tourniquet placement on RWC was an average of 11 s slower than when placed on the beach (BT-TQ 35.7 ± 8.0 vs. 46.1 ± 10.9 s, p > 0.001). In the percentage analysis of the results on correct execution of the skills, higher values are obtained for the B-TQ test than in RWC-TQ in Distance to the wound (into 5-7 cm), band adjustment, checking the radial pulse and reporting the time of tourniquet placement (p > 0.005). CONCLUSION: The placement of a tourniquet on a RWC navigating at 20 knots is feasible, relatively quick, and technically well executed.
ABSTRACT
La endometriosis es una patología ginecológica crónica e inflamatoria caracterizada por la presencia de tejido endometrial fuera del útero. Entre las manifestaciones clínicas están el dolor pélvico crónico, la fatiga, la dismenorrea, la dispareunia, la infertilidad, la disuria y la disquecia. La fisioterapia puede formar parte del tratamiento sintomático de la endometriosis, es por ello, que con esta revisión se pretende analizar la bibliografía científica para evaluar el efecto de la fisioterapia en este padecimiento. Se realizó una búsqueda bibliográfica durante las dos primeras semanas del mes de diciembre de 2022 en las bases de datos PubMed, Medline, Scopus, Web of Science, Physiotherapy Evidence Database (PEDro), Cumulative Index to Nursing and Allied Health Literature (CINAHL) y Enfermería-Fisioterapia-Podología (ENFISPO). Se emplearon los descriptores «Endometriosis» «Physical Therapy Modalities», «Physiotherapy», «Physiotherapist», «Physical therapy» y «Physical rehabilitation». Los resultados se limitaron a estudios clínicos aleatorizados publicados en inglés o español. Se obtuvieron un total de 943 artículos, de los cuales seis fueron seleccionados tras aplicar los criterios de elegibilidad. Las investigaciones seleccionadas desarrollaron diferentes intervenciones de fisioterapia con técnicas tales como la electroterapia con estimulación nerviosa transcutánea (TENS) y láser pulsado de alta intensidad (HILT), el entrenamiento de relajación muscular progresiva, la actividad física aeróbica, la terapia manual y el ejercicio terapéutico a través del yoga. La fisioterapia parece aportar beneficios en cuanto a la reducción del dolor pélvico y mejora de la calidad de vida en mujeres con endometriosis.(AU)
Endometriosis is a chronic, inflammatory gynecological pathology characterized by the presence of endometrial tissue outside the uterus. Clinical manifestations include chronic pelvic pain, fatigue, dysmenorrhea, dyspareunia, infertility, dysuria and dyschezia. Physical therapy can be part of the symptomatic treatment of endometriosis; therefore, this review aims to analyze the scientific literature to evaluate the effect of physical therapy in endometriosis. A bibliographic search was carried out during the first two weeks of December 2022 in the databases PubMed, Medline, Scopus, Web of Science, PEDro, CINAHL and ENFISPO. The descriptors Endometriosis Physical Therapy Modalities, Physiotherapy, Physiotherapist, Physical therapy and Physical rehabilitation were used. Results were limited to randomized clinical studies published in English or Spanish. A total of 943 results were obtained, of which 6 were selected after applying the eligibility criteria. The selected studies develop different physiotherapy interventions with techniques such as electrotherapy with TENS and high intensity pulsed laser, progressive muscle relaxation training, aerobic training, manual therapy, and therapeutic exercise through yoga. Physiotherapy appears to provide benefits in terms of reducing pelvic pain and improving quality of life in women with endometriosis.(AU)
Subject(s)
Humans , Female , Physical Therapy Modalities , Endometriosis/therapy , Pelvic Pain/therapy , Endometriosis/diagnosisABSTRACT
INTRODUCTION AND OBJECTIVE: Pudendal neuralgia is a severely intense, painful, neuropathic condition, involving the dermatome of the pudendal nerve (S2, S3, S4). The diagnosis is complex and usually takes many years to be made. Techniques that use electrical current have been shown to decrease pain and improve quality of life in patients with this condition. The aim of this review was to analyze the existing literature on the effects of electrical current in the treatment of patients with pudendal neuralgia. MATERIAL AND METHODS: A literature search was carried out in PubMed, Cinahl, Medline, Cochrane Library, ENFISPO, PEDro, Scopus and Web of Science databases, using the search terms "Electric Stimulation Therapy", "pudendal neuralgia" and "pudendal nerve entrapment". RESULTS: The most frequently repeated intervention is pulsed radiofrequency. Other techniques used are transcutaneous electrical nerve stimulation, pulsed electromagnetic field therapy and neuromodulation. All studies show significant improvement in pain, analgesic intake, depression-anxiety or quality of life. CONCLUSIONS: The application of electrical current seems to be effective in the management of pudendal neuralgia. The scientific evidence is scarce, of poor methodological quality, and its use is based on the efficacy demonstrated in other indications of chronic pain.
Subject(s)
Electric Stimulation Therapy , Pudendal Neuralgia , Humans , Pudendal Neuralgia/therapy , Electric Stimulation Therapy/methods , Transcutaneous Electric Nerve Stimulation/methodsABSTRACT
Purpose: The aim of this study was to analyze the different phases of a water rescue, their influence in the whole lifesavingand if lifeguards could be differentiated according to their abilities during a water rescue.Methods: A cross-sectional study was carried out to analyze the different phases and lifeguardsabilities of a simulated water rescue of 100 m. Thirty-fourprofessional lifeguards performed the test and the time was recorded for the first phase (swimming to the victim), the second phase (towing back the victim) and the third phase (extracting the victim). A discriminant analysis was conducted in order to classifylifeguards in two groups (high or medium level of abilities during the water rescue) and the times were compared on each phase.Results: The time during the second and the third phase classify correctly the lifeguards according to their level of abilities. Lifeguards with higher level of abilities performed the water rescue significantly faster, specifically during the second (p < 0.001, ES =1.38, large) and the third phase (p =0.002, ES = 1.09, medium), but no differences were found in the first part of the water rescue (p > 0.05). Conclusion: The time of a simulated water rescue seems to bea good method to classify lifeguards according to their abilities. These findings could allow rescue teams to know the skills of their lifeguards and design strategiesin order to decrease risks and enhance lifesaving (AU)
Objetivo: Analizar las diferentes fases del rescate para conocer su influencia sobre el resultado final y categorizar a los socorristas de acuerdo a su competencia acuática.Métodos: Se realizó un estudio cruzado simulando un rescate a 100 metros con 34 socorristas, analizando las tres fases del rescate: nado hacia la víctima, traslado a tierra y extracción. Se realizó un análisis discriminante para clasificar a los socorristas según el tiempo de rescate.Resultados: La segunda y la tercera fase clasificó correctamente a los socorristas de acuerdo al tiempo empleado. La mayor competencia fue determinada especialmente en la segunda fase del salvamento (p<0,001, TE=1,38, grande) y en menor medida de la tercera fase (p=0,002, TE=1,09, mediano).Conclusión: El tiempo empleado en la segunda fase parece ser un buen método para clasificar la competencia de los socorristas durante el rescate. Estos hallazgos proporcionan información relevante para el entrenamiento y organización de equipos de rescate (AU)
Subject(s)
Humans , Male , Female , Young Adult , Rescue Personnel , Aquatic Rescue , Search and Rescue , Physical Functional Performance , Cross-Sectional StudiesABSTRACT
Introducción: El método de restricción de flujo sanguíneo implica la ejecución de ejercicio de resistencia de baja intensidad combinado con restricción de flujo sanguíneo proporcionada por un manguito inflable o un torniquete colocado proximal al músculo. El objetivo de este trabajo es analizar la bibliografía científica actual para conocer el uso del método de restricción de flujo sanguíneo para la mejora de la fuerza muscular. Material y métodos: Se llevó a cabo una búsqueda bibliográfica en las bases de datos científicas PubMed, Medline, Cinhal, Sport Discus, Scopus, Web of Science y PEDro. Los descriptores empleados fueron: «Physical Therapy Modalities», «Physical Therapy», «Rehabilitation», «Muscle Strength», «Blood Flow Restriction Training» y «Blood Flow Restriction». Se incluyeron ensayos clínicos aleatorizados publicados en los últimos 5 años. Resultados: Se analizaron 13 artículos que fueron agrupados en tres tipos de población de estudio sobre los que se analiza la restricción del flujo sanguíneo: sujetos con patología de rodilla, en personas mayores y en personas sin patología. Se observaron mejoras significativas para la fuerza muscular con la aplicación de restricción de flujo sanguíneo en los tres grupos de estudio. Conclusión: La restricción de flujo sanguíneo ha demostrado ser un método válido en fisioterapia para la mejora de la fuerza muscular en sujetos con patología de rodilla, en personas mayores y en personas sanas. Se puede considerar un método eficaz para ganar fuerza muscular y a su vez ser una alternativa a los programas de mejora de la fuerza convencionales. (AU)
Introduction: Restriction blood flow training implies low intensity endurance exercises combined with blood flow restriction by an inflatable cuff or tourniquet placed proximal to the muscle. The aim of this study is to analyze the scientific literature about the use of restriction blood flow training to improve muscle strength. Material and methods: A systematic search was carried out in Pubmed, Medline, Cinahl, Sport Discus, Scopus, Web Of Science and PEDro. The descriptors used were «Physical Therapy Modalities», «Physical Therapy», «Rehabilitation», «Muscle Strength», «Blood Flow Restriction Training» and «Blood Flow Restriction». Randomized clinical trials published in the last 5years were included. Results: Thirteen articles were studied in this systematic review, grouped into three types of study population on which blood flow restriction was analyzed: subjects with knee pathology, elderly people and people without pathology. Significant improvements in muscle strength were observed with the application of blood flow restriction in all three study groups. Conclusion: Blood flow restriction has proven to be a valid method in physical therapy for the improvement of muscle strength in subjects with knee pathology, in elderly people and in healthy people. It can be considered an effective method to gain muscle strength and at the same time be an alternative to conventional strength improvement programs. (AU)
Subject(s)
Humans , Rehabilitation , Muscle Strength , Physical Therapy Specialty , Systematic Reviews as Topic , Blood Flow VelocityABSTRACT
Introduction: The most used physiotherapy treatment is the pelvic floor muscle training. Other factors are involved in the control of urination, such as the management of abdominal pressure and the activity of the muscles and fascia of the lumbopelvic region and this could be trained through generalized therapeutic exercise, which is defined as an intervention aimed at restoring musculoskeletal, cardiopulmonary and neurological function. The objective of this review is to evaluate the effects of therapeutic exercise, combined or not with analytical training of the pelvic floor muscles, on urinary incontinence in women over 18 years of age, by reviewing the scientific literature. Objective: To assess the effects of therapy exercise other than or combined with pelvic floor muscle training on urinary incontinence in women over 18 years. Material and Methods: An article research was done between 11th January and 7th February, 2021 on the following databases: Pubmed, Medline, Cinahl, Web Of Science, Sport Discus and PEDro using the search terms Urinary Incontinence and Exercise Therapy. Results: An average of 245 results were obtained, of which 10 were selected after applying the eligibility criteria. The interventions of the analyzed articles are divided into two groups. First, a group where muscles of the abdominal-pelvic-perineal region are worked (hypopressives, yoga and strength of the abdominal muscles, resisted hip rotation...). Secondly, another group where muscles in general are worked (weight training, flexibility, balance and toning and cardiovascular training). Conclusion: Urinary incontinence treated with therapy exercise other than the pelvic floor muscles training, or combined with it, suggest improvements in symptoms (AU)
Introducción: El tratamiento de fisioterapia más usado para la incontinencia es el ejercicio terapéutico mediante el entrenamiento específico de la musculatura del suelopélvico. En el control de la micción intervienen otros factores como la gestión de la presión abdominal y la actividadde los músculos y la fascia de la región lumbopélvica y estose podría entrenar mediante el ejercicio terapéutico generalizado, el cual se define como una intervención destinadaa restaurar la función musculoesquelética, cardiopulmonary neurológica. El objetivo de esta revisión es evaluar losefectos del ejercicio terapéutico, combinado o no con el entrenamiento analítico de la musculatura de suelo pélvico,sobre la incontinencia urinaria en mujeres mayores de 18años, mediante la revisión de la bibliografía científica.Material y Métodos: Se realizó una búsqueda deartículos entre el 11 de enero y el 7 de febrero del 2021en las bases de datos: Pubmed, Medline, Cinahl, Web OfScience, Sport Discus y PEDro empleando los términos debúsqueda Urinary Incontinence y Exercise Therapy.Resultados: Se obtuvieron un total de 245 resultados, de los cuales 10 fueron seleccionados tras aplicar loscriterios de elegibilidad. Las intervenciones de los artículos analizados se dividen en dos grupos, aquellos que trabajan musculatura de la región abdomino-pelvi-perineal(hipopresivos, yoga y fuerza de la musculatura abdominal,rotación de cadera resistida ) y otro grupo donde se realizaun trabajo generalizado de la musculatura (entrenamientocon pesas, flexibilidad, equilibrio y tonificación y entrenamiento cardiovascular).Conclusión: La incontinencia urinaria tratada conejercicio terapéutico distinto al entrenamiento de la musculatura del suelo pélvico, o combinado con él, parece obtenermejoras en la sintomatología (AU)
Subject(s)
Humans , Female , Exercise Therapy/methods , Pelvic Floor Disorders/rehabilitation , Urinary Incontinence/rehabilitationABSTRACT
El objetivo en este estudio es evaluar la eficacia de las diferentes modalidades de fisioterapia para el tratamiento de la dismenorrea primaria. Métodos: Se ha llevado a cabo una revisión de la literatura científica actual mediante una búsqueda durante enero y febrero de 2021 en las bases de datos: PubMed, SPORTDiscus, Medline, CINAHL y Web of Science. Los descriptores MeSH utilizados fueron: «Dysmenorrhea», «Exercise Therapy» y «Physical Therapy Modalities». Resultados: Se han incluido y analizado 13 estudios, que fueron agrupados para un mejor análisis según el tipo de intervención: ejercicio terapéutico, electroestimulación transcutánea y termoterapia, kinesiotape, masaje de tejido conectivo, punción seca y acupuntura. La variable común en todos los estudios fue la evaluación de la intensidad del dolor menstrual, el cual se redujo al aplicar las distintas modalidades de fisioterapia. Conclusión: Las técnicas de fisioterapia planteadas en la revisión parecen ser una herramienta efectiva en el tratamiento de mujeres con dismenorrea primaria. Sin embargo, se necesitan más estudios que analicen los efectos a largo plazo.(AU)
The aim of this study is to evaluate the efficacy of different physical therapy modalities for the treatment of primary dysmenorrhoea. Methods: A review of the current scientific literature was conducted by searching during January and February 2021 the databases: PubMed, SPORTDiscus, Medline, CINAHL, and Web of Science. The MeSH descriptors used were: Dysmenorrhea, Exercise Therapy and Physical Therapy Modalities. Results: Thirteen studies were included and analysed, and were grouped for better analysis according to the type of intervention: therapeutic exercise, transcutaneous electrostimulation and thermotherapy, kinesiotape, connective tissue massage, dry needling, and acupuncture. The common variable in all the studies was the evaluation of the intensity of menstrual pain, which reduced when the different physical therapy modalities were applied. Conclusion: The physical therapy techniques proposed in the review seem to be an effective tool in the treatment of women with primary dysmenorrhoea. However, more studies are needed to analyse the long-term effects.(AU)
Subject(s)
Humans , Female , Physical Therapy Specialty , Dysmenorrhea , Pain , Efficacy , Dysmenorrhea/drug therapy , Hyperthermia, Induced , Transcutaneous Electric Nerve Stimulation , Exercise Therapy , Women's Health , Gynecology , Physical and Rehabilitation MedicineABSTRACT
El objetivo de este trabajo es compilar la literatura científica actual sobre los efectos del ejercicio en la depresión durante el embarazo y el posparto. Se realizó una búsqueda en las bases de datos Medline, Web of Science y Scopus, utilizando los términos MeSH «depression», «pregnancy», «postpartum» y «exercise». Se analizaron 15 estudios en los que el protocolo de intervención más utilizado fue el ejercicio estructurado supervisado de naturaleza aeróbico, de fuerza, estiramientos, de relajación y de suelo pélvico. También se aplicó actividad física no reglada basada en actividades de la vida diaria como caminar. Se observaron mejoras significativas en las variables indicativas de depresión y otros factores de bienestar psicológico. Por lo tanto, el ejercicio ha demostrado ser un método válido para mejorar la depresión durante el embarazo y el posparto. Los hallazgos en este trabajo podrían suponer un método más de tratamiento en la depresión durante estas etapas.(AU)
The aim of this paper is to evaluate the current scientific literature on the effects of exercise on depression during pregnancy and postpartum. A search was conducted in the Medline, Web of Science and Scopus databases using the MeSH terms depression, pregnancy, postpartum and exercise. Fifteen studies were analysed in which the most commonly used intervention protocol was supervised structured aerobic exercise, strength, stretching, relaxation, and pelvic floor exercise. Non-regulated physical activity based on activities of daily living such as walking was also applied. Significant improvements were observed in variables indicative of depression and other factors of psychological well-being. Therefore, exercise has been shown to be a valid method to improve depression during pregnancy and postpartum. The findings in this work could represent a further method of treatment for depression during these stages.(AU)
Subject(s)
Humans , Female , Pregnancy , Depression, Postpartum , Exercise , Physical Therapy Specialty , Postpartum Period , Women's Health , GynecologyABSTRACT
ANTECEDENTES Y OBJETIVO: La parálisis cerebral se corresponde con la discapacidad motora más común en la infancia. Su incidencia se estima en 2 de cada 1.000 niños nacidos vivos y afecta en gran medida a la marcha. El objetivo de los programas de rehabilitación es promover mayores niveles de independencia en el individuo afectado, sobre todo en movilidad, y para ello se han diseñado programas de rehabilitación de la marcha asistida por robot. Por lo tanto, el objetivo de este trabajo es conocer los beneficios de la robótica en la rehabilitación de la marcha en la parálisis cerebral. MATERIAL Y MÉTODOS: Se ha realizado una búsqueda bibliográfica empleando los términos MeSH: «cerebral palsy», «robotics» y «gait». RESULTADOS: Tras aplicar los criterios de selección, se obtienen 10 estudios de investigación y 3 protocolos que analizan los beneficios de la robótica en la parálisis cerebral, demostrando que su uso aporta grandes ventajas
BACKGROUND AND AIM: Cerebral palsy is the most common motor disability in childhood, with an estimated incidence of two out of every 1,000 live births. The impairment mostly affects gait. The aim of rehabilitation programmes is to enhance independence in affected individuals, especially mobility. To do this, robot-assisted gait rehabilitation programmes have been developed. Therefore, this study aimed to identify the benefits of robotics in gait rehabilitation in cerebral palsy. MATERIAL AND METHODS: We performed a literature search using the MeSH terms «cerebral palsy», «robotics» and «gait». RESULTS: After applying the selection criteria, we obtained 10 research studies and three protocols analysing the benefits of robotics in cerebral palsy and demonstrating that their use provides major advantages
Subject(s)
Humans , Robotics/methods , Cerebral Palsy/rehabilitation , Gait Disorders, Neurologic/rehabilitation , Exercise Therapy/methods , Dependent Ambulation , Evaluation of Results of Therapeutic Interventions , Gait Analysis/classificationABSTRACT
BACKGROUND AND AIM: Cerebral palsy is the most common motor disability in childhood, with an estimated incidence of two out of every 1,000 live births. The impairment mostly affects gait. The aim of rehabilitation programmes is to enhance independence in affected individuals, especially mobility. To do this, robot-assisted gait rehabilitation programmes have been developed. Therefore, this study aimed to identify the benefits of robotics in gait rehabilitation in cerebral palsy. MATERIAL AND METHODS: We performed a literature search using the MeSH terms «cerebral palsy¼, «robotics¼ and «gait¼. RESULTS: After applying the selection criteria, we obtained 10 research studies and three protocols analysing the benefits of robotics in cerebral palsy and demonstrating that their use provides major advantages.
Subject(s)
Cerebral Palsy/rehabilitation , Exoskeleton Device , Gait Disorders, Neurologic/rehabilitation , Botulinum Toxins, Type A/administration & dosage , Cerebral Palsy/complications , Child , Cross-Sectional Studies , Exoskeleton Device/adverse effects , Gait Disorders, Neurologic/etiology , Humans , Neuromuscular Agents/administration & dosage , Randomized Controlled Trials as TopicABSTRACT
Introducción: El cáncer de próstata es una de las neoplasias malignas más frecuentes entre los hombres europeos. La opción estándar de tratamiento es la prostatectomía radical, y una de las principales complicaciones de este tipo de intervención es la incontinencia urinaria, la cual disminuye la calidad de vida de los pacientes. El tratamiento de primera elección es el conservador: entrenamiento de la musculatura del suelo pélvico (EMSP), biofeedback (BFB), estimulación eléctrica funcional, etc., por lo que se llevará a cabo una revisión bibliográfica con el objetivo de ahondar en los distintos tratamientos de fisioterapia para tratar la incontinencia urinaria tras prostatectomía. Material y métodos: Se realizó una búsqueda bibliográfica en enero de 2019 en las bases de datos Medline, Pubmed, Scopus y Cinahl empleando los descriptores «Urinary Incontinence», «Prostatectomy» y «Physical Therapy Modalities». Se obtuvo un total de 65 resultados, de los cuales solo 12 fueron seleccionados tras aplicar los criterios de inclusión y exclusión. Resultados: Los artículos analizados realizan la combinación de EMSP y otras intervenciones (BFB, BFB y principios de estabilización segmentaria de la columna vertebral, BFB y estimulación eléctrica funcional, terapia novedosa de vibración, diferentes ejercicios aeróbicos, Pilates e hipopresivos y Pilates y estimulación anal eléctrica). Conclusión: El EMSP de forma aislada o combinándolo con otras técnicas obtiene resultados favorables en la recuperación de la continencia urinaria tras prostatectomía
Introduction: Prostate cancer is one of the most frequent malignant tumours among European men. Radical prostatectomy is the standard treatment option and one of the major complications of this type of intervention is urinary incontinence, which considerably reduces the patients' quality of life. Treatment of first choice is conservative: pelvic floor muscle training (PFMT), biofeedback (BFB), functional electrical stimulation (FES), etc.. The aim of this study is to review the current scientific literature on physiotherapy treatment for urinary incontinence after prostatectomy. Material and methods: A bibliographic search was conducted in January 2019 within various databases Medline, Pubmed, Scopus and Cinahl; using the descriptors "Urinary Incontinence","Prostatectomy" and "Physical Therapy Modalities". A total of 65 results were obtained, 12 of these were selected after applying the inclusion and exclusion criteria. Results: The analysed articles perform the combination of PFMT and other interventions: BFB, BFB and principles of segmental stabilization of the spine (SSS), BFB and FES, new vibration therapy, different aerobic exercises, Pilates and hypopressives and Pilates and electrical anal stimulation (EAS). Conclusion: PFMT treatment alone or together with other techniques obtains favourable results in the recovery of urinary continence after prostatectomy
