ABSTRACT
Objetivo Analizar el efecto de un programa de deambulación sobre el estado de la circulación arterial de miembros inferiores en pacientes diabéticos con enfermedad arterial periférica (estadio I de Leriche-Fontaine).Pacientes y métodosSe realiza un estudio de cohortes retrospectivo sobre 15 individuos diabéticos tipo II con enfermedad arterial periférica pertenecientes al Centro de Salud de la Zubia (Distrito Metropolitano-Granada). El cálculo del índice tobillo/brazo y la determinación de la máxima velocidad y distancia de deambulación se realizaron previa y posteriormente al desarrollo de un programa de deambulación de 90 días de duración.ResultadosLa media obtenida en el índice tobillo/brazo del miembro inferior derecho es de basal: 0.96 ± 0.122/postbasal: 1.01 ± 0.089; p<0,046. Asimismo, la media del índice de tobillo/brazo en el miembro inferior izquierdo es de basal: 0.612±0,201/postbasal: 0.837±0,281; p<0.052. También se encuentran diferencias estadísticamente significativas en la máxima distancia recorrida (basal: 22.13 [5.21]/postbasal: 25.15 [4.25]; p<0,046), así como en la máxima velocidad de deambulación (basal: 5.43 [1.03]/postbasal: 7.089 [4.35]; p<0,048).ConclusiónUn programa de deambulación de 2,5km diarios produce un aumento de la distancia de claudicación intermitente y del índice tobillo/brazo en pacientes diabéticos tipo II con enfermedad arterial periférica (estadio i de Leriche-Fontaine)(AU)
ObjectiveTo evaluate the effect of a walking program on lower limbs arterial circulation in diabetic patients with peripheral arterial disease (Leriche-Fontaine Stage I).Patients and methodsA retrospective cohort study was conducted on 15 individuals with type II diabetic peripheral arterial disease who belonged to the Zubia Health Center (Metropolitan Health Area of Granada). Ankle/brachial index and maximum walking speed and distance were measured before and after a 90-day long walking program.ResultsThe mean obtained in the right ankle/brachial index was basal: 0.96±0.122/post-baseline: 0.089±1.01; P<0.046. Mean obtained in the left ankle/brachial index was basal: 0.612±0.201/postbasal: 0.837±0.281; P<0.052. Statistically significant differences were also found in maximum walking distance (basal 22.13±5.21/postbasal: 25.15±4.25; P<0.046) as well as maximum walking speed (basal: 5.43 [1.03]/postbasal: 7,089 [4.35]; P <0.048).ConclusionA walking program of 2.5km per day produces an increase in intermittent claudication distance and ankle/brachial index in type II diabetic patients with peripheral arterial disease (Leriche-Fontaine Stage I)(AU)
Subject(s)
Humans , Diabetes Mellitus, Type 2/complications , Diabetes Mellitus, Type 2/rehabilitation , Intermittent Claudication/etiology , Intermittent Claudication/rehabilitation , Exercise Therapy , Severity of Illness Index , Retrospective Studies , Cohort StudiesABSTRACT
OBJECTIVE: To evaluate the effectiveness and tolerability of two pool-based physical therapies, stretching and Ai Chi, in fibromyalgia symptomatology and sleep quality. METHODS: Eighty-one patients, randomly assigned to stretching (n=39) or Ai Chi (n=42), received 18 physiotherapy sessions and were evaluated at baseline, at treatment termination, and after 4 and 12 weeks of follow-up. Main outcome measures were the Fibromyalgia Impact Questionnaire (FIQ) and the Pittsburgh Sleep Quality Index (PSQI). Secondary outcome measures included the Beck Depression Inventory (BDI), the State and Trait Anxiety Inventory (STAI), and the SF-12 Health Survey (SF-12). Data analysis was done with repeated measures ANOVA and effect size estimation. RESULTS: No differences were found between groups but significant reduction in the FIQ and the PSQI scores were observed in Ai Chi but not in stretching group, with larger effect sizes and longer effect duration on sleep measures. BDI scores decreased in stretching but not in Ai Chi group with small effect sizes. Trait-anxiety scores decreased in both groups also with small effect sizes. The mental component summary of the SF-12 increased only in stretching group with effect sizes moderate to large. CONCLUSIONS: Although no global differences were found between groups, Ai Chi significantly improved fibromyalgia symptomatology and sleep quality, whereas stretching only improved subjects' psychological well-being.
Subject(s)
Exercise Therapy , Fibromyalgia/therapy , Quality of Life/psychology , Sleep/physiology , Adult , Aged , Analysis of Variance , Exercise/physiology , Exercise/psychology , Female , Fibromyalgia/psychology , Health Promotion , Health Surveys , Humans , Male , Middle Aged , Prospective Studies , Surveys and Questionnaires , Treatment OutcomeABSTRACT
El síndrome de Burnout es un tipo de estrés laboral que puede tener repercusiones psicosomáticas, conductuales, emocionales, familiares y sociales, que pueden ser motivo de bajo rendimiento laboral. El objetivo de este trabajo es conocer la prevalencia del síndrome de Burnout en los Fisioterapeutas, pertenecientes al Servicio Andaluz de Salud, que desarrollan su actividad profesional en hospitales y centros de salud de Granada (capital). Material y métodos: Se diseñó un estudio observacional transversal sobre una muestra de 46 fisioterapeutas, a los que se les administró el Maslach Burnout Inventory para medir el grado de Síndrome de Burnout. Resultados: El 37 % de los encuestados presentó un porcentaje elevado en el grado de Burnout para el cansancio emocional, el 17,40 % presentó una alta despersonalización, y un 69,50 % presentó una baja realización personal. El Síndrome de Burnout se encuentra en el 10, 87 % (n = 5) de la muestra. Conclusiones: En general, la prevalencia del síndrome de Burnout es relativamente baja, en base al siguiente criterio: elevado agotamiento emocional, baja realización personal y alta despersonalización
Burnout Syndrome refers to a kind of occupational stress that can have psychosomatic, behavioural, emotional, familial, and social repercussions; it can also cause loss of effeciancy at work. The aim of this study is to determine the prevalence of Burnout syndrome in physiotherapists, who belong to Servicio Andaluz de Salud and redeem their professional activity in hospital and health centres from Granada (city). Material and methods: A cross-sectional study was designed in a sample of 46 physiotherapists, who were given the Maslach Burnout Inventory to measure the degree of Burnout syndrome. Results: The 37 % of the staff interviewed presented a high percentage in the degree of Burnout for the emotional exhaustion, the 17.40 % presented a high depersonalization, and 69.50 % presented a low personal execution. The Burnout Syndrome is in the 10.87 % of the staff. Conclusion: In general the prevalence of Burnout syndrome is relatively low in base to following criteria elevated emotional exhaustion, low personal execution and high depersonalization
Subject(s)
Humans , Burnout, Professional/epidemiology , Physical Therapy Department, Hospital , Physical Therapy Department, Hospital/statistics & numerical data , Depersonalization/epidemiology , Stress, Psychological/epidemiologyABSTRACT
To provide baseline outcome data for a new lumbar microinvasive diskectomy done with standard arthroscopic instrumentation, we retrospectively reviewed the cases of 190 patients. All patients were assessed by a modified MacNab outcome classification with a minimum of a 2-year follow-up. All complications of this procedure were reported as well. No previous outcome data are available for this procedure, since it has been done primarily at one center, by the same surgeon, using his previously reported techniques. Results were good or excellent in 175 patients and fair or poor in 15. Complications were not severe and were easily remedied. This success rate is comparable to rates reported for other minimally invasive operations on the lumbar spine. This new technique of minimally invasive lumbar spine surgery provides minimal morbidity and a long-term outcome comparable to that of other standard procedures. The added benefits of using standard arthroscopic instrumentation are discussed.
Subject(s)
Endoscopy/methods , Intervertebral Disc Displacement , Lumbar Vertebrae , Adult , Epidural Space , Female , Humans , Male , Treatment OutcomeABSTRACT
This article describes a new technique to achieve access to the epidural space via a direct posterior portal. This minimally invasive technique allows treatment of disc protrusions and extrusions with full visualization and minimal dissection of the paraspinal musculature. Hemostasis, visualization, and triangulation is performed with standard arthroscopic instrumentation. The anatomy of, indications for, and advantages of this techniques are described.