Low-Intensity Physical Exercise Improves Pain Catastrophizing and Other Psychological and Physical Aspects in Women with Fibromyalgia: A Randomized Controlled Trial.

Fibromyalgia (FM) is a chronic syndrome characterized by widespread pain and other physical and psychological features. In this study, we aimed to analyze the effect of a low-intensity physical exercise (PE) program, combining endurance training and coordination, on psychological aspects (i.e., pain catastrophizing, anxiety, depression, stress), pain perception (i.e., pain acceptance, pressure pain threshold (PPT), and quality of life and physical conditioning (i.e., self-perceived functional capacity, endurance and functional capacity, power and velocity) in women with FM. For this purpose, a randomized controlled trial was carried out. Thirty-two women with FM were randomly allocated to a PE group (PEG, n = 16), performing an eight-week low-intensity PE program and a control group (CG, n = 16). Pain catastrophizing, anxiety, depression, stress, pain acceptance, PPT, quality of life, self-perceived functional capacity, endurance and functional capacity, power, and velocity were assessed before and after the intervention. We observed a significant improvement in all studied variables in the PEG after the intervention (p < 0.05). In contrast, the CG showed no improvements in any variable, which further displayed poorer values for PPT (p < 0.05). In conclusion, a low-intensity combined PE program, including endurance training and coordination, improves psychological variables, pain perception, quality of life, and physical conditioning in women with FM.

[Incidence of hospitalization for traumatic brain injury in children and adolescents (Valencia Community, Spain, 2002-2009)]. / Incidencia de la hospitalizacion por traumatismo craneoencefalico en la infancia y adolescencia (Comunidad Valenciana, 2002-2009).

INTRODUCTION. Traumatic brain injuries (TBI) are a major cause of morbidity and mortality in children and adolescents but there are hardly any studies on the incidence and temporal evolution. AIM. To describe recent trends (2002-2009) in the incidence of hospitalization for TBI in children and adolescents in the region of Valencia. PATIENTS AND METHODS. Emergency admissions were identified in hospitals in the Valencian Health Agency from patients aged 0-19 years with a diagnosis of TBI (codes of the International Classification of Diseases 800, 801, 803, 804 and 850 to 854) during 2002 to 2009. The severity was classified using the fifth digit of these codes and the crude and standardized rates per 100,000 children were estimated stratified by age, sex and severity. RESULTS. From 2002 to 2009 a total of 5,504 TBI in children up to age of 19 years were hospitalized (mild: 92.9%; moderate to severe: 7.1%). In-hospital mortality was 0.6% for mild TBI and 15.7% for moderate-severe. Crude rates of mild head injury per 100,000 children fell from 85.9 to 55.4 in 2002-2009 (boys: 114.1 to 68.3, girls: 56.1 to 41.8), especially in the 15-19 years. For moderate-severe TBI, rates decreased from 5.73 to 2.78 per 100,000 in 2002-2009 (boys: 8.69 to 3.67; girls: 2.59 to 1.84). CONCLUSIONS. The incidence of pediatric TBI in the Valencia region has decreased significantly in the period 2002-2009, but their medical, legal, societal and family consequences still represents a substantial burden.

Incidencia de la hospitalización por traumatismo craneoencefálico en la infancia y adolescencia (Comunidad Valenciana, 2002-2009) / Incidence of hospitalization for traumatic brain injury in children and adolescents (Valencia Community, Spain, 2002-2009)

Introducción. Las lesiones cerebrales traumáticas son una de las causas más importantes de morbilidad y mortalidad en niños y adolescentes, pero apenas existen estudios sobre su incidencia y evolución temporal. bjetivo. Describir las tendencias recientes (2002-2009) en la incidencia de hospitalización por traumatismo craneoencefálico (TCE) en niños y adolescentes en la Comunidad Valenciana. Pacientes y métodos. Se identificaron los ingresos urgentes en hospitales de la Agencia Valenciana de Salud de pacientes de 0-19 años con un diagnóstico de TCE (códigos de la Clasificación Internacional de Enfermedades 800, 801, 803, 804 y 850 a 854) desde 2002 hasta 2009. La gravedad se clasificó utilizando el quinto dígito de estos códigos y se estimaron las tasas crudas y estandarizadas por 100.000 pacientes estratificadas por grupos de edad, sexo y gravedad. Resultados. Durante 2002-2009 se hospitalizaron 5.504 niños de 0-19 años por TCE (leves: 92,9%; moderados-graves: 7,1%). La mortalidad intrahospitalaria fue del 0,6% para los TCE leves y del 15,7% para los moderados-graves. Las tasas crudas de TCE leve por 100.000 niños descendieron de 85,9 a 55,4 en 2002-2009 (niños: de 114,1 a 68,3; niñas: de 56,1 a 41,8), especialmente en el grupo de 15-19 años. Para el TCE moderado-grave las tasas descendieron de 5,73 a 2,78 en 2002-2009 (niños: de 8,69 a 3,67; niñas: de 2,59 a 1,84). Conclusiones. La incidencia de TCE pediátrico en la Comunidad Valenciana ha disminuido considerablemente en el período 2002-2009, pero aún supone una elevada carga, con las consecuencias médicas, legales, sociales y familiares que conlleva (AU)

Introduction. Traumatic brain injuries (TBI) are a major cause of morbidity and mortality in children and adolescents but there are hardly any studies on the incidence and temporal evolution. Aim. To describe recent trends (2002-2009) in the incidence of hospitalization for TBI in children and adolescents in the region of Valencia. Patients and methods. Emergency admissions were identified in hospitals in the Valencian Health Agency from patients aged 0-19 years with a diagnosis of TBI (codes of the International Classification of Diseases 800, 801, 803, 804 and 850 to 854) during 2002 to 2009. The severity was classified using the fifth digit of these codes and the crude and standardized rates per 100,000 children were estimated stratified by age, sex and severity. Results. From 2002 to 2009 a total of 5,504 TBI in children up to age of 19 years were hospitalized (mild: 92.9%; moderate to severe: 7.1%). In-hospital mortality was 0.6% for mild TBI and 15.7% for moderate-severe. Crude rates of mild head injury per 100,000 children fell from 85.9 to 55.4 in 2002-2009 (boys: 114.1 to 68.3, girls: 56.1 to 41.8), especially in the 15-19 years. For moderate-severe TBI, rates decreased from 5.73 to 2.78 per 100,000 in 2002-2009 (boys: 8.69 to 3.67; girls: 2.59 to 1.84). Conclusions. The incidence of pediatric TBI in the Valencia region has decreased significantly in the period 2002-2009, but their medical, legal, societal and family consequences still represents a substantial burden (AU)