La formación en entrenamiento de fuerza dirigida a médicos aumenta su prescripción / Strength training education for physicians increases its prescription

Introducción: Tradicionalmente la prescripción médica se centra en el ejercicio aeróbico, pero son cada vez más los autores que señalan al entrenamiento de fuerza como la modalidad de ejercicio más saludable. El objetivo del presente trabajo es evaluar los cambios en los conocimientos y la seguridad para la prescripción de ejercicio de fuerza tras haber realizado un curso teórico-práctico de ejercicio físico dirigido a médicos, con respecto a no haberlo realizado. Material y métodos: Se realizó un estudio de intervención en 160 médicos con 2 cohortes, 80 realizaron un curso sobre ejercicio (grupo de intervención) y 80 no lo realizaron (grupo comparativo). Se recogieron datos personales, profesionales, sobre el ejercicio físico en general y de fuerza que practicaban o prescribían, y seguridad y conocimientos para su prescripción. Se analizaron las diferencias entre los grupos y la repercusión de haber realizado o no el curso. Resultados: Los 2 grupos eran homogéneos en sexo, edad, especialidad y realización de ejercicio físico, destacando la baja tasa de práctica y prescripción del entrenamiento de fuerza en ambos grupos. Se objetivó que el grupo que había realizado el curso adquirió conocimientos y seguridad para la prescripción de ejercicio de fuerza y consideraba que era la odalidad que debía ser potenciada (p<0,001). Conclusiones: La formación en entrenamiento de fuerza dirigida a médicos mediante un curso teórico-práctico aumenta los conocimientos y la seguridad para su prescripción.(AU)

Introduction: Medical prescriptions have traditionally been focused on aerobic exercise. However, an increasing number of authors are pointing towards strength training as the healthiest exercise modality. The purpose of this study is to assess whether physicians increase their knowledge as well as their confidence to prescribe strength training after attending a physical training course. Materials and methods: A prospective cohort study of 160 physicians was conducted, 80 physicians out of the 160 attended a physical training course, whereas the remaining 80 physicians did not. Personal and professional data was collected, as well as data regarding the type of exercise they were practising or prescribing and the confidence and knowledge for their prescription. Finally, differences between the two groups and the impact of attending the course where analysed. Results: Both groups were homogeneous in gender, age, medical speciality and practice of physical exercise, with very low rates of strength training and prescription for both groups. It was established that the group attending the course acquired knowledge and confidence for prescribing strength training. Moreover, this group considered that strength training was the exercise modality which should be encouraged (P<.001). Conclusions: Education in strength training for physicians by means of a theoretical-practical course increases knowledge and confidence for its prescription.(AU)

[Strength training education for physicians increases its prescription]. / La formación en entrenamiento de fuerza dirigida a médicos aumenta su prescripción.

INTRODUCTION: Medical prescriptions have traditionally been focused on aerobic exercise. However, an increasing number of authors are pointing towards strength training as the healthiest exercise modality. The purpose of this study is to assess whether physicians increase their knowledge as well as their confidence to prescribe strength training after attending a physical training course. MATERIALS AND METHODS: A prospective cohort study of 160 physicians was conducted, 80 physicians out of the 160 attended a physical training course, whereas the remaining 80 physicians did not. Personal and professional data was collected, as well as data regarding the type of exercise they were practising or prescribing and the confidence and knowledge for their prescription. Finally, differences between the two groups and the impact of attending the course where analysed. RESULTS: Both groups were homogeneous in gender, age, medical speciality and practice of physical exercise, with very low rates of strength training and prescription for both groups. It was established that the group attending the course acquired knowledge and confidence for prescribing strength training. Moreover, this group considered that strength training was the exercise modality which should be encouraged (P<.001). CONCLUSIONS: Education in strength training for physicians by means of a theoretical-practical course increases knowledge and confidence for its prescription.

Síndrome del ¿hombre en barril¿. A propósito de un caso / The man-in-the-barrel syndrome. A case report

El síndrome del ¿hombre en barril? (SHB) describe un cuadro clínico poco frecuente de paresia braquial proximal bilateral con movilidad conservada de miembros inferiores y musculatura facial, secundario a una hipotensión arterial sistémica con hipoperfusión encefálica que origina infartos isquémicos bilaterales en territorios limítrofes entre la arteria cerebral media y la anterior, de pronóstico muy grave. Ocurre tras parada cardiopulmonar, shock hipovolémico, sobredosis de narcóticos, hipotensión tras infarto de miocardio u oclusión de la vía aérea, y supone del 5 al 12 % de los accidentes isquémicos. Presentamos el caso de un sujeto de 27 años, diagnosticado de endocarditis por estreptococo con insuficiencia aórtica severa y arteritis de la arteria pulmonar, intervenido mediante sustitución valvular aórtica y limpieza arterial. En el postoperatorio se observa focalidad motora compatible con SHB debido a encefalopatía hipoxoisquémica en territorio frontera bihemisférico. Describimos su evolución y tratamiento, destacando la buena recuperación que ha presentado en contra de lo encontrado en la literatura

The man-in-the-barrel syndrome (MIB) describes an uncommon clinical picture of bilateral proximal brachial paralysis with preserved mobility of the lower limbs and facial muscles, secondary to systemic arterial hypotension with hypoperfusion encephalic, bilateral ischemic strokes originating in territories bordering between the anterior and medial cerebral arteries, with very serious prognosis. It occurs after a cardiopulmonary arrest, hypovolemic shock, overdose of narcotics, hypotension after myocardial infarction or occlusion of the airway and accounts for 5 % to 12 % of the ischemic attacks. We present the case of a 27-year-old man, diagnosed with endocarditis by streptococcus with severe aortic insufficiency and arteritis of the pulmonary artery, with an intervention for aortic valve replacement and arterial cleaning. During post-intervention, motor focality consistent with MIB syndrome due to hypoxoischemic encephalopathy in the bihemispheric border territory was observed. We describe his evolution and treatment, stressing his good recovery on the contrary to that found in the literature (AU)