Telerehabilitation Intervention in Patients with COVID-19 after Hospital Discharge to Improve Functional Capacity and Quality of Life. Study Protocol for a Multicenter Randomized Clinical Trial.

COVID-19 can cause important sequels in the respiratory system and frequently presents loss of strength, dyspnea, polyneuropathies and multi-organic affectation. Physiotherapy interventions acquire a fundamental role in the recovery of the functions and the quality of life. Regarding the recovery phases after hospital discharge, the current evidence available is very preliminary. Telerehabilitation is presented as a promising complementary treatment method to standard physiotherapy. The main objective of this research is to evaluate the effectiveness of a personalized telerehabilitation intervention after discharge from hospital for the improvement of functional capacity and quality of life compared to a program of health education and/or care in a rehabilitation center. As secondary objectives, to identify the satisfaction and perception of patients with the telerehabilitation intervention and the presence of barriers to its implementation, as well as to evaluate the cost-effectiveness from the perspective of the health system. This study protocol will be carried out through a single blind multicenter randomized clinical trial in the south of Spain. We hypothesize that the implementation of a telerehabilitation program presents results not inferior to those obtained with the current standard intervention. If the hypothesis is confirmed, it would be an opportunity to define new policies and interventions to address this disease and its consequences. Trial registration NCT04742946.

Treatment of Patellofemoral Pain Syndrome with Dielectric Radiofrequency Diathermy: A Preliminary Single-Group Study with Six-Month Follow-Up.

Background and Objectives: Notwithstanding patellofemoral pain syndrome (PFPS) being one of the most common causes of pain in the front of the knee in outpatients, few studies have shown the effects of radiofrequency on knee pain and function in this population. The aim of the present study was to determine whether outpatients diagnosed with PFPS obtained improvement in pain and function after treatment by dynamic application of monopolar dielectric diathermy by emission of radiofrequency (MDR). Materials and Methods: An experimental study was conducted with 27 subjects with PFPS. Subjects were treated with 10 sessions of MDR in dynamic application. The visual analogue scale (VAS), the Kujala scale, the DN4 questionnaire, the lower extremity function scale (LEFS), the range of movement (ROM) in knee flexion and extension and the daily drug intake were measured pre- and post-intervention and at the time of the follow-up (six months). Results: Statistically significant differences were found in pain perception (VAS: F1,26 = 92.43, p < 0.000, ŋ2 = 0.78 and DN4: F1.26 = 124.15, p < 0.000, ŋ2 = 0.82), as well as improvements in functionality (LEFS: F1.26 = 72.42, p < 0.000, ŋ2 = 0.74 and Kujala: F1.26 = 40.37, p < 0.000, ŋ2 = 0.61]) and in ROM (Flexion: F1.26 = 63.15, p < 0.000, ŋ2 = 0.71). No statistically significant changes in drug intake were found. Conclusions: The present study shows that the dynamic application of MDR seems effective in reducing pain and increasing functionality and knee flexion in patients with PFPS, after a follow-up of six months.

Intervención mediante feedback auditivo para la mejora del equilibrio en mujeres que realizan actividad física / Intervention through auditory feedback to improve balance in women who do physical activity

Balance is an essential aspect of daily living and sport appearance. The deterioration of this capacity may cause disorder or injury from falls. The objective of this intervention is to determine the influence of proprioceptive exercise program with external auditory feedback on balance improvement. It involved eight women (M = 38 years, SD = 11.45) who performed constant exercise, divided into two groups. Group 1 program and auditory feedback, group 2 single program. A team of auditory feedback that was used for group 1 was created. Results in Group 1 had a significant improvement in measured equilibrium with the following tests: Functional Reach (p = .036), Get Up and Go (p = .021) and Dynamic Bar test (p = .044). According to the results, the two groups displayed an improvement in the balance by the proprioceptive program, but it was group 1, with auditory feedback, which shown the greatest improvement. The proprioceptive program along with auditory feedback can improve balance significant (AU)

El equilibrio es un aspecto fundamental para las actividades de la vida diaria y para el deporte. El deterioro en esta capacidad puede ocasionar trastornos o lesiones por caídas. El objetivo de esta intervención es determinar la influencia de un programa de ejercicios propioceptivos con feedback externo auditivo sobre la mejora del equilibrio. Participaron ocho mujeres (M = 38 años, DE = 11.45) que realizaban ejercicio constante, dividas en dos grupos. Grupo 1 programa y feedback auditivo, grupo 2 solo programa. Se creó un equipo de feedback auditivo que fue utilizado para el grupo 1. En los resultados el Grupo 1 tuvo la mejoría significativa en equilibrio medido con los siguientes test: Functional Reach (p = .036), Get Up and Go (p = .021) y Test Dinámico en Barra (p = .044). De acuerdo a los resultados obtenidos, los dos grupos presentan una mejoría en el equilibrio por el programa propioceptivo, pero es el grupo 1 con feedback auditivo, el que tuvo la mayor mejoría. El programa propioceptivo unido a feedback auditivo puede mejorar significativamente el equilibrio (AU)