Publications by authors named "Isabel M Alguacil Diego"

Background: A mobile application (app) may facilitate the administration of the 6-minute walk test (6MWT), a commonly used tool in cardiac rehabilitation. This pilot study, conducted with cardiac rehabilitation patients, aimed to evaluate: 1) the criterion validity of the PEDOMETER® app compared to the 6MWT in assessing cardiorespiratory fitness and fatigue resistance, and 2) the construct validity of the PEDOMETER ® app in relation to the Hospital Anxiety and Depression Scale (HADS) and the Health Index of the EuroQol-5D 3L questionnaire (EQ-5D).

Methods: Twenty patients undergoing cardiac rehabilitation at HM Puerta del Sur Hospital (Mostoles, Spain) performed the 6MWT while using the PEDOMETER ® app on a smartphone worn on their arm.

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Article Synopsis
  • Chronic stroke patients often struggle with motivation during rehabilitation; virtual reality (VR) can provide effective, engaging treatments by offering individualized, game-like exercises for upper limb recovery.
  • A randomized clinical study compared the effectiveness of traditional therapy to a VR-enhanced protocol using the Leap Motion Controller® in 36 participants.
  • Results indicated that while both groups showed improvement, the VR group achieved more significant long-term benefits in functionality and had high levels of satisfaction and adherence to treatment.*
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Background: We aimed to assess the occupational balance of people with rheumatic disease, analyze its relationship with participation, performance, and satisfaction with daily life activities, and evaluate whether age or receiving non-pharmacological treatment affects the outcome.

Methods: Cross-sectional study carried out between March and November 2021; patients with non-advanced stage of rheumatic disease from the ConArtritis Association - selected through simple random sampling -, were included. Sociodemographic data and scores from the OBQ, IMPACT-S, COPM questionnaires, and a questionnaire created ad hoc for daily life activities were collected online and/or by telephone.

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In patients with neck pain, it is unclear whether pain inhibition and facilitation endogenous pain mechanisms are altered. This systematic review and meta-analysis aimed to improve their understanding by assessing conditioned pain modulation (CPM) and temporal summation of pain (TSP) in patients with neck pain associated with whiplash-associated disorders (WAD) or of a nonspecific neck pain (NSNP) nature compared to pain-free controls. Very low certainty evidence suggests: impaired CPM when assessed remotely in chronic WAD patients (n = 7, 230 patients and 204 controls, standardized mean differences (SMD) = -.

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This article describes a one-degree-of-freedom haptic device that can be applied to perform three different exercises for shoulder rehabilitation. The device is based on a force control architecture and an adaptive speed PI controller. It is a portable equipment that is easy to use for any patient, and was optimized for rehabilitating external rotation movements of the shoulder in patients in whom this was limited by muscle-skeletal injuries.

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Background: Manual therapy (MT) is a treatment recommended by clinical practice guidelines in the management of patients with neck pain. However, the mechanisms through which MT works remain unknown. The aim of the present study is to investigate if MT is mediated by mechanisms related to conditioned pain modulation (CPM), comparing the effects of painful with a pain-free MT treatment.

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This systematic review aimed to assess the efficacy of motor adaptation during walking on a split-belt treadmill (SBT) under different learning conditions in adults with stroke. We searched randomized clinical trials and case studies that used SBT under different learning conditions published between January 2011 and April 2022 in four databases: Pubmed, Scopus, Web of Science, and Brain-URJC. The following data were extracted: objectives, interventions, population, number of sessions, outcome measures, and results.

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Purpose/aim: Anterior cruciate ligament injuries are the most common traumatic ligament injuries of the knee, which course with impaired balance. The aim of the present study was to analyse the effect of kinesiology tape on balance in subjects with non-operated anterior cruciate ligament rupture.

Materials And Methods: 36 subjects were randomly assigned to the kinesiology tape group (KT = 20) and the non-standardized tape group (NST = 16).

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The objective of the present study was to develop a virtual reality protocol based on activities of daily living and conventional rehabilitation, using Leap Motion Controller to improve motor function in upper extremity rehabilitation in stroke patients. At the same time, the purpose was to explore its efficacy in the recovery of upper extremity motor function in chronic stroke survivors, and to determine feasibility, satisfaction and attendance rate; Methods: A prospective pilot experimental clinical trial was conducted. The outcome measures used were the grip strength, the Action Research Arm Test (ARAT), the Block and Box Test (BBT), the Short Form Health Survey-36 Questionnaire, a satisfaction questionnaire and attendance rate; Results: Our results showed statistically significant changes in the variables grip strength, BBT and ARAT as well as high levels of satisfaction and attendance; Conclusions: This virtual reality platform represents an effective tool in aspects of upper extremity functionality rehabilitation in patients with chronic stroke, demonstrating feasibility and high levels of attendance and satisfaction.

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Objectives: Upper limb impairment is the most common motor impairment in stroke survivors. The use of new technologies in the field of rehabilitation aims to reduce the impact of functional problems. Our objective is to evaluate the effectiveness of using the Leap Motion Controller® virtual reality system in the treatment of upper limb functionality in people with stroke.

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Background: The effectiveness of transcranial direct current stimulation (tDCS) together with conventional physiotherapy in motor rehabilitation after stroke has been widely studied. Despite this, few studies have focused on its application in gait and balance rehabilitation. This review aimed to determine the efficacy of transcranial direct current stimulation combined with conventional physiotherapy on gait, balance, and the functionality of the lower limb after stroke.

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Background: To evaluate the effectiveness of non-invasive neuro-adaptive electrostimulation (NAE) therapy for treating chronic pain and disability in patients with fibromyalgia.

Method/design: A prospective, randomized, sham-controlled study was conducted in 37 women with fibromyalgia. Participants were randomly assigned to receive either active NAE (n = 20) or stimulation with a sham device (n = 17).

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Objective: To study postural control and muscle activity during the limit of stability test (LOS) in subjects with chronic ankle instability.

Design: Observational study.

Setting: University laboratory.

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Purpose: To describe the effects of a contemporary dance program, combined with conventional physiotherapy, on postural control, satisfaction and adherence in mild-moderate Parkinson's disease (PD) patients.

Methods: A withdrawal/reversion test with three intervention periods. Each period lasts for two months: physiotherapy, physiotherapy + dance and withdrawing dance and continuing with the physiotherapy sessions.

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Background: Lymphoedema is a chronic condition that has significant detrimental impact on patients' quality of life. Secondary lymphoedema often results from anti-tumour treatment, in contrast to primary lymphoedema which is the result of genetic abnormalities that leads to an abnormal development of the lymphatic system.

Objective: To describe and compare the experience of individuals with primary and secondary lymphoedema.

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Article Synopsis
  • Research has focused more on brain changes after upper-limb amputation rather than lower-limb amputation, highlighting a gap in understanding.
  • The study examined 11 articles involving 204 individuals with unilateral lower-limb amputation, revealing changes in brain structure, such as increased cerebellar gray matter volume and decreased thickness in various cortical areas.
  • Findings suggest that lower-limb amputation leads to significant brain modifications, including gray and white matter changes and altered connectivity, independent of pain or prosthesis use.
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Purpose: The aim of this study was to describe the lived experience of lymphoedema and the barriers faced by cancer sufferers receiving physiotherapy outpatient treatment.

Methods: A qualitative, phenomenological study was performed. Purposeful sampling method was used.

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The Gait Assessment and Intervention Tool (GAIT) has been recently developed for gait assessment in patients with stroke, and it is considered as a tool that may identify clinically relevant deviations from normal gait and quantifies relevant changes in gait because of an intervention. The objective was to analyze the GAIT psychometric properties in participants with stroke. A convenience sample of 15 adults with stroke was selected (58.

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The understanding of biomechanical deficits and impaired neural control of gait after stroke is crucial to prescribe effective customized treatments aimed at improving walking function. Instrumented gait analysis has been increasingly integrated into the clinical practice to enhance precision and inter-rater reliability for the assessment of pathological gait. On the other hand, the analysis of muscle synergies has gained relevance as a novel tool to describe the neural control of walking.

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Article Synopsis
  • The text is a correction to an article published on page 126 of volume 11.
  • The reference number for the original article is PMID: 28367109.
  • This correction addresses inaccuracies or errors that were found in the original publication.
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The aim of the study was to investigate the differences in the stability limits between patients with vascular and nonvascular unilateral transtibial amputation (UTA) and patients without amputation. Eighteen patients with UTA who used a prosthesis were divided into two groups: vascular (n=9) and nonvascular (n=9). Twenty-four patients without amputation served as the control group.

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Article Synopsis
  • Brain-computer interface (BCI) systems show potential for helping with motor rehabilitation after a stroke, but there's inconsistency in study results and a lack of comprehensive reviews on their effectiveness.
  • This systematic review aims to gather and analyze studies that focus on upper limb rehabilitation using EEG-based BCI systems in stroke patients, while also assessing the quality of the research.
  • The review included 13 studies, of which 4 were randomized controlled trials, and it evaluated the interventions' impacts on improving motor abilities with established methodologies.
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Article Synopsis
  • * Four chronic stroke patients underwent an eight-session intervention where their brain activity was monitored to trigger stimulation during reaching tasks, showing notable improvements in both movement execution and clinical assessments.
  • * Results indicated that the system successfully decoded patients’ intentions with an average accuracy of 66.3%, leading to significant increases in rehabilitation scores and a reduced need for compensatory movement strategies.
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Purpose: To report the immediate and prolonged (one week) effects of elastic bandage (EB) on balance control in subjects with chronic ankle instability.

Material And Methods: Twenty-eight individuals successfully completed the study protocol, of whom 14 were randomly assigned to the EB group (7 men, 7 women) and 14 were assigned to the non-standardised tape (NST) group (9 men, 5 women). To objectively measure postural sway we used computerised dynamic posturography (CDP) with sensory organisation test (SOT) and unilateral stance (US) test.

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Background: Myofascial trigger point dry needling is frequently associated with postneedling soreness, which can generate patient dissatisfaction and reduced treatment adherence. Psychological factors may influence the perception of postneedling soreness and the effectiveness of postneedling soreness treatments.

Objectives: The objectives of the present study were to determine whether catastrophizing, kinesiophobia, pain anxiety, and fear of pain are significant predictors of postneedling soreness over time; and to analyze whether the relationships between psychological variables and postneedling soreness vary as a function of the postneedling soreness intervention, which included ischemic compression, placebo or control (without treatment).

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