Publications by authors named "Juan Jose Fernandez Perez"

Background: Kilohertz high-frequency alternating current (KHFAC) stimulation has demonstrated to induce rapid and reversible nerve blocks without causing nerve damage. Previous studies have explored frequency-dependent effects using a transcutaneous approach in humans from 5 to 20 kHz. Nevertheless, its application in humans is limited by the lack of stimulators approved for frequencies above 20 kHz.

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Background And Purpose: Trans-spinal direct current stimulation (tsDCS) is a noninvasive stimulation technique that applies direct current stimulation over spinal levels. However, the effectiveness and feasibility of this stimulation are still unclear. This systematic review summarizes the effectiveness of tsDCS in clinical and neurophysiological outcomes in neurological patients, as well as its feasibility and safety.

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Background And Purpose: Carpal tunnel syndrome is the most common peripheral neuropathy of the upper extremities and kinesio taping is one of the tools used as a complementary tool within the conventional treatment of carpal tunnel syndrome. To investigate the short-term effects of kinesio taping on pain, functionality, strength, and nerve conduction in subjects suffering from carpal tunnel syndrome.

Methods: Systematic review with meta-analysis.

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Article Synopsis
  • The study investigates the effects of high-frequency alternating currents (HFAC) at 30 kHz on sensory-motor nerve conduction in healthy volunteers.
  • A double-blind clinical trial was conducted with 48 participants divided into an active treatment group and a sham control group, using ultrasound-guided needles to deliver the stimulation.
  • Results showed significant increases in pressure pain threshold and higher reports of numbness and heaviness in the active group compared to the control, indicating potential benefits of HFAC for nerve-related treatments.
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Temporomandibular disorders comprise a set of conditions that include alterations of the temporomandibular joint and masticatory muscles. Although different modalities of electric currents are widely used for treating temporomandibular disorders, previous reviews have suggested these are ineffective. This systematic review and meta-analysis aimed to determine the effectiveness of different electrical stimulation modalities in patients with temporomandibular disorders for reducing musculoskeletal pain, increasing the range of movement, and improving muscle activity.

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Background: Stickler syndrome (SS) is a connective tissue disorder of fibrillary collagen with very variable clinical manifestations, including premature osteoarthritis and osteopenia. This musculoskeletal alteration may affect gait maturity or produce strength difficulties.

Objective: Our aim was to describe the musculoskeletal characteristics, bone stiffness, gait kinematics, and kinetics of SS patients.

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Objective: To describe the quality of life and daily functioning of Spanish children and adolescents living with Stickler syndrome (SS) and to estimate the prevalence of associated disease features in a representative sample.

Methods: A cross-sectional study of children and adolescents with SS were recruited via telephone calls through the Spanish SS Association. All participants underwent a structured clinical interview and filled in questionnaires reporting their quality of life (EuroQol-5D, TSK-11, CHAQ and PedsQoL).

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Former studies investigated the application of high-frequency alternating currents (HFAC) in humans for blocking the peripheral nervous system. The present trial aims to assess the effect of HFAC on the motor response, somatosensory thresholds, and peripheral nerve conduction when applied percutaneously using frequencies of 10 kHz and 20 kHz in healthy volunteers. A parallel, placebo-controlled, double-blind, randomized clinical trial was conducted.

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Percutaneous electrical nerve stimulation (PENS) consists of applying an electric current of <1,000 Hz to different neuromuscular structures through acupuncture needles. Currently, there is controversy surrounding the effect of PENS on muscle strength in the scientific literature. The main objective was to assess the effect of PENS applied to the median and cubital nerves on the maximum handgrip strength (MHS) compared to sham stimulation, as well as to determine the safety of the intervention.

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Article Synopsis
  • The study aimed to evaluate how effective cervical manual therapy (MT) is for patients suffering from temporomandibular disorders (TMDs) and to compare two types of therapy: cervico-craniomandibular MT and standard cervical MT.
  • A systematic review and meta-analysis were conducted, involving a search of multiple medical databases, with two independent reviewers analyzing relevant clinical trials and assessing their quality using the GRADE method.
  • Findings indicated that cervical MT significantly reduced pain intensity and improved pain thresholds, while cervico-craniomandibular MT showed even greater short-term benefits in pain reduction and mouth-opening capability compared to cervical MT alone, although the evidence for cervico-craniomandibular MT was not
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Objectives: The objective was to explore whether action observation (AO) and motor imagery (MI) of aerobic and isometric exercise could induce hypoalgesic responses in asymptomatic individuals compared with placebo observation (PO).

Methods: A randomized controlled pilot trial was designed. Twenty-four healthy participants (mean age = 21.

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Article Synopsis
  • A systematic review and meta-analysis evaluated how aerobic exercise (AE) affects migraines in terms of pain intensity, frequency, duration, and quality of life, using data from 10 studies with a total of 508 patients.
  • Results indicated that AE significantly reduced pain intensity, frequency, and duration of migraines, while also improving patients' quality of life, although there was some publication bias regarding the quality of life outcomes.
  • The findings suggest low to moderate quality evidence that aerobic exercise can be an effective way to manage migraines by lessening symptoms and enhancing overall well-being.
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