DF - Artículos
https://hdl.handle.net/10481/20652
2024-03-29T07:12:52ZMyofascial pain, widespread pressure hypersensitivity, and hyperalgesia in the face, neck, and shoulder regions, in survivors of head and neck cancer
https://hdl.handle.net/10481/88927
Myofascial pain, widespread pressure hypersensitivity, and hyperalgesia in the face, neck, and shoulder regions, in survivors of head and neck cancer; Myofascial pain, widespread pressure hypersensitivity, and hyperalgesia in the face, neck, and shoulder regions, in survivors of head and neck cancer
Ortiz-Comino, lucia; Ortiz-Comino, lucia; Fernández-Lao, Carolina; Fernández-Lao, Carolina; Castro-Martín, eduardo; Castro-Martín, eduardo; Lozano-Lozano, mario; Lozano-Lozano, mario; Cantarero-Villanueva, irene; Cantarero-Villanueva, irene; Arroyo-Morales, manuel; Arroyo-Morales, manuel; Martín Martín, Lydia María; Martín Martín, Lydia María
Abstract
Purpose: Medical treatment for head and neck cancer may induce the presence of inflammation, pain, and dysfunction. The purpose of the current study was to assess the presence of myofascial trigger points (TrPs) and their relationship with widespread pressure hypersensitivity and hyperalgesia in survivors of head and neck cancer (sHNC).
Methods: TrPs and pressure-pain thresholds (PPTs) were quantified in different muscles/joints in the head and neck of 30 sHNC (59.45 ± 13.13 years) and 28 age- and sex-matched controls (58.11 ± 12.67 years).
Results: The sHNC had more TrPs in all muscles on the affected side (p < 0.05) than did the healthy controls, and in the temporalis, masseter, and suboccipitalis muscles on the unaffected side (p < 0.05). They also had lower PPTs in all places (p < 0.05) except for the temporalis muscle (p = 0.114) and C5-C6 joint (p = 0.977). The intensity of cervical pain correlated positively with the presence of upper trapezius TrPs.
Conclusions: sHNC suffering cervical and/or temporomandibular joint pain have multiple active TrPs and experience widespread pressure hypersensitivity and hyperalgesia, suggestive of peripheral and central sensitization.; Abstract
Purpose: Medical treatment for head and neck cancer may induce the presence of inflammation, pain, and dysfunction. The purpose of the current study was to assess the presence of myofascial trigger points (TrPs) and their relationship with widespread pressure hypersensitivity and hyperalgesia in survivors of head and neck cancer (sHNC).
Methods: TrPs and pressure-pain thresholds (PPTs) were quantified in different muscles/joints in the head and neck of 30 sHNC (59.45 ± 13.13 years) and 28 age- and sex-matched controls (58.11 ± 12.67 years).
Results: The sHNC had more TrPs in all muscles on the affected side (p < 0.05) than did the healthy controls, and in the temporalis, masseter, and suboccipitalis muscles on the unaffected side (p < 0.05). They also had lower PPTs in all places (p < 0.05) except for the temporalis muscle (p = 0.114) and C5-C6 joint (p = 0.977). The intensity of cervical pain correlated positively with the presence of upper trapezius TrPs.
Conclusions: sHNC suffering cervical and/or temporomandibular joint pain have multiple active TrPs and experience widespread pressure hypersensitivity and hyperalgesia, suggestive of peripheral and central sensitization.
Effects of a Single Myofascial Induction Session on Neural Mechanosensitivity in Breast Cancer Survivors: A Secondary Analysis of a Crossover Study
https://hdl.handle.net/10481/88783
Effects of a Single Myofascial Induction Session on Neural Mechanosensitivity in Breast Cancer Survivors: A Secondary Analysis of a Crossover Study
Castro Martín, Eduardo; Galiano Castillo, Noelia; Ortiz Comino, Lucía; Cantarero Villanueva, Irene; Lozano Lozano, Mario; Arroyo Morales, Manuel; Fernández Lao, Carolina
Objectives: The purpose of this study was to investigate the short-term effects of myofascial induction on mechanosensitivity of upper limb nerves.
Methods: In this secondary analysis of a randomized, single-blind, placebo-controlled crossover study, 21 breast cancer survivors with stage I-IIIA cancer were randomly allocated to an experimental group (30 minutes of myofascial induction session) or placebo control group (unplugged pulsed 30 minutes of shortwave therapy), with a 4-week washout period between sessions that occurred in a physical therapy laboratory in the Health Science Faculty (University of Granada, Spain). Range of motion (universal goniometry), structural differentiation, symptoms (yes/no), and pressure pain thresholds (electronic algometry) were assessed during neurodynamic tests and attitude toward massage scale as covariate.
Results: An analysis of covariance revealed significant time × group interactions for range of motion in affected upper limb nerves (median, P < .001; radial, P = .036; ulnar, P = .002), but not for nonaffected upper limb nerves (median, P = .083; radial, P = .072; ulnar, P = .796). A χ2 or Fisher exact test, as appropriate, also revealed a significant difference (P = .044) in sensitivity for the affected upper limb ulnar nerve in the experimental group, whereas the rest of the assessed nerves (affected and nonaffected upper limb nerves) showed no significant changes in either the experimental or control groups (P > .05). An analysis of covariance revealed no significant interactions on pressure pain thresholds over the nerves for affected (all P > .05) and nonaffected (all P > .05) upper limb nerves.
Conclusion: A single myofascial induction session may partially improve mechanosensitivity of median, radial, and ulnar nerves and yield positive effects on symptom mechanosensitivity, especially regarding the ulnar nerve in breast cancer survivors.
Co-creation of mHealth intervention for older adults with hip fracture and family caregivers: a qualitative study
https://hdl.handle.net/10481/88336
Co-creation of mHealth intervention for older adults with hip fracture and family caregivers: a qualitative study
Ariza Vega, María Patrocinio; Prieto-Moreno, Rafael; Mora-Traverso, Marta; Molina-García, Pablo; Ashe, Maureen Celeste; Martín-Matillas, Miguel
Introduction
Hip fracture results in an older person’s loss of independence. Limited healthcare resources make mobile Health (mHealth) an alternative. Engaging key stakeholders in health technology development is essential to overcome existing barriers. The aim of this study was to establish perspectives of older adults with hip fracture, family caregivers and health professionals (stakeholders) on the development of a mHealth system.
Methods
Qualitative study guided by user-centered design principles with focus groups to engage stakeholders during the development. Seven focus groups were conducted [older adults with hip fracture (n=2), caregivers (n=3), and health providers (n=2)] with 45 participants (14 older adults, 21 caregivers, and 10 health providers). Inclusion criteria were older adults ≥ 65 years who sustained a hip fracture in the previous 3 months; family caregiver of a person with hip fracture; and health providers with 2+ years of clinical experience working older adults with hip fracture. We followed standard methods for focus groups, including recording, transcription, and conducting an inductive content analysis. The same moderator, with clinical and research experience, conducted all focus groups.
Results
Three themes were generated to consider for a future mHealth intervention: (1) user-friendly design; (2) content to include recovery and prevention information; and (3) implementation factors. Our mHealth system was developed based on feedback from participants.
Conclusions
Co-creating mHealth technology with stakeholders is essential for uptake and adherence. We provide an overview of the development of ActiveHip+, an mHealth system for the clinical care of older adults with hip fracture.
Keywords: tele-rehabilitation; telemedicine; hip fracture; older adults with hip fracture; family caregivers; health providers; mobile applications; medical informatics
“This is an accepted version of an article published by Taylor & Francis in Disability and Rehabilitation-Assistive Technology on October 2022, available at: doi: 10.1080/17483107.2022.2138999.”
The influence of meaningful activities in the quality of life and functional autonomy of adults with intellectual disability: A prospective study during the COVID-19 pandemic
https://hdl.handle.net/10481/88139
The influence of meaningful activities in the quality of life and functional autonomy of adults with intellectual disability: A prospective study during the COVID-19 pandemic
Muñoz-López, Saray; Molina-García, Pablo; Gutiérrez-Cruz, Carmen; Ubago-Díaz, Rocío; Romero-Ayuso, Dulce; Ariza-Vega, Patrocinio
Background: The COVID-19 pandemic might negatively impact the quality of life and
functional autonomy of Spanish adults with intellectual disability, and meaningful
activities could prevent this negative progression.
Methods: This is a prospective cohort study in Spanish adults with intellectual disability
during the COVID-19 pandemic. Quality of life, functional autonomy and
functional independence were measured. The meaningful activities studied were
structured-leisure, community
self-management, and occupational and physical activities.
Results: Seventy-three participants were included in the study. Quality of life and
functional autonomy significantly deteriorated during the COVID-19 pandemic (all
p > .001). Greater participation in community self-management activities before
COVID-19 was associated with less detriment to quality of life (ß = .312; p = .008),
while greater participation in occupational and physical activities was associated with
less detriment to the performance of instrumental activities (ß = .317; p = .016;
and ß = .285; p = .030, respectively).
Conclusion: People with intellectual disability living in residential homes experienced
a decrease in their quality of life and functional autonomy during the COVID-19 pandemic.
Their involvement in community self-management activities and physical and
occupational activities before the pandemic had preventive effects on the detriment
to the quality of life and functional autonomy.
This manuscript was published by Wiley in Journal of Applied Research in Intellectual Disabilities on May 2023, available at doi: 10.1111/jar.13077.
The Journey of Recovery: Caregivers’ Perspectives From a Hip Fracture Telerehabilitation Clinical Trial
https://hdl.handle.net/10481/88136
The Journey of Recovery: Caregivers’ Perspectives From a Hip Fracture Telerehabilitation Clinical Trial
Ariza Vega, María Patrocinio; Castillo-Pérez, Herminia; Ortiz-Piña, Mariana; Ziden, Lena; Palomino-Vidal, Jerónimo; Ashe, Maureen Celeste
Objective: To explore family caregivers’ perspectives of the recovery process of older adults with hip fracture, and describe experiences from caregivers who (i) used the online intervention or (ii) received home-based care provided by the Andalusian Public Health Care System.
Methods: This was an exploratory secondary study with informal family caregivers who had an older adult family member with hip fracture enrolled in a novel telerehabilitation (telerehab) clinical trial. Forty-four caregivers of older adults with hip fracture were interviewed at 6-9 months after their family member’s hip fracture.
Results: Caregivers shared concerns of family members’ survival and recovery; they recounted increased stress and anxiety due to the uncertainty of new tasks associated with providing care and the impact on their lifestyle. Although most caregivers were satisfied with the health care received, they made suggestions for better organization of hospital discharge, and requests for home support. The main reasons why caregivers and their family member chose the telerehab program were to, enhance recovery after fracture, gain knowledge for managing at home, and the convenience of completing the exercises at home. There were more family caregivers in the control group who expressed a high level of stress and anxiety, and they also requested more social and health services compared with caregivers whose family member received telerehab.
Conclusions: Family caregivers are an essential component of recovery after hip fracture by providing emotional and physical support. However, future clinical interventions should evaluate person-centered interventions to mitigate possible stress and anxiety experienced by family caregivers.
Impact statement: Family caregivers’ perspectives are necessary in the co-design of management strategies for older adults after hip fracture.
This is an Accepted Manuscript of an article published by OXFORD UNIV PRESS INC in Physical Therapy & Rehabilitation Journal on March 2021, available at: doi: 10.1093/ptj/pzaa220.”