https://hdl.handle.net/10481/20652 Sat, 11 Apr 2026 11:55:07 GMT 2026-04-11T11:55:07Z https://hdl.handle.net/10481/112685 The differences between pain, fatigue, physical fitness, functional status, and family functioning pre- to post- coronary artery bypass grafting among Palestinians Sawalha, Osama; Ariza Vega, María Patrocinio; Alhalaiqa, Fadwa; Ahmad, Hamza; Romero Ayuso, Dulce Nombre de Mari This study aimed to examine pre- to post-operative changes in pain, fatigue, physical fitness, functional status, and family functioning among 200 Palestinian patients (mean age 67; 42% women) undergoing Coronary Artery Bypass Grafting. Validated Arabic versions of the NPRS, FSMC, IFIS, FIM, and APGAR Family Index were administered before surgery and again 2–3 weeks postoperatively. Pain scores differed significantly between pre- and postoperative assessments for both men (t = 11.54, p < 0.001) and women (t = 7.91, p < 0.001). Fatigue increased significantly among men (t = −2.66, p = 0.009) but showed no significant change among women (t = 0.71, p = 0.477). Physical fitness declined in both genders (men: t = 2.25, p = 0.027; women: t = 2.13, p = 0.036). Functional status showed mixed postoperative changes across domains, while total FIM scores remained largely stable. Family functioning improved significantly for both men (t = −3.08, p = 0.003) and women (t = −2.15, p = 0.034). Correlation analyses revealed a moderate positive association between pain and fatigue (r = 0.55, p = 0.01), and inverse associations between physical fitness and both pain (r = −0.42, p = 0.03) and fatigue (r = −0.57, p = 0.02). Functional status correlated positively with physical fitness and family functioning. These findings provide a descriptive overview of early postoperative changes following CABG and highlight gender-specific patterns across key recovery indicators. https://hdl.handle.net/10481/112685 https://hdl.handle.net/10481/112074 Epidemiology, Incidence, Prevalence, and Treatment of Injuries in Padel: A Scoping Review Aguilar Nuñez, Daniel; González Romero, Alejandro; Pérez Montilla, José Javier; Hamed-Hamed, Dina; González Muñoz, Ana; Navarro Ledesma, Santiago Padel has gained considerable popularity in recent years; however, the characteristics of padel-related injuries characteristics and epidemiological estimates remain poorly defined. This scoping review aimed to describe the epidemiology, incidence, and prevalence of injuries in padel reported following PRISMA extension for scoping reviews (PRISMA-ScR) guidelines. The literature search was conducted between January and June 2025, and studies published within the last five years were eligible for inclusion. Studies were identified through PubMed, SCOPUS, and SPORTDiscus. Methodological quality was assessed using the Newcastle–Ottawa Scale (NOS) for observational and cohort studies and AMSTAR-II for systematic reviews. Fourteen studies including 3581 players were analyzed. In the upper limbs, the elbow was the most commonly injured region, followed by the shoulder, with a predominance of tendinous injuries, particularly involving the extensor carpi radialis brevis tendon. In the lower limbs, the knee and ankle were the most affected joints, with ligament injuries being the most frequent, mainly involving the anterior cruciate ligament and the posterior talofibular ligament, respectively. Padel shows a high incidence and prevalence of injuries, with limited evidence regarding treatment. This review provides a structured overview of injury patterns in padel that may inform clinicians and coaches when prioritizing prevention and conditioning strategies, while highlighting the need for prospective, standardized injury surveillance and padel-specific intervention research. https://hdl.handle.net/10481/112074 https://hdl.handle.net/10481/111973 Benefits of Physiotherapy Interventions in Survivors of Childhood Cancer: A Systematic Review with Meta-Analysis Ortiz Comino, Lucía; Abril Mera, Tania María; Fernández-Gualda, Miguel Ángel; Lozano Lozano, Mario; Herbawi, Fahed; Fernández Lao, Carolina Background: Survival rates of pediatric and childhood cancer are about 80% in 5 years, which suggests that side effects may appear a while after oncological treatment and can be associated with other health impairments. Early rehabilitation interventions, such as exercise-based physiotherapy, help reduce side effects and maintain an adequate physical condition, thereby improving daily capacity and health-related quality-of-life (HRQoL). The purpose of this systematic review with meta-analysis is to demonstrate which are the most common strategies performed in child and adolescent survivors of childhood cancer to improve their HRQoL and their physical condition. Methods: Two reviewers searched four databases to identify studies that evaluated the effects of physiotherapy and exercise interventions in child and adolescent survivors of childhood cancer. Results: Nine studies performing different exercise interventions were included. The most commonly evaluated outcomes were HRQoL, fatigue, and depression. Seven studies were included in the meta-analysis, with no significant results achieved. Conclusions: Aerobic interventions are the most common strategies performed in child and adolescent survivors of childhood cancer to improve their HRQoL. Depression and fatigue seem to improve with these interventions, but more research is needed to confirm these results. Our meta-analysis revealed inconsistent results supporting the use of exercise interventions in this population. https://hdl.handle.net/10481/111973 https://hdl.handle.net/10481/111870 Feasibility of “DiverAcción”: A Web-Based Telerehabilitation System for Executive Functions Training in Children and Adolescents with ADHD—Longitudinal Study Protocol Rivas García, Marina; Vidal Ramírez, Carmen; Toledano-González, Abel; Rodríguez Martínez, María del Carmen; Molina Torres, Esther; Marín Marín, José Antonio; Triviño Juárez, José Matías; Gea Mejías, Miguel; Romero Ayuso, Dulce Nombre de Mari Background: Attention Deficit Hyperactivity Disorder (ADHD) is associated with executive function deficits—such as planning, organization, and prospective memory—that impair autonomy and daily functioning, increase family stress, and create challenges in educational contexts. These consequences underscore the need for accessible and ecologically valid interventions addressing the cognitive, familial, and educational dimensions. Traditional approaches often lack ecological validity, and pharmacological treatment shows a limited impact on functional cognition. Objectives: This protocol outlines a feasibility study of DiverAcción, a web-based telerehabilitation system designed to enhance functional cognition through interactive and gamified tasks integrated into a comprehensive healthcare programme. Methods: A quasi-experimental feasibility study before and after the study will recruit 30 participants aged 9 to 17 years with ADHD. The study comprises an initial face-to-face session for instructions and baseline assessment (T0), followed by twelve supervised online sessions over six weeks. Therapeutic support is provided via integrated chat, email, and two scheduled videoconference check-ins. Feasibility Outcomes: include recruitment, adherence, retention, usability (SUS), acceptability (TAM), satisfaction, user-friendly design, therapeutic alliance (WAI-I), and professionals’ attitudes toward technology (e-TAP-T). Exploratory Measures: include parental self-efficacy (BPSES), parenting stress (PSI-4-SF), ADHD symptomatology (SNAP-IV), executive functioning (BRIEF-2), time management (Time-S), emotional regulation (ERQ-CA), prospective memory (PRMQ-C), and health-related quality of life (KIDSCREEN-52). Analyses emphasize descriptive statistics for feasibility metrics (recruitment, adherence, retention, dropout and fidelity). Assessments are conducted post-intervention (T1) and at three-month follow-up (T2) and analyzed relative to baseline using repeated-measures ANOVA or Friedman tests, depending on data distribution. Conclusions: This feasibility protocol will provide preliminary evidence on the usability, acceptability, and implementation of DiverAcción. Findings will guide refinements and inform the design of a subsequent randomized controlled trial. https://hdl.handle.net/10481/111870 https://hdl.handle.net/10481/111527 Repercussions of plagiocephaly on posture, muscle flexibility and balance in children aged 3-5 years old Cabrera-Martos, Irene; Valenza, Marie Carmen; Valenza-Demet, Gerald; Benítez-Feliponi, Ángela; Robles-Vizcaíno, Concepción; Ruiz-Extremera, Ángela https://hdl.handle.net/10481/111527