Eleuterio A. Sánchez Romero | Universidad Europea de Madrid (original) (raw)

Papers by Eleuterio A. Sánchez Romero

Randomized Controlled Clinical Trial, 2024

Background Chronic low back pain is associated with dysfunctions in endogenous analgesia mechanis... more Background
Chronic low back pain is associated with dysfunctions in endogenous analgesia mechanisms, as evaluated through conditioned pain modulation paradigms. Although mobilization with movement has demonstrated enhancements in conditioned pain modulation among patients with conditions such as knee osteoarthritis, its efficacy in chronic low back pain patients has yet to be established.
Objectives
To investigate the effects of mobilization with movement compared to sham mobilization in conditioned pain modulation, mechanical hyperalgesia, and pain intensity in chronic low back pain patients.
Design
Randomized controlled trial following CONSORT and TIDieR guidelines.
Method
Fifty-eight patients with chronic low back pain (mean age 48.77 ± 13.92 years) were randomized into the experimental group, which received real mobilization with movement (n = 29), or the sham mobilization with movement group (n = 29). Only one intervention was performed. Patients were assessed before and after intervention. Conditioned pain modulation, mechanical hyperalgesia and pain intensity were assessed.
Results
Mobilization with movement resulted in no statistically significant differences compared to sham mobilization for conditioned pain modulation (post-treatment difference: 0.023 [-0.299, 0.345], p = 0.158), mechanical hyperalgesia (post-treatment difference: −0.198 [-0.505, 0.109], p = 0.207), or movement-related pain intensity (post-treatment difference: 0.548 [-0.068, 1.236], p = 0.079) improvements post-intervention. Effect sizes were small for conditioned pain modulation (r = 0.126), mechanical hyperalgesia (r = 0.101), and pain intensity (r = 0.208).
Conclusions
Mobilization with movement resulted in no significant differences compared to sham mobilization with movement after one intervention for conditioned pain modulation, mechanical hyperalgesia or pain intensity, with small effect sizes. However, the findings should be interpreted with caution due to absence of screening for appropriately eligible patients.

Introduction: The global shift towards an aging population presents significant challenges, parti... more Introduction: The global shift towards an aging population presents significant challenges, particularly concerning frailty among older adults. Frailty, characterized by diminished strength and resilience, increases vulnerability to diseases and hospitalization. Health Issues: Traditional diagnostic tools for frailty are costly and involve radiation risks, necessitating noninvasive, cost-effective methods like ultrasound. Frail older adults require intensive medical care, increasing healthcare costs and burdening systems. Scientific Challenges: Research must adopt a multidimensional approach, considering physical, psychological, and social factors of frailty. There is a pressing need to develop accessible diagnostic tools and translate research findings into clinical practice. Integrating ultrasound with machine learning enhances diagnostic accuracy and predictive capabilities, facilitating personalized care. Social Implications: Frailty reduces the quality of life for older adults, places emotional and financial burdens on families, and exacerbates health inequalities. It also leads to social isolation, diminishing the participation of older adults in community activities. Future Directions: An integrated response involving public health policies, technological innovations, and education is necessary. Developing community health programs, implementing continuous health monitoring tools, and conducting awareness campaigns can significantly improve frailty management. Conclusions: Tackling frailty is not only a health imperative but also a social and ethical responsibility. By addressing the intertwined health, scientific, and social challenges of frailty, we can ensure healthy and equitable aging for all, reflecting our commitment to improving the quality of life for older adults.

Aging, 2024

Introduction: The global shift towards an aging population presents significant challenges, parti... more Introduction: The global shift towards an aging population presents significant challenges, particularly concerning frailty among older adults. Frailty, characterized by diminished strength and resilience, increases vulnerability to diseases and hospitalization. HealthIssues: Traditional diagnostic tools for frailty are costly and involve radiation risks, necessitating non-invasive, cost-effective methods like ultrasound. Frail older adults require intensive medical care, increasing healthcare costs and burdening systems. ScientificChallenges: Research must adopt a multidimensional approach, considering physical, psychological, and social factors of frailty. There is a pressing need to develop accessible diagnostic tools and translate research findings into clinical practice. Integrating ultrasound with machine learning enhances diagnostic accuracy and predictive capabilities, facilitating personalized care. SocialImplications: Frailty reduces the quality of life for older adults, places emotional and financial burdens on families, and exacerbates health inequalities. It also leads to social isolation, diminishing the participation of older adults in community activities. Future Directions: An integrated response involving public health policies, technological innovations, and education is necessary. Developing community health programs, implementing continuous health monitoring tools, and conducting awareness campaigns can significantly improve frailty management. Conclusions: Tackling frailty is not only a health imperative but also a social and ethical responsibility. By addressing the intertwined health, scientific, and social challenges of frailty, we can ensure healthy and equitable aging for all, reflecting our commitment to improving the quality of life for older adults.

Heliyon, 2024

Introduction: Traumatic Brain Injury (TBI) is a significant public health concern that causes dea... more Introduction: Traumatic Brain Injury (TBI) is a significant public health concern that causes death, disability, and economic burden. Its repercussions affect physical, cognitive, emotional, and behavioral aspects of long-term care needs. Despite improvements in communication among multidisciplinary teams, the management of TBI remains fragmented.
Objective: This study aimed to assess patients and caregivers’ experiences through sentiment analysis.
Materials and methods: A qualitative cross-sectional study utilized structured topic modeling (STM) to analyze in-depth interview data. The study involved 29 patients with TBI and 27 caregivers in Madrid (Spain), using a survey design. The interviews were conducted, transcribed, and coded independently over 5 months. Sentiments such as anticipation, fear, and emotional concerns were analyzed using three dictionaries. The STM analysis identified four key concepts: desire for independence, potential improvement, need for injury information, and psychological
consequences. STM diagnostic graphs were used to determine the number of topics relevant to the evaluation of patient and caregiver concerns. Furthermore, an analysis was conducted across four topics.
Results: The average age of the patients was 44.2 ± 14.9 years (69 % males). Regarding TBI severity, 59 % of patients had severe TBI, whereas the remaining 41 % had experienced moderate TBI. Among the caregivers, the majority were parents (30 %), partners (24 %), or siblings (24 %
each). Among the 51 participants, sentiments were analyzed using three dictionaries. While there were no significant age differences (Z = 0.24, p = 0.815), the STM model was adjusted for significant sex differences (p = 0.017) between patients and relatives. Anticipation and fear prevailed in both groups, highlighting the shared emotional patterns.
Discussion: The analysis of diagnostic graphs indicated the optimal number of topics for evaluation, emphasizing key concerns across different phases of TBI. Patients’ main worries shifted from physical symptoms to limitations in daily life and independence. Caregivers highlighted the importance of staff interactions, misinformation challenges, and the need for psychological care.
Conclusion: Key patient concerns, including dependency on daily activities, limitations in autonomy, and caregiver burden, emphasize crucial areas for enhancement in multidisciplinary
treatment. Moreover, the lack of long-term psychological support is a significant barrier to optimal patient and caregiver well-being.

Systematic Review and Network Meta-Analysis, 2024

1 international postgraduate school, faculty of health sciences, rey Juan carlos university, alco... more 1 international postgraduate school, faculty of health sciences, rey Juan carlos university, alcorcón, spain; 2 physiotherapy and orofacial pain Working Group, spanish society of craniomandibular dysfunction and orofacial pain (sEdcydo),

Clinical Trial, 2024

The aim of this experimental study was to determine which manual therapy approach is more effecti... more The aim of this experimental study was to determine which manual therapy approach is more effective in addressing health status by improving symptoms (sensory, cognitive, emotional, and social) in patients with fibromyalgia. Material and methods: A quasi-randomized clinical trial with 3-month follow-up was conducted in 52 female patients (age 52.5 ± 8.1 years) affected by rheumatologist-diagnosed Fibromyalgia and evaluated at the Asociación de Fibromialgia y Síndrome de Fatiga Crónica (AFINSYFACRO) in Móstoles and AFIBROM, Madrid, Spain. Two manual therapy approaches were applied: the myofascial technique approach (MTA) and Maitland Mobilization Approach (MMA). The study examined the following outcomes: Widespread Pain, Symptom Severity, Impact on Quality of Life, Perceived Pain, Sensitization-Associated Pain, Sleep Quality, Physical Activity, and Psychological, Cognitive, and Emotional Factors. Patient Satisfaction was also assessed. Results: No significant differences were found between groups over time for most variables. However, the MTA group showed significant improvements in pain intensity, central sensitization, general health, sleep quality, and anxiety compared with the MMA group. Conclusions: Despite the lack of between-group differences in all variables over time, MTA may be useful in the treatment of fibromyalgia, reducing pain, central sensitization, and negative emotional symptoms, as well as improving general health and sleep quality. Due to problems during the study, randomization was abandoned. This problem becomes a virtue by taking advantage of the situation to apply statistical compensation methods, which will serve as a guide for future research that suffers from this problem. We suggest the inclusion of longer follow-up periods in future studies.

Topics in geriatric rehabilitation, Apr 1, 2024

Retos: Nuevas Tendencias en Educación Física, Deportes y Recreación, Sep 12, 2023

Introduction: The aim of the present study is to analyze the correlation between people that suff... more Introduction: The aim of the present study is to analyze the correlation between people that suffer from chronic ankle instability and muscle strength deficits of the proximal joints of the lower limb, which are the hip and knee. Methods: The narrative review was conducted on MEDLINE using the selected keywords to build the search string. After inclusion and exclusion criteria were applied, the articles were independently screened by two authors reading the titles and abstracts or full articles. The quality assessment was conducted using the NIH quality assessment tool for observational cohort and cross-sectional studies, the methodological index for non-randomized studies scale, the risk-of-bias tool for non-randomized trials, and the Critical Appraisal Skills Programme checklist. Result: From 506 papers originally identified through database search, six studies were finally selected. The quality score was medium to low in all studies according to selected tool. Major of the included studies underlined that the lower limb strength deficits represent a key factor in the rehabilitation path in patients with chronic ankle instability (CAI) and, in addition to predictable ankle's muscle impairments, hip strength was a significant weakness in performance evaluation in this type of patients. Conclusion: It's not possible to confirm to our knowledge a strictly significant correlation between strength deficit of hip and knee, when appreciated. These results, however, might suggest another time that the difference between people who suffer from CAI and coper is the rehabilitation program that patients follow after an injury.

Physiotherapy research international, Feb 22, 2024

Objectives: This systematic review and meta-analysis aims to evaluate the efficacy of pulmonary r... more Objectives: This systematic review and meta-analysis aims to evaluate the efficacy of pulmonary rehabilitation (PR) in improving dyspnea, fatigue, physical activity, quality of life, anxiety and depression in patients with Long COVID-19 (LC). The impact of PR on LC and a comparison of face-to-face and telerehabilitation approaches was explored. Methods: This systematic review and meta-analysis followed PRISMA guidelines and was registered in PROSPERO. A literature search included PubMed, Web of Science, and Cochrane Library until January 2023. No language filters were applied. Randomized controlled trials, non-randomized controlled trials, and observational studies were included. The risk of bias was assessed using appropriate tools. Descriptive analysis and meta-analysis were performed. Forest plots presented results. Statistical analyses were conducted using the Metafor Package in R v.3.4.2. Results/Findings: This systematic review and meta-analysis included 16 studies on PR in LC patients. A total of 1027 adults were included. The studies varied in design, with seven observational studies, three quasi-experimental studies, and six randomized controlled trials. Dyspnea, physical function, quality of life, psychological state, and fatigue were assessed as outcomes. The review found that pulmonary This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

Topics in Geriatric Rehabilitation, Sep 30, 2023

Sleep Medicine Reviews, Dec 31, 2023

The anterior cruciate ligament (ACL) injury is the most serious injury in judo. Therefore, its pr... more The anterior cruciate ligament (ACL) injury is the most serious injury in judo. Therefore, its prevention is of great importance. The main mechanism of injury is the collapse of the knee in valgus, which usually occurs when there are deficits of strength and neuromuscular control of the core, external rotators and hip abductors, as well as limitations of ankle and hip mobility. In most sports there is a difference in the prevalence of this injury between both sexes, being more common in women. Therefore, in the present study we observed this possible intersexual disparity in the difference of movement patterns among elite judokas according to their sex, in order to identify those athletes with a higher risk of ACL injury. In addition, it was not observed differences between sexes in the performance of the Single Leg Squat test (SLS test); There was worse neuromuscular control of the non-dominant leg in men and women; No differences were observed in in the range of motion of ankle do...

Book, 2024

Summary The coronavirus disease, 2019 (COVID-19), has led to the worst worldwide healthcare outbr... more Summary
The coronavirus disease, 2019 (COVID-19), has led to the worst worldwide healthcare outbreak of the current century. Our knowledge on severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 virus), the agent causing COVID-19, has dramatically increased in recent years. Further, healthcare systems are facing another outbreak due to COVID-19—long COVID or post-COVID-19 syndrome—which is the presence of long-lasting symptoms after an acute SARS-CoV-2 infection. The development of long-lasting post-COVID-19 symptoms has been called long COVID or a post-COVID-19 condition. To date, more than 100 potential long-lasting post-COVID symptoms have been potentially attributed to SARS-CoV-2. This Special Issue of Biomedicines, entitled "Latest Research in Post-COVID-19 (long COVID-19): Pathological and Treatment Studies of Sequelae and Complications”, has focused on potential gaps in our knowledge regarding the identification, timeframe, mechanisms, and treatment strategies for the management of the post-COVID-19 condition. The fourteen published papers in this Special Issue cover the following topics: 1, treatment of the post-COVID-19 condition; 2, neonatal repercussion of the SARS-CoV-2 infection; 3, risk factors of severe COVID-19; 4, phenotyping of post-COVID-19 pain; and 5, others.

Case Report, 2024

Background: Complications of pancreatitis can lead to admission to the intensive care unit (ICU) ... more Background: Complications of pancreatitis can lead to admission to the intensive care unit (ICU) with invasive mechanical ventilation. Reducing the duration of mechanical ventilation is challenging for critical care practitioners. Respiratory muscle weakness hinders the weaning process, thereby increasing the duration of mechanical ventilation and hindering pulmonary rehabilitation. Methods: We evaluated the effect of transcutaneous neuromodulation on predictors of extubation failure. The patient was a 51-year-old male with a history of type 2 diabetes, obesity (body mass index=35), and regular alcohol consumption of 40 g/day. The patient was admitted to ICU with a diagnosis of severe acute pancreatitis and multiorgan failure. Maximum inspiratory pressure (MIP), airway occlusion pressure at 100 ms (P0.1), rapid shallow breathing index (RSBI), and diaphragmatic thickening fraction (DTf) were measured. Results: The results demonstrated an improvement in all the parameters. Show an increase in MIP from-18 cmH2O to-37 cmH2O and a reduction in P0.1 from-5.7 cmH2O to-3.1 cmH2O. RSBI decreased from 107 to 72, and DTf increased from 20% to 35%. The patient was extubated successfully and discharged to the ward after a 28-day ICU stay. Conclusions: The application of transcutaneous neuromodulation led to an improvement in the predictive parameters of extubation failure in patients with severe acute pancreatitis, which was ultimately confirmed by ventilatory support not being required after extubation. Transcutaneous neuromodulation application helps improve respiratory parameters and systemic improvement of the patient until he is released from ICU. Transcutaneous neuromodulation should be used in combination with other physiotherapy techniques and should be included in a comprehensive rehabilitation protocol rather than as an isolated therapy.

Case report, 2024

Low back pain affects over 20% of individuals during their lifetime, and in some patients, it may... more Low back pain affects over 20% of individuals during their lifetime, and in some patients, it may be associated with scar tissue formation after surgery. Small-fiber neuropathy and scar tissue dysfunction can lead to localized pain by affecting signals to the thalamus. Transcutaneous neuromodulation using Tape with Magnetic Particles shows promise in relieving perceived pain, modulating vascularization and the autonomic nervous system, and reducing dermal temperature. In the present case, a 24-year-old woman with L5-S1 disk herniation experienced low back pain and leg pressure. The surgical intervention provided temporary relief, but scar restrictions caused pain recurrence. Tape with Magnetic Particles application initially induced scar hypothermia and pressure tolerance during posteroanterior tests on lumbar spinous processes increased, reducing pain perception for at least 12 h. Transcutaneous neuromodulation with Tape with Magnetic Particles modulated dermal temperature immediately and for 12 h, reducing perceived pain and sustaining improvement thereafter. This highlights the potential of Tape with Magnetic Particles in managing chronic low back pain associated with scar tissue.

Review, 2024

Background: To identify in the literature the exercise training therapies for females with fibrom... more Background: To identify in the literature the exercise training therapies for females with fibromyalgia that may improve pain management and quality of life (QOL).

Methods: A literature search was conducted in MEDLINE and PEDro databases for human studies up to June 2021. We considered studies if they investigated exercise therapies and their impact on pain, QOL, physical function, and mental health in female patients with fibromyalgia.

Results: We identified 112 clinical trials. After posterior analyses, 15 articles were selected, and 8 were considered eligible.

Conclusions: Selected studies demonstrated that highintensity and moderate-intensity aerobic training combined or not with muscle strength anaerobic exercise reduces pain and improves QOL in females with fibromyalgia.

Key words: exercise, fibromyalgia, pain, quality of life

Medicina , 2024

We are proud to be able to contribute our research along with a large group of Clinicians and Re... more We are proud to be able to contribute our research along with a large group of Clinicians and Researchers in the book entitled "Age Related Musculoskeletal Disorders" which you can consult and download here.

Electronic Journal of General Medicine, 2024

The anterior cruciate ligament (ACL) injury stands as a significant concern in judo, necessitatin... more The anterior cruciate ligament (ACL) injury stands as a significant concern in judo, necessitating preventive measures. The primary injury mechanism involves knee collapse in valgus, often linked to deficiencies in core strength, neuromuscular control, external rotators, hip abductors, and limitations in ankle and hip mobility. Sexwise, the injury is more prevalent in women across various sports. Therefore, in the present study we observed this possible intersexual disparity in the difference of movement patterns among elite judokas according to their sex, in order to identify those athletes with a higher risk of ACL injury. Notably, there were no discernible differences between sexes in the single leg squat test. Both men and women exhibited compromised neuromuscular control in the non-dominant leg. While ankle dorsiflexion and hip external rotation showed no gender disparities, differences in internal rotation were noted. This particular movement restriction may elevate the risk of ACL injury.

Physiotherapy Research International, 2024

Objectives: This systematic review and meta-analysis aims to evaluate the efficacy of pulmonary r... more Objectives: This systematic review and meta-analysis aims to evaluate the efficacy of pulmonary rehabilitation (PR) in improving dyspnea, fatigue, physical activity, quality of life, anxiety and depression in patients with Long COVID-19 (LC). The impact of PR on LC and a comparison of face-to-face and telerehabilitation approaches was explored. Methods: This systematic review and meta-analysis followed PRISMA guidelines and was registered in PROSPERO. A literature search included PubMed, Web of Science, and Cochrane Library until January 2023. No language filters were applied. Randomized controlled trials, non-randomized controlled trials, and observational studies were included. The risk of bias was assessed using appropriate tools. Descriptive analysis and meta-analysis were performed. Forest plots presented results. Statistical analyses were conducted using the Metafor Package in R v.3.4.2. Results/Findings: This systematic review and meta-analysis included 16 studies on PR in LC patients. A total of 1027 adults were included. The studies varied in design, with seven observational studies, three quasi-experimental studies, and six randomized controlled trials. Dyspnea, physical function, quality of life, psychological state, and fatigue were assessed as outcomes. The review found that pulmonary This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

Randomized Controlled Clinical Trial, 2024

Background Chronic low back pain is associated with dysfunctions in endogenous analgesia mechanis... more Background
Chronic low back pain is associated with dysfunctions in endogenous analgesia mechanisms, as evaluated through conditioned pain modulation paradigms. Although mobilization with movement has demonstrated enhancements in conditioned pain modulation among patients with conditions such as knee osteoarthritis, its efficacy in chronic low back pain patients has yet to be established.
Objectives
To investigate the effects of mobilization with movement compared to sham mobilization in conditioned pain modulation, mechanical hyperalgesia, and pain intensity in chronic low back pain patients.
Design
Randomized controlled trial following CONSORT and TIDieR guidelines.
Method
Fifty-eight patients with chronic low back pain (mean age 48.77 ± 13.92 years) were randomized into the experimental group, which received real mobilization with movement (n = 29), or the sham mobilization with movement group (n = 29). Only one intervention was performed. Patients were assessed before and after intervention. Conditioned pain modulation, mechanical hyperalgesia and pain intensity were assessed.
Results
Mobilization with movement resulted in no statistically significant differences compared to sham mobilization for conditioned pain modulation (post-treatment difference: 0.023 [-0.299, 0.345], p = 0.158), mechanical hyperalgesia (post-treatment difference: −0.198 [-0.505, 0.109], p = 0.207), or movement-related pain intensity (post-treatment difference: 0.548 [-0.068, 1.236], p = 0.079) improvements post-intervention. Effect sizes were small for conditioned pain modulation (r = 0.126), mechanical hyperalgesia (r = 0.101), and pain intensity (r = 0.208).
Conclusions
Mobilization with movement resulted in no significant differences compared to sham mobilization with movement after one intervention for conditioned pain modulation, mechanical hyperalgesia or pain intensity, with small effect sizes. However, the findings should be interpreted with caution due to absence of screening for appropriately eligible patients.

Introduction: The global shift towards an aging population presents significant challenges, parti... more Introduction: The global shift towards an aging population presents significant challenges, particularly concerning frailty among older adults. Frailty, characterized by diminished strength and resilience, increases vulnerability to diseases and hospitalization. Health Issues: Traditional diagnostic tools for frailty are costly and involve radiation risks, necessitating noninvasive, cost-effective methods like ultrasound. Frail older adults require intensive medical care, increasing healthcare costs and burdening systems. Scientific Challenges: Research must adopt a multidimensional approach, considering physical, psychological, and social factors of frailty. There is a pressing need to develop accessible diagnostic tools and translate research findings into clinical practice. Integrating ultrasound with machine learning enhances diagnostic accuracy and predictive capabilities, facilitating personalized care. Social Implications: Frailty reduces the quality of life for older adults, places emotional and financial burdens on families, and exacerbates health inequalities. It also leads to social isolation, diminishing the participation of older adults in community activities. Future Directions: An integrated response involving public health policies, technological innovations, and education is necessary. Developing community health programs, implementing continuous health monitoring tools, and conducting awareness campaigns can significantly improve frailty management. Conclusions: Tackling frailty is not only a health imperative but also a social and ethical responsibility. By addressing the intertwined health, scientific, and social challenges of frailty, we can ensure healthy and equitable aging for all, reflecting our commitment to improving the quality of life for older adults.

Aging, 2024

Introduction: The global shift towards an aging population presents significant challenges, parti... more Introduction: The global shift towards an aging population presents significant challenges, particularly concerning frailty among older adults. Frailty, characterized by diminished strength and resilience, increases vulnerability to diseases and hospitalization. HealthIssues: Traditional diagnostic tools for frailty are costly and involve radiation risks, necessitating non-invasive, cost-effective methods like ultrasound. Frail older adults require intensive medical care, increasing healthcare costs and burdening systems. ScientificChallenges: Research must adopt a multidimensional approach, considering physical, psychological, and social factors of frailty. There is a pressing need to develop accessible diagnostic tools and translate research findings into clinical practice. Integrating ultrasound with machine learning enhances diagnostic accuracy and predictive capabilities, facilitating personalized care. SocialImplications: Frailty reduces the quality of life for older adults, places emotional and financial burdens on families, and exacerbates health inequalities. It also leads to social isolation, diminishing the participation of older adults in community activities. Future Directions: An integrated response involving public health policies, technological innovations, and education is necessary. Developing community health programs, implementing continuous health monitoring tools, and conducting awareness campaigns can significantly improve frailty management. Conclusions: Tackling frailty is not only a health imperative but also a social and ethical responsibility. By addressing the intertwined health, scientific, and social challenges of frailty, we can ensure healthy and equitable aging for all, reflecting our commitment to improving the quality of life for older adults.

Heliyon, 2024

Introduction: Traumatic Brain Injury (TBI) is a significant public health concern that causes dea... more Introduction: Traumatic Brain Injury (TBI) is a significant public health concern that causes death, disability, and economic burden. Its repercussions affect physical, cognitive, emotional, and behavioral aspects of long-term care needs. Despite improvements in communication among multidisciplinary teams, the management of TBI remains fragmented.
Objective: This study aimed to assess patients and caregivers’ experiences through sentiment analysis.
Materials and methods: A qualitative cross-sectional study utilized structured topic modeling (STM) to analyze in-depth interview data. The study involved 29 patients with TBI and 27 caregivers in Madrid (Spain), using a survey design. The interviews were conducted, transcribed, and coded independently over 5 months. Sentiments such as anticipation, fear, and emotional concerns were analyzed using three dictionaries. The STM analysis identified four key concepts: desire for independence, potential improvement, need for injury information, and psychological
consequences. STM diagnostic graphs were used to determine the number of topics relevant to the evaluation of patient and caregiver concerns. Furthermore, an analysis was conducted across four topics.
Results: The average age of the patients was 44.2 ± 14.9 years (69 % males). Regarding TBI severity, 59 % of patients had severe TBI, whereas the remaining 41 % had experienced moderate TBI. Among the caregivers, the majority were parents (30 %), partners (24 %), or siblings (24 %
each). Among the 51 participants, sentiments were analyzed using three dictionaries. While there were no significant age differences (Z = 0.24, p = 0.815), the STM model was adjusted for significant sex differences (p = 0.017) between patients and relatives. Anticipation and fear prevailed in both groups, highlighting the shared emotional patterns.
Discussion: The analysis of diagnostic graphs indicated the optimal number of topics for evaluation, emphasizing key concerns across different phases of TBI. Patients’ main worries shifted from physical symptoms to limitations in daily life and independence. Caregivers highlighted the importance of staff interactions, misinformation challenges, and the need for psychological care.
Conclusion: Key patient concerns, including dependency on daily activities, limitations in autonomy, and caregiver burden, emphasize crucial areas for enhancement in multidisciplinary
treatment. Moreover, the lack of long-term psychological support is a significant barrier to optimal patient and caregiver well-being.

Systematic Review and Network Meta-Analysis, 2024

1 international postgraduate school, faculty of health sciences, rey Juan carlos university, alco... more 1 international postgraduate school, faculty of health sciences, rey Juan carlos university, alcorcón, spain; 2 physiotherapy and orofacial pain Working Group, spanish society of craniomandibular dysfunction and orofacial pain (sEdcydo),

Clinical Trial, 2024

The aim of this experimental study was to determine which manual therapy approach is more effecti... more The aim of this experimental study was to determine which manual therapy approach is more effective in addressing health status by improving symptoms (sensory, cognitive, emotional, and social) in patients with fibromyalgia. Material and methods: A quasi-randomized clinical trial with 3-month follow-up was conducted in 52 female patients (age 52.5 ± 8.1 years) affected by rheumatologist-diagnosed Fibromyalgia and evaluated at the Asociación de Fibromialgia y Síndrome de Fatiga Crónica (AFINSYFACRO) in Móstoles and AFIBROM, Madrid, Spain. Two manual therapy approaches were applied: the myofascial technique approach (MTA) and Maitland Mobilization Approach (MMA). The study examined the following outcomes: Widespread Pain, Symptom Severity, Impact on Quality of Life, Perceived Pain, Sensitization-Associated Pain, Sleep Quality, Physical Activity, and Psychological, Cognitive, and Emotional Factors. Patient Satisfaction was also assessed. Results: No significant differences were found between groups over time for most variables. However, the MTA group showed significant improvements in pain intensity, central sensitization, general health, sleep quality, and anxiety compared with the MMA group. Conclusions: Despite the lack of between-group differences in all variables over time, MTA may be useful in the treatment of fibromyalgia, reducing pain, central sensitization, and negative emotional symptoms, as well as improving general health and sleep quality. Due to problems during the study, randomization was abandoned. This problem becomes a virtue by taking advantage of the situation to apply statistical compensation methods, which will serve as a guide for future research that suffers from this problem. We suggest the inclusion of longer follow-up periods in future studies.

Topics in geriatric rehabilitation, Apr 1, 2024

Retos: Nuevas Tendencias en Educación Física, Deportes y Recreación, Sep 12, 2023

Introduction: The aim of the present study is to analyze the correlation between people that suff... more Introduction: The aim of the present study is to analyze the correlation between people that suffer from chronic ankle instability and muscle strength deficits of the proximal joints of the lower limb, which are the hip and knee. Methods: The narrative review was conducted on MEDLINE using the selected keywords to build the search string. After inclusion and exclusion criteria were applied, the articles were independently screened by two authors reading the titles and abstracts or full articles. The quality assessment was conducted using the NIH quality assessment tool for observational cohort and cross-sectional studies, the methodological index for non-randomized studies scale, the risk-of-bias tool for non-randomized trials, and the Critical Appraisal Skills Programme checklist. Result: From 506 papers originally identified through database search, six studies were finally selected. The quality score was medium to low in all studies according to selected tool. Major of the included studies underlined that the lower limb strength deficits represent a key factor in the rehabilitation path in patients with chronic ankle instability (CAI) and, in addition to predictable ankle's muscle impairments, hip strength was a significant weakness in performance evaluation in this type of patients. Conclusion: It's not possible to confirm to our knowledge a strictly significant correlation between strength deficit of hip and knee, when appreciated. These results, however, might suggest another time that the difference between people who suffer from CAI and coper is the rehabilitation program that patients follow after an injury.

Physiotherapy research international, Feb 22, 2024

Objectives: This systematic review and meta-analysis aims to evaluate the efficacy of pulmonary r... more Objectives: This systematic review and meta-analysis aims to evaluate the efficacy of pulmonary rehabilitation (PR) in improving dyspnea, fatigue, physical activity, quality of life, anxiety and depression in patients with Long COVID-19 (LC). The impact of PR on LC and a comparison of face-to-face and telerehabilitation approaches was explored. Methods: This systematic review and meta-analysis followed PRISMA guidelines and was registered in PROSPERO. A literature search included PubMed, Web of Science, and Cochrane Library until January 2023. No language filters were applied. Randomized controlled trials, non-randomized controlled trials, and observational studies were included. The risk of bias was assessed using appropriate tools. Descriptive analysis and meta-analysis were performed. Forest plots presented results. Statistical analyses were conducted using the Metafor Package in R v.3.4.2. Results/Findings: This systematic review and meta-analysis included 16 studies on PR in LC patients. A total of 1027 adults were included. The studies varied in design, with seven observational studies, three quasi-experimental studies, and six randomized controlled trials. Dyspnea, physical function, quality of life, psychological state, and fatigue were assessed as outcomes. The review found that pulmonary This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

Topics in Geriatric Rehabilitation, Sep 30, 2023

Sleep Medicine Reviews, Dec 31, 2023

The anterior cruciate ligament (ACL) injury is the most serious injury in judo. Therefore, its pr... more The anterior cruciate ligament (ACL) injury is the most serious injury in judo. Therefore, its prevention is of great importance. The main mechanism of injury is the collapse of the knee in valgus, which usually occurs when there are deficits of strength and neuromuscular control of the core, external rotators and hip abductors, as well as limitations of ankle and hip mobility. In most sports there is a difference in the prevalence of this injury between both sexes, being more common in women. Therefore, in the present study we observed this possible intersexual disparity in the difference of movement patterns among elite judokas according to their sex, in order to identify those athletes with a higher risk of ACL injury. In addition, it was not observed differences between sexes in the performance of the Single Leg Squat test (SLS test); There was worse neuromuscular control of the non-dominant leg in men and women; No differences were observed in in the range of motion of ankle do...

Book, 2024

Summary The coronavirus disease, 2019 (COVID-19), has led to the worst worldwide healthcare outbr... more Summary
The coronavirus disease, 2019 (COVID-19), has led to the worst worldwide healthcare outbreak of the current century. Our knowledge on severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 virus), the agent causing COVID-19, has dramatically increased in recent years. Further, healthcare systems are facing another outbreak due to COVID-19—long COVID or post-COVID-19 syndrome—which is the presence of long-lasting symptoms after an acute SARS-CoV-2 infection. The development of long-lasting post-COVID-19 symptoms has been called long COVID or a post-COVID-19 condition. To date, more than 100 potential long-lasting post-COVID symptoms have been potentially attributed to SARS-CoV-2. This Special Issue of Biomedicines, entitled "Latest Research in Post-COVID-19 (long COVID-19): Pathological and Treatment Studies of Sequelae and Complications”, has focused on potential gaps in our knowledge regarding the identification, timeframe, mechanisms, and treatment strategies for the management of the post-COVID-19 condition. The fourteen published papers in this Special Issue cover the following topics: 1, treatment of the post-COVID-19 condition; 2, neonatal repercussion of the SARS-CoV-2 infection; 3, risk factors of severe COVID-19; 4, phenotyping of post-COVID-19 pain; and 5, others.

Case Report, 2024

Background: Complications of pancreatitis can lead to admission to the intensive care unit (ICU) ... more Background: Complications of pancreatitis can lead to admission to the intensive care unit (ICU) with invasive mechanical ventilation. Reducing the duration of mechanical ventilation is challenging for critical care practitioners. Respiratory muscle weakness hinders the weaning process, thereby increasing the duration of mechanical ventilation and hindering pulmonary rehabilitation. Methods: We evaluated the effect of transcutaneous neuromodulation on predictors of extubation failure. The patient was a 51-year-old male with a history of type 2 diabetes, obesity (body mass index=35), and regular alcohol consumption of 40 g/day. The patient was admitted to ICU with a diagnosis of severe acute pancreatitis and multiorgan failure. Maximum inspiratory pressure (MIP), airway occlusion pressure at 100 ms (P0.1), rapid shallow breathing index (RSBI), and diaphragmatic thickening fraction (DTf) were measured. Results: The results demonstrated an improvement in all the parameters. Show an increase in MIP from-18 cmH2O to-37 cmH2O and a reduction in P0.1 from-5.7 cmH2O to-3.1 cmH2O. RSBI decreased from 107 to 72, and DTf increased from 20% to 35%. The patient was extubated successfully and discharged to the ward after a 28-day ICU stay. Conclusions: The application of transcutaneous neuromodulation led to an improvement in the predictive parameters of extubation failure in patients with severe acute pancreatitis, which was ultimately confirmed by ventilatory support not being required after extubation. Transcutaneous neuromodulation application helps improve respiratory parameters and systemic improvement of the patient until he is released from ICU. Transcutaneous neuromodulation should be used in combination with other physiotherapy techniques and should be included in a comprehensive rehabilitation protocol rather than as an isolated therapy.

Case report, 2024

Low back pain affects over 20% of individuals during their lifetime, and in some patients, it may... more Low back pain affects over 20% of individuals during their lifetime, and in some patients, it may be associated with scar tissue formation after surgery. Small-fiber neuropathy and scar tissue dysfunction can lead to localized pain by affecting signals to the thalamus. Transcutaneous neuromodulation using Tape with Magnetic Particles shows promise in relieving perceived pain, modulating vascularization and the autonomic nervous system, and reducing dermal temperature. In the present case, a 24-year-old woman with L5-S1 disk herniation experienced low back pain and leg pressure. The surgical intervention provided temporary relief, but scar restrictions caused pain recurrence. Tape with Magnetic Particles application initially induced scar hypothermia and pressure tolerance during posteroanterior tests on lumbar spinous processes increased, reducing pain perception for at least 12 h. Transcutaneous neuromodulation with Tape with Magnetic Particles modulated dermal temperature immediately and for 12 h, reducing perceived pain and sustaining improvement thereafter. This highlights the potential of Tape with Magnetic Particles in managing chronic low back pain associated with scar tissue.

Review, 2024

Background: To identify in the literature the exercise training therapies for females with fibrom... more Background: To identify in the literature the exercise training therapies for females with fibromyalgia that may improve pain management and quality of life (QOL).

Methods: A literature search was conducted in MEDLINE and PEDro databases for human studies up to June 2021. We considered studies if they investigated exercise therapies and their impact on pain, QOL, physical function, and mental health in female patients with fibromyalgia.

Results: We identified 112 clinical trials. After posterior analyses, 15 articles were selected, and 8 were considered eligible.

Conclusions: Selected studies demonstrated that highintensity and moderate-intensity aerobic training combined or not with muscle strength anaerobic exercise reduces pain and improves QOL in females with fibromyalgia.

Key words: exercise, fibromyalgia, pain, quality of life

Medicina , 2024

We are proud to be able to contribute our research along with a large group of Clinicians and Re... more We are proud to be able to contribute our research along with a large group of Clinicians and Researchers in the book entitled "Age Related Musculoskeletal Disorders" which you can consult and download here.

Electronic Journal of General Medicine, 2024

The anterior cruciate ligament (ACL) injury stands as a significant concern in judo, necessitatin... more The anterior cruciate ligament (ACL) injury stands as a significant concern in judo, necessitating preventive measures. The primary injury mechanism involves knee collapse in valgus, often linked to deficiencies in core strength, neuromuscular control, external rotators, hip abductors, and limitations in ankle and hip mobility. Sexwise, the injury is more prevalent in women across various sports. Therefore, in the present study we observed this possible intersexual disparity in the difference of movement patterns among elite judokas according to their sex, in order to identify those athletes with a higher risk of ACL injury. Notably, there were no discernible differences between sexes in the single leg squat test. Both men and women exhibited compromised neuromuscular control in the non-dominant leg. While ankle dorsiflexion and hip external rotation showed no gender disparities, differences in internal rotation were noted. This particular movement restriction may elevate the risk of ACL injury.

Physiotherapy Research International, 2024

Objectives: This systematic review and meta-analysis aims to evaluate the efficacy of pulmonary r... more Objectives: This systematic review and meta-analysis aims to evaluate the efficacy of pulmonary rehabilitation (PR) in improving dyspnea, fatigue, physical activity, quality of life, anxiety and depression in patients with Long COVID-19 (LC). The impact of PR on LC and a comparison of face-to-face and telerehabilitation approaches was explored. Methods: This systematic review and meta-analysis followed PRISMA guidelines and was registered in PROSPERO. A literature search included PubMed, Web of Science, and Cochrane Library until January 2023. No language filters were applied. Randomized controlled trials, non-randomized controlled trials, and observational studies were included. The risk of bias was assessed using appropriate tools. Descriptive analysis and meta-analysis were performed. Forest plots presented results. Statistical analyses were conducted using the Metafor Package in R v.3.4.2. Results/Findings: This systematic review and meta-analysis included 16 studies on PR in LC patients. A total of 1027 adults were included. The studies varied in design, with seven observational studies, three quasi-experimental studies, and six randomized controlled trials. Dyspnea, physical function, quality of life, psychological state, and fatigue were assessed as outcomes. The review found that pulmonary This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.