Jordi Vilaró | Ramon Llull University (original) (raw)

Papers by Jordi Vilaró

Research paper thumbnail of Acupoint transcutaneous electrical nerve stimulation in hospitalized copd patients with severe dyspnoea: study protocol for a randomized controlled trial

Research Square (Research Square), Sep 25, 2019

Research paper thumbnail of Physical activity and cardiac autonomic function in patients with COPD, a cross-sectional analysis

Research paper thumbnail of State of the respiratory physiotherapy in Spain: Map from online survey results

Objective: To define the map of respiratory physiotherapy (RP) in Spain. Design: Online questionn... more Objective: To define the map of respiratory physiotherapy (RP) in Spain. Design: Online questionnaire. Setting: A 39 items online survey was allocated in a survey web during 4 months. Direct contacts, professional colleges, physiotherapy services, universities and professional associations were invited to answer once every professional. The survey was about clinical, teaching and research profile questions and even it was posted on a web-side respiratory national society during the same period. PARTICIPANTS: graduated physiotherapists living and working in Spain. Results: 818 questionnaires were answered. The answers obtained had a heterogeneous territorial distribution; Galicia, Catalunya and Castilla- la Mancha were the most responder areas. 560 physiotherapists (69%) performed regular RP treatments, 123 (15%) were involved in respiratory research and 137 (17%) in RP teaching at the university or in post-graduate courses. However, RP was not homogeneously established over the country and only 21.5% of the physiotherapists were fully involved in RP. Physiotherapists involved in RP worked in private centres (25.2%) and at public hospitals (20.5%). Only 309 of the total (38%) obtained a RP post-graduate specialisation in respiratory physiotherapy. Conclusions: The response rate allows to define the professional situation of RP across Spain. Our specialisation is not well established and its distribution is not homogeneous over the country. There is a need to increase the number of RP post-graduate trained professionals and researchers in order to improve the quality of Respiratory Physiotherapy over Spain.

Research paper thumbnail of Myofunctional therapy (oropharyngeal exercises) for obstructive sleep apnoea

The Cochrane library, Oct 15, 2019

Trusted evidence. Informed decisions. Better health. Cochrane Database of Systematic Reviews Key ... more Trusted evidence. Informed decisions. Better health. Cochrane Database of Systematic Reviews Key results We found nine RCT studies that analysed a total of 347 participants, 69 of them women, and 13 children. In adults, compared to sham therapy, myofunctional therapy probably reduces daytime sleepiness, may increase sleep quality, may result in a large reduction in Apnoea-Hypopnoea Index (the number of apneas or hypopnoeas recorded during the polysomnography study per hour of sleep), may have little to no e ect in reduction of snoring frequency and probably reduces subjective snoring intensity slightly. Compared to waiting list, myofunctional therapy may reduce daytime sleepiness, may result in little to no di erence in sleep quality and may reduce AHI. Compared to CPAP, myofunctional therapy may result in little to no di erence in daytime sleepiness and may increase AHI. Compared to CPAP plus myofunctional therapy, myofunctional therapy alone may result in little to no di erence in daytime sleepiness and may increase AHI. Compared to respiratory exercises plus nasal dilator strip, myofunctional therapy may result in little to no di erence in daytime sleepiness, probably increases sleep quality slightly and may result in little to no di erence in AHI. Compared to standard medical treatment, myofunctional therapy may reduce daytime sleepiness and may increase sleep quality. In children, compared to nasal washing alone, adding myofunctional therapy to nasal washing may result in little to no di erence in AHI. Certainty of the evidence Our level of certainty about the results of the studies ranges from moderate to very low for all comparisons, mainly due to problems related to risk of bias (for inadequate blinding of participants and incomplete outcome data in some studies) and imprecision. Most of the participants in the studies were men and we could not undertake separate analyses for women. Conclusions Compared to sham therapy, myofunctional therapy probably reduces daytime sleepiness and may increase sleep quality in the short term in patients with obstructive sleep apnoea. New blinded studies, with more participants and longer times of treatment and follow-up, are needed. The review is current to May 2020. Myofunctional therapy (oropharyngeal exercises) for obstructive sleep apnoea (Review)

Research paper thumbnail of Consenso Nacional Sobre Los Contenidos De Fisioterapia Cardiorrespiratoria en La Formación De Grado: Estudio Delphi

Fisioterapia, May 1, 2023

Research paper thumbnail of Análisis Descriptivo De La Situación Académica De La Fisioterapia Cardiorrespiratoria en España

Fisioterapia, May 1, 2023

Research paper thumbnail of Eficacia de un seguimiento telemático para promover la actividad física post trasplante hematológico. Estudio piloto

Scientific medical data, Nov 27, 2018

Research paper thumbnail of Clinical Effects of Rehabilitation on Balance in People With Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis

Frontiers in Medicine, May 6, 2022

Background: Patients with chronic obstructive pulmonary disease (COPD) have systemic damage secon... more Background: Patients with chronic obstructive pulmonary disease (COPD) have systemic damage secondary to the primary pulmonary impairment, expressed in impaired peripheral musculature and a deficit in postural control compared to healthy subjects. This study aimed to determine the effects of rehabilitation on balance in patients with COPD. Methods: An exhaustive search was conducted in four databases (Pubmed, Cochrane Library, EMBASE, Web of Science). Articles with a population of COPD receiving rehabilitation (therapeutic exercise, pulmonary rehabilitation, or physical therapy modalities) in an outpatient setting were included. Two independent reviewers selected and assessed the study quality. The risk of bias was assessed with the Cochrane Risk of Bias Tool for Randomized Controlled Trials. Results: A total of eight studies involving 284 patients were included in the qualitative synthesis. The meta-analysis showed an overall result in favor of balance training for the Berg Balance Scale (mean difference 3.91 points; 95% CI: 1.51 to 6.31; P = 0.001), Timed Up and Go test (mean difference −1.58 s; 95% CI: −2.63 to −0.53; P = 0.003) and Unipedal stance test (mean difference 3.56 s, 95% CI: 2.58 to 4.54; P). Conclusion: This meta-analysis revealed that rehabilitation improve static and dynamic balance in patients with COPD.

Research paper thumbnail of Effects of a cardiac rehabilitation program based on continuous high-intensity Nordic Walking training

http://isrctn.com/, Jul 4, 2022

Research paper thumbnail of Inspiratory muscle training and exercise versus exercise alone for asthma

The Cochrane library, Sep 26, 2018

This is a protocol for a Cochrane Review (Intervention). The objectives are as follows:To assess ... more This is a protocol for a Cochrane Review (Intervention). The objectives are as follows:To assess the effectiveness of inspiratory muscle training plus exercise versus exercise alone in people with asthma.

Research paper thumbnail of Validity of a Spanish Version of the Leicester Cough Questionnaire in Children With Cystic Fibrosis

Archivos De Bronconeumologia, Feb 1, 2016

Cystic fibrosis (CF) patients present chronic cough as one of the main symptoms, which has an imp... more Cystic fibrosis (CF) patients present chronic cough as one of the main symptoms, which has an important effect on quality of life and social relations. Our goal was to validate the Spanish version of the Leicester Cough Questionnaire (LCQ) in a group of children and teenagers with CF. After adapting to Spanish by standardized translation and retro-translation methodology, a sample of 58 stable CF patients from 7 to 18years were recruited from three CF specialized centers in Spain. The questionnaire was administered twice; the second administration (LCQ2) was performed between 2-4 weeks later than the first one (LCQ1), in order to analyse the reliability and validity of the Spanish version. To correlate results with health related quality of life (HRQoL) we used the Cystic Fibrosis Questionnaire-Revised (CFQ-R). Population was composed by 62% male, age 11.7±3.1years and body mass index (BMI) 19±3kg/m(2). Total scores from LCQ were: LCQ1 19 (17.75-21) vs LCQ2 19 (16-21) (P=.199). Cronbach's Alpha coefficient was 0.83 for the LCQtotal and for each specific domain was: 0.82 LCQphysical; 0.74 LCQpsychological and 0.62 LCQsocial. Intraclass correlation coefficient was: 0.69 LCQphysical; 0.59 LCQpsychological; 0.45 LCQsocial and 0.71 LCQtotal (good reliability). Relations with CFQ-R showed moderated and significant results: for the LCQtotal: respiratory symptom domain r = 0,51 (P<.001) and physical capacity domain r = 0,62 (P<.05). The Spanish version of the Leicester Cough Questionnaire is reliable and valid for children and adolescents with CF and it has good relations with health related quality of life in this population.

Research paper thumbnail of Levels of physical activity in children and adolescents with asthma: A systematic review and meta‐analysis

Pediatric Pulmonology, Feb 9, 2021

Given the fact that physical exertion leads to blood glucose fluctuations, type one diabetes mell... more Given the fact that physical exertion leads to blood glucose fluctuations, type one diabetes mellitus (T1D) may potentially constitute a barrier for obtaining a sufficient amount of exercise. The main purpose of the study was to compare the level of physical activity between children with T1D (n = 215) and healthy controls (n = 115) and to assess the physical activity of the study group in relation to the applied method of insulin therapy, i.e., the use of insulin pen vs. insulin pump. The level of physical activity was assessed with a hip-worn tri-axial accelerometer (ActiGraph GT3X+) used by the subjects for an uninterrupted period of seven days. Children with T1D had significantly lower median values of total time of moderate (213.3 vs. 272.1 min), vigorous (135.3 vs. 19.6 min) and moderate-to-vigorous (347.4 vs. 467.4 min) physical activity compared to healthy peers respectively, (p < 0.001) in all cases. In addition, the total median number of steps was significantly lower (53,631 vs. 67,542 steps), (p < 0.001). The method of insulin therapy was not associated with significant differences in physical activity level (p > 0.001). The level of physical activity in children and adolescents with T1D is lower than in their healthy peers and does not depend on the insulin therapy method.

Research paper thumbnail of Evaluation Exercise Tolerance in COPD Patients: the 6-Minute Walking Test

Archivos De Bronconeumologia, Feb 1, 2004

Dyspnea brought on by exercise is one of the basic symptoms of patients with chronic obstructive ... more Dyspnea brought on by exercise is one of the basic symptoms of patients with chronic obstructive pulmonary disease (COPD). It appears in the initial phases of the disease, affects activities of daily living, and determines, to a large extent, the perception of the degree of illness and extent of deterioration in quality of life. Tolerance to exercise in these patients is an indicator of severity, regardless of forced expiratory volume in the first second. In fact, the evaluation of both factors—severity of obstructive ventilation (forced expiratory volume in 1 second) and the limitation of tolerance to exercise—are vital in controlling the progression of COPD. Among the simple tests used to evaluate tolerance to exercise, the 6-minute walking (6MW) distance has proved to be a predictor of survival independent of other variables and, at the same time, indicates frequency of hospitalizations from exacerbations. This is important considering that the progression of the disease is influenced by the frequency of these episodes which signify an associated mortality of from 3% to 10%, or more if the patient is admitted to intensive care. The 6MW distance has also been shown to predict postoperative outcome in candidates for volume reduction surgery by identifying patients with a potentially unfavorable outcome. Among patients that present postoperative functional improvement, an improvement in tolerance to exercise has a longer duration than changes in forced expiratory volume in 1 second. This discrepancy can be explained by the fact that exercise tests reflect not only lung changes but also interactions with other systems that respond to exercise such as the cardiovascular and muscular systems. Thus, the high predictive value of exercise tolerance lies in its multifaceted nature, being affected by: a) airflow limitation from mechanical dysfunction; b) impaired gas exchange; c) insufficient increase in heart rate during exercise, and d) peripheral muscle dysfunction. This multifaceted nature together with lung function limitations measured at rest makes exercise tolerance valuable in characterizing COPD patients. However, exercise protocols that can be clinically applied outside lung function laboratories are a practical consideration.

Research paper thumbnail of Chest physiotherapy for acute bronchiolitis in paediatric patients between 0 and 24 months old

The Cochrane library, Apr 3, 2023

Acute bronchiolitis is the leading causes of medical emergencies during winter in children younge... more Acute bronchiolitis is the leading causes of medical emergencies during winter in children younger than two years of age. Chest physiotherapy is thought to assist infants in the clearance of secretions and decrease ventilatory effort. To determine the efficacy and safety of chest physiotherapy in infants aged less than 24 months old with acute bronchiolitis. We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library Issue 2, 2004) which contains the Acute Respiratory Infection Group&#39;s specialised register; MEDLINE (January 1966 to June 2004); EMBASE (1990 to June 2004); PASCAL; SCISEARCH; LILACS; and Cumulative Index to the Nursing &amp; Allied Health Literature (CINAHL) (1982 to May 2004). Randomised controlled trails (RCTs) in paediatric patients younger than twenty four months old in which chest physiotherapy was compared against no intervention or against another type of physiotherapy. Two independent reviewers extracted the data. Primary outcome was a severity clinical score. Secondary outcomes were length of hospital stay, duration of oxygen supplementation, and the use of bronchodilators and steroids. Three clinical trials met the inclusion criteria. All evaluated vibration and percussion techniques in postural drainage positions compared to no intervention. The study population were hospitalised infants with a clinical diagnosis of acute bronchiolitis, although one study included only infants who required nasogastric tube feeding or intravenous fluids. None of the other included trails observed any differences in the severity of the clinical score at day five or during each of the five days of the trial or until discharge, length of hospital stay, or oxygen requirements between chest physiotherapy group and control. Based on the results of three RCTs, chest physiotherapy using vibration and percussion techniques does not reduce length of hospital stay, oxygen requirements, or improve the severity clinical score in infants with acute bronchiolitis that are not under mechanical ventilation, and who do not have any other co-morbidity. Chest physiotherapy using forced expiratory technique needs to be evaluated by clinical research.

Research paper thumbnail of Effects of exercise on the expression of angiogenesis-precursor biomarkers in cardiovascular diseases: a systematic review

Review question / Objective: What is the effect of exercise on the expression of angiogenesis-pre... more Review question / Objective: What is the effect of exercise on the expression of angiogenesis-precursor biomarkers in cardiovascular diseases? Rationale: The neo-formation of new blood vessels in muscle tissue (both cardiac and skeletal muscle) could be a key variable explaining the patients symptoms and prognosis and explain why adherence to cardiac rehabilitation varies among patients. Condition being studied: Cardiovascular diseases frequently referred to exercisebased cardiac rehabilitation programs, INPLASY

Research paper thumbnail of Physical performance testing in post-COVID-19 patients: protocol for a systematic review of psychometric measurement properties

BMJ Open, Apr 1, 2023

et al. Physical performance testing in post-COVID-19 patients: protocol for a systematic review o... more et al. Physical performance testing in post-COVID-19 patients: protocol for a systematic review of psychometric measurement properties. BMJ Open 2023;13:e067392.

Research paper thumbnail of Wet sputum as an objective outcome in a randomized crossover trial in NCF-BE: Reliability and responsiveness

European Respiratory Journal, Sep 1, 2014

AIM: To analyze reliability and responsiveness of wet sputum as an outcome measure in a trial rel... more AIM: To analyze reliability and responsiveness of wet sputum as an outcome measure in a trial related with bronchial drainage (BD) in stable non-cystic fibrosis bronchiectasis (NCFBE) METHODS: Randomized crossover trial in NCFBE with chronic sputum production.3 different BD techniques were compared:Autogenic Drainage(AD),Slow expiration with glottis opened in lateral posture(ELTGOL),and temporary positive expiratory pressure(TPEP).Each technique was applied on 3 sessions.Sputum quantity was evaluated at:1) Baseline(24h spontaneous sputum production;2)during BD session;3) post-BD session:24h spontaneous sputum production.The amount of wet sputum samples (without split)were measured in grams.Intra-class correlation coefficient (ICC) and Friedman´s test were used to assess reliability and responsiveness(p<0.05) RESULTS: We recluited 31 patients (29%male) with a mean(SD) age of 59.5 (±18.09) years and a mean(SD) FEV1% of 63%(±23).ICC of baseline wet sputum measures was 0.98(CI95%0.97-0.99; p<0.001).ICC for sputum measures obtained during BD sessions for the 3 techniques were:AD 0.80(CI95%0.68-0.89);ELTGOL 0.96(CI95%0.93-0.98);T-PEP 0.81(CI95%0.68-0.9).ICC for sputum measures obtained post-BD sessions for the 3 techniques were:AD 0.72 (CI 95%0.56-0.84);ELTGOL 0.79(CI95%0.66-0.88);T-PEP 0.96(CI 95%0.92-0.98).All correlation rates were significant (p<0.001).All techniques achieved a reduction in 24h sputum production from baseline to post-BD,9,89g(13.46 – 5.39; p< 0.001) CONCLUSION: Wet sputum quantity was a reliable and responsiveness outcome measure in order to analyze the efficacy of these 3 BD techniques in stable NCFBE.An analytical study should be performed to confirm our results.

Research paper thumbnail of Experience, facilitators, and barriers to the implementation of a multicomponent programme in older people living in the community, +AGIL Barcelona: A qualitative study

Frontiers in Public Health

IntroductionThe +AGIL Barcelona programme is a multicomponent care intervention for frail older a... more IntroductionThe +AGIL Barcelona programme is a multicomponent care intervention for frail older adults (FOAs) living in the community. To improve the programme, it is essential to investigate the experience of all participants. Our objective was to explore the perspective of FOA and professionals about the barriers, facilitators, and improvement elements of the development of the +AGIL Barcelona programme. Qualitative descriptive approach. Were included FOA and professionals who participated in the +AGIL Barcelona programme.MethodsThree focus groups and four interviews were conducted. These were analyzed following the qualitative method of content analysis. The criteria of scientific rigor of credibility, dependence, and transferability were ensured throughout the study.ResultsThree themes and seven sub-themes were developed: facilitators (positive experience and perceived benefits), barriers (self-perceived health status, digital divide, and continuity of the programme at home), an...

Research paper thumbnail of Exercise Capacity in Children and Adolescents With Congenital Heart Disease: A Systematic Review and Meta-Analysis

Frontiers in Cardiovascular Medicine

BackgroundCongenital heart disease (CHD) entails structural defects in the morphogenesis of the h... more BackgroundCongenital heart disease (CHD) entails structural defects in the morphogenesis of the heart or its main vessels. Analyzing exercise capacity of children and adolescents with CHD is important to improve their functional condition and quality of life, since it can allow timely intervention on poor prognostic factors associated with higher risk of morbidity and mortality.ObjectiveTo describe exercise capacity in children and adolescents with CHD compared with healthy controls.MethodsA systematic review was carried out. Randomized clinical trials and observational studies were included assessing exercise capacity through direct and indirect methods in children and adolescents between 5 and 17 years-old. A sensitive analysis was performed including studies with CHD repaired participants. Additionally, it was sub-analyzed by age range (< and ≥ 12 years old). Two independent reviewers analyzed the studies, extracted the data, and assessed the quality of the evidence.Results561...

Research paper thumbnail of Mortality in children and adolescents on Home Mechanical Ventilation: Systematic Literature Review and Meta-Analysis

07.06 - Paediatric respiratory epidemiology

Research paper thumbnail of Acupoint transcutaneous electrical nerve stimulation in hospitalized copd patients with severe dyspnoea: study protocol for a randomized controlled trial

Research Square (Research Square), Sep 25, 2019

Research paper thumbnail of Physical activity and cardiac autonomic function in patients with COPD, a cross-sectional analysis

Research paper thumbnail of State of the respiratory physiotherapy in Spain: Map from online survey results

Objective: To define the map of respiratory physiotherapy (RP) in Spain. Design: Online questionn... more Objective: To define the map of respiratory physiotherapy (RP) in Spain. Design: Online questionnaire. Setting: A 39 items online survey was allocated in a survey web during 4 months. Direct contacts, professional colleges, physiotherapy services, universities and professional associations were invited to answer once every professional. The survey was about clinical, teaching and research profile questions and even it was posted on a web-side respiratory national society during the same period. PARTICIPANTS: graduated physiotherapists living and working in Spain. Results: 818 questionnaires were answered. The answers obtained had a heterogeneous territorial distribution; Galicia, Catalunya and Castilla- la Mancha were the most responder areas. 560 physiotherapists (69%) performed regular RP treatments, 123 (15%) were involved in respiratory research and 137 (17%) in RP teaching at the university or in post-graduate courses. However, RP was not homogeneously established over the country and only 21.5% of the physiotherapists were fully involved in RP. Physiotherapists involved in RP worked in private centres (25.2%) and at public hospitals (20.5%). Only 309 of the total (38%) obtained a RP post-graduate specialisation in respiratory physiotherapy. Conclusions: The response rate allows to define the professional situation of RP across Spain. Our specialisation is not well established and its distribution is not homogeneous over the country. There is a need to increase the number of RP post-graduate trained professionals and researchers in order to improve the quality of Respiratory Physiotherapy over Spain.

Research paper thumbnail of Myofunctional therapy (oropharyngeal exercises) for obstructive sleep apnoea

The Cochrane library, Oct 15, 2019

Trusted evidence. Informed decisions. Better health. Cochrane Database of Systematic Reviews Key ... more Trusted evidence. Informed decisions. Better health. Cochrane Database of Systematic Reviews Key results We found nine RCT studies that analysed a total of 347 participants, 69 of them women, and 13 children. In adults, compared to sham therapy, myofunctional therapy probably reduces daytime sleepiness, may increase sleep quality, may result in a large reduction in Apnoea-Hypopnoea Index (the number of apneas or hypopnoeas recorded during the polysomnography study per hour of sleep), may have little to no e ect in reduction of snoring frequency and probably reduces subjective snoring intensity slightly. Compared to waiting list, myofunctional therapy may reduce daytime sleepiness, may result in little to no di erence in sleep quality and may reduce AHI. Compared to CPAP, myofunctional therapy may result in little to no di erence in daytime sleepiness and may increase AHI. Compared to CPAP plus myofunctional therapy, myofunctional therapy alone may result in little to no di erence in daytime sleepiness and may increase AHI. Compared to respiratory exercises plus nasal dilator strip, myofunctional therapy may result in little to no di erence in daytime sleepiness, probably increases sleep quality slightly and may result in little to no di erence in AHI. Compared to standard medical treatment, myofunctional therapy may reduce daytime sleepiness and may increase sleep quality. In children, compared to nasal washing alone, adding myofunctional therapy to nasal washing may result in little to no di erence in AHI. Certainty of the evidence Our level of certainty about the results of the studies ranges from moderate to very low for all comparisons, mainly due to problems related to risk of bias (for inadequate blinding of participants and incomplete outcome data in some studies) and imprecision. Most of the participants in the studies were men and we could not undertake separate analyses for women. Conclusions Compared to sham therapy, myofunctional therapy probably reduces daytime sleepiness and may increase sleep quality in the short term in patients with obstructive sleep apnoea. New blinded studies, with more participants and longer times of treatment and follow-up, are needed. The review is current to May 2020. Myofunctional therapy (oropharyngeal exercises) for obstructive sleep apnoea (Review)

Research paper thumbnail of Consenso Nacional Sobre Los Contenidos De Fisioterapia Cardiorrespiratoria en La Formación De Grado: Estudio Delphi

Fisioterapia, May 1, 2023

Research paper thumbnail of Análisis Descriptivo De La Situación Académica De La Fisioterapia Cardiorrespiratoria en España

Fisioterapia, May 1, 2023

Research paper thumbnail of Eficacia de un seguimiento telemático para promover la actividad física post trasplante hematológico. Estudio piloto

Scientific medical data, Nov 27, 2018

Research paper thumbnail of Clinical Effects of Rehabilitation on Balance in People With Chronic Obstructive Pulmonary Disease: A Systematic Review and Meta-Analysis

Frontiers in Medicine, May 6, 2022

Background: Patients with chronic obstructive pulmonary disease (COPD) have systemic damage secon... more Background: Patients with chronic obstructive pulmonary disease (COPD) have systemic damage secondary to the primary pulmonary impairment, expressed in impaired peripheral musculature and a deficit in postural control compared to healthy subjects. This study aimed to determine the effects of rehabilitation on balance in patients with COPD. Methods: An exhaustive search was conducted in four databases (Pubmed, Cochrane Library, EMBASE, Web of Science). Articles with a population of COPD receiving rehabilitation (therapeutic exercise, pulmonary rehabilitation, or physical therapy modalities) in an outpatient setting were included. Two independent reviewers selected and assessed the study quality. The risk of bias was assessed with the Cochrane Risk of Bias Tool for Randomized Controlled Trials. Results: A total of eight studies involving 284 patients were included in the qualitative synthesis. The meta-analysis showed an overall result in favor of balance training for the Berg Balance Scale (mean difference 3.91 points; 95% CI: 1.51 to 6.31; P = 0.001), Timed Up and Go test (mean difference −1.58 s; 95% CI: −2.63 to −0.53; P = 0.003) and Unipedal stance test (mean difference 3.56 s, 95% CI: 2.58 to 4.54; P). Conclusion: This meta-analysis revealed that rehabilitation improve static and dynamic balance in patients with COPD.

Research paper thumbnail of Effects of a cardiac rehabilitation program based on continuous high-intensity Nordic Walking training

http://isrctn.com/, Jul 4, 2022

Research paper thumbnail of Inspiratory muscle training and exercise versus exercise alone for asthma

The Cochrane library, Sep 26, 2018

This is a protocol for a Cochrane Review (Intervention). The objectives are as follows:To assess ... more This is a protocol for a Cochrane Review (Intervention). The objectives are as follows:To assess the effectiveness of inspiratory muscle training plus exercise versus exercise alone in people with asthma.

Research paper thumbnail of Validity of a Spanish Version of the Leicester Cough Questionnaire in Children With Cystic Fibrosis

Archivos De Bronconeumologia, Feb 1, 2016

Cystic fibrosis (CF) patients present chronic cough as one of the main symptoms, which has an imp... more Cystic fibrosis (CF) patients present chronic cough as one of the main symptoms, which has an important effect on quality of life and social relations. Our goal was to validate the Spanish version of the Leicester Cough Questionnaire (LCQ) in a group of children and teenagers with CF. After adapting to Spanish by standardized translation and retro-translation methodology, a sample of 58 stable CF patients from 7 to 18years were recruited from three CF specialized centers in Spain. The questionnaire was administered twice; the second administration (LCQ2) was performed between 2-4 weeks later than the first one (LCQ1), in order to analyse the reliability and validity of the Spanish version. To correlate results with health related quality of life (HRQoL) we used the Cystic Fibrosis Questionnaire-Revised (CFQ-R). Population was composed by 62% male, age 11.7±3.1years and body mass index (BMI) 19±3kg/m(2). Total scores from LCQ were: LCQ1 19 (17.75-21) vs LCQ2 19 (16-21) (P=.199). Cronbach&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;#39;s Alpha coefficient was 0.83 for the LCQtotal and for each specific domain was: 0.82 LCQphysical; 0.74 LCQpsychological and 0.62 LCQsocial. Intraclass correlation coefficient was: 0.69 LCQphysical; 0.59 LCQpsychological; 0.45 LCQsocial and 0.71 LCQtotal (good reliability). Relations with CFQ-R showed moderated and significant results: for the LCQtotal: respiratory symptom domain r = 0,51 (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;.001) and physical capacity domain r = 0,62 (P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;.05). The Spanish version of the Leicester Cough Questionnaire is reliable and valid for children and adolescents with CF and it has good relations with health related quality of life in this population.

Research paper thumbnail of Levels of physical activity in children and adolescents with asthma: A systematic review and meta‐analysis

Pediatric Pulmonology, Feb 9, 2021

Given the fact that physical exertion leads to blood glucose fluctuations, type one diabetes mell... more Given the fact that physical exertion leads to blood glucose fluctuations, type one diabetes mellitus (T1D) may potentially constitute a barrier for obtaining a sufficient amount of exercise. The main purpose of the study was to compare the level of physical activity between children with T1D (n = 215) and healthy controls (n = 115) and to assess the physical activity of the study group in relation to the applied method of insulin therapy, i.e., the use of insulin pen vs. insulin pump. The level of physical activity was assessed with a hip-worn tri-axial accelerometer (ActiGraph GT3X+) used by the subjects for an uninterrupted period of seven days. Children with T1D had significantly lower median values of total time of moderate (213.3 vs. 272.1 min), vigorous (135.3 vs. 19.6 min) and moderate-to-vigorous (347.4 vs. 467.4 min) physical activity compared to healthy peers respectively, (p < 0.001) in all cases. In addition, the total median number of steps was significantly lower (53,631 vs. 67,542 steps), (p < 0.001). The method of insulin therapy was not associated with significant differences in physical activity level (p > 0.001). The level of physical activity in children and adolescents with T1D is lower than in their healthy peers and does not depend on the insulin therapy method.

Research paper thumbnail of Evaluation Exercise Tolerance in COPD Patients: the 6-Minute Walking Test

Archivos De Bronconeumologia, Feb 1, 2004

Dyspnea brought on by exercise is one of the basic symptoms of patients with chronic obstructive ... more Dyspnea brought on by exercise is one of the basic symptoms of patients with chronic obstructive pulmonary disease (COPD). It appears in the initial phases of the disease, affects activities of daily living, and determines, to a large extent, the perception of the degree of illness and extent of deterioration in quality of life. Tolerance to exercise in these patients is an indicator of severity, regardless of forced expiratory volume in the first second. In fact, the evaluation of both factors—severity of obstructive ventilation (forced expiratory volume in 1 second) and the limitation of tolerance to exercise—are vital in controlling the progression of COPD. Among the simple tests used to evaluate tolerance to exercise, the 6-minute walking (6MW) distance has proved to be a predictor of survival independent of other variables and, at the same time, indicates frequency of hospitalizations from exacerbations. This is important considering that the progression of the disease is influenced by the frequency of these episodes which signify an associated mortality of from 3% to 10%, or more if the patient is admitted to intensive care. The 6MW distance has also been shown to predict postoperative outcome in candidates for volume reduction surgery by identifying patients with a potentially unfavorable outcome. Among patients that present postoperative functional improvement, an improvement in tolerance to exercise has a longer duration than changes in forced expiratory volume in 1 second. This discrepancy can be explained by the fact that exercise tests reflect not only lung changes but also interactions with other systems that respond to exercise such as the cardiovascular and muscular systems. Thus, the high predictive value of exercise tolerance lies in its multifaceted nature, being affected by: a) airflow limitation from mechanical dysfunction; b) impaired gas exchange; c) insufficient increase in heart rate during exercise, and d) peripheral muscle dysfunction. This multifaceted nature together with lung function limitations measured at rest makes exercise tolerance valuable in characterizing COPD patients. However, exercise protocols that can be clinically applied outside lung function laboratories are a practical consideration.

Research paper thumbnail of Chest physiotherapy for acute bronchiolitis in paediatric patients between 0 and 24 months old

The Cochrane library, Apr 3, 2023

Acute bronchiolitis is the leading causes of medical emergencies during winter in children younge... more Acute bronchiolitis is the leading causes of medical emergencies during winter in children younger than two years of age. Chest physiotherapy is thought to assist infants in the clearance of secretions and decrease ventilatory effort. To determine the efficacy and safety of chest physiotherapy in infants aged less than 24 months old with acute bronchiolitis. We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library Issue 2, 2004) which contains the Acute Respiratory Infection Group&#39;s specialised register; MEDLINE (January 1966 to June 2004); EMBASE (1990 to June 2004); PASCAL; SCISEARCH; LILACS; and Cumulative Index to the Nursing &amp; Allied Health Literature (CINAHL) (1982 to May 2004). Randomised controlled trails (RCTs) in paediatric patients younger than twenty four months old in which chest physiotherapy was compared against no intervention or against another type of physiotherapy. Two independent reviewers extracted the data. Primary outcome was a severity clinical score. Secondary outcomes were length of hospital stay, duration of oxygen supplementation, and the use of bronchodilators and steroids. Three clinical trials met the inclusion criteria. All evaluated vibration and percussion techniques in postural drainage positions compared to no intervention. The study population were hospitalised infants with a clinical diagnosis of acute bronchiolitis, although one study included only infants who required nasogastric tube feeding or intravenous fluids. None of the other included trails observed any differences in the severity of the clinical score at day five or during each of the five days of the trial or until discharge, length of hospital stay, or oxygen requirements between chest physiotherapy group and control. Based on the results of three RCTs, chest physiotherapy using vibration and percussion techniques does not reduce length of hospital stay, oxygen requirements, or improve the severity clinical score in infants with acute bronchiolitis that are not under mechanical ventilation, and who do not have any other co-morbidity. Chest physiotherapy using forced expiratory technique needs to be evaluated by clinical research.

Research paper thumbnail of Effects of exercise on the expression of angiogenesis-precursor biomarkers in cardiovascular diseases: a systematic review

Review question / Objective: What is the effect of exercise on the expression of angiogenesis-pre... more Review question / Objective: What is the effect of exercise on the expression of angiogenesis-precursor biomarkers in cardiovascular diseases? Rationale: The neo-formation of new blood vessels in muscle tissue (both cardiac and skeletal muscle) could be a key variable explaining the patients symptoms and prognosis and explain why adherence to cardiac rehabilitation varies among patients. Condition being studied: Cardiovascular diseases frequently referred to exercisebased cardiac rehabilitation programs, INPLASY

Research paper thumbnail of Physical performance testing in post-COVID-19 patients: protocol for a systematic review of psychometric measurement properties

BMJ Open, Apr 1, 2023

et al. Physical performance testing in post-COVID-19 patients: protocol for a systematic review o... more et al. Physical performance testing in post-COVID-19 patients: protocol for a systematic review of psychometric measurement properties. BMJ Open 2023;13:e067392.

Research paper thumbnail of Wet sputum as an objective outcome in a randomized crossover trial in NCF-BE: Reliability and responsiveness

European Respiratory Journal, Sep 1, 2014

AIM: To analyze reliability and responsiveness of wet sputum as an outcome measure in a trial rel... more AIM: To analyze reliability and responsiveness of wet sputum as an outcome measure in a trial related with bronchial drainage (BD) in stable non-cystic fibrosis bronchiectasis (NCFBE) METHODS: Randomized crossover trial in NCFBE with chronic sputum production.3 different BD techniques were compared:Autogenic Drainage(AD),Slow expiration with glottis opened in lateral posture(ELTGOL),and temporary positive expiratory pressure(TPEP).Each technique was applied on 3 sessions.Sputum quantity was evaluated at:1) Baseline(24h spontaneous sputum production;2)during BD session;3) post-BD session:24h spontaneous sputum production.The amount of wet sputum samples (without split)were measured in grams.Intra-class correlation coefficient (ICC) and Friedman´s test were used to assess reliability and responsiveness(p<0.05) RESULTS: We recluited 31 patients (29%male) with a mean(SD) age of 59.5 (±18.09) years and a mean(SD) FEV1% of 63%(±23).ICC of baseline wet sputum measures was 0.98(CI95%0.97-0.99; p<0.001).ICC for sputum measures obtained during BD sessions for the 3 techniques were:AD 0.80(CI95%0.68-0.89);ELTGOL 0.96(CI95%0.93-0.98);T-PEP 0.81(CI95%0.68-0.9).ICC for sputum measures obtained post-BD sessions for the 3 techniques were:AD 0.72 (CI 95%0.56-0.84);ELTGOL 0.79(CI95%0.66-0.88);T-PEP 0.96(CI 95%0.92-0.98).All correlation rates were significant (p<0.001).All techniques achieved a reduction in 24h sputum production from baseline to post-BD,9,89g(13.46 – 5.39; p< 0.001) CONCLUSION: Wet sputum quantity was a reliable and responsiveness outcome measure in order to analyze the efficacy of these 3 BD techniques in stable NCFBE.An analytical study should be performed to confirm our results.

Research paper thumbnail of Experience, facilitators, and barriers to the implementation of a multicomponent programme in older people living in the community, +AGIL Barcelona: A qualitative study

Frontiers in Public Health

IntroductionThe +AGIL Barcelona programme is a multicomponent care intervention for frail older a... more IntroductionThe +AGIL Barcelona programme is a multicomponent care intervention for frail older adults (FOAs) living in the community. To improve the programme, it is essential to investigate the experience of all participants. Our objective was to explore the perspective of FOA and professionals about the barriers, facilitators, and improvement elements of the development of the +AGIL Barcelona programme. Qualitative descriptive approach. Were included FOA and professionals who participated in the +AGIL Barcelona programme.MethodsThree focus groups and four interviews were conducted. These were analyzed following the qualitative method of content analysis. The criteria of scientific rigor of credibility, dependence, and transferability were ensured throughout the study.ResultsThree themes and seven sub-themes were developed: facilitators (positive experience and perceived benefits), barriers (self-perceived health status, digital divide, and continuity of the programme at home), an...

Research paper thumbnail of Exercise Capacity in Children and Adolescents With Congenital Heart Disease: A Systematic Review and Meta-Analysis

Frontiers in Cardiovascular Medicine

BackgroundCongenital heart disease (CHD) entails structural defects in the morphogenesis of the h... more BackgroundCongenital heart disease (CHD) entails structural defects in the morphogenesis of the heart or its main vessels. Analyzing exercise capacity of children and adolescents with CHD is important to improve their functional condition and quality of life, since it can allow timely intervention on poor prognostic factors associated with higher risk of morbidity and mortality.ObjectiveTo describe exercise capacity in children and adolescents with CHD compared with healthy controls.MethodsA systematic review was carried out. Randomized clinical trials and observational studies were included assessing exercise capacity through direct and indirect methods in children and adolescents between 5 and 17 years-old. A sensitive analysis was performed including studies with CHD repaired participants. Additionally, it was sub-analyzed by age range (< and ≥ 12 years old). Two independent reviewers analyzed the studies, extracted the data, and assessed the quality of the evidence.Results561...

Research paper thumbnail of Mortality in children and adolescents on Home Mechanical Ventilation: Systematic Literature Review and Meta-Analysis

07.06 - Paediatric respiratory epidemiology