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Background: The effectiveness of transcranial direct current stimulation (tDCS) in the upper limb (UL) motor rehabilitation of stroke has been widely studied. However, the long-term maintenance of its improvements has not yet been proven. Methods: A systematic search was conducted in MEDLINE/Pubmed, Web of Science, PEDRo, and Scopus databases from inception to April 2021. Randomized controlled trials were included if they performed a tDCS intervention combined with UL rehabilitation in stroke patients, performed several sessions (five or more), and assessed long-term results (at least three-month follow-up). Risk of bias and methodological quality were evaluated with the Cochrane RoB-2 and the Oxford quality scoring system. Results: Nine studies were included, showing a high methodological quality. Findings regarding UL were categorized into (1) functionality, (2) strength, (3) spasticity. All the studies that showed significant improvements retained them in the long term. Baseline functionality may be a limiting factor in achieving motor improvements, but not in sustaining them over the long term. Conclusion: It seems that the improvements achieved during the application of tDCS combined with UL motor rehabilitation in stroke were preserved until the follow-up time (from 3 months to 1 year). Further studies are needed to clarify the long-term effects of tDCS.
Víctor Navarro-López; Manuel del Valle-Gratacós; Rubén Fernández-Matías; María Carratalá-Tejada; Alicia Cuesta-Gómez; Francisco Molina-Rueda. The Long-Term Maintenance of Upper Limb Motor Improvements Following Transcranial Direct Current Stimulation Combined with Rehabilitation in People with Stroke: A Systematic Review of Randomized Sham-Controlled Trials. Sensors 2021, 21, 5216 .
AMA StyleVíctor Navarro-López, Manuel del Valle-Gratacós, Rubén Fernández-Matías, María Carratalá-Tejada, Alicia Cuesta-Gómez, Francisco Molina-Rueda. The Long-Term Maintenance of Upper Limb Motor Improvements Following Transcranial Direct Current Stimulation Combined with Rehabilitation in People with Stroke: A Systematic Review of Randomized Sham-Controlled Trials. Sensors. 2021; 21 (15):5216.
Chicago/Turabian StyleVíctor Navarro-López; Manuel del Valle-Gratacós; Rubén Fernández-Matías; María Carratalá-Tejada; Alicia Cuesta-Gómez; Francisco Molina-Rueda. 2021. "The Long-Term Maintenance of Upper Limb Motor Improvements Following Transcranial Direct Current Stimulation Combined with Rehabilitation in People with Stroke: A Systematic Review of Randomized Sham-Controlled Trials." Sensors 21, no. 15: 5216.
Wearable exoskeletons have showed improvements in levels of disability and quality of life in people with neurological disorders. However, it is important to understand users’ perspectives. The aim of this study was to explore the patients’ and physiotherapists’ satisfaction from gait training with the EKSO GT® exoskeleton in people with multiple sclerosis (MS). A cross-sectional study with 54 participants was conducted. Clinical data and self-administered scales data were registered from all patients who performed sessions with EKSO GT®. To evaluate patients’ satisfaction the Quebec User Evaluation with Assistive Technology and Client Satisfaction Questionnaire were used. A high level of satisfaction was reported for patients and for physiotherapists. A moderate correlation was found between the number of sessions and the patients’ satisfaction score (rho = 0.532; p< 0.001), and an excellent correlation between the physiotherapists’ time of experience in neurology rehabilitation and the satisfaction with the possibility of combining the device with other gait trainings approaches (rho = 0.723; p = 0.003). This study demonstrates a good degree of satisfaction for people with MS (31.3 ± 5.70 out of 40) and physiotherapists (38.50 ± 3.67 out of 45 points) with the EKSO GT®. Effectiveness, safety and impact on the patients’ gait were the most highly rated characteristics of EKSO GT®. Features such as comfort or weight of the device should be improved from the patients’ perspectives.
Diego Fernández-Vázquez; Roberto Cano-De-La-Cuerda; María Gor-García-Fogeda; Francisco Molina-Rueda. Wearable Robotic Gait Training in Persons with Multiple Sclerosis: A Satisfaction Study. Sensors 2021, 21, 4940 .
AMA StyleDiego Fernández-Vázquez, Roberto Cano-De-La-Cuerda, María Gor-García-Fogeda, Francisco Molina-Rueda. Wearable Robotic Gait Training in Persons with Multiple Sclerosis: A Satisfaction Study. Sensors. 2021; 21 (14):4940.
Chicago/Turabian StyleDiego Fernández-Vázquez; Roberto Cano-De-La-Cuerda; María Gor-García-Fogeda; Francisco Molina-Rueda. 2021. "Wearable Robotic Gait Training in Persons with Multiple Sclerosis: A Satisfaction Study." Sensors 21, no. 14: 4940.
Introduction: the Wisconsin Gait Scale (WGS) has been shown to be a valid and quick tool for analyzing gait in post-stroke people in the clinical setting. Its widespread use has led to versions of the scale in other languages, but so far there has been no version in Spanish. Objective: to conduct a cross-cultural adaptation of the WGS for use in the Spanish-speaking population and to analyze the content validity. Materials and methods: the Spanish version was obtained using the double translation method and back translation method, followed by a review by an expert committee. This expert committee evaluated the content validity index (CVI) for each item on the version obtained and for the entire scale (scale content validity index (S-CVI)). The item content validity index (I-CIV) was calculated as the number of experts whose score had been 3 or 4 divided by the total number of experts. To obtain the S-CVI, the middle of the I-CVI was calculated for all the items on the scale. Results: the Spanish version of the WGS was obtained after the expert committee evaluation. The CVI was excellent for its general assessment (0.91), excellent for 85.7% of its items (≥0.78), and good for 14.3% of the CVI (≥0.72). Conclusions: the Spanish version of the WGS was developed through a process of cross-cultural adaptation from its original English version, and, according to an expert committee, it had an excellent content validity.
Cecilia Estrada-Barranco; Vanesa Abuín-Porras; Javier López-Ruiz; Ismael Sanz-Esteban; Francisco Molina-Rueda; Roberto Cano-De-La-Cuerda. Spanish Cross-Cultural Adaptation of the Wisconsin Gait Scale. International Journal of Environmental Research and Public Health 2021, 18, 6903 .
AMA StyleCecilia Estrada-Barranco, Vanesa Abuín-Porras, Javier López-Ruiz, Ismael Sanz-Esteban, Francisco Molina-Rueda, Roberto Cano-De-La-Cuerda. Spanish Cross-Cultural Adaptation of the Wisconsin Gait Scale. International Journal of Environmental Research and Public Health. 2021; 18 (13):6903.
Chicago/Turabian StyleCecilia Estrada-Barranco; Vanesa Abuín-Porras; Javier López-Ruiz; Ismael Sanz-Esteban; Francisco Molina-Rueda; Roberto Cano-De-La-Cuerda. 2021. "Spanish Cross-Cultural Adaptation of the Wisconsin Gait Scale." International Journal of Environmental Research and Public Health 18, no. 13: 6903.
Background: The effectiveness of transcranial direct current stimulation (tDCS) together with conventional physiotherapy in motor rehabilitation after stroke has been widely studied. Despite this, few studies have focused on its application in gait and balance rehabilitation. This review aimed to determine the efficacy of transcranial direct current stimulation combined with conventional physiotherapy on gait, balance, and the functionality of the lower limb after stroke. Methods: This review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Four electronic databases were systematically searched for relevant articles. Randomized clinical trials in English or Spanish that evaluated the use of the transcranial direct current stimulation, combined with physiotherapy, to improve gait, balance, and lower limb functionality after stroke were included. Main results: 10 articles were included, with a total of 222 subjects. Data about population, assessment tools, protocols, sessions, and results were extracted. The methodological quality of the included studies ranged between 3 and 5. Conclusion: The use of transcranial direct current stimulation combined with physiotherapy improves gait parameters, static and dynamic balance, and lower limb functionality in stroke patients. Long-term effects have not yet been demonstrated.
Víctor Navarro-López; Francisco Molina-Rueda; Samuel Jiménez-Jiménez; Isabel Alguacil-Diego; María Carratalá-Tejada. Effects of Transcranial Direct Current Stimulation Combined with Physiotherapy on Gait Pattern, Balance, and Functionality in Stroke Patients. A Systematic Review. Diagnostics 2021, 11, 656 .
AMA StyleVíctor Navarro-López, Francisco Molina-Rueda, Samuel Jiménez-Jiménez, Isabel Alguacil-Diego, María Carratalá-Tejada. Effects of Transcranial Direct Current Stimulation Combined with Physiotherapy on Gait Pattern, Balance, and Functionality in Stroke Patients. A Systematic Review. Diagnostics. 2021; 11 (4):656.
Chicago/Turabian StyleVíctor Navarro-López; Francisco Molina-Rueda; Samuel Jiménez-Jiménez; Isabel Alguacil-Diego; María Carratalá-Tejada. 2021. "Effects of Transcranial Direct Current Stimulation Combined with Physiotherapy on Gait Pattern, Balance, and Functionality in Stroke Patients. A Systematic Review." Diagnostics 11, no. 4: 656.
Running is one of the most popular sport practices in the world. However, to our knowledge, none of the previous research about the characteristics of outdoor running makes a distinction between the different modalities of runners. Sixty-five healthy runners classified in sprinters, middle distance and long-distance runners performed five series of 100 metres on the synthetic outdoor track at competition pace. Muscle activity of lower limb muscles at initial contact and toe-off, involving the gluteus medius (GMED), gluteus maximus (GMAX), biceps femoris (BF), rectus femoris (RF), tiabilis anterior (TA) and medial gastrocnemius (MGAS), and spatiotemporal parameters were analysed. Sprinters showed high percentages of muscle activity at initial contact, in particular, the TA activity was the highest. The RF activity was significantly the lowest activity registered. At toe-off, sprinters showed the highest activity in all muscles analysed. Middle-distance runners had the highest activity of GMAX, BF and MGAS during the initial contact. In long-distance runners, the GMED and RF activity during the initial contact is highlighted, showing the highest activity of this phase. Different patterns of lower limb muscle activity and spatiotemporal parameters exist depending on the modality of the runner.
C. L. Hernández-Stender; F. Molina-Rueda; A. Cuesta-Gómez; I. M. Alguacil-Diego. Lower limb muscle activation during outdoor running: differences between sprinters, middle-distance and long-distance runners. Sports Biomechanics 2021, 1 -12.
AMA StyleC. L. Hernández-Stender, F. Molina-Rueda, A. Cuesta-Gómez, I. M. Alguacil-Diego. Lower limb muscle activation during outdoor running: differences between sprinters, middle-distance and long-distance runners. Sports Biomechanics. 2021; ():1-12.
Chicago/Turabian StyleC. L. Hernández-Stender; F. Molina-Rueda; A. Cuesta-Gómez; I. M. Alguacil-Diego. 2021. "Lower limb muscle activation during outdoor running: differences between sprinters, middle-distance and long-distance runners." Sports Biomechanics , no. : 1-12.
The aim of the present systematic review was to describe the gait pattern in people with multiple sclerosis (MS) by compiling the main findings obtained from studies using three-dimensional capture systems of human movement. The search was carried out in PubMed, Web of Science, Physiotherapy Evidence Database (PEDro), and the Cumulative Index to Nursing and Allied Health (CINAHL) databases. Studies that used three-dimensional gait analysis systems and that analyzed spatiotemporal, kinematic, kinetic, or electromyographic parameters, were included. The quality of the studies was assessed using the Critical Review Form–Quantitative Studies scale. 12 articles were included with 523 (342 women and 181 men) people with a diagnosis of MS. The present work suggests that people with MS have a decrease in speed and stride length, as well as an increase in double-stance intervals during gait. Likewise, it is common to observe a decrease in hip extension during the stance period, a decrease in knee flexion in the swing period, a decrease in ankle dorsiflexion in the initial contact and a decrease in ankle plantar flexion during the pre-swing phase. The subjects with MS decrease the hip extensor moment and the ankle power during the stance period of walking.
María Coca-Tapia; Alicia Cuesta-Gómez; Francisco Molina-Rueda; María Carratalá-Tejada. Gait Pattern in People with Multiple Sclerosis: A Systematic Review. Diagnostics 2021, 11, 584 .
AMA StyleMaría Coca-Tapia, Alicia Cuesta-Gómez, Francisco Molina-Rueda, María Carratalá-Tejada. Gait Pattern in People with Multiple Sclerosis: A Systematic Review. Diagnostics. 2021; 11 (4):584.
Chicago/Turabian StyleMaría Coca-Tapia; Alicia Cuesta-Gómez; Francisco Molina-Rueda; María Carratalá-Tejada. 2021. "Gait Pattern in People with Multiple Sclerosis: A Systematic Review." Diagnostics 11, no. 4: 584.
(1) Background: Observational scales are the most common methodology used to assess postural control and balance in people with stroke. The aim of this paper was to analyse the construct validity of the Postural Assessment Scale for Stroke Patients (PASS) scale in post-stroke patients in the acute, subacute, and chronic stroke phases. (2) Methods: Sixty-one post-stroke participants were enrolled. To analyze the construct validity of the PASS, the following scales were used: the Functional Ambulatory Category (FAC), the Wisconsin Gait Scale (WGS), the Barthel Index (BI) and the Functional Independence Measure (FIM). (3) Results: The construct validity of the PASS scale in patients with stroke at acute phase was moderate with the FAC (r = −0.791), WGS (r = −0.646) and FIM (r = −0.678) and excellent with the BI (r = 0.801). At subacute stage, the construct validity of the PASS scale was excellent with the FAC (r = 0.897), WGS (r = −0.847), FIM (r = −0.810) and BI (r = −0.888). At 6 and 12 months, the construct validity of the PASS with the FAC, WGS, FIM and BI was also excellent. (4) Conclusions: The PASS scale is a valid instrument to assess balance in post-stroke individuals especially, in the subacute and chronic phases (at 6 and 12 months).
Cecilia Estrada-Barranco; Roberto Cano-De-La-Cuerda; Vanesa Abuín-Porras; Francisco Molina-Rueda. Postural Assessment Scale for Stroke Patients in Acute, Subacute and Chronic Stage: A Construct Validity Study. Diagnostics 2021, 11, 365 .
AMA StyleCecilia Estrada-Barranco, Roberto Cano-De-La-Cuerda, Vanesa Abuín-Porras, Francisco Molina-Rueda. Postural Assessment Scale for Stroke Patients in Acute, Subacute and Chronic Stage: A Construct Validity Study. Diagnostics. 2021; 11 (2):365.
Chicago/Turabian StyleCecilia Estrada-Barranco; Roberto Cano-De-La-Cuerda; Vanesa Abuín-Porras; Francisco Molina-Rueda. 2021. "Postural Assessment Scale for Stroke Patients in Acute, Subacute and Chronic Stage: A Construct Validity Study." Diagnostics 11, no. 2: 365.
Introducción. Uno de los objetivos principales de la neurorrehablitación en pacientes con ictus es el reentrenamiento del equilibrio. Se ha estudiado la influencia de la función motora del miembro superior en el control postural, pero desconocemos si la estimulación somatosensorial de la mano afecta puede influirlo. Objetivo. Estudiar si un protocolo de estimulación somatosensorial de la mano afecta, podía modificar, en pacientes con ictus crónico, la posición del centro de masa y su desplazamiento en bipedestación. Pacientes y métodos. 5 pacientes con ictus crónico con capacidad de bipedestación autónoma completaron este estudio piloto prospectivo y longitudinal, con valoración pretratamiento, post-primer tratamiento y post-intervención final. La intervención consistió en estimulación somatosensorial de la mano afecta, de 20 minutos de duración durante 5 días consecutivos. Se midieron Timed Up and GO Test (TUG), Performance Oriented Mobility Assessment (POMA), Limits Of Stability (LOS) y Modified Clinical Test of Sensory Interaction on Balance (mCTSIB). Resultados. Se observaron cambios estadísticamente significativos en TUG (p=0,043), en mCTSIB en los máximos desplazamientos del centro de presiones para la condición ojos abiertos (p=0,043) y en LOS para el tiempo de reacción en la diagonal posterior afecta(p꞊0,043), máximas excursiones en las diagonales anterior menos afecta, afecta y posterior afecta (p=0,043) y el control direccional en la anterior menos afecta y anterior afecta. Conclusiones. La estimulación somatosensensorial propuesta puede ser positiva para el reentrenamiento del equilibrio a la luz de los resultados obtenidos. Son necesarias investigaciones a este nivel a gran escala y a largo plazo con muestras más grandes.
Ana Mallo-López; Ángela Aguilera-Rubio; Nuria Izquierdo-Rodríguez; Francisco Molina-Rueda; Alicia Cuesta Gómez. Valoración de la efectividad de un protocolo de estimulación sensorial de la mano hemiparésica para la rehabilitación del control postural en pacientes con ictus crónico. Estudio piloto. Revista Colombiana de Médicina Física y Rehabilitación 2021, 30, 123 -137.
AMA StyleAna Mallo-López, Ángela Aguilera-Rubio, Nuria Izquierdo-Rodríguez, Francisco Molina-Rueda, Alicia Cuesta Gómez. Valoración de la efectividad de un protocolo de estimulación sensorial de la mano hemiparésica para la rehabilitación del control postural en pacientes con ictus crónico. Estudio piloto. Revista Colombiana de Médicina Física y Rehabilitación. 2021; 30 (2):123-137.
Chicago/Turabian StyleAna Mallo-López; Ángela Aguilera-Rubio; Nuria Izquierdo-Rodríguez; Francisco Molina-Rueda; Alicia Cuesta Gómez. 2021. "Valoración de la efectividad de un protocolo de estimulación sensorial de la mano hemiparésica para la rehabilitación del control postural en pacientes con ictus crónico. Estudio piloto." Revista Colombiana de Médicina Física y Rehabilitación 30, no. 2: 123-137.
The aim of this study was to evaluate the test–retest reliability of a conventional gait model (CGM), the Plug-in Gait model, to calculate the angles of the hip, knee, and ankle during initial contact (IC) and toe-off (TO). Gait analysis was performed using the Vicon Motion System® (Oxford Metrics, Oxford, UK). The study group consisted of 50 healthy subjects. To evaluate the test–retest reliability, the intraclass correlation coefficient (ICC), the standard error of measurement (SEM), the minimal detectable change (MDC), and the Bland–Altman analysis with 95% limits of agreement were calculated. The ICC for the joint angles of the hip, knee, and ankle was higher than 0.80. However, the ankle angle at IC had an ICC lower than 0.80. The SEM was 5°) for the hip angle at IC. The Bland–Altman analysis indicated that the magnitude of divergence was between ±5° and ±9° at IC and around ±7° at TO. In conclusion, the ICC for the plug-in gait model was good for the hip, knee, and ankle angles during IC and TO. The plots revealed a disagreement between measurements that should be considered in patients’ clinical assessments.
Francisco Molina-Rueda; Pilar Fernández-González; Alicia Cuesta-Gómez; Aikaterini Koutsou; María Carratalá-Tejada; Juan Miangolarra-Page. Test–Retest Reliability of a Conventional Gait Model for Registering Joint Angles during Initial Contact and Toe-Off in Healthy Subjects. International Journal of Environmental Research and Public Health 2021, 18, 1343 .
AMA StyleFrancisco Molina-Rueda, Pilar Fernández-González, Alicia Cuesta-Gómez, Aikaterini Koutsou, María Carratalá-Tejada, Juan Miangolarra-Page. Test–Retest Reliability of a Conventional Gait Model for Registering Joint Angles during Initial Contact and Toe-Off in Healthy Subjects. International Journal of Environmental Research and Public Health. 2021; 18 (3):1343.
Chicago/Turabian StyleFrancisco Molina-Rueda; Pilar Fernández-González; Alicia Cuesta-Gómez; Aikaterini Koutsou; María Carratalá-Tejada; Juan Miangolarra-Page. 2021. "Test–Retest Reliability of a Conventional Gait Model for Registering Joint Angles during Initial Contact and Toe-Off in Healthy Subjects." International Journal of Environmental Research and Public Health 18, no. 3: 1343.
To study postural control and muscle activity during the limit of stability test (LOS) in subjects with chronic ankle instability. Observational study. University laboratory. 10 healthy subjects were included in the control group and 10 subjects in the CAI group (age between 18 and 30 years, with history of the multiple ankle “giving way” episodes in the last six months and score ≤24 in the Cumberland Ankle Instability Tool). A computerized dynamic posturography equipment was used for assessing the LOS. The electromyography activity of tibialis anterior (TA), soleus (SOL), medial gastrocnemius (MG) and peroneus longus (PL) was registered. Subjects with CAI had a greater activation in TA to forward (p < .01), forward affected (p = .001), backward affected (p = .007) and backward directions (p < .01); in PL to forward affected (p < .01) and affected directions (p = .001); in MG to forward (p = .023) and affected directions (p < .01) and in SOL to the affected direction (p = .009). We observed restricted excursions and less directional control in subjects with CAI. Subjects with CAI exhibited poorer ability to move their center of gravity within stability limits. In addition, they have an altered ankle muscle activity during LOS test toward the affected ankle joint.
Francisco Molina-Rueda; Alicia Cuesta-Gómez; María Carratalá-Tejada; Aikaterini Koutsou; Pilar Fernández-González; Isabel María Alguacil-Diego. Ankle muscle activation during the limits of stability test in subjects with chronic ankle instability. Physical Therapy in Sport 2020, 47, 134 -139.
AMA StyleFrancisco Molina-Rueda, Alicia Cuesta-Gómez, María Carratalá-Tejada, Aikaterini Koutsou, Pilar Fernández-González, Isabel María Alguacil-Diego. Ankle muscle activation during the limits of stability test in subjects with chronic ankle instability. Physical Therapy in Sport. 2020; 47 ():134-139.
Chicago/Turabian StyleFrancisco Molina-Rueda; Alicia Cuesta-Gómez; María Carratalá-Tejada; Aikaterini Koutsou; Pilar Fernández-González; Isabel María Alguacil-Diego. 2020. "Ankle muscle activation during the limits of stability test in subjects with chronic ankle instability." Physical Therapy in Sport 47, no. : 134-139.
Gait analysis is necessary to diagnose movement disorders. In order to reduce the costs of three-dimensional motion capture systems, new low-cost methods of motion analysis have been developed. The purpose of this study was to evaluate the inter- and intra-rater reliability of Kinovea® and the agreement with a three-dimensional motion system for detecting the joint angles of the hip, knee and ankle during the initial contact phase of walking. Fifty healthy subjects participated in this study. All participants were examined twice with a one-week interval between the two appointments. The motion data were recorded using the VICON Motion System® and digital video cameras. The intra-rater reliability showed a good correlation for the hip, the knee and the ankle joints (Intraclass Correlation Coefficient, ICC > 0.85) for both observers. The ICC for the inter-rater reliability was >0.90 for the hip, the knee and the ankle joints. The Bland–Altman plots showed that the magnitude of disagreement was approximately ±5° for intra-rater reliability, ±2.5° for inter-rater reliability and around ±2.5° to ±5° for Kinovea® versus Vicon®. The ICC was good for the hip, knee and ankle angles registered with Kinovea® during the initial contact of walking for both observers (intra-rater reliability) and higher for the agreement between observers (inter-rater reliability). However, the Bland–Altman plots showed disagreement between observers, measurements and systems (Kinovea® vs. three-dimensional motion system) that should be considered in the interpretation of clinical evaluations.
Pilar Fernández-González; Aikaterini Koutsou; Alicia Cuesta-Gómez; María Carratalá-Tejada; Juan Carlos Miangolarra-Page; Francisco Molina-Rueda. Reliability of Kinovea® Software and Agreement with a Three-Dimensional Motion System for Gait Analysis in Healthy Subjects. Sensors 2020, 20, 3154 .
AMA StylePilar Fernández-González, Aikaterini Koutsou, Alicia Cuesta-Gómez, María Carratalá-Tejada, Juan Carlos Miangolarra-Page, Francisco Molina-Rueda. Reliability of Kinovea® Software and Agreement with a Three-Dimensional Motion System for Gait Analysis in Healthy Subjects. Sensors. 2020; 20 (11):3154.
Chicago/Turabian StylePilar Fernández-González; Aikaterini Koutsou; Alicia Cuesta-Gómez; María Carratalá-Tejada; Juan Carlos Miangolarra-Page; Francisco Molina-Rueda. 2020. "Reliability of Kinovea® Software and Agreement with a Three-Dimensional Motion System for Gait Analysis in Healthy Subjects." Sensors 20, no. 11: 3154.
Lymphoedema is a chronic condition that has significant detrimental impact on patients’ quality of life. Secondary lymphoedema often results from anti-tumour treatment, in contrast to primary lymphoedema which is the result of genetic abnormalities that leads to an abnormal development of the lymphatic system. To describe and compare the experience of individuals with primary and secondary lymphoedema. A total of 19 patients (mean ± standard deviation age: 56.7 ± 16.2 years), 8 with primary and 11 with secondary lymphoedema, participated in this qualitative phenomenological study. Purposeful sampling method was applied. We recruited participants from specialised lymphoedema units of two physical therapy clinics and the Lymphoedema Patient Association in Spain. Data collection methods included unstructured and semi-structured interviews. An inductive thematic analysis was used. The findings suggest differences between the experience of living with primary or secondary lymphoedema. Also, those with lower extremity lymphoedema have more pain, fatigue, and functional limitations. Three primary themes emerged: “Emotional challenge”, “Adapting your life to a new situation,” and “lymphoedema management”. The experience of living with lymphoedema involves aspects of fear, suffering, coping, and management of the disease and differs between secondary and primary causes. However, it seems to be more dependent on its location than its cause.
Ángela Río-González; Francisco Molina-Rueda; Domingo Palacios-Ceña; Isabel Mª Alguacil-Diego. Comparing the experience of individuals with primary and secondary lymphoedema: A qualitative study. Brazilian Journal of Physical Therapy 2020, 25, 203 -213.
AMA StyleÁngela Río-González, Francisco Molina-Rueda, Domingo Palacios-Ceña, Isabel Mª Alguacil-Diego. Comparing the experience of individuals with primary and secondary lymphoedema: A qualitative study. Brazilian Journal of Physical Therapy. 2020; 25 (2):203-213.
Chicago/Turabian StyleÁngela Río-González; Francisco Molina-Rueda; Domingo Palacios-Ceña; Isabel Mª Alguacil-Diego. 2020. "Comparing the experience of individuals with primary and secondary lymphoedema: A qualitative study." Brazilian Journal of Physical Therapy 25, no. 2: 203-213.
Mobile applications may be used to assess gait pattern deviation through mobile smartphones in people with Parkinson’s disease (PD). However, few studies have investigated their psychometrics properties. To study the construct validity and test-retest reliability of the RUNZI® free mobile application in people with mild to moderate PD. Thirty individuals were evaluated with the RUNZI® app and with the 10-meter walking test (10 MW), simultaneously. In addition, the Timed Up & Go test (TUG), Tinetti scale, and the Berg Balance Scale (BBS) were used to study the construct validity. Also, test-retest reliability of the mobile for spatio-temporal gait parameters was explored. The correlation indices of the 10 MW test with the RUNZI® app at fast speeds was moderate to excellent (r = .588–.957). At a comfortable speed, the correlation was excellent for walking speed (r = 0.944), moderate for steps (r = 0.780) and stride length (r = 0.760), and poor for cadence (r = .424). Results showed significant correlations between TUG and spatio-temporal gait parameters at fast and comfortable speeds. There were no significant correlations or consistent associations between Tinetti and BBS and RUNZI®. The test-retest reliability was good to excellent for parameters measured with the RUNZI®. Our findings highlight specific opportunities for a free smartphone-based spatio-temporal gait analysis to serve as a complement to conventional gait analysis methods in clinical practice with a moderate to excellent construct validity with the 10 MW test and good to excellent test-retest reliability in PD patients.
Sergio Clavijo-Buendía; Francisco Molina-Rueda; Patricia Martín-Casas; Paulina Ortega-Bastidas; Esther Monge-Pereira; Sofía Laguarta-Val; Matilde Morales-Cabezas; Roberto Cano-De-La-Cuerda. Construct validity and test-retest reliability of a free mobile application for spatio-temporal gait analysis in Parkinson’s disease patients. Gait & Posture 2020, 79, 86 -91.
AMA StyleSergio Clavijo-Buendía, Francisco Molina-Rueda, Patricia Martín-Casas, Paulina Ortega-Bastidas, Esther Monge-Pereira, Sofía Laguarta-Val, Matilde Morales-Cabezas, Roberto Cano-De-La-Cuerda. Construct validity and test-retest reliability of a free mobile application for spatio-temporal gait analysis in Parkinson’s disease patients. Gait & Posture. 2020; 79 ():86-91.
Chicago/Turabian StyleSergio Clavijo-Buendía; Francisco Molina-Rueda; Patricia Martín-Casas; Paulina Ortega-Bastidas; Esther Monge-Pereira; Sofía Laguarta-Val; Matilde Morales-Cabezas; Roberto Cano-De-La-Cuerda. 2020. "Construct validity and test-retest reliability of a free mobile application for spatio-temporal gait analysis in Parkinson’s disease patients." Gait & Posture 79, no. : 86-91.
Gait pattern is altered in persons with lower extremity amputation. To assess gait pattern, it is important to use observational gait scales with a good content validity. To design an observational gait scale and to analyze its content validity. An expert committee was formed to obtain a version of the scale. The same committee was responsible for evaluating the scale. The content validity index (CVI) was calculated, both for each item and for the global scale. The main kinematic and spatiotemporal alterations were selected to design the items. The scale consists of 2sections and 25 items, with a maximum score of 35 points. An overall CVI score of 0.90 was obtained, and an index of validity for most items with values higher than 0.78. The Observational gait scale for persons with amputation of the lower extremity showed excellent content validity according to the CVI obtained. Future studies should evaluate its reliability and construct validity.
Francisco Molina-Rueda; M. Garrido-Balaguer; A. Cortés-Rodríguez; Maria Carratala Tejada; A. Cuesta-Gómez; P. Fernández-González; I.M. Alguacil-Diego; E. Monge-Pereira; R. Cano-De-La-Cuerda; A. Molero-Sánchez; J.C. Miangolarra-Page. [Observational gait scale for persons with lower extremity amputation. Design and content validity]. Rehabilitación 2020, 54, 79 -86.
AMA StyleFrancisco Molina-Rueda, M. Garrido-Balaguer, A. Cortés-Rodríguez, Maria Carratala Tejada, A. Cuesta-Gómez, P. Fernández-González, I.M. Alguacil-Diego, E. Monge-Pereira, R. Cano-De-La-Cuerda, A. Molero-Sánchez, J.C. Miangolarra-Page. [Observational gait scale for persons with lower extremity amputation. Design and content validity]. Rehabilitación. 2020; 54 (2):79-86.
Chicago/Turabian StyleFrancisco Molina-Rueda; M. Garrido-Balaguer; A. Cortés-Rodríguez; Maria Carratala Tejada; A. Cuesta-Gómez; P. Fernández-González; I.M. Alguacil-Diego; E. Monge-Pereira; R. Cano-De-La-Cuerda; A. Molero-Sánchez; J.C. Miangolarra-Page. 2020. "[Observational gait scale for persons with lower extremity amputation. Design and content validity]." Rehabilitación 54, no. 2: 79-86.
Background Non-immersive video games are currently being used as technological rehabilitation tools for individuals with Parkinson’s disease (PD). The aim of this feasibility study was to evaluate the effectiveness of the Leap Motion Controller® (LMC) system used with serious games designed for the upper limb (UL), as well as the levels of satisfaction and compliance among patients in mild-to-moderate stages of the disease. Methods A non-probabilistic sampling of non-consecutive cases was performed. 23 PD patients, in stages II-IV of the Hoehn & Yahr scale, were randomized into two groups: an experimental group (n = 12) who received treatment based on serious games designed by the research team using the LMC system for the UL, and a control group (n = 11) who received a specific intervention for the UL. Grip muscle strength, coordination, speed of movements, fine and gross UL dexterity, as well as satisfaction and compliance, were assessed in both groups pre-treatment and post-treatment. Results Within the experimental group, significant improvements were observed in all post-treatment assessments, except for Box and Blocks test for the less affected side. Clinical improvements were observed for all assessments in the control group. Statistical intergroup analysis showed significant improvements in coordination, speed of movements and fine motor dexterity scores on the more affected side of patients in the experimental group. Conclusions The LMC system and the serious games designed may be a feasible rehabilitation tool for the improvement of coordination, speed of movements and fine UL dexterity in PD patients. Further studies are needed to confirm these preliminary findings.
Pilar Fernández-González; Maria Carratala Tejada; Esther Monge-Pereira; Susana Collado-Vázquez; Patricia Sánchez-Herrera Baeza; Alicia Cuesta-Gómez; Edwin Daniel Oña Simbaña; Alberto Jardon Huete; Francisco Molina-Rueda; Carlos Balaguer-Bernaldo De Quirós; Juan Carlos Miangolarra-Page; Roberto Cano-De La Cuerda. Leap motion controlled video game-based therapy for upper limb rehabilitation in patients with Parkinson’s disease: a feasibility study. Journal of NeuroEngineering and Rehabilitation 2019, 16, 1 -10.
AMA StylePilar Fernández-González, Maria Carratala Tejada, Esther Monge-Pereira, Susana Collado-Vázquez, Patricia Sánchez-Herrera Baeza, Alicia Cuesta-Gómez, Edwin Daniel Oña Simbaña, Alberto Jardon Huete, Francisco Molina-Rueda, Carlos Balaguer-Bernaldo De Quirós, Juan Carlos Miangolarra-Page, Roberto Cano-De La Cuerda. Leap motion controlled video game-based therapy for upper limb rehabilitation in patients with Parkinson’s disease: a feasibility study. Journal of NeuroEngineering and Rehabilitation. 2019; 16 (1):1-10.
Chicago/Turabian StylePilar Fernández-González; Maria Carratala Tejada; Esther Monge-Pereira; Susana Collado-Vázquez; Patricia Sánchez-Herrera Baeza; Alicia Cuesta-Gómez; Edwin Daniel Oña Simbaña; Alberto Jardon Huete; Francisco Molina-Rueda; Carlos Balaguer-Bernaldo De Quirós; Juan Carlos Miangolarra-Page; Roberto Cano-De La Cuerda. 2019. "Leap motion controlled video game-based therapy for upper limb rehabilitation in patients with Parkinson’s disease: a feasibility study." Journal of NeuroEngineering and Rehabilitation 16, no. 1: 1-10.
Introduction Gait impairment is one of the main causes of disability in people with Multiple Sclerosis. The Gait Assessment and Intervention Tool is an observational gait scale which assesses kinematic parameters using video recordings. Objective To study intra and inter‐rater reliability and the minimal detectable change of the Gait Assessment and Intervention Tool in subjects with Multiple Sclerosis. Design observational study. Setting Multiple Sclerosis Foundation. Participants 35 subjects with Multiple Sclerosis were assessed (12 men, 23 women; 47.7±11 years; Expanded Disability Status Scale=4.32±1.4). Interventions Not applicable. Main outcome measures Intra and inter‐rater reliability of the Gait Assessment and Intervention Tool was assessed for each limb using the intraclass correlation coefficient. Also, the minimal detectable change was calculated. Results The Intraclass Correlation Coefficient for the intra‐rater reliability was found to be excellent for the total score both for the right side (.91; Confidence Interval 95% .85‐.95) and the left side (.93; Confidence Interval 95% .88‐.96). The intraclass correlation coefficient for the inter‐rater reliability was .91 (Confidence Interval 95% .85‐.95) for the right side, and .93 (Confidence Interval 95% .88‐.96) for the left side. The minimal detectable change for the intra‐rater reliability was 1.19 points for the right side and .77 for the left side. Conclusions The Gait Assessment and Intervention Tool exhibits excellent intra and inter‐rater reliability and a small minimal detectable change for people with Multiple Sclerosis. This article is protected by copyright. All rights reserved.
María Dolores Gor‐García‐Fogeda; Silvia Tomé‐Redondo Pt; Cristina Simón‐Hidalgo Pt; Janis J. Daly; Francisco Molina‐Rueda; Roberto Cano‐De‐La‐Cuerda. Reliability and Minimal Detectable Change in the Gait Assessment and Intervention Tool in Patients With Multiple Sclerosis. PM&R 2019, 12, 685 -691.
AMA StyleMaría Dolores Gor‐García‐Fogeda, Silvia Tomé‐Redondo Pt, Cristina Simón‐Hidalgo Pt, Janis J. Daly, Francisco Molina‐Rueda, Roberto Cano‐De‐La‐Cuerda. Reliability and Minimal Detectable Change in the Gait Assessment and Intervention Tool in Patients With Multiple Sclerosis. PM&R. 2019; 12 (7):685-691.
Chicago/Turabian StyleMaría Dolores Gor‐García‐Fogeda; Silvia Tomé‐Redondo Pt; Cristina Simón‐Hidalgo Pt; Janis J. Daly; Francisco Molina‐Rueda; Roberto Cano‐De‐La‐Cuerda. 2019. "Reliability and Minimal Detectable Change in the Gait Assessment and Intervention Tool in Patients With Multiple Sclerosis." PM&R 12, no. 7: 685-691.
En 2004, un estudio descriptivo evaluó el conocimiento y uso del protector de cadera (PC) en los centros residenciales propios y concertados, para personas mayores de la Comunidad de Madrid, dependientes de la Consejería de Servicios Sociales, mostrando que el PC era poco conocido y por ende poco utilizado. El objetivo del trabajo es conocer, 14 años después, si el grado de conocimiento y uso del PC ha mejorado. Estudio descriptivo. Mediante entrevistas telefónicas mantenidas con el personal sanitario asistencial de las residencias para personas mayores (n = 216) y los centros de día para mayores (n = 170) de gestión privada, concertada y pública, dependientes de la Consejería de Políticas Sociales y Familia de la Comunidad de Madrid, entre los meses de enero y octubre de 2018, se evaluó el grado de conocimiento y uso del PC así como los criterios utilizados en su prescripción. Se contactó con 216 residencias para personas mayores, de las cuales respondieron 209. El 34% conocía el PC y el 7,2% lo utilizaba. De los 170 centros de día para mayores, se obtuvo información de 158. El 31,6% lo conocía, empleándolo el 7,6%. En los centros residenciales de la Comunidad de Madrid el conocimiento sobre el PC y su uso han mejorado ligeramente con respecto a 2004, sin embargo, continúa siendo una medida de prevención infravalorada e infrautilizada. In 2004, a descriptive study evaluated the knowledge and use of the hip protector (HP) in private and subsidized private nursing homes of the Community of Madrid (Social Services Council), showing that the HP was little known and thus hardly used. The aim of this work is to determine, fourteen years later, whether the degree of knowledge on the HP and its use has improved. Descriptive study. Health professionals of private, subsidized private and public management nursing homes (n = 216) and day centres (n = 170) for the elderly (Social Policies and Family Council) in the Community of Madrid were interviewed by phone, between January and October, 2018. They were asked about the knowledge, use and prescription criteria of the HP. We contacted 216 nursing homes and 209 responded. Thirty-four percent knew about the HP, and 7.2% used it. Of the 170 day centres, information was obtained from 158. Thirty-one point six percent knew about it, and 7.6% used it. Knowledge about the HP and its use has improved slightly, compared to 2004, in nursing homes and day centres of the Community of Madrid. However, it continues to be an underestimated and hardly used prevention measure.
M. Valle Fernández-Sánchez; Francisco Molina-Rueda; Isabel M. Alguacil-Diego. Protector de cadera: la vida sigue igual. Medicina Clínica Práctica 2019, 2, 89 -92.
AMA StyleM. Valle Fernández-Sánchez, Francisco Molina-Rueda, Isabel M. Alguacil-Diego. Protector de cadera: la vida sigue igual. Medicina Clínica Práctica. 2019; 2 (5):89-92.
Chicago/Turabian StyleM. Valle Fernández-Sánchez; Francisco Molina-Rueda; Isabel M. Alguacil-Diego. 2019. "Protector de cadera: la vida sigue igual." Medicina Clínica Práctica 2, no. 5: 89-92.
Recovery of motor function following stroke is essential to restore adequate functionality. The use of functional electrical stimulation (FES) technology as a neuroprosthesis to enhance the motor function of the UL, and thus facilitate the performance of ADL, could lead to a stroke patient's greater activity and participation in daily life. The aim of the present study was to establish whether the application of FES in patients who have suffered a stroke with UL motor impairment is able to modify and facilitate their reaching patterns, measured by a three-dimensional motion capture system. 20 patients with chronic stroke participated in this study. For muscle stimulation, the electrical stimulator Compex® was used. Motion analysis was performed using the VICON Motion System®. Joint movements of the thorax, shoulder and elbow were analyzed in the sagittal plane, during the reaching movement under two different conditions of stimulation: FES condition and placebo condition. Differences between FES condition and placebo condition were observed. In the FES condition it was recorded: an increased shoulder flexion and elbow extension in the reaching movement. Functional electrical stimulation improved reaching movement in stroke patients with upper limb impairment.
Alicia Cuesta-Gómez; María Carratalá-Tejada; Francisco Molina-Rueda; Juan Carlos Miangolarra-Page. Functional electrical stimulation improves reaching movement in the shoulder and elbow muscles of stroke patients: A three-dimensional motion analysis. Restorative Neurology and Neuroscience 2019, 37, 231 -238.
AMA StyleAlicia Cuesta-Gómez, María Carratalá-Tejada, Francisco Molina-Rueda, Juan Carlos Miangolarra-Page. Functional electrical stimulation improves reaching movement in the shoulder and elbow muscles of stroke patients: A three-dimensional motion analysis. Restorative Neurology and Neuroscience. 2019; 37 (3):231-238.
Chicago/Turabian StyleAlicia Cuesta-Gómez; María Carratalá-Tejada; Francisco Molina-Rueda; Juan Carlos Miangolarra-Page. 2019. "Functional electrical stimulation improves reaching movement in the shoulder and elbow muscles of stroke patients: A three-dimensional motion analysis." Restorative Neurology and Neuroscience 37, no. 3: 231-238.
SUMMARY BACKGROUND: To date, there is a lack of prior studies on the use of capacitive resistive monopolar radiofrequency (RF) to treat neck pain. The objective of this study was to investigate the immediate effect of capacitive resistive monopolar radiofrequency (RF=448 kHz), in comparison with a placebo, on (1) reducing neck pain intensity at myofascial trigger points (MTrP), (2) decreasing neck disability and (3) improving cervical range of motion (CROM). METHODS: A randomized, double-blind, placebo-controlled trial (NCT02353195) was carried out. Patients with myofascial chronic neck pain (N=24) with active MTrP in one upper trapezius muscle were randomly divided into two groups: a radio-frequency group, which received eight sessions of a monopolar capacitive resistive radio-frequency application over the upper trapezius muscle, and a placebo group (PG), which received eight sessions of placebo radio-frequency over the same muscle. Visual analog scale (VAS), CROM and Neck Disability Index (NDI) were evaluated after the first session and after the eight sessions. RESULTS: The Wilcoxon test for VAS showed statistically significant differences between baseline, immediately after the first session and after eight sessions (p<.001). No significant differences for PG were found. No differences were observed between groups. NDI improved in both groups after eight sessions, but no differences were found between groups (p<.05). ANOVA for time factor showed statistically significant changes in the right cervical rotation in both groups (F=4.112; p=.026) after eight sessions. CONCLUSIONS: Even though there were no differences between both groups, the monopolar capacitive, resistive RF could have a potential effect on pain intensity.
Isabel Maria Alguacil Diego; Josue Fernández-Carnero; Sofía Laguarta Val; Roberto Cano-De-La-Cuerda; César Calvo-Lobo; Rosa Martínez Piédrola; Laura Cristina Luna Oliva; Francisco Molina Rueda. Analgesic effects of a capacitive-resistive monopolar radiofrequency in patients with myofascial chronic neck pain: a pilot randomized controlled trial. Revista da Associação Médica Brasileira 2019, 65, 156 -164.
AMA StyleIsabel Maria Alguacil Diego, Josue Fernández-Carnero, Sofía Laguarta Val, Roberto Cano-De-La-Cuerda, César Calvo-Lobo, Rosa Martínez Piédrola, Laura Cristina Luna Oliva, Francisco Molina Rueda. Analgesic effects of a capacitive-resistive monopolar radiofrequency in patients with myofascial chronic neck pain: a pilot randomized controlled trial. Revista da Associação Médica Brasileira. 2019; 65 (2):156-164.
Chicago/Turabian StyleIsabel Maria Alguacil Diego; Josue Fernández-Carnero; Sofía Laguarta Val; Roberto Cano-De-La-Cuerda; César Calvo-Lobo; Rosa Martínez Piédrola; Laura Cristina Luna Oliva; Francisco Molina Rueda. 2019. "Analgesic effects of a capacitive-resistive monopolar radiofrequency in patients with myofascial chronic neck pain: a pilot randomized controlled trial." Revista da Associação Médica Brasileira 65, no. 2: 156-164.
Background The Gait Assessment and Intervention Tool has been shown to be a comprehensive and objectively scored tool to assess gait in people with neurological disease. However, there is only an English version of the scale, language in which it was developed. Objective To carry out a cross‐cultural adaptation of the Gait Assessment and Intervention Tool (G.A.I.T.) scale for its use in the Spanish speaking population, and to study the content validity of the Spanish version. Design A cross‐cultural adaptation and validation study of the G.A.I.T. Setting University Laboratory (XXX, XXX). Participants Not applicable. Main Outcome Measures The Spanish version of the G.A.I.T. was obtained using the double translation and back‐translation method, and a subsequent Expert Committee revision. The Expert Committee studied the content validity of the Spanish G.A.I.T. using the Content Validity Index (CVI). Result The final version of the G.A.I.T. in Spanish was obtained after the cross‐cultural process. The CVI was found to be excellent for the overall G.A.I.T. (.94), and excellent for 87% of its 31 items (≥.78). CVI was good for 10% of the items (arm swing and toes, CVI ≥ .72). Though 3% of items (shoulder and elbow position) showed CVI = .28, these items were retained for completeness. Conclusions The Spanish version of the G.A.I.T. was developed through a cross‐cultural adaptation process from its original version in English, and according to an Expert Committee it has an excellent overall content validity. This article is protected by copyright. All rights reserved.
María Dolores Gor-García-Fogeda; Roberto Cano De La Cuerda; Janis J. Daly; Francisco Molina-Rueda. Spanish Cross‐cultural Adaptation of the Gait Assessment and Intervention Tool. PM&R 2019, 11, 954 -962.
AMA StyleMaría Dolores Gor-García-Fogeda, Roberto Cano De La Cuerda, Janis J. Daly, Francisco Molina-Rueda. Spanish Cross‐cultural Adaptation of the Gait Assessment and Intervention Tool. PM&R. 2019; 11 (9):954-962.
Chicago/Turabian StyleMaría Dolores Gor-García-Fogeda; Roberto Cano De La Cuerda; Janis J. Daly; Francisco Molina-Rueda. 2019. "Spanish Cross‐cultural Adaptation of the Gait Assessment and Intervention Tool." PM&R 11, no. 9: 954-962.