Room Escape: Propuesta de Gamificación en el Grado de Fisioterapia

Introduction: Physical activity offers numerous benefits that improve psychological well-being, reduce dependency, and foster intergenerational relationships. Universities play a key role in promoting the health of students by proposing actions that contribute to a sustainable future, fostering a mature society and reducing ageism. This service-learning project aimed to assess the impact of an intergenerational cane-walking program on older adults and physiotherapy students in a community setting. The project focused on promoting health and fostering intergenerational relationships.Methods: A concurrent, nested mixed-methods design was used for the intervention, involving intergenerational group walks during the 2022–2023 academic year. The program was designed and supervised by faculty members and three fourth-year fellows. Data collection was based on adherence to the intervention, the Behavioral Regulation in Exercise Questionnaire (BREQ-3), interviews with older adults and feedback questionnaires completed by them and participating students.Results: Satisfactory adherence was evidenced among older adults, with 65.79% of participants who completed the project and 72% who adhered to the intervention, although there were no statistically significant differences in terms of motivation to exercise taking that adherence into account. The project’s ability to foster intergenerational relationships was rated by the seniors at 9.50 ± 0.6, and 100% answered affirmatively about its capacity of contribute to improving their health and well-being. Student feedback also reflected high scores for fostering intergenerational relationships, with scores of 10 (fellows), 8.7 ± 1.2 (third-year students), and 8.27 ± 1.2 (second-year students). The project’s contribution to skills development was rated positively by 100% of the fellows, 88.6% of the second-year students, and 74.1% of the third-year students. In the nested study, three key themes related to exercise emerged by older adults: (1) perceptions of exercise, (2) barriers to exercise and (3) motivations for exercise. Regarding satisfaction with the program, three main themes emerged: (1) intergenerational relationships, (2) strengths of the program and (3) suggestions for improvement.Conclusion: The program appears to improve the well-being of older adults and provide valuable experiential learning for students. Thus, service-learning projects could effectively promote sustainable health practices, highlighting the important role of universities in community health initiatives.

People with hemophilia usually have negative joint consequences due to their illness. Evidence suggests that exercise and therapeutic education bring some benefits. An important factor that affects health interventions was the experience and degree of satisfaction. Thus, it is relevant to analyze qualitative and quantitative data to obtain a complete view of the patient’s experience. As a result, a concurrent nested mixed method with quantitative predominance study design was carried out. Nine people with hemophilia of Hemoaralar with a homogeneous environment participated in this study. The items evaluated were the level of satisfaction through the GCPC-UN-ESU survey and the experience with healthcare interventions through a focus group. A high level of satisfaction was obtained, but some divergences between quantitative and qualitative data were found. Further research about physical therapy and this type of intervention in people with hemophilia should be considered to better address the impact of living with the disease.

Introduction: The older adult population suffers from a high prevalence of depression, representing an increasing burden on healthcare systems. In this context, this systematic review evaluated the effectiveness of physiotherapy for the management of depressive symptoms in this population. The population aged 65 and over is increasing in developed countries such as Spain, currently accounting for 19.09% and projected to reach 25.2% within the next decade. Depression is one of the most prevalent mental health conditions in this group, affecting 5% of community-dwelling individuals and 25% in institutional settings, significantly reducing quality of life and increasing the risk of dementia. While the pharmacological and psychotherapeutic treatments are standard, they present adverse effects and limitations in this population, prompting the exploration of physiotherapy as a non-pharmacological alternative.Objective: To analyze the scientific evidence regarding the effectiveness of combining conventional treatments with physiotherapy techniques for symptomatic improvement in older patients with depression, and to identify the most effective physiotherapy technique, when combined with conventional treatment, for depressive symptoms in older adults.Methods: We conducted a systematic review following PRISMA guidelines, and we performed searches in PubMed, Web of Science (WOS), Scopus and Cochrane Library databases. Study quality and risk of bias were assessed using the Cochrane Collaboration’s tool.Results: Eight randomized controlled trials, encompassing a total of 1,368 older participants diagnosed with depression or depressive symptoms who received physiotherapy, were included. The findings indicate that physiotherapy techniques, particularly therapeutic exercise, in combination with conventional treatments, may improve depressive symptoms in this population.Conclusion: Although we observed positive trends in the effectiveness of physiotherapy for depression in older adults, further research is required to validate its clinical efficacy and inform evidence-based treatment guidelines.Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251079161.

El Aprendizaje y Servicio (ApS) es una propuesta pedagógica que busca implicar al alumno en medios sociales de su ámbito cercano, con el fin de promover la conciencia ciudadana, y sin olvidar la adquisición de competencias curriculares por parte del estudiante. El presente trabajo describe la investigación llevada a cabo con estudiantes del Grado de Fisioterapia, de la Facultad de Ciencias de la Salud de la Universidad San Jorge , en la asignatura Trabajo de Fin de Grado, Entre los objetivos, valorar la aplicabilidad de la metodología de ApS en TFG y el grado de satisfacción de los participantes en el proyecto. Las iniciativas desarrolladas consisten en eboración y la implementación de un programa de Educación para la Salud (EPS) en asociaciones de personas con discapacidad. A través de este proyecto se ha conseguido aplicar e incrementar las competencias profesionales de los alumnos a nivel de contenidos académicos y científicos así como las competencias personales a través del fomento de la reflexión y el desarrollo personal de valores cívicos. La participación de alumnos de TFG en Fisioterapia en proyectos ApS es un modelo pedagógico óptimo para el desarrollo curricular, con un impacto significativo a nivel personal y social. Palabras clave: Aprendizaje y Servicio, Trabajo fin de Grado, Educación para la Salud, Fisioterapia, metodología, formación.