Noemí Moreno Segura

Dr. Noemí Moreno Segura

Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain
orcid

Research Focus & Metrics

Academic Career Length

6Years (2021-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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RBRémi Berland
Rémi Berland
Elena Marques-SuleElena Marques-Sule
Elena Marques-Sule
JMJosé Luis Marín-Mateo
José Luis Marín-Mateo
Noemí Moreno SeguraNoemí Moreno Segura
Noemí Moreno Segura
ALAna López-Ridaura
Ana López-Ridaura
Trinidad Sentandreu-MañóTrinidad Sentandreu-Mañó
Trinidad Sentandreu-Mañó
The Feldenkrais Method (FM) is based on the learning of alternative movement patterns, carried out in an active and conscious way, which may have therapeutic effects. The objective of this systematic review is to identify the populations and conditions for which the FM can be used in physiotherapy and to determine the intervention modalities. Research in PubMed, Cochrane and PEDro databases was performed. The PEDro scale was employed to assess the methodological quality. Meta-analyses (MA) were performed whenever populations and outcome measures were comparable in at least two studies. Sixteen studies were included. In elderly people, in three of the four selected trials, the FM group significantly improved gait, balance, mobility and quality of life. The MA showed significant differences between interventions in the Timed-Up-and-Go test [Cohen’s d = −1.14, 95% CI (−1.78, −0.49), p = 0.0006]. FM significantly improved pain, functional balance, and perceived exertion in three trials performed on subjects with cervical, dorsal, or shoulder pain. FM demonstrated improvements in pain, disability, quality of life and interoceptive awareness in the three trials performed in subjects with chronic low back pain. In multiple sclerosis, an improvement in functional capacity was observed in the two selected studies. The MA showed no significant differences between groups in the Function (p = 0.97) and Control (p = 0.82) dimensions of the Multiple Sclerosis Self-Efficacy Scale. In Parkinson’s disease, two studies showed significant effects on quality of life and functional tests. In conclusion, evidence shows that FM has therapeutic effects comparable to other physiotherapy techniques in patients with spine pain. In addition, improvements in mobility and balance were seen in the elderly and people with neurodegenerative diseases.


23 January 2023 in Healthcare
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Journal Article
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Noemí Moreno SeguraNoemí Moreno Segura
Noemí Moreno Segura
LALaura Fuentes Aparicio
Laura Fuentes Aparicio
SFSergio Fajardo
Sergio Fajardo
Felipe Querol-GinerFelipe Querol-Giner
Felipe Querol-Giner
Hady AtefHady Atef
Hady Atef
Elena Marques-SuleElena Marques-Sule
Elena Marques-Sule
(1) Background: Healthcare professionals´ clinical practice, their care of patients and the clinical decision-making process may be influenced by ethical and moral sensitivity. However, such outcomes have been scarcely studied in physical therapists. This study aimed to explore ethical sensitivity and moral sensitivity in practicing physical therapists, and to compare both variables by gender. (2) Methods: Cross-sectional study. 75 physical therapists (58.7% women; average age = 34.56 (8.68) years) were asked to fill in questionnaires measuring ethical sensitivity (Ethical Sensitivity Scale Questionnaire) and moral sensitivity (Revised-Moral Sensitivity Questionnaire). (3) Results: The sample showed high ethical sensitivity (116.14 ± 15.87 over 140) and high moral sensitivity (40.58 ± 5.36 over 54). When comparing by gender, women reported significantly higher ethical sensitivity than men (p = 0.043), as well as higher scores in the following dimensions: Caring by connecting with others (p = 0.012) and Working with interpersonal and group differences (p = 0.028). However, no differences were found in moral sensitivity (p = 0.243). (4) Conclusion: Physical therapists showed high levels of ethical and moral sensitivity, whilst women reported higher ethical sensitivity than men. Understanding physical therapists´ ethical and moral sensitivity is essential to design and implement integrated education programs directed to improve the quality of care of patients in their daily clinical practice.

27 September 2023 in Healthcare
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ASAmalia Sillero Sillero
Amalia Sillero Sillero
RMRaquel Ayuso Margañon
Raquel Ayuso Margañon
Noemí Moreno SeguraNoemí Moreno Segura
Noemí Moreno Segura
JCJuan José Carrasco
Juan José Carrasco
Hady AtefHady Atef
Hady Atef
Elena Marques-SuleElena Marques-Sule
Elena Marques-Sule
(1) Background: This study aimed to examine the relationship between Spanish physical therapists’ perceptions of the ethical climate, their moral sensitivity (awareness of ethical issues), and job satisfaction. (2) Methods: the study analyzed descriptive correlational data on 104 physical therapists from three Spanish metropolitan hospitals. Respondents completed a demographic data form, an ethical climate questionnaire, a job satisfaction survey, and a moral sensitivity scale. This study complies with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. (3) Results: With a mean score of 4.2, physical therapists are typically content with their jobs. The mean scores for the moral sensitivity and ethical climate questionnaires are high, at 40.1 (SD 6.3) and 96.8 (SD 17.1), respectively. There is a significant positive correlation between job satisfaction and ethical climate (r between 0.59 and 0.79) but only a weak correlation between job satisfaction and moral sensibility (r between 0 and 0.32 for the three aspects measured). (4) Conclusions: Generally speaking, physical therapists reported that they had high job satisfaction, a positive workplace environment, and excellent management support. Despite a weak relationship with moral sensibility, there is a strong association between ethical behavior, hospital organization, and higher levels of job satisfaction. It is important to encourage the development of moral sensibilities to boost psychological well-being and therapeutic decision-making.

Elena Marques-SuleElena Marques-Sule
Elena Marques-Sule
EMElena Muñoz-Gómez
Elena Muñoz-Gómez
Luís Almenar-BonetLuís Almenar-Bonet
Luís Almenar-Bonet
Noemí Moreno SeguraNoemí Moreno Segura
Noemí Moreno Segura
MGMª Cruz Sánchez Gómez
Mª Cruz Sánchez Gómez
Juan Luis Cabanillas-GarcíaJuan Luis Cabanillas-García
Juan Luis Cabanillas-García
Background: This study aimed to compare well-being and physical activity (PA) before and during COVID-19 confinement in older adults with heart failure (HF), to compare well-being and PA during COVID-19 confinement in octogenarians and non-octogenarians, and to explore well-being, social support, attention to symptoms, and assistance needs during confinement in this population. Methods: A mixed-methods design was performed. Well-being (Cantril Ladder of Life) and PA (International Physical Activity Questionnaire) were assessed. Semi-structured interviews were performed to assess the rest of the variables. Results: 120 participants were evaluated (74.16 ± 12.90 years; octogenarians = 44.16%, non-octogenarians = 55.83%). Both groups showed lower well-being and performed less PA during confinement than before (p < 0.001). Octogenarians reported lower well-being (p = 0.02), higher sedentary time (p = 0.03), and lower levels of moderate PA (p = 0.04) during confinement. Most individuals in the sample considered their well-being to have decreased during confinement, 30% reported decreased social support, 50% increased their attention to symptoms, and 60% were not satisfied with the assistance received. Octogenarians were more severely impacted during confinement than non-octogenarians in terms of well-being, attention to symptoms, and assistance needs. Conclusions: Well-being and PA decreased during confinement, although octogenarians were more affected than non-octogenarians. Remote monitoring strategies are needed in elders with HF to control health outcomes in critical periods, especially in octogenarians.

10 February 2025 in Applied Sciences
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MSMariana Sánchez-Barbadora
Mariana Sánchez-Barbadora
Noemí Moreno SeguraNoemí Moreno Segura
Noemí Moreno Segura
Francesc Medina-MirapeixFrancesc Medina-Mirapeix
Francesc Medina-Mirapeix
Rodrigo Martín San AgustínRodrigo Martín San Agustín
Rodrigo Martín San Agustín
(1) Background: Dynamic balance plays a crucial role in maintaining ankle stability and preventing injuries, particularly in active individuals. Instability devices are commonly utilized to enhance ankle strength and stability, and there is growing interest in integrating these tools with novel modalities, such as transcranial direct current stimulation (tDCS), to maximize benefits. This study aimed to compare the effects of a 4-week balance training program performed on a selective instability device alone or combined with tDCS on dynamic balance in recreationally active young adults. (2) Methods: Twenty participants were randomized into two groups: one performing balance exercises on the Blackboard device and another combining the exercises with tDCS. Dynamic balance was measured at baseline, midway, and post-intervention using the Y-Balance Test and the Emery Test. (3) Results: Both groups showed significant improvements in balance performance, with increased reach distances and stability times (p = 0.001 and p = 0.04, respectively), after 4 weeks. However, the addition of tDCS did not yield additional benefits over balance training alone (p > 0.05). (4) Conclusions: These findings underscore the value of instability device-based balance training for enhancing dynamic balance while questioning the utility of tDCS as a combined therapy in healthy individuals.