(1) Background: Patient safety is a discipline of health care management aiming to prevent and reduce errors and harm to patients. The assessment of knowledge and attitudes on patient safety among students in physical therapy is still scarce; no studies have yet explored the changes that internship periods may produce. Objectives: 1. to determine the attitudes and knowledge of students in physical therapy with respect to patient safety in a Spanish University; and 2. to explore changes following a practical internship period. (2) Methods: Longitudinal study. Data from the Attitudes to Patient Safety Questionnaire III (APSQ-III) before and after the internship period were obtained from an initial sample of 125 students and average positive response rates were compared. (3) Results: “Team functioning”, “Importance of patient safety in the curriculum”, and “Error inevitability” displayed the highest scores, in accordance with the current literature. After the internship period, the dimensions “Patient safety training received” (p = 0.001), “Error reporting confidence” (p = 0.044), and “Professional incompetence as an error cause” (p = 0.027) showed significant changes. (4) Conclusions: The current study, highlighting areas of strengths and weaknesses in the knowledge and attitudes of students in physical therapy towards patient safety, may be a foundation to adopt tailored programs to enhance students’ competencies in patient safety.

To compare the effectiveness of a combined treatment involving manual therapy and postural exercises in wind musicians with temporomandibular dysfunction (TMD). A randomized controlled clinical trial was conducted among a sample of TMD-affected wind-instrument musician students (NCT05893251), who were assigned to an experimental group (EG) or a control group (CG). Both groups underwent an active cervical postural treatment for 4 weeks, with the experimental group (EG) additionally receiving a cervical therapy protocol. Participants were assessed through the craniofacial pain and disability inventory (CF-PDI) test and maximum mouth opening (MMO). The treatment administered to the experimental group (EG) demonstrated higher efficacy compared to the control group (CG) in terms of MMO and CF-PDI scores (p < 0.05). A therapeutic program including manual therapy at a cervical level and a program of active postural exercises results to be more effective than solely performing postural exercises on wind musicians with DTM.

Valor del Test de Silfverskiöld para el diagnóstico de la fascitis plantar

To evaluate the level of knowledge and adherence to Clinical Practice Guidelines on fibromyalgia of physiotherapists in Spain. A cross-sectional study using an ad-hoc online survey was implemented to assess aspects on the assessment, treatment, and decision of the length of the therapeutic approach on fibromyalgia. Based on the results, professionals were classified as adherent, partially adherent, or non-adherent. The level of agreement with several statements on the condition was also evaluated across the professionals surveyed to evaluate the potential consensus. A total of 240 physiotherapists met inclusion criteria, amongst which 68 (28.33%) were adherent. The academic level of studies (Chi-square = 48.601, p-value = 0.001) and having had previous training in fibromyalgia (Chi-square = 151.011, p-value = 0.001) displayed statistically significant differences across adherence-based groups. Consensus was reached for 15 out of 24 statements. Our findings highlight the presence of an acceptable level of knowledge and adherence to clinical practice guidelines in the field of fibromyalgia among physiotherapists in Spain.Practice implicationsOur results also reveal the existence of an evidence-to-practice gap in the field, with potential room for improvement: further efforts on promoting and reinforcing the importance of evidence-based therapies are needed, from university teaching plans to clinical updates for daily practice.

Relación entre el sexo, edad e índice de masa corporal y el Foot Function Index en pacientes con fascitis plantar

Myogenic temporomandibular disorder frequently co-occurs with fibromyalgia and is associated with pain, disability, and maladaptive pain cognitions. This study evaluated the short- and long-term effects of an online Pain Neuroscience Education-informed self-management program in individuals with fibromyalgia and myogenic temporomandibular disorder. Prospective single-arm clinical study. Adults with fibromyalgia and myogenic temporomandibular disorder participated in a therapist-led online group self-management program consisting of three sessions integrating Pain Neuroscience Education, temporomandibular exercises, self-care strategies, and mindfulness. Assessments were conducted at baseline, post-treatment (4 weeks), and 12-month follow-up. Pain intensity at rest and during maximum mouth opening were predefined as primary outcomes. Secondary outcomes included pain-related cognitions, pain neurophysiology knowledge, psychological symptoms, central sensitization, jaw function, oral health-related quality of life, and oral habits. Changes over time were analysed using repeated-measures analysis of variance. A total of 107 participants were enrolled. Significant and sustained reductions were observed in temporomandibular pain during maximum mouth opening, whereas pain at rest did not change significantly. Significant, large, and sustained improvements were found in kinesiophobia, pain catastrophizing, and pain neurophysiology knowledge. Moderate short-term reductions were observed in anxiety, depression, and insomnia, but these were not maintained at 12 months. No significant changes were found in central sensitization, jaw functional limitation, oral health-related quality of life, or oral habits. A brief online Pain Neuroscience Education-informed self-management program was associated with durable improvements in movement-evoked temporomandibular pain and pain-related cognitions in individuals with fibromyalgia and myogenic temporomandibular disorder. A brief online self-management program incorporating Pain Neuroscience Education appears feasible for this population and may contribute to improvements in movement-evoked pain and pain-related cognitions. Controlled studies are needed to determine its clinical effectiveness.