Background: Fibromyalgia is a chronic rheumatological disease that affects the musculoskeletal system, primarily characterized by widespread chronic pain and other symptoms that significantly impact the quality of life of those who suffer from it, being more prevalent in the female population. In this context, among the non-pharmacological treatments available for this condition, resistance exercise has shown to be a promising intervention. The aim of this systematic review was to determine the optimal intensity of resistance exercise in patients with fibromyalgia and evaluate its effects and benefits. Methods: An exhaustive literature search was carried out in the PubMed, Scopus, SciELO, Web of Science, ScienceDirect, and PEDro databases. After the selection process, from the 405 studies initially identified, 17 met the established inclusion criteria. Subsequently, the methodological quality of the studies was evaluated using the Cochrane RoB 2 tool. Results: From the 405 studies initially identified, 17 met the established inclusion criteria. The results indicate that among the interventions studied, progressive intensity is the most recommended, where it is suggested to start with 40% of 1RM. This is followed, in order of recommendation, by low- and medium-intensity exercises, while high-intensity exercises are, in principle, the least used. Furthermore, the analysis of the effects of progressive intensity exercise showed promising results, including a significant decrease in pain, an increase in physical functionality, and, consequently, an improvement in quality of life. Conclusions: These findings suggest that progressive resistance exercise is an effective intervention for treating patients with fibromyalgia.

Background: Motor impairments limit the functional abilities of patients after stroke; it is important to identify low-cost rehabilitation avenues. The aim of this study is to determine the effectiveness of thermal stimulation in addition to conventional therapy for functional recovery in post-stroke patients. Methods: An electronic search was performed in the MEDLINE, Scopus, Web of Science, EMBASE, CINAHL, SPORTDiscus, Epistemonikos, LILACS, and PEDro databases. The eligibility criterion was randomized clinical trials that analyzed the clinical effects of thermal stimulation plus conventional therapy. Two authors independently performed the search, study selection, data extraction, and risk of bias assessment. Results: Eight studies met the eligibility criteria, and six studies were included in the quantitative synthesis. For thermal stimulation plus conventional therapy versus conventional therapy alone, the mean difference (MD) for function was 6.92 points (95% CI = 4.36–9.48; p < 0.01), for motor function was 6.31 points (95% CI = 5.18–7.44; p < 0.01), for balance was 4.41 points (95% CI = −2.59–11.4; p = 0.22), and for walking was 1.01 points (95% CI = 0.33–1.69; p < 0.01). For noxious thermal stimulation versus innocuous thermal stimulation, the MD for activities of daily living was 1.19 points (95% CI = −0.46–2.84; p = 0.16). Conclusions: In the short term, adding thermal stimulation to conventional therapy showed statistically significant differences in functional recovery in post-stroke patients. The quality of evidence was high to very low according to GRADE rating. The studies included varied in the frequency and dosage of thermal stimulation, which may affect the consistency and generalizability of the results. A larger quantity and a better quality of clinical studies are needed to confirm our findings. PROSPERO registration: CRD42023423207.

The General Movements Assessment provides early insight into motor development’s range of motion; however, its relationship with joint kinematics, such as hip abduction range of motion, remains underexplored. This study analyzed hip abduction kinematics during General Movements, evaluating potential sex differences and variations in movement patterns (Fidgety vs. Writhing), and aimed to provide quantitative data that complement qualitative pediatric assessments. This cross-sectional observational study analyzed video recordings of spontaneous motor activity in 32 infants under three months of corrected age. Hip abduction range of motion was extracted using biomechanical analysis during General Movements. Interrater reliability was evaluated using Fleiss’s Kappa. Correlations were assessed using Pearson’s test, and a two-way ANOVA examined the effects of sex and the type of movements on range of motion. Interrater reliability for movement classification was excellent (Kappa = 0.909, p < 0.001). No significant correlations were found between sex or General Movements type and hip abduction range of motion (p > 0.68). Two-way ANOVA showed no significant effects of sex, movement pattern, or their interaction on range of motion in either hip (right: p = 0.726, left: p = 0.823), with small effect sizes (η² < 0.013). A minor asymmetry favoring the right hip was observed but was not clinically significant. Sex and General Movements type did not significantly influence hip abduction range of motion in infants under three months. Early joint mobility appears consistent across sexes and movement patterns, supporting its reliability as a biomechanical marker of typical development.

El Trastorno por Déficit de Atención e Hiperactividad (TDAH), aunque comúnmente es vinculado a la infancia, persiste en la adultez y afecta el desempeño académico universitario. Este estudio transversal-comparativo analizó la relación entre el TDAH y el rendimiento académico en el estudiantado de Fisioterapia en Ecuador, una carrera con altas exigencias cognitivas, prácticas y comunicativas. Participaron 324 estudiantes de segundo a noveno niveles, mayores de 18 años, seleccionados aleatoriamente. El 11.1% (n=36) tenía diagnóstico confirmado y el 83.3% no recibía tratamiento. El estudiantado presenta promedios más bajos (p=0.004), mayor repetición de semestres (p=0.018) y dificultades de concentración y organización. Se concluyó que el TDAH es un factor de riesgo que requiere intervención institucional y clínica oportuna.

Objective: The primary objective of this research is to design and validate an instrument called "CSC-19" to assess Cabin Fever Syndrome in health students and professionals. Methodology: A descriptive cross-sectional design was used. 499 health students and teachers participated in this study. The internal consistency and linguistic validation of the instrument were evaluated. Cronbach's alpha was used to analyze the reliability of the instrument, and the Pearson statistical test was used to establish the correlation between the elements of the form. Results and Discussion: The correlation of the instrument was analyzed, according to Pearson's correlation statistic, obtaining an average of 0.521 between the 25 elements; 22 of which presented a high correlation. Regarding the reliability of the instrument, significant results were obtained in the parameters Risk of outings (0.964), return to normality (0.963), avoidability (0.965), risk thinking (0.963), preventive activities (0.965), emotions (0.963) and beliefs (0.967). Conclusions: The proposed instrument can support future research to apply it in educational environments of health training in the effects of social isolation, being able to identify parameters of mental health impairment in both university students and health professionals in their teaching work.

La Incontinencia Urinaria de Esfuerzo (IUE) se identifica como uno de los problemas común entre las mujeres mayores, lo que provoca una perdida involuntaria de orina cuando algo ejerce presión abdominal. Este problema radica en la debilitación del suelo pélvico con el pasar del tiempo, ante ello esta investigación tuvo como objetivo evaluar la efectividad de la reeducación del suelo pélvico como tratamiento para la incontinencia urinaria de esfuerzo en mujeres adultas mayores, analizando su impacto en la calidad de vida y los resultados clínicos. La investigación adopto una metodología de revisión narrativa basada en la búsqueda de literatura científica en bases de datos como PubMed, Springer, ProQuest y Google Schola, combinados mediante operadores booleanos para la obtención de resultados más específicos. Los resultados evidenciaron que los ejercicios de Kegel, por su simplicidad y bajo costo, son efectivos en el fortalecimiento muscular, el biofeedback mostró una mayor utilidad para mejorar la conciencia motora mediante la retroalimentación visual y auditiva. La electroestimulación resultó adecuada para casos de contracción muscular voluntaria limitada. Se concluye que la aplicación de estas intervenciones, de forma individual o combinada contribuyen a la restauración funcional del suelo pélvico y al mejoramiento integral de la salud femenina. Objetivo: Evaluar la efectividad de la reeducación del suelo pélvico como tratamiento para la incontinencia urinaria de esfuerzo en mujeres adultas mayores, analizando su impacto en la calidad de vida y los resultados clínicos.