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Antonio Ignacio Cuesta-Vargas
Departamento de Fisioterapia, Facultad de Ciencias de La Salud, Universidad de Málaga, Andalucia Tech, Málaga, Spain

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Original article
Published: 31 August 2021 in Supportive Care in Cancer
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Background Breast cancer survivors (BCS) face several symptoms and are at higher risk of weight gain following diagnosis. Current literature shows that both exercise and diet play a key role in recovery of BCS. However, there is a gap between current guidelines and the real-world context. The aim of this article is to describe the process behind a free, not-for-profit community-based therapeutic exercise and education programme (TEEP) for BCS in the clinical setting. Methods The “Onco-Health Club” (OHC) consists of therapeutic exercise (TE) intervention aimed at ameliorating cancer-related fatigue (CRF) and improving QoL and physical function. TE is supplemented with nutritional education, providing information about the Mediterranean diet. To this end, patients are recruited from an oncologist and are referred to a physiotherapist and a nutritionist for baseline assessment. TEEP consists of a 3-month intervention, delivered twice a week in a group format with 1 h of TE and 30 min of nutritional education. BCS then have a final assessment and are advised to continue with a healthy lifestyle. Data about referral, compliance and assessment were collected. Results From May 2017 to February of 2020, a total of 158 patients were recruited from 8 cohorts and 142 initially started the OHC. From 119 that joined the program, 96 patients were considered to have finished it with good adherence (assistance > 80%). BCS significantly improved their QoL, as well as upper and lower limb’s function, and increased their level of physical activity. CRF tended to decrease (p = 0.005). Conclusions This study obtained data on recruitment, compliance, and possible limitations of these kinds of programmes in a real-world context. Further research is needed in order to optimize patient engagement and compliance, as well as to determine the transferability of these programmes in the clinical setting. Trial registration NCT03879096, Registered 18th March 2019. Retrospectively registered.

ACS Style

Cristina Roldán-Jiménez; Bella Pajares; Sofía Ruiz-Medina; Manuel Trinidad-Fernández; Manuel González-Sánchez; Nuria Ribelles; José Manuel García-Almeida; María José Ríos-López; Emilio Alba; Antonio Ignacio Cuesta-Vargas. Design and implementation of a standard care programme of therapeutic exercise and education for breast cancer survivors. Supportive Care in Cancer 2021, 1 -9.

AMA Style

Cristina Roldán-Jiménez, Bella Pajares, Sofía Ruiz-Medina, Manuel Trinidad-Fernández, Manuel González-Sánchez, Nuria Ribelles, José Manuel García-Almeida, María José Ríos-López, Emilio Alba, Antonio Ignacio Cuesta-Vargas. Design and implementation of a standard care programme of therapeutic exercise and education for breast cancer survivors. Supportive Care in Cancer. 2021; ():1-9.

Chicago/Turabian Style

Cristina Roldán-Jiménez; Bella Pajares; Sofía Ruiz-Medina; Manuel Trinidad-Fernández; Manuel González-Sánchez; Nuria Ribelles; José Manuel García-Almeida; María José Ríos-López; Emilio Alba; Antonio Ignacio Cuesta-Vargas. 2021. "Design and implementation of a standard care programme of therapeutic exercise and education for breast cancer survivors." Supportive Care in Cancer , no. : 1-9.

Rehabilitation medicine
Published: 17 August 2021 in BMJ Open
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Introduction High-load resistance training has shown positive effects in pain and function in lower limb tendinopathies. However, some authors suggest that current exercise programmes produce an increase in tolerance to load and exercise in general but without fixing some existing issues in tendinopathy. This may indicate the need to include training aspects not currently taken into account in the current programmes. The main objective of this study will be to compare the effect of a common exercise protocol for the three predominant lower limb tendinopathies (Achilles, patellar and gluteal), based on an individualised control of the dose and training of specific aspects of the neuromuscular system versus the current best practice for each location. Methods and analysis This study will be conducted among people with mid-portion Achilles, patellar or gluteal tendinopathy. The participants allocated to the experimental group will perform a 14-week innovative common therapeutic exercise programme. Participants allocated to the control group will carry out a 14-week exercise programme based on the best current practice for each of the studied locations. The Victorian Institute of Sports Assessment questionnaire will be considered the primary outcome. Pain, central sensitisation, fear avoidance behaviour, quality of life, treatment satisfaction, lower-limb strength and function, and high-density electromyography profile will be evaluated as secondary outcomes. Outcomes will be assessed at baseline, 7 weeks, after the intervention (week 14), 26 weeks and 52 weeks. Ethics and dissemination The study has been approved by the Portal de Ética de la Investigación Biomédica de Andalucía Ethics Committee (1221-N-19). All participants will be informed about the purpose and content of the study and written informed consent will be completed. The results of this study will be published in a peer-reviewed journal and will be disseminated electronically and in print. Trial registration number NCT03853122; Pre-results.

ACS Style

Adrian Escriche-Escuder; Antonio I Cuesta-Vargas; Jose Casaña. Effect of a common exercise programme with an individualised progression criterion based on the measurement of neuromuscular capacity versus current best practice for lower limb tendinopathies (MaLaGa trial): a protocol for a randomised clinical trial. BMJ Open 2021, 11, e046729 .

AMA Style

Adrian Escriche-Escuder, Antonio I Cuesta-Vargas, Jose Casaña. Effect of a common exercise programme with an individualised progression criterion based on the measurement of neuromuscular capacity versus current best practice for lower limb tendinopathies (MaLaGa trial): a protocol for a randomised clinical trial. BMJ Open. 2021; 11 (8):e046729.

Chicago/Turabian Style

Adrian Escriche-Escuder; Antonio I Cuesta-Vargas; Jose Casaña. 2021. "Effect of a common exercise programme with an individualised progression criterion based on the measurement of neuromuscular capacity versus current best practice for lower limb tendinopathies (MaLaGa trial): a protocol for a randomised clinical trial." BMJ Open 11, no. 8: e046729.

Journal article
Published: 13 August 2021 in Diagnostics
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The purpose of the present study was to investigate the associations between muscle thickness and echo intensity with cognitive and physical dimensions like functional capacity measured in older people. This cross-sectional study involved 20 older adults (15 women and 5 men, mean age ± SD: 85 ± 7 years, body mass index: 25 ± 3 kg/m2) from a geriatric centre in Malaga (Spain). Anthropometric measurements, cognitive assessment with Pfeiffer Short Portable Mental Status Questionnaire and Motor Memory test, Physical Performance with Short Physical Performance Battery, and muscle strength were tested. Additionally, using B-mode ultrasonography, images of wrist flexors, biceps brachii, rectus femoris, vastus lateralis, medial gastrocnemius, and tibialis anterior were captured, and muscle thickness and echo intensity variables were extracted. An association between muscle parameters assessed by ultrasonography and cognitive and physical dimensions were found in older people. Echo intensity was the best predictor in a set of regression models with different muscle parameters and a battery of cognitive and physical tests in older people. Echo intensity adjusted by handgrip strength could be a low cost and ambulatory index and an indirect and reversible indicator of functional capacity.

ACS Style

Alvaro Mateos-Angulo; Alejandro Galán-Mercant; Antonio Ignacio Cuesta-Vargas. Muscle Thickness and Echo Intensity by Ultrasonography and Cognitive and Physical Dimensions in Older Adults. Diagnostics 2021, 11, 1471 .

AMA Style

Alvaro Mateos-Angulo, Alejandro Galán-Mercant, Antonio Ignacio Cuesta-Vargas. Muscle Thickness and Echo Intensity by Ultrasonography and Cognitive and Physical Dimensions in Older Adults. Diagnostics. 2021; 11 (8):1471.

Chicago/Turabian Style

Alvaro Mateos-Angulo; Alejandro Galán-Mercant; Antonio Ignacio Cuesta-Vargas. 2021. "Muscle Thickness and Echo Intensity by Ultrasonography and Cognitive and Physical Dimensions in Older Adults." Diagnostics 11, no. 8: 1471.

Journal article
Published: 23 July 2021 in International Journal of Environmental Research and Public Health
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Background: The mini-suffering state examination is a valid and reliable measure that have been used to assess suffering in patients with advanced cancer. The aim of this study was to carry out a psychometric analysis of the Spanish version of the mini-suffering state examination. Method: A validation study was conducted. Seventy-two informal caregivers of deceased patients in palliative care were included in this study. A psychometric testing of content validity, internal consistency, and convergent validity with the Spanish version of the quality of dying and death questionnaire was performed. Results: The original instrument was modified to be used by informal caregivers. The content validity was acceptable (0.96), and the internal consistency was moderate (α = 0.67). Convergent validity was demonstrated (r = −0.64). Conclusion: The Spanish modified version of the MSSE showed satisfactory measurement properties. The Spanish modified version of MSSE can be useful to facilitate screening, monitor progress, and guide treatment decisions in end-of-life cancer patients.

ACS Style

Daniel Gutiérrez-Sánchez; Rafael Gómez-García; Isabel López-Medina; Antonio Cuesta-Vargas. Psychometric Testing of the Spanish Modified Version of the Mini-Suffering State Examination. International Journal of Environmental Research and Public Health 2021, 18, 7821 .

AMA Style

Daniel Gutiérrez-Sánchez, Rafael Gómez-García, Isabel López-Medina, Antonio Cuesta-Vargas. Psychometric Testing of the Spanish Modified Version of the Mini-Suffering State Examination. International Journal of Environmental Research and Public Health. 2021; 18 (15):7821.

Chicago/Turabian Style

Daniel Gutiérrez-Sánchez; Rafael Gómez-García; Isabel López-Medina; Antonio Cuesta-Vargas. 2021. "Psychometric Testing of the Spanish Modified Version of the Mini-Suffering State Examination." International Journal of Environmental Research and Public Health 18, no. 15: 7821.

Review
Published: 08 July 2021 in Frontiers in Digital Health
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Background: Sedentary behavior (SB) negatively impact health and is highly prevalent in the population. Digital behavior change interventions (DBCIs) have been developed to modify behaviors such as SB by technologies. However, it is unknown which behavior change techniques (BCTs) are most frequently employed in SB as well as the effect associated with DBCIs in this field. The aim of this systematic review was: (a) to evaluate the BCT most frequently employed in digital health including all technologies available and interventions aimed at increasing physical activity (PA), reducing sedentary time, and improving adherence to exercise in the clinical population, and (b) to review the effect associated with DBCIs in this field. Methods: The database used was Medline, as well as Scopus, Scielo, and Google Scholar. For the search strategy, we considered versions of behavior/behavioral, mHealth/eHealth/telemedicine/serious game/gamification. The terms related to PA and SB were included, the criteria for inclusion were randomized clinical trials (RCTs), adults, intervention based on digital media, and outcome variable lifestyle modification; a last 5 years filter was included. Michie's Taxonomy was used to identify BCTs. The study was registered under the number PROSPERO CRD42019138681. Results: Eighteen RCTs were included in the present systematic review, 5 of them healthy adults, and 13 of them with some illness. Studies included 2298 sedentary individuals who were followed up for 5 weeks−3 years. The most used BCTs were goal setting, problem solving, review outcomes/goals, feedback on behavior and outcomes of behavior, self-monitoring of behavior, social support, information about health consequences, and behavior practice/rehearsal. The effect associated with DBCIs showed improvements, among several related to PA and physiologic self-reported and anthropometric outcomes. Conclusion: The BCTs most used in digital health to change outcomes related to SB were goals and planning, feedback and monitoring, social support, natural consequences, repetition, and substitution. Besides these findings, DBCIs are influenced by several factors like the type of intervention, patients' preferences and values, or the number of BCTs employed. More research is needed to determine with precision which DBCIs or BCTs are the most effective to reduce SB in the clinical population.

ACS Style

Jaime Martín-Martín; Cristina Roldán-Jiménez; Irene De-Torres; Antonio Muro-Culebras; Adrian Escriche-Escuder; Manuel Gonzalez-Sanchez; María Ruiz-Muñoz; Fermin Mayoral-Cleries; Attila Biró; Wen Tang; Borjanka Nikolova; Alfredo Salvatore; Antonio I. Cuesta-Vargas. Behavior Change Techniques and the Effects Associated With Digital Behavior Change Interventions in Sedentary Behavior in the Clinical Population: A Systematic Review. Frontiers in Digital Health 2021, 3, 1 .

AMA Style

Jaime Martín-Martín, Cristina Roldán-Jiménez, Irene De-Torres, Antonio Muro-Culebras, Adrian Escriche-Escuder, Manuel Gonzalez-Sanchez, María Ruiz-Muñoz, Fermin Mayoral-Cleries, Attila Biró, Wen Tang, Borjanka Nikolova, Alfredo Salvatore, Antonio I. Cuesta-Vargas. Behavior Change Techniques and the Effects Associated With Digital Behavior Change Interventions in Sedentary Behavior in the Clinical Population: A Systematic Review. Frontiers in Digital Health. 2021; 3 ():1.

Chicago/Turabian Style

Jaime Martín-Martín; Cristina Roldán-Jiménez; Irene De-Torres; Antonio Muro-Culebras; Adrian Escriche-Escuder; Manuel Gonzalez-Sanchez; María Ruiz-Muñoz; Fermin Mayoral-Cleries; Attila Biró; Wen Tang; Borjanka Nikolova; Alfredo Salvatore; Antonio I. Cuesta-Vargas. 2021. "Behavior Change Techniques and the Effects Associated With Digital Behavior Change Interventions in Sedentary Behavior in the Clinical Population: A Systematic Review." Frontiers in Digital Health 3, no. : 1.

Journal article
Published: 27 May 2021 in International Journal of Osteopathic Medicine
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Objectives The objective of this study is to analyse the kinematic parameters performed during knee manipulation in order to improve the manipulative learning in future students: the kinematic differences and the consistency of the manipulations. Methods Cross-sectional study. This study compared health professionals with no experience and with more than 15 years of manipulative techniques experience, using an inertial sensor located above the tuberosity of the tibia. Outcome variables were manipulation time, peaks of displacement, angulation range, translation range and areas under the curve of the movement. Angulation data were recorded on the pitch axis, whilst the translation data were recorded on the yaw axis. A Matlab algorithm was used to identify the start and end of the manipulation. Results The expert therapist performed the technique with greater amounts of anterior and posterior tibial translation, greater area under the curve and quicker manipulation cycles were. No difference was found for variables associated with knee flexion and extension. The expert therapist showed a higher consistency during the technique execution. Conclusions Knee manipulative technique was analyzed to quantify knee movement via single inertia sensor. The results of this study suggest translation displacement and manipulation consistency have to be taken into account to design learning strategies.

ACS Style

Wholohan A; C. Roldán-Jiménez; M. Ruiz-Muñoz; Bennett P; M. Trinidad-Fernández; M. Gonzalez-Sanchez; A. Cuesta-Vargas. Kinematic consistency in the knee manipulation learning: A comparison between expert and beginner therapists. International Journal of Osteopathic Medicine 2021, 1 .

AMA Style

Wholohan A, C. Roldán-Jiménez, M. Ruiz-Muñoz, Bennett P, M. Trinidad-Fernández, M. Gonzalez-Sanchez, A. Cuesta-Vargas. Kinematic consistency in the knee manipulation learning: A comparison between expert and beginner therapists. International Journal of Osteopathic Medicine. 2021; ():1.

Chicago/Turabian Style

Wholohan A; C. Roldán-Jiménez; M. Ruiz-Muñoz; Bennett P; M. Trinidad-Fernández; M. Gonzalez-Sanchez; A. Cuesta-Vargas. 2021. "Kinematic consistency in the knee manipulation learning: A comparison between expert and beginner therapists." International Journal of Osteopathic Medicine , no. : 1.

Preprint content
Published: 21 May 2021
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BACKGROUND Coronavirus disease 2019 has forced the implementation of restrictive measures to control its viral spread and avoid the serious collapse of health systems worldwide. The Spanish government enforced lockdown, home confinement, social distancing and isolation. Limited access to basic services, and decreased family and social support have deleterious effects on physical and mental health, quality of life and cognition. Technology home-based interventions reduce the risk of viral exposure and prevent the health-related negative outcomes of social isolation through: healthcare delivery, cognitive stimulation, social connection, information sharing, and leisure entertainment. OBJECTIVE The aims of this cohort study were: 1) to explore the impact of social isolation resulting from restrictive measures on cognition, quality of life, mood and perceived stress on community-dwelling older adults with mild cognitive impairment or mild dementia; 2) to analyze how living alone and attitude towards technologies affect mental health; 3) to determine healthcare and social support services access and utilization; and finally; 3) to explore the informative, cognitive, entertainment, and social related uses of ICTs during the COVID-19 outbreak . METHODS This cohort study was conducted in the Spanish region of Andalucía (Málaga). In total 151 participants with mild cognitive impairment or mild dementia (PMCI/MD), from the SMART 4 MD (n=75) and TV-AssistDem (n=76) randomized clinical trial, were interviewed by telephone between May 11 and June 26 2020. The R version 4.0.4 program was used for all statistical analysis. RESULTS Of the respondents, 97/151 (64.2%) were women. The mean age was 74.31 years (SD 6.48), and 36/151 (23.8%) lived alone. Our findings show that the first months of the outbreak did not significantly impact the cognition, quality of life and mood of our study population when making comparisons with baseline assessments prior to the outbreak, and perceived stress was reported as moderate during the outbreak. Living alone was found a risk factor for fear, and higher technophilia was associated with less negative mental health outcomes. Overall, healthcare and social support services access and utilization was high. The most used ICTs during the COVID-19 outbreak were the Television for informative, cognitive, and entertainment related uses; and the SmartPhone for socialization. CONCLUSIONS While COVID-19 restrictions have demonstrated being effective in viral spread prevention, they have had negative effects in health and well-being and have changed lifestyles worldwide. Our study shows how a presumably vulnerable population of elderly with cognitive impairment has shown more resilience to restrictive measures than expected, experiencing no decline in cognition, quality of life or mood during the period of the COVID-19 outbreak. They reported overall well-being, maintained sleep quality, moderate perceived stress and low depression. Furthermore, findings show how a positive attitude towards technology is associated with less perceived stress, depression and boredom. CLINICALTRIAL NCT 04385797 May 13, 2020 INTERNATIONAL REGISTERED REPORT RR2-10.2196/26431

ACS Style

Elena Dura-Perez; Jessica Marian Goodman-Casanova; Amanda Vega-Nuñez; Gloria Guerrero-Pertiñez; Esperanza Varela-Moreno; Maite Garolera; Maria Quintana; Antonio Cuesta-Vargas; Pilar Barnestein-Fonseca; Carlos Gómez Sánchez-Lafuente; Fermin Mayoral-Cleries; Jose Guzman-Parra. Cognitive Outcomes During COVID-19 Confinement Among Older People and Their Caregivers Using Technologies for Dementia: a retrospective cohort study (Preprint). 2021, 1 .

AMA Style

Elena Dura-Perez, Jessica Marian Goodman-Casanova, Amanda Vega-Nuñez, Gloria Guerrero-Pertiñez, Esperanza Varela-Moreno, Maite Garolera, Maria Quintana, Antonio Cuesta-Vargas, Pilar Barnestein-Fonseca, Carlos Gómez Sánchez-Lafuente, Fermin Mayoral-Cleries, Jose Guzman-Parra. Cognitive Outcomes During COVID-19 Confinement Among Older People and Their Caregivers Using Technologies for Dementia: a retrospective cohort study (Preprint). . 2021; ():1.

Chicago/Turabian Style

Elena Dura-Perez; Jessica Marian Goodman-Casanova; Amanda Vega-Nuñez; Gloria Guerrero-Pertiñez; Esperanza Varela-Moreno; Maite Garolera; Maria Quintana; Antonio Cuesta-Vargas; Pilar Barnestein-Fonseca; Carlos Gómez Sánchez-Lafuente; Fermin Mayoral-Cleries; Jose Guzman-Parra. 2021. "Cognitive Outcomes During COVID-19 Confinement Among Older People and Their Caregivers Using Technologies for Dementia: a retrospective cohort study (Preprint)." , no. : 1.

Journal article
Published: 18 May 2021 in JMIR Research Protocols
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Background The COVID-19 pandemic has led to worldwide implementation of unprecedented restrictions to control its rapid spread and mitigate its impact. The Spanish government has enforced social distancing, quarantine, and home confinement measures. Such restrictions on activities of daily life and separation from loved ones may lead to social isolation and loneliness with health-related consequences among community-dwelling older adults with mild cognitive impairment or mild dementia and their caregivers. Additionally, inadequate access to health care and social support services may aggravate chronic conditions. Home-based technological interventions have emerged for combating social isolation and loneliness, while simultaneously preventing the risk of virus exposure. Objective The aim of this cohort study is to explore, analyze, and determine the impact of social isolation on (1) cognition, quality of life, mood, technophilia, and perceived stress among community-dwelling older adults with mild cognitive impairment or mild dementia and on the caregiver burden; (2) access to and utilization of health and social care services; and (3) cognitive, social, and entertainment-related uses of information and communication technologies. Methods This study will be conducted in Málaga (Andalucía, Spain). In total 200 dyads, consisting of a person with mild cognitive impairment or mild dementia and his/her informal caregiver, will be contacted by telephone. Potential respondents will be participants of the following clinical trials: support, monitoring, and reminder technology for mild dementia (n=100) and television-based assistive integrated service to support European adults living with mild dementia or mild cognitive impairment (n=100). Results As of May 2021, a total of 153 participants have been enrolled and assessed during COVID-19 confinement, of whom 67 have been assessed at 6 months of enrollment. Changes in the mean values of the variables will be analyzed relative to baseline findings of previous studies with those during and after confinement, using repeated-measures analysis of variance or the nonparametric Friedman test, as appropriate. The performance of multivariate analysis of covariance (ANCOVA) to introduce potential covariates will also be considered. Values of 95% CI will be used. Conclusions If our hypothesis is accepted, these findings will demonstrate the negative impact of social isolation owing to COVID-19 confinement on cognition, quality of life, mood, and perceived stress among community-dwelling older adults with mild cognitive impairment and mild dementia, the impact on technophilia, caregiver burden, the access to and utilization of health and social care services, and the cognitive, social, and entertainment-related use of information and communication technologies during and after COVID-19 confinement. Trial Registration ClinicalTrials.gov NCT04385797; https://clinicaltrials.gov/ct2/show/NCT04385797 International Registered Report Identifier (IRRID) DERR1-10.2196/26431

ACS Style

Jessica Marian Goodman-Casanova; Elena Dura-Perez; Gloria Guerrero-Pertiñez; Pilar Barnestein-Fonseca; Jose Guzman-Parra; Amanda Vega-Nuñez; Esperanza Varela-Moreno; Antonio Cuesta-Vargas; Fermin Mayoral-Cleries. Cognitive Outcomes During COVID-19 Confinement Among Older People and Their Caregivers Using Technologies for Dementia: Protocol for an Observational Cohort Study. JMIR Research Protocols 2021, 10, e26431 .

AMA Style

Jessica Marian Goodman-Casanova, Elena Dura-Perez, Gloria Guerrero-Pertiñez, Pilar Barnestein-Fonseca, Jose Guzman-Parra, Amanda Vega-Nuñez, Esperanza Varela-Moreno, Antonio Cuesta-Vargas, Fermin Mayoral-Cleries. Cognitive Outcomes During COVID-19 Confinement Among Older People and Their Caregivers Using Technologies for Dementia: Protocol for an Observational Cohort Study. JMIR Research Protocols. 2021; 10 (5):e26431.

Chicago/Turabian Style

Jessica Marian Goodman-Casanova; Elena Dura-Perez; Gloria Guerrero-Pertiñez; Pilar Barnestein-Fonseca; Jose Guzman-Parra; Amanda Vega-Nuñez; Esperanza Varela-Moreno; Antonio Cuesta-Vargas; Fermin Mayoral-Cleries. 2021. "Cognitive Outcomes During COVID-19 Confinement Among Older People and Their Caregivers Using Technologies for Dementia: Protocol for an Observational Cohort Study." JMIR Research Protocols 10, no. 5: e26431.

Journal article
Published: 29 April 2021 in Diagnostics
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Axial spondyloarthritis (axSpA) is a chronic rheumatic disease characterized by the presence of inflammatory back pain. In patients with chronic low back pain, the lumbar flexion relaxation phenomenon measured by surface electromyography (sEMG) differs from that in healthy individuals. However, sEMG activity in axSpA patients has not been studied. The purpose of this study was to analyze the flexion relaxation phenomenon in axSpA patients. A study evaluating 39 axSpA patients and 35 healthy controls was conducted. sEMG activity at the erector spinae muscles was measured during lumbar full flexion movements. sEMG activity was compared between axSpA patients and the controls, as well as between active (BASDAI ≥ 4) and non-active (BASDAI < 4) patients. The reliability (using intraclass correlation coefficients (ICC)), criterion validity and discriminant validity using the area Under the curve (AUC) for the inverse flexion/relaxation ratio (1/FRR) were evaluated. Significant differences (p < 0.05) were observed between axSpA patients and the control group in lumbar electric activity, especially during flexion, relaxation, and extension and in FRR and 1/FRR (0.66 ± 0.39 vs. 0.25 ± 0.19, respectively). In addition, significant differences were found between active and non-active but also between non-active and healthy subjects. The sEMG showed good reliability (ICC > 0.8 for 1/FRR) and criterion validity. ROC analysis showed good discriminant validity for axSpA patients (AUC = 0.835) vs. the control group using 1/FRR. An abnormal flexion/relaxation phenomenon exists in axSpA patients compared with controls. sEMG could be an additional objective tool in the evaluation of patient function and disease activity status.

ACS Style

I. Aranda-Valera; Juan Garrido-Castro; Alfonso Martínez-Galisteo; José Peña-Amaro; Cristina González-Navas; Antonio Cuesta-Vargas; Luis Jiménez-Reina; Eduardo Collantes-Estévez; Clementina López-Medina. Patients with Axial Spondyloarthritis Show an Altered Flexion/Relaxation Phenomenon. Diagnostics 2021, 11, 810 .

AMA Style

I. Aranda-Valera, Juan Garrido-Castro, Alfonso Martínez-Galisteo, José Peña-Amaro, Cristina González-Navas, Antonio Cuesta-Vargas, Luis Jiménez-Reina, Eduardo Collantes-Estévez, Clementina López-Medina. Patients with Axial Spondyloarthritis Show an Altered Flexion/Relaxation Phenomenon. Diagnostics. 2021; 11 (5):810.

Chicago/Turabian Style

I. Aranda-Valera; Juan Garrido-Castro; Alfonso Martínez-Galisteo; José Peña-Amaro; Cristina González-Navas; Antonio Cuesta-Vargas; Luis Jiménez-Reina; Eduardo Collantes-Estévez; Clementina López-Medina. 2021. "Patients with Axial Spondyloarthritis Show an Altered Flexion/Relaxation Phenomenon." Diagnostics 11, no. 5: 810.

Journal article
Published: 23 April 2021 in Scientific Reports
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Changes in body composition and muscle dysfunction are common in metastatic breast cancer (MBC). Ultrasound imaging (US) offers reliable information about muscle and fat tissue architecture (thickness) and quality (echo-intensity). This study aimed to analyze the responsiveness of thickness and echo-intensity and its possible relationship with functional and patient reported-outcomes (PRO) in MBC patients after an exercise intervention. A prospective study was conducted in 2019. A 12-week exercise program was performed, including aerobic exercise and strength training. Measurements were made at baseline and after intervention. Thickness and echo-intensity were obtained from the quadriceps and biceps brachii and brachialis (BB). Mean differences were calculated using the T-Student parametric test for dependent samples of the differences in the means before and after the intervention (p = 0.05; 95% CI). Data from 13 MBC patients showed that some US muscle variables had significant differences after intervention. Best correlations were found between the quality of life questionnaire (QLQ-BR23) PRO and variables from BB muscle thickness in contraction (r = 0.61, p < 0.01), and Non-contraction (r = 0.55, p < 0.01). BB Muscle Non-contraction Thickness also explained 70% of QLQ-BR23 variance. In conclusion, muscle architecture biomarkers showed great responsiveness and are correlated with PRO after an exercise intervention in MBC patients.

ACS Style

Adrian Escriche-Escuder; Manuel Trinidad-Fernández; Bella Pajares; Marcos Iglesias-Campos; Emilio Alba; Antonio I. Cuesta-Vargas; Cristina Roldán-Jiménez. Ultrasound use in metastatic breast cancer to measure body composition changes following an exercise intervention. Scientific Reports 2021, 11, 1 -10.

AMA Style

Adrian Escriche-Escuder, Manuel Trinidad-Fernández, Bella Pajares, Marcos Iglesias-Campos, Emilio Alba, Antonio I. Cuesta-Vargas, Cristina Roldán-Jiménez. Ultrasound use in metastatic breast cancer to measure body composition changes following an exercise intervention. Scientific Reports. 2021; 11 (1):1-10.

Chicago/Turabian Style

Adrian Escriche-Escuder; Manuel Trinidad-Fernández; Bella Pajares; Marcos Iglesias-Campos; Emilio Alba; Antonio I. Cuesta-Vargas; Cristina Roldán-Jiménez. 2021. "Ultrasound use in metastatic breast cancer to measure body composition changes following an exercise intervention." Scientific Reports 11, no. 1: 1-10.

Preprint
Published: 12 April 2021
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Axial spondyloarthritis (axSpA) is a chronic rheumatic disease characterised by the presence of inflammatory back pain. In patients with chronic low back pain, the lumbar flexion relaxation phenomenon measured by surface electromiography (sEMG) differs from that in healthy individuals. However, sEMG activity in axSpA patients has not been studied. The purpose of this study was to analyse the flexion relaxation phenomenon in axSpA patients. A study evaluating 39 axSpA patients and 35 healthy controls was conducted. sEMG activity at the erector spinae muscles was measured during lumbar full flexion movements. sEMG activity was compared between axSpA patients and the controls, as well as between active (BASDAI≥4) and non-active (BASDAI<4) patients. The reliability (using intraclass correlation coefficients (ICC)), criterion validity and discriminant validity using the area Under the curve (AUC) for the inverse flexion/relaxation ratio (1/FRR) were evaluated. Significant differences (p<0.05) were observed between axSpA patients and the control group in lumbar electric activity, especially during flexion, relaxation and extension and in FRR and 1/FRR (0.66±0.39 vs. 0.25±0.19, respectively). In addition, significant differences were found between active and non-active but also between non-active and healthy subjects. The sEMG showed good reliability (ICC>0.8 for 1/FRR) and criterion validity. ROC analysis showed good discriminant validity for axSpA patients (AUC=0.835) vs. the control group using 1/FRR. An abnormal flexion/relaxation phenomenon exists in axSpA patients compared with controls. sEMG could be an additional objective tool in the evaluation of patient function and disease activity status.

ACS Style

I. Concepción Aranda-Valera; Juan Luis Garrido-Castro; Alfonso Martinez-Galisteo; Jose Peña-Amaro; Cristina Gonzalez-Navas; Antonio Cuesta-Vargas; Luis Jimenez-Reina; Eduardo Collantes-Estévez; Clementina Lopez-Medina. Patients With Axial Spondyloarthritis Show an Altered Flexion/Relaxation Phenomenon. 2021, 1 .

AMA Style

I. Concepción Aranda-Valera, Juan Luis Garrido-Castro, Alfonso Martinez-Galisteo, Jose Peña-Amaro, Cristina Gonzalez-Navas, Antonio Cuesta-Vargas, Luis Jimenez-Reina, Eduardo Collantes-Estévez, Clementina Lopez-Medina. Patients With Axial Spondyloarthritis Show an Altered Flexion/Relaxation Phenomenon. . 2021; ():1.

Chicago/Turabian Style

I. Concepción Aranda-Valera; Juan Luis Garrido-Castro; Alfonso Martinez-Galisteo; Jose Peña-Amaro; Cristina Gonzalez-Navas; Antonio Cuesta-Vargas; Luis Jimenez-Reina; Eduardo Collantes-Estévez; Clementina Lopez-Medina. 2021. "Patients With Axial Spondyloarthritis Show an Altered Flexion/Relaxation Phenomenon." , no. : 1.

Original article
Published: 25 March 2021 in Pain Practice
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Introduction One of the most widely used instruments to identify symptoms that may be related to central sensitization is the Central Sensitization Inventory (CSI). Although this instrument has been translated and validated in Spanish patients with chronic musculoskeletal pain, no psychometric analysis has been carried out in breast cancer survivors. The aim of this study was to perform a psychometric analysis of the Spanish version of the Central Sensitization Inventory (CSI‐Sp) in Spanish breast cancer survivors Material and Methods A validation study was carried out in 183 breast cancer survivors. A psychometric analysis of internal consistency, factor structure, and test‐retest reliability of the CSI‐Sp was performed. Internal consistency was determined using Cronbach’s alpha. Test‐retest reliability was evaluated using the Intraclass Correlation Coefficient Type 2.1. Exploratory factor analysis was used to determine the internal structure of the questionnaire. Results The internal consistency was high (α = 0.91). The test‐retest reliability was satisfactory with excellent values (ICC2.1= 0.95). The exploratory factor analysis yielded a one factor structure explaining the 33.88% of total variance Conclusions The CSI‐Sp has demonstrated to be a psychometrically strong measure for assessing central sensitization symptoms in breast cancer survivors based on internal consistency, test‐retest reliability and structural validity. Further studies that analyse other measurement properties in different Spanish clinical populations are needed.

ACS Style

Cristina Roldán‐Jiménez; Bella Pajares; Marcos Iglesias Campos; Manuel Trinidad‐Fernández; Daniel Gutiérrez‐Sánchez; Nuria Ribelles; Emilio Alba; Antonio Ignacio Cuesta‐Vargas. Structural validity and reliability of the Spanish Central Sensitization Inventory in breast cancer survivors. Pain Practice 2021, 1 .

AMA Style

Cristina Roldán‐Jiménez, Bella Pajares, Marcos Iglesias Campos, Manuel Trinidad‐Fernández, Daniel Gutiérrez‐Sánchez, Nuria Ribelles, Emilio Alba, Antonio Ignacio Cuesta‐Vargas. Structural validity and reliability of the Spanish Central Sensitization Inventory in breast cancer survivors. Pain Practice. 2021; ():1.

Chicago/Turabian Style

Cristina Roldán‐Jiménez; Bella Pajares; Marcos Iglesias Campos; Manuel Trinidad‐Fernández; Daniel Gutiérrez‐Sánchez; Nuria Ribelles; Emilio Alba; Antonio Ignacio Cuesta‐Vargas. 2021. "Structural validity and reliability of the Spanish Central Sensitization Inventory in breast cancer survivors." Pain Practice , no. : 1.

Preprint content
Published: 15 March 2021
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BACKGROUND Considering the changing demographic trends in Europe, the rising prevalence of dementia, and the increasing demand, limited accessibility and finite resources for long-term healthcare and support services, developing active and assisted living technological solutions becomes necessary for the independent living of community-dwelling adults. The TV-AssistDem project aims to develop a TV-based assistive integrated service for people with mild cognitive impairment by conducting a feasibility study for prototype development and refinement. OBJECTIVE To identify (1) usability barriers and facilitators to implementation, (2) usage and clinical change from baseline and (3) user and caregiver satisfaction. METHODS A two-phased study was carried out between August 2018 and April 2019. PHASE I consisted of a one-time introduction to the TV-AssistDem functionalities at the users´ home environment for usability testing and clinical evaluation at baseline. PHASE II analyzed the usage of the service during a one-month intervention period. Completion of the System Usability Scale, clinical evaluation and assessment of satisfaction was carried out to conclude PHASE II. Participants: Two European countries: Biomedical Research Institute of Malaga (IBIMA) and the Romanian NGO Home Care Association (Îngrijiri La Domiciliu). Twelve dyads (N=24) formed by people with mild cognitive impairment and mild dementia and their informal caregivers, healthcare professionals (nurse and social worker) and technological developers. RESULTS Usability testing reported 72 issues, identifying implementation barriers and corresponding solutions, categorized into human (7) and technological axis (7); and implementation facilitators (4). The likelihood to recommend TV-AssistDem is “passive” and the prototype may be considered as “marginally acceptable”. For almost all services the usage analysis identified 3 very intensive users (more than twice the expected average), 5 normal users and 4 with almost no use of the system. The limited sample size did not provide statistically significant clinical data but the overall increase in clinical average values and delta values is a promising finding that will be validated during the randomized clinical trial which will cover a larger population (N=240) over a longer period of time (12 months). Dyads satisfaction reported TV-AssistDem to be user-friendly, innovative and interactive overall. CONCLUSIONS This user and caregiver centered study with healthcare professional participation tested the TV-AssistDem prototype as an important starting point in prototype refinement, intervention planning, adaptation and successful implementation demonstrating the technological viability for full trial commitment. CLINICALTRIAL NCT03653234 May 13, 2020 INTERNATIONAL REGISTERED REPORT RR2-10.1186/s12877-019-1267-z

ACS Style

Jessica Marian Goodman-Casanova; José Guzman-Parra; Elena Dura-Perez; Pilar Barnestein-Fonseca; Antonio Cuesta-Vargas; Gabriella Cortellesa; Francesca Fracasso; Alessandro Umbrico; Amedeo Cesta; Flavia Boghiu; Rodolphe Dewarrat; Pietro Dionisio; Fermin Mayoral-Cleries. Feasibility of a user and caregiver centered telehealth technology to support community-dwelling older adults with dementia: TV-AssistDem (Preprint). 2021, 1 .

AMA Style

Jessica Marian Goodman-Casanova, José Guzman-Parra, Elena Dura-Perez, Pilar Barnestein-Fonseca, Antonio Cuesta-Vargas, Gabriella Cortellesa, Francesca Fracasso, Alessandro Umbrico, Amedeo Cesta, Flavia Boghiu, Rodolphe Dewarrat, Pietro Dionisio, Fermin Mayoral-Cleries. Feasibility of a user and caregiver centered telehealth technology to support community-dwelling older adults with dementia: TV-AssistDem (Preprint). . 2021; ():1.

Chicago/Turabian Style

Jessica Marian Goodman-Casanova; José Guzman-Parra; Elena Dura-Perez; Pilar Barnestein-Fonseca; Antonio Cuesta-Vargas; Gabriella Cortellesa; Francesca Fracasso; Alessandro Umbrico; Amedeo Cesta; Flavia Boghiu; Rodolphe Dewarrat; Pietro Dionisio; Fermin Mayoral-Cleries. 2021. "Feasibility of a user and caregiver centered telehealth technology to support community-dwelling older adults with dementia: TV-AssistDem (Preprint)." , no. : 1.

Lecture
Published: 28 December 2020 in Clinical Biomechanics
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Background Shoulder assessment in rehabilitation is focused on kinematic properties due to the variability of symptomatology and clinical expression of shoulder injuries. Aim To perform a receiver operating characteristic analysis of the kinematic variables involved in the functional mobility of the shoulder that allow the identification of discriminating variables between healthy and diseased shoulders during scaption motion. Method Analytical cross-sectional study of diagnostic effectiveness was performed in 27 subjects suffering from shoulder damage and 14 asymptomatic controls. Scaption kinematics were evaluated using four inertial sensors placed on the humerus, scapula, forearm and sternum. Three variables (mobility, velocity and acceleration) were obtained from each sensor and the norm of the resultant vector was calculated from each axis. A discriminatory receiver operating characteristic analysis was performed, obtaining the area under the curve, sensitivity and specificity. Findings Significant differences from both the resultant vectors and the axis depended on the body segment analysed were observed. Greater movement velocity and acceleration were observed in the asymptomatic group. Receiver operating characteristic analysis, scapular protraction-retraction mobility distinguished with a diagnostic sensitivity of 83.3% and specificity of 90.9% between asymptomatic and shoulder-damaged patients. These diagnosis values were 83.3% and 72.7% for scapular anterior-posterior velocity. Scapular kinematics, in terms of mobility and velocity, are the key variables in shoulder assessment. Interpretation This study discriminated between patients suffering from shoulder damage and asymptomatic subjects based on shoulder kinematics during scaption motion. Scapular mobility and velocity were found to be key variables in shoulder assessment, along with the humerus.

ACS Style

Cristina Roldán-Jiménez; Antonio I. Cuesta-Vargas; Jaime Martín Martín. Discriminating the precision of inertial sensors between healthy and damaged shoulders during scaption movement: A cross-sectional study. Clinical Biomechanics 2020, 82, 105257 .

AMA Style

Cristina Roldán-Jiménez, Antonio I. Cuesta-Vargas, Jaime Martín Martín. Discriminating the precision of inertial sensors between healthy and damaged shoulders during scaption movement: A cross-sectional study. Clinical Biomechanics. 2020; 82 ():105257.

Chicago/Turabian Style

Cristina Roldán-Jiménez; Antonio I. Cuesta-Vargas; Jaime Martín Martín. 2020. "Discriminating the precision of inertial sensors between healthy and damaged shoulders during scaption movement: A cross-sectional study." Clinical Biomechanics 82, no. : 105257.

Research article
Published: 27 December 2020 in Journal of Biomechanics
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Low back pain (LBP) can lead to motor control disturbance which can be one of the causes of reoccurrence of the complaint. It is important to improve our knowledge of movement related disturbances during assessment in LBP and to classify patients according to the severity. The aim of this study is to present differences in kinematic variables using a RGB-D camera in order to classify LBP patients with different severity. A cross-sectional study was carried out. Subjects with non-specific subacute and chronic LBP were screened 6 weeks following an episode. Functional tests were bending trunk test, sock test and sit to stand test. Participants performed as many repetitions as possible during 30 s for each functional test. Angular displacement, velocity and acceleration, linear acceleration, time and repetitions were analysed. Participants were divided into two groups to determine their different LBP severity with a k-means clusters according to the results obtained in Roland Morris questionnaire (RMQ). Comparing different severity groups based on RMQ score (high impact = 17.15, low impact = 7.47), bending trunk test obtained significative differences in linear acceleration (p = 0.002–0.01). The differences of total linear acceleration during the Sit to Stand test were significative (p = 0.004–0.02). Sock test showed not significative differences between groups (p > 0.05). Linear acceleration variables during Sit to Stand test and Bending trunk test were significatively different between the different severity groups. RGB-D camera system and functional tests can detect kinematic differences in different type of LBP according to the functionality. Trial registration: ClinicalTrials.gov NCT03293095 “Functional Task Kinematic in Musculoskeletal Pathology” September 26, 2017.

ACS Style

Manuel Trinidad-Fernández; David Beckwée; Antonio Cuesta-Vargas; Manuel González-Sánchez; Francisco-Ángel Moreno; Javier González-Jiménez; Erika Joos; Peter Vaes. Differences in movement limitations in different low back pain severity in functional tests using an RGB-D camera. Journal of Biomechanics 2020, 116, 110212 .

AMA Style

Manuel Trinidad-Fernández, David Beckwée, Antonio Cuesta-Vargas, Manuel González-Sánchez, Francisco-Ángel Moreno, Javier González-Jiménez, Erika Joos, Peter Vaes. Differences in movement limitations in different low back pain severity in functional tests using an RGB-D camera. Journal of Biomechanics. 2020; 116 ():110212.

Chicago/Turabian Style

Manuel Trinidad-Fernández; David Beckwée; Antonio Cuesta-Vargas; Manuel González-Sánchez; Francisco-Ángel Moreno; Javier González-Jiménez; Erika Joos; Peter Vaes. 2020. "Differences in movement limitations in different low back pain severity in functional tests using an RGB-D camera." Journal of Biomechanics 116, no. : 110212.

Preprint content
Published: 11 December 2020
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BACKGROUND The COVID-19 pandemic has led to worldwide implementation of unprecedented restrictions to control its rapid spread and mitigate its impact. The Spanish government has enforced social distancing, quarantine, and home confinement measures. Such restrictions on activities of daily life and separation from loved ones may lead to social isolation and loneliness with health-related consequences among community-dwelling older adults with mild cognitive impairment or mild dementia and their caregivers. Additionally, inadequate access to health care and social support services may aggravate chronic conditions. Home-based technological interventions have emerged for combating social isolation and loneliness, while simultaneously preventing the risk of virus exposure. OBJECTIVE The aim of this cohort study is to explore, analyze, and determine the impact of social isolation on (1) cognition, quality of life, mood, technophilia, and perceived stress among community-dwelling older adults with mild cognitive impairment or mild dementia and on the caregiver burden; (2) access to and utilization of health and social care services; and (3) cognitive, social, and entertainment-related uses of information and communication technologies. METHODS This study will be conducted in Málaga (Andalucía, Spain). In total 200 dyads, consisting of a person with mild cognitive impairment or mild dementia and his/her informal caregiver, will be contacted by telephone. Potential respondents will be participants of the following clinical trials: support, monitoring, and reminder technology for mild dementia (n=100) and television-based assistive integrated service to support European adults living with mild dementia or mild cognitive impairment (n=100). RESULTS As of May 2021, a total of 153 participants have been enrolled and assessed during COVID-19 confinement, of whom 67 have been assessed at 6 months of enrollment. Changes in the mean values of the variables will be analyzed relative to baseline findings of previous studies with those during and after confinement, using repeated-measures analysis of variance or the nonparametric Friedman test, as appropriate. The performance of multivariate analysis of covariance (ANCOVA) to introduce potential covariates will also be considered. Values of 95% CI will be used. CONCLUSIONS If our hypothesis is accepted, these findings will demonstrate the negative impact of social isolation owing to COVID-19 confinement on cognition, quality of life, mood, and perceived stress among community-dwelling older adults with mild cognitive impairment and mild dementia, the impact on technophilia, caregiver burden, the access to and utilization of health and social care services, and the cognitive, social, and entertainment-related use of information and communication technologies during and after COVID-19 confinement. CLINICALTRIAL ClinicalTrials.gov NCT04385797; https://clinicaltrials.gov/ct2/show/NCT04385797 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/26431

ACS Style

Jessica Marian Goodman-Casanova; Elena Dura-Perez; Gloria Guerrero-Pertiñez; Pilar Barnestein-Fonseca; Jose Guzman-Parra; Amanda Vega-Nuñez; Esperanza Varela-Moreno; Antonio Cuesta-Vargas; Fermin Mayoral-Cleries. Cognitive Outcomes During COVID-19 Confinement Among Older People and Their Caregivers Using Technologies for Dementia: Protocol for an Observational Cohort Study (Preprint). 2020, 1 .

AMA Style

Jessica Marian Goodman-Casanova, Elena Dura-Perez, Gloria Guerrero-Pertiñez, Pilar Barnestein-Fonseca, Jose Guzman-Parra, Amanda Vega-Nuñez, Esperanza Varela-Moreno, Antonio Cuesta-Vargas, Fermin Mayoral-Cleries. Cognitive Outcomes During COVID-19 Confinement Among Older People and Their Caregivers Using Technologies for Dementia: Protocol for an Observational Cohort Study (Preprint). . 2020; ():1.

Chicago/Turabian Style

Jessica Marian Goodman-Casanova; Elena Dura-Perez; Gloria Guerrero-Pertiñez; Pilar Barnestein-Fonseca; Jose Guzman-Parra; Amanda Vega-Nuñez; Esperanza Varela-Moreno; Antonio Cuesta-Vargas; Fermin Mayoral-Cleries. 2020. "Cognitive Outcomes During COVID-19 Confinement Among Older People and Their Caregivers Using Technologies for Dementia: Protocol for an Observational Cohort Study (Preprint)." , no. : 1.

Journal article
Published: 09 December 2020 in International Journal of Environmental Research and Public Health
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Digital health interventions may improve different behaviours. However, the rapid proliferation of technological solutions often does not allow for a correct assessment of the quality of the tools. This study aims to review and assess the quality of the available mobile applications (apps) related to interventions for low back pain. Two reviewers search the official stores of Android (Play Store) and iOS (App Store) for localisation in Spain and the United Kingdom, in September 2019, searching for apps related to interventions for low back pain. Seventeen apps finally are included. The quality of the apps is measured using the Mobile App Rating Scale (MARS). The scores of each section and the final score of the apps are retrieved and the mean and standard deviation obtained. The average quality ranges between 2.83 and 4.57 (mean 3.82) on a scale from 1 (inadequate) to 5 (excellent). The best scores are found in functionality (4.7), followed by aesthetic content (mean 4.1). Information (2.93) and engagement (3.58) are the worst rated items. Apps generally have good overall quality, especially in terms of functionality and aesthetics. Engagement and information should be improved in most of the apps. Moreover, scientific evidence is necessary to support the use of applied health tools.

ACS Style

Adrian Escriche-Escuder; Irene De-Torres; Cristina Roldán-Jiménez; Jaime Martín-Martín; Antonio Muro-Culebras; Manuel González-Sánchez; Maria Ruiz-Muñoz; Fermín Mayoral-Cleries; Attila Biró; Wen Tang; Borjanka Nikolova; Alfredo Salvatore; Antonio I Cuesta-Vargas. Assessment of the Quality of Mobile Applications (Apps) for Management of Low Back Pain Using the Mobile App Rating Scale (MARS). International Journal of Environmental Research and Public Health 2020, 17, 9209 .

AMA Style

Adrian Escriche-Escuder, Irene De-Torres, Cristina Roldán-Jiménez, Jaime Martín-Martín, Antonio Muro-Culebras, Manuel González-Sánchez, Maria Ruiz-Muñoz, Fermín Mayoral-Cleries, Attila Biró, Wen Tang, Borjanka Nikolova, Alfredo Salvatore, Antonio I Cuesta-Vargas. Assessment of the Quality of Mobile Applications (Apps) for Management of Low Back Pain Using the Mobile App Rating Scale (MARS). International Journal of Environmental Research and Public Health. 2020; 17 (24):9209.

Chicago/Turabian Style

Adrian Escriche-Escuder; Irene De-Torres; Cristina Roldán-Jiménez; Jaime Martín-Martín; Antonio Muro-Culebras; Manuel González-Sánchez; Maria Ruiz-Muñoz; Fermín Mayoral-Cleries; Attila Biró; Wen Tang; Borjanka Nikolova; Alfredo Salvatore; Antonio I Cuesta-Vargas. 2020. "Assessment of the Quality of Mobile Applications (Apps) for Management of Low Back Pain Using the Mobile App Rating Scale (MARS)." International Journal of Environmental Research and Public Health 17, no. 24: 9209.

Review
Published: 09 December 2020 in BMC Cardiovascular Disorders
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Background Patients with Heart Failure (HF) show impaired functional capacities which have been related to their prognosis. Moreover, physical functional performance in functional tests has also been related to the prognosis in patients with HF. Thus, it would be useful to investigate how physical functional performance in functional tests could determine the prognosis in patients with HF, because HF is the leading cause of hospital admissions for people older than 65 years old. This systematic review and meta-analysis aims to summarise and synthesise the evidence published about the relationship between physical functional performance and prognosis in patients with HF, as well as assess the risk of bias of included studies and the level of evidence per outcome. Methods Major electronic databases, such as PubMed, AMED, CINAHL, EMBASE, PEDro, Web of Science, were searched from inception to March 2020 for observational longitudinal cohort studies (prospective or retrospective) examining the relationship between physical functional performance and prognosis in patients with HF. Results 44 observational longitudinal cohort studies with a total of 22,598 patients with HF were included. 26 included studies reported a low risk of bias, and 17 included studies showed a moderate risk of bias. Patients with poor physical functional performance in the Six Minute Walking Test (6MWT), in the Short Physical Performance Battery (SPPB) and in the Gait Speed Test showed worse prognosis in terms of larger risk of hospitalisation or mortality than patients with good physical functional performance. However, there was a lack of homogeneity regarding which cut-off points should be used to stratify patients with poor physical functional performance from patients with good physical functional performance. Conclusion The review includes a large number of studies which show a strong relationship between physical functional performance and prognosis in patients with HF. Most of the included studies reported a low risk of bias, and GRADE criteria showed a low and a moderate level of evidence per outcome.

ACS Style

Iván José Fuentes-Abolafio; Brendon Stubbs; Luis Miguel Pérez-Belmonte; María Rosa Bernal-López; Ricardo Gómez-Huelgas; Antonio Ignacio Cuesta-Vargas. Physical functional performance and prognosis in patients with heart failure: a systematic review and meta-analysis. BMC Cardiovascular Disorders 2020, 20, 1 -23.

AMA Style

Iván José Fuentes-Abolafio, Brendon Stubbs, Luis Miguel Pérez-Belmonte, María Rosa Bernal-López, Ricardo Gómez-Huelgas, Antonio Ignacio Cuesta-Vargas. Physical functional performance and prognosis in patients with heart failure: a systematic review and meta-analysis. BMC Cardiovascular Disorders. 2020; 20 (1):1-23.

Chicago/Turabian Style

Iván José Fuentes-Abolafio; Brendon Stubbs; Luis Miguel Pérez-Belmonte; María Rosa Bernal-López; Ricardo Gómez-Huelgas; Antonio Ignacio Cuesta-Vargas. 2020. "Physical functional performance and prognosis in patients with heart failure: a systematic review and meta-analysis." BMC Cardiovascular Disorders 20, no. 1: 1-23.

Review
Published: 19 November 2020 in BMJ Open
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ObjectiveThe objective of this study is to summarise and analyse the current literature about what progression criteria are applied in loading exercise programmes in lower limb tendinopathies and their evidence and effectiveness.DesignSystematic review.MethodsPubMed, Embase, Scopus and PEDro were searched from inception to 24 September 2020. The inclusion criteria were randomised controlled trials that included patients with midportion Achilles, patellar or gluteal tendinopathy; assessed function, pain or performance; included at least one group where progressive physical exercise was administered as monotherapy; included at least a control group. We excluded studies that included subjects with previous tendon surgical treatment; studies with control group that conducted a supplemented modality of the exercise performed in the intervention group. A narrative synthesis was conducted. Cohen’s d and the percentage of change of main clinical and performance outcomes were obtained. Methodological quality was assessed using the PEDro scale.ResultsThirty studies that described progression criteria were included. Six types of criteria grouped in two categories were identified and included in a new classification proposal: pain as a primary criterion (evoking and avoid-pain based), and pain and symptom control as a secondary criterion (conditioning stages, fatigue-based, subjective perception and temporary linear increase). Most of the studies applied a pain-based criterion. Criteria based on conditioning stages were also commonly applied. Other criteria such as fatigue, a temporary linear increase, or the subjective perception of the patient’s abilities were occasionally applied.ConclusionsThere is a predominant use of pain-based criteria, but the utilisation of these criteria is not supported by strong evidence. This review evidences the need for studies that compare the same exercise programme using different progression criteria. A new classification of the existing progression criteria is proposed based on the use of pain as the primary or secondary criterion.PROSPERO registration numberCRD42018110997.

ACS Style

Adrian Escriche-Escuder; Jose Casaña; Antonio I Cuesta-Vargas. Load progression criteria in exercise programmes in lower limb tendinopathy: a systematic review. BMJ Open 2020, 10, e041433 .

AMA Style

Adrian Escriche-Escuder, Jose Casaña, Antonio I Cuesta-Vargas. Load progression criteria in exercise programmes in lower limb tendinopathy: a systematic review. BMJ Open. 2020; 10 (11):e041433.

Chicago/Turabian Style

Adrian Escriche-Escuder; Jose Casaña; Antonio I Cuesta-Vargas. 2020. "Load progression criteria in exercise programmes in lower limb tendinopathy: a systematic review." BMJ Open 10, no. 11: e041433.

Review
Published: 23 October 2020 in Journal of Clinical Medicine
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The aim of this study was to conduct a systematic review of the medium- and long-term efficacy of manual therapy for temporomandibular joint disorders, alone or in combination with therapeutic exercise. Information was compiled from the PubMed, SCOPUS, Cochrane, SciELO and PEDro databases. The inclusion criteria were established: randomized controlled trials only; participants must present any kind of temporomandibular disorder; the treatments must include manual therapy in at least one of the experimental groups; a minimum of 3 months of follow-up; pain must be one of the primary or secondary outcomes; and the article must be available in English, Spanish, Italian, Portuguese or French. Six documents that fulfilled all the criteria were obtained for analysis, two of them considered low quality and four considered high quality. A significant improvement in pain and mouth opening compared to baseline was observed after manual therapy treatment. Manual therapy seems to be an effective treatment for temporomandibular disorders in the medium term, although the effect appears to decrease over time. However, when complemented with therapeutic exercise, these effects can be maintained in the long term. This review underlines the importance of manual therapy and therapeutic exercise for the medium- and long-term treatment of temporomandibular joint disorders in daily practice.

ACS Style

Andres Herrera-Valencia; Maria Ruiz-Muñoz; Jaime Martin-Martin; Antonio Cuesta-Vargas; Manuel González-Sánchez. Efficacy of Manual Therapy in Temporomandibular Joint Disorders and Its Medium-and Long-Term Effects on Pain and Maximum Mouth Opening: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine 2020, 9, 3404 .

AMA Style

Andres Herrera-Valencia, Maria Ruiz-Muñoz, Jaime Martin-Martin, Antonio Cuesta-Vargas, Manuel González-Sánchez. Efficacy of Manual Therapy in Temporomandibular Joint Disorders and Its Medium-and Long-Term Effects on Pain and Maximum Mouth Opening: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine. 2020; 9 (11):3404.

Chicago/Turabian Style

Andres Herrera-Valencia; Maria Ruiz-Muñoz; Jaime Martin-Martin; Antonio Cuesta-Vargas; Manuel González-Sánchez. 2020. "Efficacy of Manual Therapy in Temporomandibular Joint Disorders and Its Medium-and Long-Term Effects on Pain and Maximum Mouth Opening: A Systematic Review and Meta-Analysis." Journal of Clinical Medicine 9, no. 11: 3404.