Introducción: Las actividades del fisioterapeuta incluyen atención clínica, gestión, docencia, investigación e implementación de políticas en salud. Desafortunadamente, el conocimiento médico del involucramiento del fisioterapeuta en estas actividades es precario, dificultando el trabajo interdisciplinario. Objetivo: Describir el conocimiento y percepción de los médicos residentes de un hospital de tercer nivel sobre las actividades e importancia del trabajo interdisciplinario con la fisioterapia. Método: Estudio observacional, descriptivo, de corte transversal. Se construyó y aplicó un cuestionario de 12 reactivos de opción múltiple en residentes de pediatría, genética médica, subespecialidades pediátricas y cursos de alta especialidad en Medicina, quienes respondieron al menos el 80% de las preguntas. Se excluyeron residentes cuyos pacientes reciben fisioterapia en forma cotidiana. Resultados: Se incluyeron 158 médicos residentes, el 77.8% conocía sólo las actividades clínicas del fisioterapeuta. El 68% solicitó entre 1 a 4 interconsultas al mes. La mayoría reconoció la autonomía del fisioterapeuta para establecer diagnósticos funcionales más no tratamientos (68%), más de la mitad (66.7%) señaló la necesidad de pases de visita, sesiones clínicas y entregas de guardia en conjunto. Conclusiones: Sería conveniente incrementar el currículo del médico en formación sobre el campo de acción del fisioterapeuta y los beneficios del trabajo interdisciplinario.

The current population rate has increasing the number of inhabitants with some kind of disability. In this work a proposal to determining trends, research groups, authors, countries, journals and organizations about Physical Therapy has done. The study is based on the Web of Science (WoS) database, where were found 77,960 documents regarding Physical Therapy; the category with most documents published is Rehabilitation with 13%; the most prolific author is PhD Julie Fritz from the University of Utah with more 10,000 citations; the organization with the greatest number of documents is the University of Toronto; a map of the countries with most documents is presented and shows that United States of America (USA) is the number one. The top 5 of journals is leaded by Physical Therapy journal. A clustering analysis to find out groups of researchers and main keywords show that there are 38 clusters where there is a high collaboration between authors; the collaboration between organizations shows that the University of Toronto interacted with several organizations; regarding keywords, the most used is Therapy, followed by rehabilitation, physical-activity and quality of life.

Background: Individuals with unilateral lower-limb amputation (LLA) are exposed to conditions such as low-back pain, which limit everyday activities and trunk musculature for stability. Objective: To determine the trunk kinematics and muscle activation of lumbar-erector-spinae (LES) and rectus-abdominis during the instrumented timed-up-and-go (iTUG) test and its correlation with co-activation, muscle activation pattern, gait asymmetry, and center-of-pressure (CoP) sway measures between individuals with and without LLA. Methods: The kinematic (trunk forward and lateral flexion, and rotation) and the ratio of muscle activation of LES over rectus-abdominis (LRR) were compared between LLA (n = 26) and the control (n = 16) performing the iTUG test, gait (symmetry-index [SI], co-activation index, and muscle activation pattern), and static test (measures of CoP sway). Results: The LLA group showed greater alterations in balance indicators than the control (iTUG duration, gait SI, weight-bearing SI, CoP-excursion, and CoP-velocity). The trunk’s kinematic variables were higher during turn-to-sit than in sit-to-walk, but the LRR was higher during sit-to-walk. The turn-to-sit peak-angular-velocity significantly correlated with the LRR, co-activation index, gait SI, weight-bearing SI, and the measurements of CoP sway. Conclusions: The peak-angular-velocity of the turn-to-sit component indicates balance impairment and trunk muscle disorders better than the iTUG duration or turning times. Slow turning movements may be linked to increased CoP sway, gait and weight-bearing asymmetries, and muscle activation issues in the LES during daily activities, which could raise the risk of low-back pain over time.

Robot-based rehabilitation emerges as a promise to enhance mobility and improve the rehabilitation outcomes in children with cerebral palsy. The study aimed to evaluate the preliminary effects of a robot-based therapy program with Atlas-2030 on spatiotemporal gait parameters, pelvis kinematics, gross-motor function, quality of life, and joint range-of-motion in children with cerebral palsy receiving care at a specialized rehabilitation center. This is a single-arm, institution-based, quantitative, longitudinal, pilot study with repeated measures. Sixteen sessions of a robot-based therapy program with the Atlas-2030 wearable exoskeleton were applied to all the children from APAC-IAP in Mexico City with cerebral palsy. Pre-intervention, after eight and sixteen sessions, the GMFM-66, the CP QoL-Child, and gait analysis were performed. The results suggest that an Atlas-2030 robot-based therapy program combined with therapeutic stimulation exhibited better scores on the modified Ashworth scale: hip flexors and extensors: 2.0(1.0), knee flexors and extensors: 2.0(2.9), p > 0.0167, and experience enhanced range of motion in hip flexion: 122.5(5) deg, and extension: 11(5) deg and knee extension: 0(5) deg, p < 0.0167, pelvis rotation approached zero on both sides (left: −1.99(14.04, right: 2.22(13.43), p > 0.0167) reducing the difference in laterality, inducing physiological muscle activation patterns, and higher scores in quality of life regarding well-being and acceptance: 17(1.0) and emotional well-being and self-esteem: 14.5 (1.0), p > 0.0167. The limitations of this study include the following: recruitment from a single specialty care center, the absence of a control group, and the adjusted significance level of p < 0.0167, which may lead to false negatives.

No one should be harmed while receiving health care, yet globally, at least five patients die every minute due to unsafe care. This study addresses the role of occupational encroachment based on the perception of health science faculty and the risk it poses to the population. It combines descriptive analysis with qualitative analysis of interpretative and semantic phenomenological observation. Involving 164 professionals in medicine, orthopaedics, psychology, and physiotherapy, the study argues that there is conscious and unconscious occupational encroachment in the health sciences. The characteristics most related to occupational encroachment were poor professional relationships (108 responses) and acts "outside the law" (84 responses). Professionals identify educational (68), professional (108), and social (60) factors as contributing to this issue. The study highlights that communication, quality training, and respect for the law can help reduce occupational encroachment, emphasizing the importance of ethical training in the health sciences to protect patient safety.