Gema Moreno

Mrs. Gema Moreno

Universidad Miguel Hernandez de Elche, Elche, Spain

Research Focus & Metrics

Academic Career Length

5Years (2022-Present)

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

Representative Publications

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GMGema Moreno
Gema Moreno
MHMiriam Hurtado-Pomares
Miriam Hurtado-Pomares
MCMaría del Carmen Terol Cantero
María del Carmen Terol Cantero
Manual dexterity is essential for performing daily life tasks, becoming a primary means of interaction with the physical, social, and cultural environment. In this respect, the Nine Hole Peg Test (NHPT) is considered a gold standard for assessing manual dexterity. Bibliometrics is a discipline that focuses on analyzing publications to describe, evaluate, and predict the status and development trends in certain fields of scientific research. We performed a bibliometric analysis to track research results and identify global trends regarding the use of the NHPT. The bibliographic data were retrieved from the Web of Science database and then analyzed using the Bibliometrix R package, resulting in the retrieval of a total of 615 publications from 1988 to 2021. Among the 263 journals investigated, the most prolific were the Multiple Sclerosis Journal, Clinical Rehabilitation, and Multiple Sclerosis and Related Disorders. North America and Europe were the areas with the highest production of publications, with the United States (n = 104) ranking first in terms of the number of publications, followed by the United Kingdom (n = 62) and Italy (n = 62). The analysis of keywords revealed that there were two main lines of research, with one related to the study of recovery and disability of the upper limbs caused by certain diseases and another related to the study of reliability and validity. Structured information can be useful to understand the research trajectory and the uses of this tool.

25 August 2025 in Nutrients
Verified
Journal Article
Open access
PDF file
LTLaura Torres-Collado
Laura Torres-Collado
Carolina Ojeda-BelokonCarolina Ojeda-Belokon
Carolina Ojeda-Belokon
GMGema Moreno
Gema Moreno
VDVerónica Company Devesa
Verónica Company Devesa
LGLaura-María Compañ Gabucio
Laura-María Compañ Gabucio
MHManuela Garcia-de-la Hera
Manuela Garcia-de-la Hera
Background/Objectives: Children with neurodevelopmental disorders (NDDs) frequently present with feeding challenges that can lead to inadequate fruit and vegetable consumption, which can increase their risk of nutritional deficiencies and related health issues. The aim of this scoping review was to describe the main interventions focused on promoting fruit and vegetable consumption in children with NDDs. Methods: Two authors carried out a search strategy in PubMed, Scopus, EMBASE, Web of Science, and PsycINFO using the following terms: “autism OR autistic OR asperger OR rett OR pervasive OR disintegrative OR ‘neurodevelopmental disorder’ OR ‘attention deficit disorder with hyperactivity’”; and the outcome (O): “fruit OR vegetable”. We included all randomized or non-randomized studies, published in English or Spanish, which assessed children’s fruit and vegetable consumption. Results: We included seven articles that applied different interventions, such as a mobile health and behavioral modification program (n = 1), repeated food exposure programs (n = 2), a play-based program with parental training (n = 1); the implementation of Dietary Approaches to Stop Hypertension diet (n = 1); an intensive interdisciplinary mealtime behavioral treatment (n = 1); and restrictive diets (n = 1). Conclusions: Parent-led behavior changes supported by multidisciplinary teams using play, positive reinforcement, and food modification strategies were the main interventions used to increase fruit and vegetable consumption in children with NDDs. This review supports designing evidence-based approaches to improve feeding challenges in this population.

27 August 2025 in Healthcare
Verified
Journal Article
Open access
PDF file
LGLaura-María Compañ Gabucio
Laura-María Compañ Gabucio
GMGema Moreno
Gema Moreno
VDVerónica Company Devesa
Verónica Company Devesa
LTLaura Torres-Collado
Laura Torres-Collado
MHManuela Garcia-de-la Hera
Manuela Garcia-de-la Hera
Lockdown derived from the COVID-19 pandemic posed significant challenges to mental health care, prompting the adaptation of therapeutic practices. The objective of this study was to describe the characteristics and objectives of occupational therapy (OT) interventions conducted in the field of mental health during the COVID-19 lockdown. A scoping review was conducted following PRISMA-ScR guidelines. A systematic search was carried out in the following databases: PubMed, Scopus, Embase, OTSeeker, PsycINFO, and Web of Science. We included randomized or non-randomized intervention studies, published in English or Spanish, that explored OT interventions in mental health during the COVID-19 period and/or lockdown. Data were extracted using pre-designed tables in accordance with the recommendations of the Cochrane Handbook. We included seven articles. OT interventions were conducted via video call (n = 4) and in person (n = 3). These were carried out with adults, adolescents, and children, lasting from 1 to 32 weeks, with the number of sessions ranging from 7 to 22 and lasting 20 to 90 min. The most frequently addressed outcomes were quality of life (n = 4), anxiety or depression (n = 4), and sleep (n = 4). During lockdown, OT interventions were mainly applied via telerehabilitation with the aim of increasing activity participation and addressing emotional issues. These results could help occupational therapists to implement mental health interventions when in-person application is compromised.

17 January 2026 in Healthcare
Verified
Journal Article
Open access
PDF file
GMGema Moreno
Gema Moreno
VDVerónica Company Devesa
Verónica Company Devesa
MEMaría Cristina Espinosa-Sempere
María Cristina Espinosa-Sempere
PGPaula Peral Gómez
Paula Peral Gómez
VCVanesa Carrión-Téllez
Vanesa Carrión-Téllez
LGLaura-María Compañ Gabucio
Laura-María Compañ Gabucio
Background: Acquired brain injury (ABI) affects manual dexterity (MD) and cognitive functions, limiting daily activity performance. Occupational therapy aims to improve functionality and quality of life. Objective: To examine and describe the available evidence on the impact of MD training on cognitive processes and functional performance in adults with stroke, as well as to identify the most commonly used assessment tools and intervention techniques. Methods: Scoping review. A systematic literature search was conducted in PubMed and Scopus to identify experimental studies from the last 10 years involving adults with ABI who participated in interventions targeting upper-limb, MD, and cognitive function. A three-phase screening was carried out by two authors with duplicates removed using Zotero version 7.0. Results: Ten articles published between 2016 and 2023 were included. The most frequent interventions involved robotics and virtual reality. Eight studies were conducted by occupational therapists or included occupational therapy involvement, while two were conducted by physiotherapists. Training MD and upper-limb motor skills led to improvements in attention, memory, and executive functions. Conclusions: Findings support combined motor–cognitive interventions carried out by occupational therapists or physiotherapists to optimize rehabilitation outcomes, although further research is needed to strengthen the evidence.

27 February 2024 in Healthcare
Verified
Journal Article
Open access
PDF file
GMGema Moreno
Gema Moreno
MHMiriam Hurtado-Pomares
Miriam Hurtado-Pomares
APAlicia Sánchez Pérez
Alicia Sánchez Pérez
MCMaría del Carmen Terol Cantero
María del Carmen Terol Cantero
The Nine-Hole Peg Test (NHPT) is considered a “gold standard” for the measurement of manual dexterity. The aim of this study was the translation and culturally adapting the original version of the NHPT. Materials and Methods: The adaptation was carried out following the standardized translation–retrotranslation guidelines and procedures referred to in the literature and in the International Test Commission (CIT). The final Spanish version of the NHPT (NHPT-E) was administered to 40 healthy adults. We evaluated its feasibility by means of a questionnaire elaborated according to Iraossi’s checklist proposal for the pilot test process. Results: Modifications of expression in the grammatical mode of the verbs were performed, as well as the adaptation of some terms used in the three sections of the original version of the test (General Information, Installation, and Application Instructions). In the pilot study, for 95% of the participants, the NHPT-E is a comfortable test to take, and, for 100% of the evaluators, the test includes all the necessary information, with clear instructions and interpretation of the results. Conclusions: The cross-cultural adaptation and pilot study enabled the development of a suitable and viable version of the NHPT-E for use in the Spanish population.

25 October 2026 in Hong Kong Journal of Occupational Therapy
Verified
Journal Article
Open access
MGMaría Juan Guillén
María Juan Guillén
Paula Fernández-PiresPaula Fernández-Pires
Paula Fernández-Pires
MEMaría Cristina Espinosa-Sempere
María Cristina Espinosa-Sempere
VDVerónica Company Devesa
Verónica Company Devesa
APAlicia Sánchez Pérez
Alicia Sánchez Pérez
PGPaula Peral Gómez
Paula Peral Gómez
Background/objective: The home environment should foster the independence, participation, and safety of its inhabitants. However, the presence of environmental barriers, especially for individuals with disabilities, can negatively impact their functioning, reducing well-being and quality of life at home. Occupational therapy plays a crucial role in this context, offering holistic evaluation processes and strategies for effective home modifications to improve occupational performance. To our knowledge, no comprehensive mapping of these tools exists. Therefore, this study conducts a scoping review to map and critically describe the home assessment instruments currently used within the field of occupational therapy. Methods: A scoping review following a systematized approach was conducted in accordance with the PRISMA-ScR recommendations for scoping reviews, involving an online bibliographic search complemented by the consultation of grey literature. A two-phase screening process was performed to systematically identify the instruments referenced. Results: Ninety-three articles were included, identifying twenty-nine home assessment tools applied in occupational therapy. These instruments presented notable differences in their format, target population, aspects assessed, and the degree of user participation during the evaluation process, among other characteristics. Conclusion: This scoping review mapped 29 home assessment tools, revealing a strong focus on environmental factors but a critical gap in assessing personal factors, occupations, and social roles. While most instruments demonstrate acceptable reliability and validity, there is an urgent need for more robust psychometric studies, tools validated as clinical outcome measures, and the cultural adaptation of holistic, person-centered assessments to effectively guide home modifications. Project Registration, OSF: https://osf.io/8bmu9 .