Francisco Javier Barón-López

Effects of kinesiotaping on foot posture in participants with pronated foot: A quasi-randomised, double-blind study

OBJECTIVE To investigate whether kinesiotaping improves excessive foot pronation compared with sham kinesiotaping. DESIGN Quasi-randomised, double-blind study. SETTING One primary care centre. PARTICIPANTS One hundred and thirty participants were screened for inclusion. Sixty-eight participants with pronated feet [Foot Posture Index (FPI)≥ 6] were enrolled, and the follow-up rate was 100%. INTERVENTIONS Participants were allocated into one of two groups: an experimental kinesiotaping group (KT1) and a sham taping group (KT2). Measures were collected by a blinded assessor at baseline, and 1 minute, 10 minutes, 60 minutes and 24 hours after taping. MAIN OUTCOME MEASURES The primary outcome was total FPI score, and the secondary outcome was rear-foot FPI score. RESULTS There were no significant differences in total FPI score between kinesiotaping and sham taping at any time point. Similarly, there were no significant differences in rear-foot FPI score, apart from at 60-minute follow-up when the difference between groups was significant (P=0.04) but the effect size was very small (0.85 points on the rear-foot FPI score between -6 and +6). CONCLUSIONS Kinesiotaping does not correct foot pronation compared with sham kinesiotaping in people with pronated feet.

Effectiveness of telerehabilitation programme following surgery in shoulder impingement syndrome (SIS): study protocol for a randomized controlled non-inferiority trial

BackgroundShoulder pain is common in society, with high prevalence in the general population. Shoulder impingement syndrome (SIS) is the most frequent cause. Patients suffer pain, muscle weakness and loss of movement in the affected joint. Initial treatment is predominantly conservative. The surgical option has high success rates and is often used when conservative strategy fails. Traditional physiotherapy and post-operative exercises are needed for the recovery of joint range, muscle strength, stability and functionality. Telerehabilitation programmes have shown positive results in some orthopaedic conditions after surgery. Customized telerehabilitation intervention programmes should be developed to recover shoulder function after SIS surgery. The objective of this study is to evaluate the feasibility and effectiveness of a telerehabilitation intervention compared with usual care in patients after subacromial decompression surgery.MethodsWe will compare an intervention group receiving videoconferences and a telerehabilitation programme to a control group receiving traditional physiotherapy intervention in a single-blind, randomized controlled non-inferiority trial study design.DiscussionThrough this study, we will further develop our preliminary data set and practical experience with the telerehabilitation programmes to evaluate their effectiveness and compare this with traditional intervention. We will also explore patient satisfaction and cost-effectiveness. Patient enrolment is ongoing.Trial registrationClinicalTrials.gov, NCT02909920. 14 September 2016.

Validación del cuestionario de conocimientos y actitudes de los profesionales sanitarios en el proceso de declaración de voluntades vitales anticipadas

Resumen Objetivo Evaluar la validez y la fiabilidad del cuestionario de «Conocimientos y actitudes de los profesionales sanitarios en el proceso de declaración de voluntades vitales anticipadas» (VVA). Diseño Estudio transversal en 3 fases: a) pilotaje con cuestionario administrado en papel para valorar pérdidas y problemas de ajuste del cuestionario; b) valoración de la validez y fiabilidad interna del cuestionario, y c) evaluación de la estabilidad (test-retest) del cuestionario filtrado de la fase previa. Emplazamiento Área Sanitaria Costa del Sol (Málaga). Enero de 2014 a abril de 2015. Participantes Profesionales sanitarios del Distrito de Atención Primaria Costa del Sol y la Agencia Sanitaria Costa del Sol. Contestaron 391 (23,6%). Cien participaron en la evaluación de la estabilidad (83 respuestas). Mediciones principales El cuestionario constaba de 2 bloques: a) Conocimientos (5 dimensiones y 41 ítems), y b) Actitudes (2 dimensiones y 17 ítems). Resultados En el estudio piloto, en ningún ítem las perdidas superaron el 10%. En la fase de evaluación de la validez y la fiabilidad, el cuestionario se redujo a 41 ítems (29 de conocimientos y 12 de actitudes). En la fase de evaluación de la estabilidad, todos los ítems evaluados, bien cumplieron criterio de kappa superior a 0,2, o tenían un porcentaje de acuerdo absoluto superior al 75%. Conclusiones El cuestionario permitirá identificar el estado y las áreas de mejora en el entorno sanitario, y posibilitar posteriormente una mejora de la cultura de las VVA en la población general.

Contribution Levels of Intrinsic Risk Factors to the Management of Patients with Plantar Heel Pain A Pilot Study.

BACKGROUND Of all of the lower-extremity injuries with multifactorial causes, heel pain represents the most frequent reason for visits to health-care professionals. Managing patients with heel pain can be very difficult. The purpose of this research was to identify key variables that can influence foot health in patients with heel pain. METHODS A cross-sectional observational study was performed with 62 participants recruited from the Educational Welfare Unit of the University of Malaga, Malaga, Spain. Therapists, blinded for the study, acquired the anthropometric information and the Foot Posture Index, and participants completed the Foot Health Status Questionnaire. RESULTS The most significant results reveal that there is a moderate relationship between clinical variables such as footwear and Foot Health Status Questionnaire commands such as Shoe (r = 0.515; P < .001). The most significant model domain was General Health (P < .001), with the highest determination coefficient (beta not standard = 34.05). The most significant predictable variable was body mass index (-0.110). CONCLUSIONS The variables that can help us manage clinical patients with heel pain are age, body mass index, footwear, and Foot Posture Index (left foot).

Telerehabilitation after arthroscopic subacromial decompression is effective and not inferior to standard practice: Preliminary results.

Background Telerehabilitation promises to improve quality, increase patient access and reduce costs in health care. Physiotherapy with exercises is generally recommended to restore function after surgery in patients with chronic subacromial syndrome. Relatively few studies have investigated the feasibility of telerehabilitation interventions in musculoskeletal and orthopaedic disorders. The aim of this study was to evaluate the feasibility and effectiveness of a customizable telerehabilitation intervention and compare with traditional care. Methods This research includes 18 consecutive patients with subacromial impingement who underwent arthroscopic subacromial decompression in a controlled clinical prospective study. Patients were randomized to either a 12-week telerehabilitation programme or the usual face-to-face physical therapy for immediate postoperative rehabilitation. We have developed a telerehabilitation system to provide services to patients who have undergone shoulder arthroscopy. An independent blinded observer performed postoperative follow-up after 4, 8, and 12 weeks. Results The preliminary efficacy of this telerehabilitation programme in terms of both physical and functional objective outcome measures was assessed on eight patients. Using the Constant–Murley score to evaluate functional outcome, patients in the telerehabilitation group were shown to have improved from a mean 43.50 ± 3.21 points to a mean 68.50 ± 0.86 points after 12 weeks. The physical and functional improvements in the telerehabilitation group were similar to those in the control group (p = 0.213). There was a non-significant trend for greater improvements in the telerehabilitation group for most outcome measurements. Conclusion The results of this study provide evidence for the efficacy of telerehabilitation after shoulder arthroscopy in shoulder impingement syndrome. A telerehabilitation programme with range of motion, strengthening of the rotator cuff and scapula stabilizers exercises seems to be similar and not inferior to traditional face-to-face physiotherapy after subacromial arthroscopic decompression. Through this study, we are developing our preliminary dataset to evaluate the efficacy of telerehabilitation programmes following surgical procedures in musculoskeletal injuries and for comparison with more traditional interventions.