Examinando por Autor "Achalandabaso-Ochoa, Alexander"
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Ítem Alteration of Postural Balance in Patients with Fibromyalgia Syndrome-A Systematic Review and Meta-Analysis(MDPI, 2021-01-15) Núñez-Fuentes, David; Obrero, Esteban; Zagalaz, Noelia; Ibáñez-Vera, Alfonso Javier; Achalandabaso-Ochoa, Alexander; López-Ruiz, María del Carmen; Rodríguez-Almagro, Daniel; Lomas, RafaelBalance problems are one of the most frequent symptoms in patients with Fibromyalgia Syndrome (FMS). However, the extent and nature of this balance disorder are not known. The objective of this work was to determine the best evidence for the alteration of postural balance in patients with FMS and analyze differences with healthy controls. To meet this objective, a systematic review with meta-analysis was performed. A bibliographical search was carried out in PubMed Medline, Scopus, Web of Science, CINAHL and SciELO. Observational studies that assessed postural balance in patients with FMS compared to healthy subjects in baseline conditions, were selected. In a random-effect model, the pooled effect was calculated with the Standardized Mean Difference (SMD) and its 95% confidence interval (CI). Nineteen studies reporting data of 2347 participants (95% female) were included. FMS patients showed poor balance with a large effect on static (SMD = 1.578; 95% CI = 1.164, 1.992), dynamic (SMD = 0.946; 95% CI = 0.598, 1.294), functional balance (SMD = 1.138; 95% CI = 0.689, 1.588) and on balance confidence (SMD = 1.194; 95% CI = 0.914, 1.473). Analysis of the Sensory Organization Test showed large alteration of vestibular (SMD = 1.631; 95% CI = 0.467, 2.795) and visual scores (SMD = 1.317; 95% CI = 0.153, 2.481) compared to healthy controls. Patients with FMS showed worse scores for different measures of postural balance compared to healthy controls. Concretely, FMS patients appear to have poor vestibular and visual scores with a possible somatosensory dependence.Ítem Aportación del Sistema Vestibular a la percepción de la verticalidad en estudiantes universitarios con dolor de cabeza(Jaén : Universidad de Jaén, 2020-05-29) RODRÍGUEZ ALMAGRO, DANIEL; Lomas, Rafael ; Achalandabaso-Ochoa, Alexander ; Universidad de Jaén. Departamento de Ciencias de la SaludLos trastornos del dolor de cabeza son una problemática muy frecuente, siendo la población universitaria una de las más afectadas. Se ha observado cierta relación entre los procesos cefalálgicos y otras patologías como el dolor de cuello o las alteraciones inespecíficas del equilibrio, así como posibles alteraciones de la percepción de la verticalidad en estos pacientes. En la presente tesis doctoral, debido a la ausencia de una herramienta para evaluar la discapacidad asociada al dolor de cabeza, se ha llevado a cabo la validación transcultural de cuestionario Migraine Disabiliy Assessment (MIDAS) en población universitaria. Esto ha posibilitado explorar qué actividades generadoras de dolor de cuello e inestabilidad corporal se relacionan con la presencia, frecuencia e intensidad del dolor de cabeza, así como con la discapacidad relacionada con la cefalea en población universitaria, además de indagar en las posibles alteraciones en la percepción de la verticalidad en estos pacientes. Headache disorders are very frecuent diseases, being the university population mainly affected. It has been possible to observe a relationship between headache and other disorders such as neck pain or non-specific balance disorders. In addition, possible disturbances in verticality perception have been observed in patients with headache. In the present doctoral thesis, due to the absence of a tool to evaluate headache-related disability, the cross-cultural validation of the Migraine Disability Assessment Questionnaire (MIDAS) has been carried out in the university population, allowing us to explore which neck pain and body instability-generating activities are related to the presence, frequency, intensity and headache-related disability, as well as to explore the possible disturbances in verticality perception in this patients.Ítem Cambios bioquímicos relacionados con la percepción del dolor, la respuesta al estrés y el daño tisular asociados a una Manipulación Vertebral(Jaén : Universidad de Jaén, 2015-02-26) Achalandabaso-Ochoa, Alexander; Martínez-Amat, Antonio; Molina-Ortega, Francisco-J.; Universidad de Jaén. Departamento de Ciencias de la Salud[ES] La manipulación vertebral (MV) es una técnica ampliamente utilizada en el tratamiento del dolor de origen musculoesquelético desde tiempos de Hipócrates. A pesar de su amplia utilización, aún no se conocen con certeza los mecanismos de acción. Así mismo, aunque algunos clínicos han advertido de los posibles efectos adversos del uso de estas técnicas, no hay estudios científicos que corroboren o desmientan dicha afirmación. El objetivo de esta investigación es analizar y estudiar los posibles mecanismos por los que la técnica es eficaz y determinar si la MV en sí puede producir daños en los tejidos. Para ello se determinará la concentración en sangre de mediadores químicos relacionados con la analgesia, y de marcadores de daño tisular. Las mediciones se realizarán antes de, justo después de, y a las dos horas de recibir una MV torácica, una MV cervical o no recibir intervenciónÍtem Efectos del ejercicio de fuerza sobre el riesgo de caídas en mayores con enfermedad de Alzheimer(Jaén : Universidad de Jaén, 2023-03-23) Cámara-Calmaestra, Rubén; Martínez-Amat, Antonio; Achalandabaso-Ochoa, Alexander; Universidad de Jaén. Departamento de Ciencias de la SaludEsta tesis está formada por 3 estudios. Primero, se realizó una revisión sistemática sobre los efectos del ejercicio físico en las variables principales capacidad físico-funcional y rendimiento cognitivo, en personas mayores con Alzheimer. Se encontró evidencia que apoyaba la práctica de ejercicio físico para la mejora de todas las variables observadas. Posteriormente, se realizó un estudio observacional para determinar factores de riesgo o protectores en esta enfermedad. Se identificaron como factores de riesgo la edad, Diabetes tipo II, la frecuencia de caídas y el consumo de fármacos; mientras que los factores protectores identificados fueron ser físicamente activo y el nivel de estudios. Finalmente, se realizó un ensayo clínico aleatorizado para analizar el efecto del ejercicio de fuerza sobre el riesgo de caídas en mayores con Alzheimer. Los resultados determinaron que es una herramienta eficaz para reducir el riesgo de caídas y producir mejoras en otras variables, excepto en las AVDs.Ítem In non-specific low back pain, is an exercise program carried out through telerehabilitation as effective as one carried out in a physiotherapy center? A controlled randomized trial(Elsevier, 2023-06) Villatoro-Luque, Francisco J.; Rodríguez-Almagro, Daniel; Aibar-Almazán, Agustín; Fernández-Carnero, Samuel; Pecos-Martín, Daniel; Ibáñez-Vera, Alfonso J.; Achalandabaso-Ochoa, AlexanderBackground: s:The effectiveness of telerehabilitation (TLRH) in patients with non-specific low back pain (NLBP) remains unknown. No study till date has investigated the efficacy of a mobile-based TLRH in patients with NLBP. Objectives: To investigate if a TLRH program is as effective as a clinical exercise programme in improving disability, pain intensity, pain catastrophizing, and hip pain and strength in patients with NLBP. Design: Single-blind, two-armed, randomized controlled study. Method: A total of 71 individuals with NLBP were randomly allocated to either the TLRH home group (TLRH) or clinic group (CG). The TLRH followed exercise videos and read information on pain neurophysiology. The CG performed the same exercises and received on-site pain education. Both groups performed the exercises twice weekly for 8 weeks. Disability, pain intensity, pain catastrophizing, and hip pain and strength were assessed at baseline, at post-treatment, and at three months. Results: Statistically significant differences for time-by-group interaction were detected in the strength of left hip flexors (supine [F = 8.356; p = .005]; sitting [F = 9.828; p = .003]), right hip extensors with extended knee [F = 7.461; p = .008], left hip extensors (extended knee [F = 13.175; p = .001]; flexed knee [F = 13.505; p < .001]), pain during flexion of the right [F = 5.133; p = .027] and left [F = 4.731; p = .033] hips in the supine position, disability [F = 4.557; p = .014], and pain catastrophizing [F = 14.132; p < .001]. Conclusion: A TLRH mobile-based is as effective as clinical treatment in improving disability, pain catastrophizing, and pain and strength of the hip structures in patients with NLBP.Ítem Manual Therapy Techniques Versus Occlusal Splint Therapy for Temporomandibular Disorders: A Systematic Review with Meta-Analysis(MDPI, 2024-11-01) Villar-Aragón, Víctor; Obrero, Esteban; Lérida-Ortega, Miguel Ángel; López-Ruiz, María del Carmen; Rodríguez-Almagro, Daniel; Achalandabaso-Ochoa, Alexander; Molina-Ortega, Francisco Javier; Ibáñez-Vera, Alfonso JavierBackground: Manual therapy (MT) and occlusal splint therapy (OST) are the most conservative therapies applied on patients with temporomandibular disorders (TMDs). The aim was to compare the efficacy of MT vs. OST in improving pain, maximal mouth opening (MMO), disability, and health related-quality of life (hr-QoL) in these patients. Methods: According to PRISMA guidelines, a meta-analysis (CRD42022343915) was conducted including randomized controlled trials comparing the effectiveness of MT vs. OST in TMD patients, after searching in PubMed, PEDro, SCOPUS, and WOS up to March 2024. Methodological quality and risk of bias were assessed using the PEDro Scale. Cohen’s standardized mean difference (SMD) and its 95% confidence interval (95% CI) were the pooled effect measures calculated. Results: Nine studies, providing data from 426 patients, were included. Meta-analyses revealed that MT is more effective than OST in reducing disability (SMD = −0.81; 95% CI −1.1 to −0.54) and increasing MMO (SMD = 0.52; 95% CI 0.27 to 0.76) without differences for improving pain intensity and hr-QoL. Subgroup analyses revealed the major efficacy of OST in reducing pain in myogenic patients (SMD = 0.65; 95% CI 0.02 to 1.28). Conclusions: With caution, due to the low number of studies included, MT may be more effective than OST for improving disability and MMO in patients with TMDs.Ítem Sarcopenia and sarcopenic obesity in Spanish community-dwelling middleaged and older women: Association with balance confidence, fear of falling and fall risk(ELSEVIER IRELAND LTD, 2018-01) Aibar-Almazán, Agustín; Martínez-Amat, Antonio; Cruz-Díaz, David; Jiménez-García, José D.; Achalandabaso-Ochoa, Alexander; Sánchez-Montesinos, Indalecio; De la Torre-Cruz, Manuel; Hita-Contreras, FidelObjectives: To analyze the association of sarcopenia, obesity, and sarcopenic obesity (SO) with fear of falling (FoF) and balance confidence in a Spanish sample of middle-aged and older community-dwelling women. Study design and outcome measures: A total of 235 women (69.21 ± 7.56 years) participated in this study. Body composition (bioelectrical impedance analysis), hand-grip strength, and physical performance (gait speed) were evaluated for the diagnosis of sarcopenia, obesity, and SO. Anxiety and depression were measured using the Hospital Anxiety and Depression Scale. The Activities-Specific Balance Confidence Scale (ABC) and the Falls Efficacy Scale-International (FES-I) were employed to assess FoF and balance confidence, respectively. Scores of > 26 on the FES-I and < 67% on the ABC were used to identify women at risk of falling. The independent associations of sarcopenia, obesity and SO with FoF, balance confidence, and fall risk were evaluated by multivariate linear and logistic regressions, adjusting for potential confounding variables. Results: 27.23% and 18.72% of women presented with sarcopenia and SO, respectively. Gait speed, body mass index (BMI), and fall history were independently associated with ABC score (adjusted-R2 = 0.152) and fall risk (ABC) (adjusted-R2 = 0.115). FES-I score was independently associated (adjusted-R2 = 0.193) with fall history, gait speed, BMI, and depression, which, together with obesity (BMI) and SO, remained independent factors for fall risk measured as FES-I score (adjusted-R2 = 0.243). Conclusion: In community-dwelling middle-aged and older Spanish women, BMI, gait speed, and fall history were independently associated with FoF, balance confidence, and fall risk. Depression was related only to FoF, and, together with obesity (BMI) and SO, was an independent predictor of fall risk as assessed by the FES-I.Ítem The Female Sexual Function Index: reliability and validity in Spanish postmenopausal women.(LIPPINCOTT WILLIAMS & WILKINS, 2019-04) Pérez-Herrezuelo, Isabel; Hita-Contreras, Fidel; Martínez-Amat, Antonio; Aibar-Almazán, Agustín; Cruz-Díaz, David; Wangensteen, Rosemary; Achalandabaso-Ochoa, Alexander; Díaz-Mohedo, EstherObjective: To examine the reliability and validity of the Spanish version of the Female Sexual Function Index (FSFI) and its ability to discriminate between women with and without female sexual dysfunction (FSD) among Spanish postmenopausal women. Methods: A total of 152 postmenopausal women completed the Spanish version of FSFI. Internal consistency, test-retest reliability, and construct validity (exploratory factor analysis) were analyzed. Concurrent and divergent validity were assessed using a visual analogue scale for overall satisfaction with sexual life and the Hospital Anxiety and Depression Scale, respectively. To determine the ability and the accuracy of the FSFI total score in discriminating between women with and without FSD, a receiver operating characteristic (ROC) curve analysis was performed. Results: Factor analysis suggested a three-factor structure (explained variance 77.77%). The Spanish FSFI showed substantial-to-excellent test-retest reliability, with good internal consistency in the FSFI total score (Cronbach’s alpha=0.964) as well as in its three dimensions. The FSFI total and domains scores showed strong (r>0.50) and significant correlations (p<0.01) with overall satisfaction with sexual life (concurrent validity), and low correlations with anxiety and depression (divergent validity). The Spanish FSFI total score and dimensions were significantly able to discriminate between women with and without FSD (p<0.05), with an optimal cut-off point of <24.95 for the FSFI total score (64.15% sensitivity and 75.76% specificity). Conclusions: The Spanish FSFI is a valid and reliable instrument for assessing and discriminating for FSD among Spanish postmenopausal women.