Examinando por Autor "Lomas Vega, Rafael"
Mostrando 1 - 9 de 9
- Resultados por página
- Opciones de ordenación
Ítem A System for the Measurement of the Subjective Visual Vertical Using a Virtual Reality Device(Springer Nature, 2018-05) Negrillo Cárdenas, José; Rueda Ruiz, Antonio J.; Ogáyar Anguita, Carlos J.; Lomas Vega, Rafael; Segura Sánchez, Rafael J.The Subjective Visual Vertical (SVV) is a common test for evaluating the perception of verticality. Altered verticality has been connected with disorders in the otolithic, visual or proprioceptive systems, caused by stroke, Parkinson’s disease or multiple sclerosis, among others. Currently, this test is carried out using a variety of specific, mostly homemade apparatuses that include moving planes, buckets, hemispheric domes or a line projected in a screen. Our aim is to develop a flexible, inexpensive, user-friendly and easily extensible system based on virtual reality for the measurement of the SVV and several related visual diagnostic tests, and validate it through an experimental evaluation. Our evaluation showed that the proposed system is suitable for the measurement of SVV in healthy subjects. The next step is to perform a more elaborated experimentation on patients and compare the results with the measurements obtained from traditional methods.Ítem ADAPTACIÓN TRANSCULTURAL Y VALIDACIÓN DE LAS VERSIONES ESTANDAR Y CORTA DEL ÍNDICE ANAMNÉSICO DE FONSECA PARA LA EVALUACIÓN Y EL DIAGNÓSTICO DE LOS TRASTORNOS TEMPOROMANDIBULARES(Jaén : Universidad de Jaén, 2022-03-25) SÁNCHEZ TORRELO, CARMEN MARÍA; Lomas Vega, Rafael; Zagalaz Anula, Noelia; Universidad de Jaén. Departamento de Ciencias de la SaludLos Trastornos Temporomandibulares (TTMs) son un subgrupo de problemas de dolor craneofacial que afectan a la articulación temporomandibular, la musculatura masticatoria y las estructuras musculoesqueléticas de la cabeza y el cuello asociadas. Debido a la falta de herramientas en español para realizar un diagnóstico rápido y simplificado, resulta conveniente la adaptación transcultural y el análisis de las propiedades psicométricas de la versión estándar y la versión corta de Índice Anamnésico de Fonseca. Dichos cuestionarios se utilizan para la valoración de los TTMs, son test sencillos y rápidos de implementar. Esto cuestionarios, han reportado buenos resultados en sus validaciones y anteriores adaptaciones transculturales en diversos entornos geográficos. Por lo tanto, el objetivo de esta tesis doctoral fue adaptar transculturalmente y obtener las versiones españolas estándar y corta del Índice Anamnésico de Fonseca. Los resultados fueron satisfactorios, cumpliendo con el objetivo principal de la investigación.Ítem ANÁLISIS DE LA FUNCIÓN VESTIBULAR, VALIDACIÓN DE UNA HERRAMIENTA DE VALORACIÓN FUNCIONAL DEL EQUILIBRIO Y EFECTIVIDAD DE UN PROGRAMA DE REHABILITACIÓN VESTIBULAR EN PACIENTES CON SÍNDROME DE FIGROMIALGIA(Jaén : Universidad de Jaén, 2023-12-01) PEINADO RUBIA, ANA BELÉN; Osuna Pérez, María Catalina; Lomas Vega, Rafael; Universidad de Jaén. Departamento de Ciencias de la SaludLos/as pacientes con Síndrome de Fibromialgia (SFM) presentan un equilibrio y control postural deteriorado, precipitando el desarrollo de síntomas como el mareo o la inestabilidad, así como un aumento de la kinesiofobia, la discapacidad percibida por mareo, la desconfianza en el equilibrio y del riesgo de caída. El estudio de este trastorno del equilibrio plantea incógnitas, ya que su origen sigue siendo incierto. Alteraciones en el procesamiento de la información multisensorial responsables del equilibrio, se postulan como principal causa. Esta Tesis Doctoral analiza la caracterización clínica de este trastorno, desarrolla y valida una herramienta que evalúa de manera válida y fiable el equilibrio funcional de estos/as pacientes (Herramienta de Cribado JAEN de 20 ítems, rango de 0-80, puntuaciones altas indican mayor afectación del equilibrio) y aplica un tratamiento de Rehabilitación Vestibular (RV) para evaluar su efectividad en la mejora del equilibrio y estado de salud general de los/as pacientes con SFM.Ítem Conocimiento, creencias y actitudes de los fisioterapeutas sobre el dolor crónico: implementación del abordaje biopsicosocial, desafíos en la práctica clínica y estrategia educativa de mejora(2024-12-17) Díaz Fernández, Ángeles; Lomas Vega, Rafael; Ortega Martínez, Ana Raquel; Universidad de Jaén. Departamento de Ciencias de la SaludEl dolor crónico afecta la calidad de vida y presenta desafíos para los sistemas de salud. Es crucial que los fisioterapeutas tengan formación adecuada en este ámbito. Esta tesis analiza conocimientos, actitudes y creencias de los fisioterapeutas españoles sobre el dolor crónico, evaluando también la implementación del enfoque biopsicosocial (BPS) y desarrollando una propuesta educativa. Se validaron herramientas como PABS-PT y KNAP-SP para evaluar estos aspectos. El estudio revela un conocimiento moderado y una inclinación hacia el BPS, con factores influyentes como el nivel educativo y la formación específica en dolor. Sin embargo, la implementación del BPS es limitada, con barreras como falta de habilidades psicológicas o una efectiva coordinación interdisciplinar. El currículo propuesto busca mejorar la formación y la aplicación del BPS, mejorando la calidad del tratamiento. Esta tesis proporciona soluciones basadas en la evidencia para mejorar la educación en dolor y la calidad de la atención en Fisioterapia. Chronic pain significantly impacts quality of life and poses challenges to healthcare systems. It is crucial for physiotherapists to be adequately trained in this area. This thesis examines the knowledge, attitudes, and beliefs of Spanish physiotherapists regarding chronic pain, while also evaluating the implementation of the biopsychosocial (BPS) approach and developing an educational proposal. Tools such as the PABS-PT and KNAP-SP were validated to assess these aspects. The study reveals moderate knowledge and a tendency towards the BPS approach, with influencing factors including educational level and specific training in pain management. However, the implementation of the BPS approach is limited by barriers such as a lack of psychological skills and effective interdisciplinary coordination. The proposed curriculum aims to enhance training and the application of the BPS approach, thereby improving the quality of treatment. This thesis offers evidence-based solutions to improve pain education and the quality of care in Physiotherapy.Ítem Cuantificación y caracterización del trastorno de la percepción de la verticalidad visual en sujetos con patología de los sistemas de procesamiento del control postural(Jaén : Universidad de Jaén, 2021-03-18) Obrero Gaitán, Esteban; Lomas Vega, Rafael; Molina Ortega, Francisco Javier; Universidad de Jaén. Departamento de Ciencias de la SaludLa evaluación de la percepción de la Visual Vertical (VV), mediante el test de la Vertical Visual Subjetiva (VVS) y el Test de la Varilla y el Marco (TVM), está en auge como medida de alteración de los sistemas que participan en el control postural (CP). El objetivo de esta Tesis fue localizar la evidencia científica disponible para analizar la alteración de la VV en sujetos con diferentes alteraciones en los sistemas que participan en el CP comparado a sujetos sanos. Para ello se han realizado cuatro revisiones sistemáticas con meta-análisis, donde se analiza la percepción de la VV en sujetos con patologías del Sistema Nervioso Central (SNC), alteraciones músculo-esqueléticas del raquis, alteraciones vestibulares periféricas (AVP) y trastornos primarios del dolor de cabeza (TPDC). Los resultados de esta Tesis muestran una alteración de la percepción de la VV en sujetos con patologías del SNC, principalmente en el accidente cerebrovascular, en las AVP, sobretodo en la patología aguda y quirúrgica, en los trastornos dolorosos del raquis y en sujetos con TPDC, especialmente migrañas y cefaleas. The evaluation of the Visual Verticality (VV) perception, through the Subjective Visual Vertical test (SVV) and the Rod and Frame Test (RFT), is on the rise as a measure of alteration of the systems that participate in postural control (PC). The objective of this Thesis was to locate the scientific evidence available to analyze the alteration of VV in subjects with different alterations in the systems that participate in PC compared to healthy subjects. For this, four systematic reviews with meta-analysis have been carried out, which the perception of VV is analyzed in subjects with Central Nervous System diseases (CNSD), musculoskeletal spinal disorders, peripheral vestibular disorders (PVD) and primary headache disorders (PHD). The results of this Thesis show an alteration in the perception of VV in subjects with CND, mainly in stroke, in PVD, especially in acute phase and patients who have been underwent a vestibular surgery, in musculoskeletal spinal pain disorders and in subjects with PHD, especially migraines and headaches.Ítem Misperception of body verticality in neurological disorders: Asystematic review and meta-analysis(Wiley Periodicals LLC, 2024-04-30) Obrero Gaitán, Esteban; Fuentes Núñez, David; Del Moral García, María; López Ruiz, María del Carmen; Rodríguez Almagro, Daniel; Lomas Vega, RafaelIntroduction: The internal representation of verticality could be disturbed when a lesion in the central nervous system (CNS) affects the centers where information from the vestibular, visual, and/or somatosensory systems, increasing the risk of falling. Objective: The aim was to evaluate the vestibular and somatosensory contribution to the verticality pattern in patients with stroke and other neurological disorders. Methods: A literature search was performed in PubMed, Scopus, Web of Science, and CINAHL databases. Cross-sectional, case-control, and cohort studies comparing body verticality in patients with stroke or CNS diseases (CNSD) versus healthy controls were selected. Subjective postural vertical (SPV) in roll and pitch planes was used as the primary variable. Results: Ten studies reporting data from 390 subjects were included. The overall effect for CNSD patients showed a misperception of body verticality in roll (standardized mean difference [SMD] = 1.05; 95% confidence interval [CI] .84-1.25) and pitch planes (SMD = 1.03; 95% CI .51-1.55). In subgroup analyses, a high effect was observed in the perception of SPV both in roll and pitch planes in stroke (p = .002) and other CNSD (p < .001). Conclusion: These findings suggest a potential misperception of SPV in patients with stroke and other neurological disturbances. Patients with CNSD could present an alteration of vestibular and somatosensory contribution to verticality construction, particularly stroke patients with pusher syndrome (PS), followed by those with PS combined with hemineglect.Ítem Optimal dose and type of exercise to reduce pain, anxiety and increase quality of life in patients with fibromyalgia. A systematic review with meta-analysis.(Frontiers, 2023-04-12) Rodríguez Almagro, Daniel; Del Moral García, María; López Ruiz, María del Carmen; Cortés Pérez, Irene; Obrero Gaitán, Esteban; Lomas Vega, RafaelThe aim of our meta-analysis was to compile the available evidence to evaluate the effect of physical exercise-based therapy (PEBT) on pain, impact of the disease, quality of life (QoL) and anxiety in patients with fibromyalgia syndrome (FMS), to determine the effect of different modes of physical exercise-based therapy, and the most effective dose of physical exercise-based therapy for improving each outcome. A systematic review and meta-analysis was carried out. The PubMed (MEDLINE), SCOPUS, Web of Science, CINAHL Complete and Physiotherapy Evidence Database (PEDro) databases were searched up to November 2022. Randomized controlled trials (RCTs) comparing the effects of physical exercise-based therapy and other treatments on pain, the impact of the disease, QoL and/or anxiety in patients with FMS were included. The standardized mean difference (SMD) and a 95% CI were estimated for all the outcome measures using random effect models. Three reviewers independently extracted data and assessed the risk of bias using the PEDro scale. Sixty-eight RCTs involving 5,474 participants were included. Selection, detection and performance biases were the most identified. In comparison to other therapies, at immediate assessment, physical exercise-based therapy was effective at improving pain [SMD-0.62 (95%CI, -0.78 to -0.46)], the impact of the disease [SMD-0.52 (95%CI, -0.67 to -0.36)], the physical [SMD 0.51 (95%CI, 0.33 to 0.69)] and mental dimensions of QoL [SMD 0.48 (95%CI, 0.29 to 0.67)], and the anxiety [SMD-0.36 (95%CI, -0.49 to -0.25)]. The most effective dose of physical exercise-based therapy for reducing pain was 21-40 sessions [SMD-0.83 (95%CI, 1.1--0.56)], 3 sessions/week [SMD-0.82 (95%CI, -1.2--0.48)] and 61-90 min per session [SMD-1.08 (95%CI, -1.55--0.62)]. The effect of PEBT on pain reduction was maintained up to 12 weeks [SMD-0.74 (95%CI, -1.03--0.45)]. Among patients with FMS, PEBT (including circuit-based exercises or exercise movement techniques) is effective at reducing pain, the impact of the disease and anxiety as well as increasing QoL. Systematic Review Registration: PROSPERO https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42021232013.Ítem Validación de las Propiedades Psicométricas de las escalas ABC-6, Niigata-PPPD y Tampa-mareo en pacientes con trastornos vestibulares(2024-10-11) Castillejos Carrasco-Muñoz, Rodrigo; Lomas Vega, Rafael; Ibáñez Vera, Alfonso Javier; Universidad de Jaén. Ciencias de la Salud.Los trastornos del equilibrio, y particularmente ,los de causa vestibular producen una reducción significativa de la calidad de vida y un aumento del riesgo de caída. Por ello, se han desarrollado diferentes herramientas para medir el impacto de estos aspectos en los ámbitos físico, funcional, emocional, la confianza para la realización de tareas y factores que pueden exacerbar o perpetuar los síntomas. Esta tesis analiza las propiedades psicométricas de la Escala de Confianza en el Equilibrio para Actividades Específicas (ABC-6), Niigata y Tampa con el objetivo de evaluar la confianza en el equilibrio, detectar conductas y creencias de evitación de movimientos y prevenir factores que pueden perpetuar los síntomas en pacientes con trastornos vestibulares, esto permite establecer programas de rehabilitación específicos e individualizados. Balance disorders, and particularly those of vestibular cause, produce a significant reduction in quality of life and an increased risk of falling. . For this reason, different tools have been developed to measure the impact of these aspects in the physical, functional, emotional areas, confidence in carrying out tasks and factors that can exacerbate or perpetuate symptoms. This thesis analyzes the psychometric properties of the Balance Confidence Scale for Specific Activities (ABC-6), Niigata and Tampa with the objective of evaluating confidence in balance, detecting behaviors and beliefs of avoidance of movements and preventing factors that can perpetuate symptoms in patients with vestibular disorders, this allows establishing specific and individualized rehabilitation programs.Ítem Virtual reality-based therapy for chronic low back and neck pain: a systematic review with meta-analysis(Bioscientifica Ltd, 2024-07-01) Henríquez-Jurado, Juan Manuel; Osuna Pérez, María Catalina; García López, Héctor; Lomas Vega, Rafael; López Ruiz, María del Carmen; Obrero Gaitán, Esteban; Cortés Pérez, IrenePurpose To compile all the scientific evidence available to date to evaluate the effect of virtual reality based therapy (VRBT) on reducing pain intensity, kinesiophobia, and associated disability, and on increasing the hr-QoL in patients with chronic neck pain (CNP) or chronic low back pain (CLBP). Methods Studies published in PubMed Medline, SCOPUS, Web of Science, CINAHL Complete, and Physiotherapy Evidence Database (PEDro) up to June 2023 were searched. All searches followed the PICOS Framework. Two authors independently screened the studies found in the searches. Any differences of opinion regarding the selection of studies were settled by a third author. Results Twenty-five RCTs, published between 2013 and 2022, providing data from 1261 patients (20 RCTs) with CLBP and 261 patients (five RCTs) with CNP, were included. In reducing pain intensity for patients with CLBP, meta-analyses showed that VRBT is effective in reducing pain just to the end of the intervention, and this effect could be maintained 1 and 6 months after the therapy. Conclusion VRBT was found to be better than therapeutic exercise (TE), sham, and no intervention (NI), showing a major effect when VRBT was used as a complementary therapy to conventional physiotherapy (CPT). Further, VRBT showed an immediate effect and immersive VRBT was the most adequate VRBT modality in reducing pain in CNP patients. No differences were found between non-immersive VRBT and immersive VRBT in reducing pain, kinesiophobia, disability, and hr-QoL in patients with CLBP.