Examinando por Autor "Zagalaz-Anula, Noelia"
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Ítem Corrective exercise-based therapy for adolescent idiopathic scoliosis: Systematic review and meta-analysis.(SAGE, 2022) Gámiz-Bermúdez, Francisca; Obrero-Gaitán, Esteban; Zagalaz-Anula, Noelia; Lomas-Vega, RafaelAbstract Objective: to analyse the efficacy of Corrective exercise-based therapy in the improvement of deformity and quality of life in adolescent idiopathic scoliosis. Data Sources: PubMed Medline, Scopus, Web of Science, Physiotherapy Evidence Database, CINAHL Complete and SciELO, until June 2021. Review methods: Randomized controlled trials was selected, including participants diagnosed with adolescent idiopathic scoliosis, in which the experimental group received Corrective exercise-based therapy. Two authors independently searched the scientific literature in the data sources, extracted the data and assessed the risk of bias. A pairwise meta-analysis using the random-effects model was performed. Results: Eight randomized controlled trials providing data from 279 adolescent idiopathic scoliosis patients were included. Seven randomized controlled trials including 236 patients showed moderate-quality evidence for a medium effect (SMD=-0.52, 95% CI -0.96 to -0.1), favouring corrective exercise-based therapy for spinal deformity reduction. Corrective exercise-based therapy was better than no intervention (SMD=-0.59, 95% CI -1.18 to -0.01) but similar to other intervention (SMD=-0.2, 95% CI -0.67 to 0.27), and a medium effect was found (SMD=-0.51, 95% CI -0.89 to -0.13) when corrective exercise-based therapy was used with other therapies. Four studies including 151 patients showed low-quality evidence of a large effect of Corrective exercise-based therapy on Scoliosis Research Society measurement (SRS-22) total score improvement (SMD=1.16, 95% CI 0.36 to 1.95). Conclusion: In mild and moderate adolescent idiopathic scoliosis patients, corrective exercise-based therapy could be used to reduce spinal deformity and to improve quality of life as isolated treatment or as coadjuvant treatment combined with other therapeutic resources.Ítem EXERCISE THERAPY IMPROVES PAIN AND MOUTH OPENING IN TEMPOROMANDIBULAR DISORDERS. A SYSTEMATIC REVIEW WITH META-ANALYSIS(SAGE, 2023-04) Idáñez-Robles, Ana María; Obrero-Gaitán, Esteban; Lomas-Vega, Rafael; Osuna-Pérez, María Catalina; Cortés-Pérez, Irene; Zagalaz-Anula, NoeliaObjective: To analyze the effectiveness of exercise therapy in improving pain and active or passive maximum mouth opening in patients with temporomandibular disorders. Data sources: PubMed Medline, Web of Science (WOS), Scopus, CINAHL Complete and Physiotherapy Evidence Database, until April 2022, in accordance with PRISMA guidelines. Review methods: We included randomized controlled trials evaluating the effect of exercise therapy on pain and on active and passive maximum mouth opening in patients with temporomandibular disorders. Effect size was calculated using Cohen's standardized mean difference (SMD) and their 95% confidence interval (95% CI) in a random-effects model. Results: A total of 16 studies with 812 participants were included. Temporomandibular exercise therapy is effective in reducing pain (SMD -0.58; 95% CI, -1.01 to -0.12) and increasing the pain pressure threshold (SMD 0.45; 95% CI 0.14 to 0.76), active and passive maximum mouth opening (SMD 0.43; 95% CI 0.14 to 0.71 and SMD 0.4; 95% CI 0.06 to 0.75, respectively). Subgroup analyses showed more effect of exercise therapy more splints vs splints on pain (SMD -0.5; 95% CI -0.73 to -0.26), active and passive maximum mouth opening (SMD 1.14; 95% CI 0.22 to 2.07 and SMD 0.56; 95% CI 0.06 to 1.06, respectively). On pain pressure threshold, exercise therapy was better than physiotherapy approach (manual therapy and electrotherapy) (SMD 0.48; 95% CI 0.09 to 0.87). Conclusions: Therapeutic exercise is an effective therapy to reduce pain and increase pain pressure threshold and active and passive maximum mouth opening in patients with temporomandibular disorders.Ítem Fibromyalgia Syndrome and Geographical Setting(2024) López-Moreno, Virginia; Zagalaz-Anula, Noelia; Peinado-Rubia, Ana Belén; Cortés-Pérez, Irene; Ibancos-Losada, María del Rocío; Obrero-Gaitán, Esteban; Osuna-Pérez, María CatalinaÍtem Leap Motion Controller Video Game-Based Therapy for Upper Extremity Motor Recovery in Patients with Central Nervous System Diseases. A Systematic Review with Meta-Analysis(MDPI, 2021-03-15) Cortés-Pérez, Irene; Zagalaz-Anula, Noelia; Montoro-Cárdenas, Desirée; Lomas-Vega, Rafael; Obrero-Gaitán, Esteban; Osuna-Pérez, María CatalinaLeap Motion Controller (LMC) is a virtual reality device that can be used in the rehabilitation of central nervous system disease (CNSD) motor impairments. This review aimed to evaluate the effect of video game-based therapy with LMC on the recovery of upper extremity (UE) motor function in patients with CNSD. A systematic review with meta-analysis was performed in PubMed Medline, Web of Science, Scopus, CINAHL, and PEDro. We included five randomized controlled trials (RCTs) of patients with CNSD in which LMC was used as experimental therapy compared to conventional therapy (CT) to restore UE motor function. Pooled effects were estimated with Cohen’s standardized mean difference (SMD) and its 95% confidence interval (95% CI). At first, in patients with stroke, LMC showed low-quality evidence of a large effect on UE mobility (SMD = 0.96; 95% CI = 0.47, 1.45). In combination with CT, LMC showed very low-quality evidence of a large effect on UE mobility (SMD = 1.34; 95% CI = 0.49, 2.19) and the UE mobility-oriented task (SMD = 1.26; 95% CI = 0.42, 2.10). Second, in patients with non-acute CNSD (cerebral palsy, multiple sclerosis, and Parkinson’s disease), LMC showed low-quality evidence of a medium effect on grip strength (GS) (SMD = 0.47; 95% CI = 0.03, 0.90) and on gross motor dexterity (GMD) (SMD = 0.73; 95% CI = 0.28, 1.17) in the most affected UE. In combination with CT, LMC showed very low-quality evidence of a high effect in the most affected UE on GMD (SMD = 0.80; 95% CI = 0.06, 1.15) and fine motor dexterity (FMD) (SMD = 0.82; 95% CI = 0.07, 1.57). In stroke, LMC improved UE mobility and UE mobility-oriented tasks, and in non-acute CNSD, LMC improved the GS and GMD of the most affected UE and FMD when it was used with CT.Ítem Nintendo Wii Balance Board therapy for postural control in children with cerebral palsy: a systematic review and metaanalysis(WILEY, 2021-11) Montoro-Cárdenas, Desirée; Cortés-Pérez, Irene; Zagalaz-Anula, Noelia; Osuna-Pérez, María Catalina; Obrero-Gaitán, Esteban; Lomas-Vega, RafaelAim: To analyse the efficacy of Nintendo Wii therapy (NWT) on functional balance in children with cerebral palsy (CP). Method: A systematic review with meta-analysis (PROSPERO identification number CRD42020169510) was performed using randomized controlled trials (RCTs) that examined the effect of NWT on functional, dynamic, and static balance in children with CP, assessed with the Pediatric Balance Scale, the Timed Get Up and Go Test, and the One Leg Stance Test respectively. The pooled effect was calculated using the Cohen's standardized mean difference (SMD). Results: Eleven RCTs with 270 children (when sex was reported: 43% females, 57% males) with CP (mean age [SD] 10y 1mo [1y 1mo], range 5-16y) were included. On functional balance, we found very low-quality evidence with a large effect of NWT compared with no intervention (SMD 0.95, 95% confidence interval [CI] 0.02-1.89) and moderate-quality evidence for using NWT plus conventional physical therapy (CPT) versus CPT (SMD 0.78, 95% CI 0.20-1.35) in sessions of approximately 30 minutes (SMD 0.86, 95% CI 0.20-1.52) and interventions lasting longer than 3 weeks (SMD 1.03, 95% CI 0.58-1.47). For dynamic balance, very low-quality evidence for a medium effect for using NWT plus CPT versus CPT (SMD 0.70, 95% CI 0.12-1.29) was found. Interpretation: NWT can be considered an effective treatment for improving functional and dynamic balance in children with CP, especially when combined with CPT in 30-minute sessions with interventions lasting longer than 3 weeks. What this paper adds Moderate-quality evidence with a large effect of Nintendo Wii therapy (NWT) on functional balance, compared with conventional physical therapy (CPT). Moderate-quality evidence with medium effect of NWT plus CPT on functional and dynamic balance, compared with CPT. Appropriate NWT sessions should be equal to or slightly less than 30 minutes. NWT interventions must be longer than 3 weeks.Ítem Recreational physical activity reduces breast cancer recurrence in female survivors of breast cancer: A meta-analysis(Elsevier, 2022-08) Zagalaz-Anula, Noelia; Mora-Rubio, María José; Obrero-Gaitán, Esteban; Del-Pino-Casado, RafaelPurpose: The aim of this review was to systematically collect the published evidence to assess the effect of recreational physical activity (PA) in reducing breast cancer (BC) recurrence in female survivors. Methods: A bibliographic search was carried out in PubMed Medline, CINAHL Complete, Scopus and Lilacs until June 2021. We selected observational studies or clinical trials comprising women diagnosed with BC, in which the risk of recurrence of BC was measured before or after performing recreational PA. As a secondary outcome, we analyzed disease free survival for recurrence/disease-specific mortality. The methodological quality of observational studies was assessed with the Newcastle-Ottawa Scale and clinical trials with the PEDro scale. A random effects model was used to estimate the relative risks (RR) and their 95% confidence intervals (CI) to infer the results for any female survivor of BC. We performed separate meta-analyses for prediagnosis and postdiagnosis recreational PA. Results: Eleven studies were included, providing data from 29,677 surviving women with BC with an age range of 18-79 years old. Postdiagnosis recreational PA reduced the risk of BC recurrence by 16% (RR, 0.84; 95% CI: 0.78 to 0.91) and the risk of recurrence/disease-specific mortality by 23% (RR, 0.77; 95% CI: 0.66 to 0.93). Prediagnosis PA reduced the risk of BC by 18% (RR, 0.82; 95% CI: 0.74 to 0.91). Conclusion: This systematic review with meta-analysis shows that recreational PA can be an interesting therapeutic tool to protect against recurrence of BC in female survivors.Ítem Relationship between stomatognathic alterations and idiopathic scoliosis: a systematic review with meta-analysis of observational studies(2023-10-03) Gámiz-Bermúdez, Francisca; Ibáñez-Vera, Alfonso Javier; Obrero-Gaitán, Esteban; Cortés-Pérez, Irene; Zagalaz-Anula, Noelia; Lomas-Vega, RafaelÍtem Study Based on Gamification of Tests through Kahoot!™ and Reward Game Cards as an Innovative Tool in Physiotherapy Students: A Preliminary Study(MDPI, 2023-02-15) Cortés-Pérez, Irene; Zagalaz-Anula, Noelia; López-Ruiz, María del Carmen; Díaz-Fernández, Ángeles; Obrero-Gaitán, Esteban; Osuna-Pérez, María CatalinaBackground: Kahoot! is an educational tool allowing teachers to create a series of gamified tests with the aim of reinforcing educational content, thus improving the teaching-learning process. The objective of this project is to evaluate the acquisition of content through gamified tests with Kahoot! and reward cards compared to the traditional teaching methodology (contents not reinforced). Methods: This Physiotherapy Teaching Innovation Project (PTIP) was carried out in four subjects of the Degree in Physiotherapy at the University of Jaén (Spain). The teachers responsible for each subject were instructed in the use of Kahoot! and reward cards. These teachers randomly selected the contents that were going to be reinforced with Kahoot! while the other 50% of the contents would not be reinforced. In the final exam of each subject, the results related to the reinforced contents were compared with those non-reinforced and the degree of satisfaction of the students with the experience was evaluated. Results: A total of 313 students participated in this PTIP. In all subjects, we determined a significant increase in the number of correct answers in an improvement range from 7% (95% CI 3.85 to 9.38) to more than 20% (95% CI 17.61 to 26.86) in favor of the questions that alluded to reinforced content using Kahoot! compared to the non-reinforced contents. More than 90% of the participants considered the use of Kahoot! useful and motivating. Our findings showed that Kahoot! motivated more than 65% of students to study daily. Conclusions: The students obtained better academic results in the questions related to contents reinforced with tests through Kahoot! and reward cards compared to those non-reinforced, showing that this methodology can be an effective tool to promote retention and content assimilation.Ítem Transcultural Adaptation and Validation of the Fonseca Anamnestic Index in a Spanish Population with Temporomandibular Disorders(MDPI, 2020-10-09) Sánchez-Torrelo, Carmen María; Zagalaz-Anula, Noelia; Alonso-Royo, Roger; Ibáñez-Vera, Alfonso Javier; López-Collantes, Jesús; Rodríguez-Almagro, Daniel; Obrero-Gaitán, Esteban; Lomas-Vega, RafaelBackground: The Fonseca Anamnestic Index (FAI) offers a simple method to screen temporomandibular disorders (TMD). This study aimed to validate the Spanish version of the FAI in patients with TMD. Methods: The sample consisted of 125 subjects (66 TMD and 59 controls) aged over 18 years. Construct validity, internal consistency, test-retest reliability, concurrent validity and capacity to discriminate between TMD and healthy subjects were analyzed. Results: The Spanish version of the FAI showed a structure formed by three factors. Cronbach's alpha was 0.826. The reliability of the items varied between substantial to almost perfect and was excellent for the total score (intraclass correlation coefficient = 0.937). The standard error of measurement (SEM) was 6.52, with a minimum detectable change (MDC) of 12.78. FAI score showed a significant correlation with headache, neck pain and vertigo measurements. A cut-off point >35 showed a sensitivity = 83.33% and a specificity = 77.97% in differentiating between healthy and TMD patients, with an area under the curve (AUC) = 0.865. Conclusions: The Spanish version of the FAI is a valid and reliable instrument for diagnosing people with TMD, with appropriate general clinimetric properties. Discrimination between patients with and without TMD is excellent.