Examinando por Autor "Becerro-de-Bengoa-Vallejo, Ricardo"

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A New Test for Achilles Tendinopathy Based on Kager's Fat Pad Clinical Assessment Predictive Values
(MDPI, 2023) Rodríguez-Sanz, David; Losa-Iglesias, Marta Elena; Becerro-de-Bengoa-Vallejo, Ricardo; Sánchez-Milá, Zacarías; Abdelhalim Dorgham, Hend Adel; Ebrahim Elerian, Ahmed; Yu, Tian; Calvo-Lobo, César; Velázquez-Saornil, Jorge; Martínez-Jímenez, Eva
Background This study aimed to check the diagnostic accuracy of a new test to identify Achilles tendinopathy. Study design: Observational study. Methods: Seventy patients recruited from a private medical centre met the diagnostic criteria for unilateral Achilles tendinopathy (age, 45.1 ± 12.7 years; weight, 75.00 ± 10 kg; height, 1.75 ± 0.1 m) and were tested based on both Achilles tendons. Seventy patients with a unilateral Achilles tendinopathy ultrasound diagnosis were tested using David's test. Results: Most (86%) subjects demonstrated Kager's fat pad asymmetry in relation to the Achilles tendon in the complete passive dorsiflexion in the prone position (David's sign). No healthy tendons had David's sign. Conclusions: The presence of asymmetry in Kager's fat pad in relation to the Achilles tendon during complete passive dorsiflexion is strongly indicative of ultrasound-diagnosed tendinopathy. David's test demonstrated a sensitivity of 85.71% (95% CI, 77.51% to 93.91%) and a specificity of 100% (95% CI
A Secondary Analysis of Gender Respiratory Features for Ultrasonography Bilateral Diaphragm Thickness, Respiratory Pressures, and Pulmonary Function in Low Back Pain
(MDPI, 2024) Molina-Hernández, Nerea; Rodríguez-Sanz, David; López Chicharro, José; Becerro-de-Bengoa-Vallejo, Ricardo; Losa-Iglesias, Marta Elena; Vicente-Campos, Davinia; Marugán-Rubio, Daniel; Gutiérrez-Torre, Samuel Eloy; Calvo-Lobo, César
The aim of the present study was to determine the gender respiratory differences of bilateral diaphragm thickness, respiratory pressures, and pulmonary function in patients with low back pain (LBP). A sample of 90 participants with nonspecific LBP was recruited and matched paired by sex (45 women and 45 men). Respiratory outcomes included bilateral diaphragm thickness by ultrasonography, respiratory muscle strength by maximum inspiratory (MIP) and expiratory (MEP) pressures, and pulmonary function by forced expiratory volume during 1 s (FEV1), forced vital capacity (FVC) and FEV1/FVC spirometry parameters. The comparison of respiratory outcomes presented significant differences (p < 0.001), with a large effect size (d = 1.26-1.58) showing means differences (95% CI) for MIP of -32.26 (-42.99, -21.53) cm H2O, MEP of -50.66 (-64.08, -37.25) cm H2O, FEV1 of -0.92 (-1.18, -0.65) L, and FVC of -1.00 (-1.32, -0.69) L, with lower values for females versus males. Gender-based respiratory differences were presented for maximum respiratory pressures and pulmonary function in patients with nonspecific LBP. Women presented greater inspiratory and expiratory muscle weakness as well as worse lung function, although these differences were not linked to diaphragm thickness during normal breathing. Keywords: diaphragm; disability; low back pain; quality of life; respiration; ultrasonography.
A systematic review of the claw toe deformity: What is known and what is needed apart from surgical procedures
(Wiley, 2024-10-08) Mayagoitia-Vázquez, José de Jesús; López-López, Daniel; Miguel-Andrés, Israel; Becerro-de-Bengoa-Vallejo, Ricardo; Losa-Iglesias, Marta; Gómez-Salgado, Juan; Ortiz-Lango, Luis Ángel
The claw toe deformity is a painful condition that mainly affects the adult population. Although there are many different treatments to solve the deformity, there is no optimal procedure to restore the normal foot mechanics. The objective of this review was to identify the technical features of the kinematic evaluation methods used in patients with claw toes. Furthermore, the aim of this review was to clarify what is known and what is needed apart from the surgical procedures to correct the claw toe deformity, with the purpose of reducing risk factors of falling in elderly people. A search in electronic databases, such as Scopus (n = 78), Google Scholar (n = 705) and ScienceDirect (n = 290) was conducted. There were seven articles (43.75%) related to the fixation (arthrodesis) of proximal and distal interphalangeal joints, one article (6.25%) describes the correction of the claw toe through plantar plate tenodesis and release of collateral ligaments, four articles (25%) describe the procedure of tendon transfer, one article (6.25%) describes flexor digitorum brevis tenotomy and a proximal interphalangeal joint arthrolysis, and another article (6.25%) presented the impact of partial phalanx osteotomy to treat the claw toe deformity. In conclusion, the review indicates that there are several studies related to the treatment or correction of claw toe deformity. However, there is a lack of knowledge of the postsurgical effects of treating claw toe condition, especially in the structural mechanics (plantar pressure distribution, stability, gait, foot mechanics and so on) of the foot after the correction of the claw toe deformity. The analysis of the foot mechanics after the correction of the claw toes has to be paramount to determine the benefits of the correction. Keywords: claw toes; foot; gait; lesser toes deformities.
Age-based inter-subject variability in platelet and white blood cell concentrations of platelet-rich plasma prepared using a new application to blood separation system
(2022) Trevissón-Redondo, Bibiana; Becerro-de-Bengoa-Vallejo, Ricardo; Sevillano, David; González, Natalia; Losa-Iglesias, Marta Elena; Lopez-Lopez, Daniel; Alou, Luis
The benefit of autologous platelet-rich plasma (PRP) treatment is still under discussion. Variations in PRP products, consequence of the lack of a standardised protocol for the multitude of commercially available blood separation systems and the lack of knowledge of the optimal composition of PRP or its suitability for the proposed indication are some of the reasons behind clinical inconsistencies. The impact of inter-subject variability in PRP has received less attention in comparison. The purpose of this study was to determine the inter-subject variability, based on age, in the concentrates prepared by a new blood concentration system. Twenty-six healthy volunteers of both genders (29-93 years) were enrolled. Whole blood (WB) was collected from each participant to prepare PRP using the Easy PRP kit. Platelets and white blood cells (WBC) from WB and PRP were analysed after split population by age; patients younger than 65 years (n = 13) and patients ≥65 years old (n = 13). Among the demographic characteristi
Alcohol-Based Chlorhexidine and Potassium Sorbate Rub Strengthens the Effectiveness of Traditional Hand Scrubbing and Improves Long-Lasting Effectiveness-Evaluation of Hand Preparation Protocols According to EN 12791
(MDPI, 2024-05-20) Alou, Luis; Martin-Villa, Carlos; Becerro-de-Bengoa-Vallejo, Ricardo; Losa-Iglesias, Marta; Sevillano, David
Despite the advantages of surgical handrub in terms of the ease of application and effectiveness, chlorhexidine (CHG)-based hand scrubbing remains the preferred method for surgical hand preparation. However, it does not systematically meet the non-inferiority requirement of the European norm (EN) 12791 with respect to n-propanol (the reference product) and does not provide the sustained efficacy expected for these long-lasting agents. Commercially available alcohol-based products have also failed to demonstrate sustained efficacy according to EN 12791. Multi-step protocols enhance the efficacy of hand scrubbing, yet their extended disinfection duration might diminish their allure for healthcare professionals. In this study, we show that hand scrubbing with CHG 4% followed by a 1 min rubbing with the novel formulation of ethanol (Et) 70%/CHG 3% plus 0.3% potassium sorbate food additive (PS) meets the non-inferiority requirement and demonstrates sustained efficacy when tested according to EN 12791. The immediate and 3 h effect of this protocol was significantly higher than that of n-propanol and the homologous disinfection protocol without PS (CHG 4% hand scrub plus Et 70%/CHG 3% rub), demonstrating that the inclusion of PS confers a notable residual effect. We speculate that this non-volatile ingredient acts synergistically with CHG. This promising combination represents an alternative method for the development of new disinfection strategies. Keywords: EN 12791; chlorhexidine; ethanol; potassium sorbate; surgical hand preparation.
Allergic rhinitis improvement after septorhinoplasty in a sample of allergic rhinitis patients with septal deviation: a quasi-experimental study
(2022) García-Paz, Vanesa; Chamorro-Petronacci, Cintia Micaela; Painceira-Villar, Roi; Becerro-de-Bengoa-Vallejo, Ricardo; Losa-Iglesias, Marta Elena; Pérez-Sayáns, Mario; Sarandeses-Garcia, Adolfo; Lopez-Lopez, Daniel
Background: Allergic rhinitis (AR) is a chronic inflammatory disease that affects almost 30% of the adult population. Objective: To describe and compare the evolution of symptoms in patients diagnosed with AR and septal deviation prior to and following septoplasty (STP). Design and setting: Quasi-experimental study developed in A Coruña University Hospital. Methods: Patients aged 18-65 years who had been diagnosed with AR and septal deviation were recruited. Obstruction airflow was evaluated before and after surgery, by means of anterior rhinomanometry (RNM). Severity symptoms and quality of life were assessed using a visual analogue scale (VAS) and the ESPRINT questionnaire, respectively. Results: A total of 50 subjects underwent STP and 42 were included in this study. Their mean age at the time of surgery was 34.16 ± 9.74 years (range 18-64). Significant reductions in mean VAS and ESPRINT were observed after surgery (P < 0.01). These outcomes were considered to represent an overall improvement in qualit
An overview of the risk factors for producing fifth metatarsal fracture in sports activities: A systematic review
(2024) Ortiz-Lango, Luis Angel; Miguel-Andrés, Israel; López-López, Daniel; Mayagoitiza-Vázquez, José de Jesús; Becerro-de-Bengoa-Vallejo, Ricardo; Losa-Iglesias, Marta; Gómez-Salgado, Juan; Saavedra-García, Miguel Ángel
Introduction: The fifth metatarsal fracture is a foot injury that occurs in sports activities. This fracture has been associated with risk factors based on intrinsic variables such as type of feet (flatfoot or cavus foot), foot pathologies, and bone density among others. Extrinsic variables associated with fifth metatarsal fractures include sports maneuvers, the type of sports practice, and contact surface. Although this injury has been investigated over the years, there is no consensus on the most relevant risk factors that cause this injury. An increase in the number of people with fractures makes it a relevant topic of research. The objective of this review was to identify an overview of the risk factors for producing the fifth metatarsal fracture based on intrinsic and extrinsic variables in sports activities. Furthermore, this review aimed to clarify what is known and what is needed on the risk factors that can influence the appearance of the fracture. Methods: A search in electronic databases, such as Scopus (n = 87), PubMed (n = 187), and Web of Science (n = 173) was conducted. The initial search yielded 447 titles and abstracts, from which 31 papers were selected for detailed analysis after screening all citations against the eligibility criteria. Results: After screening the manuscripts, it was found that the fifth metatarsal fracture can be produced by multiple factors. However, most of the studies focus on one or two specific risk factors. It was found that soccer (38.7%) is the sports activity that presents a higher risk of getting a fifth metatarsal fracture compared to other sports activities. The second risk factor was the performance of critical maneuvers (22.5%) and the third one was the biomechanics of the foot (22.5%). Conclusion: It is paramount to identify the most critical risk factors linked to the fifth metatarsal fracture to be able to implement effective treatments and prevention strategies. Keywords: fifth metatarsal fracture; foot; risk factors; sport.
Analysis of Static Plantar Pressures in School-Age Children with and without Functional Hallux Limitus: A Case-Control Study
(2023) Cuevas-Martínez, Claudia; Becerro-de-Bengoa-Vallejo, Ricardo; Losa-Iglesias, Marta Elena; Casado-Hernandez, Israel; Turné-Cárceles, Oriol; Pérez-Palma, Laura; Martiniano, João; Gómez-Salgado, Juan; Lopez-Lopez, Daniel
Background: The presence of hallux limitus in adulthood is frequently encountered in clinical practice, generating other biomechanical, structural, and functional compensations in dynamics secondary to blockage of the main pivot in the sagittal plane, the first metatarsophalangeal joint. In addition, the presence of functional hallux limitus (FHL) in school-age children is also increasing. Currently, there is a lack of scientific literature about this condition in the pediatric population, and early diagnosis is necessary to reduce future biomechanical disorders and avoid the development of foot arthritis. The purpose of this research was to identify static plantar pressures in school-age children with and without hallux limitus. Methods: A total sample of 106 children aged between six and twelve years old was divided into two groups: the case group (53 subjects with functional hallux limitus) and the control group (53 subjects without functional hallux limitus). Data were acquired with the participants in a
Assessment and indicators of hallux limitus related with quality of life and foot health in school children
(Frontiers Media, 2023-12-13) Cuevas-Martínez, Claudia; Becerro-de-Bengoa-Vallejo, Ricardo; Losa-Iglesias, Marta Elena; Navarro-Flores, Emmanuel; Pérez-Palma, Laura; Martiniano, João; Lopez-Lopez, Daniel; Casado-Hernandez, Israel; Gómez-Salgado, Juan
Background: Functional Hallux Limitus (FHL) is a dynamic foot dysfunction characterized by a limitation of hallux dorsiflexion when the first metatarsal head is under load. FHL plays a role in the development of osteoarthrosis in the first metatarsophalangeal joint (IMTPJ). Forefoot disorders can significantly impact an individual's quality of life, leading to dysfunction and pain. The aim of this project was to evaluate the quality of life of school-aged individuals with and without FHL using the Foot Health Status Questionnaire (FHSQ). Methods: A case-control study was conducted to evaluate the outcomes in paediatric age. A total sample of 116 children between 6 and 12 years old was used to conduct this research. The sample was divided into two groups: (i) the healthy group (n = 58) and the FHL group (n = 58). The FHSQ was completed and the FHL test was performed in a seated position to classify the patients into the selected group. Results: Non-significant changes were observed when the mean values of th
Burnout, resilience and psychological flexibility in frontline nurses during the acute phase of the COVID-19 pandemic (2020) in Madrid, Spain
(Wiley, 2022) Jiménez-Fernández, Raquel; Corral-Liria, Inmaculada; Trevissón-Redondo, Bibiana; Lopez-Lopez, Daniel; Losa-Iglesias, Marta; Becerro-de-Bengoa-Vallejo, Ricardo
BackgroundIn April 2020, Spain was the country with the highest number of patients infected by COVID-19 in Europe. The pressure on health care providers has had a direct impact on nurses and their mental health.AimThe aim of this study is to demonstrate the causal relationship between resilience, acceptance, experiential avoidance, psychological inflexibility and burnout syndrome, all of which are measured with validated questionnaires.MethodsThis was designed as a transversal correlational study with nurses who worked during the acute phase of the pandemic in public hospitals in the Community of Madrid with patients diagnosed with COVID-19 in COVID-19 medical hospitalization units, emergency services and intensive care units. Google Forms was used to obtain an informed consent sheet, socio-demographic variables and the following questionnaires: 10 CD-Risk, Connor-Davidson Risk Resilience Scale, Acceptance and Action Questionnaire-II and the Maslach Burnout Inventory.ResultsThe final sample included 375 nurses with a high number of consecutive days of direct exposure to an infected patient and a very high number of consecutive days without rest; almost 18% suffered from COVID-19. The nurses presented medium levels of resilience, medium levels of experiential avoidance and medium levels as measured for emotional exhaustion, personal accomplishment and depersonalization. We also found a predictive correlation between all the dimensions of the burnout questionnaire in relation to the data obtained from the resilience questionnaire.ConclusionsThere is a direct and predictive relationship between the resilience that nurses had during the acute phase of the pandemic and their capacity for acceptance, experiential avoidance, psychological inflexibility and burnout syndrome.Implications for Nursing ManagementThe scores show the necessity to implement preventive measures to avoid fatal psychological consequences for nurses.
Comparison between virtual and hybrid education for psychological factors and academic stress in freshman nursing students: a case-control study
(Springer Nature, 2023) Losa-Iglesias, Marta Elena; Calvo-Lobo, César; Jimenez-Fernandez, Raquel; Rodríguez-Sanz, David; Corral-Liria, Inmaculada; Casado-Hernandez, Israel; Becerro-de-Bengoa-Vallejo, Ricardo
Background: The coronavirus 2019 (COVID-19) pandemic has prompted several changes in the learning methods of students. The purpose of this study was to establish whether a relationship between levels of resilience, self-esteem, anxiety, depression, and academic stress in both hybrid and virtual learning education exist. Methods: A descriptive and observational case-control study was carried out in universities that offer nursing designation. A total sample of 140 freshman nursing students was recruited. Concretely, 70 participants were recruited from an university receiving hybrid education and 70 participants were recruited from another university receiving virtual learning education. Nursing students self-reported the following questionnaires: the Rosenberg Self-Esteem scale, the 10 CD-Risk Connor-Davidson Risk Resilience Scale, the Beck Anxiety Inventory, the Beck Depression Inventory and the Academic Stress Coping Scale. Results: Significant differences (P = 0.001) showed higher depression levels for st
Depressive symptoms and their severity in a sample with lymphedema: a case-control investigation
(2023) Monteiro, Ana Júlia; de Labra, Carmen; Losa-Iglesias, Marta Elena; Dias, Adriano; Becerro-de-Bengoa-Vallejo, Ricardo; Silva-Migueis, Helena; Cardoso, Paula; Lopez-Lopez, Daniel; Gómez-Salgado, Juan
Objectives: Depression is a condition that can be associated with other illnesses, especially chronic illnesses. Lower limb lymphedema is a chronic, disabling condition that can affect the quality of life and be related to psychological and psychosocial factors that interfere with people's lives. This study aims to characterize and analyze the depressive symptoms and their severity reported by people with lower limb lymphedema and compare them with a matched group without lymphedema. Methods: A case-control study was carried out (n = 80) with participants divided into a case group (40 people with lower limb lymphedema) and a control group (40 people without lower limb lymphedema). Both groups were anthropometrically, sociodemographically, and clinically characterized. In the case group, a characterization of lymphedema was performed. Participants completed the Beck Depression Inventory-II. Results: Individuals with lower limb lymphedema have higher BDI-II scores than the matched group without lymphedema. So
Dry needling of the flexor digitorum brevis muscle reduces postural control in standing: A pre-post stabilometric study
(Wiley, 2023-03-16) Martínez-Jiménez, Eva María; Losa-Iglesias, Marta Elena; Mazoteras-Pardo, Victoria; López-López, Daniel; Pereiro-Buceta, Héctor; Calvo-Lobo, César; Rodríguez-Sanz, David; Becerro-de-Bengoa-Vallejo, Ricardo; Navarro-Flores, Emmanuel
There are studies that show the better balance after dry needling in lumbar pain. However, the postural control effects after foot dry needling are unknown. Our objective was to check if dry needling reduces postural control. Eighteen subjects with flexor digitorum brevis (FDB) muscle Myofascial trigger point were evaluated pre- and post-deep dry needling. We measured stabilometric variables in a pre-post study. We have found significant differences in three stabilometric variables: surface with eyes closed (29.36-53.21 mm2 ) (p = 0.000), medium speed of the laterolateral displacement with eyes closed (1.42-1.64 mm/s) (p = 0.004), and medium speed of the anteroposterior displacement with eyes closed (1.30-1.53 mm/s) (p = 0.025). Dry needling therapy application in FDB muscle reduces standing postural control with eyes closed. Keywords: motor control; myofascial trigger point; physical therapy modalities; postural balance; stabilometry.
Effect of foot health and quality of life in patients with Parkinson disease: A prospective case-control investigation
(2022) Navarro-Flores, Emmanuel; Jiménez-Cebrián, Ana María; Becerro-de-Bengoa-Vallejo, Ricardo; Calvo-Lobo, César; Losa-Iglesias, Marta Elena; Romero-Morales, Carlos; Lopez-Lopez, Daniel; Palomo-López, Patricia
Background: Parkinson's disease (PD) is a common neurodegenerative disorder, characterised by the presence of motor disturbances. Therefore, it can be related to musculoskeletal and orthopaedic problems, particularly in the foot status, that are linked to a negative effect on overall health, mobility and social function. Objective: The aim was to analyse the impact of foot health and quality of life in patients with Parkinson's disease and people without Parkinson's disease, with normalised reference scores, in the light of the values recorded with regard to foot health status and overall health. Material and methods: This is a prospective case-control investigation. A sample of Parkinson's patients (n = 62) including 24 men and 38 women was recruited, and foot HQoL was measured using the Foot Health Status Questionnaire Spanish (Sp_FHSQ). Results: The PD group recorded lower levels of foot health quality of life (HQoL) with lower scores on the Sp_FHSQ in general foot health, general health, physical activ
Effect of foot health-related quality of life in rural population: A case-control study
(Elsevier, 2023-08) Andreo-García, María Victoria; Navarro-Flores, Emmanuel; Losa-Iglesias, Marta Elena; Becerro-de-Bengoa-Vallejo, Ricardo; Gómez Salgado, Juan; López-López, Daniel
Background: Foot health problems can affect quality of life and general health producing a source of discomfort and pain. Low levels of foot health-related quality of life (HRQoL) are present in patients with foot disabilities, such as hallux valgus, plantar fasciitis, or minor toe deformities. Objective: The objective was to analyze the foot health status in patients with and without foot problems in a rural population and its relationship with quality of life. Material and methods: A prospective case-control study was developed with a sample of 152 patients, 76 subjects with podiatric pathologies and 76 without, in a rural population. HRQoL was measured through the SF-36 Health Questionnaire in the Spanish version. Results: The case group had a mean age of 49.18 ± 14.96 and the control group 44.16 ± 11.79. Regarding the score of the lowest levels of quality of life related to foot problems, the case group compared to the controls showed: for physical function (79.86 ± 26.38 vs. 92.63 ± 11 0.17, p < 0.001); for the physical role (73.68 ± 41.00 vs. 88.48 ± 27.51, p < 0.0022); for body pain (45.81 ± 27.18 vs. 73.68 ± 41.00, p < 0.035); and for general health (60.36 ± 30.58 vs. 68.71 ± 18.52, p < 0.047). The differences between groups were analyzed using the Mann-Whitney U test, which showed statistical significance (P < 0.05). Conclusions: In the rural population, people with foot pathologies present a worse quality of life compared to those who do not present foot pathology, especially for the health domains: physical function, physical role, body pain and health general. Keywords: Foot disabilities; Health-related quality of life; Questionnaire; Rural-urban disparities.
Effectiveness of calcaneal osteotomy in surgical treatment of foot conditions: A Prisma statement guidelines compliant systematic review
(2022) Lopez-Lopez, Daniel; Larrainzar-Garijo, Ricardo; Losa-Iglesias, Marta Elena; Becerro-de-Bengoa-Vallejo, Ricardo; Bayod-López, Javier
NIH NLM LogoLog in Access keysNCBI HomepageMyNCBI HomepageMain ContentMain Navigation pubmed logo Search: losa iglesias 0 results are available, use up and down arrow keys to navigate.Search Advanced User Guide Search results SaveEmailSend to Display options Full text links full text provider logo Actions Cite Collections Share Page navigation Title & authors Abstract Conflict of interest statement Figures Similar articles References Publication types MeSH terms Related information Grants and funding LinkOut - more resources Int Wound J . 2022 Oct;19(6):1494-1501. doi: 10.1111/iwj.13745. Epub 2022 Jan 25. Effectiveness of calcaneal osteotomy in surgical treatment of foot conditions: A Prisma statement guidelines compliant systematic review Daniel López-López 1, Ricardo Larrainzar-Garijo 2, Ricardo Becerro-de-Bengoa-Vallejo 3, Marta Elena Losa-Iglesias 4, Javier Bayod-López 5 Affiliations Expand PMID: 35077021 PMCID: PMC9493233 DOI: 10.1111/iwj.13745 Abstract Calcaneal osteotomy is a commonly established m
Effectiveness of Custom Foot Insoles to Decrease Plantar Pressure: A Cross-over Randomized Trial Study
(Healthcare (Basel), 2021) Casado-Hernández, Israel; Becerro-de-Bengoa-Vallejo, Ricardo; Losa-Iglesias, Marta; Cosín-Matamoros, Julia; Calvo-Lobo, César; Rodríguez-San, David; López-López, Dabiel; Martínez-Jímenez, Eva María
Harderness insoles decrease plantar pressure and reduce the foot injury incidence in sport. The purpose of our study was to analyze the plantar pressure variation in moto riders after riding in a real speed circuit with a custom foot 52 degrees Shore EVA insole. Methods: A crossover randomized trial study was performed (consent no. #050520165316). Riders were assessed by an expert motorsport senior podiatry. The participants' mean age was 35 +/- 3.29. Participants completed a 20 min training riding with their own motorcycle in a real speed circuit. Plantar pressures were registered with a baropodometric platform evaluating an Ethyl Vinyl Acetate custom foot insole (CFI) manufactured with 3 mm thickness and 52 degrees Shore A hardness. The Plantar pressures were registered before riding, after riding without EVA insole, and after riding with EVA insole. Results: Total Plantar pressures in right and left foot, and total surface area decrease after riding with EVA insoles. Conclusion: The use of an EVA insole with 52 degrees shore A hardness riding on a motorcycle in speed circuit decreased the total plantar pressures and surface areas values.
Effectiveness of Custom Foot Insoles to Decrease Plantar Pressure: A Cross-over Randomized Trial Study
(2022) Casado-Hernandez, Israel; Becerro-de-Bengoa-Vallejo, Ricardo; Losa-Iglesias, Marta Elena; Cosín-Matamoros, Julia; Calvo-Lobo, César; Rodríguez-Sanz, David; Lopez-Lopez, Daniel; Martínez-Jímenez, Eva
Background: Harderness insoles decrease plantar pressure and reduce the foot injury incidence in sport. The purpose of our study was to analyze the plantar pressure variation in moto riders after riding in a real speed circuit with a custom foot 520 Shore EVA insole. Methods: A crossover randomized trial study was performed (consent no. #050520165316). Riders were assessed by an expert motorsport senior podiatry. The participants' mean age was 35 ± 3.29. Participants completed a 20 min training riding with their own motorcycle in a real speed circuit. Plantar pressures were registered with a baropodometric platform evaluating an Ethyl Vinyl Acetate custom foot insole (CFI) manufactured with 3 mm thickness and 52° Shore A hardness. The Plantar pressures were registered before riding, after riding without EVA insole, and after riding with EVA insole. Results: Total Plantar pressures in right and left foot, and total surface area decrease after riding with EVA insoles. Conclusion: The use of an EVA insole wit
Effectiveness of simultaneous bilateral visual diaphragm biofeedback under low back pain: influence of age and sex
(Frontiers, 2024) Molina-Hernández, Nerea; Rodríguez-Sanz, David; López-Chicharro, José; Becerro-de-Bengoa-Vallejo, Ricardo; Losa-Iglesias, Marta Elena; Vicente-Campos, Davinia; Marugán-Rubio, Daniel; Gutiérrez-Torre, Samuel Eloy; Calvo-Lobo, César
Introduction: The aim of the present study was to determine the effectiveness of simultaneous bilateral visual diaphragm biofeedback (BFB) from ultrasonography in conjunction with inspiratory muscle training (IMT) on diaphragmatic thickness during normal breathing and respiratory and clinical outcomes in patients with non-specific low back pain (NSLBP) and determine the influence of age and sex. Methods: A single-blind randomized clinical trial was carried out (NCT04582812). A total sample of 96 patients with NSLBP was recruited and randomized by sex-based stratification into IMT (n = 48) and BFB + IMT (n = 48) interventions over 8 weeks. Bilateral diaphragmatic thickness at maximum inspiration (Tins) and expiration (Texp), respiratory pressures, lung function, pain intensity, bilateral pressure pain threshold (PPT), disability, and quality of life were measured at baseline and after 8 weeks. Results: The BFB + IMT group showed significant differences (p < 0.05) with increased left hemidiaphragm thickness at Tins and Tins-exp (d = 0.38-053), and right and left PPT (d = 0.71-0.74) versus the IMT group. The interaction with sex was statistically significant (p = 0.007; F(1,81) = 7.756; ηp 2 = 0.087) and higher left hemidiaphragm thickness at Tins was predicted by the BFB + IMT group (R 2 = 0.099; β = 0.050; F(1,82) = 8.997; p = 0.004) and male sex (R 2 = 0.079; β = 0.045; F(1,81) = 7.756;p = 0.007). Furthermore, greater left hemidiaphragm thickness at Tins-exp was predicted by younger age (R 2 = 0.052; β = -0.001; F(1,82) = 4.540; p = 0.036). Discussion: The simultaneous bilateral visual diaphragm biofeedback by ultrasonography in conjunction with IMT was effective in both increasing the left diaphragmatic thickness during inspiration, which was positively influenced and predicted by male sex and younger age, and increasing the bilateral PPT of the paraspinal muscles in patients with NSLBP. Keywords: biofeedback; breathing exercises; diaphragm; low back pain; ultrasonography.
Effectiveness of the Lapidus plate system in foot surgery: A PRISMA compliant systematic review
(2022) Lopez-Lopez, Daniel; Larrainzar-Garijo, Ricardo; Becerro-de-Bengoa-Vallejo, Ricardo; Losa-Iglesias, Marta Elena; Bayod-López, Javier
Lapidus arthrodesis is an established standard procedure to correct various foot surgery problems and hallux limitus, hypermobility of the first ray, hallux abductus valgus, and symptomatic lesser metatarsal. After decades, many fixation methods in the orthopaedic surgery industry have been developed for decreasing complications and improving this technique. The aim of this PRISMA compliant systematic review is to analyse the effectiveness of several lapidus plate systems in foot surgery. We have carried out the first systematic review of the relevant published literature so as to systematically evaluate the scientific knowledge available now on this association, assigning predefined eligibility criteria. Fourteen studies were selected which had an overall of 738 cases. The first tarsal metatarsal joint and hallux valgus were treated by the application of different types of Lapidus plate system. The optimal level of the fixation in these procedures is related with the type and system insertion place of the pl