Examinando por Autor "Calvo Lobo, César"
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Ítem A 120-second stretch improves postural control and plantar pressure: quasi-experimental study(Sao Paulo Medical Journal, 2022-05-02) Martínez Jiménez, Eva María; Losa Iglesias, Marta Elena; González Martín, Sara; López López, Daniel; Roca Dols, Andrea; Rodriguez Sanz, David; Becerro de Bengoa Vallejo, Ricardo; Calvo Lobo, CésarBACKGROUND: There are no studies on long-term bilateral calf stretching in relation to balance and plantar pressure. OBJECTIVES: To demonstrate that there is better control of posture and pressures after continuous stretching of the posterior calf muscles. DESIGN AND SETTING: Pre and post-intervention study conducted in a private clinic. METHODS: We measured static footprints and stabilometry before and after continuous passive plantar flexor stretching of duration 120 seconds, among 24 healthy subjects. RESULTS: We found differences in Y displacement with eyes closed (P = 0.010), but not among other variables with eyes closed: X displacement (P = 0.263); surface (P = 0.940); laterolateral speed displacement (P = 0.279); and anteroposterior speed displacement (P = 0.914). There were also no differences in eyes-open variables: X displacement (P = 0.341); Y displacement (P = 0.491); surface (P = 0.167); laterolateral speed displacement (P = 0.852); and anteroposterior speed displacement (P = 0.079). The plantar pressures in the heel (maximum pressure, P = 0.048; mean pressure, P = 0.001) and in the midfoot (maximum pressure, P = 0.004; mean pressure, P = 0.004) were reduced, but not in the forefoot (maximum pressure, P = 0.391; mean pressure, P = 0.225). The surface became larger in the forefoot (P = 0.000) and midfoot (P = 0.021). CONCLUSIONS: Continuous static stretching of plantar flexors for 120 seconds improved stance balance and reduced plantar pressures (maximum and mean) in the rearfoot and midfoot. It also increased the surface in the midfoot and forefoot. TRIAL REGISTRATION: at clinicaltrials.gov, under the number NTC03743168.Ítem Effects of a visit prior to hospital admission on anxiety, depression and satisfaction of patients in an intensive care unit(Elsevier, 2019-07-02) González Martín, Sara; Becerro de Bengoa Vallejo, Ricardo; Angulo Carrere, María Teresa; Losa Iglesias, Marta Elena; Martínez Jiménez, Eva María; Casado Hernández, Israel; López López, Daniel; Calvo Lobo, César; Rodriguez Sanz, DavidObjectives: To assess the effects of a vists prior to hospital admission on anxiety, depression and satisfaction of patients admitted electively to an intensive care unit (ICU). Design: A randomised clinical trial [NCT03605407]. Setting: A sample of 38 patients was recruited who were to be electively admiited to ICU divided into experimental (n = 19 patients receiving one visit prior to hospital ICU admission for surgery) and control (n = 19 patients not receiving a visit prior to hospital ICU admission for surgery) groups. Main outcome measurements: Hospital Anxiety and Depression Scale (HADS) and Impact of Event Scale- Revised (IES-R) were self-reported by patients before ICU admission, at 3-days and 90-days after ICU discharge. Critical Care Family Needs Inventory (CCFNI) and Family Satisfaction with Care in the Intensive Care Unit (FS-ICU) were used to measure the users’ satisfaction before ICU admission and 3-days after ICU discharge. Results: There were statistically significant differences between experimental and control groups for FSICU, but not for HADS, IES-R and CCFNI. Indeed, control group patients were more satisfied with regard to emotional support, ease of getting information, control feeling, concerns and questions expression ability and overall score for decision-making satisfaction. Conclusions: The visit prior to hospital admission did not seem to modify anxiety or depression, but may impair satisfaction of ICU patients.Ítem Influence on Depression, Anxiety, and Satisfaction of the Relatives' Visit to Intensive Care Units prior to Hospital Admission for Elective Cardiac Surgery: A Randomized Clinical Trial(Wiley, 2022-05-02) González Martín, Sara; Becerro de Bengoa Vallejo, Ricardo; Rodríguez García, Moisés; Losa Iglesias, Marta Elena; Mazoteras Pardo, Victoria; Palomo Lopez, Patricia; Rodríguez Sanz, David; Calvo Lobo, César; López López, DanielIntensive care units (ICUs) may produce stress on the relatives of patients that have long-term physiological andpsychological implications. Objectives. &is study aimed to evaluate the effects of the relatives´ visit prior to hospital admission(s) onthe patient’s scheduled cardiac surgery regarding depression, anxiety, and satisfaction of the patient’s family in an ICU. Methods. Arandomized clinical trial [NCT03605420] was carried out according to the CONSORTcriteria. &irty-eight relatives of ICU patientswere recruited at an ICU and randomized into study groups. Experimental group participants (n = 19) consisted of relatives whoreceived 1 ICU visit prior to the patient’s admission. Control group participants (n = 19) consisted of patients’ relatives who receivedstandard care alone. A self-report test battery, including the Impact of Event Scale-Revised (IES-R) and the Hospital Anxiety andDepression Scale (HADS), was completed by the patient’s relative prior to the patient’s ICU admission and again three and 90 daysafter ICU discharge. Furthermore, the Family Satisfaction with Care in the Intensive Care Unit (FS-ICU) and Critical Care FamilyNeeds Inventory (CCFNI) were administered to help determine the respondents’ satisfaction three days after the patient’s ICUdischarge. Results. Statistically significant differences in FS-ICU results were found between control and experimental groups; nostatistically significant differences were found in IES-R, HADS, and CCFNI results. &us, members in the control group were moresatisfied with the time elapsed to raise their concerns (p = 0.005), emotional support provided (p = 0.020), quality of care(p = 0.035), opportunities to express concerns and ask questions (p = 0.005), and general satisfaction with the ICU’s decision-making (p = 0.003). Conclusions. Relatives’ satisfaction during patients’ ICU admission may be impaired after their prior visit to thehospital admission. Relative’s anxiety and depression scores did not seem to be significantly affected. Relatives´ visit prior to electivecardiac surgery hospital admission impaired their satisfaction in an ICU and may not be advisable for healthcare practice.HindawiInternational Journal of Clinical PracticeVolume 2022, Article ID 1746782, 12 pageshttps://doi.org/10.1155/2022/1746782