Examinando por Autor "Lopez-Lopez, Daniel"

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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
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
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.
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
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
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
(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 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
Effects of Foot Structure Type on Core Stability in University Athletes
(2023) Moreno-Barriga, Orlando Santiago; Romero-Morales, Carlos; Becerro-de-Bengoa-Vallejo, Ricardo; Losa-Iglesias, Marta Elena; Gómez-Salgado, Juan; Caballero-López, Julio; Vidal-Valverde, Liz Carol; Lopez-Lopez, Daniel; MDPI
Purpose: This study assessed the impact of different types of medial foot arch on postural stability and core center of gravity muscle activity among collegiate athletes. Methods: The study sample included 103 university-level athletes across various sports (soccer, rugby, basketball, volleyball, field tennis, table tennis, karate, and cheerleading) from the College of Magdalena (Colombia) who exhibited distinct types of medial foot arch: 32 high, 35 low, and 36 neutral arches. Surface electromyography (sEMG) was employed to assess conduction velocity, magnitude values, latency, and fatigue in focal muscles including the spinal erector (SE), internal oblique (IO), external oblique (EO), and rectus abdominis (AR), while measurements of static and dynamic postural control were also considered. Post hoc analysis was performed with Bonferroni correction for all electromyographically measured muscle groups, as well as for measurements of static and dynamic postural stability. Pearson's or Spearman's correlation t
Hallux Limitus Influence on Plantar Pressure Variations during the Gait Cycle: A Case-Control Study
(2023) Cuevas-Martínez, Claudia; Becerro-de-Bengoa-Vallejo, Ricardo; Losa-Iglesias, Marta Elena; Casado-Hernandez, Israel; Navarro-Flores, Emmanuel; Pérez-Palma, Laura; Martiniano, João; Gómez-Salgado, Juan; Lopez-Lopez, Daniel
Background: Hallux limitus is a common foot disorder whose incidence has increased in the school-age population. Hallux limitus is characterized by musculoskeletal alteration that involves the metatarsophalangeal joint causing structural disorders in different anatomical areas of the locomotor system, affecting gait patterns. The aim of this study was to analyze dynamic plantar pressures in a school-aged population both with functional hallux and without. Methods: A full sample of 100 subjects (50 male and 50 female) 7 to 12 years old was included. The subjects were identified in two groups: the case group (50 subjects characterized as having hallux limitus, 22 male and 28 female) and control group (50 subjects characterized as not having hallux limitus, 28 male and 22 female). Measurements were obtained while subjects walked barefoot in a relaxed manner along a baropodometric platform. The hallux limitus test was realized in a seated position to sort subjects out into an established study group. The variabl
Impact of Chronic Foot Pain Related Quality of Life: A Retrospective Case-Control Study
(Paducah, Ky. : Association of Pain Management Anesthesiologists, 2022) Lopez-Lopez, Luis; Navarro-Flores, Emmanuel; Losa-Iglesias, Marta Elena; Casado-Hernandez, Israel; Becerro-de-Bengoa-Vallejo, Ricardo; Romero-Morales, Carlos; Lopez-Lopez, Daniel; de Labra, Carmen
Background: Chronic foot pain (CFP) is a widespread condition worldwide; however, few studies that relate CFP and foot health-related quality of life have been reported. Objective: The aim of this study was to describe the impact of foot health and health in general in a sample of adult people with CFP compared with a control group. Study design: This study was designed as a retrospective case-control study. Setting: Podiatric section of a care center. Methods: Two hundred adults were included in the study. Patients were divided into CFP patient (n = 100) and control groups (n = 100). All of them regularly attended a private podiatric clinic to take care of their foot health. Self-reported data and medical histories for people with and without CFP were evaluated. All findings were compared with quality of life (QoL) scores based on the Foot Health Status Questionnaire, Spanish version. Results: Adults with CFP (compared to the control group) showed reductions in QoL linked to overall health and foot health in particular and were statistically significant with respect to several domains: (1) foot pain, (2) foot function, (3) general health, and (4) physical activity. These differ-ences were evaluated with a t-test for independent samples, and statistical significance was consid-ered a P value of P < 0.05. Limitations: The study was not a randomized controlled trial. Although primary outcome data were self-reported, the assessor was not blinded. Conclusions: CFP patients, regardless of gender, recorded a negative influence on QoL-related foot health that seems to be linked with the presence of this chronic condition.
Impact of Depression on Patients With Hemophilia: A Retrospective Case-Control Research
(2022) Jiménez-Cebrián, Ana María; Palomo-López, Patricia; Becerro-de-Bengoa-Vallejo, Ricardo; Losa-Iglesias, Marta Elena; Navarro-Flores, Emmanuel; San-Antolín, Marta; Calvo-Lobo, César; Lopez-Lopez, Daniel
Background: Hemophilia is an inherited recessive hemorrhagic disorder of the X-linked type, suffered by the male sex. Adults with hemophilia are coping with numerous diagnostics, associated comorbidities, pain, and difficult gait by arthropathy in ankles and feet. Physical pains contribute to depression in patients with hemophilia. Purpose: The study aimed to assess the impact of depression in adult patient with hemophilia and to compare it with healthy matched-paired controls. Methods: The sample consisted of 100 participants (median age 42.50 ± 30). Patients with hemophilia were recruited from Spanish Hemophiliac Associations (n = 50) and healthy subjects (n = 50) from a Clinic Podiatry Practices (University of Malaga, Spain). Results: Results and categories of the Spanish-translated version of the Beck Depression Inventory (BDI) were gathered. A clear statistically significant difference (p < 0.001) was presented in the variation of the BDI scores between both groups. Patients with hemophilia presented w
Influence of Sexual Dimorphism, Aging, and Differential Cell Capture Efficiency of Blood Separation Systems on the Quality of Platelet-Rich Plasma
(2022) Trevissón-Redondo, Bibiana; Becerro-de-Bengoa-Vallejo, Ricardo; Sevillano, David; González, Natalia; Losa-Iglesias, Marta Elena; Lopez-Lopez, Daniel; Alou, Luis
Few studies have checked the impact of the hormonal/immunological dimorphism of patients on the cellular composition of platelet-rich plasma products (PRP). Whole blood (WB) from 26 volunteers was concentrated using a device previously characterized. Platelet and white blood cell (WBC) counts in WB and PRP were compared between genders, and after the population was split into pre (≤50 years)- and post (>50 years)-menopausal ages. In WB, platelet−total WBC densities were comparable in men and women. The phagocytic cell composition differed (p ≤ 0.04). After dividing by ages, phagocytic cell discrepancies were linked to women > 50 years (p ≤ 0.05), and differences emerged in lymphocyte counts (lower in >50 years groups, within and between genders, p ≤ 0.05). In PRP, densities were significantly higher, but the PRP/WB ratios varied according to blood cell (lower for phagocytic cells) and between subjects (more favorable at a lower density of a particular blood cell in WB). This “system compensatory efficiency” r
Reliability of Frail and Barthel Tests for Detecting Frailty in Palliative Oncological Patients in a Home Hospitalization Unit: A Comparative Study
(2022) León-Ramón, Susana; Navarro-Flores, Emmanuel; Losa-Iglesias, Marta Elena; Becerro-de-Bengoa-Vallejo, Ricardo; Jiménez-Cebrián, Ana María; Romero-Morales, Carlos; Palomo-López, Patricia; Lopez-Lopez, Daniel
Cancer is a condition that can increase the risk of frailty. In addition, palliative oncological patients in home hospitalization can find their activities of daily living affected. The main objective was to measure the degree of frailty in the oncological population in home hospitalization comparing Barthel and Frail-VIG Indexes. This is a descriptive cross-sectional study. A sample of oncological patients in home hospitalization (n = 50) that included 27 men and 23 women were recruited, and disability due to frailty was measured using the VIG frailty index and the Barthel scale for Activities of Daily Living (ADLs). Spearman's correlation coefficients were categorized as weak (rs ≤ 0.40), moderate (0.41 ≤ rs ≥ 0.69) or robust (0.70 ≤ rs ≥ 1.00), with a strong indirect correlation between the domains using the toilet, transferring and wandering on the Frail-VIG scale with an r (s) value -0.810 (p < 0.001), -0.831 (p < 0.001) and -0.805 (p < 0.001), respectively, and a moderate indirect correlation for the do
Repeatability and reliability of the diabetic foot self-care questionnaire in Arabic patients: A transcultural adaptation
(2022) Navarro-Flores, Emmanuel; Losa-Iglesias, Marta Elena; Becerro-de-Bengoa-Vallejo, Ricardo; Jiménez-Cebrián, Ana María; Rochd, Loubna; Romero-Morales, Carlos; Palomo-López, Patricia; Lopez-Lopez, Daniel
Purpose: The diabetic foot self-care questionnaire is considered a self-care evaluation tool with 16 questions for assessing diabetic foot health disorders. To date, the DFSQ has been validated in different languages, but an Arabic version was lacking. Consequently, the purpose of this study was to translate and validate the Arabic version of the DFSQ (DFSQ-AR). Method: A suitable method was developed for the translation protocol and cross-cultural validation from Spanish to Arabic. Regarding the total marks from each sub-scale, agreement degrees and confidence were analyzed using Cronbach's α and intraclass correlation coefficient (ICC), respectively. In addition, the mean ± standard deviation differences between pre and post-tests were calculated and completed using Bland-Altman distribution plots. Results: Excellent agreement between the two versions was demonstrated based on Cronbach's α. Three sub-scales consisting of knowledge of foot hygiene, the appropriate use of footwear and socks, and podiatric s
Self-reported depression and anxiety among COPD patients. A case-control study
(2022) Hurtado-Ruzza, Rafael; Álvarez-Calderón-Iglesias, Óscar; Becerro-de-Bengoa-Vallejo, Ricardo; Calvo-Lobo, César; San-Antolín, Marta; Losa-Iglesias, Marta Elena; Romero-Morales, Carlos; Lopez-Lopez, Daniel
Background: Anxiety and depression are the most prevalent mental disorders worldwide. However, the exact mechanisms linking chronic obstructive pulmonary disease (COPD) with depression and anxiety have not been identified. Objectives: To compare self-reported depression and anxiety among patients diagnosed with COPD in relation to healthy controls. Design and setting: Case control study at a public hospital institution in Spain. Methods: We designed a case-control study. Patients were recruited using a consecutive sampling method from a single institution. Two groups were created: COPD and healthy controls. Data on medical history and demographic background were collected from the medical records. Self-reported depression levels were assessed using Beck's depression inventory (BDI). Self-reported anxiety was measured using the State-trait anxiety inventory (STAI). Results: Fifty-two patients with COPD and fifty healthy patients were included in this study. BDI scores were higher for COPD patients (10.23 ±
Student Perceptions of the Resilience in a Confinement Due to COVID-19 in University of A Coruña: A Qualitative Research
(Basel, Switzerland : MDPI AG, 2022) Ríos-de-Deus, María-Paula; Rodicio-García, María-Luisa; Rego-Agraso, Laura; Mosquera-González, María-José; Losa-Iglesias, Marta Elena; Becerro-de-Bengoa-Vallejo, Ricardo; Lopez-Lopez, Daniel
The home confinement caused by COVID-19 has caused university students to express feelings, negative experiences, and concerns about the confinement situation they were experiencing. This prompted the development of research on resilience, which shows that it is closely related to well-being. The general objective is to determine if resilience acts as a guarantor of personal growth and, therefore, of the self-perception of well-being. The research is developed with qualitative methodology and is framed in the interpretative phenomenological analysis approach and is framed in the hermeneutic-dialectical method. The selection of participants was carried out through an intentional sampling, by non-random methods, among university students. Fifty-two students participated, 41 are women (78.84%) and 11 men (21.15%), with an average age of 20.7 years. The information was collected through a diary card in which they had to collect their experiences and prepare a short speech identifying three temporal moments of confinement: beginning, during, and end. The information was collected between 16 April and 15 May 2020. An inductive analysis was carried out, and the emerging categories were defined: personal growth, resilience, and well-being. Personal growth materializes through three subcategories: personal changes, interpersonal changes, and changes in the philosophy of life. The university students showed that the vital transformation related with resilience acts as a guarantor of personal growth and self-perception of well-being. A voluntary, conscious, and intelligent evolution of people is detected, and personal changes, interpersonal changes, and changes in the philosophy of life are identified as factors of personal growth.
The Effectiveness of Hard Insoles for Plantar Pressure in Cycling: A Crossover Study
(2023) Casado-Hernandez, Israel; Becerro-de-Bengoa-Vallejo, Ricardo; Losa-Iglesias, Marta Elena; Soriano-Medrano, Alfredo; Lopez-Lopez, Daniel; Navarro-Flores, Emmanuel; Pérez Boal, Eduardo; Martínez-Jímenez, Eva
Background: Hard insoles have been proposed to decrease plantar pressure and prevent foot pain and paresthesia due to repetitive loading. The aim of this research was to analyze the effect of three different hard insoles in cycling on healthy subjects. Methods: A crossover randomized trial was carried out. The mean age of the subjects was 35 ± 3.19 years, and all of them were men. While the subjects were cycling on a stationary bicycle, their plantar pressure was recorded with nine in-shoe sensors placed in nine specific foot areas to test a standard ethylene-vinyl-acetate 52° Shore A hardness insole, a polypropylene 58° Shore D insole, and a polypropylene 580 Shore D insole with selective aluminum 60 HB Brinell hardness in the metatarsal head and hallux. Results: The maximum plantar pressure decreased significantly with the polypropylene insole containing selective aluminum in the metatarsal head and hallux areas. The maximum plantar data of the polypropylene aluminum insole in the M2 area (5.56 kgF/cm2),