Examinando por Autor "Molina-Rueda, Francisco"

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Arm-swing kinematics in Parkinson's disease: A systematic review and meta-analysis.
(2022-10) Navarro-López, Víctor; Fernández-Vázquez, Diego; Molina-Rueda, Francisco; Cuesta-Gómez, Alicia; Carratalá Tejada, Maria
Background: Parkinson’s disease (PD) causes postural instability and gait abnormalities that may be associated with an arm swing reduction. Objective: To conduct systematic review and meta-analysis to determine the kinematic patterns of arm-swing during gait in people with PD Methods: A computer literature search of the PubMed, EMBASE, WOS, PEDro, SCOPUS and SciELO databases was conducted. Terms related to PD and arm-swing were combined to find studies that performed a free walking evaluation of the arm-swing of PD patients on or off medication compared to healthy controls. After a standardized evaluation by three examiners, fifteen articles met inclusion criteria. Random effects meta-analysis models were utilized to quantify (1) the arm-swing range of motion (RoM); (2) the arm-swing amplitude; (3) the arm-swing velocity; and (4) the arm-swing asymmetry. Results: On average, arm-swing RoM (7.07◦), amplitude (0.8 cm), and velocity (0.31 m/s) were significantly decreased in PD compared to healthy controls. Healthy subjects had significantly more symmetrical arm-swing (8.16%) than people with PD. Effect sizes were moderate-large. Conclusions: People with PD have significant differences in RoM, amplitude, velocity, and asymmetry of armswing during gait compared to the healthy control group. Medication phase does not significantly influence arm-swing characteristics. Further studies will be needed to determine whether different disease characteristics influence the biomechanics of arm-swing during gait.
Effects of the powerball® system on muscle strength, coordination, fatigue, functionality and quality of life in people with multiple sclerosis. A randomized clinical trial
(BMC, 2024) Blázquez-Fernández, Aitor; López-Hazas-Jiménez, Gemma; Fernández-Vázquez, Diego; Navarro-López, Víctor; Fernández González, Pilar; Marcos-Antón, Selena; Molina-Rueda, Francisco; Cano-de-la-Cuerda, Roberto
El artículo investiga los efectos de un protocolo de entrenamiento usando el sistema Powerball® combinado con fisioterapia convencional en personas con esclerosis múltiple (EM). La esclerosis múltiple es una enfermedad neurodegenerativa que afecta tanto las extremidades inferiores como superiores, impactando la fuerza muscular y la destreza manual, lo que afecta la calidad de vida. En el estudio, 25 pacientes fueron divididos en dos grupos: uno recibió solo fisioterapia y el otro, fisioterapia más entrenamiento con Powerball®. Los resultados mostraron mejoras significativas en la coordinación y destreza manual en el grupo que usó Powerball®, así como una alta satisfacción con el tratamiento.
Elicited control mechanisms (reaching and grasping) in healthy humans.
(2015-02-05) Molina-Rueda, Francisco; Carratalá-Tejada, María; Cuesta-Gómez, Alicia; Monge-Pereira, Esther
The objective of this document is to update the knowledge of the neurophysiological mechanisms of motor control of reaching and grasping in healthy humans. The systems theory of motor control predicts that there are specific neural and musculoskeletal subsystems that contribute to the control of the components of reaching, grasping, and manipulation. Musculoskeletal components include joint range of motion, spinal flexibility, muscle proprieties, and biomechanical relationships among linked body segments. Neural components encompass: motor processes, including the coordination of the eye, head, trunk and arm movements and coordination of both the transport and grasp phases of the research; sensory processes, including the coordination of visual, vestibular, and somatosensory systems; internal representations, important for the mapping of sensation to action; and higher-level processes, essential for adaptive and anticipatory aspects of manipulatory functions.
Escalas y pruebas empleadas en la evaluación de patologías neurológicas específicas - Evaluación neurológica
(2022-09-06) Molina-Rueda, Francisco
El contenido realiza una revisión actualizada de las escalas de evaluación motora, específicas de patologías neurológicas: • Ictus • Lesión medular • Enfermedad de Parkinson • Esclerosis Múltiple • Parálisis Cerebral
FES therapy for spasticity in stroke patients with upper extremity impairments: state of art.
(2013-01-09) Molina-Rueda, Francisco; Carratalá-Tejada, María; Cuesta-Gómez, Alicia; Iglesias Jiménez, Javier; Rivas-Montero, Francisco M.
II Jornadas abordaje terapéutico del paciente amputado
(Servicio de Publicaciones de la Universidad Rey Juan Carlos, 2017) Molina-Rueda, Francisco; Alguacil Diego, Isabel Mª; Carratalá Tejada, María
La ilustración como método de enseñanza para comprender la discapacidad en alumnos de un máster de neurorrehabilitación
(2024) Molina-Rueda, Francisco; Carratalá-Tejada, María
La lectura y comprensión de manuscritos y textos científicos que abordan las manifestaciones clínicas de las personas con discapacidad es una parte esencial de la enseñanza de la discapacidad en las titulaciones de Ciencias de la Salud. El objetivo del proyecto de innovación docente fue estimular la reflexión de los estudiantes sobre la discapacidad cognitiva y motora a través de la ilustración. Se emplearon las siguientes metodologías docentes: aprendizaje basado en proyectos y método expositivo y resolución de ejercicios y problemas. Se presentaron temas específicos que abordaban diversas enfermedades neurológicas. Se propuso que los estudiantes realizaran una lectura de documentos científicos y no científicos (píldoras, blogs, etc.) y representaran los contenidos a través de dibujos e ilustraciones. La evaluación de la actividad se llevó a cabo mediante un cuestionario de Microsoft Forms® y análisis temático. Participaron 21 estudiantes (100% de los matriculados) de la asignatura de evaluación neurológica del Máster U. en Neurocontrol Motor (edades comprendidas entre 23 y 40 años). Los estudiantes otorgaron una puntuación por encima de cuatro (sobre cinco puntos) a los ítems evaluados. En conclusión, la iniciativa docente expuesta ha permitido construir un escenario reflexivo, alejado de la presión evaluadora y más próximo al arte, que permitiera a los estudiantes plasmar y mejorar su conocimiento sobre la discapacidad a través del dibujo. El material que aquí se publica es el vídeo que muestra las ilustraciones realizadas por los estudiantes.
Kinematic Gait Analysis in People with Mild-Disability Multiple Sclerosis Using Statistical Parametric Mapping: A Cross-Sectional Study
(2023-09) Fernández-Vázquez, Diego; Calvo-Malón, Gabriela; Molina-Rueda, Francisco; López-González, Raúl; Carratalá Tejada, Maria; Navarro-López, Víctor; Miangolarra-Page, Juan Carlos
Multiple sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system. Gait abnormalities, such as altered joint kinematics, are common in people with MS (pwMS). Traditional clinical gait assessments may not detect subtle kinematic alterations, but advances in motion capture technology and analysis methods, such as statistical parametric mapping (SPM), offer more detailed assessments. The aim of this study was to compare the lower-limb joint kinematics during gait between pwMS and healthy controls using SPM analysis. Methods: A cross-sectional study was conducted involving pwMS and healthy controls. A three-dimensional motion capture system was used to obtain the kinematic parameters of the more affected lower limb (MALL) and less affected lower limb (LALL), which were compared using the SPM analysis. Results: The study included 10 pwMS with mild disability (EDSS ≤ 3) and 10 healthy controls. The results showed no differences in spatiotemporal parameters. However, significant differences were observed in the kinematics of the lower-limb joints using SPM. In pwMS, compared to healthy controls, there was a higher anterior pelvis tilt (MALL, p = 0.047), reduced pelvis elevation (MALL, p = 0.024; LALL, p = 0.044), reduced pelvis descent (MALL, p = 0.033; LALL, p = 0.022), reduced hip extension during pre-swing (MALL, p = 0.049), increased hip flexion during terminal swing (MALL, p = 0.046), reduced knee flexion (MALL, p = 0.04; LALL, p < 0.001), and reduced range of motion in ankle plantarflexion (MALL, p = 0.048). Conclusions: pwMS with mild disability exhibit specific kinematic abnormalities during gait. SPM analysis can detect alterations in the kinematic parameters of gait in pwMS with mild disability.
Leap motion controlled video game-based therapy for upper limb rehabilitation in patients with Parkinson's disease: a feasibility study
(2019-11) Fernández-González, Pilar; Carratalá Tejada, Maria; Monge-Pereira, Esther; Collado-Vázquez, Susana; Sánchez-Herrera Baeza, Patricia; Cuesta-Gómez, Alicia; Oña-Simbaña, Edwin; Jardón-Huete, Alberto; Molina-Rueda, Francisco; Balaguer-Bernaldo de Quirós, Carlos; Miangolarra-Page, Juan Carlos; Cano-de la Cuerda, Roberto
Background: Non-immersive video games are currently being used as technological rehabilitation tools for individuals with Parkinson’s disease (PD). The aim of this feasibility study was to evaluate the effectiveness of the Leap Motion Controller® (LMC) system used with serious games designed for the upper limb (UL), as well as the levels of satisfaction and compliance among patients in mild-to-moderate stages of the disease. Methods: A non-probabilistic sampling of non-consecutive cases was performed. 23 PD patients, in stages II-IV of the Hoehn & Yahr scale, were randomized into two groups: an experimental group (n = 12) who received treatment based on serious games designed by the research team using the LMC system for the UL, and a control group (n = 11) who received a specific intervention for the UL. Grip muscle strength, coordination, speed of movements, fine and gross UL dexterity, as well as satisfaction and compliance, were assessed in both groups pre-treatment and post-treatment. Results: Within the experimental group, significant improvements were observed in all post-treatment assessments, except for Box and Blocks test for the less affected side. Clinical improvements were observed for all assessments in the control group. Statistical intergroup analysis showed significant improvements in coordination, speed of movements and fine motor dexterity scores on the more affected side of patients in the experimental group. Conclusions: The LMC system and the serious games designed may be a feasible rehabilitation tool for the improvement of coordination, speed of movements and fine UL dexterity in PD patients. Further studies are needed to confirm these preliminary findings.
Muscle Coactivation Index during Walking in People with Multiple Sclerosis with Mild Disability, a Cross-Sectional Study
(MPDI, 2023) Molina-Rueda, Francisco; Fernández-Vázquez, Diego; Navarro-López, Víctor; López-González, Raúl; Carratalá-Tejada, María
La investigación examina el patrón de activación muscular durante la marcha en individuos con Esclerosis Múltiple. El estudio revela descubrimientos significativos, como la presencia de patrones de activación muscular distintos (un mayor índice de coactivación entre músculos antagonistas) en personas con Esclerosis Múltiple y un grado leve de discapacidad. Estos hallazgos pueden orientar a los profesionales de la salud en la creación de programas de fortalecimiento muscular para esta población.
Proyecto Docente e Investigador. Titular de Universidad. Perfil: Fisioterapia Neurológica.
(2021) Molina-Rueda, Francisco
El documento que aquí se presenta constituye un Proyecto Docente e Investigador llevado a cabo para concurrir al concurso de la plaza de Profesor Titular de Universidad con código Y121/DF008094/08-10-2021, según Resolución de 8 de octubre de 2021, de la Universidad Rey Juan Carlos, por la que se convoca concurso de acceso a plazas de cuerpos docentes universitarios. La plaza se enmarca en el área de conocimiento de Fisioterapia y se define con el perfil: “Fisioterapia Neurológica, Métodos Específicos de Intervención en Fisioterapia, todas las materias relacionadas con la titulación de Fisioterapia”. Se encuentra adscrita al Departamento de Fisioterapia, Terapia Ocupacional, Rehabilitación y Medicina Física (Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos). La estructura y el contenido de los Proyectos Docentes e Investigadores que han de elaborarse para concurrir a los concursos del cuerpo docente universitario no están definidos. Por ello, es necesario recurrir a documentos de compañeros de la propia universidad o de otras (Conde, 2019; Cano de la Cuerda, 2018; Águila-Maturana, 2003), con objeto de establecer un marco de referencia del que partir y poder así, ligarlo con la experiencia y aporte personal. El presente Proyecto Docente e Investigador persigue contextualizar la definición de la plaza a la que se concurre, aproximarla al perfil del candidato y dotarla de un marco institucional, curricular, metodológico, docente e investigador específicos. Con tal propósito, el documento se organiza de la siguiente forma: Capítulo 1. Define el contexto institucional, es decir, establece una imagen de la universidad española, de su marco legislativo y del proyecto educativo de convergencia europea. El Capítulo 1 hace hincapié en la relación de la universidad con la sociedad y en la importancia de la cultura para el crecimiento individual y colectivo, así como en la consecución de los Objetivos de Desarrollo Sostenible. En esta sección se incluye una aproximación al universo educativo en el que se adscribe la plaza del citado concurso: la Universidad Rey Juan Carlos, la Facultad de Ciencias de la Salud y el Departamento de Fisioterapia, Terapia Ocupacional, Rehabilitación y Medicina Física. Capítulo 2. Establece el contexto curricular a través de la descripción de la Fisioterapia como profesión sanitaria, de la Fisioterapia como modalidad de tratamiento de las personas con patología neurológica y del proceso formativo del Fisioterapeuta. Capítulo 3. Describe el contexto metodológico, el arte de enseñar y la trascendencia de aprender. Aborda la transformación digital, la planeación docente y las nuevas formas de enseñanza y de evaluación, motivadas por la implantación del Especio Europeo de Educación Superior. Capítulo 4. A través de esta sección del proyecto, el documento se sitúa sobre el perfil docente de la plaza por la que se concursa. Para ello, realiza una descripción de la planificación docente de la asignatura Métodos Específicos de Intervención en Fisioterapia III. Capítulo 5. Plantea un Proyecto de Investigación que relaciona el perfil docente del candidato con la experiencia científica adquirida dentro del equipo de investigación en el que colabora, el Laboratorio de Análisis del Movimiento, Biomecánica, Ergonomía y Control Motor, ubicado en la Facultad de Ciencias de la Salud de la Universidad Rey Juan Carlos.
Reflex Locomotion Therapy for Balance, Gait, and Fatigue Rehabilitation in Subjects with Multiple Sclerosis
(2022-01) Carratalá-Tejada, María; Cuesta Gómez, Alicia; Ortiz-Gutiérrez, Rosa; Molina-Rueda, Francisco; Luna-Oliva, Laura; Miangolarra-Page, Juan Carlos
This study evaluates the effects of a rehabilitation program based on reflex locomotion therapy (RLT) on balance, gait, and fatigue in patients with multiple sclerosis (MS). Twenty-three patients diagnosed with MS participated in this study. Reversal design was carried out. The assessment tools included the Berg Balance Scale (BBS), the Performance Oriented Mobility Assessment (POMA), the Fatigue Severity Scale (FSS) and the instrumental analysis of the gait recorded by Vicon Motion System®. We analyzed spatio-temporal parameters and kinematic variables of the hip, knee, and ankle joints. Additionally, the Client Satisfaction Questionnaire (CSQ-8) was administrated. We did find a significant improvement in balance and gait tools after the RLT period. Regarding instrumental analysis, the statistical analysis of spatio-temporal parameters showed a significant improvement in stride length, double support, and velocity after the RLT period. Concerning kinematic parameters, the analysis showed improvements in hip and knee range of motion (ROM) after RLT period. RLT could improve gait and balance in patients with MS. The patients reported a high level of satisfaction with the therapy received.
Reliability and agreement of the Nine Hole Peg Test in patients with unilateral spastic cerebral palsy
(2022-02) Sandra, Mendoza-Sánchez; Molina-Rueda, Francisco; Lima-Florencio, Lidiane; Carratalá-Tejada, Maria; Cuesta-Gómez, Alicia
Upper extremity involvement is one of the most common motor impairments in children with unilateral spastic cerebral palsy (CP). One tool for the assessment of manual function in CP is the Nine Hole Peg Test (NHPT). However, the reliability of the NHPT in patients with unilateral CP is unknown. This study aimed to analyze the intra-rater inter-session reliability of the NHPT in unilateral spastic CP, for its use in clinical practice and research. A total of 27 participants with spastic unilateral CP were included. Reliability was verified by the intraclass correlation coefficient (ICC), standard error of measurement, and minimum detectable change. The agreement was analyzed by the Bland-Altman method. An excellent intra-rater reliability was observed for the non-affected side (ICC = 0.94) and the affected side (ICC = 0.96). The minimal detectable change was 4 and 12 s for the non-affected and affected side, respectively. There were no significant biases between repetitions. Conclusions: The NHPT showed excellent intra-rater inter-session reliability in patients with spastic unilateral CP. In addition, the test shows adequate agreement and proportionally small errors to assess manual dexterity. What is Known: • The Nine Hole Peg Test (NHPT) is widely used to assess dexterity in patients with neurological conditions. • The NHPT has demonstrated appropriate measurement properties in healthy children and adults with neurological conditions. What is New: • The NHPT presents excellent reliability, small measurement errors, and adequate agreement for the assessment of patients with cerebral palsy. • The measurement error of the NHPT in unilateral cerebral palsy may be up to 13% of the total time to perform it.
Reliability and agreement of the timed up and go test in children and teenagers with autism spectrum disorder
(Springer, 2023) Martín-Díaz, Paloma; Carratalá-Tejada, María; Molina-Rueda, Francisco; Cuesta-Gómez, Alicia
ASD patients include a variety of motor deficits; however, these issues have received less scientific attention than other ASD symptoms. Due to understanding and behavioral difficulties, it might be difficult to administer motor assessment measures to children and adolescents with ASD. To evaluate motor challenges in this population, including gait and dynamic balance issues, the timed up and go test (TUG) may be a simple, easy to apply, quick, and inexpensive tool. This test measures in seconds the time it takes for an individual to get up from a standard chair walk 3 m, turn around, walk back to the chair, and sit down again. The study purpose was to evaluate the inter- and intra-rater reliability of TUG test in children and teenagers with ASD. A total of 50 children and teenagers with ASD (43 boys and 7 girls) between 6 and 18 years were included. Reliability was verified by the intraclass correlation coefficient, standard error of measurement, and minimum detectable change. The agreement was analyzed by the Bland–Altman method. A good intra-rater reliability (ICC=0.88; 95% CI=0.79–0.93) and an excellent inter-rater reliability (ICC=0,99; 95% CI=0.98 to 0.99) were observed. Additionally, Bland–Altman plots demonstrated that there was no evidence of bias in either the replicates or between examiners. Furthermore, the limits of agreement (LOAs) between the testers and test replicates were close, indicating that there was little variation between measurements. Conclusions: The test TUG showed strong intra- and inter-rater reliability values, low proportion of measurement errors, and lack of significant bias based on by test repetition in children and teenagers with ASD. These results could be clinically useful for assessing balance and the risk of falls in children and teenagers with ASD. However, the present study is not free of limitations, such as the use of a non-probabilistic sampling.
Reliability and Validity of the 10-Meter Walk Test (10MWT) in Adolescents and Young Adults with Down Syndrome
(2023-03) Sánchez-González, Juan Luis; Llamas-Ramos, Inés; Llamas-Ramos, Rocío; Molina-Rueda, Francisco; Carratalá Tejada, Maria; Cuesta-Gómez, Alicia
People with Down syndrome (DS) have gait deficits because motor milestones are usually reached later. Decreased gait speed or reduced stride length are some of the main deficits. The main objective of the present work was to assess the reliability of the 10-Meter Walk Test (10MWT) in adolescents and young adults with DS. The objective has been to analyze the construct validity of the 10MWT with the Timed up and go (TUG) test. A total of 33 participants with DS were included. Reliability was verified by intraclass correlation coefficient (ICC). The agreement was analyzed by the Bland-Altman method. Finally, construct validity was evaluated through Pearson correlation coefficient. The 10MWT intra-rater and inter-rater reliability were good (ICC between 0.76 until 0.9) and excellent (ICC > 0.9), respectively. The minimal detectable change for intra-rater reliability was 0.188 m/s. Also, it has demonstrated moderate construct validity (r > 0.5) considering the TUG test. The 10MWT has shown high intra- and inter-rater reliability and validity in adolescent and adults with SD and a moderate construct validity between TUG test and 10MWT.
Reliability of Kinovea® Software and Agreement with a Three-Dimensional Motion System for Gait Analysis in Healthy Subjects. Sensors (Basel)
(2020-06) Fernández-González, Pilar; Koutsou, Aikaterina; Cuesta-Gómez, Alicia; Carratalá-Tejada, Maria; Miangolarra-Page, Juan Carlos; Molina-Rueda, Francisco
: Gait analysis is necessary to diagnose movement disorders. In order to reduce the costs of three-dimensional motion capture systems, new low-cost methods of motion analysis have been developed. The purpose of this study was to evaluate the inter- and intra-rater reliability of Kinovea® and the agreement with a three-dimensional motion system for detecting the joint angles of the hip, knee and ankle during the initial contact phase of walking. Fifty healthy subjects participated in this study. All participants were examined twice with a one-week interval between the two appointments. The motion data were recorded using the VICON Motion System® and digital video cameras. The intra-rater reliability showed a good correlation for the hip, the knee and the ankle joints (Intraclass Correlation Coefficient, ICC > 0.85) for both observers. The ICC for the inter-rater reliability was >0.90 for the hip, the knee and the ankle joints. The Bland–Altman plots showed that the magnitude of disagreement was approximately ±5 ◦ for intra-rater reliability, ±2.5◦ for inter-rater reliability and around ±2.5◦ to ±5 ◦ for Kinovea® versus Vicon®. The ICC was good for the hip, knee and ankle angles registered with Kinovea® during the initial contact of walking for both observers (intra-rater reliability) and higher for the agreement between observers (inter-rater reliability). However, the Bland–Altman plots showed disagreement between observers, measurements and systems (Kinovea® vs. three-dimensional motion system) that should be considered in the interpretation of clinical evaluations.
Satisfaction analysis of overground gait exoskeletons in people with neurological pathology. a systematic review
(BMC, 2023) Cumplido-Trasmonte, Carlos; Molina-Rueda, Francisco; Puyuelo-Quintana, Gonzalo; Plaza-Flores, A; Hernández-Melero, M; Barquín-Santos, Eva; Destarac-Eguizabal, MA; García-Armada, Elena
El artículo analiza la satisfacción de usuarios con patologías neurológicas que usan exoesqueletos para caminar. Estos dispositivos han avanzado tecnológicamente y ofrecen una alternativa a la rehabilitación convencional, permitiendo entrenamientos controlados y repetitivos que ayudan en la recuperación de la marcha. El estudio revisa 23 artículos, incluyendo 19 ensayos clínicos con participantes que sufren de accidentes cerebrovasculares, lesiones medulares y esclerosis múltiple. Los resultados indican una satisfacción general positiva en términos de seguridad, eficacia y comodidad de los exoesqueletos. Sin embargo, se destacan áreas a mejorar, como la facilidad de ajuste, el tamaño, el peso y la facilidad de uso de estos dispositivos.
Spasticity and Motor Control: brief report.
(2015-02-05) Carratalá-Tejada, María; Molina-Rueda, Francisco
The efficacy of transcranial direct current stimulation on upper extremity motor function after stroke: A systematic review and comparative meta-analysis of different stimulation polarities
(Wiley, 2023) Navarro-López, Víctor; Del-Valle-Gratacós, Manuel; Carratalá-Tejada, María; Cuesta-Gómez, Alicia; Fernández-Vázquez, Diego; Molina-Rueda, Francisco
Background:The efficacy of transcranial direct current stimulation (tDCS) hasbeen studied extensively. The cathodic (c-tDCS), anodic (a-tDCS), and bihemi-spheric stimulation have demonstrated efficacy in the management of theparetic upper extremity (UE) after stroke, but it has not been determined whichstimulation polarity has, so far, shown the best results.Objective:To evaluate the available evidence to determine which tDCS polar-ity has the best results in improving UE motor function after stroke.Methods:PubMed, PEDro, Web of Science, EMBASE, and SCOPUS data-bases were searched. Different Medical Subject Headings (MeSH) terms werecombined for the search strategy, to cover all studies that performed a compari-son between different tDCS configurations focused on UE motor rehabilitationin people with lived experience of stroke.Results:Fifteen studies remained for qualitative analysis and 12 for quantita-tive analysis. Non-significant differences with a 95% confidence interval(CI) were obtained for c-tDCS versus a-tDCS (g=0.10, 95% CI= 0.13;0.33,p=.39,N=292), for a-tDCS versus bihemispheric (g=0.02, 95%CI= 0.46; 0.42,p=.93,N=81), and for c-tDCS versus bihemispheric(g=0.09, 95% CI= 0.84; .66,p=.73,N=100). No significant differencesbetween the subgroups of the meta-analysis were found.Conclusions:The results of the present meta-analysis showed no evidencethat a stimulation polarity is superior to the others in the rehabilitation of UEmotor function after stroke. A non-significant improvement trend was observedtoward c-tDCS compared to a-tDCS
Training With Wii Balance Board for Dynamic Balance in Older Adults
(Wolters Kluwer, 2020-04-01) García-Bravo, Sara; García-Bravo, Cristina; Molina-Rueda, Francisco; Cuesta-Gómez, Alicia
Background and Purpose: Age-related muscle strength deterioration and decreased ability to react appropriately and regain balance after unexpected sudden disturbances and deficit they have in the use of responsible mechanisms to control the dynamic stability in response to a disturbance are important intrinsic risk factors for the fall. The main objective of this study is to verify the impact on the dynamic balance, through the Limits of Stability test, of a physical exercise program in older adults using the Nintendo Wii console. Methods: The sample consisted of a total of 12 patients. Pre and posttreatment measurements and assessments were carried out at the Laboratory of Motion Analysis, Biomechanics, Ergonomics and Motor Control (LAMBECOM) in the Faculty of Health Sciences of the Rey Juan Carlos University. Results and Conclusions: The results of this study show improvements in the scores of all the variables analyzed by Limits of Stability: RT, MVL, EPE, MXE and DCL. The results obtained seem to determine that the protocol used through training with the Nintendo Wii and its Wii Fit video game produced clinical improvements in postural control and dynamic balance and a positive impact on quality of life.