NPunto

13

Authors: Fernández Cadenas, Ángeles

Background: Respiratory physiotherapy techniques play a fundamental role in mucociliary clearance in cystic fibrosis (CF), but it has not yet been possible to demonstrate superiority of one technique over another. The objective of this study is to know the short-term effects of drainage of bronchial secretions using the autologous drainage technique (AD), a technique preferred by patients, with lung function tests (PFR) and measurement of the pulmonary clearance index (LCI) using the technique of washing nitrogen with multiple breaths (N2MBW), in patients with clinically stable cystic fibrosis. Methods: Nine subjects have been studied and have been measured SVC, FEV1, FVC, FEF25-75, FRC and LCI before and after a 30-minute AD session. Results: No significant differences were found in ICD, only one subject improved significantly, i.e., the ICD decreased by 1.8, and three other subjects improved with a decrease of less than 1 point, but we did find a slight significant decrease in CRF of 200 ml in the total sample (p=0.032) and an increase in SVC of 2.55 2.06 %, with a value of p=0.03. No significant improvement differences have been found in PFR, nor have significant correlations. Conclusions: A 30-minute session of AD has not generated significant changes in ventilatory inhomogeneity in this group of patients.

24

Authors: Souza Fernández, Marta

Introduction: The shoulder is the articulation of the human body with the highest range of movement, due to the anatomical elements that compose it, which, in addition, give it enormous complexity. The structures it contains provide functionality to the upper limb, but are also exposed to multiple pathologies. Musculoskeletal disorders of the shoulder develop and become more complex over time until the onset of joint pain. There are data that one in three people experience shoulder pain at some stage of their lives and even about half of the population suffers at least one episode annually, plus the incidence is 30-50% of all sports injuries, according to various authors. Shoulder pain occupies the second place after low back pain, and affects approximately 16-21% of the population. The most frequent cause is subacromial impingement syndrome, estimated 44-60% of medical consultations for said pain. In Spain, prevalence figures of 78 cases per 1,000 inhabitants have been reported, leading to a significant consumption of care resources and productive losses due to absenteeism in the workplace. The majority of those affected are under the age of 60. Its symptoms are usually related to the work performed or the sports activity performed, especially in those that require the use of the hand above the head. Rotator cuff tendinopathy is the most common cause of upper limb dysfunction pain and increases its appearance with age. Most of the population that suffers from these shoulder discomfort is due to the set of muscles called the rotator cuff and the surrounding tissues. Treatment includes surgical and non-surgical methods. The goals of non-surgical treatment will be to reduce subachromial pain and inflammation, treat the compromised rotator cuff, and restore shoulder function. Objective: Our review aims to look for the different treatments that demonstrate the efficacy of physiotherapy for this pathology. This literature review aims to analyze the different techniques of physical therapy in the treatment of supraspinatus tendinopathy, in order to capture whether there is evidence as to whether or not the conservative treatments offered by physiotherapy through its various techniques are effective, in order to avoid surgery, pharmacological treatments and/or more invasive therapies. Material and method: a systematic review is carried out in Medline, Pedro, Cochrane, and Science Direct on the treatment of physiotherapy against the subachromial syndrome, using the following keywords: physiotherapy, physicaltherapy, rehabilitation, impingementsyndrome, subacromialsyndrome, shoulder, pain. The search is limited to articles published in the last five years. Following the application of the inclusion and exclusion criteria, 16 articles were selected and deemed appropriate to meet the objectives of the review. Results: After analyzing the selected studies, it is observed that in each of them there are positive results in the application of physiotherapy treatment, conservative, by applying one or more techniques to the pathology of supraspinatus tendinopathy without taking into account the etiology. Conclusion: There is evidence about the treatment of physiotherapy in patients with supraspinatus tendinopathy.

50

Authors: Pons Albert, Francesc

One of my main concerns as a physical trainer has always been to prevent my players/ras from getting injured. Specifically, the rupture injury of the anterior cruciate ligament is a very serious and common injury among basketball players/ ace, field to which I dedicate myself. This is why in this document I have tried to compile and compare the main scientific studies that address the issue from a sports point of view. The objective of this paper is to offer a global and updated vision focused on the prevention and recovery of injury.