SAP Rehabilitation and Sports Medicine (Journal)
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Clinical and functional evolution of the fracture of lukewarm managed with external fixation
The modern world has brought I get a vertiginous development rhythm, that is accompanied of increment of accidents with increase of lesions of high complexity, mostly located in the long bones, he/she puts under an obligation to the improvement of the techniques of bony fixation, with the intention of controlling the damages, to achieve the cure of the fractures, to avoid complications and sequels. Objective: To analyze the clinical-functional results of the technique of external fixation in the treatment of the fractures of lukewarm in the patients of the service of Orthopedics and Traumatología of the Surgical Clinical Hospital Abel Squared Santamaría in the period of February of 2020 to September of 2023. The universe was constituted by all the patients entered with fracture of lukewarm (n:73); the sample understands the patients entered with fracture of lukewarm treaties with external fixation (n:23). In the current investigation prevalence of the masculine sex existed in the age range understood from the 26-35 years; the place of more frequent lesion was the half third and the causal factor of more representativeness they were the accidents automivilísticos; as for the communication with the exterior the biggest percentage was given by the open fractures. Most didn\u27t develop complications; however of the patients that if they presented complications the most frequent it was the presence of superficial infections. Therefore; it continues being the external fixer a treatment option adapted since in the handling of the fractures of lukewarm in most of the studied patients satisfactory results they were obtained
Total hip arthroplasty in Pinar del Río. Clinical and surgical results
Total hip arthroplasty is considered a viable solution to acute and chronic hip injuries, which significantly improves the quality of life of patients. A descriptive and retrospective study was conducted with the aim of evaluating patients who underwent cemented total hip arthroplasty with a RALCA® total hip prosthesis over a decade (2010-2020) at the “Abel Santamaría Cuadrado” Hospital (Pinar del Río). Variables such as age, sex, etiological diagnosis and incidence of associated diseases were taken into account for the research. The Harris Hip Score was used to evaluate the final results. The study universe consisted of all patients who underwent this procedure during the study period (120) and the sample studied was 90 patients. Theoretical, empirical and statistical methods were taken into account, the information was processed in a microcomputer and the results were entered into tables for better study and understanding. Males predominated with 52 patients, the highest number of cases was found between the ages of 61 and 70 years. Primary coxarthrosis was the etiologically most prevalent with 36 patients, arterial hypertension was the most frequent associated disease in 36 cases, and the most frequent postoperative complication was paralytic ileus. With the use of the RALCA® prosthesis in this study, excellent results were obtained in 71 patients when evaluated at 3 years of evolution, with an average of (89.3) in the Harris score
Dental health, sports, and quality of life: the impact of periodontal disease on athletic performance
Dysbiotic dental biofilm may increase the risk of periodontal damage and increase proinflammatory mediators such as IL-1β, IL-6, IL-8, C-reactive protein, and TNF-α. Some of these biomarkers are linked to muscle fatigue, the risk of sports injuries, and persistent inflammation in high-intensity exercisers. Studies show that athletes with signs and symptoms of periodontal disease are more likely to suffer recurrent muscle injuries. Inflammatory mediators shared by PD and high-intensity exercise may be linked to an increased risk of fatigue, repeated muscle injuries, and a potential worsening of both PD and muscle function, which subsequently causes plasma creatine kinase (CK) leakage. Studies show that, in the presence of PD, salivary CK concentrations were increased in periodontitis. Other studies show that saliva can be used to detect muscle damage. Therefore, the objective of this work is to investigate the relationship between periodontal disease and sports performance, measurable by salivary biomarkers such as creatine kinase (CK). The increase in the concentration levels of CK present in saliva in periodontal patient
Evaluation of the anti-inflammatory effect of Piper auritum Kunth in the treatment of traumatic and infectious facial edema
Introduction: Piper auritum Kunth (anise sage) is one of the most traditionally used plants in Cuba for its anti-inflammatory, analgesic, and wound-healing properties. Objective: To determine the efficacy of topical application of anise sage leaves in patients with traumatic and infectious facial edema. Method: A cross-sectional, descriptive, observational study was conducted from January to April 2024. The sample consisted of 20 individuals of both sexes, hospitalized in the maxillofacial surgery service, who presented with traumatic and infectious facial edema. Results: Of the total number of patients examined, the 18-29 age group predominated, with males and white skin. Conclusions: A predominance of the 18-29 age group was found, with males predominating. The majority of patients treated with Piper auritum Kunth were Caucasian. The best results were found with 15-minute applications every 8 hours, achieving a reduction in edema across almost the entire area
Effects of Self-Stretching vs. Gym Ball Exercises for Managing Lower Back Pain Among Young Adult Male Gym Goers: A Randomized control trial
Introduction: Low back pain was common among beginner gym-goers due to unfamiliar movement patterns, poor technique, and adaptation to equipment. Although self-stretching was a simple, self-directed intervention, its effectiveness compared with guided methods such as Swiss ball-assisted stretching remained unclear.
Methods: Sixty young adult males (18–30 years) with less than six months of gym experience and mild to moderate low back pain were randomly allocated to either a self-stretching group (Cat-Cow, Seated Forward Bend, Child’s Pose, Standing Hamstring, and Lower Back Rotational Stretch) or a Swiss ball-assisted stretching group. Both groups underwent a six-week program. Pain intensity, flexibility, and functional mobility were assessed using the Visual Analogue Scale (VAS), Sit-and-Reach test, and Oswestry Disability Index (ODI).
Results: The self-stretching group demonstrated significantly greater improvements compared with the Swiss ball-assisted stretching group in VAS (p = 0.014), ODI (p = 0.007), and Sit-and-Reach scores (p = 0.008).
Conclusions: Self-stretching proved to be more effective than Swiss ball-assisted stretching in reducing pain, improving flexibility, and enhancing functional mobility among beginner gym-goers
Rehabilitation Nursing Intervention in Cardiac Surgery: a case report
Introduction: the person undergoing cardiac surgery may present several postoperative complications, so the intervention of the Specialist Nurse in Rehabilitation Nursing is essential to prevent these complications, promote functional readaptation and maximize the person\u27s abilities, enabling them to return home.
Objective: to describe the benefits of implementing a Rehabilitation Nursing program for a person undergoing cardiac surgery.
Case Report: Descriptive study, case report type, written according to the CARE guidelines. A person who underwent cardiac surgery is presented, to whom an individualized rehabilitation program was implemented. The Barthel Index, Medical Research Council Muscle Scala, 6-minute Gait Test, modified Borg Scale - Assessment of Subjective Perception of Exertion were used as evaluation instruments. The rehabilitation nursing plan implemented contributed to the improvement of ventilatory pattern, muscle strength and gait. The perception of exertion decreased, allowing an increase in tolerance to activity, maximizing functionality, promoting greater independence and quality of life.
Conclusion: the results of this study demonstrate the importance of integrating rehabilitation programs in people undergoing cardiac surgery. The Rehabilitation Nurse must include in his intervention plan exercises of respiratory and motor functional re-education, associated with the training of the person in this phase of health-disease transition.
Keywords: Training, Cardiac Surgery, Nursing Care, Rehabilitation Nursing
The treatment with podiatric massage for individuals with plantar fasciitis
Introduction: in the treatment of plantar fasciitis, foot massage is effective due to its variety of manipulations, gentle movements on the soft tissues of the body, by acting with deep and energetic pressure. These maneuvers are essential and adaptable according to the individual needs of each person with the aim of providing relief and well-being.Objective: to diagnose the initial state for the execution of foot massage to people with plantar fasciitis at the Dr. Cosme Ordoñez Carceller University Polyclinic. Methods: a descriptive, cross-sectional study was carried out, theoretical methods were applied, the systematization of references related to the subject and empirical methods such as a survey of people with plantar fasciitis, to identify the type of foot massage treatment applied, physical examination and diagnostic tests to determine their level of affectation.Results: analysis of the results of the instruments used to assess the initial diagnosis and their methodological triangulation allowed us to identify problems and potential opportunities for the application of foot massage in patients with plantar fasciitis attending this clinic.Conclusions: the problems and potential opportunities identified allowed for the development of the protocol
Systematic review of neuroprotective actions of the ECP in the HT-22 neuronal line subjected to hypoxia and reoxygenation
Background: Palmitoylethanolamide (PEA) is an endogenous fatty acid amide that has recognized anti-inflammatory and analgesic actions. Given that inflammation, excitotoxicity, oxidation damage, and microvascular and blood-brain barrier dysfunction are neurodegenerative processes typical of cognitive impairment in diseases such as Alzheimer\u27s and Parkinson\u27s, it is considered possible that treatments with supplemental PEA can alleviate chronic pain and protect against neuronal damage. to the patient. The objective is to analyze neurodegenerative and anti-inflammatory protective actions of Palmitoylethanolamide (PEA) in murine hippocampal neuronal cell line HT-22 subjected to hypoxia and reoxygenation to apply in patients diagnosed with neurodegenerative diseases. Material and methods: The methodology applied was a systematic review of the literature, and the material used was 12 studies according to inclusion criteria. Results:Murine model and in patients focused on Alzheimer\u27s and Parkinson\u27s, being the effective treatment of PEA with antioxidant supplements, frequent protective action at the hippocampal level and modulation of cytokine and proteins in addition to a decrease in acetylcholine (ACh). Other neurodegenerative diseases may benefit from PEA with further specific investigations (in murine model or patients. Conclusion: Intracellular signaling under PEA and investigation into other neurodegenerative diseases should be further explored.
Rehabilitative treatment of facial paralysis from a multidisciplinary approach
Introduction: facial paralysis is an acute condition at the peripheral level that sets in abruptly. It produces a decrease or absence of mobility of the muscles that innervate the affected hemiface. It can be of central or peripheral origin. Depending on this, the rehabilitation treatment should be adjusted, taking into account the particularities of the affected persons and paying special attention to the emotional aspect.Objective: to identify the degree of satisfaction with the rehabilitation treatment of people with Bell\u27s Palsy at the Dr. Carlos Juan Finlay Teaching Hospital. Methods: a cross-sectional descriptive study was carried out with a sample of 50 clinical histories. The variables used were sex, age, personal pathologic antecedents, symptoms and signs observed and the patient\u27s evolution. Results: a clinical evolution with a very satisfactory result was observed in 64 % of the totality. The symptoms of facial asymmetry and deviation of the labial commissure after treatment were those that most frequently had a positive response. Conclusions: it was possible to identify that the clinical evolution achieved in more than half of the studied sample was very satisfactory. As secondary findings it was found that the most frequent pathological antecedents were arterial hypertension, diabetes mellitus and ischemic heart disease
Stem cells, regenerating medical therapeutics
Introduction: Regenerative medicine aims to stimulate or regenerate cells, tissues, or organs to restore or establish normal function. Among its approaches, stem cell therapy has undoubtedly made the most progress. Its use constitutes a novel therapeutic alternative for diseases treated by diverse medical specialties, not least the recent COVID-19 caused by the SARS-CoV-2 virus.Objective: To describe the application of stem cell therapy in different medical specialties and in the treatment and rehabilitation of COVID-19-positive patients.Method: A literature review was conducted, consulting original articles, case reports, and open-access systematic reviews in peer-reviewed academic publications from the last 5 years. The databases of ScieELO, Regmed, Dialnet, Mayoclinic, and others were reviewed. Search terms included stem cells, stem cell therapy, applications of stem cell therapy, and their English translations.Development: Stem cell treatment has given rise to what can be classified as regenerative cell therapy and is currently one of the most innovative topics in contemporary medicine. Its applications can be divided into two groups: to regenerate destroyed tissues or as a therapeutic vehicle for genes. These applications are used to treat diseases by different medical specialties.Conclusions: This therapy constitutes an excellent alternative for the treatment and rehabilitation of multiple diseases treated by different medical specialties, including the current COVID-19