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CrossFit® Training is a physical and sports-conditioning system based on constantly varied functional movements performed at high intensity. CrossFit® has been shown to significantly improve general physical performance and body composition. Although there seems to be an association between the practice of CrossFit® and musculoskeletal injuries, the relationship between CrossFit® and injury risks has been poorly studied. The main objective of this study was to establish the relationship between CrossFit® and musculoskeletal injuries. Secondary objectives were the analysis of various risk factors and injury and the comparison of the incidence of CrossFit® injuries to that of other sports. An online questionnaire was distributed to gyms affiliated with CrossFit®, Inc. in the Principality of Asturias, Spain in order to carry out a retrospective transversal descriptive study. The frequency of injuries in CrossFit® is similar to most sports. Injuries are often minor and of short duration, with the shoulder being the most affected joint complex.

Background: The relationship between fragility and neurological diseases is extensive and affects many patients with multiple sclerosis (MS), whose risk factors are related to fragility. Objective: To study the effects of exercise and transcranial direct current stimulation (tDCS) in MS patients with fatigue from four dimensions: functional mobility, balance, fatigue, and depression. Methods: A total of 12 patients who belonged to two associations of people with physical disabilities participated. Functional mobility, depression, balance, and fatigue were assessed before and after the intervention. Transcranial direct current stimulation and the exercise program were carried out over a 4-week period with a wash-out period of 5 months. Results: After the application of tDCS, we found significant improvements in balance (p < 0.05, g = 0.632), depression (p < 0.05, g = 0.402), functional mobility (p < 0.05, g = 0.297), and fatigue (p < 0.05, g = 0.526). After the exercise program, significant improvements were shown in balance (p < 0.01, g = 0.418), depression (p < 0.001, g = 0.540), functional mobility (p < 0.01, g = 0.262), and fatigue (p < 0.01, g = 0.742). Two-way mixed-measures ANOVA showed that all variables improved in both groups, with significant differences over time but not between groups. Secondary analysis showed significant correlations between balance and functional mobility (r = 0.671, p = 0.017), depression and fatigue (r = 0.586, p = 0.044) and between intensity of rehabilitation and balance (r = 0.622, p = 0.031). CONCLUSION: Participating in an exercise program and receiving tDCS separately improved the variables of depression, balance, mobility, and fatigue.

198 p. Los objetivos planteados en este trabajo han sido los siguientes: 1. Evaluar los efectos de la VT segmentaria y la VT puntual, sobre variables psicosociales: la calidad de vida y la ansiedad-estado. 2. Valorar los efectos de la VT segmentaria y la VT puntual sobre la respuesta hormonal. 3. Determinar si estas terapias pueden ser una alternativa a la aplicación de vibraciones de cuerpo completo

Hamstring tear injuries (HTI) are the most prevalent injuries in athletes, with high reinjury rates. To prevent reinjury and reduce the severity of injuries, it is essential to identify potential risk factors. Hip characteristics are fundamental to optimal hamstring function. We sought to investigate the role of hip joint clearance discrepancy (JCD) as a risk factor for HTI and a clinical predictor of risk of reinjury and injury severity. A cross-sectional, retrospective study was performed with elite athletes (n = 100) who did (n = 50) and did not (n = 50) have a history of injury. X-rays were taken to assess JCD. We reviewed muscular lesions historial, and health records for the previous 5 years. Significant differences were found in injury severity (p = 0.026, ŋ2p = 0.105) and a number of injuries (p = 0.003, ŋ2p = 0.172). The multivariate analysis data indicated that JCD was significantly associated with the number of injuries and their severity (p &lt, 0.05). In the stepwise regression model, JCD variability explained 60.1% of the number of injuries (R2 0.601) and 10.5% of injury severity (R2 0.0105). These results suggest that JCD could play an important role as a risk factor for HTI and also as a clinical predictor of reinjury and injury severity.

Progressive resistance exercise (PRE) can have a positive effect in individuals with Parkinson’s disease (PD). However, the effect of PRE may vary with the clinical subtype of PD. To date, no study has assessed the effects of PRE in the different subtypes of PD. AIM: The aim of the present study was to assess the effects of PRE in PD patients with akinesia and rigidity (AR-subtype). DESIGN: A randomized controlled trial was conducted. SETTING: Outpatients clinics of the Bierzo Parkinson Association (Ponferrada, Spain) and the Asturias Parkinson Association (Oviedo, Spain). POPULATION: Twenty-eight patients with AR-subtype PD were randomized into an Experimental Group (EG, N.=13) and Control Group (CG, N.=15). METHODS: Static posturography (Centre of Pressure -CoP- parameters), gait (the Ten-Meter Walk Test [TMWT]), freezing of gait (the Freezing of Gait Questionnaire [FOG-Q]), the motor portion of the Movement Disorders Society-Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) and patient-perceived quality of life (the 39-item Parkinson’s disease Questionnaire [PDQ39]), were assessed at pre-test, post-test, and re-test. Ratings of perceived exertion (RPE) (Borg >6-20 Scale) were recorded at the end of each PRE training session. RESULTS: The EG displayed significant ameliorations in Length (CoP parameters) from pre- to post-test (P=0.048), in speed of fast rhythm walking (TMWT) from pre- to post-test (P=0.000), and from pre- to re-test (P=0.027), and in the PDQ39 Score from pre- to post-test (P=0.024). No significant differences were detected in Area or Speed (CoP parameters), speed of preferred rhythm walking (TMWT), FOG-Q scores, or the motor portion of the MDS-UPDRS scores. The EG reported a mean RPE of 9.95 (between “very light” and “fairly light”) for the whole training program. CONCLUSIONS: These findings provide support for the use of PRE training in the rehabilitation of individuals with AR-subtype PD, as it can improve static posturography, gait, and quality of life. Furthermore, RPE scores showed that individuals with AR-subtype PD consider that PRE training require only light efforts. CLINICAL REHABILITATION IMPACT: The PRE training can be a helpful and fruitful rehabilitation tool for AR-subtype PD patients. Sin financiación 2.208 JCR (2017) Q1, 15/65 Rehabilitation 0.754 SJR (2017) Q1, 31/125 Rehabilitation; Q2, 53/201 Physical Therapy, Sports Therapy and Rehabilitation No data IDR 2017 UEM

The aim of this study was to assess whether supervised slackline training reduces the risk of falls in people with Parkinson's disease (PD).Twenty-two patients with idiopathic PD were randomized into experimental (EG, N = 11) and control (CG, N = 11) groups. Center of Pressure (CoP), Freezing of Gait (FOG), and Falls Efficacy Scale (FES) were assessed at pre-test, post-test and re-test. Rate perceived exertion (RPE, Borg's 6-20 scale) and local muscle perceived exertion (LRPE) were also assessed at the end of the training sessions.The EG group showed significant improvements in FOG and FES scores from pre-test to post-test. Both decreased at re-test, though they did not return to pre-test levels. No significant differences were detected in CoP parameters. Analysis of RPE and LRPE scores revealed that slackline was associated with minimal fatigue and involved the major lower limb and lumbar muscles.These findings suggest that slacklining is a simple, safe, and challenging training and rehabilitation tool for PD patients. It could be introduced into their physical activity routine to reduce the risk of falls and improve confidence related to fear of falling. Implications for Rehabilitation Individuals with Parkinson's disease (PD) are twice as likely to have falls compared to patients with other neurological conditions. This study support slackline as a simple, safe, and challenging training and rehabilitation tool for people with PD, which reduce their risk of falls and improve confidence related to fear of falling. Slackline in people with PD yields a low tiredness or fatigue impact and involves the major lower limb and lumbar muscles.

Señor editor: La diabetes mellitus tipo 2 (DM2) tiene una prevalencia muy alta en muchos países, incluyendo México, país que se encuentra dentro de los primeros diez lugares, donde esta enfermedad es la primera causa de mortalidad...

To assess whether sleep quality (SQ) at baseline is associated with improvement in pain and disability at 3 months.Four hundred twenty-two subacute and chronic patients with neck pain (NP) were recruited in 32 physiotherapy, primary care, and specialized centers. NP, referred pain, disability, catastrophizing, depression, and SQ were assessed through validated questionnaires, upon recruitment and 3 months later. Correlations between baseline scores were calculated through the Spearman coefficient. Improvements in NP, disability, and SQ were defined as a reduction of ≥30% of baseline score. Six estimative logistic regression models were developed to assess the association between baseline SQ and improvement of NP, baseline SQ and improvement of disability, baseline NP and improvement of SQ, baseline disability and improvement of SQ, the evolutions of NP and SQ, and the evolutions of disability and SQ.Most patients were subacute and mildly impaired. Regression models showed that better SQ at baseline was associated with improvement of NP (odds ratio=0.91 [95% confidence interval, 0.83-0.99]), but not disability (1.04 [0.95-1.13]); the improvement of SQ was associated with more severe NP at baseline (1.26 [1.07-1.49)], but not with baseline disability (0.99 [0.97-1.02]); and that improvement in SQ was associated with improvements in NP (3.48 [1.68-7.20]), and disability (5.02 [2.39-10.11]).NP is less likely to improve in patients with poorer SQ, irrespective of age, sex, catastrophizing, depression, or treatments prescribed for NP. Future studies should confirm these results with more severely impaired patients.

to assess the impact of an educational institutional program in the control of type 2 diabetic patient.intervention educational study, with quasi-experimental and self-controlled subjects. A convenience non-probabilistic sample was used including 151 patients from the program for the integral care of diabetic patients. Demographic variables: gender, age, type of insurance, somatometric and metabolic profile. The assistance to a one-year length, educational program was necessary. Descriptive and inferential parametric statistics were used.106 women and 45 men, with age range between 15 and 87 years, and with an average of 57.22 ± 11.47, were studied. A significant decrease in body mass index, waist circumference, venous glucose fasting and post-prandial values, cholesterol, systolic blood pressure, triglycerides and glycosylated hemoglobin (t Student semi-detached, p0.05) was observed. There were no changes in diastolic blood pressure (p = 0.334).one year afterwards, the strategy based on education for the control of the diabetic patient shown a favorable pattern in most of somatometric and metabolic parameters. We suggest to extend this study over a longer period to determine if the effects persist over time.Objetivo: evaluar el impacto de un programa institucional educativo en el control del paciente diabético tipo 2. Métodos: estudio de intervención educativa cuasi experimental y sujetos como su propio control. Muestreo no probabilístico por conveniencia. Se incluyeron 151 pacientes del programa para la atención integral del paciente diabético. Variables demográficas: Género, edad, tipo de aseguramiento, somatometría y perfil metabólico. Se aplicó un programa educativo de un año de duración. Se utilizó estadística descriptiva e inferencial paramétrica. Resultados: se estudiaron 106 mujeres y 45 hombres cuyo rango de edad iba de 15 a 87 años, con una media de 57.22 ± 11.47. Se observó una disminución significativa en su índice de masa corporal, perímetro de cintura, glucosa venosa en ayuno, glucosa posprandial, colesterol, tensión arterial sistólica, triglicéridos y hemoglobina glucosilada (t de Student pareada, p0.05). No hubo cambios en la tensión arterial diastólica (p = 0.334). Conclusiones: la estrategia educativa para el control del paciente diabético presentó un comportamiento favorable en la mayoría de los parámetros somatométricos y metabólicos a un año de seguimiento. Se sugiere que se extienda el estudio a un periodo mayor para determinar si los efectos perduran con el tiempo.

To determine whether a utility model can be used with acceptable sensitivity and specificity for the diagnosis of diabetic peripheral neuropathy (DPN).Cross sectional study, non-probability sampling, in 381 type 2 diabetic patients with diabetic foot risk. To determine the DPN, it was evaluated the protective sensation in 10 sites on the foot. It was a positive diagnosis if three or more points showed insensitivity at the touch of the skin with Semmes-Weinstein monofilament (SWM). Monofilament was compared to the utility model (MMU); the diagnostic methods of application were the same for both.Mean age was 62 years, 11 years of development of DM, mean body mass index of 29 kg/m2, average glucose 129 mg/dL (78-264 mg/dL). With sensitivity of 73.68%, 97.67% of specificity, positive predictive value 77.78%, negative predictive value 97.10%, the positive likelihood ratio was 31.59 and the negative likelihood ratio 0.27.Currently, diagnostic devices for tactile sensory loss are not readily available in our country; therefore, the results of this research will help to make the diagnosis of the MMU timely, inexpensive and easily accessible.

Introducción: el autoconcepto es una estructura mental de carácter psicosocial, ligada a la personalidad, que se construye con base en la experiencia, compuesta por tres elementos; el físico, el conductual y el afectivo. Objetivo: analizar el autoconcepto en residentes de Medicina Familiar (MF) posterior a una intervención educativa activa participativa. Material y métodos: en un diseño de pre-posprueba se aplicó la estrategia educativa a 20 residentes de primer grado de MF, durante 14 sesiones, cada una de dos horas de duración. Mediante una escala de diferencial semántico se midió el autoconcepto en cinco dimensiones. Resultados: el grupo de estudio presentó un promedio de 27.2 años ± 2.9 con un intervalo de 24 a 38 años. En la dimensión Social Normativa (SN) predominó la característica de: amable, honesto, leal, respetuoso y trabajador. Para Social Expresivo (SE) fue de sincero. Expresivo Afectivo (EA): sentimental, detallista, cariñoso y romántico. Para Intelectual (I) fue la de aplicado y ordenado. En la dimensión Rebelde (R) predominó la percepción de enojón, travieso y voluble. El autoconcepto no mostró diferencias grupales estadísticamente significativas antes y después de la intervención, sin embargo, al comparar por género, la U de Mann Whitney mostró significancia en la que la mujer se percibe más así misma como: trabajadora, responsable, cariñosa, sentimental y menos rebelde que el hombre. Conclusiones: la intervención educativa no mostró cambios grupales significativos en el desarrollo del autoconcepto, pero si en cuanto al género en algunas dimensiones y características, fue más evidente para el sexo femenino que para el masculino.