Docta Complutense
Open Access Institutional Repository of the Complutense University of Madrid, that compiles scientific production to promote the visibility and impact of Complutense research.
With the collaboration of the Ministerio de Ciencia e Innovación and the Spanish Foundation for Science and Technology (FECYT).
Recent Submissions
Is pharmacologic treatment better than neural mobilization for cervicobrachial pain? A randomized clinical trial
(International Journal of Medical Sciences, 2018) Calvo Lobo, César; Unda Solano, Francisco; López López, Daniel; Sanz Corbalán, Irene; Romero Morales, Carlos; Palomo López, Patricia; Seco Calvo, Jesús; Rodríguez Sanz, David
Purpose: This study aim was to compare the effectiveness of the median nerve neural mobilization (MNNM) and cervical lateral glide (CLG) intervention versus oral ibuprofen (OI) in subjects who suffer cervicobrachial pain (CP).
Methods: This investigation was a, multicenter, blinded, randomized controlled clinical trial (NCT02595294; NCT02593721). A number of 105 individuals diagnosed with CP were enrolled in the study and treated in 2 different medical facilities from July to November 2015. Participants were recruited and randomly assigned into 3 groups of 35 subjects. Intervention groups received MNNM or CLG neurodynamic treatments, and the (active treatment) control group received an OI treatment for 6 weeks. Primary outcome was pain intensity reported through the Numeric Rating Scale for Pain (NRSP). Secondary outcomes were physical function involving the affected upper limb using the Quick DASH scale, and ipsilateral cervical rotation (ICR) using a cervical range of motion (CROM) device. Assessments were performed before and 1 hour after treatment for NRSP (baseline, 3 and 6 weeks) and CROM (baseline and 6 weeks), as well as only 1 assessment for Quick DASH (baseline and 6 weeks).
Results: Repeated-measures ANOVA intergroup statistically significant differences were shown for CP intensity (F(2,72) = 22.343; P < .001; Eta2 = 0.383) and Quick DASH (F(2,72) = 15.338; P < .001; Eta2 = 0.299), although not for CROM (F(2,72) = 1.434; P = .245; Eta2 = 0.038). Indeed, Bonferroni´s correction showed statistically significant differences for CP intensity (P < .01; 95% CI = 0.22 - 3.26) and Quick DASH reduction (P < .01; 95% CI = 8.48 - 24.67) in favor of the OI treatment at all measurement moments after baseline.
Conclusions: OI pharmacologic treatment may reduce pain intensity and disability with respect to neural mobilization (MNNM and CLG) in patients with CP during six weeks. Nevertheless, the non-existence of between-groups ROM differences and possible OI adverse effects should be considered.
The effect of shrubs on tree recruitment differs between planted and secondary forests
(Forest Ecology and Management, 2025) Cruz Alonso, Verónica; Ruiz Benito, Paloma; Andivia Muñoz, Enrique; Rey Benayas, José María; Villar Salvador, Pedro
Recruitment of tree species is a bottleneck for forest regeneration, particularly in water-limited environments, such as Mediterranean forests. Despite nurse shrubs facilitating tree recruitment in adverse environments, we lack information on the facilitative role of functionally different shrubs while considering previous land uses. This study evaluates the effect of shrubs on tree recruitment in planted and secondary forests along environmental gradients, assessing how recruitment depends on the identity of shrub functional types and the beneficiary tree species. We used the Spanish Forest Inventory database to calculate tree recruitment for main tree species (pines or oaks) and shrub abundance in forests of central Spain. We fitted generalised linear mixed models of tree juvenile abundance and seedling occurrence to test the effect of shrub crown volume and forest type, considering all shrub species and the main families. Forest type (planted or secondary) modulated the relationship between shrub volume and tree juvenile abundance per species, but had a more limited effect on seedling occurrence. In some cases, planted forests reduced the effects of shrub volume on recruitment compared to secondary forests or promoted hump-shaped responses, with a peak at moderate shrub volumes. In general, juvenile abundance was less affected by shrubs than by forest type, being higher in secondary forests, especially for oak species. We also found species-specific relationships of shrub volume with tree recruitment. Occurrence of Q. ilex seedlings was strongly associated with various shrub families, while only one shrub family at most was related to the recruitment of the rest of tree species.
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