Person: Ramos Álvarez, Juan José
Universidad Complutense de Madrid
Faculty / Institute
Radiología, Rehabilitación y Fisioterapia
Educación Física y Deportiva
Now showing 1 - 6 of 6
- PublicationUltrasound-guided percutaneous lavage of calcific bursitis of the medial collateral ligament of the knee: a case report and review of the literature(2016-08) Del Castillo, Federico; Ramos Álvarez, Juan José; González Pérez, José; Jiménez Herranz, Elena; Rodriguez Fabián, GuillermoOBJECTIVES: Calcification of the medial collateral ligament (MCL) of the knee is rare. The literature reports no positive outcomes when conservative treatment has been followed. This paper reports a case of such calcification and its treatment using ultrasound-guided percutaneous lavage (UGPL). METHODS: A 66-year-old patient presented with medial knee pain. X-ray, ultrasound, and magnetic resonance (MR) examinations revealed calcific bursitis of the MCL, which was treated by UGPL. RESULTS: One month after treatment the patient was asymptomatic. X-ray, ultrasound, and MR examinations confirmed the almost complete disappearance of the calcification; only very tiny fragments remained. CONCLUSIONS: Calcific bursitis of the MCL of the knee is very uncommon, but should be taken into account in differential diagnoses for medial knee pain. UGPL is proposed as a treatment for this condition.
- PublicationValoración ergoespirométrica en futbolistas profesionales: estudio de la recuperación tras prueba de esfuerzo máxima(Universidad Complutense de Madrid, Servicio de Publicaciones, 2009-05-18) Ramos Álvarez, Juan José; Legido Arce, Julio César; Calderón Montero, Francisco JavierEl objetivo del estudio es conocer los valores ergoespirométricos de los futbolistas profesionales durante el esfuerzo máximo y la recuperación y comparar si existen diferencias significativas entre los diferentes puestos y entre jugadores de distinta categoría. Realizamos una prueba de esfuerzo directa en tapiz rodante, utilizando un protocolo incremental de velocidad a pendiente fija. (2Km.h-1,1%) cada dos minutos, hasta el agotamiento. La muestra está compuesta por 194 futbolistas profesionales varones de diferentes equipos de la liga de fútbol española. Ciento catorce jugadores pertenecían a equipos de primera división y ochenta a equipos de segunda división. La edad media era de 24,7 años. El consumo máximo de oxígeno obtenido es similar en todos los futbolistas profesionales independientemente de la categoría, sin embargo es mayor en los centrocampistas y significativamente inferior en los porteros. El porcentaje del umbral aeróbico y anaeróbico medido al inicio de la temporada era similar en todos los futbolistas, independientemente del puesto y la categoría. Los jugadores de segunda división tienen un consumo de oxígeno y una frecuencia cardiaca significativamente superior a los jugadores de primera división a los 3 minutos de recuperación. La ventilación también es mayor aunque sin diferencias significativas. La diferencia en los parámetros de recuperación entre las categorías, puede ser uno de los factores que sugieran una diferencia en el rendimiento en deportes que precisen esfuerzos intermitentes.
- PublicationExtracorporeal shockwaves versus ultrasound-guided percutaneous lavage for the treatment of rotator cuff calcific tendinopathy: a randomised controlled trial(Edizioni Minerva Medica, 2016-04) Del Castillo, Federico; Ramos Álvarez, Juan José; Rodriguez Fabián, Guillermo; González Pérez, José; Jiménez Herranz, Elena; Varela, EnriqueBACKGROUND: Extracorporeal shockwave treatment (ESWT) and ultrasound-guided percutaneous lavage (UGPL) are two effective ways of treating rotator cuff calcific tendinopathy (RCCT). AIM: The aim of the present study was to compare the effectiveness of these techniques in the treatment of RCCT. DESIGN: Prospective, randomized, controlled trial. SETTING: Patients treated in our sports medicine and rehabilitation center (Centro Médico Deyre, Madrid. Spain) between January 2007 and December 2013. METHODS: This randomized study compares the results achieved with these techniques over one year following their use to treat the above condition. Eighty patients received ESWT and 121 received UGPL. A visual analogue scale was used to measure pain, and ultrasound to determine the extent of calcification, at 3, 6, and 12 months after treatment. RESULTS: Pain and the amount of calcification were significantly reduced by both techniques at 3, 6 and 12 months (P<0.001 for each), but significantly more so by UGPL (P<0.001). CONCLUSIONS: Both techniques are valid for the treatment of RCCT, although UGPL is associated with a greater reduction of calcification and greater reduction in pain. CLINICAL REHABILITATION IMPACT: The results obtained applying UGPL, the low cost and the lack of complications should therefore make the treatment of choice in centers that are appropriately equipped and staffed.
- PublicationIntratissue Percutaneous Electrolysis vs Corticosteroid Infiltration for the Treatment of Plantar Fasciosis(2018-02) Iborra Marcos, Álvaro; Ramos Álvarez, Juan José; Rodríguez Fabián, Guillermo; López Román, Antonio; Polo Portés, Carlos Eduardo; Villanueva, ManuelBACKGROUND: Corticosteroid infiltration (CI) is commonly used for treatment of plantar fasciosis. In recent years, however, interest has grown in the use of intratissue percutaneous electrolysis (EPI) for the treatment of tendinopathies. The aim of our study was to compare the effectiveness of the above techniques in the treatment of plantar fasciosis. METHODS: The results achieved over a period of 1 year following the use of these techniques to treat plantar fasciosis were examined. There were 64 patients; 32 of whom were treated with ultrasound-guided EPI and 32 with ultrasound-guided CI. A clinical examination was performed and ultrasound taken before treatment and at 3, 6, and 12 months. Clinical assessments were made using a visual analog scale (VAS) to record pain and the Foot and Ankle Disability Index (FADI) to evaluate function. Ultrasound was used to determine the thickness of the plantar fascia. RESULTS: Both the ultrasound-guided EPI and CI techniques were associated with significant clinical and echographic improvements at 12 months post-treatment ( P < .001). CONCLUSION: Both techniques were effective in the treatment of PF, providing excellent VAS pain and FADI results at 12 months. However, CI required fewer patient visits and appeared to provide somewhat better VAS and FADI results.
- PublicationTreatment of the rotator cuff by ultrasound-guided percutaneous needle lavage. Two years prospective study(2014) Del Castillo González, Federico; Ramos Álvarez, Juan José; Rodríguez Fabián, Guillermo; González Pérez, JoséBackground: to evaluate the short and long term effectiveness of ultrasonography (US)-guided percutaneous needle lavage in calcific tendinopathy of the rotator cuff. To study the evolution of the size of calcifications and pain in the two years after treatment. Methods: study design: A 2 year longitudinal prospective study is carried out after applying the UGPL technique on a number of patients diagnosed with calcific tendinitis of the rotator cuff. Clinical, ultrasound and radiology follow-up controls were performed, 3 months, 6 months, one year and two years after the treatment. The Visual Analog Scale (VAS) was used to assess the pain. The degree and point of pain is selected on a 10 cm line, arranged horizontally or vertically. The “0” represents no pain and “10” represents worst pain. The population studied was made up of 121 patients that required our service as a result of suffering from a painful shoulder. Results: the pain (VAS) and the size of the calcification significantly decreased with the application of the technique (p< 0,001 in both cases) and regardless of the sex (p: 0.384 for pain and p: 0.578 for the size of the calcification). This occurred from the first check-up (3 months) and was maintained for two year. Conclusions: we consider this technique to be a valid alternative as a first-choice treatment of calcific tendinitis of the shoulder. The intervention is simple, cost-effective, does not require hospitalization, involves no complications, rehabilitation treatment is not required and it shows very few side effects without sequelae, significantly reducing the size of the calcification and pain in the majority of patients.
- PublicationInfluence of Beetroot Juice Ingestion on Neuromuscular Performance on Semi-Professional Female Rugby Players: A Randomized, Double-Blind, Placebo-Controlled Study(MDPI, 2022-11-12) López Samanes, Álvaro; Ramos Álvarez, Juan José; Miguel Tobal, Francisco; Gaos, Sofía; Jodra, Pablo; Arranz Muñoz, Raquel; Domínguez, Raúl; Montoya Miñano, Juan JoséPurpose: Beetroot juice (BRJ) is considered an ergogenic aid with good to strong evidence for improving human performance in sport modalities with similar demands to rugby. However, most of the studies were realized in male athletes with limited evidence in female athletes. Thus, the aim of this study was to explore the acute ingestion of BRJ in female rugby players. Methods: Fourteen semi-professional female rugby players (25.0 ± 3.7 years) belonging to a team from the First Spanish Female Rugby Division participated in this study. Participants were randomly divided into two groups that realized a neuromuscular battery after BRJ (140mL, 12.8 mmol NO3−) or placebo (PLAC, 140 mL, 0.08 mmol NO3−) ingestion on two different days separated by one week between protocols. The neuromuscular test battery consisted of a countermovement jump (CMJ), isometric handgrip strength (i.e., dominant), 10-m and 30-m sprint, agility t-test and Bronco test. Afterwards, participants reported a rate of perception scale (6–20 points) and side effects questionnaire associated with BRJ or PLAC ingestion. Results: Statistically significant improvements were observed in CMJ (7.7%; p = 0.029; ES = 0.62), while no differences were reported in dominant isometric handgrip strength (−1.7%; p = 0.274; ES = −0.20); 10-m and 30-m sprint (0.5–0.8%; p = 0.441–0.588; ES = 0.03–0.18); modified agility t-test (−0.6%; p = 0.503; ES = −0.12) and Bronco test (1.94%; p = 0.459; ES = 0.16). Conclusions: BRJ ingestion could improve neuromuscular performance in the CMJ test, while no differences in sprint (10-m and 30-m sprint test), agility, isometric handgrip strength and endurance performance (i.e., Bronco test) were reported