Person: RodrÃguez Sanz, David
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First Name
David
Last Name
RodrÃguez Sanz
Affiliation
Universidad Complutense de Madrid
Faculty / Institute
EnfermerÃa, Fisioterapia y PodologÃa
Department
EnfermerÃa
Area
EnfermerÃa
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16 results
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Item Acute Effects of Intermittent Versus Continuous Bilateral Ankle Plantar Flexor Static Stretching on Postural Sway and Plantar Pressures: A Randomized Clinical Trial(Journal of Clinical Medicine, 2019) MartÃnez Jiménez, Eva MarÃa; Losa-Iglesias, Marta Elena; DÃaz-Velázquez, Jose Ignacio; Palomo-López, Patricia; López-López, Daniel; RodrÃguez Sanz, David; Calvo Lobo, César; Becerro De Bengoa Vallejo, RicardoBackground: Postural balance and fall efficacy (self-perceived confidence in performing daily physical activities) have been found to be risk factors associated with falls in older adults. Stretching is one intervention that has been investigated to improve balance and therefore reduce fall risk. Various forms of stretching have been evaluated with different outcomes, but there is a lack of knowledge about the effect of stretching (continuous and intermittent) on plantar pressures and balance. Therefore, the aim of the present study was to analyze the effects of stretching (continuous and intermittent) of the bilateral ankle plantar flexors on plantar pressures and static balance. Methods: A randomized clinical trial was carried out. Forty-eight healthy subjects (42 females and 6 males) were recruited in an outpatient clinic. Subjects were randomly assigned to an intermittent stretching group (five sets of 1 min; 15 s of rest) or a continuous stretching group (2 min of continuous stretching) of the plantar flexors. Plantar pressures and balance using stabilometry were measured before and after stretching. Results: There were significant differences between intermittent and continuous stretching in rearfoot maximum pressure, forefoot surface area, and center of pressure surface area with eyes open. Conclusions: Bilateral intermittent stretching of the ankle plantar flexors was found to be more effective than continuous stretching for the reduction of rearfoot maximum pressure and improved balance- Project number: PIMCD73/23-24
Item Utilización de la metodologÃa de Simulación clÃnica en la entrevista clÃnica para estudiantes de estudiantes de ciencias de la salud.(2024) MartÃnez Jiménez, Eva MarÃa; Becerro De Bengoa Vallejo, Ricardo; Zaragoza GarcÃa, Ignacio; Posada Moreno, MarÃa Paloma; Alcolea Palafox, Mauricio; Calvo Lobo, César; Pedraza Velasco, MarÃa Lourdes De; Pérez Boal, Eduardo; Casado Hernández, Israel; Soriano Medrano, Alfredo; RodrÃguez Sanz, David; Muñoz Sánchez, José Luis; RodrÃguez Sancho MarÃa José; MartÃnez Jiménez, Eva MarÃa Item Effectiveness between Dry Needling and Ischemic Compression in the Triceps Surae Latent Myofascial Trigger Points of Triathletes on Pressure Pain Threshold and Thermography: A Single Blinded Randomized Clinical Trial(Journal of Clinical Medicine, 2019) Benito de Pedro, MarÃa; Losa-Iglesias, Marta Elena; RodrÃguez Sanz, David; López-López, Daniel; CosÃn Matamoros, Julia MarÃa; Calvo Lobo, César; MartÃnez Jiménez, Eva MarÃa; Becerro De Bengoa Vallejo, RicardoBackground: Deep dry needling (DDN) and ischemic compression technic (ICT) may be considered as interventions used for the treatment of Myofascial Pain Syndrome (MPS) in latent myofascial trigger points (MTrPs). The immediate effectiveness of both DDN and ICT on pressure pain threshold (PPT) and skin temperature of the latent MTrPs of the triceps surae has not yet been determined, especially in athletes due to their treatment requirements during training and competition. Objective: To compare the immediate efficacy between DDN and ICT in the latent MTrPs of triathletes considering PPT and thermography measurements. Method: A total sample of 34 triathletes was divided into two groups: DDN and ICT. The triathletes only received a treatment session of DDN (n = 17) or ICT (n = 17). PPT and skin temperature of the selected latent MTrPs were assessed before and after treatment. Results: Statistically significant differences between both groups were shown after treatment, showing a PPT reduction (p < 0.05) in the DDN group, while PPT values were maintained in the ICT group. There were not statistically significant differences (p > 0.05) for thermographic values before and treatment for both interventions. Conclusions: Findings of this study suggested that ICT could be more advisable than DDN regarding latent MTrPs local mechanosensitivity immediately after treatment due to the requirements of training and competition in athletes’ population. Nevertheless, further studies comparing both interventions in the long term should be carried out in this specific population due to the possible influence of delayed onset muscle soreness and muscle damage on PPT and thermography values secondary to the high level of training and competition.Item Effects of tourniquet ischaemia and time safety in toe surgery(2014) Becerro De Bengoa Vallejo, Ricardo; López López, Daniel; Losa Iglesias, Marta Elena; Sánchez Gómez, Rubén; Palomo López, P.; Morales Ponce, A.; Soriano Medrano, Alfredo; RodrÃguez Sanz, DavidItem Effect of the cushioning running shoes in ground contact time of phases of gait(Journal of the mechanical behavior of biomedical materials., 2018) Roca Dols, Andrea; Losa Iglesias, Marta Elena; Sánchez Gómez, Rubén; Becerro De Bengoa Vallejo, Ricardo; López López, Daniel; RodrÃguez Sanz, David; MartÃnez Jiménez, Eva MarÃa; Calvo Lobo, CésarThe main objective of this research was to know how five different cushioning shoes may interfere in ground contact times of each gait phase of walking and running in contrast with barefoot condition. Thirty healthy sport recreational male runners participated in this study. They played over a treadmill wearing minimalist, Boost®, Ethyl-vinyl-acetate (EVA), Air® chamber and pronation-control cushioning shoes technologies and under barefoot condition, recording the last 30 s of walking and running at 5.17 km/h and 9 km/h respectively, while ground contact time duration of each phase of gait was recorded with circular standard pressure sensors located on plantar feet. During walking, the heel contact phase was the station that increased significantly ground contact times wearing all sole cushioning shoes (p < 0.001), excepting no sole shoes (minimalist), versus barefoot condition, being Air® chamber the model that showed the highest times of contact floor versus barefoot (0.28 ± 0.08 ms and 0.23 ± 0.12 ms vs 0.12 ± 0.07 ms and 0.18 ± 0.07 ms in heel contact during midstance phases, respectively). During running, propulsion phase was the station that showed the highest spent times on ground contact with the floor under all shoe conditions, even with minimalist, being again Air® chamber the model with higher significant times in two of three phases versus barefoot (0.11 ± 0.04 ms and 0.16 ± 0.11 ms vs 0.09 ± 0.03 ms and 0.10 ± 0.02 ms in midstance and propulsion phases respectively). Air chamber® was the model too with the most switch ratio to forefoot strike pattern (0.07 ± 0.10 ms to 0.16 ± 0.11 from heel contact to propulsion phase, respectively). In conclusion, a ground contact times increase using all cushioning running shoes compared with barefoot condition was shown in both walking and running test.Item An Automated Blood Pressure Display for Self-Measurement in Patients with Chronic Kidney Disease (iHealth Track): Device Validation Study(JMIR mHealth and uHealth, 2020) Mazoteras Pardo, Victoria; Becerro De Bengoa Vallejo, Ricardo; Losa Iglesias, Marta Elena; López López, Daniel; Calvo Lobo, César; RodrÃguez Sanz, David; MartÃnez Jiménez, Eva MarÃa; Palomo López PatriciaBackground: Hypertension is a global public health issue and is closely related to chronic kidney disorder (CKD). In people with CKD, strict monitoring of blood pressure is an important part of therapy. Objective: The aim of this research was to validate the iHealth Track blood pressure monitoring device for patients with CKD according to the European Society of Hypertension International Protocol 2010 (ESH-IP2). Methods: In total, 33 patients who received hemodialysis in Plasencia participated in the study. There were 9 successive measurements made, which conformed to the ESH-IP2. We calculated the differences between the standard reference device (Omron M3 Intellisense) and the test device (iHealth Track) for blood pressure and heart rate values. For 99 total comparisons of paired measurements, we classified differences into various categories (≤5 mmHg, ≤10 mmHg, and ≤15 mmHg for blood pressure; ≤3, ≤5, and ≤8 beats per minute for heart rate). Results: In 90 of 99 systolic blood pressure and 89 of 99 diastolic blood pressure comparisons between the devices, measurement differences were within 5 mmHg. In 81 of 99 heart rate comparisons between the devices, measurement differences were within 3 beats per minute. The mean differences between the test and reference standard measurements were 3.27 (SD 2.99) mmHg for systolic blood pressure, 3.59 (SD 4.55) mmHg for diastolic blood pressure, and 2.18 (SD 2.75) beats per minute for heart rate. We also observed that for both systolic and diastolic blood pressure, 31 of 33 participants had at least two of three comparisons between the devices with measurement differences less than 5 mmHg. For heart rate, 28 of 33 patients had at least two of three comparisons between the devices with measurement differences less than 3 beats per minute. Conclusions: To our knowledge, this is the first study to show that iHealth Track meets the requirements of the ESH-IP2 in patients with CKD. Therefore, the iHealth Track is suitable for use in renal patients.Item Sex Differences in the Footprint Analysis During the Entire Gait Cycle in a Functional Equinus Condition: Novel Cross Sectional Research(Applied Sciences, 2019) Losa-Iglesias, Marta Elena; DÃaz-Velázquez, José Ignacio; Casado Hernández, Israel; Calvo Lobo, César; López-López, Daniel; RodrÃguez Sanz, David; MartÃnez Jiménez, Eva MarÃa; Becerro De Bengoa Vallejo, RicardoSome studies suggest that gender is related to gait. Females show significantly higher ankle motion and vertical ground reaction forces. Males have significantly larger plantar contact surface areas in all regions of the foot than females in most, but not all, prior studies. However, there is no research on sex differences in a functional equinus condition. In this study, 119 individuals, including 59 females (29.7 ± 5.15 years, 58.74 ± 6.66 kg, 163.65 ± 5.58 cm) and 60 males (31.22 ± 6.06 years, 75.67 ± 9.81 kg, 177.10 ± 6.16 cm), with a functional equinus condition walked onto a pressure platform. In two separate testing sessions, five trials of each foot were conducted for the first, second, and third steps. We measured the contact surface areas for each of the three phases of the stance phase. We computed the intraclass correlation coefficient and standard error of the mean to assess the reliability. We found significantly greater contact surface areas in males than females in the first, second, and third steps in all phases of the stance phase: heel strike, mid-stance, and take-off. This is important information for the design of footwear and orthotics and gender knowledge. In a functional equinus condition, males have registered greater contact surface areas than females in all phases of the dynamic footprint of the stance phase.Item Pressure and Traction technique improve Postural Control more than tactile stimulation in foot plantar fascia. A randomized single-blind trial.(Archives of Physical Medicine and Rehabilitation, 2020) Losa Iglesias ,Marta Elena; DÃaz Velázquez, José Ignacio; Palomo López, Patricia; López López, Daniel; MartÃnez Jiménez, Eva MarÃa; Becerro De Bengoa Vallejo, Ricardo; RodrÃguez Sanz, David; Calvo Lobo, CésarObjective To check the acute effects of manual pressure and traction technique on balance and plantar footprint variables. Design A single-blind clinical study with 2 groups. Setting Private practice. Participants Healthy participants (N=40; 28 female and 12 male) were recruited to carry out a single-blind study. Interventions Experimental group performed a bilateral plantar fascia manual pressure and traction technique. Control group performed a tactile stimulation. The position of the participant, the therapist, and the time of application of the techniques (5min) were the same for both interventions. Main Outcome Measures We measured stabilometry variables and static footprint. The footprint variables were divided in rear, middle, and front foot areas. Results Significant differences were found in stabilometry variables. There was an improvement in experimental group at X displacement with eyes open (P=.014) and surface eyes closed (P=.046) variables. Conclusions After technique the experimental group improved the stabilometry variables, specifically surface with eyes closed and X displacement with eyes open. The static footprint variables have not shown differences after the technique compared with the control group. Section snippets Participant characteristics Forty healthy participants (28 female and 12 male) were recruited to carry out a single-blind clinical study. The Ethics Committee of the University approved the study, number authorization 2111201814518, and all participants had to sign an informed consent. The protocol of this study was registered at ClinicalTrials.gov (No.: NCT03997955). The standards and guidelines recommended in the Council of Europe Convention on Human Rights and Biomedicine UNESCO Universal, the Declaration on the Human Results Subjects were 39.42±10.41 years old, had height of 167.65±8.39 cm, and weight of 67.72±9.11 kg. Table 1 shows all demographic data. A total of 24 of the 38 variables did not follow a normal distribution. Parametric tests were used in these variables. No results were obtained with statistically significant differences between the experimental group and the control group at baseline before therapy (table 2). There were statistically significant differences between the groups after therapy in the Discussion This study uses a pressure platform to measure the immediate effects of the manual pressure and traction technique of the plantar fascia on the static footprint and stabilometry compared with an active control group. After technique, the experimental group improved the stabilometry variables correctly, surface with eyes closed and X displacement with eyes open with significant differences. The static footprint variables have not shown differences after the technique compared with the control Conclusions Manual pressure and traction technique of the plantar fascia improved the stabilometry variables, surface with eyes closed and X displacement with eyes open. The static footprint variables have not shown differences after the technique compared with the control of tactile stimulation.Item The OptoGait Motion Analysis System for Clinical Assessment of 2D Spatio-Temporal Gait Parameters in Young Adults: A Reliability and Repeatability Observational Study(Applied Sciences, 2020) Carbajales-Lopez, Julia; Becerro De Bengoa Vallejo, Ricardo; Losa-Iglesias, Marta Elena; Casado Hernández, Israel; Benito-De Pedro, Maria; RodrÃguez Sanz, David; Calvo Lobo, César; San AntolÃn, MartaBackground: Walking clinical assessments are commonly used to check for possible gait modifications in healthy subjects, in patients with trauma or neurological conditions, or after a surgical procedure. Spatio-temporal walking variables are studied in depth to achieve a complete evaluation. The purpose of this study was to perform an observational study of the reliability and repeatability of the OptoGait portable photoelectric cell system. Methods: An observational study of the reliability and repeatability of the OptoGait portable photoelectric cell system was carried out. Results: Walking point, walking point gap, step width, and walking base variables, which are deeply related to gait and posture, have an almost perfect reliability. Conclusion: The OptoGait motion analysis device is a reliable system for clinical assessment of static and dynamic foot pressures. Clinicians should feel confident adding this analysis system to their daily professional tools where repeatable measures of gait measurements are important for diagnosis and treatment selection, and also compare efficacy or testing differences between different pathologic conditions. Further, these obtained data can be formed as a baseline for future studies, and to check a right sample size for new research that use the OptoGait motion analysis system.Item Dry needling of the flexor digitorum brevis muscle reduces postural control in standing: A pre-post stabilometric study.(Journal of Anatomy, 2023) MartÃnez Jiménez, Eva MarÃa; Losa Iglesias, Marta Elena; Mazoteras Pardo Victoria; López López, Daniel; Pereiro Buceta, Héctor; Calvo Lobo, César; RodrÃguez Sanz, David; Becerro De Bengoa Vallejo, Ricardo; Navarro Flores EmmanuelThere are studies that show the better balance after dry needling in lumbar pain. However, the postural control effects after foot dry needling are unknown. Our objective was to check if dry needling reduces postural control. Eighteen subjects with flexor digitorum brevis (FDB) muscle Myofascial trigger point were evaluated pre- and post-deep dry needling. We measured stabilometric variables in a pre-post study. We have found significant differences in three stabilometric variables: surface with eyes closed (29.36–53.21 mm2) (p = 0.000), medium speed of the laterolateral displacement with eyes closed (1.42–1.64 mm/s) (p = 0.004), and medium speed of the anteroposterior displacement with eyes closed (1.30–1.53 mm/s) (p = 0.025). Dry needling therapy application in FDB muscle reduces standing postural control with eyes closed.