Person: Rodríguez Sanz, David
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First Name
David
Last Name
Rodríguez Sanz
Affiliation
Universidad Complutense de Madrid
Faculty / Institute
Enfermería, Fisioterapia y Podología
Department
Enfermería
Area
Enfermería
Identifiers
7 results
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Now showing 1 - 7 of 7
Item Effectiveness of Eccentric Exercise and a Vibration or Cryotherapy Program in Enhancing Rectus Abdominis Muscle Thickness and Inter-Rectus Distance in Patients with Chronic Mid-Portion Achilles Tendinopathy: A Randomized Clinical Trial(International journal of medical sciences, 2018) Romero Morales, Carlos; Martín Llantino, Pedro Javier; Calvo Lobo, César; Beltran Alacreu, Hector; López-López, Daniel; Sánchez Gómez, Rubén; Rodríguez Sanz, DavidPurpose: Abdominal muscles are key in maintaining body stability and balance and an improvement in the functioning of these muscles could influence the rehabilitation process in lower limb pathologies such as Achilles Tendinopathy (AT). The aim was to explore whether calf eccentric exercise (EE) with vibration training was more effective at causing adaptation to the rectus anterior (RA) thickness and inter-rectus distance (IRD) than calf EE with cryotherapy. Methods: The investigation was a single-blinded, randomized, controlled clinical trial (NCT03515148). Sixty-one individuals diagnosed with mid-portion AT were recruited and divided in two groups: group A (n = 30) followed an EE with vibration program and group B (n = 31) an EE program with cryotherapy, for 12-weeks. RA muscle thickness and IRD were measured in maximal isometric contraction and at rest as an indication of superficial abdominal muscle activation. Results: IRD measures showed a significant (P < 0.05) decrease at baseline, 4 and at 12-weeks in both groups, but no significant differences were observed between the intervention groups. RA thickness was significantly increased (P < 0.05) in measures at baseline, 4 and 12-weeks showed a significant increase in maximal isometric contraction and at rest in favor of the EE vibration program group. Conclusions: The present study showed a RA thickness increase in both groups in favor of the EE vibration program with respect to cryotherapy added to EE in short and mid term in maximal isometric contraction and at rest in subjects with chronic mid-portion AT. IRD was decreased in both groups without between-groups differences.Item Novel Ultrasound Anatomical Measurement of the Deep Transverse Metatarsal Ligament: An Intra-Rater Reliability and Inter-Rater Concordance Study(Journal of Clinical Medicine, 2022) Ruiz Herrera, María del Mar; Marcos Tejedor, Félix; Aldana Caballero, Alberto; Calvo Lobo, César; Rodríguez Sanz, David; Moroni, Simone; Konschake, Marko; Mohedano Moriano, Alicia; Aceituno Gómez, Javier; Criado Álvarez, Juan JoséInsufficient space below the Deep Transverse Metatarsal Ligament (DTML) could be an etiological factor for Morton’s Neuroma (MN). To date, there is a lack of studies measuring the space below the DTML. For this reason, this study assesses the intra- and inter-rater concordance and reproducibility of measurements of the space below the DTML between the third and the fourth metatarsal heads (M3 and M4) using ultrasound imaging to assess and verify the reliability and reproducibility of measurements of the space under the DTML. Forty feet from twenty patients were examined using ultrasound by three trained evaluators at two different times. The two measurements taken on each foot were: base (b)—distance between M3 and M4, and height (h)—distance between the DTML and the plantar skin surface. This was a quantitative, observational, analytical study. The concordance rate between observers for measurements of height and base were 98.5% and 99.5%, respectively. The mean area obtained of the space was 54.6 mm2 and 57.2 mm2 for both the left and right foot (p > 0.05). Reproducibility over time calculated in pre- and post-measurements showed an intraclass correlation coefficient of 1.00 (95%CI: 0.99–1.00), which leads us to conclude that the measurements are perfectly reproducible. Both measurements (height and base) of the space under the DTML, performed by ultrasound, are reliable and reproducible.Item 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; Rodríguez Sanz, David; Martínez Jiménez, Eva María; 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 Effects of Myofascial Induction Therapy on Ankle Range of motion and Pressure Pain Threshold in trigger points of the gastrocnemius. A clinical trial.(Biomedicines, 2023) Martínez Jiménez, Eva María; Jiménez Fernández, Raquel; Corral Liria, Inmaculada; Rodríguez Sanz, David; Calvo Lobo, César; López López, Daniel; Pérez Boal, Eduardo; Trevissón Redondo, Bibiana; Grande del Arco, JessicaBackground: The myofascial induction technique (MIT) has been shown to increase shoulder range of motion (ROM) in breast cancer survivors and decrease pain pressure threshold over the radial nerve in patients with epicondylalgia. To the authors’ best knowledge, no study on trigger points and MIT has been published to date. The effect on ROM of latent trigger points is also unknown. Methods: A total of 20 twins with one latent trigger point of the gastrocnemius muscle were evaluated pre- and post-MIT in the calf. We measured static footprint variables in a pre–post study. Results: We found differences in PPT (p = 0.001) and no differences in ROM with knee flexed (p = 0.420) or stretched (p = 0.069). Conclusions: After Calf MIT, latent myofascial trigger points improve PPT but no change in ankle dorsiflexion with knee bent or knee flexed were found in non-restriction healthy subjects.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; Díaz Velázquez, José Ignacio; Palomo López, Patricia; López López, Daniel; Martínez Jiménez, Eva María; Becerro De Bengoa Vallejo, Ricardo; Rodríguez 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 Dry needling of the flexor digitorum brevis muscle reduces postural control in standing: A pre-post stabilometric study.(Journal of Anatomy, 2023) Martínez Jiménez, Eva María; Losa Iglesias, Marta Elena; Mazoteras Pardo Victoria; López López, Daniel; Pereiro Buceta, Héctor; Calvo Lobo, César; Rodríguez 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.Item Electromyography activity of triceps surae and tibialis anterior muscles related to various sports shoes(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; Palomo López, Patricia; Rodríguez Sanz, David; Calvo Lobo, CésarTriceps surae (TS) and tibialis anterior (TA) activation patterns have not yet been studied under different types of sport shoes. We hypothesized that sports shoes may reduce the activity patterns of these muscles in relation to barefoot condition. Thus, our main aim was to evaluate the activity patterns of TS and TA muscles in healthy people during all gait phases using five types of sport shoes with respect to barefoot condition. A total sample of thirty healthy participants, mean age 36.20 ± 8.50, was recruited in a podiatry laboratory following an observational research design. During walking and running, electromyography signals were recorded from TS and TA muscles using surface electrodes in the following experimental situations: 1.) barefoot, 2.) minimalist, 3.) pronated control, 4.) air chamber, 5.) ethyl-vinyl-acetate and 6.) boost. The TS and TA showed significant reductions (P < 0.05) in the peak amplitude of different sport shoes types with respect to the barefoot condition in different phases of the gait cycle during walking and running. Nevertheless, the boost sport shoe produced statistically significant increases in the peak amplitude of the gastrocnemius medialis muscle in comparison with the barefoot condition in the midstance phase of the gait cycle during running (P = 0.047). In addition, the pronation control and air chamber sport shoes produced statistically significant increases in the peak amplitude of the TA muscle with respect to the barefoot condition in the contact phase of the gait cycle (P = 0.021; P = 0.013), respectively, during running. Despite TS and TA muscles activity patterns seem to be reduced using different sport shoes types with respect to the barefoot condition in different phases of the gait cycle during walking and running, some sport shoes may increase this muscular activity in specific phases of the gait cycle during running.