Person: Díaz Arribas, María José
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First Name
María José
Last Name
Díaz Arribas
Affiliation
Universidad Complutense de Madrid
Faculty / Institute
Enfermería, Fisioterapia y Podología
Department
Radiología, Rehabilitación y Fisioterapia
Area
Fisioterapia
Identifiers
10 results
Search Results
Now showing 1 - 10 of 10
Item Convergent Validity between Electromyographic Muscle Activity, Ultrasound Muscle Thickness and Dynamometric Force Measurement for Assessing Muscle(Sensors, 2023) Varol, Umut; Navarro Santana, Marcos J.; Valera Calero, Juan Antonio; Antón-Ramírez, Sergio; Álvaro-Martínez, Javier; Díaz Arribas, María José; Fernández-de-las-Peñas, César; Plaza Manzano, GustavoMuscle fatigue is defined as a reversible decline in performance after intensive use, which largely recovers after a resting period. Surface electromyography (EMG), ultrasound imaging (US) and dynamometry are used to assess muscle activity, muscle morphology and isometric force capacity. This study aimed to assess the convergent validity between these three methods for assessing muscle fatigue during a manual prehension maximal voluntary isometric contraction (MVIC). A diagnostic accuracy study was conducted, enrolling 50 healthy participants for the measurement of simultaneous changes in muscle thickness, muscle activity and isometric force using EMG, US and a hand dynamometer, respectively, during a 15 s MVIC. An adjustment line and its variance (R2) were calculated. Muscle activity and thickness were comparable between genders (p > 0.05). However, men exhibited lower force holding capacity (p < 0.05). No side-to-side or dominance differences were found for any variable. Significant correlations were found for the EMG slope with US (r = 0.359; p < 0.01) and dynamometry (r = 0.305; p < 0.01) slopes and between dynamometry and US slopes (r = 0.227; p < 0.05). The sample of this study was characterized by comparable muscle activity and muscle thickness change between genders. In addition, fatigue slopes were not associated with demography or anthropometry. Our findings showed fair convergent associations between these methods, providing synergistic muscle fatigue information.Item The added value of face-to-face supervision to a therapeutic exercise-based app in the management of patients with chronic low back pain: A randomized clinical trial(Sensors, 2024) López Marcos, José Javier; Díaz Arribas, María José; Valera Calero, Juan; Navarro Santana, Marcos José; Izquierdo García, Juan; Ortiz Gutiérrez, Rosa; Plaza Manzano, GustavoLow back pain (LBP) is a significant global health challenge due to its high prevalence, and chronicity and recurrence rates, with projections suggesting an increase in the next years due to population growth and aging. The chronic and recurrent nature of LBP, responsible for a significant percentage of years lived with disability, underscores the need for effective management strategies, including self-management strategies advocated by current guidelines, to empower patients and potentially improve healthcare efficiency and clinical outcomes. Therefore, the aim of this study was to analyze the added value of face-to-face visits in patients with chronic LBP undergoing a self-management program based on therapeutic exercises on pain intensity, disability, quality of life and treatment adherence and satisfaction. A randomized clinical trial was conducted, allocating 49 patients into a experimental group with a mobile health (mHealth) app usage and face-to-face sessions and 49 patients into an active control group without face-to-face sessions. Pain intensity, disability and quality of life were assessed at baseline, 4 weeks postintervention and 12 weeks postintervention. Patients’ satisfaction and adherence were assessed at the end of the study. The multivariate general model revealed no statistically significant time × group interaction for any outcome (p > 0.0068) but mental quality of life (p = 0.006). Within-group differences revealed significant improvements for all the clinical indicators (all, p < 0.001). Patients allocated to the experimental group reported greater satisfaction and adherence (both, p < 0.001) compared to the control group. The use of mHealth apps such as Healthy Back® as part of digital health initiatives may serve as a beneficial approach to enhance the management of LBP.Item Electromyographic activity of the pelvic floor muscles and internal oblique muscles in women during running with traditional and minimalist shoes: a cross-over clinical trial(Sensors, 2023) García-Arrabé, María; García Fernández, Pablo; Díaz Arribas, María José; López Marcos, José Javier; González de la Flor, Ángel; Estrada-Barranco, Cecilia; Roy, Jean-SébastienThe study aimed to investigate the effects of footwear on the electromyographic (EMG) activity of pelvic floor muscles (PFMs) and internal oblique (IO) muscles during running at different speeds. The study also aimed to explore the correlation between EMG activity of PFMs and IO muscles and participants’ morphological characteristics. Ten nulliparous female runners were included in the study. The participants ran for 90 s at speeds of 9, 11, and 13 km/h wearing both traditional and minimalist shoes. EMG outcomes were presented as a percentage of maximum voluntary contraction (%MVC). Comparative analysis was conducted using the Wilcoxon rank test. Correlational analysis was performed using the Rho–Spearman correlation coefficient. The %MVC for the IO muscles was significantly lower when using minimalist shoes compared to traditional shoes (p = 0.04). No statistically significant differences were found for the PFMs (p > 0.05). The study also observed large correlations between age and %MVC of the PFMs and IO muscles (rho = −0.64; p = 0.04). Minimalist shoes decreased the activity of IO muscles in female runners. However, no significant differences in EMG activity of PFMs were found when comparing traditional and minimalist footwear. The long-term effects of minimalist footwear on EMG activity of PFMs and IO muscles, as well as their relationship to morphological characteristics, require further investigation.- Project number: 136
Item Banco de recursos didácticos sobre Métodos Específicos de Intervención en Fisioterapia(2020) Arranz Escudero, Adrián; Ceniza Bordallo, Guillermo; Díaz Arribas, María José; González Ordi, Héctor; López Marcos, José Javier; Plaza Manzano, Gustavo; Martín Casas, Patricia Item Fisioterapia en la lumbalgia mecánica con el método de cadenas musculares y articulares G.D.S.(2016) Díaz Arribas, María José; Pardo Hervás, Pedro JesúsItem An Educational, Exercise and Occupational Therapy-Based Telerehabilitation Program versus ‘Wait-and-See’ for Improving Self-Perceived Exertion in Patients with post-COVID Fatigue and Dyspnea: A Randomized Clinical Trial(American Journal of Physical Medicine & Rehabilitation, 2024) Calvo Paniagua, José; Díaz Arribas, María José; Valera Calero, Juan Antonio; Ramos Sánchez, Mabel; Fernández de las Peñas, César; Navarro Santana, Marcos José; Del Corral Núñez-Flores, Tamara; Plaza Manzano, GustavoObjective To compare the effectiveness of a tele-rehabilitation exercise program versus ‘wait-and-see’ on physical exertion, quality of life, dyspnea severity, heart rate and oxygen saturation in patients with post-COVID fatigue and dyspnea. Design Sixty-four patients were enrolled in this randomized clinical trial. A tele-rehabilitation program based on patient education, physical activity, airway clearing, and breathing exercise interventions was conducted. Self-perceived physical exertion during daily living activities, dyspnea severity, health-related quality of life and physiological outcomes and the 6-minute walking test (6MWT) were assessed at baseline, after the program and at 1- and 3-months follow-up periods. Results The experimental group experienced greater improvements in self-perceived physical exertion during daily living activities, dyspnea severity, health-related quality of life and 6MWT (all, p < 0.001). Additionally, patients undergoing the tele-rehabilitation program reported lower exertion scores at rest and after the 6MWT (both, p < 0.001). Between-group oxygen saturation differences were found at rest (p < 0.001), but not after the 6MWT (p = 0.024). Finally, significant between-group differences were found for heart rate after the 6MWT (p < 0.001). Conclusion Although both groups showed a significant improvement after 3 months of follow-up, the group receiving the tele-rehabilitation program described a greater improvement compared with the group receiving no intervention.- Project number: PIMCD279/23-24
Item Desarrollo de una herramienta digital interactiva para asistir a la docencia de los contenidos de la asignatura de Métodos en Fisioterapia Musculoesquelética(2024) Plaza Manzano, Gustavo; Díaz Arribas, María José; López Marcos, José Javier; Montalvo Verde, Jesús Manuel; Navarro Santana, Marcos José; Rabanal Rodríguez, Gabriel; Ramos Sánchez, Mabel; Sánchez Barroso, Lara; Valera Calero, Juan AntonioEl proyecto de innovación docente “Desarrollo de una herramienta digital interactiva para asistir a la docencia en Fisioterapia” tiene como objetivo mejorar la enseñanza de la asignatura de Métodos en Fisioterapia Musculoesquelética, dirigida a estudiantes de tercer año del Grado en Fisioterapia. Este proyecto busca capacitar a los estudiantes en el diagnóstico y tratamiento del síndrome de dolor miofascial, una condición prevalente caracterizada por puntos gatillo miofasciales que provocan dolor referido y disfunción motora. La herramienta desarrollada es una aplicación digital interactiva denominada MyofAPPcial, compatible con dispositivos iOS y Android, que permite a los estudiantes dibujar y analizar patrones de dolor en diagramas de mapas corporales. La aplicación utiliza aprendizaje automático para comparar los patrones de dolor con una base de datos de imágenes, sugiriendo posibles ubicaciones de los puntos gatillo. El proyecto se estructuró en varios objetivos clave: desarrollo del software, evaluación de la percepción de los estudiantes mediante encuestas de usabilidad, y pruebas de conocimiento antes y después de la implementación de la herramienta. Los resultados mostraron una alta precisión en la identificación de puntos gatillo y una mejora significativa en la capacidad diagnóstica de los estudiantes tras el uso de la aplicación. Las encuestas revelaron una satisfacción general alta con la aplicación, destacando su utilidad, facilidad de uso y conveniencia. La implementación de MyofAPPcial en la docencia de fisioterapia no solo mejora las competencias diagnósticas y de razonamiento de los estudiantes, sino que también ofrece un enfoque interactivo y práctico que complementa la formación teórica. La aplicación ha demostrado ser una herramienta valiosa tanto en el ámbito educativo como en la práctica clínica, optimizando el tiempo y los recursos disponibles y mejorando los resultados en el tratamiento del síndrome de dolor miofascial. Item Reliability of panoramic ultrasound in assessing rectus femoris size, shape, and brightness: an inter-examiner study(Bioengineering, 2024) Buffet García, Jorge; Plaza Manzano, Gustavo; Varol, Umut; Ríos León, Marta; Díaz Arribas, María José; Álvarez González, Javier; Sánchez Jorge, Sandra; Valera Calero, Juan AntonioExtended field-of-view ultrasound (US) imaging, also known as panoramic US, represents a technical advance that allows for complete visualization of large musculoskeletal structures, which are often limited in conventional 2D US images. Currently, there is no evidence examining whether the experience of examiners influences muscle shape deformations that may arise during the glide of the transducer in panoramic US acquisition. As no studies using panoramic US have analyzed whether two examiners with differing levels of experience might obtain varying scores in size, shape, or brightness during the US assessment of the rectus femoris muscle, our aim was to analyze the inter-examiner reliability of panoramic US imaging acquisition in determining muscle size, shape, and brightness between two examiners. Additionally, we sought to investigate whether the examiners’ experience plays a significant role in muscle deformations during imaging acquisition by assessing score differences. Shape (circularity, aspect ratio, and roundness), size (cross-sectional area and perimeter), and brightness (mean echo intensity) were analyzed in 39 volunteers. Intraclass correlation coefficients (ICCs), standard error of measurements (SEM), minimal detectable changes (MDC), and coefficient of absolute errors (CAE%) were calculated. All parameters evaluated showed no significant differences between the two examiners (p > 0.05). Panoramic US proved to be reliable, regardless of examiner experience, as no deformations were observed. Further research is needed to corroborate the validity of panoramic US by comparing this method with gold standard techniques.Item A tele-health primary care rehabilitation program improves self-perceived exertion in COVID-19 survivors experiencing Post-COVID fatigue and dyspnea: A quasi-experimental study(PlosOne, 2022) Calvo Paniagua, José; Díaz Arribas, María José; Valera Calero, Juan Antonio; Gallardo Vidal, María Isabel; Fernández de las Peñas, César; López De Uralde Villanueva, Ibai Julio; Del Corral Núñez-Flores, Tamara; Plaza Manzano, GustavoBackground: Current evidence suggests that up to 70% of COVID-19 survivors develop post-COVID symptoms during the following months after infection. Fatigue and dyspnea seem to be the most prevalent post-COVID symptoms. Objective: To analyze whether a tele-rehabilitation exercise program is able to improve self-perceived physical exertion in patients with post-COVID fatigue and dyspnea. Methods: Sixty-eight COVID-19 survivors exhibiting post-COVID fatigue and dyspnea derived to four Primary Health Care centers located in Madrid were enrolled in this quasi-experimental study. A tele-rehabilitation program based on patient education, physical activity, airway clearing, and breathing exercise interventions was structured on eighteen sessions (3 sessions/week). Self-perceived physical exertion during daily living activities, dyspnea severity, health-related quality of life and distance walked and changes in oxygen saturation and heart rate during the 6-Minute walking test were assessed at baseline, after the program and at 1- and 3-months follow-up periods. Results: Daily living activities, dyspnea severity and quality of life improved significantly at all follow-ups (p<0.001). Additionally, a significant increase in oxygen saturation before and after the 6-Minute Walking test was found when compared with baseline (P<0.001). Heart rate adaptations at rest were found during the follow-up periods (P = 0.012). Lower perceived exertion before and after the 6-Minute Walking test were also observed, even if larger distance were walked (P<0.001). Conclusion: Tele-rehabilitation programs could be an effective strategy to reduce post-COVID fatigue and dyspnea in COVID-19 survivors. In addition, it could also reduce the economic burden of acute COVID-19, reaching a greater number of patients and releasing Intensive Unit Care beds for prioritized patients with a severe disease.- Project number: 109
Item Desarrollo de competencias emocionales mediante simulación de realidad virtual(2019) Mayor Silva, Luis Iván; Mohamedi Abdelkader, Samir; Blanco Rodríguez, José María; Díaz Arribas, María José; Orejana García, Angel Manuel; Moreda de Figueroa, Víctor; Martín Martín, ÓliverSe utilizara un simulador de realidad virtual para someter al alumno a una situación de tensión emocional lo más realista posible. En cada ensayo se obtendrá una puntuación y un feedback por videos para desarrollar las competencias emocionales.