Person: Martínez Jiménez, Eva María
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First Name
Eva María
Last Name
Martínez Jiménez
Affiliation
Universidad Complutense de Madrid
Faculty / Institute
Enfermería, Fisioterapia y Podología
Department
Enfermería
Area
Enfermería
Identifiers
8 results
Search Results
Now showing 1 - 8 of 8
Item Effects of Compressive Stockings and Standard Stockings in Skin Temperature and Pressure Pain Threshold in Runners with Functional Ankle Equinus Condition(Journal of Clinical Medicine, 2018) Martínez Jiménez, Eva María; Losa-Iglesias, Marta; Becerro De Bengoa Vallejo, Ricardo; Calvo Lobo, César; Rodríguez Sanz, David; Muñoz-García, Daniel; Pérez-Boal, Eduardo; López-López, DanielObjective: To assess clinical differences in the Achilles tendons of runners with ankle equinus wearing either compressive or standard stockings. Design: Case–control study. Methods: In this study, we conducted clinical examinations of 98 sportsmen (runners) with equinus, before and after 30 min of running on a treadmill; 49 runners wore compressive stockings and 49 wore standard stockings. Clinical assessments of the runners’ Achilles tendons were based on the pressure pain threshold (PPT) and skin temperature analysis. Results: Achilles tendon evaluations identified significant differences in skin temperature modification and PPT between the compressive and standard stocking groups. Conclusions: Based on our findings, we propose that higher skin temperatures are associated with lower pressure pain thresholds in the Achilles tendons of runners with ankle equinus.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; Díaz-Velázquez, José Ignacio; Casado Hernández, Israel; Calvo Lobo, César; López-López, Daniel; Rodríguez Sanz, David; Martínez Jiménez, Eva María; 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 Slow velocity of the center of pressure and high heel pressures may increase the risk of Sever’s disease: a case-control study(BMC Pediatrics, 2018) Rodríguez Sanz, David; Becerro De Bengoa Vallejo, Ricardo; López López, Daniel; Calvo Lobo, César; Martínez Jiménez, Eva María; Pérez Boal, Eduardo; Losa Iglesias, Marta Elena; Palomo Lopez, PatriciaBackground: This study determined if the body mass index, dynamic plantar-pressures, plantar surface contactarea, velocity of the centre of pressure (COP), gastrocnemius equinus, and gastrocnemius soleus equines are related to calcaneal apophysitis (Sever’s disease) in athletic children. Methods: This case-control study examined 106 boys enrolled in a soccer academy, including 53 with Sever’s disease and 53 age-matched healthy controls. The dynamic average and maximum peak plantar-pressures, plantar surface contact-area, and velocity of the COP were evaluated with a digital pressure sensor platform. Goniometry was used to measure the ankle dorsiflexion range of motion and thereby identify gastrocnemius equinus and gastrocnemius soleus equinus. Results: Participants with Sever’s condition had significantly higher BMI and peak plantar-pressures (maximum and average) at the heel (Cohen’s d > 3 for pressures) than the controls. Those with Sever’s disease also had significantly slower velocity of the COP (Cohen’s d > 3). Boys with Sever’s disease were also 8 times more likely to have bilateral gastrocnemius equinus than disease controls. Conclusions: High heel plantar pressure and low velocity of COP are related to Sever’s condition in boys, although it is not clear whether these factors predispose individuals to the disease or are consequences of the disease. Gastrocnemius ankle equinus could be a predisposing factor for Sever’s condition.Item Electromyographic Evaluation of the Impacts of Different Insoles in the Activity Patterns of the Lower Limb Muscles during Sport Motorcycling: A Cross-Over Trial(Sensors, 2019) Casado Hernández, Israel; Becerro De Bengoa Vallejo, Ricardo; Losa-Iglesias, Marta Elena; López-López, Daniel; Rodríguez Sanz, David; Martínez Jiménez, Eva María; Calvo-Lobo, CésarCustomized foot insoles (CFI) have been recognized to reduce the prevalence of foot disorders in sport. The aim of this study was to evaluate the effect of four types of CFI on the activity patterns of the lower limb muscles (LLM) in healthy people during sport motorcycling. Methods: This was a cross-over trial (NCT03734133. Participants were recruited from an outpatient foot specialist clinic. Their mean age was 33 ± 5.14 years. While participants were sport motorcycling in a simulator, the electromyography (EMG) function was registered for LLM via surface electrodes. Participants completed separate tests while wearing one of four types of CFI: (1) only polypropylene (58◦ Shore D), (2) selective aluminum (60 HB Brinell hardness) in metatarsal and first hallux areas and polypropylene elsewhere (58◦ Shore D), (3) ethylene vinyl acetate (EVA) (52◦ Shore A), and (4) standard EVA (25◦ Shore A) as the control. Results: The activity patterns of the LLM while sport motorcycling showed significantly lower peak amplitude for the selective aluminum CFI than the other types of CFI. Conclusion: EMG amplitude peaks for several LLM were smaller for the hardest CFI (selective aluminum 60 HB Brinell hardness) than the other CFIs (polypropylene 58◦ Shore D, EVA 52◦ Shore A, and standard EVA 25◦ Shore A), except for the fibularis longus in right curves that is increased when the knee touches the road increasing the stability.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) Martínez Jiménez, Eva María; Losa-Iglesias, Marta Elena; Díaz-Velázquez, Jose Ignacio; Palomo-López, Patricia; López-López, Daniel; Rodríguez 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 balanceItem 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 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, María; Losa-Iglesias, Marta Elena; Rodríguez Sanz, David; López-López, Daniel; Cosín Matamoros, Julia María; Calvo Lobo, César; Martínez Jiménez, Eva María; 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 Heel Height as an Etiology of Hallux Abductus Valgus Development: An electromagnetic Static and Dynamic First Metatarsophalangeal Joint Study(Sensors, 2019) Sánchez Gómez, Rubén; Becerro De Bengoa Vallejo, Ricardo; Losa-Iglesias, Marta Elena; Calvo-Lobo, César; Romero-Morales, Carlos; Martínez Jiménez, Eva María; Palomo-López, Patricia; López-López, DanielHallux abductus valgus (HAV) is a forefoot condition produced by extrinsic and intrinsic factors. Shoes with a high heel height and a typical narrow tip toe box can induce deviations in both the proximal phalanx of the hallux (PPH) and the first metatarsal (IMTT) bones. Nevertheless, the isolated role of heel height remains unclear in the development of HAV pathology. Objectives: The goal was to determine if the heel height increase of shoes without a narrow box toe could augment the PPH and IMTT deviation in frontal, sagittal, and transverse planes toward the first metatarsophalangeal joint (MPJ) and the first metatarsocuneiform joint (MCJ), respectively, during static and dynamic conditions in relation to precursor movements of HAV. Methods: Women with an average age of 25.10 ± 4.67 years were recruited in this cross-sectional study to assess the three planes of motion of PPH and IMTT while wearing high heels with heights at 3, 6, 9 cm and unshod conditions via sandals. The measurements used an electromagnetic goniometer device with sensors placed on medial aspects of the PPH and IMTT bones under static and dynamic conditions. Results: Wearing shoes with a 6 cm heel in dynamic condition may increase the PPH valgus and abduction deviation from 3.15 ± 0.10◦ to 3.46 ± 0.05◦ (p < 0.05) and from 1.35 ± 0.28◦ to 1.69 ± 0.30◦ (p < 0.001), respectively. In addition, a PPH abduction increase from 1.01 ± 0.36◦ to 1.31 ± 0.46◦ (p < 0.05) after wearing shoes with a 6 cm heel height was observed under static conditions. Conclusions: Wearing shoes with a heel height of 6 cm without a narrow box toe interference may produce PPH abduction and valgus deviations related to HAV formation.