Person: Becerro De Bengoa Vallejo, Ricardo
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First Name
Ricardo
Last Name
Becerro De Bengoa Vallejo
Affiliation
Universidad Complutense de Madrid
Faculty / Institute
EnfermerÃa, Fisioterapia y PodologÃa
Department
EnfermerÃa
Area
EnfermerÃa
Identifiers
36 results
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Now showing 1 - 10 of 36
Item The Relationship between Shoe Fitting and Foot Health of Persons with Down Syndrome: A Case Control Study(International Journal of Environmental Research and Public Health, 2018) Calvo Lobo, César; Ramos GarcÃa, Ana; Losa Iglesias, Marta; López-López, Daniel; RodrÃguez Sanz, David; Romero-Morales, Carlos; Becerro De Bengoa Vallejo, RicardoBackground: Down syndrome is the most common chromosomal abnormality and a cause of intellectual disability. It is also associated with orthopaedic and musculoskeletal problems of the locomotive apparatus, especially of the feet. These problems are believed to have a harmful effect on health, social functioning, and mobility. In addition, these persons generally don’t have access to podiatric health services, even when their foot problems are well known, because of limited access to healthcare facilities. The goal of our research was to evaluate and compare the foot health status of study participants with and without Down syndrome and to determine whether inadequate footwear is being used with normalized reference values. Methods: A total of 105 participants with and without Down syndrome, with a mean age of 35.71 (SD = 12.93) years, were enrolled in the study. They self-reported demographic data and their clinical characteristic data were recorded. Measurements of their foot and shoe fitting were taken at all stages of the research process. Ninety-two percent of the participants with Down syndrome had foot problems. Results: Only 12 (24%) participants with Down syndrome used bilateral shoes that met the requirements of their feet compared to their controls (50 participants, 90.9% for the right foot; 46 participants, 83.6% for the left foot). Participants with Down syndrome presented statistically significant differences with respect to controls and wore incorrectly sized shoe. Conclusions: Evaluation of foot length and width may prevent development of foot deformities, as well as to improve general health.Item Efficacy of Preoperative and Intraoperative Skin and Nail Surgical Preparation of the Foot in Reducing Bacterial Load(Dermatologic Surgery, 2010) Becerro De Bengoa Vallejo, Ricardo; Losa Iglesias, Marta Elena; Alou Cervera, Luis; Sevillano Fernández, David; Prieto Prieto, JoséBackground: A common problem associated with toenail removal surgery is the accompanying bacterial infection that often ensues. The foot has a particularly difficult anatomy to prepare antiseptically for surgery, which contributes to this wide-spread problem. Objective: To compare the antiseptic efficacy of two skin pretreatment methods before toenail avulsion surgery. Methods: Two presurgical methods were performed on 24 patients each (48 patients total). Swab samples were taken from each patient at five distinct stages (pretreatment, post-treatment, after surgery, after saline solution irrigation of the nail bed, and after phenol application) throughout the surgical procedure, and bacterial culture analysis was performed (total inocula count and identification of specific microorganisms). Results: We found both methods to be effective at reducing the initial bacterial load when used at pretreatment, but the reduction in bacterial load was lost after the nail avulsion surgery, achieving values similar to the initial bacterial load before the presurgical scrub, from 5.17 and 5.04 log(10) colony-forming units (CFU)/cm(2) to 4.86 and 5.07 log(10) CFU/cm(2), respectively. An interoperative irrigation step was effective in reducing the bacterial load by 95.2% and 95.3%, respectively. Study limitations: Our patients underwent phenol-based nail avulsion, resulting in no bacterial load after complete nail removal because of the intrinsic antiseptic nature of the phenol. Conclusions: Incorporation of intraoperative irrigation of sterile saline solution after nail avulsion surgery reduces potential bacterial load. Every effort should be made to lower the risk of contamination after nail plate avulsion.Item Impact of the Allergic Asthma on Foot Health-Related Quality of Life and Depression: A Novel Case-Control Research(Medicina, 2019) López-López, Daniel; Painceira-Villar, Roi; GarcÃa-Paz, Vanesa; Becerro De Bengoa Vallejo, Ricardo; Losa-Iglesias, Marta Elena; RodrÃguez Sanz, David; Calvo-Lobo, CésarBackground: Asthma may be considered as a non-communicable condition associated with higher bronchial responsiveness that may impair quality of life (QoL). Purpose: The research aim was to compare scores of depression, as well as general and foot health-related QoL, in patients who suffered from asthma with respect to healthy subjects. Methods: A total sample of 152 subjects, median age of 37.00 ± 16.00 years, were recruited from a respiratory and allergy department of a hospital and divided into patients with asthma (n = 76) and healthy subjects (n = 76). The scores of the Spanish foot health status questionnaire (SFHSQ) domains as well as the Spanish Beck’s Depression Inventory (BDI) scores and categories were collected. Results: The only statistically significant difference (p < 0.05) was shown for the difference of the FHSQ footwear domain establishing that patients who suffered from asthma presented a worse QoL related to foot health for footwear (lower FHSQ scores) compared to healthy matched-paired participants (higher FHSQ scores). Regarding the rest of the outcome measurements, there were no statistically significant differences (p > 0.05) for the other FHSQ domains scores as well as the BDI scores and categories. Conclusions: Patients with allergic asthma presented impairment of the QoL related to foot health for footwear, which seemed to be linked to the presence of asthma.Item Foot Arch Height and Quality of Life in Adults: A Strobe Observational Study(International Journal of Environmental Research and Public Health, 2018) López-López, Daniel; Vilar-Fernández, Juan; Barros-GarcÃa, Gonzalo; Losa-Iglesias, Marta; Palomo-López, Patricia; Becerro De Bengoa Vallejo, Ricardo; Calvo-Lobo, CesarBackground: Variations in the foot structure related with the high or low arch are identified common lower limb conditions, and it is supposed to be the effect on the quality of life (QoL) associated to foot health in adults. Here we aimed to determine the relationships between relatively high and low feet arches and QoL. Methods: A cross-sectional study was carried out. Among 138 adults enrolled in the study, 66 had a high arch, 21 had a low arch, and 51 were within the normal range. Changes related to the foot structure were analyzed using Area Calc version 2.6 software, and data obtained using the Foot-Health-Status-Questionnaire (FHSQ), whose domains were compared between foot arch groups by means of the one-way analysis of variance (ANOVA). Results: The results of the FHSQ comparison between the three groups within the sample population did not show any statistically significant difference (p > 0.05) for any domains of specific foot (pain, function, general health and footwear) and general (general health, physical activity, social function and vigor) health-related QoL. Conclusions: Specific foot and general health-related QoL did not seem to be influenced by the foot arch height between high, normal and low feet arches heights. Nevertheless, further studies with higher sample sizes and matched-paired groups should be carried out.Item Reliability and Repeatability of the Instrument for the Assessment of Stress in Nursing Students (ASNS)(Medicina, 2019) Losa-Iglesias, Marta Elena; Jiménez-Fernández, Raquel; Alameda-Cuesta, Almudena; Cid-Exposito, Maria Gema; Rodriguez-Vazquez, RocÃo; Becerro De Bengoa Vallejo, RicardoBackground and objectives: Stress in nursing students is a very common experience, especially when they face clinical practice. The aims of this study were to perform a transcultural adaptation and to examine the reliability and repeatability of the Instrument for the Assessment of Stress in Nursing Students for a Spanish population. Methods: A test–retest analysis was carried out in two face-to-face sessions with the students with a lapse of 10 days between the two sessions. A cross-sectional descriptive study was carried out between the months of May and June 2018. Sixty-four nursing students were recruited with a consecutive sampling method that targeted individuals in the freshman class. Results: A good internal consistency was shown for the total score (α = 0.8861) and for each of the six domains. The test–retest reliability, using the Wilcoxon paired test, was not significant, indicating no differences between the total scores or the domain scores (p ≥ 0.05). Finally, Bland and Altman plots of visual distributions did not show differences between the total scores and the domain scores. Conclusion: The Instrument for the Assessment of Stress in Nursing Students was shown to be a reliable tool for measuring stress factors among Spanish nursing students.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) MartÃnez Jiménez, Eva MarÃa; Losa-Iglesias, Marta; Becerro De Bengoa Vallejo, Ricardo; Calvo Lobo, César; RodrÃguez Sanz, David; Muñoz-GarcÃa, 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.- Project number: 210
Item Obtención de imágenes anatómicas de articulaciones correlacionadas con imágenes de resonancia magnética para el aprendizaje auto-dirigido de la anatomÃa topográfica del miembro inferior(2017) Murillo González, Jorge Alfonso; Barrio Asensio, MarÃa Del Carmen; Herrera Lara, Manuel Eugenio; Arráez Aybar, Luis Alfonso; Becerro De Bengoa Vallejo, Ricardo; Cabrera Parra, Walter; Gutierrez San José, MarÃa Begoña; Sotnikova, Yuliya; Murillo Barrio, JaimeSe trata de la continuación del PIMCD2015/166 titulado "Obtención de imágenes anatómicas de huesos y articulaciones correlacionadas con RX y RM para el aprendizaje auto-dirigido de la anatomÃa topográfica del miembro inferior". El volumnen de trabajo a realizar en el plazo establecido no nos ha permitido completar el apartado correspondiente a las articulaciones. En el presente proyecto, nos hemos planteado el desarrollo de un sistema interactivo para mejorar el proceso de enseñanza-aprendizaje en la docencia de la artrologÃa del miembro inferior, que pueda ser utilizado por los alumnos de Grado de Ciencias de la Salud. Su acceso será a través del campus virtual facilitando al alumno una herramienta dinámica de libre disposición durante el periodo en el que se imparte la asignatura de AnatomÃa, pudiendo disponer de las imágenes durante un tiempo superior al programado en el plan docente, lo que facilitará el estudio de una materia cuyo aprendizaje se basa sobre todo en la memoria visual. En una primera fase, se disecarán las articulaciones de la cadera, rodilla, tobillo y del resto del pie, para lo que se utilizarán piezas fijadas en formaldehÃdo al 10% procedentes del depósito del Departamento de AnatomÃa y EmbriologÃa Humanas. Una vez disecadas las articulaciones, se fotografiarán y, posteriormente, se identificarán y rotularán los elementos anatómicos. En una segunda fase, las imágenes de las articulaciones se correlacionarán con imágenes de Resonancia Magnética (RM) obtenidas a partir de pacientes; se seleccionarán las imágenes de RM más representativas en el estudio de las articulaciones del miembro inferior; se identificarán y rotularán los elementos anatómicos visualizados en las imágenes de RM seleccionadas. En una tercera fase, se va a desarrollar una aplicación informática que permita interactuar con las imágenes anatómicas y radiológicas. La aplicación se basa fundamentalmente en dos plantillas, una para la visualización y estudio de las imágenes anatómicas y de RM, con los distintos elementos anatómicos identificados y otra para comprobar los conocimientos adquiridos 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 Tarsal Tunnel Mechanosensitivity Is Increased in Patients with Asthma: A Case-Control Study(Journal of Clinical Medicine, 2018) Calvo-Lobo, César; Painceira-Villar, Roi; López-López, Daniel; GarcÃa-Paz, Vanesa; Becerro De Bengoa Vallejo, Ricardo; Losa-Iglesias, Marta; Palomo-López, PatriciaBackground: Based on changes in lung function and musculoskeletal disorders in patients with asthma, this study aimed to compare the tarsal tunnel and fibular bone pressure pain thresholds (PPTs) of patients with asthma and healthy matched-paired controls. Methods: A case-control study was performed. One hundred participants were recruited: 50 asthma patients and 50 healthy matched-paired controls. Bilaterally, tarsal tunnel and fibula bone PPTs were registered. Results: Statistically significant differences (p < 0.01) were shown bilaterally for tarsal tunnel PPT. With the exception of fibula PPT (p > 0.05), asthma patients presented less tarsal tunnel PPT than healthy participants. Statistically significant differences (p < 0.05) were shown for two linear regression prediction models of the right (R2 = 0.279) and left (R2 = 0.249) tarsal tunnels PPTs as dependent variables, and based on sex, group, contralateral tarsal tunnel PPT and ipsilateral fibula PPT as independent variables. Conclusions: The study findings showed that a bilateral tarsal tunnel mechanosensitivity increase is exhibited in patients diagnosed with asthma. The presence of asthma may bilaterally predict the PPT of tarsal tunnel. These findings may suggest the presence of central sensitization in asthma patients, which could clinically predispose them to musculoskeletal disorders, such as tarsal tunnel syndrome.Item Translation and Test–Retest of the Spanish Podiatry Health Questionnaire (PHQ-S)(International Journal of Environmental Research and Public Health, 2018) Navarro-Flores, Emmanuel; Losa-Iglesias, Marta; Becerro De Bengoa Vallejo, Ricardo; López-López, Daniel; RodrÃguez Sanz, David; Palomo-López, Patricia; Calvo-Lobo, CésarBackground: The Podiatric Health Questionnaire (PHQ) is a health-related questionnaire consisting of six questions designed for measuring foot health status. To date, the PHQ has only been validated in the English-language version. Thus, this study aimed to perform the Spanish translation and test–retest procedures of the PHQ (PHQ-S). Method: The forward/backward translation and test–retest reliability methods were applied from English to Spanish languages. Regarding the total score for each domain, internal consistency and reliability were determined by the Cronbach α and intraclass correlation coefficient (ICC) with a confidence interval (CI) of 95%. Results: High internal consistency was shown for the six domains: (1) walking with a Cronbach α of 0.97; (2) hygiene and nail care with 0.93 and 093, respectively; (3) foot pain with 0.91; (4) worry and concern domain with 0.904; (5) quality of life with 0.87; and (6) the self-perception of how their feet are feeling measured by a visual analogic scale with 0.92. Excellent test–retest reliability (ICC = 0.99 (95% CI = 0.96–0.98)) was shown for the total score. Conclusions: The PHQ-S was shown to be a valid and reliable tool for an acceptable use in the Spanish population.