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
Enfermería, Fisioterapia y Podología
Department
Enfermería
Area
Enfermería
Identifiers
18 results
Search Results
Now showing 1 - 10 of 18
Item The Effectiveness of Hard Insoles for Plantar Pressure in Cycling: A Crossover Study(Bioengineering, 2023) Casado Hernández, Israel; Becerro De Bengoa Vallejo, Ricardo; Losa Iglesias, Marta Elena; Soriano Medrano, Alfredo; López López, Daniel; Navarro Flores, Emmanuel; Pérez Boal, Eduardo; Martínez Jiménez, Eva MaríaBackground: Hard insoles have been proposed to decrease plantar pressure and prevent foot pain and paresthesia due to repetitive loading. The aim of this research was to analyze the effect of three different hard insoles in cycling on healthy subjects. Methods: A crossover randomized trial was carried out. The mean age of the subjects was 35 ± 3.19 years, and all of them were men. While the subjects were cycling on a stationary bicycle, their plantar pressure was recorded with nine in-shoe sensors placed in nine specific foot areas to test a standard ethylene-vinyl-acetate 52° Shore A hardness insole, a polypropylene 58° Shore D insole, and a polypropylene 580 Shore D insole with selective aluminum 60 HB Brinell hardness in the metatarsal head and hallux. Results: The maximum plantar pressure decreased significantly with the polypropylene insole containing selective aluminum in the metatarsal head and hallux areas. The maximum plantar data of the polypropylene aluminum insole in the M2 area (5.56 kgF/cm2), fifth metatarsal styloid process (6.48 kgF/cm2), M3-M4 area (4.97 kgF/cm2), and hallux (8.91 kgF/cm2) were of particular interest compared to the other insoles. Conclusions: The use of insoles made of polypropylene with aluminum in the metatarsal head and hallux areas decreases the maximum plantar pressure in cycling compared to standard EVA and polypropylene insoles.Item Gauze Application of Phenol for Matrixectomy(Journal of the American Podiatry Association, 2008) Becerro De Bengoa Vallejo, Ricardo; Losa Iglesias, Marta Elena; Sánchez Gómez, Rubén; Jules, Kevin T.Phenol matrixectomy is commonly used to treat onychocryptosis. The podiatric medical community has been progressively improving the technique of phenol application to avoid cases of burns. We describe a modification that uses gauze to provide a safe way for the phenol to be applied and prevents skin lesions due to phenol burns. (J Am Podiatr Med Assoc 98(5): 418–421, 2008)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; Rodríguez Sanz, DavidItem Clinical improvement in functional hallux limitus using a cut-out orthosis(Prosthetics and orthotics international., 2016) Becerro De Bengoa Vallejo, Ricardo; Sánchez Gómez, Rubén; Losa Iglesias, Marta ElenaBackground: Functional hallux limitus (FHL) has been implicated in the development of metatarsophalangeal joint osteoarthritis. Objectives: To determine whether cut-out orthosis treatment increases plantarflexion of the first metatarsal by increasing its declination angle. Study design: Cross-sectional study. Methods: A total of 46 female volunteers with an average age of 25.66 ± 5.70 years (range: 19–42 years) and FHL participated in the study. We assessed the degrees of movement of the first metatarsal and proximal phalanx bones at the first metatarsophalangeal joint without and while wearing the cut-out orthosis using the 3Space Fastrak® via sensors. Results: The movement of the plantarflexión declination angle of the first metatarsal bone was higher using the orthosis 29.84° ± 5.98° versus without orthosis 27.69° ± 5.91° (p < 0.031°). Use of sandals may have minimized the magnitude of movement changes associated with orthosis versus non-orthosis use. Conclusion: The cut-out orthosis demonstrated a beneficial effect on non-fixed first metatarsophalangeal and metatarsal cuneiform joints affected by FHL, significantly increasing the declination of the metatarsal angle. Furthermore, use of the cut-out orthosis significantly reduced adduction movement of the first metatarsal bone in the transverse plane. Clinical relevance The cut-out orthosis demonstrated a beneficial effect on non-fixed first metatarsophalangeal and metatarsal cuneiform joints affected by FHL, significantly increasing the declination of the metatarsal angle. Furthermore, use of the cut-out orthosis significantly reduced adduction movement of the first metatarsal bone in the transverse plane.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 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 The reliability, Validity and Sensitivity Measures of Edmonton Frail Scale (EFS) in older adults patiens with foot disorders(Aging, 2020) Navarro Flores, Emanuel; Becerro De Bengoa Vallejo, Ricardo; Losa Iglesias. Marta Elena; Palomo López, Patricia; Calvo Lobo, César; López López, Daniel; Martínez Jiménez, Eva María; Romero Morales, CarlosThe Edmonton Frail Scale (EFS) is an index employed to measure alterations related to frailty. The main objective in this research was to develop the EFS short-form (EFS-SF) and to evaluate its validity, reliability, and sensitivity to predict frailty disability outcomes in elderly patients with foot disabilities. Results: Exploratory factor analysis (EFA) of the EFS-SF revealed the presence of three components, as in the original EFA. There were significant differences (p < 0.05) in the study population for several of the EFS and 5-item FRAIL scale indicators. The highest correlation (Pearson R = 0.871; p < 0.001) was found for the first component of the EFS-SF. Finally, the Cronbach alpha was 0.864 which indicated a high level of internal consistency. Conclusion: The EFS-SF is a reliable and valid instrument to measure frailty in patients with and without foot disabilities. Method: A cross sectional descriptive study was carried out. The study population was aged over 60 years (n = 66) and comprised 29 men and 37 women. Frailty disorders were registered by using the EFS, 5-item FRAIL scale, and the Geriatricians’ Clinical Impression of Frailty (GCIF) scale. EFA was employed to locate potential constituents of the EFS, with scores ranging from 0.596 to 0.946 for each of the sub scales: (1) cognitive and general health status; (2) medication and nutrition status; and (3) functional and physiological status, thus revealing that the EFS-SF comprised three components, a reduction compared to the nine in the original EFS.Item Electromyography comparison of the effects of various footwear in the activity patterns of the peroneus longus and brevis muscles(Journal of the mechanical behavior of biomedical materials, 2018) Roca Dols, Andrea; Losa Iglesias, Marta Elena; Sánchez Gómez, Rubén; López López, Daniel; Becerro De Bengoa Vallejo, Ricardo; Calvo Lobo, CésarBackground Peroneus longus and brevis (PLB) disorders are commonly in people with lateral ligamentous instability, ankle pain, lateral hindfoot pain and structures of the proximal compartment of the lower legs and their muscle activity is believed to be influenced by different footwear types. The proposal of this research is to evaluate the effects of five types of footwear with respect to the barefoot condition and analyze the activity patterns of PLB muscles in healthy subjects during the gait cycle. Methods Thirty healthy subjects were recruited in a laboratory in this cross-sectional research design. While walking, electromyography (EMG) activity was measured from PLB via surface electrodes in six experimental conditions: 1) barefoot, 2) minimalist, 3) pronated control, 4) air chamber, 5) ethyl-vinyl-acetate (EVA) and 6) boost. These data were obtained and compared. Results The peroneus brevis showed significant reductions in the peak amplitude of the five footwear types (minimalist, pronation control, air chamber, EVA and boost) with respect to the barefoot condition in the propulsion phase of the gait cycle during walking (P = 0.034; P < 0.001; P < 0.001; P < 0.001; P = 0.006) and running (P = 0.004; P < 0.001; P = 0.001; P < 0.001; P = 0.001), respectively. Furthermore, peroneus longus showed significant reductions in the peak amplitude of these five footwear types with respect to the barefoot condition in the propulsion phase of the gait cycle during running (P = 0.005; P = 0.038; P = 0.019; P = 0.025; P = 0.021). Conclusion The EMG activity patterns of the PLB muscles may depend on the use of different types of sport shoes such as minimalist, pronation control, air chamber, EVA and boost footwear with respect the barefoot condition in different phases of the gait cycle during walking and running.Item Application of Cantharidin and Podophyllotoxin for the Treatment of Plantar Warts(Journal of the American Podiatric Medical Association, 2008) Becerro De Bengoa Vallejo, Ricardo; Losa Iglesias, Marta Elena; Gómez Martín, Beatriz; Sánchez Gómez, Rubén; Sáez Crespo, Jesús AntonioBackground: A variety of treatment modalities have been described for cutaneous warts. We sought to determine the safety and efficacy of a topical formulation of cantharidin, podophyllotoxin, and salicylic acid in the treatment of plantar warts. This combination treatment is widely used in Europe and elsewhere but has not been described in the podiatric medical literature. Methods: A retrospective study was conducted of 144 patients with simple or mosaic plantar warts who were treated with a topical, pharmacy-compounded solution of cantharidin, 1%; podophyllotoxin, 5%; and salicylic acid, 30%. All of the patients, aged 8 to 52 years (mean ± SD, 20.9 ± 11.0 years), were treated according to the authors3 standard protocol. Of the 144 patients, 92 were being treated for the first time. None of the 52 previously treated patients had received more than one other type of treatment in the past. Results: After 6 months of follow-up, complete eradication of the plantar warts was noted in 138 of the 144 patients (95.8%). Of these patients, 125 (86.8%) required a single application of the solution, and 13 (9.0%) needed two or more applications. No significant adverse effects or complications were observed. Conclusion: A topical solution of cantharidin, podophyllotoxin, and salicylic acid was found to be safe and effective in the treatment of simple and mosaic plantar warts. This formulation is a promising alternative treatment modality for plantar warts. (J Am Podiatr Med Assoc 98(6): 445–450, 2008)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.