Person:
Sánchez Gómez, Rubén

First Name

Rubén

Last Name

Sánchez Gómez

URI

https://hdl.handle.net/20.500.14352/77167

Affiliation

Universidad Complutense de Madrid

Faculty / Institute

Enfermería, Fisioterapia y Podología

Department

Enfermería

Area

Enfermería

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Now showing 1 - 10 of 24

Ultrasonography Features of the Plantar Fascia Complex in Patients with Chronic Non-Insertional Achilles Tendinopathy: A Case-Control Study
(Sensors, 2019) Romero-Morales, Carlos; Martín-Llantino, Pedro Javier; Calvo-Lobo, César; López-López, Daniel; Sánchez Gómez, Rubén; De-La-Cruz-Torres, Blanca; Rodríguez Sanz, David
Purpose: The goal of the present study was to assess, by ultrasound imaging (USI), the thickness of the plantar fascia (PF) at the insertion of the calcaneus, mid and forefoot fascial locations, and the calcaneal fat pad (CFP) in patients with Achilles tendinopathy (AT). Methods: An observational case-control study. A total sample of 143 individuals from 18 to 55 years was evaluated by USI in the study. The sample was divided into two groups: A group composed of the chronic non-insertional AT (n = 71) and B group comprised by healthy subjects (n = 72). The PF thicknesses at insertion on the calcaneus, midfoot, rearfoot and CFP were evaluated by USI. Results: the CFP and PF at the calcaneus thickness showed statistically significant differences (P < 0.01) with a decrease for the tendinopathy group with respect to the control group. For the PF midfoot and forefoot thickness, no significant differences (P > 0.05) were observed between groups. Conclusion: The thickness of the PF at the insertion and the CPF is reduced in patients with AT measured by USI.
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, David
Purpose: 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.
Virtual Simulation for Last-Year Nursing Graduate Students in Times of Covid-19: A Quasi-Experimental Study
(Clinical Simulation in Nursing, 2021) Zaragoza García, Concepción; Ortuño Soriano, Ismael; Posada Moreno, Paloma; Sánchez Gómez, Rubén; Raurell Torredá, Marta
Background: The COVID-19 pandemic has made it necessary to adapt university health-education. Virtual simulation has been proposed to be a suitable tool. Methods: A quasi-experimental study was conducted on nursing students in the final year. The virtual simulation platform vSim® was used. Improvements in knowledge, skills during simulation, satisfaction and selfconfidence obtained through the training provided were analyzed, as well as satisfaction with the platform. Results: Prepost training knowledge improved. Skill acquisition improved between the first and last attempts in all cases. The levels of selfconfidence and satisfaction with the training and the platform used were high. Conclusions: The vSim® was a useful solution during the pandemic. Knowledge improved and high selfconfidence was obtained
Abdominal Adiposity Increases Lordosis and Doubles the Risk of Low Back Pain
(Applied Sciences, 2022) Saludes, Rebeca; Acevedo, Paula; Zaragoza García, Ignacio; Gómez Carrión, Álvaro; Martinez Sebastian, Carlos; Nuñez Fernández, Almudena; Seco Armell, Isabel; Sánchez Gómez, Rubén
Vertebral disorders have significant health and economic impacts, and due to aging and current lifestyle habits, there is a trend toward their increase. Obesity and the alignment of vertebral curvatures can be associated with back pain. Objective: This study aims to analyze whether general and abdominal obesity are associated with cervical, dorsal, and lumbar vertebral pain as well as increased or decreased values of cervical, dorsal, and lumbar vertebral curvatures. Methodology: Body composition, degree of vertebral curvature, and the perception of cervical, dorsal, and lumbar pain were evaluated in a study population of 301 people (>18 years old). Linear and logistic regression analyses were performed to evaluate the influence of several variables of body composition on vertebral angles and cervical, dorsal, and lumbar pain. Results: Lumbar pain was the most prevalent (66.1%), mainly affecting women (70.9%). They were also shown to have greater lumbar angles (p < 0.001). The degrees of lumbar curvature increased, as did the BMI, waist circumference, and waist-to-height ratio. Cervical and dorsal curvatures were increased by all the variables of adiposity and abdominal adiposity. It was found that people with abdominal obesity carried twice the risk of lower back pain than those without abdominal obesity (OR = 2.172, p < 0.05). In addition, an increased lumbar angle was related to an increased risk of low back pain (OR = 1.031, p < 0.05). Cervical pain, on the other hand, was associated with the waist-height index (OR = 0.948, p <0.01). Conclusions: This study shows that increased lumbar curvature and abdominal obesity may be risk factors for lower back pain. In addition, it shows an association between the amount of body and abdominal fat in relation to the degree of curvature of the spine in the sagittal plane. Investigating the effect of obesity on vertebral morphology and musculoskeletal disorders makes it possible to prescribe interventions and therapeutic strategies.
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)
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, David
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 Elena
Background: 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.
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, César
The 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.
Effects of low-Dye tape on arch height and its impact on the medial gastrocnemius electromyographic activity in structurally differentiable foot types: a cross-sectional observational study
(Life, 2023) Martínez Sebastián, Carlos; Ramos Petersen, Laura; Gámez Guijarro, María; Alabau Dasi, Raquel; Banwell, George; Núñez Fernández, Almudena; Sánchez Gómez, Rubén; Gómez Carrión, Álvaro
Background: Low-Dye tape (LDT) is a short-term treatment for plantar fasciitis, where external stabilization by means of the tape improves kinetics, kinematics, pain level, and electromyography (EMG). Purpose: The purpose of this study was to compare the EMG of the medial gastrocnemius (MG) and changes in arch height (AH) based on the type of foot. Methods: A total of 30 subjects participated in this study; they walked on a treadmill barefoot and when taped, where the average activity and changes in AH were measured over a 30 s period. The statistical intraclass correlation coefficient (ICC) to test for reliability was calculated, and the Wilcoxon test was determined for measures of EMG and AH. Results: The reliability of the values of EMG was almost perfect. The data show that there was an increase in height in the comparison of the moment pre-baseline walking and post-taped walking on neutral feet (5.61 ± 0.46 vs. 5.77 ± 0.39 cm, p < 0.05), on pronated feet (5.67 ± 0.57 vs. 6.01 ± 0.53 cm, p < 0.001) and on supinated feet (5.97 ± 0.36 vs. 6.28 ± 0.27 cm, p < 0.05). In the MG, EMG activity decreased significantly in the taped condition compared to the baseline condition in neutral subjects (0.0081 ± 0.016 vs. 0.076 ± 0.016 mV, p < 0.05) and in pronated subjects (0.081 ± 0.022 vs. 0.068 ± 0.025 mV, p < 0.05). Conclusions: It was demonstrated that with the use of LDT, there was an improvement in the average activity in the MG in pronated and neutral feet. All foot types improved in arch height with the use of tape.
Polymer Optical Fiber Plantar Pressure Sensors: Design and Validation
(Sensors, 2022) Safarloo, Sahar; Núñez Cascarejo, Arántzazu; Sánchez Gómez, Rubén; Vázquez, Carmen
The proper measurement of plantar pressure during gait is critical for the clinical diagnosis of foot problems. Force platforms and wearable devices have been developed to study gait patterns during walking or running. However, these devices are often expensive, cumbersome, or have boundary constraints that limit the participant’s motions. Recent advancements in the quality of plastic optical fiber (POF) have made it possible to manufacture a low-cost bend sensor with a novel design for use in plantar pressure monitoring. An intensity-based POF bend sensor is not only lightweight, non-invasive, and easy to construct, but it also produces a signal that requires almost no processing. In this work, we have designed, fabricated, and characterized a novel intensity POF sensor to detect the force applied by the human foot and measure the gait pattern. The sensors were put through a series of dynamic and static tests to determine their measurement range, sensitivity, and linearity, and their response was compared to that of two different commercial force sensors, including piezo resistive sensors and a clinical force platform. The results suggest that this novel POF bend sensor can be used in a wide range of applications, given its low cost and non-invasive nature. Feedback walking monitoring for ulcer prevention or sports performance could be just one of those applications.