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Understanding central sensitization for advances in management of carpal tunnel syndrome

César Fernández-de-las-peñas, José L Arias-Buría, Ricardo Ortega-Santiago, Ana I De-la-Llave-Rincón
2020 F1000Research  
Fernández-de-las-Peñas et al. found that women with strictly unilateral CTS symptoms exhibit widespread pressure pain sensitivity over the radial, ulnar, and median nerves, the cervical spine, and the  ... 
doi:10.12688/f1000research.22570.1 pmid:32595941 pmcid:PMC7308881 fatcat:5fsxk6i54vbz3oalq2ufdbtony

Spectral Clustering Reveals Different Profiles of Central Sensitization in Women with Carpal Tunnel Syndrome

Oscar J. Pellicer-Valero, José D. Martín-Guerrero, César Fernández-de-las-Peñas, Ana I. De-la-Llave-Rincón, Jorge Rodríguez-Jiménez, Esperanza Navarro-Pardo, Margarita I. Cigarán-Méndez
2021 Symmetry  
i,j = exp − xi−xj 2 2σ 2 - Build the normalized graph Laplacian matrix: L rw = I − D −1 W, where I is the identity matrix and D = (w i,j ) is a diagonal matrix with d i,i = ∑ j∈V w i,j - Obtain the k  ...  Note: u i ∈ R N -Apply k-means clustering over the transformed data points defined as y i = u i,1 , u i,2 , . . . , u i,k ∈ R k . - The cluster label C i assigned to each y i by k-means is the same label  ... 
doi:10.3390/sym13061042 fatcat:rnvjclq5vvaxve33iscvf3bmda

Working on the Frontlines of the COVID-19 Pandemic: A Qualitative Study of Physical Therapists' Experience in Spain

Domingo Palacios-Ceña, César Fernández-de-las-Peñas, María Palacios-Ceña, Ana I de-la-Llave-Rincón, Lidiane L Florencio
2021 Physical Therapy  
Third theme was "When I Arrive at Home." Working during the pandemic had an impact on the therapists' families and the information shared with them.  ...  Fernández-de-las-Peñas conducted the literature review. All authors contributed to interpretation of data. D. Palacios-Ceña and C.  ...  Fernández-de-las-Peñas contributed to the first drafting of the paper. All authors revised the text for intellectual content and have read and approved the final version of the manuscript.  ... 
doi:10.1093/ptj/pzab025 pmid:33517462 fatcat:ouapte67gndhrphjphqi7qdagi

Perceived Pain Extent Is Not Associated with Physical, Psychological, or Psychophysical Outcomes in Women with Carpal Tunnel Syndrome

César Fernández-de-las-Peñas, Deborah Falla, María Palacios-Ceña, Ana I De-la-Llave-Rincón, Alessandro Schneebeli, Marco Barbero
2018 Pain medicine (Malden, Mass.)  
23 Corresponding / reprint requests author: 24 César Fernández de las Peñas 25 with a prevalence rate ranging from 6.3% to 11.7% depending on the diagnostic criteria applied (1) . 92 Women are more frequently  ...  Barbero M, Fernández-de-las-Peñas C, Palacios-Ceña M, Cescon C, Falla D. Pain extent is with radicular pain: does the pain necessarily follow a specific dermatome? Chiropr  ... 
doi:10.1093/pm/pny248 pmid:30561726 fatcat:yzcelc2bwrflxaplhmc54s7lwe

Influence of Clinical, Psychological and Psychophysical Variables on Long‐term Treatment Outcomes in Carpal Tunnel Syndrome: Evidence from a Randomized Clinical Trial

César Fernández‐de‐las‐Peñas, Ana I. de‐la‐Llave‐Rincón, Corrado Cescon, Marco Barbero, José L. Arias‐Buría, Deborah Falla
2019 Pain Practice  
To assess the influence of clinical, psychological, and psychophysical variables on long-term clinical outcomes after the application of either physical therapy or surgery in women presenting with carpal tunnel syndrome (CTS).
doi:10.1111/papr.12788 pmid:31046185 fatcat:7csyxh47erelbkkxgdvjyublbu

Pressure pain hypersensitivity and referred pain from muscle trigger points in elite male wheelchair basketball players

Ricardo Ortega-Santiago, Álvaro J. González-Aguado, César Fernández-de-las-Peñas, Joshua A. Cleland, Ana I. de-la-Llave-Rincón, Mateusz D. Kobylarz, Gustavo Plaza-Manzano
2019 Brazilian Journal of Physical Therapy  
After TrP assessment in all muscles, participants were asked: ''when I pressed each of these muscles, did you feel any pain locally, and in other areas (referred pain).  ... 
doi:10.1016/j.bjpt.2019.05.008 pmid:31383627 pmcid:PMC7351965 fatcat:edi76ok6kneovdt6yzmgxbgzj4

Emotional Experience and Feelings during First COVID-19 Outbreak Perceived by Physical Therapists: A Qualitative Study in Madrid, Spain

Domingo Palacios-Ceña, César Fernández-de-las-Peñas, Lidiane L. Florencio, Ana I. de-la-Llave-Rincón, María Palacios-Ceña
2020 International Journal of Environmental Research and Public Health  
At that moment I didn't feel anything, I didn't realize what I was experiencing. I realized after two days.. when I realized it, I burst into tears." (p24).  ...  "I want to focus on the journey I have made. I am not going to focus on specific things, I am not going to look back, I am only going to have a prospective vision." (p3).  ... 
doi:10.3390/ijerph18010127 pmid:33375405 fatcat:4pxyfyfbp5bdhp3kvqihfadwxy

Future Challenges for Physical Therapy during and after the COVID-19 Pandemic: A Qualitative Study on the Experience of Physical Therapists in Spain

Domingo Palacios-Ceña, César Fernández-de-las-Peñas, Lidiane L. Florencio, María Palacios-Ceña, Ana I. de-la-Llave-Rincón
2021 International Journal of Environmental Research and Public Health  
They defined this as "a professional leap": "I wish the pandemic had never happened, but it has forced PTs to change their perspective, their role in the hospital.  ...  "De-prone to free the bed. To free . . . to die ... they call it freeing ... it means that the patient was dying, that we can't do anything more.  ... 
doi:10.3390/ijerph18168368 pmid:34444118 pmcid:PMC8393400 fatcat:aosvhlalizeatms47odnhd6jeq

Neuroscience education in addition to trigger point dry needling for the management of patients with mechanical chronic low back pain: A preliminary clinical trial

Mario Téllez-García, Ana I. de-la-Llave-Rincón, Jaime Salom-Moreno, Maria Palacios-Ceña, Ricardo Ortega-Santiago, César Fernández-de-las-Peñas
2015 Journal of Bodywork & Movement Therapies  
TrP-dry needling (TrP-DN) is a proposed therapeutic approach (Dommerholt and Fernandez-de-las-Peñas, 2013) used to reduce TrP-associated pain (Tough and White, 2011) .  ...  A recent study found that the prevalence of LBP has remained consistent over the years in Spain (Fernández-de-las-Peñas et al., 2013) suggesting that a better understanding for proper management of this  ... 
doi:10.1016/j.jbmt.2014.11.012 pmid:26118519 fatcat:hujfjcsbvzcftckmsiwbmn243m

Effects of Instrumental, Manipulative and Soft Tissue Approaches for the Suboccipital Region in Subjects with Chronic Mechanical Neck Pain. A Randomized Controlled Trial

Juan José Arjona Retamal, Alejandro Fernández Seijo, José David Torres Cintas, Ana I. de-la-Llave-Rincón, Andrea Caballero Bragado
2021 International Journal of Environmental Research and Public Health  
The INYBI is an instrument used to release the suboccipital myofascial area. There is scarce evidence of its efficacy. A randomized controlled, double-blinded, longitudinal and prospective trial was performed. Ninety-six subjects (aged 29.47 ± 5.16 years) (70 women) with chronic neck pain were randomly assigned to the manual suboccipital inhibition technique (MSIT), instrumental suboccipital inhibition (INYBI) or the INYBI plus upper cervical manipulation technique (INYBI + UCMT) groups and
more » ... ived two sessions with a week interval between them. The Neck Disability Index was used before the first intervention and two weeks after the second intervention. Pre- and post-measurements were taken on both intervention days for pressure pain threshold of the upper trapezius and suboccipital muscles, self-perceived pain and cervical range of motion. In spite of a significant general improvement in time that was found for the three groups for all of the outcome measurements (p < 0.05 in all cases), no between-groups differences were found (p > 0.05 in all cases), with the exception of self-perceived pain for left rotation (p = 0.024), with the MSIT group showing the lower improvement. However, the higher degree of within-group improvements was found for the INYBI + UCMT group. It was concluded that the myofascial release therapy in the suboccipital area is effective in patients with chronic neck pain, either through a manual application or by means of the INYBI tool. Moreover, the addition of craniocervical manipulation achieved the higher within-group improvements, but with no statistical significance.
doi:10.3390/ijerph18168636 pmid:34444389 pmcid:PMC8392061 fatcat:uqay6xupnjhavgkokekoighznm

Immediate and short-term effects of the combination of dry needling and percutaneous TENS on post-needling soreness in patients with chronic myofascial neck pain

Jose V. León-Hernández, Aitor Martín-Pintado-Zugasti, Laura G. Frutos, Isabel M. Alguacil-Diego, Ana I. de la Llave-Rincón, Josue Fernandez-Carnero
2016 Brazilian Journal of Physical Therapy  
HOW TO CITE THIS ARTICLE León -Hernández JV, Martín-Pintado-Zugasti A, Frutos LG, Alguacil-Diego IM, de la Llave-Rincón AI, Fernandez-Carnero J.  ...  Audette I, Dumas J-P, Côté JN, De Serres SJ. Validity and between-day reliability of the cervical range of motion (CROM) device. J Orthop Sports Phys Ther. 2010;40(5):318-23. http://dx.  ...  La Jolla, CA, USA), obtaining two blocks of 31 subjects, corresponding to each group of treatment. Only the therapist had access to the allocation schedule.  ... 
doi:10.1590/bjpt-rbf.2014.0176 pmid:27410163 pmcid:PMC5123263 fatcat:tswwwckyrbgahdhkgqjjmiv52e

Fatigue and Dyspnoea as Main Persistent Post-COVID-19 Symptoms in Previously Hospitalized Patients: Related Functional Limitations and Disability

César Fernández-de-las-Peñas, Domingo Palacios-Ceña, Víctor Gómez-Mayordomo, María Palacios-Ceña, Jorge Rodríguez-Jiménez, Ana I. de-la-Llave-Rincón, María Velasco-Arribas, Stella Fuensalida-Novo, Silvia Ambite-Quesada, Carlos Guijarro, María L. Cuadrado, Lidiane L. Florencio (+10 others)
2021 Respiration  
<b><i>Background:</i></b> Multicentre studies focussing on specific long-term post-COVID-19 symptoms are scarce. <b><i>Objective:</i></b> The aim of this study was to determine the levels of fatigue and dyspnoea, repercussions on daily life activities, and risk factors associated with fatigue or dyspnoea in COVID-19 survivors at long term after hospital discharge. <b><i>Methods:</i></b> Age, gender, height, weight, symptoms at hospitalization, pre-existing medical comorbidity, intensive care
more » ... t admission, and the presence of cardio-respiratory symptoms developed after severe acute respiratory syndrome coronavirus 2 infection were collected from patients who recovered from COVID-19 at 4 hospitals in Madrid (Spain) from March 1 to May 31, 2020 (first COVID-19 wave). The Functional Impairment Checklist was used for evaluating fatigue/dyspnoea levels and functional limitations. <b><i>Results:</i></b> A total of 1,142 patients (48% women, age: 61, standard deviation [SD]: 17 years) were assessed 7.0 months (SD 0.6) after hospitalization. Fatigue was present in 61% patients, dyspnoea with activity in 55%, and dyspnoea at rest in 23.5%. Only 355 (31.1%) patients did not exhibit fatigue and/or dyspnoea 7 months after hospitalization. Forty-five per cent reported functional limitations with daily living activities. Risk factors associated with fatigue and dyspnoea included female gender, number of pre-existing comorbidities, and number of symptoms at hospitalization. The number of days at hospital was a risk factor just for dyspnoea. <b><i>Conclusions:</i></b> Fatigue and/or dyspnoea were present in 70% of hospitalized COVID-19 survivors 7 months after discharge. In addition, 45% patients exhibited limitations on daily living activities. Being female, higher number of pre-existing medical comorbidities and number of symptoms at hospitalization were risk factors associated to fatigue/dyspnoea in COVID-19 survivors 7 months after hospitalization.
doi:10.1159/000518854 pmid:34569550 pmcid:PMC8678253 fatcat:sji74dsgrnfjzb2b5l5wyk6pzi

L'urgence de l'écriture en prison : les poèmes de Marcos Ana (1920-2016)

Marie-Claire Zimmermann
2021 L'Âge d'or  
vers, “Aún es de sueño la llave”, le vers 9, “Aún es de viento la llave”, et le vers 17, “Aún es de llanto la llave”33.  ...  Una puerta de hierro, un retrete en un rincón, un colchón de esparto y un pequeño y alto tragaluz enrejado iban a formar mi nuevo universo.10 8Mais Marcos Ana veut et sait parler d’une atroce souffrance  ... 
doi:10.4000/agedor.5864 fatcat:hoo7mztoi5ctbltptwrqn7mfyy

Leonardo da Vinci

Beatriz Espejo Díaz
2020 INTERdisciplina  
Erudito sin par, fue un excepcional pintor, arquitecto, inventor y científco en una época donde la humanidad despertaba del largo letargo de la Edad Media y estaba ávida de conocimientos y desarrollo.  ...  En este trabajo, que sirve de introducción a los restantes de este número, se hace una apretada síntesis de los aspectos más destacados de su vida y su obra.</span>  ...  Los que dejan la llave en la cerradura son unos necios."  ... 
doi:10.22201/ceiich.24485705e.2020.21.75145 fatcat:35epx26gnjcere3zhadrvvajcy

Otras huellas de Félix B. Caignet

Joaquín G Santana
2015 Chasqui  
El otro tema hace relación a la comunicación en el espacio urbano necesario de conocerlo no solo en la perspectiva de diagnóstico, sino también en la de proyección hacia una ciudad más humana y democrática  ...  Temas centrales de este número son los medios, la ciencia y tercer milenio.  ...  ¡[¡[¡[[[j NOTA A LOS LECTORES ~~¡~~~~~~~~~~~~~~~~~~~~~i¡~~~~~~~~~tii~i~ili~~~~~~~~~~1 1omo "babelólogo" (estudioso de la Babel de lenguas que : ¡ \\ ¡ I \ i ¡ \ ¡ \ ¡ \ ¡ \ ¡ \ I es la ciencia), "experto  ... 
doi:10.16921/chasqui.v0i55.1067 doaj:94fb9182eb474704a07828c08364247b fatcat:p2cwi2xczjbb5l7g5gg4uu6dg4
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