Clinical Advances in Health Research <p>&nbsp;</p> <p><img src="/public/site/images/admin/PORTADA_VOL1N1_baja_def2.png"></p> <p>&nbsp;</p> <p>Clinical Advances in Health Research is a scientific journal dedicated to Health Sciences and Biomedicine, which publishes innovative and advanced results related to health research, from high-quality studies and evidence, such as randomized clinical trials, meta-analysis and systematic reviews, mainly from different areas of knowledge such as Physiotherapy, Nursing, Podiatry, Dentistry, Medicine, Psychology, Nutrition and other disciplines related to Health. Among its objectives, the following stand out:</p> <p>- Promotion of Health Research.</p> <p>- International Dissemination of the results of Health Research.</p> <p>- Updating knowledge in the Health Sciences and Biomedicine, especially in the clinical field.</p> <p>- Promote scientific culture in Health Sciences from a clinical perspective, based on evidence.</p> Fisiosur I+D en-US Clinical Advances in Health Research The Birth of a New Interdisciplinary Journal: Clinical & Researcher Approach in Health <p>In this first editorial, we would like to thank, first of all, all our readers for their attention.</p> <p>We present for all of you a new scientific journal, born with the desire to achieve maximum dissemination, with a multidisciplinary vocation, and focused on clinical aspects related to health sciences.</p> <p>Clinical Advances in Health Research is a scientific journal, dedicated to Health Sciences and Biomedicine, which publishes innovative and advanced scientific results related to health research, which come from high-quality studies and evidence, such as the following: randomized clinical trials, meta-analyzes and systematic reviews, as well as others studies: protocols, case series, critical comments, letters to the editor, etc. The research studies we publish are from different areas of knowledge such as the following: Physiotherapy, Nursing, Podiatry, Dentistry, Medicine, Psychology, Nutrition and other disciplines related to Health.</p> Juan José González Gerez ##submission.copyrightStatement## 2019-03-01 2019-03-01 1 1 1 1 Short Term Application of the Muscular Inhibition Method of Strain/Counterstrain in the Treatment of Latent Myofascial Trigger Points of the Masticatory Musculature: A Randomized Controlled Trial <div class="page" title="Page 1"> <div class="layoutArea"> <div class="column"> <p>Background: The aim of the present study was to assess the short-term effects on mandibular dynamics [in terms of mouth opening (MO) and bite force (BF)] of the application of the therapeutic method of muscular inhibition of strain/counterstrain (SCS) on latent myofascial trigger points (MTrPs) of the masseter, temporalis and internal pterygoid muscles.</p> <p>Methods: Ninety-nine subjects, 47 males and 52 females, aged between 18 and 24 and with at least one MTrP in each pair of muscles, were enrolled in the study. Subjects were randomly allocated to one of two groups: experimental (48 subjects), who received SCS therapy, and control (51 subjects), who received a placebo treatment. As outcome variables, we considered maximum active mouth opening (MO) and maximum bite force (BF), which were evaluated one minute before and five minutes after application of treatment by an external evaluator blinded to the random distribution of subjects to each study group.</p> <p>Results: The results showed a significant improvement with respect to active MO (controls: 0.03mm ±0.65- experimentals: 1.32mm±1; p&lt; 0.01) and maximum BF (controls: 0.17N ± 1.33- experimentals: 32.25 N ± 22.40; p&lt; 0.001) after treatment of MTrPs with SCS.</p> <p>Conclusions: Muscular inhibition methods through the application of strain/counterstrain (SCS) could be used in the treatment of the MTrPs of the masseter, temporalis and internal pterygoid muscles in order to improve maximum MO and maximum BF.</p> <p>Key Words: Myofascial pain syndromes, Mouth Rehabilitation, Bite force, Temporomandibular joint.</p> </div> </div> </div> Juan José González Gerez María Ángeles Serrera Figallo Pedro Vicente Munuera Martínez Manuel Fernández Rabadán Miguel Ángel Lérida Ortega José Antonio García Vidal Manuel Saavedra Hernández ##submission.copyrightStatement## 2019-03-01 2019-03-01 1 1 2 10 Pressure Pain Threshold, Neck Disability Index, Oral Opening and Levels of Salivary Biomarkers in Patients with Temporomandibular Disorders. A Cross-Sectional Study <p>Introduction: Temporomandibular disorders are a clinical alteration that affects 5-13% of the world population. They are related to musculoskeletal structures and mismatches of the Neurovegetative Nervous System, being therefore of relevance in the therapeutic approach.</p> <p>&nbsp;</p> <p>Objectives: To describe the postural and neuromuscular alterations observed in various parts of the body, and other clinical and demographic characteristics in a population of patients with temporomandibular joint (TMJ) dysfunction syndrome.</p> <p>&nbsp;</p> <p>Material and Methods: An observational and descriptive cross-sectional study was conducted on 47 patients who presented some type of TMJ dysfunction syndrome., in one or both joints and who were diagnosed in the maxillofacial surgery unit of “Virgen del Rocío” University Hospital (Seville, Spain).</p> <p>&nbsp;</p> <p>Results: Pressure pain threshold (PPT)<span class="Apple-converted-space">&nbsp; </span>(measured in N/cm2 in the masticatory muscles) was<span class="Apple-converted-space">&nbsp; </span>9.95 of average, in the right masseter, and 9.97 in the left. In the temporal muscle, an average of 12.13 was obtained in the right muscle and 12.02 in the left one. The mean of the Neck Disability Index (NDI) was 14.45 (28.91%), the average mouth opening was 40, 38 mm, the mean salivary amylase was 24.28 IU / ml, the mean IgA was 18721.34 nMol / ml.</p> <p>&nbsp;</p> <p>&nbsp;Conclusions: Patients in the present study have values ​​of PPT in the masticatory muscles inferior to patients without pathology in the TMJ. They have a mild-moderate neck disability. However, they have normal maximum mouth opening values, inappropriate for patients with TMJ pathology and levels of alpha amylase (α-amylase) slightly below the population and secretory IgA levels within the range of normality of the population.</p> <p>Key Words: Temporomandibular Joint Disorders; Pain Threshold; Trigger Points, Salivary Biomarkers.<span class="Apple-converted-space">&nbsp;</span></p> Pedro Pérez Cátedra Cleofás Rodriguez Blanco María Dolores Cortés Vega Alberto Marcos Heredia Rizo Francisco Javier Serrano Sánchez Gabriel Castillo Dalí Daniel Torres Lagares ##submission.copyrightStatement## 2019-03-01 2019-03-01 1 1 11 28 Short-Term Effects, on Pressure Pain Threshold, After Applying Techniques Of Isquemic Compression and Traction-Compression- Stretching: A Randomized Clinical Trial <p><strong><em>Objectives:&nbsp;</em></strong><em>The objective of the study was to measure and compare the immediate effect on the pressure pain threshold (PPT), after a single treatment of the latent myofascial trigger point 1 (MTP1) of the upper trapezius muscle, comparing localized ischemic compression (CI) and the integrated neuromuscular traction-compression-stretch technique (TTCE).</em><em>&nbsp;</em></p> <p><strong><em>Methods:&nbsp;</em></strong><em>Pre- and post-intervention measurements (at five minutes) of the PPT were made on 30 subjects, 12 men and 18 women, with ages ranging from 24 to 48 years old, asymptomatic, who presented latent MTP1 in upper trapezius, randomly distributed in three groups: G1 (10 subjects) treated with TTCE, G2 (10 subjects) treated with IC and G3 or Control (10 subjects) treated with a simulated myofascial release procedure. The outcome variable, pressure pain threshold (PPT), was measured by a blinded external evaluator regarding the intervention performed. The treatment was performed by an expert operator, blinded to the pre-intervention measurements.</em></p> <p><strong><em>Results:</em></strong><em>The results showed a significant improvement in the PPT (Control: = 0.00 Vs G1 = +0.42 and G2 = +0.32) after the treatment of MTP1 with TTCE and CI, the improvement being greater in the group treated with TTCE.</em><em>&nbsp;</em></p> <p><strong><em>Conclusions:</em></strong><em>The integrated traction-compression-stretch neuromuscular technique (TTCE) could be included in the treatment protocols of the latent MTP1 of the upper trapezius to reduce the pain sensitivity of that trigger point in asymptomatic subjects.</em><em><br></em><strong><em>Key Words:</em></strong><em>Traction-Compression-Stretching, Ischemic Compression, Myofascial Trigger Point, Algometry, Pressure Pain Threshold.</em></p> Antonio García Pinto ##submission.copyrightStatement## 2019-03-01 2019-03-01 1 1 29 36 Program Of Therapeutic Exercises In Patients Operated Surgicallly By Arthroscopic Acromioplasty: A Study Protocol <p><strong>Objectives: &nbsp;</strong>To know the effectiveness of a domiciliary programm of therapeutic exercises, performed previously to the beginning of the treatment, in patients surgically treated by arthroscopic acromioplasty.</p> <p><strong>Methods: &nbsp;</strong>We will conduct a randomized controlled trial in a sample of 20 patients, randomly distributed into two groups: experimental group n = 10 patients and control group n = 10 patients. Both groups will receive a physiotherapy treatment protocol at the Hospital de Utrera (Seville, Spain), before the surgical intervention. The experimental group will also receive a program of therapeutic exercises, which will be performed by them at home, before the physiotherapy treatment. We will evaluate patients twice, in the first and last session of Physiotherapy.&nbsp; The variables that will be evaluated include the painful perception (visual analogue scale -EVA), joint mobility (goniometry) and the degree of functionality through (Constant scale).</p> <p><strong>Results &amp; Discussion: &nbsp;</strong>In this research project, we intend to analyze, if there is an added benefit, when performing the Home Therapeutic Exercise Program prior to the beginning of the Physiotherapy treatment protocol. In this case, we think that these factors could condition a decrease in the physiotherapy sessions necessary for the recovery of patients.</p> <p><strong>Key Words: &nbsp;</strong>Shoulder impingement syndrome, impingement, rotator cuff, subacromial impingement syndrome, physical therapy, exercise movement techniches, acromioplasty, surgery.</p> Yolanda Archilla Bonilla Irene Delgado Delgado María Jesús Gómez Ortega Juan Carlos Moral Pinteño Mateo Moreno Gayá ##submission.copyrightStatement## 2019-03-01 2019-03-01 1 1 37 43 Multimodal Approach of the Patient with Non-specific Chronic Neck Pain: A Case Report <p><strong><em>Background:</em></strong><strong>&nbsp;</strong>Nonspecific chronic neck pain has a high incidence and prevalence in the population, supposes high socio-economic cost and having an impact on work absenteeism.&nbsp;The existence of myofascial trigger points, an inadequate joint position and muscle weakness, according to the scientific literature, are the main pain-generating factors in patients with non-specific chronic neck pain.&nbsp;We have observed, in subjects with this clinical picture, a great weakness of the cervical complex musculature, this being, according to some authors, one of the most relevant factors, together with the inadequate cervical proprioception, in the process of chronicity of the patients with neck pain.&nbsp;There are few studies that approach this type of subjects from a multimodal perspective, with the monotherapy studies being the most abundant.</p> <p><strong><em>Methods:</em></strong>A patient with non-specific chronic neck pain, who fulfilled all the inclusion and exclusion criteria, was included in our treatment protocol. The treatment lasted 8 weeks, with 10 sessions of treatment, in addition to therapeutic home exercise. We divided the physiotherapeutic treatment, which was designed in two therapeutic blocks, the first of them aimed at reducing pain and disability, through manual therapy, the second of them aims to avoid relapse and chronification, through exercise therapeutic. The follow-up was carried out in three evaluation sessions, after the first phase, for pain modulation, post-treatment and post-treatment in the medium term.</p> <p><strong><em>Results:</em></strong>Significant results were obtained, after the pain modulation, in the Analog Visual Scale, Maximum Analog Visual Scale, Pressure Pain Threshold and the Cervical Disability Index, although no changes were observed in the General Stability Index at this stage. . Beneficial short-term results were obtained in all the dependent variables of the study, keeping these changes in the medium term.</p> <p><strong><em>Conclusions:</em></strong>The multimodal treatment based on manual therapy and therapeutic exercise was effective in the patient studied, obtaining significant improvements in pain, functionality and proprioceptive postural stability in the short and medium term.</p> <p><strong><em>Key Words:</em></strong>Neck pain - Chronic Pain - Exercise Therapy - Musculoskeletal Manipulations - Postural Stability - Physiotherapy.</p> Carlos Bernal Utrera ##submission.copyrightStatement## 2019-03-01 2019-03-01 1 1 44 56