https://hdl.handle.net/20.500.14342/43 2026-05-26T05:59:19Z https://hdl.handle.net/20.500.14342/1643 Home-based exercise programs delivered by digital health interventions for older adults: A systematic review and meta-analysis Physiotherapy Gismero Serra, Aina BACKGROUND: The aged population is growing, and clinical practice guidelines widely report recommendations for therapeutic exercise as a central axis of active and healthy ageing. Digital health interventions (DHI) are defined as the different ways in which digital and mobile technologies are used to support health. The situation of the pandemic has increased the use of digital physiotherapy. However, we do not know what its effects on the elderly population, where the digital divide is still a problem that needs to be studied better. OBJECTIVES: This systematic review aims to evaluate the effectiveness of combined home-based exercise and digital health interventions on physical function in the elderly. Secondly, we evaluated its effects on autonomy, physical activity levels, quality of life, falls, and adherence. METHODOLOGY: A search was conducted on digital databases to identify randomised or quasi-randomised studies of people aged 65 or over living at home and participating in any therapeutic exercise program using digital health resources. An analysis of the risk of bias was made and meta-analysis was performed only in a few outcomes due to heterogeneity. RESULTS: 28 studies met the inclusion criteria for systematic effectiveness evaluation. 20 did a physical exercise programs and 8 did physical activity incentivisation programs. 68% of studies reported physical function, and 32% reported physical performance. 75% of studies looked at our secondary outcomes, and 46% presented results on physical activity level. DISCUSSION: The most usual DHI are phone calls and apps to deliver physical exercise and phone calls and websites to deliver physical activity incentivisation. There is positive evidence of the good adherence of older people to technology.; ANTECEDENTS: La població envellida és cada cop més nombrosa i les recomanacions d’exercici terapèutic com a eix central d’un envelliment actiu i saludable estan àmpliament reportades en les guies de pràctica clínica. Les intervencions de salut digital (ISD) es defineixen com les diferents formes en què s’utilitzen les tecnologies digitals i mòbils per donar suport a la salut. La situació de pandèmia viscuda ha fet créixer la utilització de la fisioteràpia digital. Tot i així, no sabem quins efectes té en la població de la gent gran, on la bretxa digital encara és un problema que cal estudiar millor. OBJECTIUS: Avaluar l’eficàcia de les intervencions combinades d’exercici terapèutic domiciliari i de salut digital sobre la funció física en les persones grans. Secundàriament, s’han avaluarat els seus efectes sobre l’autonomia, els nivells d’activitat física, la qualitat de vida, les caigudes i l’adherència. METODOLOGIA: Es va realitzar una cerca a bases de dades digitals per identificar estudis aleatoris o quasi aleatoris de persones de 65 anys o més que vivien a casa i que participaven en qualsevol programa d’exercicis terapèutics mitjançant recursos digitals de salut. S’ha fet una anàlisi del risc de biaix i la metanàlisi només s’ha realitzat en alguns resultats a causa de la gran heterogeneïtat dels estudis inclosos. RESULTATS: 28 estudis van complir els criteris d'inclusió per fer l'avaluació sistemàtica de l'eficàcia. 20 estudis feien fer programes d’exercici físic i els altres 8 van feien programes d’incentivació de l’activitat física. El 68% dels estudis van informar sobre la funció física i el 32% van informar sobre el rendiment físic. El 75% dels estudis van examinar els nostres resultats secundaris i el 46% van presentar resultats a nivell d'activitat física. 5 Aina Gismero Serra DISCUSSIÓ: les DHI més habituals en els programes d’exercisi físic són les trucades i les aplicacions i en els programes per incentivar l’activitat física les més habituals son les trucades telefòniques i els llocs web. Hem trobat bona adhesió de la gent gran a la tecnologia per fer programes d’exercisi físic i programes d’incentiu de l’activitat física. TFM del Màster en Activitat Física Terapèutica en Persones amb Patologies Cròniques, Envelliment o Discapacitat tutoritzat per Mercè Sitjà Rabert 2021-09-01T00:00:00Z https://hdl.handle.net/20.500.14342/1644 Normative hamstring-to-quadriceps strength value in elite female basketball, handball and volleyball atletes Aldalur Gurrutxaga, Maialen Introduction: A low H/Q ratio is considered a relevant risk factor for ACL injury due to the reduced capacity for dynamic knee-joint stabilisation. The decline of this value after menarche in contrast to the rise in males makes adolescent girls more susceptible to ACL injuries. The main objective of the study is to determine a normative H/Q ratio value and hamstring and quadriceps strength values in healthy elite youth female basketball, handball and volleyball athletes. Participants: A total of 55 basketball (n=19), handball (n=21) and volleyball (n=15) female athletes were included in the study, all those belonging to the Catalan Technification Centre. Methods: The maximal isometric voluntary muscle contraction (IVMCmax) of quadriceps and hamstring were assessed using a fixed hand-held dynamometer (HHD). (Mark-10 series 3 Digital Force Gauge, Copiague, NY). Results: The H/Q ratio values fluctuates between 0.35 and 0.42, therefore, in accordance with other studies we observe that the pre-established ratio value of 0.6 as an injury risk cut-off point does not reflect all sports, sexes and ages . No statistically significant strength differences were observed by sport or dominance. Furthermore, a significant age effect was observed in relation to the quadriceps normalised strength peak torque (p = 0.02) TFM del Màster Màster Universitari en Fisioteràpia dels Esports d'Equip tutoritzat per Azahara Fort- Vanmeerhaeghe 2020-06-01T00:00:00Z https://hdl.handle.net/20.500.14342/1645 Injury incidence and relationship between screening tools and performance tests in high level youth female volleyball players: An observational study Åxman, Sebastian Introduction: Volleyball is one of the most popular sports in the world yet thereis limited knowledge about the risk factors for iinjury, especially for high level female youth volleyball. The purpose of this study is to investigate the injury incidence and the correlation between demography, screening tools and risk of injury. Methods: An observational study with high level female youth volleyball players aged 16-19 and uninjured at the time of participation from one club Barça Femení CVB Júvenil A with the main variable being if the players were injured in the 2019/20 season. Injury data were collected retrospectively through a questionnaire, whereas demography and test scores were collected prospectively with guidance of a written explanation and graphic illustration of the correct procedure to each participant to be performed from home during COVID19 isolation. The tests include: Weight-Bearing Lunge Test, Single Leg Hop for Distance, Counter Movement Jump with and without arm swing, Apley Scratch Test. Results: Two injuries occurred in the 2019/20 season and were found to be significantly correlated with age and Single Leg Hop Test for Distance, whereas previous injuries were found to be significantly correlated with Counter Movement Jumps with and without arm swing. Conclusion: A larger sample size over a prospective period is needed to validate the findings in this study.However, the descriptive data as well as the methodology in this study may be valuable to future studies for comparison and incentive to initiate further research on the topic. TFM del Màster Màster Universitari en Fisioteràpia dels Esports d'Equip tutoritzat per Miriam Elisa Guerra Balic 2020-06-01T00:00:00Z https://hdl.handle.net/20.500.14342/1646 Efecto de un programa de ejercicio físico terapéutico en atención domiciliaria para pacientes crónicos complejos (PCC) Rius Fernández, Laura Introducción y Objetivos: Los pacientes crónicos complejos (PCC) se caracterizan por presentar multimorbilidad y una difícil gestión clínica, representando el 4% de la población catalana. El objetivo principal de este estudio es evaluar el efecto en la calidad de vida (CV) de una intervención de ejercicio físico terapéutico (EFT) en PCC mayores de 65 años de la Unidad de Atención Domiciliaria (UAD) del CAP de Horta 7D. Métodos: Prueba piloto de un estudio casi experimental (sin grupo control), consistente en una intervención de EFT con control semanal, ya sea con visita en el domicilio o llamada telefónica.Variable principal: calidad de vida, (EQ-5D). Variables ecundarias: Actividad Física (IPAQ-SF), sedentarismo (Sedentary Behaviour Questionari, SBQ), capacidad funcional (SPPB), independencia para las actividades de la vida diaria (Barthel) y sueño (Índice de Calidad de Sueño de Pittsburgh, PSQI). Resultados: Se incluyeron 5 participantes (mediana de edad de 88 años con rango intercuartílico de 3), 60% mujeres y 40% hombres.La intervención tubo un efecto significativo en la Visual Analogic Scale (VAS) del cuestionario de calidad de vida (EQ-D), en el parámetro de caminar i actividad moderada del IPAQ-SF, en la reducción de horas sentado medido con el SBQ y en la velocidad de la marcha medida con el SPPB. Conclusiones: Una intervención de EFT que incluye la incorporación de actividad física y la reducción del sedentarismo podría mejorar la CV y salud en los PCC. Se necesita investigar más para especificar que programa de actividad física es el más eficiente para esta población y crear intervenciones con ayuda de la tecnología emergente.; Introduction and Objectives: Patients with Chronic Complex Diseases (CCD) are characterized by multimorbidity and difficult clinical management, representing 4% of the Catalan population The main objective of the study is to evaluate the effect of an intervention of physical therapeutic exercise on the quality of life (QoL) in patients with CCD older than 65 who belong to the home care unit of the primary care center of Horta 7D. Methods: Pilot testing of an almost experimental study (without control group), either with a home visit or a phone call. Main variable: QoL, (EQ-5D). Secondary variables: Physical Activity (IPAQ-SF), Sedentary Behaviour Questionaire (SBQ), functional capacity (SPPB), independence for the activities of daily life (Barthel) and sleep (Pittsburgh Sleep Quality Index, PSQI) Results: 5 participants (median age of 88 years with interquartile range of 3), 60% women and 40% men were included. The intervention had a significant effect on the Visual Analogic Scale (VAS) of the QoL Questionnaire (EQ-5D), in the parameter of walking and moderate activity of the IPAQ-SF, in the reduction of sitting hours measured with the SBQ and at the speed of the gear measured with the SPPB. Conclusions: An therapeutic physical exercise intervention that includes incorporating physical activity and reducing sedentary is could improve QoL and health in patients with CCD. More research is needed to specify which physical activity program is the most efficient for this population and create interventions with the help of emerging technology. TFM del Màster Universitari en Activitat Física Terapèutica per a Persones amb Patologia Crònica, Envelliment o Discapacitat tutoritzat per Carme Martín Borràs 2019-07-12T00:00:00Z