Noé Labata‐Lezaun

Universitat Internacional de Catalunya

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Albert Pérez‐Bellmunt

Universitat Internacional de Catalunya

Carlos López‐de‐Celis

Barcelona Activa

Luis Llurda-Almuzara

Universitat Internacional de Catalunya

Jacobo Rodríguez‐Sanz

Universitat Internacional de Catalunya

Vanessa González-Rueda

Universitat Internacional de Catalunya

Max Canet‐Vintró

Universitat Internacional de Catalunya

Ramón Aiguadé

Universitat de Lleida

Sergi Romaní‐Sánchez

Universitat Internacional de Catalunya

Aïda Cadellans-Arróniz

Universitat Internacional de Catalunya

Sergi Rodríguez-Rodríguez

Universitat Internacional de Catalunya

Cooperative Institutions

Universitat Internacional de Catalunya

Barcelona Activa

Universidad de Zaragoza

Departament de Salut

Universitat Autònoma de Barcelona

Universidade da Coruña

Hospital Quirónsalud Barcelona

FC Barcelona

American Physical Therapy Association

Research Network (United States)

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Biceps Femoris Activation during Hamstring Strength Exercises: A Systematic Review

International Journal of Environmental Research and Public Health (2021)

Luis Llurda-Almuzara Noé Labata‐Lezaun Carlos López‐de‐Celis Ramón Aiguadé Sergi Romaní‐Sánchez

Background: The aim of the study was to systematically evaluate the biceps femoris long head activation across cross-sectional hamstring strength exercise studies. Methods: A systematic review design was followed. The search strategy conducted in PubMed, Cochrane Library, and Web of Sciences databases found a total of 3643 studies. Once inclusion and exclusion criteria were applied, 29 studies were finally included in this systematic review. A total of 507 participants and 114 different exercises were analyzed. Exercises were evaluated individually and grouped into several categories: Nordics, isokinetic exercises, lunges, squats, deadlifts, good mornings, hip thrusts, bridges, leg curls, swings, hip and back extensions, and others. Results: Results showed the isokinetic and Nordic exercises as the categories with highest biceps femoris activation (>60% of Maximal Voluntary Isometric Contraction). Nordic hamstring exercise ankle dorsiflexion was the exercise that achieved the highest biceps femoris long head activation (128.1% of its Maximal Voluntary Isometric Contraction). Conclusions: The results from this systematic review suggest that isokinetic and Nordic exercises seem to be the best option to activate biceps femoris long head. Future studies evaluating the implementation of these exercises in prevention programs are needed.

Hamstring injury

10.3390/ijerph18168733

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Citations (21)

Efectos de la terapia Tecar en lesiones deportivas de la extremidad inferior: Estudios en cadáver

Scientific Medical Data (2022)

Jacobo Rodríguez Sanz Carles López-de-Celis César Hidalgo-García Vanessa González-Rueda Luis Llurda-Almuzara

10.24175/sbd.2022.000072

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Citations (0)

Correlation between Power Elbow Flexion and Physical Performance Test: A Potential Predictor for Assessing Physical Performance in Older Adults

Journal of Clinical Medicine (2023)

Sergi Rodríguez-Rodríguez Esther Jovell Leonor Cuadra-Llopart Jacobo Rodríguez‐Sanz Noé Labata‐Lezaun

Background: With the increasing number of older adults and their declining motor and cognitive function, it is crucial to find alternative methods for assessing physical functionality. The Short Physical Performance Battery (SPPB), the Time Up and Go (TUG) test, the 4 Meter Walk Test and the Barthel Index (BI) have been used to evaluate mobility and fragility and predict falls. But some of these functional test tasks could be difficult to perform for frail older adults or bedridden patients that cannot ambulate. This study aimed to evaluate the relationship between these functional tests and the power elbow flexion (PEF test). Material and methods: A correlation study was designed with 41 older adults over 65 years of age. The upper limb muscle power was measured using a linear encoder (VITRUBE VBT) with the flexion of the elbow. Results: Strong correlations were found between the PEF test and the 4mWT (rho = 0.715, p = 0.001) and TUG (rho= −0.768, p = 0.001), indicating that the greater the upper limb muscle power is, the greater physical performance will be. Moderate correlations were also found between the PEF and Barthel Index (rho = 0.495, p = 0.001) and SPPB (rho = 0.650, p < 0.001). Conclusions: There is a strong correlation between PEF and the functional tests, proving that older adults that have greater upper limb muscle power have better physical performance. Upper limb muscle power and PEF could be an interesting tool for the assessment of physical performance in bedridden older adults.

Elbow flexion

10.3390/jcm12175560

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Effect of respiratory muscle training in asthma: A systematic review and meta-analysis

Annals of Physical and Rehabilitation Medicine (2022)

Ana Lista-Paz Lucía Bouza Cousillas Cristina Jácome Guilherme Fregonezi Noé Labata‐Lezaun

The last systematic review about respiratory muscle training (RMT) in people with asthma was published almost 10 years ago. Since then, several works have been published.To review the effect of RMT in people with asthma.We conducted a systematic review of research included up to September 2021 in PubMed/MEDLINE, PEDro, Scopus, Web of Science, CINAHL, LILACS, Cochrane Central Register of Controlled Trials and ClinicalTrials.gov. We included randomized controlled trials and quasi-experimental studies assessing the effect of RMT on respiratory muscle function, rescue medication, asthma-related symptoms, lung function, exercise capacity, healthcare use, health-related quality of life (HRQoL) and adverse effects in people with asthma. Risk of bias and methodological quality were assessed with the Cochrane Risk of Bias assessment tool and the PEDro scale. Meta-analysis was performed whenever possible; otherwise a qualitative approach was followed.Eleven studies (270 participants) were included, 10 with only adults and were included in the meta-analysis. Inspiratory muscle training (IMT) had beneficial effects on maximal inspiratory pressure (PImax: mean difference [MD] 21.95 cmH2O [95% confidence interval [CI] 15.05; 28.85]), with no changes in maximal expiratory pressure (MD 14.97 cmH2O [95%CI -5.65; 35.59]), lung function (forced expiratory volume in 1 sec: MD 0.06 [95%CI -0.14; 0.26] L; force vital capacity: MD 0.39 [95%CI -0.24; 1.02] L) and exercise capacity (standard mean difference [SMD] 1.73 [95%CI -0.61; 4.08]). Subgroup analysis revealed that IMT load >50% PImax and duration >6 weeks were beneficial for exercise capacity. The qualitative analysis suggested that IMT may have benefits on respiratory muscle endurance, rescue medication and exertional dyspnoea, with no adverse effects.This systematic review and meta-analysis showed a significant increase in PImax after IMT in adults with asthma and reinforced the relevance of the dose-response principle of training. More evidence is needed to clarify the effect of IMT in respiratory muscle endurance, rescue medication, exercise capacity, healthcare use and HRQoL.PROSPERO International Prospective Register of Systematic Reviews CRD42020221939; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=221939.

Vital capacity

CINAHL

Subgroup analysis

10.1016/j.rehab.2022.101691

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Citations (27)

Is Dry Needling Effective for the Management of Plantar Heel Pain or Plantar Fasciitis? An Updated Systematic Review and Meta-Analysis

Pain Medicine (2021)

Luis Llurda-Almuzara Noé Labata‐Lezaun Toni Meca-Rivera Marcos José Navarro‐Santana Joshua A. Cleland

Abstract Objective Dry needling is commonly used for the management of plantar fasciitis. This meta-analysis evaluated the effects of dry needling over trigger points associated with plantar heel pain on pain intensity and related disability or function. Methods Electronic databases were searched for randomized controlled trials in which at least one group received dry needling, not acupuncture, for trigger points associated with plantar heel pain and in which outcomes were collected on pain intensity and related disability. The risk of bias was assessed with the Cochrane Risk of Bias tool, methodological quality was assessed with the Physiotherapy Evidence Database (PEDro) score, and the level of evidence is reported according to the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach. Between-groups mean differences (MD) and standardized mean differences (SMD) were calculated. Results The search identified 297 publications, with six trials eligible for inclusion. The meta-analysis found low-quality evidence that trigger point dry needling reduces pain intensity in the short term (MD −1.70 points, 95% confidence interval [CI] −2.80 to −0.60; SMD −1.28, 95% CI −2.11 to −0.44) and moderate-quality evidence that it improves pain intensity (MD −1.77 points, 95% CI −2.44 to −1.11; SMD −1.45, 95% CI −2.19 to −0.70) and related disability (SMD −1.75, 95% CI −2.22 to −1.28) in the long term, as compared with a comparison group. The risk of bias of the trials was generally low, but the heterogeneity of the results downgraded the level of evidence. Discussion Moderate- to low-quality evidence suggests a positive effect of trigger point dry needling for improving pain intensity and pain-related disability in the short term and long term, respectively, in patients with plantar heel pain of musculoskeletal origin. The present results should be considered with caution because of the small number of trials.

Dry Needling

10.1093/pm/pnab114

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Citations (33)

Effectiveness of Blood Flow Restriction Training on Muscle Strength and Physical Performance in Older Adults: A Systematic Review and Meta-analysis

Archives of Physical Medicine and Rehabilitation (2022)

Noé Labata‐Lezaun Luis Llurda-Almuzara Vanessa González-Rueda Carlos López‐de‐Celis Simón A Cedeño-Bermúdez

Blood Flow Restriction

Strength Training

10.1016/j.apmr.2021.12.015

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Citations (18)

Effects of plantar fascia release and the use of foot orthoses affect biomechanics of the medial longitudinal arch of the foot. A cadaveric study

American Journal of Physical Medicine & Rehabilitation (2024)

Jacobo Rodríguez‐Sanz Luis E. Roche-Seruendo Carlos López‐de‐Celis Max Canet‐Vintró Javier Ordoyo-Martin

ABSTRACT Objective To evaluate the effect of minimally invasive ultrasound-guided fascial release and a foot orthoses with first metatarsal head cut-out on the biomechanics of the medial longitudinal arch of the foot in cadaveric specimens. Design A cross-sectional study was designed (20 body-donors). Anthropometric measurements of the foot, foot posture index and the windlass test and force were measured in different conditions: unloaded, loaded position, with foot orthoses, after a 25% plantar fascia release and after a 50% release. Results For the anthropometric measurements of the foot, differences were found in foot length (p = 0.009), arch height (p < 0.001) and midfoot width (p = 0.019) when comparing the unloaded vs foot orthoses condition. When foot orthoses were compared with 25% plantar fascial release, differences were found in foot length (p = 0.014) and arch height (p < 0.001). In the comparation with 50% plantar fascial release, differences were found in the arch height (p < 0.001). A significant interaction between foot orthoses condition and grades was found in the arch height during the windlass test (p = 0.021). Conclusion The results indicate that the presence of foot orthoses leads to a significant increase in arch height compared to other conditions. Furthermore, when plantar fascia release is performed, the arch does not exhibit any signs of collapse.

Plantar fascia

Cadaveric spasm

Foot (prosody)

Biomechanics

Foot Orthoses

10.1097/phm.0000000000002414

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Citations (0)

Sex Differences in Pre-Season Anthropometric, Balance and Range-of-Motion Characteristics in Elite Youth Soccer Players

Healthcare (2022)

Luis Llurda-Almuzara Albert Pérez‐Bellmunt Noé Labata‐Lezaun Carlos López‐de‐Celis Jason Moran

In soccer, injury epidemiology differs between males and females. It is clinically useful to know whether there are between-sex differences in selected characteristics relevant to primary injury risk and injury prevention practices. The purpose of this study was to explore between-sex differences in anthropometric, balance, and range-of-motion characteristics in Spanish elite male and female youth soccer players. This was a pre-season cross-sectional study. Sixty-nine males (age 16.8 ± 0.9 yr; height 175.9 ± 6.8 cm; mass 67.9 ± 6.3 kg) and thirty-seven females (age 17.2 ± 1.7 yr; height 164.0 ± 6.3 cm; mass 59.0 ± 5.8 kg) participated. Anthropometrics (standing/sitting height, bodymass, right/left leg length) and right/left anterior reach test (ART), hip internal/external active range of motion, active knee extension (AKE), and weightbearing lunge test (WBLT) were measured. Between-sex differences were assessed with Bonferroni-corrected Mann–Whitney U tests and Cliff’s delta (d). Between-sex significant differences (p < 0.003, d ≥ 0.50) were observed for anthropometric data and for hip internal rotation. No between-sex significant differences were observed for ART/AKE/WBLT measures. Between-sex significant differences with large effect sizes were identified for anthropometric data and right/left hip internal rotation. The present study adds new data to the literature for young Spanish male and female soccer players. The present findings will help inform clinical reasoning processes and future injury prevention research for elite male and female youth soccer players.

External rotation

10.3390/healthcare10050819

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Citations (10)

Effect of Load Distribution on Trunk Muscle Activity with Lunge Exercises in Amateur Athletes: Cross-Sectional Study

Healthcare (2023)

Carlos López‐de‐Celis Noé Labata‐Lezaun Sergi Romaní‐Sánchez Sergi Gassó-Villarejo Erik García-Ribell

The effect of load distribution applied to the trunk musculature with lunge exercises has yet to be determined. The aim of this study was to evaluate the effect of load placement using dumbbells on the activation of the latissimus dorsi, erector spinae, external oblique, and rectus abdominis muscles during the lunge.Forty-two amateur athletes (21 men and 21 women) were recruited. Three lunge exercises were performed with different loading arrangements (ipsilateral, contralateral, and bilateral). The principal variable recorded for muscle activity was mean "root mean square" expressed as the percentage of the maximal voluntary isometric contraction.There are statistically significant differences in the erector spinae (p < 0.001; p < 0.003) and external oblique muscles (p < 0.009; p < 0.001) compared with the contralateral side. The muscle on the opposite side of the load achieved higher activation for these muscles. The erector spinae and latissimus dorsi muscle did not reach a statistically significant difference with the contralateral side in any exercise (p > 0.05). The higher activation of the latissimus dorsi occurred on the same side on which the load was placed.There was higher activation of the erector spinae, external oblique, and rectus abdominis muscles contralateral to the side of load placement during lunge exercise by amateur athletes.

Erector spinae muscles

Latissimus dorsi muscle

10.3390/healthcare11060916

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Citations (2)

Normative data and correlation between dynamic knee valgus and neuromuscular response among healthy active males: a cross-sectional study

Scientific Reports (2020)

Luis Llurda-Almuzara Albert Pérez‐Bellmunt Carlos López‐de‐Celis Ramón Aiguadé Roberto Seijas

Abstract The dynamic knee valgus (DKV) during different sport maneuvers has been widely described as risk factor to develop an anterior cruciate ligament injury. Hip and knee muscles seem to have a crucial role to prevent the dynamic knee valgus. This study aimed to give normative and correlational data about DKV and hip and knee neuromuscular response (NMR) among healthy active males. The hypothesis is that DKV could be correlated with hip NMR. A cross-sectional correlational study. Research Anatomy Laboratory. The study was carried out among 50 active, non-injured males. Dynamic Knee-Valgus angle and lower limb posterior chain muscles Neuromuscular Response. DKV was measured using Kinovea software during a Single-Legged Drop Jump test and NMR was measured using tensiomyography and myotonometry for gluteus maximum, biceps femoris, semitendinosus, lateral and medial gastrocnemius. Right and left limbs were both performed and analyzed independently. No significant correlation was observed between DKV and hip and knee muscles NMR. This study shows normative and correlational data about dynamic knee valgus, tensiomyography and myotonometry for healthy and active males. The DKV control seems to be non-correlated with isolated hip and knee muscles NMR so this suggests it is more about Central Nervous System activity than about isolated muscles NMR.

Biomechanics

ACL injury

10.1038/s41598-020-74177-8

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Citations (27)