https://hdl.handle.net/10259/7906 Thu, 23 Apr 2026 03:21:56 GMT 2026-04-23T03:21:56Z https://hdl.handle.net/10259/11453 Upper Extremity Motor Performance During a Shirt Buttoning Task in Huntington’s Disease Simón Vicente, Lucía; Cuesta García, César; Calvo Simal, Sara; Mariscal, Natividad; Saiz Rodríguez, Miriam; Aguado, Laura; Muñoz-Siscart, Ignacio; Cruz Salamanca, Irene de la; Díaz-Piñeiro, Dolores; Cubo Delgado, Esther Background: Motor impairment in Huntington’s Disease (HD) includes chorea, bradykinesia, dystonia, and rigidity, causing Upper extremity (UE) impairments in daily activities. Objectives: Describe motor patterns and analyze execution times for buttoning a shirt in premanifest and manifest-HD versus controls; explore the relationship between clinical assessments and UE motor performance and assess interobserver reliability of the motor pattern coding system. Methods: Cross-sectional observational study with 30 manifest-HD, 9 premanifest-HD, and 30 controls from Burgos University Hospital, Spain. Participants buttoned a five-button shirt and time spent and motor patterns were analyzed using Observer-XT-software. Results: Significant differences were found in movement time and motor patterns between groups. Manifest-HD took nearly twice as long as controls to complete the task. Correlations were found with clinical assessments. Degree of interobserver agreement was excellent. Conclusion: Evaluating motor patterns helps in early detection of motor impairment, monitoring disease progression, and developing rehabilitation programs to maintain and improve UE function Plain Language Summary: How Huntington’s Disease affects upper limb movements and impact on quality of life, motor, cognitive, and psychiatric symptoms when buttoning a shirt The research aims to explore motor patterns and execution times during buttoning a shirt in people with Huntington’s Disease (HD) at different stages (premanifest-HD and manifest-HD) compared to controls. Premanifest-HD is the stage before noticeable symptoms appear, while manifest-HD is when symptoms become noticeable (involuntary movements, difficulty with coordination, changes in thinking . . .). The disease progresses over time, and symptoms become more severe. The primary research question is: How do motor patterns and execution times differ between individuals with HD (premanifest and manifest) and controls? The hypothesis is that individuals with manifest-HD will exhibit significantly impaired motor patterns and longer execution times compared to controls. The study hopes to uncover early indicators of motor decline and provide insights for developing targeted rehabilitation programs. This research is crucial because motor impairments in HD, such as chorea, bradykinesia, dystonia, and rigidity, significantly impact the quality of life and independence of individuals. HD is a progressive neurodegenerative disorder, and understanding these impairments can lead to better management and treatment strategies. HD affects approximately 5–10 per 100,000 people worldwide. This research impacts not only individuals with HD but also their families, caregivers, and health care systems. The study employed an observational cross-sectional design, ideal for comparing different groups at a single point in time. It provides a snapshot of the differences in motor function between individuals with manifest-HD, premanifest-HD, and healthy controls. Key variables included the time taken to button a five-button shirt and the motor patterns used during the task. Participants included 30 individuals with manifest-HD, 9 with premanifest-HD, and 30 healthy controls. The use of Observer-XT software ensured precise and objective measurement of the variables. Fri, 01 Aug 2025 00:00:00 GMT https://hdl.handle.net/10259/11453 2025-08-01T00:00:00Z https://hdl.handle.net/10259/11277 Effectiveness of the NeuronUp program in improving the cognitive performance in older adults Sáiz Vázquez, Olalla; Ubillos Landa, Silvia; Mercado Val, Elvira; Líbano Miralles, Mario del; Santamaría Vázquez, Montserrat Background: The application of new technologies for cognitive stimulation has increased in recent years, allowing interdisciplinary teams to work more efficiently, minimizing the costs and time of analysis, management, and design of activities, and improving the care of older adults. Objective: The objective of this study was to evaluate the effect of a cognitive intervention carried out using a web platform (NeuronUp) in improving mild cognitive decline (orientation, reading, memory, and language) in institutionalized older adults as compared to traditional interventions using pencil and paper. Methods: The experimental design was applied on two randomly allocated participant groups. One group received the intervention through NeuronUp (55 participants), and the other group received it with pencil and paper (55 participants). For the user evaluation, the Abbreviated Barcelona Test (PIEN-TB), which was administered before and after the intervention, was used. Analyses of variance, covariance, multivariate analysis of variance, and covariance were performed on two groups (control and experimental) twice (pre- and post-intervention). Each cognitive measure was used as a dependent variable; the group was the fixed factor, and the pre-test scores and the educational levels were the covariates. Results: Statistically significant differences were observed in all categories except for language. The NeuronUp program improved three of the four cognitive skills evaluated: orientation (F(3106) = 12.747, p = .001, d = 0.69) and reading (F(3106) = 9.195, p = .003, d = 0.59) with moderate effect sizes, and memory (F(3106) = 58.911, p = .001, d = 1.49) with a strong effect size. Conclusion: The NeuronUp program is effective in improving cognitive processes in older individuals; furthermore, implementing treatments with new technologies guided by specialized professionals may be beneficial. Sat, 01 Nov 2025 00:00:00 GMT https://hdl.handle.net/10259/11277 2025-11-01T00:00:00Z https://hdl.handle.net/10259/10862 Dataset of multi-field functional electrical stimulation with Fesia Grasp for hand rehabilitation in Multiple Sclerosis: randomized controlled trial outcomes Sáiz Vázquez, Olalla; Santamaría Vázquez, Montserrat; Martín-Odriozola, Aitor; Martín Pérez, Tamara; Ortiz Huerta, Juan Hilario This dataset contains anonymized data from a randomized controlled trial investigating the use of multi-field functional electrical stimulation (FES) with the Fesia Grasp device for hand rehabilitation in patients with Multiple Sclerosis (MS). The dataset includes baseline and post-intervention measures of hand strength, fine motor control, and activities of daily living. Data were collected during the rehabilitation program and analyzed to assess the effectiveness of the intervention. Thu, 11 Sep 2025 00:00:00 GMT https://hdl.handle.net/10259/10862 2025-09-11T00:00:00Z https://hdl.handle.net/10259/10737 Pon a trabajar tus neuronas: manual de actividades cognitivas Medina Gómez, Mª Begoña; Sáiz Vázquez, Olalla Este manual está pensado para que sea una herramienta útil para todos aquellos profesionales que trabajan en el ámbito educativo, social y sanitario que realizan sesiones de estimulación cognitiva en centros de día, unidades de rehabilitación, centros ocupacionales, asociaciones de personas con dificultades cognitivas, residencias de mayores y otros recursos asistenciales. El principal objetivo es ofrecer un conjunto de actividades diseñadas para facilitar el desarrollo, mantenimiento y recuperación de funciones cognitivas, dirigidas especialmente a personas mayores, pacientes con daño cerebral o problemas de salud mental, individuos con trastornos del neurodesarrollo, especialmente jóvenes y adultos con discapacidad intelectual, y otros colectivos vulnerables. Su enfoque práctico, inclusivo y basado en la evidencia científica garantiza una aplicación eficaz en contextos de estimulación y rehabilitación. Este manual no solo potencia la estimulación cognitiva, sino que también fortalece la interacción social, la autoestima y la motivación de los participantes. Se presentan más de 200 fichas de actividades, cada una incluye información sobre la función cognitiva que se trabaja principalmente, la modalidad de aplicación (individual o grupal), las instrucciones para su realización, los materiales, los recursos requeridos y se proponen distintos niveles de dificultad ajustables según las necesidades del usuario. Las actividades están agrupadas en siete bloques, abordando las funciones cognitivas clave en la intervención neuropsicológica: En el bloque de atención, se incluyen ejercicios de sopas de letras, laberintos y tareas de discriminación visual que refuerzan la concentración y la atención selectiva. En el de la memoria, se trabaja la episódica, la semántica y la de trabajo mediante dinámicas como reminiscencia, asociaciones y estrategias de recuerdo. En el de lenguaje, se proponen actividades para mejorar la expresión y comprensión oral y escrita. En el de funciones ejecutivas, se incluyen ejercicios orientados a la planificación, resolución de problemas y toma de decisiones. En el de la percepción, se plantean actividades para identificar, discriminar y clasificar estímulos sensoriales diversos. En el de praxias, se proponen tareas de coordinación motora y actividades que implican planificación y ejecución de gestos o movimientos simple o complejos, que el usuario debe realizar a la orden o por imitación, con objeto o sin objeto. Y, por último, se plantean actividades para cerrar y evaluar la sesión. Su diseño permite una fácil integración en sesiones terapéuticas, educativas o de ocio, adaptándose a diversos entornos profesionales. Este manual no es simplemente una recopilación de ejercicios, sino una guía estructurada de intervención cognitiva, que permite a los profesionales personalizar cada actividad en función del contexto y las características individuales de los usuarios. Su diseño facilita su aplicación en programas terapéuticos, educativos y recreativos, adaptándose tanto a sesiones individuales como grupales. Thu, 10 Jul 2025 00:00:00 GMT https://hdl.handle.net/10259/10737 2025-07-10T00:00:00Z