https://hdl.handle.net/10259/4141 2026-04-30T13:16:08Z https://hdl.handle.net/10259/10180 Impact of a Dynamic Orthosis on Manual Dexterity Among People With Parkinson’s Disease: A Randomized Trial Jiménez Barrios, María; González Bernal, Jerónimo; Santamaría Peláez, Mirian; Collazo Riobó, Carla; Cubo Delgado, Esther; Trejo Gabriel y Galán, José Mª; Matthews, Martin J. A.; González Santos, Josefa Importance: A dynamic elastomeric fabric orthosis could be a novel nonpharmacological treatment of motor symptoms among people with Parkinson’s disease (PD). Objective: To evaluate the efficacy of the orthosis in improving manual dexterity among people with PD. Design: A randomized trial with 60 participants (control group, n = 20; experimental group, n = 40). Manual dexterity was assessed in on–off states of the disease, with and without the orthosis. Setting: Burgos University Hospital (Burgos, Spain). Participants: Consecutive nonprobabilistic sampling. Patients were included if they had been diagnosed with PD, had motor symptoms in at least one upper limb, and attended the hospital’s neurology department. Participants were ages 48 to 89 yr, with an average disease duration of 5.38 yr (SD = 4.23). Exclusion criteria were tremor due to another neurological disease or a Montreal Cognitive Assessment score ≤26. Intervention: The experimental group used the orthosis on the most affected upper limb for 2 mo; the control group participants did not receive the orthosis. Outcomes and Measures: Manual dexterity was measured with the Purdue Pegboard Test, Minnesota Manual Dexterity Test, and Square Test. Paired t tests for related samples and analysis of covariance tests were used. Results: Some participants improved on some manual dexterity items while wearing the orthosis. However, it was not sustained when the orthosis was removed after 2 mo of use. Conclusions and Relevance: The orthosis may improve certain aspects of manual dexterity and functionality among people with PD, but only while it is worn. Plain-Language Summary: The common motor symptoms and declines in manual dexterity that people with Parkinson’s disease (PD) experience can significantly affect their ability to perform activities of daily living as well as their quality of life. Manual dexterity is a strong predictor of the level of functional independence for people with PD. This study evaluated the efficacy of an elastomeric fabric orthosis to improve manual dexterity for people with PD. The study found that while wearing the orthosis the motor symptoms of PD were reduced and manual dexterity and upper limb functionality improved. Wearing the orthosis has the potential to enhance functionality, foster greater autonomy, and substantially improve the quality of life of people with PD. 2025-01-01T00:00:00Z https://hdl.handle.net/10259/9732 Maestros de Educación Infantil y de Educación Primaria (España). Miedo, empatía, estrés, y satisfacción Pardo Hernández, Rocío; Gutiérrez Caballero, Juana María; Blázquez Manzano, Alberto; González Santos, Josefa; González Bernal, Jerónimo; Santamaría Peláez, Mirian; Fernández Solana, Jessica Los participantes en el estudio fueron aquellos maestros/profesores que imparten clases en los ciclos educativos de infantil y primaria (cualquiera que sea la especialidad) que contestaron a una encuesta distribuida de manera digital entre junio de 2024 y agosto de 2024. 2024-11-18T00:00:00Z https://hdl.handle.net/10259/9358 Pacientes atendidos en el servicio de urgencias en el Complejo Hospitalario de Cáceres por quemaduras Alcalá-Cerrillo, María; González Santos, Josefa; González Bernal, Jerónimo; Santamaría Peláez, Mirian; Fernández Solana, Jessica; Sánchez Gómez López-Lama, Sara M.; Gómez-Martín, Ana Los pacientes participantes en el estudio fueron aquellos atendidos por el Servicio de Urgencias Hospital del Complejo Hospitalario de Cáceres (España) entre enero de 2018 y diciembre de 2022 por algún tipo de quemadura. Variables recogidas: servicio de alta, sexo biológico (hombre, mujer), edad (años), fecha de ingreso, duración de la estancia (días), tipo de urgencia (pediátrica o adulta), clasificación según la norma estatal All Patients Refined - Diagnosis-Related Groups (APR-GRD) tipo de tratamiento (médico/quirúrgico), diagnóstico principal según la CIE-10 (T20, T21. .., T32), grosor de la piel afectada (parcial, completa, no declarada, superficie corporal, grado de quemadura (primera, segunda, tercera, no declarada), zonas afectadas (1, 2 o más, no declaradas), superficie corporal (parcial, completa, no declarada, superficie corporal no declarada), número de quemaduras (parcial, completa, no declarada, superficie corporal no declarada). T32), grosor de la piel afectada (parcial, completa, no consta), grado de la quemadura (primero, segundo, tercero, no consta), zonas afectadas (1, 2 o más, no consta), superficie corporal (según clasificación CIE-10), abordaje del tratamiento (externo, abierto, ambos, no consta), número de procedimientos necesarios, tipo de procedimiento realizado (sustitución, escisión, reparación, extirpación, amputación, traslado, liberación, cuidado de la herida, irrigación, vendaje, drenaje, transfusión, suplementación, inserción, inserción, soporte). La enfermería participa activamente en todos estos procedimientos, desempeñando un papel fundamental en cada uno de ellos. 2024-06-30T00:00:00Z https://hdl.handle.net/10259/8838 Functionality and Quality of Life with Parkinson’s Disease after Use of a Dynamic Upper Limb Orthosis: A Pilot Study Jiménez Barrios, María; González Bernal, Jerónimo; Cubo Delgado, Esther; Gabriel Galán, José María; García López, Beatriz; Berardi, Anna; Tofani, Marco; Galeoto, Giovanni; Matthews, Martin J. A.; Santamaría Peláez, Mirian; González Santos, Josefa Parkinson’s disease (PD) is a chronic, neurodegenerative movement disorder, whose symptoms have a negative impact on quality of life and functionality. Although its main treatment is pharmacological, non-pharmacological aids such as the dynamic elastomeric fabric orthosis (DEFO) merit an evaluation. Our objective is to assess the DEFO in upper limb (UL) functional mobility and in the quality of life of PD patients. A total of 40 patients with PD participated in a randomized controlled crossover study, and were assigned to a control group (CG) and to an experimental group (EG). Both groups used the DEFO for two months, the experimental group the first two months of the study and the control group the last two. Motor variables were measured in the ON and OFF states at the baseline assessment and at two months. Differences from the baseline assessment were observed in some motor items of the Kinesia assessment, such as rest tremor, amplitude, rhythm or alternating movements in the ON and OFF states with and without orthosis. No differences were found in the unified Parkinson’s disease rating scale (UPDRS) or the PD quality-of-life questionnaire. The DEFO improves some motor aspects of the UL in PD patients but this does not translate to the amelioration of the standard of functional and quality-of-life scales. 2023-03-01T00:00:00Z