Examinando por Autor "Sousa, Luis de Sousa de"

Mostrando 1 - 3 de 3
  • Miniatura
    Ítem
    From evidence to practice: a systematic review and meta-analysis on the effects of supervised exercise on fatigue in breast and prostate cancer survivors
    (Multidisciplinary Digital Publishing Institute (MDPI), 2025-07-29) Cano-Uceda, Arturo; García-Fernández, Pablo; Peuyadé-Rueda, Belén; Cañuelo Márquez, Ana María; Solís Mencía, Cristian Alberto; Lucio-Allende, Carmen; Sousa, Luis de Sousa de; Maté Muñoz, José Luis
    Background: Breast and prostate cancer represent a significant global public health burden. Among the adverse effects of oncological treatments, fatigue is one of the most prevalent, persistent, and disabling symptoms. Therapeutic exercise has been shown to be effective for its management, with supervision identified as a key factor that may enhance adherence, safety, and intensity control. This systematic review and meta-analysis aimed to compare the effects of supervised exercise programs versus usual care on cancer-related fatigue in patients with breast or prostate cancer. Methods: A systematic search (September–December 2024) was conducted in six databases (PubMed, Web of Science, Scopus, Cochrane, PEDro, Scielo), selecting RCTs from the past 10 years in English or Spanish. Studies compared supervised exercise with unsupervised exercise or usual care in stage I–III breast or prostate cancer patients within five years post-treatment. Methodological quality was assessed with the PEDro scale and risk of bias with Cochrane’s RoB 2.0. A random-effects model was used to calculate pooled effect sizes (ES, 95% CI), with heterogeneity (I2), sensitivity, subgroup, and publication bias analyses. Results: A total of 25 interventions from 19 randomized controlled trials involving over 2200 participants were included. Supervised exercise significantly reduced cancer-related fatigue compared to usual care (effect size = 0.34; 95% CI: 0.22–0.47; p < 0.001; I2 = 56%). Sensitivity analyses supported the robustness of the findings. Subgroup analyses revealed greater effects in combined exercise programs, in men, and in patients with prostate cancer. No evidence of publication bias was observed. While 73.7% of studies were rated as having good methodological quality, the risk of bias was often unclear or high. Conclusions: Supervised therapeutic exercise programs are effective and safe for reducing fatigue in breast and prostate cancer survivors. These interventions should be incorporated into comprehensive care plans, with individualization based on patients’ clinical and demographic characteristics. Further research is needed to identify the most effective and sustainable strategies for different patient subgroups.
  • Miniatura
    Ítem
    Performance of the baseline sport concussion assessment tool in male and female Spanish amateur rugby players
    (Multidisciplinary Digital Publishing Institute (MDPI), 2025-02) Solís Mencía, Cristian Alberto; Ramos Álvarez, Juan José; Maté Muñoz, José Luis; Montoya Miñano, Juan José; Martín, Laura; García Horcajo, Pablo; Requeno Conde, Carlota; Oliva Iglesias, Elena; Sousa, Luis de Sousa de; García-Fernández, Pablo
    Background/Objectives: The Sport Concussion Assessment Tool (SCAT) is a test used to screen for suspected concussions, with the results compared to baseline values. If current baseline values are unavailable, they can be compared to baseline values obtained from professional rugby players. The aim of this study was to evaluate the baseline SCAT values in Hispanic community rugby players of both sexes. This cohort study used an observational, prospective, and descriptive design. Methods: Participants: A total of 81 female (age: 23.3 ± 3.3 years) and 138 male (age: 23.7 ± 4.3 years) Spanish rugby players who participated in national-level competitions. Interventions (or assessment of risk factors of independent variables): The SCAT was administered as part of the pre-season medical testing, including symptoms endorsed, cognitive submode performance, and balance performance. Results: Most of the Spanish community rugby players presented some symptom in the SCAT (male = 75.4%; female = 91.4%). The number and severity of the symptoms reported by the male players were lower than those reported by the female players (p = 0.001). The time to complete the tandem gait test and balance test showed differences between sexes (p < 0.001). Conclusions: The baseline SCAT values of Spanish community rugby players differ from those of professional players, leading to the recommendation of conducting the SCAT for all players before the beginning of the season. If baseline evaluations cannot be performed, the results obtained could serve as a basis for developing reference values for community rugby in the Hispanic population. Recording the menstrual cycle phase during which the SCAT is performed may help improve its interpretation
  • Miniatura
    Ítem
    Unlocking the impact: a systematic review and meta-analysis of biomechanical insights into rugby head impacts using wearable sensor technology
    (Springer Science and Business Media Deutschland GmbH, 2025-05-03) Sousa, Luis de Sousa de ; Espinosa, Hugo G.; Maté Muñoz, José Luis ; Murias Lozano, Roberto; Iglesias Muñiz, Mario; San Sebastián Obregón, Francisco Javier; Solís Mencía, Cristian Alberto ; García-Fernández, Pablo
    Background: In the realm of sports medicine, understanding the biomechanics of head impacts, particularly in contact sports such as rugby, is of utmost interest for injury prevention and player safety. Objective: This systematic review and meta-analysis aims to consolidate existing knowledge on head impacts in rugby using wearable sensor technology, focusing on peak linear acceleration, peak rotational acceleration, and impact location. Methods: A systematic search of electronic databases [PubMed, Web of Science (WOS), Scopus, Embase, SPORTDiscus, PsycINFO, and CINAHL] was conducted in March 2024, including studies that assessed head impacts with wearable technology in rugby athletes. The search did not impose any restrictions on publication dates and included studies published in English and Spanish. A random-effects meta-analysis model was employed to combine comparable data from the included studies. Results: The literature search yielded 13 prospective cohort studies, collectively analyzing 895 participants and 44,036 head impacts. Most studies were conducted in Australasia and North America, with varying levels of play represented, from junior to semi/professional and from both rugby codes, rugby union (RU) and rugby league (RL). Wearable sensors, including instrumented mouthguards and skin patches, were utilized to measure head impact kinematics, with peak linear acceleration consistently reported across all studies. Results reveal significant heterogeneity in peak linear and rotational acceleration, highlighting the complexity of quantifying impact magnitudes in rugby. Impact location analysis indicated side impacts as most prevalent (44%), followed by frontal (29%) and back impacts (19%). Notably, concussive events yielded a pooled peak linear acceleration estimate of 63.01 g, with the RL cohort exhibiting higher acceleration than RU. Conclusion: This study contributes to the growing body of literature on head impacts in rugby; identifying available evidence on the magnitude and location of head impacts measured by sensors, and emphasizing the importance of wearable sensor technology in advancing player safety and informing injury management practices. Despite the valuable insights provided, limitations, including methodological inconsistencies and study heterogeneity, underscore the need for cautious interpretation. Further research is warranted to standardize protocols and enhance the understanding of effective injury prevention strategies in rugby. PROSPERO registration number: CRD42023480779 (20 November 2023).