Josué Fernández-Carnero

Josué Fernández-Carnero
Rey Juan Carlos University | URJC · Physiotherapy Occupational Therapy Physcial Medicina and Rehabilitation

Doctor of Physical Therapy

About

192
Publications
86,901
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5,309
Citations
Additional affiliations
October 1998 - October 2018
Rey Juan Carlos University
Position
  • Professor (Associate)
January 1998 - February 2017
Rey Juan Carlos University
Position
  • Professor (Associate)
January 1998 - April 2016
Rey Juan Carlos University
Position
  • Professor (Associate)

Publications

Publications (192)
Article
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Introduction: PNE, focusing on cognitive aspects, aims to change patients’ beliefs about pain. However, it is unclear if these cognitive changes are sufficient to influence other components such as neuroplastic changes. Objective: To assess whether 3-h pain neuroscience education (PNE) can induce changes in brain-derived neurotrophic factor (BDNF)...
Article
This cross-sectional study compared plasma brain-derived neurotrophic factor (BDNF) levels among chronic primary musculoskeletal pain patients, chronic widespread pain patients, and asymptomatic controls. The study included 126 participants aged 18–65, divided into three groups of 42 each. Pain intensity was assessed using a Numeric Rating Scale (N...
Article
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(1) Background: Fibromyalgia syndrome (FM) is a specific condition within the spectrum of musculoskeletal pain disorders, with an estimated global prevalence of 2%. Physical exercise has shown promise in modulating pain and improving physical function without the drawbacks of pharmacotherapy. This study aims to examine the effects of a 6-week teler...
Article
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Background/Objectives: Fibromyalgia syndrome (FMS) is a multifactorial pain syndrome not only characterized by widespread pain as the primary symptom but also accompanied by physical, psychological, and cognitive manifestations. Impairments in conditioned pain modulation (CPM) are common in this population; however, there is significant heterogenei...
Article
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Effectiveness of mobilization with movement on conditioned pain modulation, mechanical hyperalgesia, and pain intensity in adults with chronic low back pain: A randomized controlled trial., Musculoskeletal Science and Practice, https://
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Objective: To assess the psychometric properties of the Spanish King’s Parkinson’s Disease Pain Scale (KPPS). Design: A descriptive transversal study at a Spanish hospital. Methods: Fifty-three Parkinson’s disease (PD) patients suffering from otherwise explained pain (34 females, age = 63.42 ± 10.52 years, time with disease = 7.25 ± 4.65 years) wer...
Article
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Background There is conflicting evidence on how central processing impairments affect patients with temporomandibular disorders (TMD). Moreover, there is sparse research on the assessment of endogenous pain modulation in this population through conditioned pain modulation (CPM) testing. Objective(s) The main objective of this observational study w...
Article
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Background/Objectives: Fibromyalgia (FM) is a syndrome characterized by widespread chronic pain as the primary symptom. Neurophysiological pain mechanisms, such as the function of the descending inhibitory system, are impaired in this condition. The main objective of this study was to compare the results of two paradigms to evaluate CPM in women wi...
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Background: Fibromyalgia (FM) is a complex multidimensional disorder primarily characterized by chronic widespread pain, significantly affecting patients’ quality of life. FM is associated with some clinical signs found with quantitative sensory testing (QST), sleep disturbance, or psychological problems. This study aims to explore the associations...
Article
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Objective To analyze the perceived benefits and limitations of a pain psychoeducation program as a non-pharmacological treatment for patients with fibromyalgia. Methods An interpretative phenomenological analysis was applied to analyze the subjective experiences of 11 patients with fibromyalgia who participated in a pain psychoeducation program. T...
Article
Objective: To evaluate and quantify the mitigation of productivity deficits in individuals recovering from postCOVID-19 conditions by implementing a multicomponent exercise program (MEP). Methods: Thirty-nine post-COVID-19 patients meeting specific criteria participated in a 7-week intervention program involving cycloergometer interval training, s...
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Objective The purpose of the study will be to evaluate the effect of pulmonary rehabilitation on the improvement of patients with post-COVID-19 musculoskeletal symptoms, as well as to quantify the impact of telemedicine that evaluates the evolution of pain, functionality, and quality of life. Methods We will carry out a case-control study in post-...
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Background and Objectives: This study aimed to examine the responsiveness and concurrent validity of a serious game and its correlation between the use of serious games and upper limbs (UL) performance in Parkinson’s Disease (PD) patients. Materials and Methods: Twenty-four consecutive upper limbs (14 males, 8 females, age: 55–83 years) of PD patie...
Article
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Fibromyalgia (FM) is a chronic pain syndrome hypothesized to arise from a state of neurogenic inflammation. Mechanisms responsible for pain, as well as psychological variables, are typically altered in this condition. The main objective of this research was to explore somatosensory and psychological alterations in women with FM. The secondary objec...
Book
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Musculoskeletal disorders (MSDs) are associated with various degrees of disability affecting participation in activities of daily living (ADL) and the overall quality of life (QoL) of affected individuals. MSDs pose a significant burden to health systems, social care systems and caregivers. Such disorders encompass a diverse group of conditions aff...
Article
Purpose: To translate and cross-culturally adapt the King's Parkinson's Disease Pain Scale (KPPS) into Spanish. Methods: The English KPPS was forward translated into Spanish, back translated, and revised by the original developers. Cross-cultural adaptation of relevant target groups was conducted following COSMIN standards. Cognitive pretesting...
Article
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Background Chronic pain conditions are complex multifactorial disorders with physical, psychological, and environmental factors contributing to their onset and persistence. Among these conditions, the role of brain-derived neurotrophic factor (BDNF) and the impact of a specific therapeutic education (TE) on pain management have emerged as important...
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Background: The aim of this study is to determine the effect that different tDCS protocols have on pain processing in healthy people, assessed using quantitative sensory tests (QST) and evoked pain intensity. Methods: We systematically searched in EMBASE, CINAHL, PubMed, PEDro, PsycInfo, and Web of Science. Articles on tDCS on a healthy population...
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Background Temporomandibular disorders (TMDs) are the most common cause of orofacial pain of non-dental origin, with approximately 42% of diagnoses corresponding to myofascial pain. Manual therapy and dry needling are commonly used interventions for the treatment of myofascial temporomandibular disorders. However, it is unclear whether one of them...
Article
Background Controversy exists with the presence of alterations in descending pain inhibition mechanisms in patients with non‐specific neck pain (NSNP). The aim of the present study was to evaluate the status of conditioned pain modulation CPM, remote pressure pain thresholds (PPT), and psychological factors in a specific subgroup of patients with N...
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Background: Back pain is highly prevalent; in Spain, it produces a very high economic cost and the scientific evidence supporting treatments shows low to moderate evidence for exercise. Therefore, the aim of this study was to assess the effectiveness of a therapeutic group exercise protocol in reducing pain intensity and disability in patients wit...
Article
In patients with neck pain, it is unclear whether pain inhibition and facilitation endogenous pain mechanisms are altered. This systematic review and meta-analysis aimed improve their understanding by assessing conditioned pain modulation (CPM) and temporal summation of pain (TSP) in patients with neck pain associated with whiplash (WAD) or of a no...
Article
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Introduction: The aim of the present study is to analyze the correlation between people that suffer from chronic ankle instability and muscle strength deficits of the proximal joints of the lower limb, which are the hip and knee. Methods: The narrative review was conducted on MEDLINE using the selected keywords to build the search string. After inc...
Preprint
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Background: Spinal pain is highly prevalent and in Spain it produces a very high economic cost and the scientific evidence supporting treatments shows low to moderate evidence for exercise. Therefore, the aim of this study was to assess the effectiveness of a therapeutic group exercise protocol in reducing pain intensity and disability in patients...
Article
Objectives 1) To assess the ability to generate both kinesthetic and visual motor imagery in participants with CTS, compared with asymptomatic participants. 2) To assess the influence of psychophysiological and functional variables in the MI process. Methods 20 patients with unilateral CTS and 18 healthy subjects were recruited. An observational ca...
Preprint
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Background Chronic pain conditions are complex multifactorial disorders with physical, psychological and environmental factors contributing to their onset and persistence. Among these conditions, the role of brain-derived neurotrophic factor (BDNF) and the impact of therapeutic education (TE) on pain management have emerged as important areas of re...
Article
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Background: The main aim of this study was to assess the effects of repetitive-transcranial magnetic stimulation (rTMS) in patients with fibromyalgia (FMS). Methods: We systematically searched PubMed, PEDro, EMBASE, and CINAHL. Methodological quality was analyzed using the AMSTAR and ROBIS scales, and the strength of evidence was established acc...
Article
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The main objective of this clinical practice guideline is to provide a series of recommendations for healthcare and exercise professionals, such as neurologists, physical therapists, and exercise physiologists, regarding exercise prescription for patients with migraine. This guideline was developed following the methodology and procedures recommend...
Article
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Background: Manual therapy (MT) is a treatment recommended by clinical practice guidelines in the management of patients with neck pain. However, the mechanisms through which MT works remain unknown. The aim of the present study is to investigate if MT is mediated by mechanisms related to conditioned pain modulation (CPM), comparing the effects of...
Article
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Objective: The purpose of the study will be to evaluate the effect of a rehabilitation program on the improvement of patients with post-COVID-19 musculoskeletal symptoms, as well as to quantify the impact of telemedicine that evaluates the evolution of pain, functionality, and quality of life. Methods: We will carry out a case-control study in post...
Article
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Musculoskeletal disorders are responsible for the most prevalent form of pain, and necessitate a comprehensive approach to rehabilitation. From a therapeutic standpoint, they can vary from myofascial pain syndrome that produces or adds to craniofacial, low back, shoulder, and knee pain, to intervertebral joints that cause or contribute to comparabl...
Article
The main aim of this umbrella review was to assess the impact of exercise-based interventions (EBIs) on sleep quality in patients with fibromyalgia syndrome (FMS). We searched systematically in PubMed, PEDro, EMBASE, CINAHL, SPORTDiscus and Google Scholar. Methodological quality was analyzed using AMSTAR and ROBIS scale, and the strength of evidenc...
Article
Objective The main aim of this umbrella review with meta-meta-analysis was to assess the effectiveness of orthopedic manual therapy in isolation on pain sensitization in patients with chronic musculoskeletal pain. Design A systematic search was performed in different databases including systematic reviews with or without meta-analysis. The outcome...
Preprint
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The main objective of this clinical practice guideline is to provide a series of recommendations for healthcare and exercise professionals, such as neurologists, physical therapists, and conditioning coaches, regarding exercise prescription for patients with migraine. This guideline was developed following the methodology and procedures recommended...
Article
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Previous scientific evidence has shown that patients with fibromyalgia syndrome (FMS) have alterations in the body schema. There have also been findings regarding the influence of psychological factors on pain, as well as evidence that patients with FMS have difficulty performing laterality discrimination tasks. The main objective of this study was...
Article
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Background: Lifestyle interventions have a direct impact on the gut microbiome, changing its composition and functioning. This opens an innovative way for new therapeutic opportunities for chronic widespread patients. Purpose: The goal of the present study was to evaluate a correlation between lifestyle interventions and the gut microbiome in patie...
Article
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Abstract Background Patients with craniocervical pain have shown reduced performance in the craniocervical flexion test (CCFT). However, there is limited evidence of other possible kinematic alterations not assessed in the context of the CCFT. Previous studies on other functional or planar movements have reported alterations in sensorimotor control...
Article
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Objective: The main objectives of this review were, firstly, to study the effect of different physiotherapy interventions on BDNF levels, and, secondly, to analyze the influence of physiotherapy on pain levels to subsequently draw conclusions about its possible relationship with BDNF. Background: Based on the theory that neurotrophic factors suc...
Article
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This study aimed to quantify the differences on pain sensitivity and motor performance ankle plantiflexor muscles after performing an isometric versus an isotonic exercise task. A parallel experimental trial was carried out at the European University of the Canary Islands. A total of 47 healthy volunteers were recruited and randomly assigned to a g...
Article
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Chronic neck pain is among the most common types of musculoskeletal pain. Manual therapy has been shown to have positive effects on this type of pain, but there are not yet many predictive models for determining how best to apply manual therapy to the different subtypes of neck pain. The aim of this study is to develop a predictive learning approac...
Article
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Background: Pulmonary Rehabilitation (PR) was initially developed for the management of Chronic Obstructive Pulmonary Disease (COPD) and is now recognized as a core management of COVID-19 patients. This systematic review examined the efficacy of PR in patients with post-acute COVID-19 infection. Methods: A literature search was conducted in PubMed,...
Article
We thank the effort conducted by Gutierrez-Arias et al¹ with the aim of improving scientific aspects in the search for finding the truth—in this case, due to an epistemological problem. They performed an in-depth exploration of our analysis² in the context of a hot topic in the field of umbrella reviews: the influence of overlapping primary studies...
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Purpose: Background: Evaluate whether the design of placebo control groups could produce different interpretations of the efficacy of manual therapy techniques. Methods: Nine databases were searched (EMBASE, CINAHL, PsycINFO, MEDLINE, PubMed, SCOPUS, WEB of SCIENCE, COCHRANE, and PEDro). Randomized placebo-controlled clinical trials that used ma...
Article
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The aim was to assess the impact of high-intensity interval training (HIIT) on patients with musculoskeletal disorders. We conducted a search of Medline, Embase, PEDro and Google Scholar. We conducted a meta-analysis to determine the effectiveness of HIIT on pain intensity, maximal oxygen consumption (VO2 max), disability, and quality of life (QoL)...
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Objectives: The main aim was to determine the effects of percutaneous (PENS) and transcutaneous (TENS) electrical nerve stimulation on endogenous pain mechanisms in patients with musculoskeletal pain. Design: A systematic review and meta-analysis. Methods: The search was conducted on March 1, 2022, in EMBASE, CINAHL, PubMed, PEDro, Cochrane Li...
Article
Objective The present cross-sectional study aims to unravel associations between pain intensity and cognitions versus quantitative sensory testing in people scheduled for surgery for lumbar radiculopathy. Additionally, insight will be provided in the presence of dysfunctional nociceptive processing and maladaptive pain cognitions in this population...
Article
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Objective: The purpose of the study will be to evaluate the effect of a rehabilitation program on the improvement of patients with post-COVID-19 musculoskeletal symptoms, as well as to quantify the impact of telemedicine that evaluates the evolution of pain, functionality, and quality of life. Methods: We will carry out a case-control study in post...
Article
Full-text available
Abstract: The main objective of this study was to assess the status of body schema using limb lateralitydiscrimination tasks and pain measurement variables of patients with FMS compared to healthysubjects. The secondary aim was to analyze the relationships between laterality discriminationwith respect to somatosensory variables. Thirty female patie...
Article
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Background: Older adult patients with post-COVID-19 syndrome present greater physical impairment accompanied by frailty than younger patients, which is why multicomponent exercise programs (MEP) are recommended for their positive effects on improving frailty and physical capacity. The aim of this study was to evaluate the effects of a short MEP (Vi...
Article
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The purpose of this systematic review was to evaluate the effects of physiotherapeutic interventions on biomarkers of neuropathic pain in preclinical models of peripheral neuropathic pain (PNP). The search was performed in Pubmed, Web of Science, EMBASE, Cochrane, Cinhal, Psycinfo, Scopus, Medline and Science Direct. Studies evaluating any type of...
Article
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Mixed reality presents itself as a potential technological tool for the management of people with musculoskeletal disorders, without having as many adverse side effects as immersive virtual reality. The objective of this study was to explore the possibilities of a mixed-reality game, performing task-oriented cervical exercises compared to conventio...
Article
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Shoulder antepulsion, altered scapular kinematics and imbalance of muscle activity are commonly associated with shoulder pain. This study aimed to observe if there is an association between the forward shoulder angle (FSA) and the pectoralis minor length index (PMI) in volleyball players with and without shoulder pain. Furthermore, this study obser...
Article
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The purpose was to determine the efficacy of deep dry needling (DDN) applied on an active myofascial trigger point (MTrP) versus a latent-MTrP versus a non-MTrP location, on pain reduction and cervical disability, in patients with chronic neck pain. A randomized, double-blind clinical trial design was used. A sample of 65 patients was divided into...
Article
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Objective: Carpal tunnel syndrome (CTS) is the most common focal nerve injury. People with CTS may show alterations in central processing of nociceptive information. It remains unclear whether the central sensitization inventory (CSI) is capable of detecting such altered central pain processing. Methods: Thirty healthy volunteers were matched wi...
Article
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Introduction: An umbrella review with meta-meta-analyses (MMAs) was conducted to assess the current evidence for the effects of neural mobilisation (NM) treatments. Methods: Three MMAs were conducted to determine the effects of NM on pain intensity and disability in patients with musculoskeletal disorders and on mechanosensitivity in asymptomatic...
Article
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Background: There is sparse research on the effectiveness of therapeutic exercise for the treatment of neck pain in older adult populations. Moreover, there is a lack of research on the use of serious games or virtual reality for the treatment of neck pain in this population. Objective: The primary aim of this study was to develop and assess the...
Article
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Introduction Neck pain is a very common musculoskeletal disorder associated with high socioeconomic costs derived from work absenteeism and medical expenses. Previous studies have suggested that patients with neck pain of different origins present sensorimotor control impairments compared with the asymptomatic population. However, there is a small...
Article
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Burning Mouth Syndrome (BMS) is a multifactorial, chronic pain condition with neuropathic and psychogenic mechanisms. Cortical activation as well as sustained attention and executive functions have proven to be affected by chronic pain. The main objectives of this work were to test the efficacy of a multidimensional personalized pain treatment prot...
Article
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Background: This study aimed to compare the effectiveness of cervical lateral glide (CLG) added to median nerve neural mobilization (MNNM) in patients with neck pain (NP). Methods: A single-blinded randomized controlled clinical trial was carried out in a Pain Management Unit from a Hospital. A total sample of 72 patients with NP was recruited f...
Article
Background To evaluate the effects of multicomponent exercise program (Vivifrail) in patients with hip fracture after surgery over the gait pattern, balance, and muscle strength in the lower body. Methods Thirty-seven patients operated of hip fracture were enrolled between 2017 and 2018. Results There were significant improvements ( P < .05) in t...
Article
Objective To investigate the prevalence of first dorsal interosseous myofascial trigger point (MTrP) in patients with thumb carpometacarpal osteoarthritis (CMC OA). Methods Fifty subjects participated in the study, 25 with thumb CMC OA and 25 without thumb CMC OA. Participants were examined to identify first dorsal interosseous MTrP through palpat...