Validity and reliability of an protocol of the stomatognathic and postural system evaluation for patients with obstructive sleep apnea: a cross-sectional study Marta Guijarro-Herraiz, Natalia M. Arias Palencia, Maria Figueroa Mayordomo, Rocío Palomo Carrión, Blanca Notario Pacheco Frontiers in Physiology, 2025 Introduction Myofunctional therapy has been used for years as an intervention with high effectiveness in cases of Obstructive Sleep Apnea (OSA). Until now, little importance has been given to postural attitude or morphotype), even though these can modify the state in which we find the musculature and fascial system of the entire stomatognathic system. The objective if this cross-sectional study is to analyse the validity and reliability of a stomatognathic and postural systems assessment protocol for patients with OSA. Methods This is a cross-sectional study that uses new observational and measurement parameters (the postural attitude or morphotype, the position of the hyoid bone, potential temporomandibular joint disorders and mobility of the spheno-basilar joint), were assessed in 105 adult subjects presenting with symptoms associated with obstructive sleep apnea (OSA). All subjects were evaluated using the same guidelines and standardized tests. Participants ranged in age from 23 to 83 years and volunteered to take part in the study. The assessment followed a specific protocol encompassing two main components (A) postural analysis and (B) specific evaluation of the stomatognathic system. All measurements were conducted by the same examiner (MMGH), thereby minimizing interobserver bias. Results Criterion validity was assessed using two Spearman correlation tests. The first examined the correlation between the final protocol score and the apnea-hypopnea index (AHI), yielding a value of 0.082. The second analysis assessed the correlation between the diagnostic results from sections A and B of the protocol, with correlation coefficients of 0.824 and 0.907 respectively. Concurrent validity was evaluated using Spearman correlation between the final protocol score and several variables: apnoea–hypopnoea index, Epworth Sleepiness Scale, physical activity, waist circumference, and neck circumference. All correlations were statistically significant (p < 0.01; p < 0.05). An ANCOVA was conducted to examine mean differences in variables across categories of the final protocol score, controlling for age and sex. Internal consistency of the scale was assessed using Cronbach’s alpha, which yielded a coefficient of 0.926. Reproducibility of the protocol was evaluated using the standardised intraclass correlation coefficient (ICC). Conclusion The specific protocol for the evaluation of the stomatognathic and postural system for OSA (SPOSAP) is a valid and reliable instrument for the screening of the pathology. We believe that the validation of this protocol may facilitate the identification of undiagnosed patients presenting with compatible symptomatology, and broaden the range of treatment options currently available.
A Comparison of Motivation and Physical Activity Levels Between a Sport Education Season and a Hybrid Sport Education and Cooperative Learning Season Irene Rocamora, Ashley Casey, Sixto González-Víllora, Natalia María Arias-Palencia Journal of Teaching in Physical Education, 2023 Purpose: To understand how a season of sport education (SE) and a hybrid SE and cooperative learning season impacted on elementary school students’ physical activity levels and motivation and to examine possible differences according to gender. Method: A total of 97 fourth- to fifth-grade students in four intact classes participated in a 14-lesson handball season. Results: Students in SE had higher levels of moderate-to-vigorous physical activity levels than the hybrid season. When sorted by gender, boys were significantly more active than girls in both interventions. However, students in the hybrid season reported higher levels of motivation than participants in the SE season, especially for intrinsic motivation. Conclusion: The hybridization of models positively affected students’ motivation in PE, while the reverse is true of SE with regard to physical activity levels.
Exploring Game Performance and Game Involvement: Effects of a Sport Education Season and a Combined Sport Education—Teaching Games for Understanding Unit Eva Guijarro, Ann MacPhail, Natalia María Arias-Palencia, Sixto González-Víllora Journal of Teaching in Physical Education, 2022 Purpose: The purpose of this study was to establish any difference in terms of game performance and game involvement using Sport Education (SE) or a combined use of SE and Teaching Games for Understanding (TGfU). In a bid to facilitate future implementation of these models, the study provides a rich description of the pedagogies arising during both interventions. Method: The participants were 85 fourth- and fifth-grade students (aged 9–11) from four physical education classes within one elementary school. The content was a 15-lesson season of basketball taught through the principles of SE or a combined use of SE and TGfU. The game performance assessment instrument was used in a systematic observation of video recordings of students’ game behavior. Results: In terms of decision making, support, overall game performance, and game involvement, a combined use of SE and TGfU unit overtakes the scores in SE. Conclusions: There is evidence that supporting the use of combined models in the physical education context can improve students’ game performance and game involvement.
Alternatives to continuous positive airway pressure treatment in sleep apnoeas and hypopnoeas syndrome related to myofunctional and postural reeducation therapy: Protocol for a systematic review Marta Maria Guijarro-Herráiz, Natalia María Arias-Palencia, Lidia Lucas- de la Cruz, Beatriz Guijarro-Herráiz, Blanca Notario-Pacheco, et al. BMJ Open, 2021 Introduction The main treatment for sleep apnoeas and hypopnoeas syndrome (SAHS) is continuous positive airway pressure (CPAP). However, patients sometimes do not adhere to the treatment protocol. Supplementary and complementary therapies have appeared as alternatives. Some of the therapies which are especially important are those related to myofunctional (MFT) and postural therapy (PT), as all of them are non-invasive, and their application is simpler than that of CPAP. We aim to present a protocol for a systematic review and meta-analysis for investigating new SAHS treatments, including the protocols and frequency of use and the effects they have on patient signs, symptoms and quality of life. Methods and analysis The literature search will be conducted using the Cochrane, Web of Science, Medline (via PubMed) and Scopus databases, from January 2020 to December 2020. All types of studies written in English and Spanish that investigate the use of alternative SAHS treatments related to MFT, or more importantly, the combination of MFT and PRT, will be selected. To evaluate their quality, the Critical Appraisal Checklist for Analytical Cross-Sectional will be applied. The primary factor valued in the studies will be the inclusion of MFT and PT reeducation in the treatment. Subgroup analyses will be carried out evaluating the specific type of treatments chosen and the improvements or deteriorations in the level of health and quality of life in the patients. Finally, several patient-related outcomes, namely sleep quality, quality of life and sleep Apnoeas and Hypoapnoeas Index, will be examined. Ethics and dissemination In this case, ethical approval is not necessary. The data used in the review will be exclusively obtained from published studies, implying there are no privacy concerns. The information obtained will be relevant to understand if the new treatments applied in SAHS are effective, and if postural and MFT therapy used together can be considered an appropriate approach to treat this disease. The results will be published in a peer-reviewed journal.
Relationship between personal and social responsibility and the roles undertaken in sport education Eva Guijarro, Ann MacPhail, Sixto González-Víllora, Natalia María Arias-Palencia Journal of Teaching in Physical Education, 2021 Purpose: To examine the impact of undertaking roles in Sport Education on responsibility levels of elementary school students. Method: Forty-one fifth- and sixth-grade students participated in a 15-lesson season. Students undertook five different roles into the Sport Education season and presented differing initial perceived responsibility scores. Results: Results in this study convey students’ responsibility improvements for both personal and social responsibility during a season of Sport Education. There are differences in students with low perceived responsibility depending on the role they undertake, whereas students with high perceived responsibility do not present any difference according to the role they perform. Conclusion: In the physical education context, the teachers have to consider the personal characteristics of the students in the process of mapping students to roles.
Physical activity, fitness, and metabolic syndrome in young adults Sara López-Martínez, Mairena Sánchez-López, Montserrat Solera-Martinez, Natalia Arias-Palencia, Rosa M. Fuentes-Chacón, et al. International Journal of Sport Nutrition and Exercise Metabolism, 2013
The Relationship Between Physical Activity and Achieving/Underachieving Gifted Students A Prieto-Ayuso, J Martínez-Martínez, NM Arias-Palencia, ... Roeper Review, 1-10 , 2026 2026
Correction: Validity and reliability of an protocol of the stomatognathic and postural system evaluation for patients with obstructive sleep apnea: a cross-sectional study M Guijarro-Herraiz, NM Arias Palencia, MF Mayordomo, RP Carrión, ... Frontiers in Physiology 16, 1755604 , 2025 2025
¿ Cuáles son los efectos del modelo de Educación Deportiva en la actividad física en relación al género y nivel de habilidad? Educación Deportiva y actividad física: género y … E Guijarro, S González-Víllora, A Gil-Arias, NM Arias-Palencia Revista Iberoamericana de Ciencias de la Actividad Física y el Deporte 14 (2 … , 2025 2025
Validity and reliability of an protocol of the stomatognathic and postural system evaluation for patients with obstructive sleep apnea: a cross-sectional study M Guijarro-Herraiz, NM Arias Palencia, MF Mayordomo, ... Frontiers in Physiology 16, 1649593 , 2025 2025 Citations: 1
Students who do not play at home have lower self-esteem: results of the multicenter study Active Classes Chile MA Valencia-Pacheco, D Reyes-Molina, A Robles-Campos, I Cigarroa, ... Retos 69, 527-538 , 2025 2025
Physical Activity Levels and Body Mass Index in Sport Education. Is There a Difference? I Rocamora, S González-Víllora, J Fernandez-Rio, NM Arias Palencia Research Quarterly for Exercise and Sport 96 (1), 75-84 , 2025 2025 Citations: 1
Students who do not play at home have lower self-esteem: results of the multicenter study Active Classes Chile MAV Pacheco, DR Molina, AR Campos, I Cigarroa, YC Castillo, I Zañartu, ... Retos: nuevas tendencias en educación física, deporte y recreación, 523-534 , 2025 2025
CAFEES: II Congreso de Actividad Física en Edad Escolar E Guijarro, C Evangelio Caballero, I Rocamora Ortega, ... Universidad de Castilla-La Mancha , 2025 2025
Proceso de aprendizaje de una intervención con aprendizaje cooperativo en una clase de historia de la música en 1º de la ESO PG Muñoz, NA Palencia Sinfonías del Cambio: Música y Arte en la Transformación Social, 13 , 2023 2023
Levels and patterns of physical activity in university students and schoolchildren: relationship with fatness and fitness. Cuenca´ s stydy NM Arias Palencia Universidad de Castilla-La Mancha , 2023 2023
A comparison of motivation and physical activity levels between a sport education season and a hybrid sport education and cooperative learning season I Rocamora, A Casey, S González-Víllora, NM Arias-Palencia Journal of Teaching in Physical Education 42 (2), 350-360 , 2022 2022 Citations: 10
The relationship between physical activity, physical fitness and fatness in 3–6 years old boys and girls: a cross-sectional study G Serrano-Gallén, NM Arias-Palencia, S González-Víllora, V Gil-López, ... Translational pediatrics 11 (7), 1095 , 2022 2022 Citations: 19
Jaque mate a la inactividad física. El ajedrez educativo como recurso para aumentarlos niveles de actividad física en educación infantil GS Gallén, NA Palencia Buenas prácticas en educación infantil, 704-714 , 2022 2022
Alternatives to continuous positive airway pressure treatment in sleep apnoeas and hypopnoeas syndrome related to myofunctional and postural reeducation therapy: protocol for a … MM Guijarro-Herráiz, NM Arias-Palencia, L Lucas-de la Cruz, ... BMJ open 11 (12), e049286 , 2021 2021
Exploring game performance and game involvement: Effects of a sport education season and a combined sport education—Teaching games for understanding unit E Guijarro, A MacPhail, NM Arias-Palencia, S González-Víllora Journal of Teaching in Physical Education 41 (3), 411-424 , 2021 2021 Citations: 24
Prevención de la obesidad y mejora del rendimiento académico mediante un programa de actividad física en escolares de 4 a 7 años: Efectividad de la intervención MOVI-KIDS VM Vizcaíno, MS López Ediciones de la Universidad de Castilla La Mancha , 2021 2021 Citations: 1
Prevención de la obesidad y mejora del rendimiento académico mediante un programa de actividad física en escolares de 4 a 7 años M Sánchez López, V Martínez Vizcaíno Ediciones de la Universidad de Castilla-La Mancha , 2021 2021 Citations: 2
The relative age effect on physical fitness in preschool children R Cupeiro, MA Rojo-Tirado, C Cadenas-Sanchez, EG Artero, AB Peinado, ... Journal of Sports Sciences 38 (13), 1506-1515 , 2020 2020 Citations: 45
Relationship between personal and social responsibility and the roles undertaken in Sport Education E Guijarro, A MacPhail, S González-Víllora, NM Arias-Palencia Journal of Teaching in Physical Education 40 (1), 76-85 , 2020 2020 Citations: 22
Hybridizing Teaching games for understanding and Cooperative Learning: an educational innovation E Guijarro, C Evangelio, S González Víllora, NM Arias-Palencia 2020 Citations: 23
MOST CITED SCHOLAR PUBLICATIONS
Physical fitness, obesity, and academic achievement in schoolchildren C Torrijos-Niño, V Martínez-Vizcaíno, MJ Pardo-Guijarro, JC García-Prieto, ... The Journal of pediatrics 165 (1), 104-109 , 2014 2014 Citations: 196
Levels and patterns of objectively assessed physical activity and compliance with different public health guidelines in university students NM Arias-Palencia, M Solera-Martínez, L Gracia-Marco, P Silva, ... PloS one 10 (11), e0141977 , 2015 2015 Citations: 159
Health-related quality of life, obesity, and fitness in schoolchildren: the Cuenca study PF Morales, M Sánchez-López, P Moya-Martínez, JC García-Prieto, ... Quality of Life Research 22 (7), 1515-1523 , 2013 2013 Citations: 127
Physical activity levels, game performance and friendship goals using two different pedagogical models: Sport Education and Direct Instruction I Rocamora, S González-Víllora, J Fernández-Río, NM Arias-Palencia Physical Education and Sport Pedagogy 24 (1), 87-102 , 2019 2019 Citations: 125
Gender differences on effectiveness of a school-based physical activity intervention for reducing cardiometabolic risk: a cluster randomized trial V Martínez-Vizcaíno, M Sánchez-López, B Notario-Pacheco, ... International Journal of Behavioral Nutrition and Physical Activity 11 (1), 154 , 2014 2014 Citations: 107
Trends in excess of weight, underweight and adiposity among Spanish children from 2004 to 2010: the Cuenca Study V Martínez-Vizcaíno, MS Martínez, BN Pacheco, MS López, ... Public health nutrition 15 (12), 2170-2174 , 2012 2012 Citations: 90
Reliability and validity of the Spanish version of the Children's Sleep Habits Questionnaire (CSHQ‐SP) in school‐age children L Lucas‐de la Cruz, V Martínez‐Vizcaino, C Álvarez‐Bueno, ... Child: care, health and development 42 (5), 675-682 , 2016 2016 Citations: 81
Does cardiorespiratory fitness attenuate the adverse effects of severe/morbid obesity on cardiometabolic risk and insulin resistance in children? A pooled analysis CD Nyström, P Henriksson, V Martinez-Vizcaino, M Medrano, ... Diabetes care 40 (11), 1580-1587 , 2017 2017 Citations: 79
Prevalence of high blood pressure and association with obesity in Spanish schoolchildren aged 4–6 years old N Martín-Espinosa, A Díez-Fernández, M Sánchez-López, ... PLoS One 12 (1), e0170926 , 2017 2017 Citations: 70
Effectiveness of multifactorial interventions in primary health care settings for primary prevention of cardiovascular disease: a systematic review of systematic reviews C Alvarez-Bueno, I Cavero-Redondo, M Martinez-Andres, ... Preventive Medicine 76, S68-S75 , 2015 2015 Citations: 67
BMI as a mediator of the relationship between muscular fitness and cardiometabolic risk in children: a mediation analysis A Diez-Fernandez, M Sanchez-Lopez, R Gulias-Gonzalez, ... PLoS One 10 (1), e0116506 , 2015 2015 Citations: 66
Physical activity intervention (Movi-Kids) on improving academic achievement and adiposity in preschoolers with or without attention deficit hyperactivity disorder: study … M Sánchez-López, MJ Pardo-Guijarro, DGD Del Campo, P Silva, ... Trials 16 (1), 456 , 2015 2015 Citations: 59
Physical activity, fitness, and metabolic syndrome in young adults S López-Martínez, M Sánchez-López, M Solera-Martinez, ... International journal of sport nutrition and exercise metabolism 23 (4), 312-321 , 2013 2013 Citations: 59
The relative age effect on physical fitness in preschool children R Cupeiro, MA Rojo-Tirado, C Cadenas-Sanchez, EG Artero, AB Peinado, ... Journal of Sports Sciences 38 (13), 1506-1515 , 2020 2020 Citations: 45
Rationale and methods of a randomised cross-over cluster trial to assess the effectiveness of MOVI-KIDS on preventing obesity in pre-schoolers V Martínez-Vizcaino, J Mota, M Solera-Martínez, B Notario-Pacheco, ... BMC Public Health 15 (1), 176 , 2015 2015 Citations: 39
Energy expenditure in playground games in primary school children measured by accelerometer and heart rate monitors JC García-Prieto, V Martinez-Vizcaino, A García-Hermoso, ... International journal of sport nutrition and exercise metabolism 27 (5), 467-474 , 2017 2017 Citations: 37
Association between parental socioeconomic status with underweight and obesity in children from two Spanish birth cohorts: a changing relationship V Martínez-Vizcaíno, M Solera-Martínez, I Cavero-Redondo, ... BMC Public Health 15 (1), 1276 , 2015 2015 Citations: 27
Protocolo de un ensayo aleatorizado de clusters para evaluar la efectividad del programa MOVI-2 en la prevención del sobrepeso en escolares V Martínez-Vizcaíno, M Sánchez-López, F Salcedo-Aguilar, ... Revista Española de Cardiología 65 (5), 427-433 , 2012 2012 Citations: 25
Exploring game performance and game involvement: Effects of a sport education season and a combined sport education—Teaching games for understanding unit E Guijarro, A MacPhail, NM Arias-Palencia, S González-Víllora Journal of Teaching in Physical Education 41 (3), 411-424 , 2021 2021 Citations: 24
Physical activity and bone health in schoolchildren: the mediating role of fitness and body fat A Torres-Costoso, L Gracia-Marco, M Sanchez-Lopez, B Notario-Pacheco, ... PloS one 10 (4), e0123797 , 2015 2015 Citations: 24
