Rehabilitacion最新文献

{"title":"Evolution and trends in wheelchair rugby research: A bibliometric review","authors":"D. González-Devesa ,&nbsp;A. García-Fresneda ,&nbsp;N. Blanco-Martínez","doi":"10.1016/j.rh.2026.100981","DOIUrl":"10.1016/j.rh.2026.100981","url":null,"abstract":"<div><div>This study aimed to analyze the evolution and trends of scientific research on wheelchair rugby. A comprehensive search of the Scopus database was conducted from inception to January 2026. In total, 190 articles published between 1998 and 2025 were analysed, yielding a compound annual growth rate of 7.47%. Output increased markedly in recent years, with 2021–2025 representing 35.79% of the total production, and peak annual volumes observed in 2022 (<em>n</em> <!-->=<!--> <!-->21) and 2018/2021/2023 (<em>n</em> <!-->=<!--> <!-->14 each). Based on corresponding-author country, the United Kingdom led productivity, followed by Poland, Canada. Highly cited studies focused on psychosocial determinants of participation, competition demands, and wheelchair configuration/coaching. Keyword co-occurrence identified three clusters: (i) performance and wheelchair-sport constructs, (ii) demographic and study-design descriptors, and (iii) exercise physiology. Overall, the field has consolidated, while core and emerging topics may guide future research, and evidence-informed practice in adapted sport.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 2","pages":"Article 100981"},"PeriodicalIF":0.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitación domiciliaria tras fractura de cadera: resultados de un protocolo integrado","authors":"A. Soler Ferrández ,&nbsp;A. Torrego Jiménez ,&nbsp;E. Soriano Melchor ,&nbsp;A. Muñoz Cano ,&nbsp;J. Cervera Deval ,&nbsp;T. Ricarte Benedito ,&nbsp;V. Ruiz García ,&nbsp;M. Segarra Moreno ,&nbsp;A. Soria Llopis ,&nbsp;J.C. Pérez Ramírez ,&nbsp;A.L. Ramírez Sousa ,&nbsp;M. Muñoz Domingo ,&nbsp;D. Vivas Consuelo","doi":"10.1016/j.rh.2026.100978","DOIUrl":"10.1016/j.rh.2026.100978","url":null,"abstract":"<div><h3>Introduction</h3><div>Hip fracture is a sentinel event in older adults, associated with high morbidity, mortality, and functional decline. Postoperative home-based rehabilitation has been proposed as an alternative or complementary model to outpatient care, although its implementation and functional outcomes in selected populations require further evidence.</div></div><div><h3>Objectives</h3><div>To evaluate the functional recovery and safety of a postoperative home-based rehabilitation program following hip fracture surgery, and to identify factors associated with functional outcomes.</div></div><div><h3>Methods</h3><div>A prospective cohort study was conducted in patients aged ≥<!--> <!-->65<!--> <!-->years who underwent hip fracture surgery and were referred to the Home Hospitalization Unit (UHD) of Hospital La Fe. A comprehensive geriatric assessment, clinical monitoring, and protocolized home physiotherapy were provided. Clinical variables, functional status (Barthel Index and Rockwood Frailty Index), pain (VAS), and mortality were recorded. Functional recovery was assessed at 45 and 180<!--> <!-->days. A multivariable model was performed to identify factors associated with clinically relevant functional decline.</div></div><div><h3>Results</h3><div>A total of 103 patients were included. Gait and transfer ability improved progressively: at 45<!--> <!-->days, 95% achieved ≥<!--> <!-->10<!--> <!-->points in the Barthel gait item and 91% in the transfer item, with similar values at 180<!--> <!-->days. Between 96% and 97% matched or improved their premorbid gait and transfer capacity. Clinically significant Barthel decline at 180<!--> <!-->days was associated with poorer 45 day Barthel scores, right sided fracture, lower premorbid transfer scores, and higher ASA classification. Twelve month mortality was 10%, with no serious adverse events attributable to the program and no treatment related adverse effects observed.</div></div><div><h3>Conclusions</h3><div>Home-based rehabilitation after hip fracture surgery proved safe, feasible, and associated with favorable functional recovery in selected patients. However, given the lack of a comparison group and potential selection bias, these findings should be interpreted cautiously. Controlled studies are needed to determine its effectiveness and applicability in broader clinical settings.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 2","pages":"Article 100978"},"PeriodicalIF":0.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147747302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Musculoskeletal symptoms documented during long-term follow-up in patients with total hip arthroplasty: Clinical observations from a cohort study","authors":"F.J. Gallego-Peñalver ,&nbsp;J. Pérez-Arnal ,&nbsp;S.B. Romero-de-la-Higuera ,&nbsp;E.M. Gómez-Trullén","doi":"10.1016/j.rh.2026.100976","DOIUrl":"10.1016/j.rh.2026.100976","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 2","pages":"Article 100976"},"PeriodicalIF":0.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness and safety of pulsed versus thermal radiofrequency in the treatment of Morton's disease","authors":"J. de Nicolás Gutiérrez ,&nbsp;C. Moros Cristóbal ,&nbsp;F. Galiana Calero ,&nbsp;A. Galván Ruiz","doi":"10.1016/j.rh.2026.100979","DOIUrl":"10.1016/j.rh.2026.100979","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the effectiveness and safety of pulsed radiofrequency (PRF) versus thermal radiofrequency (TRF) in treating patients with Morton's neuroma (MN).</div></div><div><h3>Patients</h3><div>Twelve patients diagnosed with symptomatic Morton's neuroma unresponsive to conservative management, randomized into two equal groups (TRF vs PRF).</div></div><div><h3>Materials and methods</h3><div>All patients underwent ultrasound-guided radiofrequency treatment. The TRF group received continuous radiofrequency at 82<!--> <!-->°C (2<!--> <!-->×<!--> <!-->45<!--> <!-->s), and the PRF group received pulsed radiofrequency at 42<!--> <!-->°C for 300<!--> <!-->s. Pain (VAS), function (MOXFQ), walking/footwear limitations, satisfaction, and adverse effects were assessed at 3 weeks, 2 months, and 1year post-treatment.</div></div><div><h3>Results</h3><div>Both TRF and PRF significantly reduced pain and improved function. TRF showed superior improvement at 3 weeks (VAS <em>p</em> <!-->=<!--> <!-->0.013 and MOXFQ <em>p</em> <!-->=<!--> <!-->0.019), but no significant differences were found at 1 year. Both techniques were equally safe, with no adverse events. Patient satisfaction was slightly higher in the PRF group.</div></div><div><h3>Conclusion</h3><div>We present unprecedented results in current scientific evidence. TRF and PRF are both effective and safe options for treating Morton's neuroma. TRF provides earlier and greater relief, while PRF offers a more comfortable alternative. Further research with larger sample sizes is needed to confirm these findings.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 2","pages":"Article 100979"},"PeriodicalIF":0.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147747303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inflamación de bajo grado en las patologías musculoesqueléticas: bases biológicas y papel del PRGF","authors":"E. Anitua ,&nbsp;M. Sánchez ,&nbsp;V. Vaquerizo ,&nbsp;J. Azofra ,&nbsp;A. Ríos ,&nbsp;N. Fiz ,&nbsp;R. Elorriaga ,&nbsp;R. Seijas ,&nbsp;V. Galán ,&nbsp;F. Angulo ,&nbsp;J. Guadilla ,&nbsp;R. Prado ,&nbsp;R. Cugat ,&nbsp;S. Padilla","doi":"10.1016/j.rh.2026.100977","DOIUrl":"10.1016/j.rh.2026.100977","url":null,"abstract":"<div><div>Chronic low-intensity inflammation is emerging as a potential key mechanism in diseases that were previously considered degenerative, such as tendinopathies, osteoarthritis and intervertebral disc disease. This new approach recognises the role of structures such as the subchondral bone in knee osteoarthritis and the vertebral endplate in disc disease. In this sterile inflammatory context, plasma rich in growth factors (PRGF) a specific type of platelet-rich plasma (PRP) without leucocytes and activated with calcium chloride, has emerged as a promising therapy that exhibits reparative, anti-inflammatory, immunomodulatory, analgesic and antifibrotic properties yet with varied clinical outcomes due to specific patient's physiopathology, product variability and different protocols of application. Its action is based on the regenerative potential of several proteins stemmed from platelets, plasma biomolecules, as well as the fibrin matrix, which acts as a dynamic biological system. Several <em>in vitro</em> and <em>in vivo</em> studies associate the analgesic effect of PRPs with the inhibition of the NF-κB pathway in damaged cells, and the presence of endocannabinoids, which reduce nociceptor excitability, with anti-apoptotic and trophic effects at the tissue level. However, variability in PRP preparation and application methods, as well as patient-specific factors, makes it difficult to compare the large heterogeneous clinical outcomes stemmed from the myriad PRP preparation methods and the varied modalities for their application. This review is focused on analysing the latest clinical evidence on PRGF in the treatment of chronic low-intensity inflammation of musculoskeletal disorders, its role in reducing chronic pain, and the limitations of this type of biological therapy.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 2","pages":"Article 100977"},"PeriodicalIF":0.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of elastic resistance training in frail older adults on muscle strength and functionality levels: A systematic review","authors":"A. Puelles-Diaz ,&nbsp;N. Bousellet-Laflor ,&nbsp;S. Pizarro-Torres ,&nbsp;J. Grau-Riveros ,&nbsp;J. González-Aroca","doi":"10.1016/j.rh.2026.100961","DOIUrl":"10.1016/j.rh.2026.100961","url":null,"abstract":"<div><h3>Introduction</h3><div>Frailty in older adults is a clinical syndrome that significantly affects independence and quality of life. Resistance training with elastic bands has been proposed as a low-cost intervention to improve physical function in this population.</div></div><div><h3>Objective</h3><div>To evaluate the best available evidence on the effectiveness of elastic band training in frail older adults for improving muscle strength, physical performance, and overall functionality.</div></div><div><h3>Methods</h3><div>A systematic review was conducted following PRISMA guidelines and registered in PROSPERO (CRD42024582352). Four randomized controlled trials were included, comprising 148 frail participants aged 65 years or older. The interventions lasted between 12 and 28 weeks and included exercises with elastic bands, with or without nutritional education. The outcomes assessed included functionality, frailty status, muscle strength, physical fitness, cognition, quality of life, and endurance.</div></div><div><h3>Results</h3><div>Significant improvements were observed in functionality, handgrip strength, and lower-limb strength, particularly in programs with progressive intensity and longer duration. Combined interventions (exercise plus nutritional education) showed a greater impact in reducing frailty levels. However, no significant changes were observed in autonomy. The risk of bias was high in three studies, mainly due to insufficient reporting of randomization procedures and missing outcome data.</div></div><div><h3>Conclusions</h3><div>Elastic band training appears to be a safe, affordable, and feasible intervention to improve physical outcomes in frail older adults. These findings support its implementation in community and institutional settings, although further research with long-term follow-up and improved methodological quality is needed.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100961"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147395245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evolución de la incidencia de amputaciones en España desde 2016 hasta 2023","authors":"E. Santiago Mosquera ,&nbsp;M.E. Mosquera Losada ,&nbsp;M.D. Dapía Conde ,&nbsp;J.M. Faílde Garrido","doi":"10.1016/j.rh.2026.100964","DOIUrl":"10.1016/j.rh.2026.100964","url":null,"abstract":"<div><h3>Introduction</h3><div>Amputations represent a public health problem due to their functional, psychological, and social impact. In Spain, recent information on their incidence is limited, which makes it difficult to quantify the phenomenon and plan prevention strategies.</div></div><div><h3>Objective</h3><div>To analyse the evolution of the incidence of amputations in Spain between 2016 and 2023, describing their sociodemographic characteristics and the associated in-hospital mortality.</div></div><div><h3>Method</h3><div>Observational, descriptive and analytical study based on an analysis of annual aggregated trends, with cross-sectional data for each year. Amputation data were obtained from the Spanish <em>Conjunto Mínimo Básico de Datos</em> (Minimum Basic Data Set) hospital records, and population estimates from the Spanish <em>Instituto Nacional de Estadística</em> (National Statistics Institute). Temporal trends were evaluated using Spearman's rank correlation coefficient.</div></div><div><h3>Results</h3><div>Between 2016 and 2023, amputations increased by 42%, with more than 80% involving lower limbs. Minor amputations increased by 54%, compared with 13.7% for major amputations. Amputations were more frequent in men (3.7 for every woman in 2023), although in-hospital mortality was higher in women. Incidence increased with age, particularly among those over 65 years. Galicia, Cantabria and Asturias showed the highest rates, while Galicia and Murcia showed significant increases in their temporal evolution.</div></div><div><h3>Conclusions</h3><div>The incidence of amputations in Spain has increased substantially, especially minor amputations of the lower limbs. Sex, age and territory are related to their frequency, highlighting the need to strengthen prevention and to optimise healthcare planning in the most vulnerable groups.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100964"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing physical activity and sedentary behavior via IPAQ against accelerometer data in a vulnerable population: Validity and reliability study","authors":"M.M. Zica ,&nbsp;A. Pontes-Silva ,&nbsp;F.R.P. Quaresma ,&nbsp;E.S. Maciel","doi":"10.1016/j.rh.2025.100944","DOIUrl":"10.1016/j.rh.2025.100944","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100944"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145580126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fracturas múltiples por fragilidad tras fractura de cadera: lecciones de un abordaje multidisciplinar rehabilitador","authors":"C. Cid-Bassaletti ,&nbsp;A.M. Andrés Toribio ,&nbsp;R. Costa Segovia","doi":"10.1016/j.rh.2026.100966","DOIUrl":"10.1016/j.rh.2026.100966","url":null,"abstract":"<div><div>A 58-year-old woman presented with multiple fragility fractures nine months after a a pertrochanteric hip fracture in the context of severe osteoporosis. Despite initial treatment with alendronate, calcium and cholecalciferol, she presented new pelvic and vertebral fractures, associated with persistently low vitamin D levels related to irregular treatment adherence. From premorbid functional independence, she developed severe disability, with loss of autonomous ambulation and dependence for basic activities of daily living. A multidisciplinary approach, focused on optimization of pharmacological treatment together with a structured rehabilitation programme, facilitated progressive functional recovery. This case highlights three key lessons: the role of hip fracture as a sentinel event, the importance of correcting vitamin D deficiency, and the value of coordinated multidisciplinary care in the comprehensive management of patients with severe osteoporosis.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100966"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Valoración de la experiencia del paciente con fisioterapia acuática dentro de un modelo de atención centrada en la persona: estudio observacional pre-post sin grupo de control","authors":"I. López-Zamora ,&nbsp;D. Matz-Rabaneda ,&nbsp;J. Adamuz ,&nbsp;A. Aragonés-Campos ,&nbsp;D. Cámara-Menoyo ,&nbsp;A. Justes-Solé ,&nbsp;A. Masmiquel-Soler ,&nbsp;S. Muñoz-Castro ,&nbsp;I. Campos-Varela","doi":"10.1016/j.rh.2026.100962","DOIUrl":"10.1016/j.rh.2026.100962","url":null,"abstract":"<div><h3>Introduction</h3><div>Aquatic physical therapy (APT) leverages the therapeutic properties of water. Although its use is widespread, there is limited evidence regarding patients’ experiences with this intervention and their perception of care within a person-centered care (PCC) model in the hospital setting.</div></div><div><h3>Objective</h3><div>To evaluate patients’ experiences with APT and determine whether they perceived receiving PCC.</div></div><div><h3>Methods</h3><div>An observational pre-post study without a control group was conducted at a single center between August 2023 and May 2024. A questionnaire was administered, including clinical and sociodemographic variables: age, sex, pain, reason for referral, number of sessions attended, experience with APT and PCC. Descriptive analyses were performed, as well as a post hoc analysis using the Wilcoxon test to compare pain levels before and after treatment.</div></div><div><h3>Results</h3><div>A total of 136 patients participated (mean number of sessions<!--> <!-->=<!--> <!-->14.4; SD<!--> <!-->=<!--> <!-->6.9). Most were referred from Orthopedic Surgery and Traumatology (69.2%), followed by patients with pain syndromes (14.6%), oncology patients (8.1%), neurosurgical patients (4.4%), and neurological patients (3.7%). A significant reduction in pain was observed after the intervention (mean difference −2.01; CI<!--> <!-->95%: −2.42 to −1.60; <em>P</em> <!-->&lt;<!--> <!-->.001; r<!--> <!-->=<!--> <!-->0.678). Between 97.1% and 88.3% reported positive experiences with AP. The average CCRQ-e score was 1.35, reflecting a very favorable perception of PCC.</div></div><div><h3>Conclusion</h3><div>APT was associated with a significant reduction in pain; patients also reported a satisfactory overall experience and indicated that they had received PCC. This study does not allow causal relationships to be established. Controlled, multicenter studies are required to confirm these findings.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100962"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146776817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}