Rehabilitacion最新文献

Lectura crítica: ¿debemos confiar en todo lo que se publica? 评论阅读：我们应该相信所有出版的东西吗？

Rehabilitacion Pub Date : 2025-06-21 DOI: 10.1016/j.rh.2025.100919

E. Duarte

引用次数: 0

Comment on “The effect of a physical rehabilitation program on temperature symmetry, mobility, functionality and gait in amputee patients”. Authors reply 评论“物理康复计划对截肢患者的温度对称性、活动能力、功能和步态的影响”。作者回复

Rehabilitacion Pub Date : 2025-06-21 DOI: 10.1016/j.rh.2025.100920

F. Marcon Alfieri , D. Mitiyo Odagiri Utiyama , A.C. Aquino dos Santos , L. Rizzo Battistella

引用次数: 0

Beneficios de la prehabilitación en pacientes con cáncer colorrectal: estudio de casos y controles anidado 结直肠癌患者康复前的益处：病例研究和嵌套对照

Rehabilitacion Pub Date : 2025-06-04 DOI: 10.1016/j.rh.2025.100918

E.J. Frutos-Reoyo , P. Luque-Linero , L. López-Maté , S. Rodríguez-Valbuena , Á. Serrano-Combarro , E.D. Candau-Pérez

{"title":"Beneficios de la prehabilitación en pacientes con cáncer colorrectal: estudio de casos y controles anidado","authors":"E.J. Frutos-Reoyo , P. Luque-Linero , L. López-Maté , S. Rodríguez-Valbuena , Á. Serrano-Combarro , E.D. Candau-Pérez","doi":"10.1016/j.rh.2025.100918","DOIUrl":"10.1016/j.rh.2025.100918","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>Colorectal cancer (CRC) is one of the most prevalent and lethal malignancies worldwide. Surgical treatment is considered the gold standard. Prehabilitation emerges as a strategy integrating physical, nutritional, and psychological preparation before surgery. This study aimed to evaluate the effectiveness of prehabilitation in reducing hospital stay and mortality in CRC patients.</div></div><div><h3>Material and method</h3><div>A prospective observational nested case-control study within a cohort with a 24-month follow-up was conducted. Patients who underwent prehabilitation were defined as «cases» while those who did not were classified as «controls». Descriptive and analytical analyses were performed, with a significance level of p<0.05. A Kaplan-Meier curve was used to assess survival concerning hospital stay and mortality.</div></div><div><h3>Results</h3><div>Of the 279 patients, 276 were analyzed (127 cases and 149 controls). The bivariate analysis showed comparable baseline characteristics between groups. The prehabilitation group demonstrated a significant reduction in postoperative hospital stay (4 days vs. 5 days; p=0.02). No significant differences were observed in mortality (11.8% vs. 18.8%; p=0.11).</div></div><div><h3>Conclusions</h3><div>The implementation of multimodal prehabilitation programs in CRC patients is associated with reduced hospital stay. Although no significant difference in mortality was observed, the trend suggests a positive impact. These findings support the adoption of prehabilitation as a standard in oncological practice.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 3","pages":"Article 100918"},"PeriodicalIF":0.0,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203070","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}

引用次数: 0

Uso de las presiones linguales para determinar la indicación de estudio instrumentado de deglución en pacientes con ELA espinal 使用舌压来确定脊柱侧凸患者的仪器吞咽试验适应症

Rehabilitacion Pub Date : 2025-06-03 DOI: 10.1016/j.rh.2025.100917

A. Guillen-Sola , B. Bertran-Recasens , J. Martinez-Llorens , A. Balaña , M. Villatoro , M.A. Rubio

{"title":"Uso de las presiones linguales para determinar la indicación de estudio instrumentado de deglución en pacientes con ELA espinal","authors":"A. Guillen-Sola , B. Bertran-Recasens , J. Martinez-Llorens , A. Balaña , M. Villatoro , M.A. Rubio","doi":"10.1016/j.rh.2025.100917","DOIUrl":"10.1016/j.rh.2025.100917","url":null,"abstract":"<div><h3>Objective</h3><div>Systematic swallowing assessment in amyotrophic lateral sclerosis (ALS) is essential, as approximately 85% of patients will develop dysphagia, and 8% of these cases may remain clinically silent. Although instrumental diagnostic tools exist, they are not always accessible. Recent studies suggest that lingual pressure measurements may be valuable for early detection of bulbar dysfunction. This study aims to establish lingual pressure cutoff points for early screening of such dysfunction.</div></div><div><h3>Design</h3><div>Transversal study based on prospectively collected data from patients with spinal-onset ALS at the Motor Neuron Unit, Hospital del Mar (Barcelona).</div></div><div><h3>Materials and methods</h3><div>A total of 58 patients were included. Anterior (PA) and posterior (PP) lingual pressures were measured using the IOPI system and analyzed alongside the ALSFRS-R scale. Statistical analysis included descriptive statistics, Spearman correlation, and ROC curve analysis (SPSS v25).</div></div><div><h3>Results</h3><div>A moderate correlation was found between lingual strength and ALSFRS-R scores (PA: r=.634, <em>P</em>    <.001). Identified cutoff values: PA: 39.5kPa (AUC=.766; 95%CI: .700-.831; <em>P</em>      <.001), sensitivity 55.1%, specificity 72.2%.</div></div><div><h3>Conclusion</h3><div>In spinal-onset ALS, a moderate correlation exists between global functionality and lingual pressures. Cutoff points of PA=39.5kPa and PP=37.0kPa are proposed for early screening of bulbar dysfunction.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 3","pages":"Article 100917"},"PeriodicalIF":0.0,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194833","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}

引用次数: 0

Grading hypotonia in children with Down syndrome: A study psychometric 唐氏综合症儿童张力低下分级：一项心理测量学研究

Rehabilitacion Pub Date : 2025-05-29 DOI: 10.1016/j.rh.2025.100916

M.G. de Santos-Moreno , J.A. López-Pina , A. Velandrino-Nicolás , A. Gómez-Conesa

{"title":"Grading hypotonia in children with Down syndrome: A study psychometric","authors":"M.G. de Santos-Moreno , J.A. López-Pina , A. Velandrino-Nicolás , A. Gómez-Conesa","doi":"10.1016/j.rh.2025.100916","DOIUrl":"10.1016/j.rh.2025.100916","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Currently, hypotonia is diagnosed and graded observationally. This study aimed to develop a valid and reliable scale for assessing hypotonia in children with Down syndrome.</div></div><div><h3>Material and method</h3><div>An initial 43-item scale was created to measure hypotonia in children with Down syndrome. After psychometric analysis of the results, 21 items were eliminated, resulting in a 22-item scale that was applied to a sample of 50 children (28 girls) between 7 and 94 months. The item analysis, internal consistency, inter-rater agreement, and test–retest reliability with alpha and ICC coefficients were analyzed. Hypothesis testing was calculated by ANOVA and Student's <em>t</em>-tests, and criterion validity by comparison with the clinical sensation observed by an expert evaluator.</div></div><div><h3>Results</h3><div>The 22-item scale reported high reliability, stability, and reproducibility of its measures, both globally and individually. Inter-rater agreement was high [0.88–1.00] and internal consistency was higher. No significant differences were found according to sex or motor stage. Furthermore, significant differences were found according to the clinical sensation of the rater and grade of hypotonia.</div></div><div><h3>Conclusions</h3><div>The developed scale allows to assess hypotonia and proved to be reliable and valid.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 3","pages":"Article 100916"},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167565","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}

引用次数: 0

Comment on “The effect of a physical rehabilitation program on temperature symmetry, mobility, functionality and gait in amputee patients” 对“肢体康复项目对截肢患者体温对称性、活动能力、功能和步态的影响”的评论

Rehabilitacion Pub Date : 2025-05-16 DOI: 10.1016/j.rh.2025.100915

H. Daungsupawong , V. Wiwanitkit

引用次数: 0

Importancia de la rehabilitación en la enfermedad de Parkinson: ¿estamos llegando tarde? 帕金森氏症康复的重要性：我们迟到了吗？

Rehabilitacion Pub Date : 2025-05-15 DOI: 10.1016/j.rh.2025.100914

G. Candoni

引用次数: 0

Estudio de los cambios del equilibrio en pacientes con cáncer de mama tratadas con quimioterapia 乳腺癌化疗患者平衡变化研究

Rehabilitacion Pub Date : 2025-05-09 DOI: 10.1016/j.rh.2025.100913

J.M. Elía , J.M. Tenías , V. Iñigo , V. Iranzo , R. Puerta , A. Sogues

{"title":"Estudio de los cambios del equilibrio en pacientes con cáncer de mama tratadas con quimioterapia","authors":"J.M. Elía , J.M. Tenías , V. Iñigo , V. Iranzo , R. Puerta , A. Sogues","doi":"10.1016/j.rh.2025.100913","DOIUrl":"10.1016/j.rh.2025.100913","url":null,"abstract":"<div><h3>Introduction</h3><div>Instability is a common symptom reported by patients with chemotherapy-induced peripheral neuropathy (CIPN) during breast cancer treatment. Posturography may be useful for the functional assessment and management of these patients. The aim of this study was to evaluate postural control changes through biomechanical assessment in breast cancer patients undergoing chemotherapy.</div></div><div><h3>Material and methods</h3><div>A prospective longitudinal observational study was conducted with 39 women (mean age 51.0 years, SD 8.9) in stages I (n=14), II (n=18), and III (n=7). Assessments included posturography, the modified Total Neuropathy Score (mTNS), and the EORTC QLQ-CIPN20 and EORTC QLQ-C30 questionnaires at baseline, and at 3 and 6 months.</div></div><div><h3>Results</h3><div>Posturographic variables showed a pattern of vestibular dysfunction that worsened over time (88.5%, p<0.01). A direct correlation was observed between body mass index (BMI) and mTNS (r=0.361; p<0.001); BMI was also related to sway area and anteroposterior displacement. At 3 and 6 months, inverse correlations were identified between mTNS and posturographic conditions, which were associated with increased symptom severity in all subscales of the EORTC QLQ-CIPN20 (p<0.05).</div></div><div><h3>Conclusions</h3><div>Postural stability is affected by chemotherapy cycles in breast cancer patients. Early identification allows for the incorporation of specific interventions in this patient group and the consideration of therapeutic alternatives.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 3","pages":"Article 100913"},"PeriodicalIF":0.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143929276","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}

引用次数: 0

Autonomic nervous system dysfunction may be associated with low self-efficacy in patients with nonspecific chronic low back pain: A cross-sectional inferential analysis 自主神经系统功能障碍可能与非特异性慢性腰痛患者的低自我效能感相关：一项横断面推断分析

Rehabilitacion Pub Date : 2025-05-05 DOI: 10.1016/j.rh.2025.100912

A. Pontes-Silva , A.V. Dibai-Filho , M.A. Avila

引用次数: 0

Bloqueo ecoguiado de los nervios geniculares (BENG) en contexto de un paciente con gonalgia post cirugía de osteocondritis disecante de rodilla 膝关节性骨软骨炎术后痛风患者的膝关节神经回声导管阻塞

Rehabilitacion Pub Date : 2025-04-22 DOI: 10.1016/j.rh.2025.100910

D. Borda Lorente, J.G. Moranta Mesquides, P. Peret Hernández, S. Laxe

引用次数: 0