Rehabilitacion最新文献

SORECAR: 30 años impulsando la rehabilitación cardiorrespiratoria en España SORECAR: 30年在西班牙促进心肺康复

Rehabilitacion Pub Date : 2025-07-01 DOI: 10.1016/j.rh.2025.100923

M.P. Sanz-Ayán

引用次数: 0

Experiencias con las ondas de choque en el tratamiento de la hipertonía en personas con parálisis cerebral: una perspectiva cualitativa 冲击波治疗脑瘫患者高血压的经验：定性视角

Rehabilitacion Pub Date : 2025-07-01 DOI: 10.1016/j.rh.2025.100921

M.F. Gimeno Esteve , M. Tur Segura , J. Jiménez Redondo , N. García Rodríguez , T. Biedermann Villagra

{"title":"Experiencias con las ondas de choque en el tratamiento de la hipertonía en personas con parálisis cerebral: una perspectiva cualitativa","authors":"M.F. Gimeno Esteve , M. Tur Segura , J. Jiménez Redondo , N. García Rodríguez , T. Biedermann Villagra","doi":"10.1016/j.rh.2025.100921","DOIUrl":"10.1016/j.rh.2025.100921","url":null,"abstract":"<div><h3>Introduction</h3><div>Muscle hypertonia is one of the major issues in individuals with cerebral palsy. Treatment with radial shockwave therapy represents a relatively new alternative to conventional approaches and has been established in recent years as a non-invasive option with few side effects.</div></div><div><h3>Objectives</h3><div>To assess the subjective experience of individuals with cerebral palsy undergoing radial shockwave therapy in terms of reducing local hypertonia, changes in motor functionality, and changes in pain perception.</div></div><div><h3>Methodology</h3><div>A qualitative phenomenological study was conducted through semi-structured interviews. Out of 79 patients treated, 27 interviews were selected that provided the best information regarding the subjective experience before and after the treatment.</div></div><div><h3>Results</h3><div>Patients reported a perceived reduction in spasticity, muscle tension, and pain perception. There was an improvement in walking functionality, although functional improvement was less noticeable in the upper limbs. Among individuals engaged in sports, overall ability appeared to improve. Regarding the subjective experience of the treatment, the majority of patients reported good tolerance to the shockwaves.</div></div><div><h3>Conclusions</h3><div>Overall, the treatment of local hypertonia with shockwave therapy has been positive in all analyzed dimensions, with good acceptance of the treatment itself.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 3","pages":"Article 100921"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570654","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

Effect of pillow on pain, disability and sleep quality in patients with chronic neck pain: A systematic review 枕对慢性颈痛患者疼痛、残疾和睡眠质量的影响：一项系统综述

Rehabilitacion Pub Date : 2025-07-01 DOI: 10.1016/j.rh.2025.100922

S. Ghosh, M. Goyal, K. Goyal

{"title":"Effect of pillow on pain, disability and sleep quality in patients with chronic neck pain: A systematic review","authors":"S. Ghosh, M. Goyal, K. Goyal","doi":"10.1016/j.rh.2025.100922","DOIUrl":"10.1016/j.rh.2025.100922","url":null,"abstract":"<div><div>Chronic neck pain impairs physical function and sleep quality. Appropriate pillow use may support spinal alignment, reduce muscle strain, and improve sleep. This systematic review evaluated the effectiveness of various pillow characteristics in alleviating pain, disability, and sleep disturbances among individuals with chronic neck pain. A comprehensive literature search was conducted in PubMed, Scopus, PEDro, and Cochrane Library for interventional studies published from 2015 to June 2024. Following PRISMA guidelines, the methodological quality was assessed using the PEDro scale, GRADE system, risk of bias tool, and level of evidence criteria. From 29,091 screened records, five studies (239 participants) met the inclusion criteria. Outcome measures included the Visual Analogue Scale (VAS), Numerical Pain Rating Scale (NPRS), Neck Disability Index (NDI), and Pittsburgh Sleep Quality Index (PSQI). NPRS scores showed minor improvements (<em>p</em>  <!-->0.05), NDI results were inconsistent, and PSQI differences were not statistically significant. High heterogeneity in study designs, outcome measures, and pillow characteristics limits definitive conclusions. However, limited evidence supports the use of specific pillows as adjunctive therapy for chronic neck pain, with no particular type (latex, foam or standard) demonstrating clear superiority. Therefore, further high-quality RCTs are needed to establish definitive clinical recommendations.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 3","pages":"Article 100922"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570655","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

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