Rehabilitacion最新文献

{"title":"Autonomic nervous system dysfunction may be associated with low self-efficacy in patients with nonspecific chronic low back pain: A cross-sectional inferential analysis","authors":"A. Pontes-Silva , A.V. Dibai-Filho , M.A. Avila","doi":"10.1016/j.rh.2025.100912","DOIUrl":"10.1016/j.rh.2025.100912","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 3","pages":"Article 100912"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906700","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":"Bloqueo ecoguiado de los nervios geniculares (BENG) en contexto de un paciente con gonalgia post cirugía de osteocondritis disecante de rodilla","authors":"D. Borda Lorente, J.G. Moranta Mesquides, P. Peret Hernández, S. Laxe","doi":"10.1016/j.rh.2025.100910","DOIUrl":"10.1016/j.rh.2025.100910","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 3","pages":"Article 100910"},"PeriodicalIF":0.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855260","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":"Artificial Intelligence in rehabilitation: A narrative review on advancing patient care","authors":"A. Alshami ,&nbsp;A. Nashwan ,&nbsp;A. AlDardour ,&nbsp;A. Qusini","doi":"10.1016/j.rh.2025.100911","DOIUrl":"10.1016/j.rh.2025.100911","url":null,"abstract":"<div><div>Artificial Intelligence (AI) is revolutionizing rehabilitation by enabling data-driven, personalized, and effective patient care. AI systems analyze patterns, predict outcomes, and adapt treatments to individual needs, empowering clinicians to deliver more targeted and responsive interventions. This review explores AI's role in rehabilitation, focusing on its applications in personalized care, outcome prediction, and real-time patient monitoring. Evidence from current literature highlights how AI improves patient satisfaction, engagement, and clinical outcomes by fostering a stronger therapeutic alliance and promoting adherence to treatment plans. However, significant challenges remain, including data privacy concerns, clinician training gaps, and disparities in technology access. Addressing these barriers is essential to optimize AI adoption and fully realize its potential to enhance patient-centered care. By integrating AI into daily practice, rehabilitation professionals can deliver more efficient, individualized, and high-quality care, paving the way for transformative advancements in the field.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100911"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851975","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":"La ética científica, puntal fundamental del presente y el futuro de Rehabilitación: reflexiones y acciones","authors":"J. Chaler ,&nbsp;E. Marco","doi":"10.1016/j.rh.2025.100909","DOIUrl":"10.1016/j.rh.2025.100909","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100909"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835275","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":"El desafío en la protetización tras desarticulación de cadera en paciente con pioderma gangrenoso","authors":"M.Á. Arenillas Pérez ,&nbsp;P. Peret Hernández ,&nbsp;S. Ortiz Hidalgo ,&nbsp;S. Laxe","doi":"10.1016/j.rh.2025.100905","DOIUrl":"10.1016/j.rh.2025.100905","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100905"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823564","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":"The ReDyor study: Effects of prophylactic swallowing exercises on dysphagia and quality of life in patients with head and neck cancer receiving chemoradiation therapy, a randomized clinical trial","authors":"A. Guillen-Sola ,&nbsp;N. Bofill-Soler ,&nbsp;O. Pera-Cegarra ,&nbsp;X. Duran Jorda ,&nbsp;P. Foro","doi":"10.1016/j.rh.2025.100904","DOIUrl":"10.1016/j.rh.2025.100904","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the best time to start rehabilitation to preserve swallowing function and enhance health-related quality of life in patients with head and neck cancer (HNC) undergoing chemoradiation therapy (CRT).</div></div><div><h3>Material and methods</h3><div>Randomized single-blind controlled trial study conducted at a tertiary university hospital. Fifty-two HNC patients treated with CRT were randomized into early intervention (EIG, at diagnosis) and late intervention groups (LIG, post-radiotherapy). Interventions included Inspiratory and Expiratory Muscle Strength Training and standard swallowing exercises for 21 weeks, starting 2 weeks before RT in EIG and immediately after RT in LIG. Functional parameters, dysphagia severity, and HRQoL were assessed at baseline, RT completion, and post-RT follow-ups (3, 6, 12 months).</div></div><div><h3>Results</h3><div>No significant differences were observed between groups, except for mouth interincisor opening at RT completion in EIG. At final assessment, PEmax% values recovered in EIG but deteriorated in LIG (<em>p</em> <!-->=<!--> <!-->0.028). Speech problems decreased in EIG (<em>p</em> <!-->=<!--> <!-->0.019) compared to baseline. PImax showed a positive trend in both groups. Both groups had isolated improvements in quality of life.</div></div><div><h3>Conclusion</h3><div>The effectiveness of rehabilitation was similar regardless of initiation timing, suggesting both early and late interventions are viable for preserving swallowing function and improving quality of life in HNC patients undergoing CRT.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100904"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747684","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":"The effect of a physical rehabilitation program on temperature symmetry, mobility, functionality and gait in amputee patients","authors":"F. Marcon Alfieri ,&nbsp;D. Mitiyo Odagiri Utiyama ,&nbsp;A.C. Aquino dos Santos ,&nbsp;L. Rizzo Battistella","doi":"10.1016/j.rh.2025.100908","DOIUrl":"10.1016/j.rh.2025.100908","url":null,"abstract":"<div><h3>Introduction</h3><div>Rehabilitation centers offer specialized programs for amputees aimed at enhancing their functional abilities and quality of life. This study aimed to evaluate the impact of a hospital-based rehabilitation program on lower-limb skin temperature distribution, mobility, functionality and gait in individuals with lower-limb amputations.</div></div><div><h3>Material and methods</h3><div>This is a pilot, longitudinal, observational study, with pre–post-intervention assessments of 14 patients admitted for inpatient intensive rehabilitation program. The skin temperature of the thigh, knee, and leg was evaluated with an infrared thermography camera (FLIR T650SC®), and mobility, functionality and gait were tested with the Timed Up and Go, Amputee Mobility test Predictor (AMP), and the 2-minute walk test, before and after the multidisciplinary physical rehabilitation program. The baseline and post-intervention data were compared with the Student's <em>T</em>-test or Wilcoxon test for paired data according to data distribution. The <em>α</em> level was established at 5%.</div></div><div><h3>Results</h3><div>The comparison of baseline and post-intervention temperature outcomes showed no significant changes regardless of the side. There was a significant improvement in balance (AMP scores from 32<!--> <!-->±<!--> <!-->7.10 to 35.07<!--> <!-->±<!--> <!-->6.76; <em>p</em> <!-->&lt;<!--> <!-->0.0001), gait (2-MWT distance 73.14<!--> <!-->±<!--> <!-->52.87<!--> <!-->m to 96.57<!--> <!-->±<!--> <!-->60.91<!--> <!-->m; <em>p</em> <!-->=<!--> <!-->0.004), and function (TUG total time from 27.14<!--> <!-->±<!--> <!-->22.68<!--> <!-->s to 16.82<!--> <!-->±<!--> <!-->10.09<!--> <!-->s; <em>p</em> <!-->&lt;<!--> <!-->0.001).</div></div><div><h3>Conclusion</h3><div>This study demonstrated that individuals with lower limb amputees experienced improvements in terms of mobility, functionality and gait after the physical rehabilitation program, however, they did not have significant changes in relation to the distribution of skin temperature between the lower limbs.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100908"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835276","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":"Rehabilitation applied with virtual reality improves functional capacity in post-stroke patients. A systematic review and meta-analysis","authors":"A. Navas-Otero ,&nbsp;A. Canal-Pérez ,&nbsp;J. Martín-Núñez ,&nbsp;A. Ortiz-Rubio ,&nbsp;J. Raya-Benítez ,&nbsp;M.C. Valenza ,&nbsp;I. Cabrera-Martos","doi":"10.1016/j.rh.2025.100907","DOIUrl":"10.1016/j.rh.2025.100907","url":null,"abstract":"<div><div>Virtual reality (VR) is emerging technologies in the field of rehabilitation of post-stroke patients. The aim of this study was to systematically explore the effects of VR rehabilitation program on functional capacity of stroke patients. We conducted a systematic review and meta-analysis. The searches were carried out in the PubMed/Medline, Web of Science, PEDro and OTSeeker to October 2024. Methodological quality was assessed using the Downs and Black scale and the Version 2 of the Cochrane risk-of-bias tool for randomized trials (RoB 2) was used to assess risk of bias. A total of 4 studies met the inclusion criteria. The type of VR intervention varied among studies using Wii Fit, ARMEO Spring 1.1, Rehabilitation Gaming System and ArmAble™. The meta-analysis indicated that the VR group showed statistically significant improvement in functional ability versus control group. The methodological quality mean was moderate quality level. VR interventions seem to be a promising therapeutic system for functional capacity rehabilitation in people with post-stroke.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100907"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847953","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":"Mielitis transversa hemorrágica longitudinalmente extensa secundaria a la vacunación contra la enfermedad por SARS-CoV-2","authors":"M. Caparrós Calle ,&nbsp;A. Montoto Marqués ,&nbsp;N. Gaitán Pérez ,&nbsp;A. Rodríguez Sotillo","doi":"10.1016/j.rh.2025.100906","DOIUrl":"10.1016/j.rh.2025.100906","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100906"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845154","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":"Long COVID-19: Impact of a personalized rehabilitation program","authors":"J.C. Perrot ,&nbsp;M. Segura ,&nbsp;G. Flotats ,&nbsp;C. Closa ,&nbsp;I. Gich ,&nbsp;C. Garcia ,&nbsp;A. Alba ,&nbsp;M.J. Nadal ,&nbsp;A. Pintor ,&nbsp;J. Terra ,&nbsp;E. Ramirez ,&nbsp;M. Beranuy ,&nbsp;H. Bascuñana ,&nbsp;V. Plaza ,&nbsp;M.R. Güell-Rous","doi":"10.1016/j.rh.2025.100903","DOIUrl":"10.1016/j.rh.2025.100903","url":null,"abstract":"<div><h3>Introduction</h3><div>Several guidelines have proposed specific rehabilitation programs to treat symptoms/sequelae in patients with post-acute COVID syndrome (PACS). Only a few studies show that rehabilitation reduce disability after COVID-19.</div></div><div><h3>Objective</h3><div>To describe the response to a personalized rehabilitation program in terms of exercise tolerance, muscle function, dyspnea, quality of life, and frailty state in a cohort of patients with PACS.</div></div><div><h3>Methods</h3><div>Observational prospective cohort study of community-dwelling patients. The rehabilitation program included three modalities (outpatient, home-based, and self-administered), optionally supplemented with respiratory muscle training. Study variables: 6-minute walking distance (6MWD), inspiratory muscle strength (PI_max), dyspnea, muscle strength (estimated with the Medical Research Council scale and handgrip), health-related quality of life (HRQoL), and frailty estimated with the Short Physical Performance Battery (SPPB) and at 3- and 6-months following baseline.</div></div><div><h3>Results</h3><div>Of 178 patients with PACS, 101 (56.7%) were enrolled in a rehabilitation program: 41.6% home-based, 27.7% outpatient, and 24.8% self-administered. Inspiratory muscle training (IMT) was provided to 56 patients, with 50 included in the rehabilitation program and 6 (5.9%) receiving IMT alone. Significant improvements were observed at 3 months in mMRC strength (<em>p</em> <!-->=<!--> <!-->0.001), SPPB (<em>p</em> <!-->&lt;<!--> <!-->0.0001), handgrip strength (<em>p</em> <!-->=<!--> <!-->0.017), mMRC dyspnea, PI_max (<em>p</em> <!-->&lt;<!--> <!-->0.0001), and 6-MWD (<em>p</em> <!-->=<!--> <!-->0.008). Improvements persisted at 6 months for mMRC strength (<em>p</em> <!-->=<!--> <!-->0.048), SPPB (<em>p</em> <!-->=<!--> <!-->0.002), PI_max (<em>p</em> <!-->&lt;<!--> <!-->0.0001), and 6MWD (<em>p</em> <!-->=<!--> <!-->0.048). HRQoL mental and physical component scores improved only at 3 months.</div></div><div><h3>Conclusions</h3><div>Personalized rehabilitation for patients with PACS improved muscle parameters, dyspnoea, and exercise capacity, but not HRQoL, up to 6 months. Improvements in respiratory muscle strength were associated with reductions in dyspnoea and increased exercise capacity.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100903"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143716038","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}