Rehabilitacion最新文献

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

Artificial Intelligence in rehabilitation: A narrative review on advancing patient care 人工智能在康复中的应用：对推进患者护理的述评

Rehabilitacion Pub Date : 2025-04-01 DOI: 10.1016/j.rh.2025.100911

A. Alshami , A. Nashwan , A. AlDardour , A. Qusini

引用次数: 0

La ética científica, puntal fundamental del presente y el futuro de Rehabilitación: reflexiones y acciones 科学伦理，康复的现在和未来的基石：反思和行动

Rehabilitacion Pub Date : 2025-04-01 DOI: 10.1016/j.rh.2025.100909

J. Chaler , E. Marco

引用次数: 0

El desafío en la protetización tras desarticulación de cadera en paciente con pioderma gangrenoso 坏疽性皮病患者髋关节脱臼后的修复挑战

Rehabilitacion Pub Date : 2025-04-01 DOI: 10.1016/j.rh.2025.100905

M.Á. Arenillas Pérez , P. Peret Hernández , S. Ortiz Hidalgo , S. Laxe

引用次数: 0

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 ReDyor研究：预防性吞咽运动对接受放化疗的头颈癌患者的吞咽困难和生活质量的影响，一项随机临床试验

Rehabilitacion Pub Date : 2025-04-01 DOI: 10.1016/j.rh.2025.100904

A. Guillen-Sola , N. Bofill-Soler , O. Pera-Cegarra , X. Duran Jorda , P. Foro

{"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 , N. Bofill-Soler , O. Pera-Cegarra , X. Duran Jorda , 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>  =0.019) 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}

引用次数: 0