Rehabilitacion最新文献

{"title":"[Off-label type A botulinum toxin in the treatment of non-spastic pain: a narrative review].","authors":"R Mora Boga, M E Díaz Recarey, L Gozalbes Esterelles, I Blesa Esteban, M Hinojosa Ballesta, Ö Buran, L Elvira López, F Gutiérrez Henares, M Ramírez Ortega","doi":"10.1016/j.rh.2026.101017","DOIUrl":"https://doi.org/10.1016/j.rh.2026.101017","url":null,"abstract":"<p><p>Botulinum toxin is a drug whose potential analgesic effect has attracted increasing interest. However, its use for pain treatment is not included in the approved indications in Spain, and the evidence is heterogeneous across different clinical conditions. The aim of this narrative review was to analyze the current evidence on its off-label use in different pain syndromes, assessing its level of evidence, efficacy and safety. A separate literature search was conducted for each condition, prioritizing systematic reviews, meta-analyses, and clinical trials, particularly the most recent ones. The available evidence is growing, although it is limited by the heterogeneity of the conditions and methodologies, small sample sizes, and the scarcity of comparative studies against standard treatments. Currently, it cannot be recommended as a first-line treatment for any painful condition, but it could be considered as an alternative in selected patients with certain neuropathic pain conditions, piriformis syndrome, plantar fasciitis, and epicondylitis. Its safety profile is favorable, with a low incidence of adverse effects. The lack of superiority over some therapeutic alternatives limits its widespread use. Higher-quality studies with standardized protocols are needed to establish robust clinical recommendations.</p>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":" ","pages":"101017"},"PeriodicalIF":0.6,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138224","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":"MEASUREMENT PROPERTIES OF THE PAIN-RELATED CATASTROPHIZING THOUGHTS SCALE (PCTS) IN BRAZILIAN PATIENTS WITH CANCER PAIN.","authors":"J L Sabá Assunção, D Santos Rocha, L Padilha Mendes, S Marinho Coutinho, D Nunes Morais, A Vieira Dibai-Filho","doi":"10.1016/j.rh.2026.101018","DOIUrl":"https://doi.org/10.1016/j.rh.2026.101018","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the measurement properties of the Brazilian version of the Pain-Related Catastrophizing Thoughts Scale (PCTS) in patients with cancer-related pain.</p><p><strong>Materials and methods: </strong>Data were collected at two oncology hospitals. Participants completed the PCTS, Barthel Index, Hospital Anxiety and Depression Scale (HADS), and Numeric Rating Scale (NRS). The measurement properties assessed were reliability, internal consistency, structural validity, and construct validity.</p><p><strong>Results: </strong>The sample included 147 cancer patients, with a mean age of 48.71 years. Most were women, married, and had completed basic education. A total of 29 cancer types were reported, with cervical and breast cancer being the most common. Exploratory factor analysis with parallel analysis indicated a unidimensional structure for the PCTS (Kaiser-Meyer-Olkin test = 0.72; Bartlett's test p < 0.001). Test-retest reliability was excellent (intraclass correlation coefficient = 0.94) and internal consistency was acceptable (Cronbach's alpha = 0.78 and McDonald's omega = 0.86). Construct validity was supported by significant positive correlations with anxiety (rho = 0.65, p < 0.001) and depression (rho = 0.60, p < 0.001). Floor and ceiling effects were absent.</p><p><strong>Conclusion: </strong>The Brazilian PCTS showed adequate psychometric properties, supporting its use as a preliminary but promising tool for evaluating this population for assessing pain-related catastrophizing in patients with cancer pain.</p>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":" ","pages":"101018"},"PeriodicalIF":0.6,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138165","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":"Lesión medular no traumática en el entorno hospitalario: perfil funcional y circuitos asistenciales en rehabilitación","authors":"S. Laxe,&nbsp;M. Taranu","doi":"10.1016/j.rh.2026.101012","DOIUrl":"10.1016/j.rh.2026.101012","url":null,"abstract":"<div><h3>Introduction</h3><div>Non-traumatic spinal cord injury (NTSCI) is an increasingly common clinical condition, particularly among patients with cancer and multiple comorbidities. However, most established care pathways have been developed for acute traumatic spinal cord injury.</div></div><div><h3>Objective</h3><div>To describe the clinical and functional characteristics of patients with non-traumatic spinal cord injury assessed by a Rehabilitation Department in a tertiary care hospital and to characterize their rehabilitation care pathways.</div></div><div><h3>Materials and methods</h3><div>A retrospective observational study was conducted. All inpatient rehabilitation consultations performed between January 2020 and August 2021 were reviewed. Adult patients with a confirmed diagnosis of non-traumatic spinal cord injury were included. Sociodemographic characteristics, etiology, American Spinal Injury Association (ASIA) Impairment Scale classification, functional status, complications, and discharge destination were collected.</div></div><div><h3>Results</h3><div>Among 2,156 inpatient rehabilitation consultations, 34 patients (1.6%) were diagnosed with non-traumatic spinal cord injury. The mean age was 57.8<!--> <!-->±<!--> <!-->15.2 years, and 29.4% were women. The etiology was oncological in 82.4% of cases, mainly related to metastatic spinal disease. Most injuries were incomplete (91.2%), and ASIA grade<!--> <!-->D was the most frequent neurological impairment (67.6%). In 79.4% of patients, spinal cord injury was not explicitly documented as the reason for referral at the time of consultation. The mean Barthel Index score was 37.4<!--> <!-->±<!--> <!-->32.8. Only 8.8% of patients were referred to specialized rehabilitation units.</div></div><div><h3>Conclusions</h3><div>Non-traumatic spinal cord injury, predominantly of oncological origin and usually incomplete, represents a frequent clinical condition in the hospital setting. Our findings suggest opportunities to improve its early recognition and facilitate timely access to specialized rehabilitation services.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 4","pages":"Article 101012"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892572","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":"Clinical implications of the Dutch guideline update for subacromial pain syndrome","authors":"A. Alcántara Montero","doi":"10.1016/j.rh.2026.101014","DOIUrl":"10.1016/j.rh.2026.101014","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 4","pages":"Article 101014"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991641","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":"Mixed pain in rehabilitation: Practical implications of the new international consensus definition","authors":"A. Alcántara Montero","doi":"10.1016/j.rh.2026.101013","DOIUrl":"10.1016/j.rh.2026.101013","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 4","pages":"Article 101013"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991608","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":"Is lower-limb length discrepancy a risk factor for curve progression in adolescent idiopathic scoliosis? Author reply","authors":"B. Romano-Faran,&nbsp;Y. Pelicer-Marques,&nbsp;K. Partamian,&nbsp;P.B. Delgado-Alvares,&nbsp;M. Schamas-Esposel,&nbsp;F. Ferreira-Lima,&nbsp;J. Mário-Arouca,&nbsp;A. Pontes-Silva","doi":"10.1016/j.rh.2026.101015","DOIUrl":"10.1016/j.rh.2026.101015","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 4","pages":"Article 101015"},"PeriodicalIF":0.6,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149009240","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":"Different Types of Training on Spatiotemporal Parameters of Gait in Older Adults: A Scoping Review.","authors":"G Vigorito Magalhães, A K Gomes Silva Sabino, A Boening, N Madalena Rinaldi","doi":"10.1016/j.rh.2026.101016","DOIUrl":"https://doi.org/10.1016/j.rh.2026.101016","url":null,"abstract":"<p><strong>Objective: </strong>To map and characterize the available evidence on different types of training and their reported effects on spatiotemporal gait parameters in older adults.</p><p><strong>Methods: </strong>A scoping review was conducted following the PRISMA-ScR guidelines. The search was performed in the second half of 2025 across the PubMed, Physiotherapy Evidence Database (PEDro), Scopus, and Cochrane databases. Randomized controlled trials involving healthy older adults (≥60 years) that investigated exercise and gait interventions assessed using biomechanical methods were included. The outcomes considered were all gait kinematic variables for which evidence was reported.</p><p><strong>Results: </strong>Eight studies were included, totaling 330 older adults who underwent exercise interventions. The mean PEDro scale score was 5 points. The most frequently identified training types were resistance training and dual-task training, both were associated with improvements in gait kinematic variables, such as velocity, step length, and cadence. Training programs for older adults typically involved sessions 2 to 3 times per week on alternate days, over a period of 8 to 12 weeks.</p><p><strong>Conclusions: </strong>Resistance training and dual-task training demonstrated the potential to improve locomotor performance in older adults. These findings may guide specific approaches to improving gait parameters in this population. However, these results should be interpreted with caution due to the relatively small number of included studies, heterogeneity in the variables analyzed, and the low-to-moderate methodological quality of the studies, all of which may hinder direct comparisons between results.</p>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":" ","pages":"101016"},"PeriodicalIF":0.6,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065234","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":"[Application of cytokine-rich autologous serum in chronic Achilles tendinopathy: A case series of 3 patients].","authors":"R Vilas Boas, E Díaz Recarey, M Alonso, J Formigo-Couceiro","doi":"10.1016/j.rh.2026.101002","DOIUrl":"https://doi.org/10.1016/j.rh.2026.101002","url":null,"abstract":"<p><p>This series describes 3 cases of persistent chronic Achilles tendinopathy treated with an ultrasound-guided injection of autologous cytokine-rich serum obtained using Qrem Cytokine. The patients, who were unresponsive to conservative treatments such as eccentric exercise, physiotherapy, and shockwave therapy, were tracked using the VAS, VISA-A, Roles-Maudsley, and ultrasound up to 12 months. All patients showed clear clinical improvement: pain decreased significantly (2 cases achieving a VAS score of 0 one year after treatment), and the VISA-A score increased by more than 16 points in all cases, one case achieving a score of 97/100. Ultrasound imaging revealed a moderate reduction in tendon thickness, which was more pronounced in one patient. The final Roles-Maudsley score was good or excellent, and no significant adverse effects were recorded, only transient discomfort. These results show that autologous cytokine-rich serum is a safe and promising alternative, although controlled studies are required to confirm its efficacy.</p>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":" ","pages":"101002"},"PeriodicalIF":0.6,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473197","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":"Buenas prácticas en pruebas biomecánicas y funcionales objetivas en rehabilitación: una necesidad acuciante","authors":"J. Chaler,&nbsp;F.J. Sarasa,&nbsp;E. Lomas,&nbsp;Grupo de Trabajo de Biomecánica de SERMEF","doi":"10.1016/j.rh.2026.101006","DOIUrl":"10.1016/j.rh.2026.101006","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 3","pages":"Article 101006"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714160","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":"Integrating ankle weights into Nordic walking to improve muscle strength and functional outcomes in community-dwelling older adults: A randomized controlled trial","authors":"S. Soenarti,&nbsp;S. Sitorus,&nbsp;M.B. Nugroho,&nbsp;D. Witjaksono,&nbsp;A. Zaini","doi":"10.1016/j.rh.2026.100998","DOIUrl":"10.1016/j.rh.2026.100998","url":null,"abstract":"<div><h3>Introduction</h3><div>Sarcopenia represents a leading cause of functional decline in older adults. This randomized controlled trial examined whether the addition of ankle weights to a Nordic walking protocol yields superior outcomes compared with standard Nordic walking alone.</div></div><div><h3>Methods</h3><div>Thirty-six older adults were randomly allocated to either Nordic walking with ankle weights (<em>n</em> <!-->=<!--> <!-->18) or Nordic walking without additional loading (<em>n</em> <!-->=<!--> <!-->18), with twice-weekly sessions conducted over a 12-week period. The primary outcome was bilateral handgrip strength. Secondary outcomes comprised skeletal muscle mass percentage (%SMM), SARC-F score, the Chair Stand Test (CST), and gait speed. Between-group differences were assessed using analysis of covariance (ANCOVA), with adjustments for baseline values, age, and sex.</div></div><div><h3>Results</h3><div>The ankle-weight group demonstrated significantly greater improvements in right handgrip strength (<em>β</em>_adj<!--> <!-->=<!--> <!-->4.69<!--> <!-->kg; <em>p</em> <!-->=<!--> <!-->0.012) and left handgrip strength (<em>β</em>_adj<!--> <!-->=<!--> <!-->5.56<!--> <!-->kg; <em>p</em> <!-->=<!--> <!-->0.007), total body %SMM (<em>β</em>_adj<!--> <!-->=<!--> <!-->0.93%; <em>p</em> <!-->=<!--> <!-->0.017), lower-limb %SMM (<em>β</em>_adj<!--> <!-->=<!--> <!-->0.54%; <em>p</em> <!-->=<!--> <!-->0.011), and SARC-F score (<em>β</em>_adj<!--> <!-->=<!--> <!-->−1.17; <em>p</em> <!-->&lt;<!--> <!-->0.001). No statistically significant between-group differences were identified for the CST (<em>p</em> <!-->=<!--> <!-->0.339) or gait speed (<em>p</em> <!-->=<!--> <!-->0.149), although changes over time were observed in both groups.</div></div><div><h3>Conclusions</h3><div>The incorporation of ankle weights into a Nordic walking program improved handgrip strength, skeletal muscle mass percentage, and SARC-F scores in older adults, without conferring statistically significant additional benefits in functional physical performance outcomes.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 3","pages":"Article 100998"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340571","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}