Rehabilitacion最新文献

{"title":"Reflexiones críticas sobre el consenso intervencionista en gonartrosis. Respuesta de los autores","authors":"J. Formigo-Couceiro , C. Cordero-García , A. Fernández-Bravo Rueda","doi":"10.1016/j.rh.2025.100940","DOIUrl":"10.1016/j.rh.2025.100940","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100940"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253026","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":"Reeducación de la marcha mediante el uso de exoesqueletos en pacientes con ictus","authors":"S. Torrell-Vallespín , I. Martínez-Villar , E. Duarte-Oller , A. Guillén-Solà","doi":"10.1016/j.rh.2025.100941","DOIUrl":"10.1016/j.rh.2025.100941","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100941"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259570","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":"Efectividad de la radiofrecuencia pulsada sobre nervios periféricos en espasticidad focal severa refractaria: estudio observacional ambispectivo","authors":"S. Otero-Villaverde ,&nbsp;M. Caparros-Calle ,&nbsp;R. Martin-Mourelle ,&nbsp;P. Vega-Gomez ,&nbsp;A. Montoto-Marques ,&nbsp;J. Formigo-Couceiro","doi":"10.1016/j.rh.2025.100939","DOIUrl":"10.1016/j.rh.2025.100939","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the efficacy and safety of pulsed radiofrequency (PRF) in spasticity.</div></div><div><h3>Design</h3><div>Ambispective observational study of patients with spasticity refractory to conventional treatment, enrolled from July/2019 to December/2024 and treated with PRF.</div></div><div><h3>Materials and methods</h3><div>The following scales were evaluated: Modified Ashworth (MAS), Visual Analogue (VAS) before, 2 and 6 months after the procedure, and GAS, PGA and PGI-C. The study was approved by the Galician Ethics Committee for Pharmaceutical Research (registration number 2023/153). All patients signed the informed consent form. We used the Wilcoxon test to analyse significant differences, concordance using Cohen's Kappa Coefficient for MAS and Intraclass Correlation Coefficient (ICC) for VAS.</div></div><div><h3>Results</h3><div>22 patients were included in the study. There were no significant differences between baseline MAS and at 2 months (p<!--> <!-->=<!--> <!-->0.096) and 6 months (p<!--> <!-->=<!--> <!-->0.257), nor between baseline VAS and at 2 months (p<!--> <!-->=<!--> <!-->0.109) and 6 months (p<!--> <!-->=<!--> <!-->0.102). Agreement was moderate between baseline and 2-month MAS (Kappa<!--> <!-->=<!--> <!-->0.549, p&lt;<!--> <!-->0.001), good between baseline and 6-month MAS (Kappa<!--> <!-->=<!--> <!-->0.698, p&lt;<!--> <!-->0.001), and excellent for both baseline and 2-month VAS (ICC<!--> <!-->=<!--> <!-->0.935, p&lt;<!--> <!-->0.001) and 6-month VAS (ICC<!--> <!-->=<!--> <!-->0.975, p&lt;<!--> <!-->0.001). The mean GAS, PGA and PGI-C at 6 months were -1.35, 0.1 and 0.05, respectively. No adverse events were observed.</div></div><div><h3>Conclusions</h3><div>(PRF) at 45<!--> <!-->V appears to be ineffective for the treatment of spasticity and related pain. Further research is warranted to confirm these findings.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100939"},"PeriodicalIF":0.4,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145158894","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":"Peripartum cardiomyopathy and the path to recovery: The role of structured cardiac rehabilitation","authors":"M. Mesquita-Guimarães ,&nbsp;A. Teixeira-Vaz ,&nbsp;D. Ferreira ,&nbsp;J. Afonso Rocha","doi":"10.1016/j.rh.2025.100937","DOIUrl":"10.1016/j.rh.2025.100937","url":null,"abstract":"<div><div>Peripartum cardiomyopathy (PPCM) is a rare but serious condition resulting from structural and functional cardiac impairment in the late stages of pregnancy or shortly after delivery. The patient, a 33-year-old healthy woman, presented with sudden onset of shortness of breath, fatigue and chest discomfort five days after an uncomplicated full-term vaginal delivery following an uneventful pregnancy. Diagnostic workup confirmed a PPCM. Following a multidisciplinary approach, the patient underwent a comprehensive cardiac rehabilitation program which included 24 supervised biweekly exercise training sessions, a home-exercise program and a once-weekly group psycho-behavioral intervention. After 12 weeks, the patient showed substantial improvements in functional capacity, cardiac function, and quality of life. This case underscores the importance of early diagnosis, timely intervention, and the central role of cardiac rehabilitation in the management of PPCM.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100937"},"PeriodicalIF":0.4,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145119435","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":"Estancias en el extranjero para residentes de Medicina Física y Rehabilitación: una ventana enriquecedora al mundo","authors":"G. García Cortés ,&nbsp;A. Galván Ruíz ,&nbsp;G. Vergara-Díaz","doi":"10.1016/j.rh.2025.100938","DOIUrl":"10.1016/j.rh.2025.100938","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100938"},"PeriodicalIF":0.4,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145119434","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":"Efectividad de las intervenciones de rehabilitación y telerrehabilitación en los pacientes con esclerosis sistémica: revisión de alcance","authors":"N. Velasquez Leon ,&nbsp;S.V. Alarcon Espinal ,&nbsp;V.M. Gallegos Rejas","doi":"10.1016/j.rh.2025.100936","DOIUrl":"10.1016/j.rh.2025.100936","url":null,"abstract":"<div><h3>Introduction</h3><div>Systemic sclerosis (SSc) is an autoimmune condition affecting mainly the skin and musculoskeletal system. Clinically, SSc translates to chronic pain, fatigue and loss of functionality. Rehabilitation interventions aim to improve motor functions, relieve pain, maintain work capacity, and promote functional independence in patients with SSc. However, the effectiveness of different rehabilitation modalities, including telerehabilitation, remains insufficiently described in the literature.</div></div><div><h3>Methods</h3><div>This review aimed to describe the effectiveness of rehabilitation and telerehabilitation focused on pain, fatigue, function/functionality, and strength in the oral region, hand, and upper limbs. A Scoping Review was carried out following the PRISMA-ScR recommendations. We searched PubMed®, Scopus®, and Embase® for studies from 2010 to 2024, including those that evaluated the effectiveness of rehabilitation and telerehabilitation interventions in SSc.</div></div><div><h3>Results</h3><div>Our review included 29 articles, mainly from Europe (n<!--> <!-->=<!--> <!-->16, 55%) and Asia (n<!--> <!-->=<!--> <!-->7, 24%). Most were clinical trials (69%) with an average sample size of 58 participants. Hospital-based and combined rehabilitation modalities were the most common. Interventions showed positive effects across outcomes: improvement in pain (41%), fatigue (14%), strength (41%), and function (97%).</div></div><div><h3>Conclusions</h3><div>Rehabilitation, including telerehabilitation, is effective in improving key symptoms in patients with SSc.Telerehabilitation is an effective and promising alternative for patients with SSc, for the reduction of pain and fatigue.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100936"},"PeriodicalIF":0.4,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097252","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":"Associations between bone mineral density loss in the past decade and sarcopenia in community-dwelling older women—The FRISBEE 2 study","authors":"A. Bellanger ,&nbsp;D. Sanchez-Rodriguez ,&nbsp;F.K. Youssa Nzintcheu ,&nbsp;L. Iconaru ,&nbsp;A. Mugisha ,&nbsp;J.M.K. De Filette ,&nbsp;F. Baleanu ,&nbsp;A.-S. Hambye ,&nbsp;D. Ene Lenghel ,&nbsp;F. Benoit ,&nbsp;M. Surquin ,&nbsp;P. Bergmann ,&nbsp;J.-J. Body","doi":"10.1016/j.rh.2025.100935","DOIUrl":"10.1016/j.rh.2025.100935","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the associations between EWGSOP2-defined sarcopenia and bone mineral density (BMD) loss in the past 6–16 years in community-dwelling older women from the <em>Fracture RISk Brussels Epidemiological Enquiry</em> (FRISBEE2) study.</div></div><div><h3>Methods</h3><div>Retrospective cohort design. Nine hundred seven community-dwelling older women constitute the baseline sample of the FRISBEE2 study. Participants had undergone an initial dual-energy X-ray absorptiometry (DXA) evaluation for osteoporosis in the past 6–16 years prior to the study's commencement and were re-assessed at baseline. Baseline evaluations included EWGSOP2-defined sarcopenia (handgrip strength, appendicular lean soft tissue mass/height², 4-m gait speed) and osteoporosis assessment (total hip BMD). Baseline BMD value of each participant was compared with their own value in the previous DXA evaluation in the past 6–16 years. A BMD loss<!--> <!-->&gt;<!--> <!-->3.0% threshold was considered as “least significant change”. Adjusted multiple logistic regression models were used to evaluate associations between sarcopenia and BMD loss.</div></div><div><h3>Results</h3><div>Out of 907 participants, 172 (19.0%) had EWGSOP2-defined probable sarcopenia, 76 (8.4%) had confirmed sarcopenia, and 630 (73.2%) experienced significant BMD loss. After adjustment for confounders, regression models showed that BMD loss<!--> <!-->&gt;<!--> <!-->3% in the past years was associated to twofold higher odds of probable sarcopenia (i.e., low handgrip strength) [OR<!--> <!-->=<!--> <!-->2.23 (95%CI 1.36–3.66); <em>p</em> <!-->=<!--> <!-->0.002].</div></div><div><h3>Conclusions</h3><div>The study found a clinically relevant association between the presence of sarcopenia and bone loss in the past 6 to 16 years in community-dwelling older women. A significant BMD loss should alert clinicians to the possible coexistence of sarcopenia.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100935"},"PeriodicalIF":0.4,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097251","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 burden of Wilson's disease: Insights into clinical, psychological, and functional dimensions","authors":"P. Freixo Ribeiro ,&nbsp;J. Moura ,&nbsp;E. Santos Silva ,&nbsp;F. Nery ,&nbsp;H. Pessegueiro Miranda ,&nbsp;I. Pedroto ,&nbsp;J.M. Ferreira ,&nbsp;J. Gandara ,&nbsp;L. Maia ,&nbsp;P. Ramos ,&nbsp;S. Ferreira ,&nbsp;M. Magalhães","doi":"10.1016/j.rh.2025.100934","DOIUrl":"10.1016/j.rh.2025.100934","url":null,"abstract":"<div><h3>Introduction</h3><div>Wilson's disease (WD) is a rare genetic disorder of copper metabolism with multi-systemic manifestations. Despite available treatment, patients often experience functional impairment. However, the relationship between clinical phenotype, mental status, and disability remains underexplored.</div></div><div><h3>Objective</h3><div>To investigate the associations between disease severity, cognitive performance, depressive symptoms, and functional disability in adults with WD using validated instruments.</div></div><div><h3>Methods</h3><div>In this prospective, single-center cross-sectional study (2021–2023), 32 clinically stable WD patients followed at a tertiary neurology clinic were assessed with the WHODAS 2.0, GAS-WD, Mini-MoCA, and PHQ-9. Functional outcomes were evaluated using WHODAS 2.0 domains. Associations between clinical variables and scale scores were analyzed using non-parametric tests. Ethical approval (ref: 183-DEFI/165-CE) and informed consent were obtained.</div></div><div><h3>Results</h3><div>Participants had a mean age of 39.8<!--> <!-->±<!--> <!-->13.6 years; 56.3% were female. Median diagnostic delay was 1 year. Most had hepatic (56.3%) or neurological phenotype (37.5%). The WHODAS 2.0 participation domain was the most impaired (median<!--> <!-->=<!--> <!-->4.0, IQR 2–9). WHODAS scores correlated positively with GAS-WD scores (<em>r</em>s<!--> <!-->=<!--> <!-->0.77, <em>p</em> <!-->&lt;<!--> <!-->0.001) and PHQ-9 (<em>r</em>s<!--> <!-->=<!--> <!-->0.65, <em>p</em> <!-->&lt;<!--> <!-->0.001), and negatively with Mini-MoCA. No significant associations were found between diagnostic delay and disability. Stratified analysis revealed no statistically significant differences in participation across genders (<em>p</em> <!-->=<!--> <!-->0.83) or clinical subtypes (<em>p</em> <!-->=<!--> <!-->0.47).</div></div><div><h3>Conclusion</h3><div>Functional disability in WD is significantly associated with disease severity, cognitive deficits, and depressive symptoms, but not with gender or clinical subtype. WHODAS 2.0 is a feasible tool for comprehensive functional assessment in WD. Multidisciplinary approaches addressing mental and cognitive health are essential.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100934"},"PeriodicalIF":0.4,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097250","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":"Reflexiones críticas sobre el consenso intervencionista en gonartrosis","authors":"A. Alcántara Montero","doi":"10.1016/j.rh.2025.100933","DOIUrl":"10.1016/j.rh.2025.100933","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100933"},"PeriodicalIF":0.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061043","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":"Hombro doloroso como antecedente en esclerosis lateral amiotrófica: estudio descriptivo retrospectivo y exploratorio","authors":"M. Novo-Rigueiro ,&nbsp;A. Crespo-De ,&nbsp;A. Antelo-Pose ,&nbsp;I. Novo-Veleiro","doi":"10.1016/j.rh.2025.100932","DOIUrl":"10.1016/j.rh.2025.100932","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100932"},"PeriodicalIF":0.4,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049938","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}