Rehabilitacion最新文献

{"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}

{"title":"Neck of femur fractures in children, a challenging and unfrequent injury","authors":"E.J. Frutos-Reoyo ,&nbsp;I. Aguado-Maestro ,&nbsp;A.M. González-Rebollo","doi":"10.1016/j.rh.2025.100902","DOIUrl":"10.1016/j.rh.2025.100902","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100902"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697198","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":"Beneficios de un programa de rehabilitación pulmonar para pacientes con COVID persistente: impacto de la gravedad inicial, tiempo de evolución y forma de presentación en los resultados clínicos","authors":"C. Rodríguez-Hernández ,&nbsp;A. Guillén-Solà ,&nbsp;Y.G. Curbelo ,&nbsp;R. Boza ,&nbsp;C. Acuña-Pardo ,&nbsp;M. Tejero-Sánchez","doi":"10.1016/j.rh.2025.100900","DOIUrl":"10.1016/j.rh.2025.100900","url":null,"abstract":"<div><h3>Introduction</h3><div>Two-thirds of patients infected with SARS-CoV-2 experience persistent symptoms after infection.</div></div><div><h3>Objectives</h3><div>To study the benefits of a respiratory rehabilitation program (RRP) in patients with long COVID and compare the results based on the time of evolution and clinical presentation.</div></div><div><h3>Methods</h3><div>Post-hoc analysis of a prospective cohort of patients with long COVID. Changes were evaluated using the modified Medical Research Council (mMRC) dyspnea scale, the 6-minute walk test (6MWT), maximal inspiratory and expiratory pressures (maxIP and maxEP), and peripheral muscle strength. Statistical tests used: Chi-square, paired and independent t-Student tests, one-way ANOVA, and a general linear model.</div></div><div><h3>Results</h3><div>Out of 158 patients referred to rehabilitation, 110 (mean age 58.1<!--> <!-->years; 57.3% women) started the RRP. After the intervention, significant improvements were observed: a reduction of 0.8 points (95%<!--> <span>C</span>I<span>:</span> −1.1 to −0.6) on the mMRC dyspnea scale, an increase of 19.6<!--> <!-->m (95%<!--> <!-->CI: −0.8 to 39.9) in the 6MWT, 16.8<!--> <!-->cmH₂O (95%<!--> <!-->CI: 10.3 to 23.2) in maxIP, 22.5<!--> <!-->cmH₂O (95%<!--> <!-->CI: 15.3 to 29.7) in maxEP, and 5.0<!--> <!-->kg (95%<!--> <!-->CI: 3.3 to 6.7) in quadriceps strength. Although these improvements were independent of infection onset and disease duration, patients from the first wave showed more modest improvements.</div></div><div><h3>Conclusions</h3><div>The RRP provides clinical and functional benefits for patients with long COVID, regardless of disease duration and initial severity of infection.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100900"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680994","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 use of the Western Ontario Rotator Cuff Index to assess effectiveness of physical therapy on rotator cuff injuries: A systematic review","authors":"N. Kaur Aulakh ,&nbsp;N. Sharma ,&nbsp;G. Singh ,&nbsp;S. Kaur","doi":"10.1016/j.rh.2025.100901","DOIUrl":"10.1016/j.rh.2025.100901","url":null,"abstract":"<div><div>The Western Ontario Rotator Cuff Index (WORC) is a self-administered questionnaire designed to assess quality of life in patients with rotator cuff injuries. This systematic review aims to evaluate the effectiveness of exercise-based interventions using WORC as an outcome measure in patients with rotator cuff injuries. A comprehensive search was conducted in PubMed, Cochrane Library, EMBASE, Ovid MEDLINE, and PEDro from inception until August 2024. Out of 13 potentially eligible studies, five studies (218 patients) met the inclusion criteria and were included in the review. Various rehabilitation interventions, such as exercise therapy, neuromuscular training, kinesiotaping, and proprioceptive exercises, showed significant improvements in pain relief, shoulder function, and quality of life. These findings suggest that the WORC index is a reliable tool for assessing pain and quality of life in patients with rotator cuff injuries.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100901"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680995","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":"Tendinopatía calcificada. Nuevos desafíos","authors":"J. Formigo-Couceiro ,&nbsp;F.J. Juan-García ,&nbsp;J.M. Climent-Barberá ,&nbsp;I. Iriarte-Posse","doi":"10.1016/j.rh.2025.100895","DOIUrl":"10.1016/j.rh.2025.100895","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100895"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143552377","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":"Recomendaciones para el tratamiento intervencionista de la gonartrosis: consenso de expertos y algoritmos. Respuesta de los autores","authors":"J. Formigo-Couceiro ,&nbsp;C. Cordero-García ,&nbsp;A. Fernández-Bravo Rueda","doi":"10.1016/j.rh.2025.100896","DOIUrl":"10.1016/j.rh.2025.100896","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100896"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529286","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":"Recomendaciones para el tratamiento intervencionista de la gonartrosis: ozonoterapia, la gran desconocida aun entre expertos","authors":"M.E. Fernández-Cuadros ,&nbsp;M.J. Albaladejo-Florín ,&nbsp;J. Baeza-Noci","doi":"10.1016/j.rh.2025.100893","DOIUrl":"10.1016/j.rh.2025.100893","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100893"},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143507979","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":"Eficacia de la rehabilitación pélvica en el manejo de las disfunciones sexuales secundarias al cáncer ginecológico: revisión sistemática de revisiones","authors":"N. Devan Moy ,&nbsp;M.C. Simarro González","doi":"10.1016/j.rh.2024.100875","DOIUrl":"10.1016/j.rh.2024.100875","url":null,"abstract":"<div><div>The systematic review synthesized the current scientific evidence on the recommendations for pelvic rehabilitation in the management of sexual dysfunctions secondary to gynecological cancer. Twelve literature reviews, systematic reviews, and meta-analyses were included, evaluating the methodological quality using the Joanna Briggs Institute Risk of Bias Assessment tool. The results highlight the efficacy of pelvic floor exercises, alone or with biofeedback, and education and information provided to patients, with a high degree of recommendation. Vaginal dilators, and manual techniques received a moderate recommendation due to inconclusive protocols and high risk of bias. Early initiation of pelvic rehabilitation is recommended, but variability was identified in the intervention protocols, which hinders the comparison of the efficacy of the treatments.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100875"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141714","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 ultrasound-guided botulinum toxin injections on pain, functionality, spasticity, and range of motion in patients with post-stroke upper extremity spasticity","authors":"G. Çelebi ,&nbsp;A. Ayyildiz ,&nbsp;S. Çiftci Inceoğlu ,&nbsp;B. Kuran","doi":"10.1016/j.rh.2024.100876","DOIUrl":"10.1016/j.rh.2024.100876","url":null,"abstract":"<div><h3>Objective</h3><div>Spasticity developing in the upper extremity in stroke patients causes disability by limiting movement and causing pain. This study investigates the effects of botulinum toxin injections on pain, functionality, spasticity, and range of motion in hemiplegic patients with post-stroke spasticity.</div></div><div><h3>Materials and methods</h3><div>The study involved a double-blind, prospective, randomized controlled trial with thirty-one stroke patients aged 35–80 who developed upper extremity spasticity. The study group (<em>n</em> <!-->=<!--> <!-->16) received botulinum toxin-A (BT-A) injections in addition to conventional rehabilitation and stretching exercises, while the control group (<em>n</em> <!-->=<!--> <!-->15) received placebo injections. Evaluations were conducted before treatment, in the second week, and three months after treatment. The study evaluated pain relief through the Visual Analog Scale (VAS), assessed spasticity with the Modified Ashworth Scale (MAS), and measured functionality using the Fugl Meyer Assessment Scale (FMAS) and the Box Block Test (BBT).</div></div><div><h3>Results</h3><div>The mean age of patients was 56.03<!--> <!-->±<!--> <!-->11.81. The median time after stroke was 24 months. The BT-A group demonstrated significantly lower VAS and MAS scores compared to controls at both 2 weeks and 3 months after treatment. Additionally, the BT-A group showed significantly higher changes in arm, wrist, and total FMAS scores compared to the control group. However, no significant difference was found in terms of hand, coordination, and speed FMAS score changes.</div></div><div><h3>Conclusions</h3><div>The results of our study demonstrated that BT-A injection with ultrasonography guidance is an effective method for alleviating pain caused by passive shoulder movement, significantly reducing spasticity, and markedly improving motor functions.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100876"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956520","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":"Exploring the efficacy of neural mobilization and electromyographic analysis in enhancing post-stroke rehabilitation: A scoping review","authors":"R. Tedeschi","doi":"10.1016/j.rh.2025.100889","DOIUrl":"10.1016/j.rh.2025.100889","url":null,"abstract":"<div><div>Stroke survivors often suffer from upper limb spasticity and impaired motor function. This review seeks to: (1) explore the efficacy of neural mobilization, particularly using the Upper Limb Neurodynamic Test 1 (ULNT1), in modulating electromyographic (EMG) activity of muscles; (2) examine its role in reducing spasticity and improving functional outcomes; and (3) outline the current state of knowledge, identifying existing gaps and directions for future research. A comprehensive literature review was conducted, focusing on studies that implemented ULNT1 and EMG analysis in post-stroke patients. The included studies varied in participant characteristics, methodologies, and outcome measures. The results demonstrated that neural mobilization has the potential to reduce EMG activity in spastic muscles and modify pain perceptions. However, results regarding the improvement of range of motion and functional outcomes were mixed. Neural mobilization and electromyographic analysis show promise for improving post-stroke rehabilitation. However, further research is required to confirm these benefits, with more rigorous methodologies and larger sample sizes.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100889"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}