Rehabilitacion最新文献

{"title":"Diferencias clínicas y pronósticas de la enfermedad pulmonar obstructiva crónica en mujeres derivadas a rehabilitación respiratoria: una visión con enfoque de género","authors":"C. Acuña-Pardo ,&nbsp;V. Dávalos-Yerovi ,&nbsp;C. Ramírez-Fuentes ,&nbsp;Y.G. Curbelo-Peña ,&nbsp;C. Rodriguez-Hernandez ,&nbsp;M. Tejero-Sánchez","doi":"10.1016/j.rh.2024.100871","DOIUrl":"10.1016/j.rh.2024.100871","url":null,"abstract":"<div><h3>Introduction</h3><div>Respiratory rehabilitation programmes improve clinical and functional outcomes in patients with chronic obstructive pulmonary disease (COPD), but it is unknown whether their impact differs between men and women.</div></div><div><h3>Objectives</h3><div>To assess possible sex differences in semiology, comorbidities and prognosis in COPD patients referred to respiratory rehabilitation.</div></div><div><h3>Material and methods</h3><div>Post-hoc analysis of a prospective cohort of COPD patients referred to rehabilitation from December 2012 to January 2020. Mortality and hospitalisations adjusted for sex, age, severity and body mass index were assessed. Statistical tests used: Chi-square, Student's <em>t</em>, linear regression model and Kaplan-Meier survival curve.</div></div><div><h3>Results</h3><div>Of 173 patients (age 66.6 years; 70% severe COPD), there were 36 (20.8%) women. Compared to men, women were younger (–4.8 years [95% <span>C</span>I 1.5-8.0; <em>P</em>=.004]) and reported greater dyspnoea on the modified Medical Research Council scale (+0.4 points [95% CI 0.1-0.9; <em>P</em>=.026]). During follow-up, 21 (12.2%) patients died and 79 (45.9%) required ≥2 hospital admissions, with no significant differences between sexes. Despite having lower comorbidity (–0.8 Charlson index points [95% CI –1.3 to –0.3, <em>P</em>=.004]), women had a higher prevalence of depression (53.6% vs. 22.7%, <em>P</em>=.001) and anxiety (37% vs 16.7%, <em>P</em>=.020) than men.</div></div><div><h3>Conclusions</h3><div>Prognosis in terms of mortality and hospital admissions is not different between men and women. Women have a higher degree of dyspnoea and less comorbidity than men, although the prevalence of anxiety and depression is higher.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100871"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606648","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 de No hacer en rehabilitación y medicina física desde distintos ámbitos de intervención","authors":"C. Colomer Font ,&nbsp;M.J. Lillo Gonzalez ,&nbsp;L. Lopez de Munain Marques ,&nbsp;J. Formigo Couceiro ,&nbsp;M.E. Martínez Rodríguez ,&nbsp;B. Alonso Álvarez ,&nbsp;M.P. Sanz Ayán ,&nbsp;M.E. Santandreu Jimenez ,&nbsp;R. Martin Mourelle ,&nbsp;V. Pujol Blaya ,&nbsp;C. de Miguel Benadiba ,&nbsp;P. Sanchez Tarifa ,&nbsp;H. Bascuñana Ambrós","doi":"10.1016/j.rh.2024.100870","DOIUrl":"10.1016/j.rh.2024.100870","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>Certain medical practices, both diagnostic and therapeutic, that have not been proven to be effective and do not add value to healthcare, are not uncommon. The aim of this document is to provide a list of «Not to do» recommendations in the medical specialty of Physical Medicine and Rehabilitation.</div></div><div><h3>Material and method</h3><div>For the development of this project, which is coordinated by the <em>Vocalía de Sociedades Filiales, Sociedades Autonómicas y Grupos de Trabajo de la Sociedad Española de Rehabilitación</em> (SERMEF), specific recommendations are requested from <em>Grupos de Trabajo</em> and <em>Sociedades Filiales</em> of each specific field of Physical Medicine and Rehabilitation, as experts in the corresponding intervention areas. A maximum of three recommendations per sub-specialty area are selected.</div></div><div><h3>Results</h3><div>Recommendations «Not to do» are collected from SENR/SERDACE/NRN <em>(Sociedad Española de Neurorrehabilitación/Sociedad Española de Rehabilitación en Daño Cerebral/Grupo de Trabajo Neurorrehabilitación Norte)</em>, SORECAR <em>(Sociedad Española de Rehabilitación Cardiorrespiratoria)</em>, ArtroReha <em>(Grupo de Trabajo de Rehabilitación en Artrosis)</em>, GTRVEST <em>(Grupo de Trabajo de Rehabilitación Vestibular)</em>, GTLINF <em>(Grupo de Trabajo de Rehabilitación de Linfedema)</em>, GTRO <em>(Grupo de Trabajo de Rehabilitación en Osteoporosis)</em>, Rehabilitación Parálisis Facial. Out of a total of 35 recommendations, supported by scientific evidence and medical experience, 18 have been selected. The selection criteria are based on the relevance, pragmatism and specificity of the recommendations. Each recommendation is accompanied by a text that clarifies and/or develops the statement.</div></div><div><h3>Conclusions</h3><div>This project includes a series of recommendations, by expert rehabilitation physicians, of actions not to be performed while delivering medical assistance. SERMEF offers a list of recommendations «Not to do in Rehabilitation and Physical Medicine», supported by scientific evidence and clinical experience.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100870"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548158","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":"Rehabilitación: cambio de etapa e inicio de una nueva era","authors":"J. Chaler","doi":"10.1016/j.rh.2024.100869","DOIUrl":"10.1016/j.rh.2024.100869","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100869"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378421","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":"Adaptación transcultural de la escala «sistema de evaluación del equilibrio» (Mini-BESTest) en pacientes con accidente cerebrovascular","authors":"M.D. Maldonado ,&nbsp;V. Abud ,&nbsp;M.T. García","doi":"10.1016/j.rh.2024.100868","DOIUrl":"10.1016/j.rh.2024.100868","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study is to adapt cross-culturally to Chilean Spanish the assessment scale “Balance Assessment Systems (Mini-BESTest)” so that it can be applied to patients with stroke. Since stroke is a syndrome that compromises the patient's balance, an essential ability to perform activities of daily living safely, the study of different alternatives to improve the living conditions of patients is considered essential.</div></div><div><h3>Materials and methods</h3><div>Observational, descriptive, cross-sectional study. The process consisted of six stages: direct translation, translation synthesis, back translation, author approval, pre-test, and final consensus. In the pretest, the adapted scale was applied to a sample of stroke patients receiving rehabilitation therapy, who were able to stand up on their own, walk, and follow simple instructions.</div></div><div><h3>Results</h3><div>The process of cross-cultural adaptation to Chilean Spanish of the Mini-BESTest evaluation scale was satisfactorily completed. Interrater reliability obtained percentages of agreement greater than 92% and all were statistically significant, which suggests an excellent level of agreement. There was a trend for subacute patients to require a greater repetition of the command.</div></div><div><h3>Conclusions</h3><div>Mini-BESTest shows an excellent level of agreement among physiotherapists. These findings offer the possibility of continuing with the validation process of the scale. It is suggested to repeat the instructions to patients with subacute stroke.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100868"},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142326904","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":"From confusion to clarity: Strategies for effective communication in skeletal muscle rehabilitation","authors":"R. Tedeschi","doi":"10.1016/j.rh.2024.100867","DOIUrl":"10.1016/j.rh.2024.100867","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100867"},"PeriodicalIF":0.0,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142311572","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":"Diabetes mellitus doble. Doble desafío para la prescripción de ejercicio. Revisión sistemática","authors":"L.M. Trujillo ,&nbsp;A. von Oetinger","doi":"10.1016/j.rh.2024.100866","DOIUrl":"10.1016/j.rh.2024.100866","url":null,"abstract":"<div><p>Double diabetes (DD) refers to patients with type 1 diabetes who have developed insulin resistance. The objective of this review is to update relevant information on the prescription of physical activity, pharmacological adjustments and consumption of carbohydrates in DD. A systematic search for scientific articles was carried out in the following databases: PubMed, Cochrane, EBSCO, WoS, ScienceDirect and Medline. The evidence analyzed shows that both physical activity (PA) and physical exercise (PE) are essential to achieve metabolic control in people with DD. Physiological considerations such as: insulin adjustments, insulin injection sites, time to perform PA and PE, absolute and relative contraindications are essential to avoid complications, especially hypoglycemia.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100866"},"PeriodicalIF":0.0,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141978064","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":"Telerrehabilitación en patología musculoesquelética de miembro superior e inferior","authors":"S. Benot-López ,&nbsp;J. López-Moyano ,&nbsp;B. Ferrer-González ,&nbsp;R. Martínez Pérez Moreira ,&nbsp;J.A. Expósito-Tirado","doi":"10.1016/j.rh.2024.100860","DOIUrl":"https://doi.org/10.1016/j.rh.2024.100860","url":null,"abstract":"<div><p>Chronic musculoskeletal conditions cause pain and disability and have significant impact on morbidity worldwide. Tele-rehabilitation is proposed as an alternative or complement to improve patient's muscle function, pain, and quality of life. However, the satisfaction of both patients and professionals must be assessed, together with the patient's daily life activity independence. A search of the literature was made to locate assessment reports, systematic reviews and reports from regulatory bodies with support from a documentarian from the Andalusian Health Technologies Assessment Area (AETSA). For this purpose, the following sources were used: Medline, EMBASE, INAHTA (international network of health technologies assessment) and PEDro (Physiotherapy Evidence Database) from 2014 onwards. Subsequently a secondary search was carried out on the articles selected in the initial search. A search of open clinical trials was also carried out in the database: <span>www.ClinicalTrials.gov</span><svg><path></path></svg></p><p>Initially 345 articles were identified. Duplicated articles (57) were excluded. By first analysing the title and abstract 238 articles were excluded. The full texts of the remaining 30 articles were analysed. Finally 18 articles were included.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100860"},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141596692","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":"Resultados de un programa de rehabilitación respiratoria en pacientes receptores de trasplante pulmonar: estudio cuasiexperimental","authors":"V. Davalos-Yerovi ,&nbsp;A. Gómez-Garrido ,&nbsp;R. Garcia-Gutiérrez ,&nbsp;C. Berastegui ,&nbsp;V. Pujol-Blaya ,&nbsp;P. Launois ,&nbsp;M. Tejero-Sánchez ,&nbsp;B. Canut ,&nbsp;Y.G. Curbelo ,&nbsp;D. Sánchez-Rodríguez","doi":"10.1016/j.rh.2024.100862","DOIUrl":"10.1016/j.rh.2024.100862","url":null,"abstract":"<div><h3>Introduction</h3><p>Lung transplant (LT) is the ultimate option for end-stage lung diseases. Malnutrition and sarcopenia, common in LT recipients, can be reversible with adequate exercise and nutrition. This study aims to assess changes in physical performance and aerobic capacity after a 10-week rehabilitation program (RP) in LT recipients, as well as to describe the prevalence of sarcopenia and malnutrition before and after RP and their influence on clinically relevant outcomes.</p></div><div><h3>Materials and methods</h3><p>Quasi-experimental study, before and after a 10-week PR in first-time TP recipients, aged over 18 years, from January 2022 to September 2023. Aerobic exercise capacity was assessed through the 6-minute walking test (6MWT) and peak oxygen consumption (VO₂peak); and physical performance was measured using the Short Physical Performance Battery (SPPB). Additionally, the prevalence of sarcopenia was described according to the criteria of the European Working Group on Sarcopenia in Older People (EWGSOP2) and malnutrition according to the criteria of the Global Leadership Initiative on Malnutrition (GLIM).</p></div><div><h3>Results</h3><p>Of the 41 patients, 56% had sarcopenia and 80% had malnutrition. After RP, the distance walked in the 6MWT increased by 66.3<!--> <!-->m (p<!--> <!-->=<!--> <!-->0.004) in men and 61<!--> <!-->m (p<!--> <!-->=<!--> <!-->0.001) in women. VO₂peak increased in men by a mean of 3.1<!--> <!-->ml/min/kg (p<!--> <!-->=<!--> <!-->0.024). Physical performance improved significantly in both men and women according to the Short Physical Performance Battery (SPPB), with clinically relevant differences of 1.6 pts (p<!--> <!-->&lt;<!--> <!-->0.001) and 1.2 pts (p<!--> <!-->=<!--> <!-->0.012), respectively. The prevalence of sarcopenia decreased to 24% and malnutrition to 61%.</p></div><div><h3>Conclusions</h3><p>RP proved to be an effective and safe intervention for LT recipients. In addition to improvements in skeletal muscle strength and exercise capacity, a reduction in the prevalence of sarcopenia and malnutrition was also observed.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100862"},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581117","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":"Seguridad y eficacia de un programa de ejercicio terapéutico en jóvenes intervenidos de hernia diafragmática congénita","authors":"A.B. Castillo Velásquez ,&nbsp;M. Supervia ,&nbsp;D. Pelaez Mata ,&nbsp;J.C. de Agustín Asensio ,&nbsp;M.O. Arroyo Riaño","doi":"10.1016/j.rh.2024.100859","DOIUrl":"https://doi.org/10.1016/j.rh.2024.100859","url":null,"abstract":"<div><h3>Introduction and objective</h3><p>Patients with congenital diaphragmatic hernia (CDH) can have up to 40 times more frequency of muskuloskeletal deformities and decreased perception of physical activity tan their pairs. The objective of this study is to evaluate the safety and efficacy of an individualized exercise program in late adolescents and young adults with repaired CDH, as well as a description of their basal status.</p></div><div><h3>Material and methods</h3><p>Non randomized prospective trial of 13 patients with repaired CDH between 1997-2005. An initial physical exploration and a pre-post assessment of bioimpedance (BIA), dynamometry, maximal inspiratory and expiratory pressure (MIP/MEP), 6-minute walk test (6MWT), physical activity level (IPAQ) and quality of life (QoL) was made. The training program last for 4 weeks. For the statistical analysis, the Student's t test for paired samples and Wilcoxon test were used.</p></div><div><h3>Results</h3><p>77% (n<!--> <!-->=<!--> <!-->10) were male with a mean age of 19.23<!--> <!-->±<!--> <!-->2.13 years. In baseline BIA, 62% (n<!--> <!-->=<!--> <!-->8) had truncal sarcopenia that improved in −0.43<!--> <!-->±<!--> <!-->0.58, and <em>P</em> <!-->=<!--> <!-->.016. MIP, MEP, 6MWT and QoL tests increased by −7.27<!--> <!-->±<!--> <!-->8.26 cmH₂O, <em>P</em> <!-->=<!--> <!-->.008; −11.91<!--> <!-->±<!--> <!-->10.20 cmH₂O, <em>P</em> <!-->=<!--> <!-->.002; −70.63<!--> <!-->±<!--> <!-->17.88 m, <em>P</em> <!-->=<!--> <!-->.001; −42,19<!--> <!-->±<!--> <!-->26.79, <em>P</em> <!-->=<!--> <!-->.00 respectively. The IPAQ did not change significantly (<em>P</em> <!-->=<!--> <!-->0.86), however the time dedicated to muscle strengthening increased. No adverse effects were reported.</p></div><div><h3>Conclusions</h3><p>A personalized rehabilitation program is safe and could improve the respiratory muscle strength and truncal sarcopenia as well as the submaximal effort capacity in late adolescents and young adults with repaired CDH.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100859"},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141434246","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 proceso de revisión: una llamada a nuevos revisores","authors":"J. Chaler ,&nbsp;E. Marco","doi":"10.1016/j.rh.2024.100861","DOIUrl":"https://doi.org/10.1016/j.rh.2024.100861","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 3","pages":"Article 100861"},"PeriodicalIF":0.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141423101","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}