Rehabilitacion最新文献

{"title":"El desafío en la protetización tras desarticulación de cadera en paciente con pioderma gangrenoso","authors":"M.Á. Arenillas Pérez , P. Peret Hernández , S. Ortiz Hidalgo , S. Laxe","doi":"10.1016/j.rh.2025.100905","DOIUrl":"10.1016/j.rh.2025.100905","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100905"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823564","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":"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":"2025-04-01","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":"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 ,&nbsp;N. Bofill-Soler ,&nbsp;O. Pera-Cegarra ,&nbsp;X. Duran Jorda ,&nbsp;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> <!-->=<!--> <!-->0.028). Speech problems decreased in EIG (<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}

{"title":"The effect of a physical rehabilitation program on temperature symmetry, mobility, functionality and gait in amputee patients","authors":"F. Marcon Alfieri ,&nbsp;D. Mitiyo Odagiri Utiyama ,&nbsp;A.C. Aquino dos Santos ,&nbsp;L. Rizzo Battistella","doi":"10.1016/j.rh.2025.100908","DOIUrl":"10.1016/j.rh.2025.100908","url":null,"abstract":"<div><h3>Introduction</h3><div>Rehabilitation centers offer specialized programs for amputees aimed at enhancing their functional abilities and quality of life. This study aimed to evaluate the impact of a hospital-based rehabilitation program on lower-limb skin temperature distribution, mobility, functionality and gait in individuals with lower-limb amputations.</div></div><div><h3>Material and methods</h3><div>This is a pilot, longitudinal, observational study, with pre–post-intervention assessments of 14 patients admitted for inpatient intensive rehabilitation program. The skin temperature of the thigh, knee, and leg was evaluated with an infrared thermography camera (FLIR T650SC®), and mobility, functionality and gait were tested with the Timed Up and Go, Amputee Mobility test Predictor (AMP), and the 2-minute walk test, before and after the multidisciplinary physical rehabilitation program. The baseline and post-intervention data were compared with the Student's <em>T</em>-test or Wilcoxon test for paired data according to data distribution. The <em>α</em> level was established at 5%.</div></div><div><h3>Results</h3><div>The comparison of baseline and post-intervention temperature outcomes showed no significant changes regardless of the side. There was a significant improvement in balance (AMP scores from 32<!--> <!-->±<!--> <!-->7.10 to 35.07<!--> <!-->±<!--> <!-->6.76; <em>p</em> <!-->&lt;<!--> <!-->0.0001), gait (2-MWT distance 73.14<!--> <!-->±<!--> <!-->52.87<!--> <!-->m to 96.57<!--> <!-->±<!--> <!-->60.91<!--> <!-->m; <em>p</em> <!-->=<!--> <!-->0.004), and function (TUG total time from 27.14<!--> <!-->±<!--> <!-->22.68<!--> <!-->s to 16.82<!--> <!-->±<!--> <!-->10.09<!--> <!-->s; <em>p</em> <!-->&lt;<!--> <!-->0.001).</div></div><div><h3>Conclusion</h3><div>This study demonstrated that individuals with lower limb amputees experienced improvements in terms of mobility, functionality and gait after the physical rehabilitation program, however, they did not have significant changes in relation to the distribution of skin temperature between the lower limbs.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100908"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835276","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":"Rehabilitation applied with virtual reality improves functional capacity in post-stroke patients. A systematic review and meta-analysis","authors":"A. Navas-Otero ,&nbsp;A. Canal-Pérez ,&nbsp;J. Martín-Núñez ,&nbsp;A. Ortiz-Rubio ,&nbsp;J. Raya-Benítez ,&nbsp;M.C. Valenza ,&nbsp;I. Cabrera-Martos","doi":"10.1016/j.rh.2025.100907","DOIUrl":"10.1016/j.rh.2025.100907","url":null,"abstract":"<div><div>Virtual reality (VR) is emerging technologies in the field of rehabilitation of post-stroke patients. The aim of this study was to systematically explore the effects of VR rehabilitation program on functional capacity of stroke patients. We conducted a systematic review and meta-analysis. The searches were carried out in the PubMed/Medline, Web of Science, PEDro and OTSeeker to October 2024. Methodological quality was assessed using the Downs and Black scale and the Version 2 of the Cochrane risk-of-bias tool for randomized trials (RoB 2) was used to assess risk of bias. A total of 4 studies met the inclusion criteria. The type of VR intervention varied among studies using Wii Fit, ARMEO Spring 1.1, Rehabilitation Gaming System and ArmAble™. The meta-analysis indicated that the VR group showed statistically significant improvement in functional ability versus control group. The methodological quality mean was moderate quality level. VR interventions seem to be a promising therapeutic system for functional capacity rehabilitation in people with post-stroke.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100907"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847953","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":"Mielitis transversa hemorrágica longitudinalmente extensa secundaria a la vacunación contra la enfermedad por SARS-CoV-2","authors":"M. Caparrós Calle ,&nbsp;A. Montoto Marqués ,&nbsp;N. Gaitán Pérez ,&nbsp;A. Rodríguez Sotillo","doi":"10.1016/j.rh.2025.100906","DOIUrl":"10.1016/j.rh.2025.100906","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100906"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845154","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":"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}

{"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":"Enhancing cardiac rehabilitation through storytelling: A necessary but challenging approach. Author's reply","authors":"R. Tedeschi","doi":"10.1016/j.rh.2025.100894","DOIUrl":"10.1016/j.rh.2025.100894","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100894"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464110","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}