Rehabilitacion最新文献_第10页

Rol de la rehabilitación en la promoción de los derechos sexuales y reproductivos de personas con discapacidad 康复在促进残疾人性权利和生殖权利方面的作用

Rehabilitacion Pub Date : 2023-04-01 DOI: 10.1016/j.rh.2022.02.004

E. Alcazar , J. Rebolledo Sanhueza , Á. Besoain-Saldaña

引用次数: 0

Implantación de una unidad pediátrica de daño cerebral adquirido en fase subaguda en el sistema público de salud. Características epidemiológicas, clínicas y de evolución inicial de los pacientes atendidos 在公共卫生系统中建立一个亚急性期获得性脑损伤儿科单位。接受治疗的患者的流行病学、临床和初步发展特征

Rehabilitacion Pub Date : 2023-04-01 DOI: 10.1016/j.rh.2022.03.005

M. Jiménez-Legido , V. Cantarín-Extremera , M.T. Vara-Arias , S. Rodríguez-Palero , S.C. Cartas-Carrión , B. Esteso-Orduña , S. Cámara Barrio , J. Méndez-Caba , M.L. Ruíz-Falcó Rojas

{"title":"Implantación de una unidad pediátrica de daño cerebral adquirido en fase subaguda en el sistema público de salud. Características epidemiológicas, clínicas y de evolución inicial de los pacientes atendidos","authors":"M. Jiménez-Legido , V. Cantarín-Extremera , M.T. Vara-Arias , S. Rodríguez-Palero , S.C. Cartas-Carrión , B. Esteso-Orduña , S. Cámara Barrio , J. Méndez-Caba , M.L. Ruíz-Falcó Rojas","doi":"10.1016/j.rh.2022.03.005","DOIUrl":"https://doi.org/10.1016/j.rh.2022.03.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Acquired brain injury (ABI) is defined as a neurological injury, acutely occurred, at some point in life causing impairment or loss of functional capacity. In 2019, a specific document was created by the Ombudsman pointing out the relevance of attention to this entity in the pediatric age.</p></div><div><h3>Patients and method</h3><p>The process of creation and the casuistry of care of one of the first comprehensive care units for subacute ACD in pediatric age within the public health system is presented.</p></div><div><h3>Results</h3><p>Different clinical guidelines have been prepared on the admission and care process within the unit, both for patients and their relatives. Twenty-four patients ≤18 years old, admitted to the subacute phase ACD unit from November 2019 to July 2021, 12 coming from the Community of Madrid, were attended. The median age was 6.97 years. Traumatic mechanism was the most frequent, with iatrogenic causes predominating, followed by precipitation and vehicle-related accidents. On admission to the unit, 8 maintained a minimally conscious/vegetative state. The collaboration of up to 14 different specialists was required due to the complexity of the patients. The overall evolution was favorable in 23 cases, with sequelae in all of them.</p></div><div><h3>Conclusion</h3><p>The creation of units specialized in pediatric ACD care with specific action protocols and coordinated trans- and multidisciplinary work is of vital importance.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 2","pages":"Article 100740"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49782418","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}

引用次数: 0

Tiempos de activación muscular frente a una desestabilización en pacientes con enfermedad de Parkinson en etapas iniciales 帕金森病患者早期肌肉激活时间与不稳定的关系

Rehabilitacion Pub Date : 2023-04-01 DOI: 10.1016/j.rh.2022.07.004

C. Moya-Jofré , O. Valencia , M. León-Barrera , O. Araneda Valenzuela , R. Guzmán-Venegas

{"title":"Tiempos de activación muscular frente a una desestabilización en pacientes con enfermedad de Parkinson en etapas iniciales","authors":"C. Moya-Jofré , O. Valencia , M. León-Barrera , O. Araneda Valenzuela , R. Guzmán-Venegas","doi":"10.1016/j.rh.2022.07.004","DOIUrl":"https://doi.org/10.1016/j.rh.2022.07.004","url":null,"abstract":"<div><h3>Objectives</h3><p>Parkinson's disease (PD) generates a high incidence of falls, however, there is little evidence of instabilities in the initial stages. This investigation sought to compare the muscle activation times in patients with initial PD against a postural disturbance vs. a control group.</p></div><div><h3>Materials and methods</h3><p>The electromyographic activity (EMG) of 10 patients with PD in early stages (61.3 ±3.8 years) and a control group of 10 adults (62.2 ±3.0 year) was evaluated. The participants were subjected to a surface disturbance, which generated a stabilization response. The test was performed under 2conditions: eyes open (OA) v/s eyes closed (OC). Trunk (spinal erector) and lower extremity (soleus, tibialis anterior, femoral biceps, femoral rectus, adductor magnus, gluteus medius) muscle activation time was analyzed using surface EMG.</p></div><div><h3>Results</h3><p>The PD group showed faster response times compared to the control group in the soleus muscle in OC <em>(P</em>=.04). This same muscle showed differences when comparing OA vs. OC only in the PD group <em>(P</em>=.04), showing a shorter response time in the OC condition. When comparing the spinal erector muscle, the PD group showed slower response times in the OA <em>(P</em>=.02) and OC <em>(P</em>=.04) conditions compared to the control group.</p></div><div><h3>Conclusions</h3><p>Muscle activation times show that people with PD respond slower in the trunk muscles, while activation times decrease at the distal level. In the early stages, the slower responses at the trunk level could explain the onset of instability postural in these patients.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 2","pages":"Article 100755"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49804332","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}

引用次数: 0

Psychosocial factors associated with disability in patients with non-specific chronic low back pain: A cross-sectional study 非特异性慢性腰痛患者残疾相关的心理社会因素：一项横断面研究

Rehabilitacion Pub Date : 2023-04-01 DOI: 10.1016/j.rh.2022.06.002

A.S. Yamada , D. Simon , F.T.T. Antunes , K.G. Say , A.H.d. Souza

{"title":"Psychosocial factors associated with disability in patients with non-specific chronic low back pain: A cross-sectional study","authors":"A.S. Yamada , D. Simon , F.T.T. Antunes , K.G. Say , A.H.d. Souza","doi":"10.1016/j.rh.2022.06.002","DOIUrl":"10.1016/j.rh.2022.06.002","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Chronic low back pain is the main cause of disability worldwide, generating high costs for society. To evaluate the prevalence of disability in patients with non-specific chronic low back pain and associated factors, including the impacts of low back pain and psychosocial factors linked to kinesiophobia, catastrophism, anxiety, and depression.</p></div><div><h3>Patients</h3><p>A cross-sectional study was carried out with 108 adult individuals who had non-specific chronic low back pain. The patients answered previously validated questionnaires, namely the Brief Pain Inventory, the Roland-Morris Disability Questionnaire, the Pain Catastrophizing Scale, the Tampa Kinesiophobia Scale, and the Hospital Anxiety and Depression Scale.</p></div><div><h3>Results</h3><p>The prevalence of disability observed was 65.7%, with the mean disability score being 15.7±5.3 points in the Roland-Morris Disability Questionnaire. Although pain intensity and other domains of the Brief Pain Inventory, like anxiety, depression, and severe kinesiophobia were significant in the bivariate analyses, they were not associated with disability in the multivariate analysis. Only catastrophic thoughts (prevalence ratio [PR]=1.19; 95% confidence interval [CI]: 1.07–1.32), and the ‘walking’ domain (PR=1.08; 95% CI: 1.03–1.14) remained statistically associated with disability.</p></div><div><h3>Conclusion</h3><p>Pain catastrophization and impact on gait were associated with disability in individuals with non-specific chronic low back pain. Motor control thoughts and behaviors during functional activities were considered to be relevant aspects for the better assessment and treatment of these patients.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 2","pages":"Article 100750"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9259255","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}

引用次数: 3

Fisioterapia precoz en transferencia del trapecio inferior para lesiones masivas e irreparables del manguito rotador. A propósito de un caso clínico 下斜方肌转移术中的早期物理治疗，用于肩袖的巨大和无法修复的损伤。针对一个临床病例

Rehabilitacion Pub Date : 2023-04-01 DOI: 10.1016/j.rh.2022.04.003

I. López-Zamora, I. Campos-Varela, A. Luzardo-González, A. Justes-Solé

引用次数: 0

Esclerosis múltiple y fatiga. Es necesario mejorar 多发性硬化症和疲劳。需要改进

Rehabilitacion Pub Date : 2023-04-01 DOI: 10.1016/j.rh.2022.05.004

J. Formigo Couceiro , A.M. López Real

引用次数: 0

Necesidades de rehabilitación en pacientes con sobrepeso y obesidad 超重和肥胖患者的康复需求

Rehabilitacion Pub Date : 2023-01-01 DOI: 10.1016/j.rh.2022.07.006

E. Sainz de Murieta , M. Supervia , C. de Miguel

引用次数: 0

Introducción de la numeración del artículo (article numbering) en la revista Rehabilitación 在《康复》杂志上介绍文章编号

Rehabilitacion Pub Date : 2023-01-01 DOI: 10.1016/j.rh.2022.100766

引用次数: 0

Impacto de la COVID-19 en la salud del paciente poscrítico 新型冠状病毒对危重患者健康的影响

Rehabilitacion Pub Date : 2023-01-01 DOI: 10.1016/j.rh.2022.02.005

S. Pinedo Otaola , V. Sanmartín Cuevas , Z. Fernández Fernández de Leceta , N. Pérez Iglesias , A. López De Munain Berganzo , M. Azkuenaga Fernández , A. Pérez Iriondo , A. Aramburu Ojenbarrena

{"title":"Impacto de la COVID-19 en la salud del paciente poscrítico","authors":"S. Pinedo Otaola , V. Sanmartín Cuevas , Z. Fernández Fernández de Leceta , N. Pérez Iglesias , A. López De Munain Berganzo , M. Azkuenaga Fernández , A. Pérez Iriondo , A. Aramburu Ojenbarrena","doi":"10.1016/j.rh.2022.02.005","DOIUrl":"https://doi.org/10.1016/j.rh.2022.02.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Many patients perceive persistent symptoms and impairment in their quality of life after COVID-19. The critical patient is vulnerable to presenting physical and emotional alterations. The objective of this study is to assess the functional evolution and quality of life of the critical patient due to COVID-19.</p></div><div><h3>Methods</h3><p>A prospective longitudinal multicenter study was carried out in critically ill hospitalized patients due to COVID-19 with a 6 month follow-up. Sociodemographic variables, comorbidity, the persistence of symptoms, SPPB scale, pulmonary and respiratory impact, CT scan, Barthel index, neuropsychological variables, physical activity (IPAQ scale), quality of life (Euroqol), and satisfaction were collected.</p></div><div><h3>Results</h3><p>115 patients were included. 75% are male and 86% are obese or overweight. The average time of hospitalization was 38.1±18.4 days, with 80.9% requiring mechanical ventilation. 25% need help from another person for self-care at discharge. 29.2% had a normal CT lung screening at 134.1+70.9 days. At 6 months, functional recovery is favorable, although 36.5% perceive muscle weakness and 22% present fragility. 36.5% of patients report a lack of concentration. The most affected dimension in quality of life is that referred to pain (53%), followed by anxiety or depression. Most perform low physical activity. Satisfaction with clinical follow-up is high.</p></div><div><h3>Conclusions</h3><p>In post-critical patients due to COVID-19, physical, functional, and quality of life alterations prevail at 6 months after hospital discharge.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 1","pages":"Article 100731"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49785558","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}

引用次数: 1

Paroxysmal sympathetic hyperactivity. An underdiagnosed entity 阵发性交感神经亢进。未被诊断的实体

Rehabilitacion Pub Date : 2023-01-01 DOI: 10.1016/j.rh.2022.01.003

D. Costa Martins , E. Amorim , A.C. Matias

引用次数: 0