RehabilitacionPub Date : 2023-12-22DOI: 10.1016/j.rh.2023.100831
L.R. Borges, A. Abreu Rosa de SÁ, E.L.M. Naves
{"title":"A heuristic-based approach for assessing usability in electric powered wheelchairs: A preliminary investigation","authors":"L.R. Borges, A. Abreu Rosa de SÁ, E.L.M. Naves","doi":"10.1016/j.rh.2023.100831","DOIUrl":"10.1016/j.rh.2023.100831","url":null,"abstract":"<div><h3>Objective</h3><p>An important issue related to electric powered wheelchair (EPW) is usability. Recent studies did not use heuristic evaluation and did not consider users’ and developers’ participation in the usability evaluation process of the EPW, especially when it has to be driven using alternative commands. Thus, this study investigates the use of heuristics to evaluate the usability of EPW driven by alternative commands, considering the opinion of users and assistive technology (AT) development professionals.</p></div><div><h3>Methods</h3><p>The study was carried out with 54 participants: 28 EPW users (Group I) and 26 AT developers (Group II). We built a set of 25 heuristics that affects EPW usability. Participants rated each of the 25 heuristics according to their importance for the usability of EPW using the five-point Likert scale. We used the R Software to perform the Wilcoxon Mann–Whitney test as a statistical comparisons test between Group I and II.</p></div><div><h3>Results</h3><p>The results showed a statistically significant difference (<em>p</em> <!--><<!--> <!-->0.05) between Group I and II in the evaluation of 16 heuristics. We identified an important set of heuristics that could help evaluate and improve the usability of EPW.</p></div><div><h3>Conclusion</h3><p>The findings highlighted the importance of considering users’ and developers’ points of view in developing an EPW and its evaluation criteria. It could help the design of the device match the user's needs and expectations. The set of heuristics in this study can be adapted to evaluate other devices’ usability using the heuristic evaluation approach.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 2","pages":"Article 100831"},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032673","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}
RehabilitacionPub Date : 2023-12-22DOI: 10.1016/j.rh.2023.100825
M. Ciller Martínez , S. Rodríguez Palero , T. Vara Arias , S. Cartas Carrión , M. Escribano Pérez , N.V. Ortiz Cabrera , P. Manzarbeitia Arroba
{"title":"Asimetría escapular por agenesia congénita de trapecio unilateral: a propósito de un caso","authors":"M. Ciller Martínez , S. Rodríguez Palero , T. Vara Arias , S. Cartas Carrión , M. Escribano Pérez , N.V. Ortiz Cabrera , P. Manzarbeitia Arroba","doi":"10.1016/j.rh.2023.100825","DOIUrl":"10.1016/j.rh.2023.100825","url":null,"abstract":"<div><p>Congenital unilateral absence of trapezius is a rare condition, previously reported in cadaveric specimens. It can cause static shoulder asymmetry and affects the scapular biomechanics and functionality, so complete physical examination of the patient becomes important in order to dimiss or suspect an anomaly.</p><p>We present a case of a 8 years old boy with asymmetry and scapular winging, who was referred to rehabilitation, suspected facioscapulohumeral dystrophy. An MRI scan of cervical spine and shoulder confirmed the absence of the right trapezius muscle. There were no functional disabilities. No other significant congenital anomalies were found.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 1","pages":"Article 100825"},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032650","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}
RehabilitacionPub Date : 2023-12-21DOI: 10.1016/j.rh.2023.100830
C.M. Manrique Rabelo
{"title":"Resistencia frente al uso de la silla de ruedas y dispositivos para la marcha por parte de los pacientes con ELA amiotrófica: creencias y actitudes aprendidas","authors":"C.M. Manrique Rabelo","doi":"10.1016/j.rh.2023.100830","DOIUrl":"10.1016/j.rh.2023.100830","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 1","pages":"Article 100830"},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832080","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}
RehabilitacionPub Date : 2023-10-30DOI: 10.1016/j.rh.2023.100820
N. González León , A. González-Olguín
{"title":"Estrategias de intervención motora sobre el control postural en niños y jóvenes con trastorno del espectro autista: una revisión sistemática","authors":"N. González León , A. González-Olguín","doi":"10.1016/j.rh.2023.100820","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100820","url":null,"abstract":"<div><p>Autism spectrum disorder (ASD) has varied characteristics with an impact at the social, communicative and sensorimotor (SM) level. An SM feature is postural control (PC) problems. There are various motor intervention strategies (MIS), but the benefit over LC is something that has been analyzed less extensively. The objective was to describe the MIS and its results on the PC of children and adolescents with ASD. A search of PubMed, Scopus, Web of Science and Cochrane was performed. A total of eight articles met the eligibility criteria. All MIS showed beneficial results on the improvement of PC. The MIS were of a varied nature (dance practice, personalized physical activity, video games, Tai Chi Chuan, Taekwondo and virtual reality). It is necessary to improve the designs and consider the risks of bias, since they limit the scope of the results.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 1","pages":"Article 100820"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91959902","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}
RehabilitacionPub Date : 2023-10-25DOI: 10.1016/j.rh.2023.100818
A. Suero-Pineda , A. Oliva-Pascual-Vaca , M. Rodríguez-Piñero Durán , P. Rodríguez Sánchez-Laulhé , M.A. García-Frasquet , J. Blanquero
{"title":"Efectividad de una aplicación de telerrehabilitación para tableta en pacientes con fractura de extremo distal del radio","authors":"A. Suero-Pineda , A. Oliva-Pascual-Vaca , M. Rodríguez-Piñero Durán , P. Rodríguez Sánchez-Laulhé , M.A. García-Frasquet , J. Blanquero","doi":"10.1016/j.rh.2023.100818","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100818","url":null,"abstract":"<div><h3>Introduction</h3><p>To assess whether, in patients with distal radius fracture feedback-guided exercises performed on a tablet touchscreen reduce healthcare usage and improve clinical recovery, more than the conventional home exercise program prescribed on paper.</p></div><div><h3>Material and methods</h3><p>A multicentre, parallel, two-group, pragmatic, controlled trial with assessor blinding and intention-to-treat analysis. Forty-six patients with distal radius fracture were recruited in Andalusian Public Health System<em>.</em> Participants in the experimental and control groups received the same in-patient physiotherapy sessions. Experimental group received a home exercise program using the ReHand tablet application and control group received an evidence-based home exercise program on paper. The primary outcome was the number of physiotherapy sessions tallied from hospitals data management system. Secondary outcomes included: the face-to-face rehabilitation consultations with a physiatrist, and clinical outcomes such as functional ability, grip strength, dexterity, pain intensity and range of motion.</p></div><div><h3>Results</h3><p>The experimental group required fewer physiotherapy sessions (MD: −16.94; 95%<!--> <!-->CI: −32.5 to −1.38) and rehabilitation consultations (MD: −1.7; 95%<!--> <!-->CI: −3.39 to −0.02) compared to the control group.</p></div><div><h3>Conclusions</h3><p>In patients with distal radius fracture, prescribing feedback-guided exercises performed on a tablet touchscreen provided by ReHand reduced number of physiotherapy sessions and rehabilitation consultations.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 1","pages":"Article 100818"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92026329","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}
RehabilitacionPub Date : 2023-10-23DOI: 10.1016/j.rh.2023.100817
L. Fernández-Lorenzo, S. Pértega-Díaz, M. Sobrido-Prieto
{"title":"Eficacia del ejercicio de alta intensidad en personas con dolor lumbar crónico: una revisión sistemática","authors":"L. Fernández-Lorenzo, S. Pértega-Díaz, M. Sobrido-Prieto","doi":"10.1016/j.rh.2023.100817","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100817","url":null,"abstract":"<div><p>Chronic low back pain causes disability and socioeconomic impact. High-intensity exercise shows positive results in other diseases, but there is no evidence on this pathology.</p><p>The aim is to determine its efficacy on health-related quality of life, disability, pain intensity and adherence to treatment in people with chronic low back pain.</p><p>A literature review is conducted in Pubmed, PEDro and Scopus, including randomized clinical trials, clinical practice guidelines and systematic reviews in Spanish, English or Portuguese (2012-2022). In addition, a snowball search is performed.</p><p>Eight randomized clinical trials (n<!--> <!-->=<!--> <!-->379) are incorporated. Different high-intensity exercise modalities are analyzed, which seem to improve health-related quality of life and reduce disability and pain intensity. These data should be taken with caution given the small number of studies and the risk of bias presented.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 1","pages":"Article 100817"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49806929","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}
RehabilitacionPub Date : 2023-10-20DOI: 10.1016/j.rh.2023.100822
M.P. Murciano Casas , M. Rodríguez-Piñero Durán , J.M. Delgado Mendilivar , J.A. Expósito Tirado , A.S. Jiménez Sarmiento
{"title":"Análisis de los parámetros ecográficos descritos en el estudio del síndrome del túnel del carpo. Una revisión sistemática","authors":"M.P. Murciano Casas , M. Rodríguez-Piñero Durán , J.M. Delgado Mendilivar , J.A. Expósito Tirado , A.S. Jiménez Sarmiento","doi":"10.1016/j.rh.2023.100822","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100822","url":null,"abstract":"<div><p>Carpal tunnel syndrome (CTS) is the most common entrapment mononeuropathy; the diagnosis is established by electrodiagnostic tests with until 34% of false positives/negatives. We present the following systematic review which objective is to analyze the most recent literature related to the ultrasound parameters described to study CTS. We selected studies that evaluated ultrasound parameters in patients with clinical suspicion following the Cochrane manual's recommendations. We include systematic reviews, meta-analyses, case–control studies and diagnostic tests, evaluating retrospective studies and bibliographic reviews with proper methodological quality. Articles published between 2005 and 2019. We included eight articles (two systematic reviews/meta-analyses, two case–control studies, one diagnostic test study, two literature reviews, and one retrospective). The parameters analyzed were cross-sectional area, wrist–forearm index, entry–exit index, thinning range, palmar bowing of the flexor retinaculum, and vascularity/mobility. Current evidence allows us to affirm that ultrasound is useful in screening for CTS.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 1","pages":"Article 100822"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49848718","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}
RehabilitacionPub Date : 2023-10-18DOI: 10.1016/j.rh.2023.100815
J. Betancourt-Peña , V. Vidal , D. Zapata-Jiménez , J.C. Ávila-Valencia , V. Benavides-Córdoba
{"title":"Efectos de la rehabilitación pulmonar en pacientes con EPOC según la clasificación GOLD 2020 en Cali, Colombia","authors":"J. Betancourt-Peña , V. Vidal , D. Zapata-Jiménez , J.C. Ávila-Valencia , V. Benavides-Córdoba","doi":"10.1016/j.rh.2023.100815","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100815","url":null,"abstract":"<div><h3>Introduction</h3><p>Chronic obstructive pulmonary disease has a guide in charge of prevention and treatment, called the Global Initiative for Chronic Lung Disease, which is annually updated and catalogs pulmonary rehabilitation, within the treatment options.</p></div><div><h3>Objective</h3><p>To describe the effects on clinical variables, functional capacity, anxiety/depression and health-related quality of life in patients with chronic obstructive pulmonary disease, after a pulmonary rehabilitation program, according to the GOLD 2020 classification in a Cali clinic.</p></div><div><h3>Materials and methods</h3><p>Descriptive, longitudinal study where 79 patients divided into 3 groups were included (B, C and D).</p></div><div><h3>Results</h3><p>The mean age was 70 years, 69% men. The number of hospitalized days was greater for groups C and D with an average of 8 and 13 days, respectively (<em>p</em> <!-->≤<!--> <!-->0.000). The functional capacity showed a greater distance in group C (421<!--> <!-->m) and the shortest distance for group D (328<!--> <!-->m), <em>p</em> <!-->≤<!--> <!-->0.006. In anxiety and depression, group D managed to obtain improvements as well as in the quality of life questionnaire.</p></div><div><h3>Conclusion</h3><p>Group C presented greater functional capacity and better quality of life, group B had better results in clinical variables, and group D had worse clinical condition, functional capacity and quality of life. At the end of pulmonary rehabilitation, group D presented greater changes in functional capacity and quality of life.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 1","pages":"Article 100815"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49806936","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}
RehabilitacionPub Date : 2023-10-18DOI: 10.1016/j.rh.2023.100816
A. García-Arandilla , T. Gonzàlez-Gàzquez , A. Morgado-Pérez , V. Davalos Yerovi , M. Tejero-Sánchez , D. Meza-Valderrama
{"title":"Hipoterapia versus simuladores de hipoterapia como opción de tratamiento en niños con parálisis cerebral: revisión sistemática","authors":"A. García-Arandilla , T. Gonzàlez-Gàzquez , A. Morgado-Pérez , V. Davalos Yerovi , M. Tejero-Sánchez , D. Meza-Valderrama","doi":"10.1016/j.rh.2023.100816","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100816","url":null,"abstract":"<div><h3>Introduction and objective</h3><p>Hippotherapy (HPOT) and hippotherapy simulators (SHPOT) are used in children with cerebral palsy to achieve their maximum functionality and independence. The aim is to find out if HPOT and SHPOT produce the same effects on balance, gross motor function, and postural control in children under 18 years old with cerebral palsy.</p></div><div><h3>Materials and methods</h3><p>The keywords used were: hippotherapy, equine-assisted therapy and cerebral palsy. The databases used were PeDro, Scopus, LILACS, ScienceDirect, Cochrane Library, Web of Science and CINAHL Complete (Ebsco). Studies were included if they were randomized clinical trials that studied the effect of HPOT and/or SHPOT on the variables mentioned in these patients.</p></div><div><h3>Results</h3><p>Four studies assessed balance, 4 studied gross motor function, and 2 investigated postural control. Both HPOT and SHPOT produced benefits in all of them.</p></div><div><h3>Conclusions</h3><p>According to the studied variables both interventions produce similar improvements. Although, they increase with HPOT possibly due to greater sensory stimulation.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 1","pages":"Article 100816"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49843791","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}
RehabilitacionPub Date : 2023-10-18DOI: 10.1016/j.rh.2023.100807
M.E. Fernández-Cuadros , L.M. Martín-Martín , M.J. Albaladejo-Florín , O.S. Pérez-Moro , G. Goizueta-San-Martín
{"title":"Sensibilidad de la respuesta simpática cutánea y de la gammagrafía en el diagnóstico del síndrome dolor regional complejo","authors":"M.E. Fernández-Cuadros , L.M. Martín-Martín , M.J. Albaladejo-Florín , O.S. Pérez-Moro , G. Goizueta-San-Martín","doi":"10.1016/j.rh.2023.100807","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100807","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the sensitivity of sympathetic skin response (SSR) and compare it with scintigraphy in patients with complex regional pain syndrome diagnosed according to the Budapest criteria.</p></div><div><h3>Material and methods</h3><p>Twenty-two patients with complex regional pain syndrome who attended the Rehabilitation and Physical Medicine Department between January-2018 and May-2022 have been prospectively evaluated. The scintigraphy was considered positive if in the 1st-2nd phase slight asymmetric and diffuse uptake was observed, or when in the 3rd phase marked periarticular radioisotope uptake was observed. SSR was abnormal if: a) no response after 20 stimuli; b) lack of habituation with permanence of the stimuli greater than 67.2%.</p></div><div><h3>Results</h3><p>Age 55.4<!--> <!-->±<!--> <!-->8.57 years. Complex regional pain syndrome was more frequent in women (90.9%), more common in upper limbs (68.2%) than lower limbs (31.8%). In SSR, we have observed normal response (<<!--> <!-->67.2%) in 2 patients (11.1%), lack of SSR in 2 patients (11.1%) and lack of habituation (><!--> <!-->67.2%) in 14 patients (77.8%). In total, 16 patients presented abnormal or absent responses (88.8%). The diagnostic sensitivity of scintigraphy is similar to that of SSR (89.5% vs 88.8%), with no statistical difference (<em>P</em> <!-->=<!--> <!-->.6721).</p></div><div><h3>Conclusion</h3><p>Scintigraphy has shown similar sensitivity to SSR, although the simplicity, security, low cost, non-ionizing and non-invasiveness of the latter technique suggest that it could be more cost-effective. The lack of habituation and the absence of response could identify response patterns and localize the involvement in the afferent, central, efferent or post-ganglionic pathways.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 1","pages":"Article 100807"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49843792","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}