RehabilitacionPub Date : 2023-07-01DOI: 10.1016/j.rh.2022.100777
E. Cuello Villaverde, E. Rambla Tirado, B. Cardells Beltrán, N. Guerola Soler
{"title":"Indirect partial volumetry in breast cancer-related lymphoedema: Distribution of oedema and clinical-diagnostic implications","authors":"E. Cuello Villaverde, E. Rambla Tirado, B. Cardells Beltrán, N. Guerola Soler","doi":"10.1016/j.rh.2022.100777","DOIUrl":"10.1016/j.rh.2022.100777","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Currently, the assessment of lymphoedema related to breast cancer (BCRL) is performed through the global perimeter volumetry. We implemented an additional system with partial measures (hand, forearm, and upper arm) that allows us to approximate the segmental distribution of oedema. We used this measurement tool to determine the oedema distribution and its evolution, as well as its possible impact on clinical assessment.</p></div><div><h3>Methods</h3><p>We carried out a retrospective observational study of the patients referred to our service with suspected BCRL.</p></div><div><h3>Inclusion criteria</h3><p>Unilateral breast cancer, availability of global and partial digital medical record, and follow-up for a minimum of 24 months.</p><p>Of the 210 selected patients, 190 were considered affected (≥10% excess volume). We analysed at three time points (initial, final, and peak involvement) the oedema distribution and segmental predominance and its relationship with the evolutionary course and the severity of the process. We subsequently examined, at the initial timepoint, the concordance of the global assessment with the partial assessment for the clinical classification of the 210 patients in the initial sample.</p></div><div><h3>Results</h3><p>The BCRL oedema was characteristically irregular, with the forearm being the most affected segment and the hand the least affected (RM ANOVA: <em>p</em> <!--><<!--> <!-->0.001). The irregularity was related to its severity (<em>χ</em><sup>2</sup>: <em>p</em> <!--><<!--> <!-->0.001) and the evolutionary course (Student <em>t</em>-test: <em>p</em> <!--><<!--> <!-->0.005 for the hand). Overall, disagreement of 46.67% was observed between the clinical classification of the global and partial assessment.</p></div><div><h3>Conclusions</h3><p>This work supports the need to add partial volumetry to the commonly used global assessment.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 3","pages":"Article 100777"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9777736","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 : 2023-07-01DOI: 10.1016/j.rh.2022.07.003
J. Rocha Melo , M.A. Rodrigues , M. Caetano , P. Cantista
{"title":"Botulinum toxin in the treatment of residual limb hyperhidrosis: A systematic review","authors":"J. Rocha Melo , M.A. Rodrigues , M. Caetano , P. Cantista","doi":"10.1016/j.rh.2022.07.003","DOIUrl":"10.1016/j.rh.2022.07.003","url":null,"abstract":"<div><p>The aim of the study was to analyze the current evidence regarding the effect of intradermal injections of botulinum toxin on residual limb hyperhidrosis. A comprehensive search of the MEDLINE and Scopus databases from inception until December 2021 was performed according to the PRISMA guidelines. The search terms used were “botulinum toxins”, “botulinum toxins, Type A”, “rimabotulinumtoxinB”, “amputees”, “amputation stumps”, “amputation” and “residual limbs”. The specific controlled vocabulary of each database was also used (e.g., MeSH). One hundred and thirty-one different studies met this search criteria and were reviewed. Two independent reviewers assessed the quality of the manuscripts. Eight studies met the inclusion criteria for this review. The results demonstrated an improvement in residual limb hyperhidrosis in all studies. Botulinum toxin A or B can be regarded as safe and effective for the treatment of residual limb hyperhidrosis, as well as improving prosthesis use and quality of life.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 3","pages":"Article 100754"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10145900","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 : 2023-07-01DOI: 10.1016/j.rh.2022.10.001
M.J. Rodríguez Bonache , J.Ll. Chaler Vilaseca , Comité Editorial de la revista Rehabilitación (Madr)
{"title":"Resultados de la encuesta a los lectores de la revista Rehabilitación (Madr)","authors":"M.J. Rodríguez Bonache , J.Ll. Chaler Vilaseca , Comité Editorial de la revista Rehabilitación (Madr)","doi":"10.1016/j.rh.2022.10.001","DOIUrl":"https://doi.org/10.1016/j.rh.2022.10.001","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 3","pages":"Article 100762"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49848566","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 : 2023-07-01DOI: 10.1016/j.rh.2022.100780
A.B. Puentes Gutiérrez , M. García Bascones , F. Jiménez Díaz , R. Cuena Boy , R. Puentes Gutiérrez
{"title":"Validez y fiabilidad del cuestionario DASH en mujeres con linfedema secundario a tratamiento de cáncer de mama","authors":"A.B. Puentes Gutiérrez , M. García Bascones , F. Jiménez Díaz , R. Cuena Boy , R. Puentes Gutiérrez","doi":"10.1016/j.rh.2022.100780","DOIUrl":"https://doi.org/10.1016/j.rh.2022.100780","url":null,"abstract":"<div><h3>Introduction</h3><p>DASH questionnaire was designed to assess upper limb function in musculoskeletal pathologies. The aim of this manuscript is to study the reliability and validity of this questionnaire, to determine if is adequate to use in women with lymphedema due to breast cancer treatment.</p></div><div><h3>Methods</h3><p>Prospective study in 65 women with lymphedema due to breast cancer treatment was done, in which the reliability of DASH score with internal consistency (Cronbach's alpha) and test–retest reproducibility 15 days’ interval (interclass correlation coefficient) and validity by correlation with SF-36v2 and FACT-B+4 (r or Kendall's τ b) scores was investigated.</p></div><div><h3>Results</h3><p>The internal consistency and the test–retest were Cronbach's alpha 0.969 and interclass correlation coefficient 0.861, respectively. There was correlation between the DASH score with the SF-36v2 score, mainly in the areas of physical function, body pain and physical role (<em>r</em> 0.800, 0.738, and 0.682, respectively; <em>p</em> <!--><<!--> <!-->0.001), and lowest with the emotional and social wellbeing. The DASH score had correlation with FACT-B+4 (0.836; <em>p</em> <!--><<!--> <!-->0.001) and the subscales the upper limb score (<em>r</em> <!-->=<!--> <!-->0.816; <em>p</em> <!--><<!--> <!-->0.001), and there was no correlation with the social/familiar subscale (<em>r</em> <!-->=<!--> <!-->0.193; <em>p</em> <!-->=<!--> <!-->0.216).</p></div><div><h3>Conclusion</h3><p>The DASH questionnaire is a reliable and valid tool to assess upper limb functionality in Spanish women with breast cancer related lymphedema.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 3","pages":"Article 100780"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49848530","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 : 2023-07-01DOI: 10.1016/j.rh.2023.100814
{"title":"Fe de erratas sobre artículos publicados en la revista Rehabilitación en 2023","authors":"","doi":"10.1016/j.rh.2023.100814","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100814","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 3","pages":"Article 100814"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49848556","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 : 2023-07-01DOI: 10.1016/j.rh.2023.100806
A.J. Gallo Pellitero , J. Formigo Couceiro , S. Otero Villaverde
{"title":"Técnica de radiofrecuencia ablativa ecoguiada del nervio sural para el dolor crónico de tobillo. A propósito de un caso","authors":"A.J. Gallo Pellitero , J. Formigo Couceiro , S. Otero Villaverde","doi":"10.1016/j.rh.2023.100806","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100806","url":null,"abstract":"<div><p>Chronic lateral ankle pain related to sural neuralgia is a rare pathology. The sural nerve innervates the sensitivity of the posterolateral border of the leg, as well as the dorsolateral border of the foot. On occasions, sural neuralgia is resistant to conservative treatment and can affect the patient's psycho-emotional and social sphere. We describe the case of a 54-year-old patient with neuropathic pain in the sural territory and a history of several ankle surgeries. After unsuccessful conservative treatment, ultrasound-guided ablative radiofrequency is performed in the sural nerve with subsequent complete cessation of pain without side effects. We propose to give importance to ecopalpation in the consultation of a rehabilitation physician, as well as to describe ultrasound-guided ablative radiofrequency as a safe and effective technique for sural neuralgia that does not respond to conservative treatment. However, more quality studies are needed to corroborate these results.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 3","pages":"Article 100806"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49848565","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 : 2023-07-01DOI: 10.1016/j.rh.2022.05.001
M. García Garrido , J. Formigo Couceiro , M. Alonso Bidegaín
{"title":"Plasma rico en plaquetas como opción terapéutica en el síndrome de la almohadilla grasa plantar","authors":"M. García Garrido , J. Formigo Couceiro , M. Alonso Bidegaín","doi":"10.1016/j.rh.2022.05.001","DOIUrl":"https://doi.org/10.1016/j.rh.2022.05.001","url":null,"abstract":"<div><p>Heel fat pad syndrome is the second most frequent cause of heel pain at Rehabilitation services. It is a structure damage of the plantar fat that leads to loss of cushioning in gait and plantar pain. It is due to degeneration or repeated trauma that causes alteration of the structure of the foot pad losing its compressibility and function. The diagnosis of heel fat pad syndrome is made by ultrasound study. Treatment is primarily based on conservative measures. Infiltration with platelet-rich plasma is proposed as a therapeutic option with the aim of improving pain and inflammation of the plantar fat pad. We report the first published case of ultrasound-guided infiltration with platelet-rich plasma as a treatment for heel fat pad syndrome.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 3","pages":"Article 100743"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49848559","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 : 2023-07-01DOI: 10.1016/j.rh.2023.100808
J.A. Bernabéu García , D. Sánchez-Rubia , A. Querol-Martínez , J. Iborra-Urios
{"title":"Hematoma gigante coagulado del gastrocnemio medial de localización atípica. Tratamiento con fibrinolíticos en el drenaje ecoguiado: a propósito de un caso","authors":"J.A. Bernabéu García , D. Sánchez-Rubia , A. Querol-Martínez , J. Iborra-Urios","doi":"10.1016/j.rh.2023.100808","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100808","url":null,"abstract":"<div><p>Regarding a 57-year-old patient with medial gastrocnemius tear and a giant coagulated hematoma of atypical location, the epidemiology, diagnostic test and treatment used are reviewed (hematoma drainage by means of serial punctures, echo-guided, with the use of intracavitary urokinase), as well as its clinical evolution is described.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 3","pages":"Article 100808"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49848562","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}