Rehabilitacion最新文献

{"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":"Escala de estado funcional post-COVID-19: concordancia entre la versión administrada por evaluador versus autoevaluada en pacientes con síndrome post-COVID-19","authors":"J. Betancourt-Peña ,&nbsp;J. Rodriguez-Castro ,&nbsp;V. Perez-Hortua ,&nbsp;J.C. Ávila-Valencia ,&nbsp;V. Benavides-Córdoba","doi":"10.1016/j.rh.2024.100878","DOIUrl":"10.1016/j.rh.2024.100878","url":null,"abstract":"<div><h3>Introduction</h3><div>Patients diagnosed with COVID-19 may present sequelae which are called Post COVID-19 Syndrome or Long COVID in which physical, psychological and/or social complications are evident. The objective of this study was to evaluate the agreement of the Post-COVID-19 Functional Status Scale (PCFS) of the evaluator-administered version vs patient self-assessed in post-COVID-19 patients.</div></div><div><h3>Methods</h3><div>Observational study in patients diagnosed with COVID-19 with subsequent recovery. Once the project was approved by the ethics committee and the patients signed the informed consent, a survey was carried out to collect sociodemographic and clinical data and the application of the PCFS scale, in its two forms, self-administered and by an evaluator.</div></div><div><h3>Results</h3><div>97 patients entered the study, 57.7% being women. The agreement analysis determined a concordance index of 0.857 95% CI (0.7-0.934) (almost perfect agreement). The agreement for women was 0.817 95% CI 0.700-0.934 and for men 0.907 95% CI (0.806-1).</div></div><div><h3>Conclusion</h3><div>The use of the Spanish version of the PCFS scale carried out by the health professional compared to the version self-assessed by patients, demonstrates adequate agreement.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100878"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972583","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}

{"title":"Gestión de lista de espera en situaciones complejas: agenda dinámica flexible autogestionada","authors":"X. Miguéns Vázquez,&nbsp;M. Yebra Martínez,&nbsp;A. López Vázquez,&nbsp;C. Salgado Salgado","doi":"10.1016/j.rh.2024.100877","DOIUrl":"10.1016/j.rh.2024.100877","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100877"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142172","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":"Storytelling como estrategia para optimizar los programas de rehabilitación cardíaca","authors":"J.M. de la Lama Rincón ,&nbsp;N. Verseci","doi":"10.1016/j.rh.2025.100892","DOIUrl":"10.1016/j.rh.2025.100892","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100892"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445210","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 challenge of applying the F-A-C-S pathway from EWGSOP2 for sarcopenia diagnosis in patients with chronic obstructive pulmonary disease: A diagnostic accuracy study","authors":"P. Hoz-San Bartolomé ,&nbsp;C. Rodríguez-Hernández ,&nbsp;Y.G. Curbelo ,&nbsp;C. Ramírez-Fuentes ,&nbsp;O. Vázquez-Ibar ,&nbsp;D. Sanchez-Rodriguez ,&nbsp;M. Tejero-Sánchez","doi":"10.1016/j.rh.2024.100879","DOIUrl":"10.1016/j.rh.2024.100879","url":null,"abstract":"<div><h3>Objective</h3><div>The main objective was to evaluate the performance of the SARC-F questionnaire and muscle function tests used in pulmonary rehabilitation settings following the F-A-C-S (Find cases-Assess-Confirm-Severity) algorithm of the European Working Group on Sarcopenia in Older People (EWGSOP2).</div></div><div><h3>Methods</h3><div>Diagnostic accuracy study in consecutive patients with chronic obstructive pulmonary disease (COPD) referred to pulmonary rehabilitation.</div></div><div><h3>Results</h3><div>Of 205 patients (66.8 years; 74.1% men), 29 (14.1%) met the diagnostic criteria for sarcopenia according to EWGSOP2. The sensitivity and specificity of SARC-F were 13% and 92.8%, respectively. Cutoff points with the highest diagnostic accuracy were calculated, with handgrip at 30.3<!--> <!-->kg in men and quadriceps maximal voluntary isometric contraction (Q-MVIC) at 17.3<!--> <!-->kg in women.</div></div><div><h3>Conclusions</h3><div>The diagnostic accuracy of the SARC-F questionnaire as a screening tool is low and it did not identify sarcopenia in rehabilitation patients with COPD, suggesting that this population could benefit from a direct approach (A-C-S). Handgrip strength determination provided the best diagnostic accuracy in men, with a cutoff point of 30.3<!--> <!-->kg, and in women, Q-MVIC determination showed better performance for sarcopenia diagnosis, with a cutoff point of 17.3<!--> <!-->kg.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100879"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143453396","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":"Evidencia de los programas de entrenamiento de musculatura de suelo pélvico preprostatectomía en cuanto a los resultados de continencia urinaria tras la cirugía","authors":"M. Peña García,&nbsp;M. Pérez Cuesta Llaneras,&nbsp;M. Ramírez Ortega,&nbsp;C. Urbaneja Dorado","doi":"10.1016/j.rh.2025.100888","DOIUrl":"10.1016/j.rh.2025.100888","url":null,"abstract":"<div><div>Radical prostatectomy is the treatment of choice in patients with localized prostate cancer. One of the surgical complications is urinary incontinence. Pelvic floor muscle exercises (PFMT) are used as the first therapeutic step.The objective of this study is to review the evidence of performing PFMT in these patients prior to surgery, for earlier recovery of continence. Four systematic reviews and meta-analyses have been carried out, as well as a prospective study, a retrospective study, a clinical trial and an observational study in favor of carrying out training before the intervention. According to the review carried out, there is a benefit from pre-surgical learning of PFMT on the recovery of continence, but only in the short term. Improves the perception of quality of life. It would be necessary to standardize training programs and conduct studies with larger samples.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100888"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075960","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":"Hoja de ruta de Rehabilitación 2025-2030","authors":"E. Marco ,&nbsp;J. Chaler-Vilaseca ,&nbsp;J. Alfonso Andrade ,&nbsp;M. Avellanet ,&nbsp;E. Bárbara ,&nbsp;R. Coll-Fernández ,&nbsp;M.J. Durà ,&nbsp;A. Fernández-Bravo ,&nbsp;A.M. Gómez-González ,&nbsp;E. López Dolado ,&nbsp;L.H. Lugo ,&nbsp;D. Meza-Valderrama ,&nbsp;X. Miguens ,&nbsp;E. Pujol-Medina ,&nbsp;M.J. Rodríguez-Bonache ,&nbsp;R. Secundini ,&nbsp;M. Valdés ,&nbsp;B. Villamayor","doi":"10.1016/j.rh.2025.100890","DOIUrl":"10.1016/j.rh.2025.100890","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100890"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068444","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 para el tratamiento intervencionista de la gonartrosis: consenso de expertos y algoritmos","authors":"J. Formigo-Couceiro ,&nbsp;J. Castillo-Martín ,&nbsp;C. Cordero-García ,&nbsp;A. Fernández-Bravo Rueda ,&nbsp;B. Samitier-Pastor ,&nbsp;A.P. Soriano-Guillén","doi":"10.1016/j.rh.2024.100880","DOIUrl":"10.1016/j.rh.2024.100880","url":null,"abstract":"<div><div>Osteoarthritis is a major health problem due to its high prevalence. It is a very common cause of consultation in both primary care and hospitals, implying a high care burden and health costs. Current treatment recommendations are based on a conservative approach, based mainly on physical exercise and ultimately on prosthetic surgery. Between both therapeutic measures there is a wide range of interventional possibilities with disparate evidence, aimed at patients in whom medical treatment does not achieve sufficient symptomatic control and their osteoarthritis is not indicated for surgery. Due to the observed need for analysis and summary of knowledge in this field, and as a result of this forum of experts, this guide has been developed to help decision-making on some areas of gloom that we find in daily clinical practice for the interventional therapeutic approach to gonarthrosis.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100880"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013558","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 en el paciente con obesidad, abordaje y función del médico rehabilitador en su manejo: datos de la encuesta del Grupo de Trabajo de Obesidad y Sarcopenia de la Sociedad Española de Rehabilitación y Medicina Física","authors":"L. Salcines Rueda ,&nbsp;M. Supervía ,&nbsp;E. Sainz de Murieta ,&nbsp;S. Laxe ,&nbsp;A.B. Morata ,&nbsp;O. Arroyo-Riaño ,&nbsp;J. Figueroa ,&nbsp;C. de Miguel ,&nbsp;M.L. Lopez de Munain ,&nbsp;en representación del Grupo de Trabajo de Obesidad y Sarcopenia de SERMEF","doi":"10.1016/j.rh.2025.100891","DOIUrl":"10.1016/j.rh.2025.100891","url":null,"abstract":"<div><h3>Introduction</h3><div>Obesity is a chronic disease that influences the evolution and functional prognosis of many of the pathologies for which patients are referred to physical medicine and rehabilitation (PMR) departments. Patients with more complex obesity present different associated comorbidities that require a multidisciplinary approach and adaptations in the material resources of the services of rehabilitation. The objective is to know how rehabilitation doctors address this condition in their healthcare practice.</div></div><div><h3>Materials and methods</h3><div>This is a descriptive cross-sectional study using a 20-question survey designed by the Obesity Working Group of the Spanish Society of Physical Medicine and Rehabilitation (SERMEF), which includes both qualitative and quantitative variables.</div></div><div><h3>Results</h3><div>Of the participants, a high percentage consider obesity as a disease, but 52% consider that obesity determines the functional outcome in these patients. Regarding the level of training in the approach to patients with obesity, 74.1% of those surveyed consider that they do not have the appropriate skills to manage patients with obesity in their usual practice and a high percentage also reports not having the necessary resources for evaluation and treatment. In order to assess body composition 12.2% of the participants used electrical bioimpedance analysis and less than 5% used ultrasound. Another aspect worth highlighting is that 21% of those surveyed report the existence of multidisciplinary units for the management of people with morbid obesity, and in 30% of those units the PMR physician participates in the development of care protocols for patients with bariatric surgery.</div></div><div><h3>Conclusion</h3><div>This first study carried out in Spain on the perception of the impact of obesity and the approach in rehabilitation consultations reveals the lack of specific training and basic tools for the evaluation of this pathology. That is why, from the SERMEF Obesity and Sarcopenia Working Group, we consider increasing knowledge among Physical Medicine and Rehabilitation specialists as priority objective.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100891"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386933","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}