Rehabilitacion最新文献

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Cryotherapy in musculoskeletal rehabilitation: Time to move beyond routine ice application? 肌肉骨骼康复中的冷冻疗法:是时候超越常规的冰敷了?
IF 0.6
Rehabilitacion Pub Date : 2026-07-01 Epub Date: 2026-07-11 DOI: 10.1016/j.rh.2026.101003
R. Tedeschi
{"title":"Cryotherapy in musculoskeletal rehabilitation: Time to move beyond routine ice application?","authors":"R. Tedeschi","doi":"10.1016/j.rh.2026.101003","DOIUrl":"10.1016/j.rh.2026.101003","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 3","pages":"Article 101003"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425133","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
Entrenamiento de músculos respiratorios usando el dispositivo de innovación TriBURTER en pacientes sometidos a cirugía cardiovascular: un estudio piloto [在心血管手术患者中使用创新TriBURTER装置进行呼吸肌训练:一项试点研究]。
IF 0.6
Rehabilitacion Pub Date : 2026-07-01 Epub Date: 2026-06-22 DOI: 10.1016/j.rh.2026.100996
N. Peña Novoa, E. Rincón Castillo, S. Sanabria Barrera, A. Espitia, A.M. Ramos-Molina, A. Ramírez-Sarmiento, M. Orozco-Levi
{"title":"Entrenamiento de músculos respiratorios usando el dispositivo de innovación TriBURTER en pacientes sometidos a cirugía cardiovascular: un estudio piloto","authors":"N. Peña Novoa,&nbsp;E. Rincón Castillo,&nbsp;S. Sanabria Barrera,&nbsp;A. Espitia,&nbsp;A.M. Ramos-Molina,&nbsp;A. Ramírez-Sarmiento,&nbsp;M. Orozco-Levi","doi":"10.1016/j.rh.2026.100996","DOIUrl":"10.1016/j.rh.2026.100996","url":null,"abstract":"<div><h3>Introduction</h3><div>Respiratory muscle weakness is common after cardiac surgery and may impair recovery. Although respiratory muscle training has demonstrated benefits, evidence during phase II cardiac rehabilitation remains limited, and many available devices are unidirectional and costly. TriBURTER® is a device that enables bidirectional respiratory muscle training.</div></div><div><h3>Objective</h3><div>To evaluate the feasibility, safety, and explore the potential effect of the TriBURTER® device compared with flow incentive spirometry in patients undergoing phase II cardiac rehabilitation after cardiac surgery.</div></div><div><h3>Methods</h3><div>This was a pilot, randomized, open-label, parallel study. Adults who had undergone cardiac surgery via sternotomy were included. Participants were assigned to training with TriBURTER® or flow incentive spirometry for 4 weeks. The primary outcome was respiratory muscle strength assessed by maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP). Secondary outcomes included pulmonary function (FEV<sub>1</sub>, FVC), functional capacity assessed by the six-minute walk test (6<!--> <!-->MWT), and quality of life (SF-36).</div></div><div><h3>Results</h3><div>Thirty patients were randomized (mean age 61.7<!--> <!-->±<!--> <!-->9.4 years; 13.3% women). No between-group differences in MIP or MEP were observed in the overall analysis. In exploratory subgroup analyses, patients with baseline respiratory muscle weakness showed greater increases in MIP (-68 to -93<!--> <!-->cmH<sub>2</sub>O) and MEP (93 to 116<!--> <!-->cmH<sub>2</sub>O) in the TriBURTER® group. In intragroup analyses, 6<!--> <!-->MWT distance increased; however, no between-group differences were observed after adjustment. No adverse events were reported.</div></div><div><h3>Conclusions</h3><div>In this pilot study, TriBURTER® was safe and feasible to implement. The findings suggest a potential effect on respiratory muscle strength in exploratory analyses, particularly in patients with baseline weakness; these results require confirmation in larger, adequately powered trials.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 3","pages":"Article 100996"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148302976","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
Evolución de la función de la muñeca medida con el cuestionario Patient-Rated Wrist. Evaluación tras rehabilitación multimodal en fracturas distales de radio: estudio prospectivo [患者额定腕关节测量腕功能的演变。]桡骨远端骨折多模式康复后的评估问卷:一项前瞻性研究。
IF 0.6
Rehabilitacion Pub Date : 2026-07-01 Epub Date: 2026-07-06 DOI: 10.1016/j.rh.2026.101001
V.A. Rosas Gonzalez, J. Torres Islas
{"title":"Evolución de la función de la muñeca medida con el cuestionario Patient-Rated Wrist. Evaluación tras rehabilitación multimodal en fracturas distales de radio: estudio prospectivo","authors":"V.A. Rosas Gonzalez,&nbsp;J. Torres Islas","doi":"10.1016/j.rh.2026.101001","DOIUrl":"10.1016/j.rh.2026.101001","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 3","pages":"Article 101001"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148399538","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
Concurrent validity and reliability of a telehealth-based administration of the Craig Hospital Inventory of Environmental Factors in people with rheumatoid arthritis 基于远程医疗管理的类风湿性关节炎患者克雷格医院环境因素量表的并发效度和信度
IF 0.6
Rehabilitacion Pub Date : 2026-07-01 Epub Date: 2026-06-22 DOI: 10.1016/j.rh.2026.100999
F.M. Vargas Dias, K.C. Leite, A. Boening, L.R. Nascimento
{"title":"Concurrent validity and reliability of a telehealth-based administration of the Craig Hospital Inventory of Environmental Factors in people with rheumatoid arthritis","authors":"F.M. Vargas Dias,&nbsp;K.C. Leite,&nbsp;A. Boening,&nbsp;L.R. Nascimento","doi":"10.1016/j.rh.2026.100999","DOIUrl":"10.1016/j.rh.2026.100999","url":null,"abstract":"<div><h3>Introduction</h3><div>Telephone-based application of questionnaires may be valuable and cost-effective approaches for remote evaluation of patients.</div></div><div><h3>Objective</h3><div>The aim of this study was to examine the concurrent validity of the telephone-based application of the Craig Hospital Inventory of Environmental Factors (CHIEF) in comparison with in-person application, and its measurement properties, in people with rheumatoid arthritis.</div></div><div><h3>Methods</h3><div>A methodological study was conducted. Participants were requested to answer the questionnaire on four randomized occasions: three times by telephone, and once in-person. Concurrent validity, test–retest, and inter-rater reliability of the telephone-based application of the CHIEF were reported.</div></div><div><h3>Results</h3><div>Sixty participants (52 women) chronically diagnosed with rheumatoid arthritis were included. There were no significant differences between the mean scores obtained by telephone- and in-person applications of the CHIEF (MD 3; 95% CI −4 to 9; <em>p</em> <!-->=<!--> <!-->0.38). Overall, a high agreement was found (ICC<!--> <!-->=<!--> <!-->0.83; 95% CI 0.72 to 0.90). A very high test–retest agreement (ICC<!--> <!-->=<!--> <!-->0.99; 95% CI 0.98 to 0.99) and a high inter-rater agreement (ICC<!--> <!-->=<!--> <!-->0.88; 95% CI 0.78 to 0.93) of the total scores obtained by telephone applications was found.</div></div><div><h3>Conclusion</h3><div>In people with rheumatoid arthritis, the results suggested that there is no difference when the CHIEF is applied by telephone or during in-person interviews. This could help encourage new studies examining the influence of environmental factors on social participation in people with rheumatoid arthritis. In conclusion, the telephone-based application of the CHIEF showed to be a valid and reliable method for the assessment of barriers to participation in people with rheumatoid arthritis.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 3","pages":"Article 100999"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303333","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
Accelerated versus conventional radial pressure wave therapy for symptomatic calcaneal spur: A randomized clinical trial 加速与传统径向压力波治疗对症跟骨刺:一项随机临床试验。
IF 0.6
Rehabilitacion Pub Date : 2026-07-01 Epub Date: 2026-06-23 DOI: 10.1016/j.rh.2026.100997
E. Çakı, U. Şekir, H. Gür, B. Akova
{"title":"Accelerated versus conventional radial pressure wave therapy for symptomatic calcaneal spur: A randomized clinical trial","authors":"E. Çakı,&nbsp;U. Şekir,&nbsp;H. Gür,&nbsp;B. Akova","doi":"10.1016/j.rh.2026.100997","DOIUrl":"10.1016/j.rh.2026.100997","url":null,"abstract":"<div><h3>Introduction</h3><div>Calcaneal spurs are bony outgrowths typically originating from the medial calcaneal tuberosity and are commonly associated with chronic plantar heel pain. Radial pressure wave therapy (rPWT) is widely used when symptoms do not respond to conservative treatments; however, optimal treatment intervals and scheduling remain unclear. This study aimed to compare conventional and accelerated rPWT schedules to determine whether a shorter treatment duration could achieve similar clinical outcomes.</div></div><div><h3>Materials and methods</h3><div>Sixty-eight participants with heel pain lasting at least six months and radiographically confirmed calcaneal spurs were randomly assigned to either a Conventional group (<em>n</em> <!-->=<!--> <!-->34), receiving three rPWT sessions at weekly intervals over 14 days, or an Accelerated group (<em>n</em> <!-->=<!--> <!-->34), receiving three sessions every other day over 5 days. Identical treatment parameters were applied in both groups (maximum tolerable pressure, 8<!--> <!-->Hz frequency, 2000 pulses per session). Pain intensity was assessed using the Visual Analog Scale (VAS) at baseline, post-treatment, and 1-year follow-up. Functional outcomes (Foot Function Index [FFI], Roles–Maudsley [RM] score), calcaneal spur length, and plantar fascia thickness were evaluated at baseline and post-treatment.</div></div><div><h3>Results</h3><div>Both groups showed significant improvements in pain and functional outcomes, including VAS, RM, and FFI scores (<em>p</em> <!-->&lt;<!--> <!-->0.001 for within-group comparisons). Calcaneal spur length decreased in both groups, while plantar fascia thickness did not demonstrate significant post-treatment changes. No statistically significant differences were observed between the Conventional and Accelerated groups for any clinical or structural outcome. At the 1-year follow-up, VAS scores remained comparable between groups, with no significant group<!--> <!-->×<!--> <!-->time interaction [<em>F</em>(2,36)<!--> <!-->=<!--> <!-->0.014, <em>p</em> <!-->=<!--> <!-->0.775].</div></div><div><h3>Conclusion</h3><div>Conventional and accelerated rPWT schedules resulted in similar short-term clinical improvements in patients with symptomatic calcaneal spurs. Under the conditions of this study, an accelerated protocol may allow completion of treatment within a shorter time frame without clear evidence of inferior clinical outcomes. These findings should be interpreted cautiously in light of methodological limitations, and further studies are needed to confirm long-term effects and optimal treatment scheduling.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 3","pages":"Article 100997"},"PeriodicalIF":0.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148309884","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
Comparison of cardiorespiratory responses between the incremental step test and the cardiopulmonary exercise test in people with chronic obstructive pulmonary disease 慢性阻塞性肺疾病患者增量步数试验与心肺运动试验心肺反应的比较
IF 0.4
Rehabilitacion Pub Date : 2026-04-01 Epub Date: 2026-05-12 DOI: 10.1016/j.rh.2026.100983
A.L. Cardoso , F. Rodrigues , C. Caneiras , A. Mesquita Montes , R. Vilarinho
{"title":"Comparison of cardiorespiratory responses between the incremental step test and the cardiopulmonary exercise test in people with chronic obstructive pulmonary disease","authors":"A.L. Cardoso ,&nbsp;F. Rodrigues ,&nbsp;C. Caneiras ,&nbsp;A. Mesquita Montes ,&nbsp;R. Vilarinho","doi":"10.1016/j.rh.2026.100983","DOIUrl":"10.1016/j.rh.2026.100983","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The incremental step test (IST) is designed for people with COPD, but its cardiorespiratory response remains unknown. This study aimed to assess the cardiorespiratory response of the IST and compare it to CPET in people with COPD.</div></div><div><h3>Materials and methods</h3><div>This cross-sectional study was conducted at a pulmonary rehabilitation centre in a general hospital. Participants completed the CPET (cycle ergometer) followed by the IST. Gas exchange, HR, %SpO<sub>2</sub>, dyspnea and leg fatigue (modified Borg scale) were collected.</div></div><div><h3>Results</h3><div>Twenty adults (67.8<!--> <!-->±<!--> <!-->8.62 years; 60% men) with stable COPD were included. At peak effort, VO<sub>2</sub> was similar between IST (15.6<!--> <!-->±<!--> <!-->3.4<!--> <!-->ml/kg/min) and CPET (14.7<!--> <!-->±<!--> <!-->3.3<!--> <!-->ml/kg/min), <em>p</em> <!-->&gt;<!--> <!-->0.05. Similar results were observed in V<sub>E</sub> (IST: 41.3<!--> <!-->±<!--> <!-->11.6<!--> <!-->ml/min; CPET: 44.2<!--> <!-->±<!--> <!-->12.7<!--> <!-->ml/min), HR (IST: 122<!--> <!-->±<!--> <!-->21<!--> <!-->bpm; CPET: 124<!--> <!-->±<!--> <!-->22<!--> <!-->bpm), and Δdyspnea (IST: 3.5 [2–4]; CPET: 3 [3,4]), <em>p</em> <!-->&gt;<!--> <!-->0.05. VCO<sub>2</sub> (IST: 14.9<!--> <!-->±<!--> <!-->3.6<!--> <!-->ml/kg/min; CPET: 15.9<!--> <!-->±<!--> <!-->3.7<!--> <!-->ml/kg/min), RER (IST: 0.94<!--> <!-->±<!--> <!-->0.09; CPET: 1.07<!--> <!-->±<!--> <!-->0.11), Δ%SpO<sub>2</sub> (IST: −2.50 [−7; −0.25]%; CPET: 0.5 [−2; 1]%) and Δleg fatigue (IST: 3.75 [0.125; 5.0]; CPET: 4 [3.0; 7.0]) were significantly lower on the IST, <em>p</em> <!-->&lt;<!--> <!-->0.05. Median V<sub>E</sub>/MVV percentage was greater than 80% during both the IST (91.4 [73.4; 101.1]%) and the CPET (100.8 [78.4; 110.5]%).</div></div><div><h3>Conclusions</h3><div>IST showed a cardiorespiratory response similar to the response observed during CPET, in terms of VO<sub>2</sub>, V<sub>E</sub>, HR and dyspnea. The ventilatory limitation can be a limiting factor in IST performance, which showed that this test can be considered a symptom-limited option to assess exercise capacity.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 2","pages":"Article 100983"},"PeriodicalIF":0.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934260","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
Immediate effects of extracorporeal shockwave, ultrasound, and shortwave diathermy in non-specific low back pain: A single-session randomized trial 体外冲击波、超声和短波热疗治疗非特异性腰痛的即时效果:一项单期随机试验。
IF 0.4
Rehabilitacion Pub Date : 2026-04-01 Epub Date: 2026-05-20 DOI: 10.1016/j.rh.2026.100987
N.I. Arovah, W. Kushartanti, R.L. Ambardini
{"title":"Immediate effects of extracorporeal shockwave, ultrasound, and shortwave diathermy in non-specific low back pain: A single-session randomized trial","authors":"N.I. Arovah,&nbsp;W. Kushartanti,&nbsp;R.L. Ambardini","doi":"10.1016/j.rh.2026.100987","DOIUrl":"10.1016/j.rh.2026.100987","url":null,"abstract":"<div><h3>Background and objective</h3><div>Nonspecific low back pain (NSLBP) is a prevalent musculoskeletal condition. This study examined the immediate effects of extracorporeal shockwave therapy (ESWT), ultrasound therapy (UST), and shortwave diathermy (SWD) in sub-acute and chronic NSLBP.</div></div><div><h3>Materials and methods</h3><div>A 2<!--> <!-->×<!--> <!-->3 factorial design was applied to 45 patients with nonspecific low back pain (NSLBP; 60% male). The independent factors were NSLBP phase (subacute vs. chronic) and treatment modality (ESWT, UST, or SWD). Outcome measures included pain intensity, assessed with the Visual Analogue Scale (VAS), and spinal range of motion (flexion, extension, lateral flexion, and rotation), measured using a goniometer. Assessments were conducted before and immediately after treatment. A split-plot repeated measures ANOVA evaluated the main and interaction effects of phase, treatment, and time on pain and range of motion. Effect sizes were calculated using Hedges’ corrected <em>d</em>.</div></div><div><h3>Results</h3><div>Pain decreased significantly from baseline across all groups (<em>p</em> <!-->&lt;<!--> <!-->0.001; Hedges’ <em>d</em> <!-->=<!--> <!-->1.344). Range of motion improved significantly in flexion (<em>p</em> <!-->=<!--> <!-->0.003), extension (<em>p</em> <!-->&lt;<!--> <!-->0.001), left lateral flexion (<em>p</em> <!-->=<!--> <!-->0.025), and right rotation (<em>p</em> <!-->=<!--> <!-->0.008). The largest mean ROM gain was observed in extension, with ROM effect sizes ranging from 0.362 to 0.829. No significant main effects of phase or modality, and no time<!--> <!-->×<!--> <!-->phase, time<!--> <!-->×<!--> <!-->modality, or three-way interaction effects were detected, indicating no statistically detectable between-group differences in immediate responses.</div></div><div><h3>Conclusions</h3><div>ESWT, UST, and SWD were associated with immediate post-session improvements in pain and lumbar mobility in subacute and chronic NSLBP; between-group differences were not statistically detectable, and should be interpreted as exploratory, reflecting limited statistical power. Further longitudinal research is recommended to verify long-term effectiveness.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 2","pages":"Article 100987"},"PeriodicalIF":0.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147983833","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
Evolution and trends in wheelchair rugby research: A bibliometric review 轮椅橄榄球研究的演变和趋势:文献计量学回顾。
IF 0.4
Rehabilitacion Pub Date : 2026-04-01 Epub Date: 2026-05-05 DOI: 10.1016/j.rh.2026.100981
D. González-Devesa , A. García-Fresneda , N. Blanco-Martínez
{"title":"Evolution and trends in wheelchair rugby research: A bibliometric review","authors":"D. González-Devesa ,&nbsp;A. García-Fresneda ,&nbsp;N. Blanco-Martínez","doi":"10.1016/j.rh.2026.100981","DOIUrl":"10.1016/j.rh.2026.100981","url":null,"abstract":"<div><div>This study aimed to analyze the evolution and trends of scientific research on wheelchair rugby. A comprehensive search of the Scopus database was conducted from inception to January 2026. In total, 190 articles published between 1998 and 2025 were analysed, yielding a compound annual growth rate of 7.47%. Output increased markedly in recent years, with 2021–2025 representing 35.79% of the total production, and peak annual volumes observed in 2022 (<em>n</em> <!-->=<!--> <!-->21) and 2018/2021/2023 (<em>n</em> <!-->=<!--> <!-->14 each). Based on corresponding-author country, the United Kingdom led productivity, followed by Poland, Canada. Highly cited studies focused on psychosocial determinants of participation, competition demands, and wheelchair configuration/coaching. Keyword co-occurrence identified three clusters: (i) performance and wheelchair-sport constructs, (ii) demographic and study-design descriptors, and (iii) exercise physiology. Overall, the field has consolidated, while core and emerging topics may guide future research, and evidence-informed practice in adapted sport.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 2","pages":"Article 100981"},"PeriodicalIF":0.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844288","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
Rehabilitación domiciliaria tras fractura de cadera: resultados de un protocolo integrado 髋部骨折后的家庭康复:综合方案的结果
IF 0.4
Rehabilitacion Pub Date : 2026-04-01 Epub Date: 2026-04-21 DOI: 10.1016/j.rh.2026.100978
A. Soler Ferrández , A. Torrego Jiménez , E. Soriano Melchor , A. Muñoz Cano , J. Cervera Deval , T. Ricarte Benedito , V. Ruiz García , M. Segarra Moreno , A. Soria Llopis , J.C. Pérez Ramírez , A.L. Ramírez Sousa , M. Muñoz Domingo , D. Vivas Consuelo
{"title":"Rehabilitación domiciliaria tras fractura de cadera: resultados de un protocolo integrado","authors":"A. Soler Ferrández ,&nbsp;A. Torrego Jiménez ,&nbsp;E. Soriano Melchor ,&nbsp;A. Muñoz Cano ,&nbsp;J. Cervera Deval ,&nbsp;T. Ricarte Benedito ,&nbsp;V. Ruiz García ,&nbsp;M. Segarra Moreno ,&nbsp;A. Soria Llopis ,&nbsp;J.C. Pérez Ramírez ,&nbsp;A.L. Ramírez Sousa ,&nbsp;M. Muñoz Domingo ,&nbsp;D. Vivas Consuelo","doi":"10.1016/j.rh.2026.100978","DOIUrl":"10.1016/j.rh.2026.100978","url":null,"abstract":"<div><h3>Introduction</h3><div>Hip fracture is a sentinel event in older adults, associated with high morbidity, mortality, and functional decline. Postoperative home-based rehabilitation has been proposed as an alternative or complementary model to outpatient care, although its implementation and functional outcomes in selected populations require further evidence.</div></div><div><h3>Objectives</h3><div>To evaluate the functional recovery and safety of a postoperative home-based rehabilitation program following hip fracture surgery, and to identify factors associated with functional outcomes.</div></div><div><h3>Methods</h3><div>A prospective cohort study was conducted in patients aged ≥<!--> <!-->65<!--> <!-->years who underwent hip fracture surgery and were referred to the Home Hospitalization Unit (UHD) of Hospital La Fe. A comprehensive geriatric assessment, clinical monitoring, and protocolized home physiotherapy were provided. Clinical variables, functional status (Barthel Index and Rockwood Frailty Index), pain (VAS), and mortality were recorded. Functional recovery was assessed at 45 and 180<!--> <!-->days. A multivariable model was performed to identify factors associated with clinically relevant functional decline.</div></div><div><h3>Results</h3><div>A total of 103 patients were included. Gait and transfer ability improved progressively: at 45<!--> <!-->days, 95% achieved ≥<!--> <!-->10<!--> <!-->points in the Barthel gait item and 91% in the transfer item, with similar values at 180<!--> <!-->days. Between 96% and 97% matched or improved their premorbid gait and transfer capacity. Clinically significant Barthel decline at 180<!--> <!-->days was associated with poorer 45 day Barthel scores, right sided fracture, lower premorbid transfer scores, and higher ASA classification. Twelve month mortality was 10%, with no serious adverse events attributable to the program and no treatment related adverse effects observed.</div></div><div><h3>Conclusions</h3><div>Home-based rehabilitation after hip fracture surgery proved safe, feasible, and associated with favorable functional recovery in selected patients. However, given the lack of a comparison group and potential selection bias, these findings should be interpreted cautiously. Controlled studies are needed to determine its effectiveness and applicability in broader clinical settings.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 2","pages":"Article 100978"},"PeriodicalIF":0.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147747302","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
La insoportable levedad de la sarcopenia [肌肉减少症的不可承受之轻]。
IF 0.4
Rehabilitacion Pub Date : 2026-04-01 Epub Date: 2026-05-19 DOI: 10.1016/j.rh.2026.100986
M. Supervía , E. Sainz de Murieta , E. Marco
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