Rehabilitacion最新文献

{"title":"El desafío en la protetización tras desarticulación de cadera en paciente con pioderma gangrenoso","authors":"M.Á. Arenillas Pérez , P. Peret Hernández , S. Ortiz Hidalgo , S. Laxe","doi":"10.1016/j.rh.2025.100905","DOIUrl":"10.1016/j.rh.2025.100905","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100905"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823564","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 ReDyor study: Effects of prophylactic swallowing exercises on dysphagia and quality of life in patients with head and neck cancer receiving chemoradiation therapy, a randomized clinical trial","authors":"A. Guillen-Sola ,&nbsp;N. Bofill-Soler ,&nbsp;O. Pera-Cegarra ,&nbsp;X. Duran Jorda ,&nbsp;P. Foro","doi":"10.1016/j.rh.2025.100904","DOIUrl":"10.1016/j.rh.2025.100904","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the best time to start rehabilitation to preserve swallowing function and enhance health-related quality of life in patients with head and neck cancer (HNC) undergoing chemoradiation therapy (CRT).</div></div><div><h3>Material and methods</h3><div>Randomized single-blind controlled trial study conducted at a tertiary university hospital. Fifty-two HNC patients treated with CRT were randomized into early intervention (EIG, at diagnosis) and late intervention groups (LIG, post-radiotherapy). Interventions included Inspiratory and Expiratory Muscle Strength Training and standard swallowing exercises for 21 weeks, starting 2 weeks before RT in EIG and immediately after RT in LIG. Functional parameters, dysphagia severity, and HRQoL were assessed at baseline, RT completion, and post-RT follow-ups (3, 6, 12 months).</div></div><div><h3>Results</h3><div>No significant differences were observed between groups, except for mouth interincisor opening at RT completion in EIG. At final assessment, PEmax% values recovered in EIG but deteriorated in LIG (<em>p</em> <!-->=<!--> <!-->0.028). Speech problems decreased in EIG (<em>p</em> <!-->=<!--> <!-->0.019) compared to baseline. PImax showed a positive trend in both groups. Both groups had isolated improvements in quality of life.</div></div><div><h3>Conclusion</h3><div>The effectiveness of rehabilitation was similar regardless of initiation timing, suggesting both early and late interventions are viable for preserving swallowing function and improving quality of life in HNC patients undergoing CRT.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100904"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747684","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 effect of a physical rehabilitation program on temperature symmetry, mobility, functionality and gait in amputee patients","authors":"F. Marcon Alfieri ,&nbsp;D. Mitiyo Odagiri Utiyama ,&nbsp;A.C. Aquino dos Santos ,&nbsp;L. Rizzo Battistella","doi":"10.1016/j.rh.2025.100908","DOIUrl":"10.1016/j.rh.2025.100908","url":null,"abstract":"<div><h3>Introduction</h3><div>Rehabilitation centers offer specialized programs for amputees aimed at enhancing their functional abilities and quality of life. This study aimed to evaluate the impact of a hospital-based rehabilitation program on lower-limb skin temperature distribution, mobility, functionality and gait in individuals with lower-limb amputations.</div></div><div><h3>Material and methods</h3><div>This is a pilot, longitudinal, observational study, with pre–post-intervention assessments of 14 patients admitted for inpatient intensive rehabilitation program. The skin temperature of the thigh, knee, and leg was evaluated with an infrared thermography camera (FLIR T650SC®), and mobility, functionality and gait were tested with the Timed Up and Go, Amputee Mobility test Predictor (AMP), and the 2-minute walk test, before and after the multidisciplinary physical rehabilitation program. The baseline and post-intervention data were compared with the Student's <em>T</em>-test or Wilcoxon test for paired data according to data distribution. The <em>α</em> level was established at 5%.</div></div><div><h3>Results</h3><div>The comparison of baseline and post-intervention temperature outcomes showed no significant changes regardless of the side. There was a significant improvement in balance (AMP scores from 32<!--> <!-->±<!--> <!-->7.10 to 35.07<!--> <!-->±<!--> <!-->6.76; <em>p</em> <!-->&lt;<!--> <!-->0.0001), gait (2-MWT distance 73.14<!--> <!-->±<!--> <!-->52.87<!--> <!-->m to 96.57<!--> <!-->±<!--> <!-->60.91<!--> <!-->m; <em>p</em> <!-->=<!--> <!-->0.004), and function (TUG total time from 27.14<!--> <!-->±<!--> <!-->22.68<!--> <!-->s to 16.82<!--> <!-->±<!--> <!-->10.09<!--> <!-->s; <em>p</em> <!-->&lt;<!--> <!-->0.001).</div></div><div><h3>Conclusion</h3><div>This study demonstrated that individuals with lower limb amputees experienced improvements in terms of mobility, functionality and gait after the physical rehabilitation program, however, they did not have significant changes in relation to the distribution of skin temperature between the lower limbs.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100908"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835276","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":"Rehabilitation applied with virtual reality improves functional capacity in post-stroke patients. A systematic review and meta-analysis","authors":"A. Navas-Otero ,&nbsp;A. Canal-Pérez ,&nbsp;J. Martín-Núñez ,&nbsp;A. Ortiz-Rubio ,&nbsp;J. Raya-Benítez ,&nbsp;M.C. Valenza ,&nbsp;I. Cabrera-Martos","doi":"10.1016/j.rh.2025.100907","DOIUrl":"10.1016/j.rh.2025.100907","url":null,"abstract":"<div><div>Virtual reality (VR) is emerging technologies in the field of rehabilitation of post-stroke patients. The aim of this study was to systematically explore the effects of VR rehabilitation program on functional capacity of stroke patients. We conducted a systematic review and meta-analysis. The searches were carried out in the PubMed/Medline, Web of Science, PEDro and OTSeeker to October 2024. Methodological quality was assessed using the Downs and Black scale and the Version 2 of the Cochrane risk-of-bias tool for randomized trials (RoB 2) was used to assess risk of bias. A total of 4 studies met the inclusion criteria. The type of VR intervention varied among studies using Wii Fit, ARMEO Spring 1.1, Rehabilitation Gaming System and ArmAble™. The meta-analysis indicated that the VR group showed statistically significant improvement in functional ability versus control group. The methodological quality mean was moderate quality level. VR interventions seem to be a promising therapeutic system for functional capacity rehabilitation in people with post-stroke.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100907"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847953","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":"Mielitis transversa hemorrágica longitudinalmente extensa secundaria a la vacunación contra la enfermedad por SARS-CoV-2","authors":"M. Caparrós Calle ,&nbsp;A. Montoto Marqués ,&nbsp;N. Gaitán Pérez ,&nbsp;A. Rodríguez Sotillo","doi":"10.1016/j.rh.2025.100906","DOIUrl":"10.1016/j.rh.2025.100906","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100906"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143845154","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":"Long COVID-19: Impact of a personalized rehabilitation program","authors":"J.C. Perrot ,&nbsp;M. Segura ,&nbsp;G. Flotats ,&nbsp;C. Closa ,&nbsp;I. Gich ,&nbsp;C. Garcia ,&nbsp;A. Alba ,&nbsp;M.J. Nadal ,&nbsp;A. Pintor ,&nbsp;J. Terra ,&nbsp;E. Ramirez ,&nbsp;M. Beranuy ,&nbsp;H. Bascuñana ,&nbsp;V. Plaza ,&nbsp;M.R. Güell-Rous","doi":"10.1016/j.rh.2025.100903","DOIUrl":"10.1016/j.rh.2025.100903","url":null,"abstract":"<div><h3>Introduction</h3><div>Several guidelines have proposed specific rehabilitation programs to treat symptoms/sequelae in patients with post-acute COVID syndrome (PACS). Only a few studies show that rehabilitation reduce disability after COVID-19.</div></div><div><h3>Objective</h3><div>To describe the response to a personalized rehabilitation program in terms of exercise tolerance, muscle function, dyspnea, quality of life, and frailty state in a cohort of patients with PACS.</div></div><div><h3>Methods</h3><div>Observational prospective cohort study of community-dwelling patients. The rehabilitation program included three modalities (outpatient, home-based, and self-administered), optionally supplemented with respiratory muscle training. Study variables: 6-minute walking distance (6MWD), inspiratory muscle strength (PI_max), dyspnea, muscle strength (estimated with the Medical Research Council scale and handgrip), health-related quality of life (HRQoL), and frailty estimated with the Short Physical Performance Battery (SPPB) and at 3- and 6-months following baseline.</div></div><div><h3>Results</h3><div>Of 178 patients with PACS, 101 (56.7%) were enrolled in a rehabilitation program: 41.6% home-based, 27.7% outpatient, and 24.8% self-administered. Inspiratory muscle training (IMT) was provided to 56 patients, with 50 included in the rehabilitation program and 6 (5.9%) receiving IMT alone. Significant improvements were observed at 3 months in mMRC strength (<em>p</em> <!-->=<!--> <!-->0.001), SPPB (<em>p</em> <!-->&lt;<!--> <!-->0.0001), handgrip strength (<em>p</em> <!-->=<!--> <!-->0.017), mMRC dyspnea, PI_max (<em>p</em> <!-->&lt;<!--> <!-->0.0001), and 6-MWD (<em>p</em> <!-->=<!--> <!-->0.008). Improvements persisted at 6 months for mMRC strength (<em>p</em> <!-->=<!--> <!-->0.048), SPPB (<em>p</em> <!-->=<!--> <!-->0.002), PI_max (<em>p</em> <!-->&lt;<!--> <!-->0.0001), and 6MWD (<em>p</em> <!-->=<!--> <!-->0.048). HRQoL mental and physical component scores improved only at 3 months.</div></div><div><h3>Conclusions</h3><div>Personalized rehabilitation for patients with PACS improved muscle parameters, dyspnoea, and exercise capacity, but not HRQoL, up to 6 months. Improvements in respiratory muscle strength were associated with reductions in dyspnoea and increased exercise capacity.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100903"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143716038","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":"Neck of femur fractures in children, a challenging and unfrequent injury","authors":"E.J. Frutos-Reoyo ,&nbsp;I. Aguado-Maestro ,&nbsp;A.M. González-Rebollo","doi":"10.1016/j.rh.2025.100902","DOIUrl":"10.1016/j.rh.2025.100902","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100902"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697198","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":"Beneficios de un programa de rehabilitación pulmonar para pacientes con COVID persistente: impacto de la gravedad inicial, tiempo de evolución y forma de presentación en los resultados clínicos","authors":"C. Rodríguez-Hernández ,&nbsp;A. Guillén-Solà ,&nbsp;Y.G. Curbelo ,&nbsp;R. Boza ,&nbsp;C. Acuña-Pardo ,&nbsp;M. Tejero-Sánchez","doi":"10.1016/j.rh.2025.100900","DOIUrl":"10.1016/j.rh.2025.100900","url":null,"abstract":"<div><h3>Introduction</h3><div>Two-thirds of patients infected with SARS-CoV-2 experience persistent symptoms after infection.</div></div><div><h3>Objectives</h3><div>To study the benefits of a respiratory rehabilitation program (RRP) in patients with long COVID and compare the results based on the time of evolution and clinical presentation.</div></div><div><h3>Methods</h3><div>Post-hoc analysis of a prospective cohort of patients with long COVID. Changes were evaluated using the modified Medical Research Council (mMRC) dyspnea scale, the 6-minute walk test (6MWT), maximal inspiratory and expiratory pressures (maxIP and maxEP), and peripheral muscle strength. Statistical tests used: Chi-square, paired and independent t-Student tests, one-way ANOVA, and a general linear model.</div></div><div><h3>Results</h3><div>Out of 158 patients referred to rehabilitation, 110 (mean age 58.1<!--> <!-->years; 57.3% women) started the RRP. After the intervention, significant improvements were observed: a reduction of 0.8 points (95%<!--> <span>C</span>I<span>:</span> −1.1 to −0.6) on the mMRC dyspnea scale, an increase of 19.6<!--> <!-->m (95%<!--> <!-->CI: −0.8 to 39.9) in the 6MWT, 16.8<!--> <!-->cmH₂O (95%<!--> <!-->CI: 10.3 to 23.2) in maxIP, 22.5<!--> <!-->cmH₂O (95%<!--> <!-->CI: 15.3 to 29.7) in maxEP, and 5.0<!--> <!-->kg (95%<!--> <!-->CI: 3.3 to 6.7) in quadriceps strength. Although these improvements were independent of infection onset and disease duration, patients from the first wave showed more modest improvements.</div></div><div><h3>Conclusions</h3><div>The RRP provides clinical and functional benefits for patients with long COVID, regardless of disease duration and initial severity of infection.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100900"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680994","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 use of the Western Ontario Rotator Cuff Index to assess effectiveness of physical therapy on rotator cuff injuries: A systematic review","authors":"N. Kaur Aulakh ,&nbsp;N. Sharma ,&nbsp;G. Singh ,&nbsp;S. Kaur","doi":"10.1016/j.rh.2025.100901","DOIUrl":"10.1016/j.rh.2025.100901","url":null,"abstract":"<div><div>The Western Ontario Rotator Cuff Index (WORC) is a self-administered questionnaire designed to assess quality of life in patients with rotator cuff injuries. This systematic review aims to evaluate the effectiveness of exercise-based interventions using WORC as an outcome measure in patients with rotator cuff injuries. A comprehensive search was conducted in PubMed, Cochrane Library, EMBASE, Ovid MEDLINE, and PEDro from inception until August 2024. Out of 13 potentially eligible studies, five studies (218 patients) met the inclusion criteria and were included in the review. Various rehabilitation interventions, such as exercise therapy, neuromuscular training, kinesiotaping, and proprioceptive exercises, showed significant improvements in pain relief, shoulder function, and quality of life. These findings suggest that the WORC index is a reliable tool for assessing pain and quality of life in patients with rotator cuff injuries.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100901"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680995","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":"Tendinopatía calcificada. Nuevos desafíos","authors":"J. Formigo-Couceiro ,&nbsp;F.J. Juan-García ,&nbsp;J.M. Climent-Barberá ,&nbsp;I. Iriarte-Posse","doi":"10.1016/j.rh.2025.100895","DOIUrl":"10.1016/j.rh.2025.100895","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100895"},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143552377","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}