Rehabilitacion最新文献

{"title":"Radiofrecuencia pulsada y térmica ecoguiadas en paciente con dolor neuropático tras artroplastia total de tobillo: caso clínico","authors":"M. Esteban Vado,&nbsp;M. Abdelkader Azirar,&nbsp;M.B. Martínez Luna,&nbsp;C. Pascual Fidalgo","doi":"10.1016/j.rh.2026.100991","DOIUrl":"10.1016/j.rh.2026.100991","url":null,"abstract":"<div><div>Radiofrequency ablation (RF), in its pulsed and thermal modalities, is a minimally invasive technique for managing refractory chronic neuropathic pain. We present the case of a 60-year-old woman with persistent pain in her left ankle following avascular necrosis of the talus treated with total ankle arthroplasty. This surgical intervention can lead to complications such as postoperative neuropathic pain, with an incidence that can vary between 10% and 20%. Despite physiotherapy and electrotherapy, she maintained a VAS score of 8 and a DN4 score of 7. A diagnostic block of the superficial peroneal and sural nerves provided temporary relief, so pulsed RF (65<!--> <!-->V, 4<!--> <!-->min) was performed on the superficial peroneal nerve and thermal RF (80<!--> <!-->°C, 90<!--> <!-->s) on the sural nerve, both under ultrasound guidance. Subsequently, both nerves were infiltrated with 1<!--> <!-->cc of betamethasone, 2<!--> <!-->cc of mepivacaine, and 2<!--> <!-->cc of saline solution to prevent pain after the procedure. At two weeks, the patient presented with a resting VAS score of<!--> <!-->0, an active VAS score of<!--> <!-->3, and a DN4 score of<!--> <!-->2, with sustained improvement at one month and 6<!--> <!-->months, with increased functionality. This case suggests the value of RF as a safe and effective alternative for postoperative neuropathic pain resistant to conventional therapies. The objective is to present a representative case of the interventional management of neuropathic pain using radiofrequency, with emphasis on patient selection, technique, highlighting safety considerations and reviewing the available evidence.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 2","pages":"Article 100991"},"PeriodicalIF":0.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151631","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":"Inflamación de bajo grado en las patologías musculoesqueléticas: bases biológicas y papel del PRGF","authors":"E. Anitua ,&nbsp;M. Sánchez ,&nbsp;V. Vaquerizo ,&nbsp;J. Azofra ,&nbsp;A. Ríos ,&nbsp;N. Fiz ,&nbsp;R. Elorriaga ,&nbsp;R. Seijas ,&nbsp;V. Galán ,&nbsp;F. Angulo ,&nbsp;J. Guadilla ,&nbsp;R. Prado ,&nbsp;R. Cugat ,&nbsp;S. Padilla","doi":"10.1016/j.rh.2026.100977","DOIUrl":"10.1016/j.rh.2026.100977","url":null,"abstract":"<div><div>Chronic low-intensity inflammation is emerging as a potential key mechanism in diseases that were previously considered degenerative, such as tendinopathies, osteoarthritis and intervertebral disc disease. This new approach recognises the role of structures such as the subchondral bone in knee osteoarthritis and the vertebral endplate in disc disease. In this sterile inflammatory context, plasma rich in growth factors (PRGF) a specific type of platelet-rich plasma (PRP) without leucocytes and activated with calcium chloride, has emerged as a promising therapy that exhibits reparative, anti-inflammatory, immunomodulatory, analgesic and antifibrotic properties yet with varied clinical outcomes due to specific patient's physiopathology, product variability and different protocols of application. Its action is based on the regenerative potential of several proteins stemmed from platelets, plasma biomolecules, as well as the fibrin matrix, which acts as a dynamic biological system. Several <em>in vitro</em> and <em>in vivo</em> studies associate the analgesic effect of PRPs with the inhibition of the NF-κB pathway in damaged cells, and the presence of endocannabinoids, which reduce nociceptor excitability, with anti-apoptotic and trophic effects at the tissue level. However, variability in PRP preparation and application methods, as well as patient-specific factors, makes it difficult to compare the large heterogeneous clinical outcomes stemmed from the myriad PRP preparation methods and the varied modalities for their application. This review is focused on analysing the latest clinical evidence on PRGF in the treatment of chronic low-intensity inflammation of musculoskeletal disorders, its role in reducing chronic pain, and the limitations of this type of biological therapy.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 2","pages":"Article 100977"},"PeriodicalIF":0.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724262","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":"El papel de la ecografía y las nuevas tecnologías en el diagnóstico de la sarcopenia: hacia la creación de unidades transdisciplinares","authors":"P. Hoz-San Bartolome ,&nbsp;Y. Curbelo-Peña ,&nbsp;M. Tejero-Sánchez","doi":"10.1016/j.rh.2026.100985","DOIUrl":"10.1016/j.rh.2026.100985","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 2","pages":"Article 100985"},"PeriodicalIF":0.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976120","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":"Musculoskeletal symptoms documented during long-term follow-up in patients with total hip arthroplasty: Clinical observations from a cohort study","authors":"F.J. Gallego-Peñalver ,&nbsp;J. Pérez-Arnal ,&nbsp;S.B. Romero-de-la-Higuera ,&nbsp;E.M. Gómez-Trullén","doi":"10.1016/j.rh.2026.100976","DOIUrl":"10.1016/j.rh.2026.100976","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 2","pages":"Article 100976"},"PeriodicalIF":0.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655104","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":"Effectiveness and safety of pulsed versus thermal radiofrequency in the treatment of Morton's disease","authors":"J. de Nicolás Gutiérrez ,&nbsp;C. Moros Cristóbal ,&nbsp;F. Galiana Calero ,&nbsp;A. Galván Ruiz","doi":"10.1016/j.rh.2026.100979","DOIUrl":"10.1016/j.rh.2026.100979","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the effectiveness and safety of pulsed radiofrequency (PRF) versus thermal radiofrequency (TRF) in treating patients with Morton's neuroma (MN).</div></div><div><h3>Patients</h3><div>Twelve patients diagnosed with symptomatic Morton's neuroma unresponsive to conservative management, randomized into two equal groups (TRF vs PRF).</div></div><div><h3>Materials and methods</h3><div>All patients underwent ultrasound-guided radiofrequency treatment. The TRF group received continuous radiofrequency at 82<!--> <!-->°C (2<!--> <!-->×<!--> <!-->45<!--> <!-->s), and the PRF group received pulsed radiofrequency at 42<!--> <!-->°C for 300<!--> <!-->s. Pain (VAS), function (MOXFQ), walking/footwear limitations, satisfaction, and adverse effects were assessed at 3 weeks, 2 months, and 1year post-treatment.</div></div><div><h3>Results</h3><div>Both TRF and PRF significantly reduced pain and improved function. TRF showed superior improvement at 3 weeks (VAS <em>p</em> <!-->=<!--> <!-->0.013 and MOXFQ <em>p</em> <!-->=<!--> <!-->0.019), but no significant differences were found at 1 year. Both techniques were equally safe, with no adverse events. Patient satisfaction was slightly higher in the PRF group.</div></div><div><h3>Conclusion</h3><div>We present unprecedented results in current scientific evidence. TRF and PRF are both effective and safe options for treating Morton's neuroma. TRF provides earlier and greater relief, while PRF offers a more comfortable alternative. Further research with larger sample sizes is needed to confirm these findings.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 2","pages":"Article 100979"},"PeriodicalIF":0.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147747303","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":"Prevalence of poor functional capacity in patients undergoing prehabilitation before major surgery: A systematic review and meta-analysis","authors":"D. Peñaherrera-Vásquez ,&nbsp;A. Heredia-Tituaña ,&nbsp;J. Rivadeneira ,&nbsp;T. Fajardo-Loaiza ,&nbsp;L. Fuenmayor-González","doi":"10.1016/j.rh.2026.100982","DOIUrl":"10.1016/j.rh.2026.100982","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Prehabilitation aims to enhance physiological reserve prior to major surgery; however, the proportion of patients with impaired functional capacity who actually receive these interventions remains unclear. Identifying this subgroup is crucial, as patients with reduced functional capacity are those most likely to benefit from prehabilitation. This systematic review and meta-analysis aimed to estimate the prevalence of poor functional capacity among adult patients undergoing prehabilitation before major surgery.</div></div><div><h3>Patients or Materials and methods</h3><div>A systematic review was conducted according to PRISMA 2020 guidelines and was prospectively registered in PROSPERO (CRD420251026613). MEDLINE, Embase, Scopus, Web of Science, SciELO, and Biblioteca Virtual de Salud were searched from inception to September 2025. Studies including adults undergoing prehabilitation prior to major surgery with reported functional capacity data were eligible. Risk of bias was assessed using the Joanna Briggs Institute checklist for prevalence studies. A random-effects meta-analysis was performed to estimate pooled prevalence, with heterogeneity explored through subgroup, sensitivity, and meta-regression analyses.</div></div><div><h3>Results</h3><div>Seven studies comprising 306 participants were included. Functional capacity was assessed with cardiopulmonary exercise testing in four studies and the six-minute walk test in three. The pooled prevalence of poor functional capacity among patients undergoing prehabilitation was 36% (95% CI: 27–46%), with substantial heterogeneity (<em>I</em>² <!-->=<!--> <!-->63%). A higher prevalence was observed in patients undergoing oncological surgery (41%; 95% CI: 30–53%) than in those undergoing non-oncological surgery (23%; 95% CI: 13–35%). Sensitivity analyses confirmed the robustness of the findings.</div></div><div><h3>Conclusions</h3><div>More than one-third of patients receiving prehabilitation before major surgery have poor functional capacity, though considerable variability exists across studies. Standardized, systematic assessment of functional capacity may improve identification of high-risk patients and optimize the targeting and effectiveness of prehabilitation programs in perioperative care.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 2","pages":"Article 100982"},"PeriodicalIF":0.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934205","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":"Effectiveness of elastic resistance training in frail older adults on muscle strength and functionality levels: A systematic review","authors":"A. Puelles-Diaz ,&nbsp;N. Bousellet-Laflor ,&nbsp;S. Pizarro-Torres ,&nbsp;J. Grau-Riveros ,&nbsp;J. González-Aroca","doi":"10.1016/j.rh.2026.100961","DOIUrl":"10.1016/j.rh.2026.100961","url":null,"abstract":"<div><h3>Introduction</h3><div>Frailty in older adults is a clinical syndrome that significantly affects independence and quality of life. Resistance training with elastic bands has been proposed as a low-cost intervention to improve physical function in this population.</div></div><div><h3>Objective</h3><div>To evaluate the best available evidence on the effectiveness of elastic band training in frail older adults for improving muscle strength, physical performance, and overall functionality.</div></div><div><h3>Methods</h3><div>A systematic review was conducted following PRISMA guidelines and registered in PROSPERO (CRD42024582352). Four randomized controlled trials were included, comprising 148 frail participants aged 65 years or older. The interventions lasted between 12 and 28 weeks and included exercises with elastic bands, with or without nutritional education. The outcomes assessed included functionality, frailty status, muscle strength, physical fitness, cognition, quality of life, and endurance.</div></div><div><h3>Results</h3><div>Significant improvements were observed in functionality, handgrip strength, and lower-limb strength, particularly in programs with progressive intensity and longer duration. Combined interventions (exercise plus nutritional education) showed a greater impact in reducing frailty levels. However, no significant changes were observed in autonomy. The risk of bias was high in three studies, mainly due to insufficient reporting of randomization procedures and missing outcome data.</div></div><div><h3>Conclusions</h3><div>Elastic band training appears to be a safe, affordable, and feasible intervention to improve physical outcomes in frail older adults. These findings support its implementation in community and institutional settings, although further research with long-term follow-up and improved methodological quality is needed.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100961"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147395245","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":"Evolución de la incidencia de amputaciones en España desde 2016 hasta 2023","authors":"E. Santiago Mosquera ,&nbsp;M.E. Mosquera Losada ,&nbsp;M.D. Dapía Conde ,&nbsp;J.M. Faílde Garrido","doi":"10.1016/j.rh.2026.100964","DOIUrl":"10.1016/j.rh.2026.100964","url":null,"abstract":"<div><h3>Introduction</h3><div>Amputations represent a public health problem due to their functional, psychological, and social impact. In Spain, recent information on their incidence is limited, which makes it difficult to quantify the phenomenon and plan prevention strategies.</div></div><div><h3>Objective</h3><div>To analyse the evolution of the incidence of amputations in Spain between 2016 and 2023, describing their sociodemographic characteristics and the associated in-hospital mortality.</div></div><div><h3>Method</h3><div>Observational, descriptive and analytical study based on an analysis of annual aggregated trends, with cross-sectional data for each year. Amputation data were obtained from the Spanish <em>Conjunto Mínimo Básico de Datos</em> (Minimum Basic Data Set) hospital records, and population estimates from the Spanish <em>Instituto Nacional de Estadística</em> (National Statistics Institute). Temporal trends were evaluated using Spearman's rank correlation coefficient.</div></div><div><h3>Results</h3><div>Between 2016 and 2023, amputations increased by 42%, with more than 80% involving lower limbs. Minor amputations increased by 54%, compared with 13.7% for major amputations. Amputations were more frequent in men (3.7 for every woman in 2023), although in-hospital mortality was higher in women. Incidence increased with age, particularly among those over 65 years. Galicia, Cantabria and Asturias showed the highest rates, while Galicia and Murcia showed significant increases in their temporal evolution.</div></div><div><h3>Conclusions</h3><div>The incidence of amputations in Spain has increased substantially, especially minor amputations of the lower limbs. Sex, age and territory are related to their frequency, highlighting the need to strengthen prevention and to optimise healthcare planning in the most vulnerable groups.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100964"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229085","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":"Fracturas múltiples por fragilidad tras fractura de cadera: lecciones de un abordaje multidisciplinar rehabilitador","authors":"C. Cid-Bassaletti ,&nbsp;A.M. Andrés Toribio ,&nbsp;R. Costa Segovia","doi":"10.1016/j.rh.2026.100966","DOIUrl":"10.1016/j.rh.2026.100966","url":null,"abstract":"<div><div>A 58-year-old woman presented with multiple fragility fractures nine months after a a pertrochanteric hip fracture in the context of severe osteoporosis. Despite initial treatment with alendronate, calcium and cholecalciferol, she presented new pelvic and vertebral fractures, associated with persistently low vitamin D levels related to irregular treatment adherence. From premorbid functional independence, she developed severe disability, with loss of autonomous ambulation and dependence for basic activities of daily living. A multidisciplinary approach, focused on optimization of pharmacological treatment together with a structured rehabilitation programme, facilitated progressive functional recovery. This case highlights three key lessons: the role of hip fracture as a sentinel event, the importance of correcting vitamin D deficiency, and the value of coordinated multidisciplinary care in the comprehensive management of patients with severe osteoporosis.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100966"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229061","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":"Assessing physical activity and sedentary behavior via IPAQ against accelerometer data in a vulnerable population: Validity and reliability study","authors":"M.M. Zica ,&nbsp;A. Pontes-Silva ,&nbsp;F.R.P. Quaresma ,&nbsp;E.S. Maciel","doi":"10.1016/j.rh.2025.100944","DOIUrl":"10.1016/j.rh.2025.100944","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100944"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145580126","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}