Rehabilitacion最新文献_第4页

The effect of ultrasound-guided botulinum toxin injections on pain, functionality, spasticity, and range of motion in patients with post-stroke upper extremity spasticity 超声引导下肉毒毒素注射对中风后上肢痉挛患者疼痛、功能、痉挛和活动范围的影响。

Rehabilitacion Pub Date : 2025-01-01 DOI: 10.1016/j.rh.2024.100876

G. Çelebi , A. Ayyildiz , S. Çiftci Inceoğlu , B. Kuran

{"title":"The effect of ultrasound-guided botulinum toxin injections on pain, functionality, spasticity, and range of motion in patients with post-stroke upper extremity spasticity","authors":"G. Çelebi , A. Ayyildiz , S. Çiftci Inceoğlu , B. Kuran","doi":"10.1016/j.rh.2024.100876","DOIUrl":"10.1016/j.rh.2024.100876","url":null,"abstract":"<div><h3>Objective</h3><div>Spasticity developing in the upper extremity in stroke patients causes disability by limiting movement and causing pain. This study investigates the effects of botulinum toxin injections on pain, functionality, spasticity, and range of motion in hemiplegic patients with post-stroke spasticity.</div></div><div><h3>Materials and methods</h3><div>The study involved a double-blind, prospective, randomized controlled trial with thirty-one stroke patients aged 35–80 who developed upper extremity spasticity. The study group (<em>n</em>  =15) received placebo injections. Evaluations were conducted before treatment, in the second week, and three months after treatment. The study evaluated pain relief through the Visual Analog Scale (VAS), assessed spasticity with the Modified Ashworth Scale (MAS), and measured functionality using the Fugl Meyer Assessment Scale (FMAS) and the Box Block Test (BBT).</div></div><div><h3>Results</h3><div>The mean age of patients was 56.03±11.81. The median time after stroke was 24 months. The BT-A group demonstrated significantly lower VAS and MAS scores compared to controls at both 2 weeks and 3 months after treatment. Additionally, the BT-A group showed significantly higher changes in arm, wrist, and total FMAS scores compared to the control group. However, no significant difference was found in terms of hand, coordination, and speed FMAS score changes.</div></div><div><h3>Conclusions</h3><div>The results of our study demonstrated that BT-A injection with ultrasonography guidance is an effective method for alleviating pain caused by passive shoulder movement, significantly reducing spasticity, and markedly improving motor functions.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100876"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956520","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

Exploring the efficacy of neural mobilization and electromyographic analysis in enhancing post-stroke rehabilitation: A scoping review 探讨神经动员和肌电图分析在增强脑卒中后康复中的功效：一项范围综述。

Rehabilitacion Pub Date : 2025-01-01 DOI: 10.1016/j.rh.2025.100889

R. Tedeschi

{"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}

引用次数: 0

Escala de estado funcional post-COVID-19: concordancia entre la versión administrada por evaluador versus autoevaluada en pacientes con síndrome post-COVID-19 [covid -19后功能状态量表：评估者给药版本与自评版本在covid -19后综合征患者中的一致性]。

Rehabilitacion Pub Date : 2025-01-01 DOI: 10.1016/j.rh.2024.100878

J. Betancourt-Peña , J. Rodriguez-Castro , V. Perez-Hortua , J.C. Ávila-Valencia , V. Benavides-Córdoba

{"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 , J. Rodriguez-Castro , V. Perez-Hortua , J.C. Ávila-Valencia , 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}

引用次数: 0

Enhancing cardiac rehabilitation through storytelling: A necessary but challenging approach. Author's reply 通过讲故事促进心脏康复：一个必要但具有挑战性的方法。作者的回复

Rehabilitacion Pub Date : 2025-01-01 DOI: 10.1016/j.rh.2025.100894

R. Tedeschi

引用次数: 0

Gestión de lista de espera en situaciones complejas: agenda dinámica flexible autogestionada 复杂情况下的等候名单管理：自我管理的灵活动态日程安排

Rehabilitacion Pub Date : 2025-01-01 DOI: 10.1016/j.rh.2024.100877

X. Miguéns Vázquez, M. Yebra Martínez, A. López Vázquez, C. Salgado Salgado

引用次数: 0

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 应用EWGSOP2的F-A-C-S通路诊断慢性阻塞性肺疾病患者肌肉减少症的挑战：一项诊断准确性研究

Rehabilitacion Pub Date : 2025-01-01 DOI: 10.1016/j.rh.2024.100879

P. Hoz-San Bartolomé , C. Rodríguez-Hernández , Y.G. Curbelo , C. Ramírez-Fuentes , O. Vázquez-Ibar , D. Sanchez-Rodriguez , M. Tejero-Sánchez

{"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 , C. Rodríguez-Hernández , Y.G. Curbelo , C. Ramírez-Fuentes , O. Vázquez-Ibar , D. Sanchez-Rodriguez , 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 30.3kg in men and quadriceps maximal voluntary isometric contraction (Q-MVIC) at 17.3kg 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 30.3kg, and in women, Q-MVIC determination showed better performance for sarcopenia diagnosis, with a cutoff point of 17.3kg.</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}

引用次数: 0

Storytelling como estrategia para optimizar los programas de rehabilitación cardíaca 讲故事作为优化心脏康复计划的策略

Rehabilitacion Pub Date : 2025-01-01 DOI: 10.1016/j.rh.2025.100892

J.M. de la Lama Rincón , N. Verseci

引用次数: 0

Evidencia de los programas de entrenamiento de musculatura de suelo pélvico preprostatectomía en cuanto a los resultados de continencia urinaria tras la cirugía [来自前列腺切除术前盆底肌肉训练计划对术后尿失禁结果的证据]。

Rehabilitacion Pub Date : 2025-01-01 DOI: 10.1016/j.rh.2025.100888

M. Peña García, M. Pérez Cuesta Llaneras, M. Ramírez Ortega, C. Urbaneja Dorado

引用次数: 0

Hoja de ruta de Rehabilitación 2025-2030 [康复路线图2025-2030]。

Rehabilitacion Pub Date : 2025-01-01 DOI: 10.1016/j.rh.2025.100890

E. Marco , J. Chaler-Vilaseca , J. Alfonso Andrade , M. Avellanet , E. Bárbara , R. Coll-Fernández , M.J. Durà , A. Fernández-Bravo , A.M. Gómez-González , E. López Dolado , L.H. Lugo , D. Meza-Valderrama , X. Miguens , E. Pujol-Medina , M.J. Rodríguez-Bonache , R. Secundini , M. Valdés , B. Villamayor

引用次数: 0

Recomendaciones para el tratamiento intervencionista de la gonartrosis: consenso de expertos y algoritmos 关节病介入治疗临床指南：共识与算法。

Rehabilitacion Pub Date : 2025-01-01 DOI: 10.1016/j.rh.2024.100880

J. Formigo-Couceiro , J. Castillo-Martín , C. Cordero-García , A. Fernández-Bravo Rueda , B. Samitier-Pastor , A.P. Soriano-Guillén

引用次数: 0