Rehabilitacion最新文献

{"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}

{"title":"Diferencias clínicas y pronósticas de la enfermedad pulmonar obstructiva crónica en mujeres derivadas a rehabilitación respiratoria: una visión con enfoque de género","authors":"C. Acuña-Pardo ,&nbsp;V. Dávalos-Yerovi ,&nbsp;C. Ramírez-Fuentes ,&nbsp;Y.G. Curbelo-Peña ,&nbsp;C. Rodriguez-Hernandez ,&nbsp;M. Tejero-Sánchez","doi":"10.1016/j.rh.2024.100871","DOIUrl":"10.1016/j.rh.2024.100871","url":null,"abstract":"<div><h3>Introduction</h3><div>Respiratory rehabilitation programmes improve clinical and functional outcomes in patients with chronic obstructive pulmonary disease (COPD), but it is unknown whether their impact differs between men and women.</div></div><div><h3>Objectives</h3><div>To assess possible sex differences in semiology, comorbidities and prognosis in COPD patients referred to respiratory rehabilitation.</div></div><div><h3>Material and methods</h3><div>Post-hoc analysis of a prospective cohort of COPD patients referred to rehabilitation from December 2012 to January 2020. Mortality and hospitalisations adjusted for sex, age, severity and body mass index were assessed. Statistical tests used: Chi-square, Student's <em>t</em>, linear regression model and Kaplan-Meier survival curve.</div></div><div><h3>Results</h3><div>Of 173 patients (age 66.6 years; 70% severe COPD), there were 36 (20.8%) women. Compared to men, women were younger (–4.8 years [95% <span>C</span>I 1.5-8.0; <em>P</em>=.004]) and reported greater dyspnoea on the modified Medical Research Council scale (+0.4 points [95% CI 0.1-0.9; <em>P</em>=.026]). During follow-up, 21 (12.2%) patients died and 79 (45.9%) required ≥2 hospital admissions, with no significant differences between sexes. Despite having lower comorbidity (–0.8 Charlson index points [95% CI –1.3 to –0.3, <em>P</em>=.004]), women had a higher prevalence of depression (53.6% vs. 22.7%, <em>P</em>=.001) and anxiety (37% vs 16.7%, <em>P</em>=.020) than men.</div></div><div><h3>Conclusions</h3><div>Prognosis in terms of mortality and hospital admissions is not different between men and women. Women have a higher degree of dyspnoea and less comorbidity than men, although the prevalence of anxiety and depression is higher.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100871"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606648","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 de No hacer en rehabilitación y medicina física desde distintos ámbitos de intervención","authors":"C. Colomer Font ,&nbsp;M.J. Lillo Gonzalez ,&nbsp;L. Lopez de Munain Marques ,&nbsp;J. Formigo Couceiro ,&nbsp;M.E. Martínez Rodríguez ,&nbsp;B. Alonso Álvarez ,&nbsp;M.P. Sanz Ayán ,&nbsp;M.E. Santandreu Jimenez ,&nbsp;R. Martin Mourelle ,&nbsp;V. Pujol Blaya ,&nbsp;C. de Miguel Benadiba ,&nbsp;P. Sanchez Tarifa ,&nbsp;H. Bascuñana Ambrós","doi":"10.1016/j.rh.2024.100870","DOIUrl":"10.1016/j.rh.2024.100870","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>Certain medical practices, both diagnostic and therapeutic, that have not been proven to be effective and do not add value to healthcare, are not uncommon. The aim of this document is to provide a list of «Not to do» recommendations in the medical specialty of Physical Medicine and Rehabilitation.</div></div><div><h3>Material and method</h3><div>For the development of this project, which is coordinated by the <em>Vocalía de Sociedades Filiales, Sociedades Autonómicas y Grupos de Trabajo de la Sociedad Española de Rehabilitación</em> (SERMEF), specific recommendations are requested from <em>Grupos de Trabajo</em> and <em>Sociedades Filiales</em> of each specific field of Physical Medicine and Rehabilitation, as experts in the corresponding intervention areas. A maximum of three recommendations per sub-specialty area are selected.</div></div><div><h3>Results</h3><div>Recommendations «Not to do» are collected from SENR/SERDACE/NRN <em>(Sociedad Española de Neurorrehabilitación/Sociedad Española de Rehabilitación en Daño Cerebral/Grupo de Trabajo Neurorrehabilitación Norte)</em>, SORECAR <em>(Sociedad Española de Rehabilitación Cardiorrespiratoria)</em>, ArtroReha <em>(Grupo de Trabajo de Rehabilitación en Artrosis)</em>, GTRVEST <em>(Grupo de Trabajo de Rehabilitación Vestibular)</em>, GTLINF <em>(Grupo de Trabajo de Rehabilitación de Linfedema)</em>, GTRO <em>(Grupo de Trabajo de Rehabilitación en Osteoporosis)</em>, Rehabilitación Parálisis Facial. Out of a total of 35 recommendations, supported by scientific evidence and medical experience, 18 have been selected. The selection criteria are based on the relevance, pragmatism and specificity of the recommendations. Each recommendation is accompanied by a text that clarifies and/or develops the statement.</div></div><div><h3>Conclusions</h3><div>This project includes a series of recommendations, by expert rehabilitation physicians, of actions not to be performed while delivering medical assistance. SERMEF offers a list of recommendations «Not to do in Rehabilitation and Physical Medicine», supported by scientific evidence and clinical experience.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100870"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548158","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: cambio de etapa e inicio de una nueva era","authors":"J. Chaler","doi":"10.1016/j.rh.2024.100869","DOIUrl":"10.1016/j.rh.2024.100869","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100869"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378421","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":"Adaptación transcultural de la escala «sistema de evaluación del equilibrio» (Mini-BESTest) en pacientes con accidente cerebrovascular","authors":"M.D. Maldonado ,&nbsp;V. Abud ,&nbsp;M.T. García","doi":"10.1016/j.rh.2024.100868","DOIUrl":"10.1016/j.rh.2024.100868","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study is to adapt cross-culturally to Chilean Spanish the assessment scale “Balance Assessment Systems (Mini-BESTest)” so that it can be applied to patients with stroke. Since stroke is a syndrome that compromises the patient's balance, an essential ability to perform activities of daily living safely, the study of different alternatives to improve the living conditions of patients is considered essential.</div></div><div><h3>Materials and methods</h3><div>Observational, descriptive, cross-sectional study. The process consisted of six stages: direct translation, translation synthesis, back translation, author approval, pre-test, and final consensus. In the pretest, the adapted scale was applied to a sample of stroke patients receiving rehabilitation therapy, who were able to stand up on their own, walk, and follow simple instructions.</div></div><div><h3>Results</h3><div>The process of cross-cultural adaptation to Chilean Spanish of the Mini-BESTest evaluation scale was satisfactorily completed. Interrater reliability obtained percentages of agreement greater than 92% and all were statistically significant, which suggests an excellent level of agreement. There was a trend for subacute patients to require a greater repetition of the command.</div></div><div><h3>Conclusions</h3><div>Mini-BESTest shows an excellent level of agreement among physiotherapists. These findings offer the possibility of continuing with the validation process of the scale. It is suggested to repeat the instructions to patients with subacute stroke.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100868"},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142326904","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":"From confusion to clarity: Strategies for effective communication in skeletal muscle rehabilitation","authors":"R. Tedeschi","doi":"10.1016/j.rh.2024.100867","DOIUrl":"10.1016/j.rh.2024.100867","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100867"},"PeriodicalIF":0.0,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142311572","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":"Diabetes mellitus doble. Doble desafío para la prescripción de ejercicio. Revisión sistemática","authors":"L.M. Trujillo ,&nbsp;A. von Oetinger","doi":"10.1016/j.rh.2024.100866","DOIUrl":"10.1016/j.rh.2024.100866","url":null,"abstract":"<div><p>Double diabetes (DD) refers to patients with type 1 diabetes who have developed insulin resistance. The objective of this review is to update relevant information on the prescription of physical activity, pharmacological adjustments and consumption of carbohydrates in DD. A systematic search for scientific articles was carried out in the following databases: PubMed, Cochrane, EBSCO, WoS, ScienceDirect and Medline. The evidence analyzed shows that both physical activity (PA) and physical exercise (PE) are essential to achieve metabolic control in people with DD. Physiological considerations such as: insulin adjustments, insulin injection sites, time to perform PA and PE, absolute and relative contraindications are essential to avoid complications, especially hypoglycemia.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100866"},"PeriodicalIF":0.0,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141978064","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}