Rehabilitacion最新文献

{"title":"Marcha nórdica: herramienta de salud en la rehabilitación postrasplante pulmonar","authors":"A. Gómez-Garrido , A.I. Mayer-Frutos , R. Roca-Escrihuela , O. Gásquez-Aguilar , V. Dávalos-Yerovi","doi":"10.1016/j.rh.2025.100954","DOIUrl":"10.1016/j.rh.2025.100954","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100954"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145790547","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":"Valoración de la experiencia del paciente con fisioterapia acuática dentro de un modelo de atención centrada en la persona: estudio observacional pre-post sin grupo de control","authors":"I. López-Zamora ,&nbsp;D. Matz-Rabaneda ,&nbsp;J. Adamuz ,&nbsp;A. Aragonés-Campos ,&nbsp;D. Cámara-Menoyo ,&nbsp;A. Justes-Solé ,&nbsp;A. Masmiquel-Soler ,&nbsp;S. Muñoz-Castro ,&nbsp;I. Campos-Varela","doi":"10.1016/j.rh.2026.100962","DOIUrl":"10.1016/j.rh.2026.100962","url":null,"abstract":"<div><h3>Introduction</h3><div>Aquatic physical therapy (APT) leverages the therapeutic properties of water. Although its use is widespread, there is limited evidence regarding patients’ experiences with this intervention and their perception of care within a person-centered care (PCC) model in the hospital setting.</div></div><div><h3>Objective</h3><div>To evaluate patients’ experiences with APT and determine whether they perceived receiving PCC.</div></div><div><h3>Methods</h3><div>An observational pre-post study without a control group was conducted at a single center between August 2023 and May 2024. A questionnaire was administered, including clinical and sociodemographic variables: age, sex, pain, reason for referral, number of sessions attended, experience with APT and PCC. Descriptive analyses were performed, as well as a post hoc analysis using the Wilcoxon test to compare pain levels before and after treatment.</div></div><div><h3>Results</h3><div>A total of 136 patients participated (mean number of sessions<!--> <!-->=<!--> <!-->14.4; SD<!--> <!-->=<!--> <!-->6.9). Most were referred from Orthopedic Surgery and Traumatology (69.2%), followed by patients with pain syndromes (14.6%), oncology patients (8.1%), neurosurgical patients (4.4%), and neurological patients (3.7%). A significant reduction in pain was observed after the intervention (mean difference −2.01; CI<!--> <!-->95%: −2.42 to −1.60; <em>P</em> <!-->&lt;<!--> <!-->.001; r<!--> <!-->=<!--> <!-->0.678). Between 97.1% and 88.3% reported positive experiences with AP. The average CCRQ-e score was 1.35, reflecting a very favorable perception of PCC.</div></div><div><h3>Conclusion</h3><div>APT was associated with a significant reduction in pain; patients also reported a satisfactory overall experience and indicated that they had received PCC. This study does not allow causal relationships to be established. Controlled, multicenter studies are required to confirm these findings.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100962"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146776817","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":"Eficacia y seguridad del uso de plasma rico en plaquetas y ácido hialurónico en la osteoartritis de rodilla: una revisión sistemática de la literatura","authors":"K.T. González-Sierra ,&nbsp;L.A. Gómez","doi":"10.1016/j.rh.2026.100960","DOIUrl":"10.1016/j.rh.2026.100960","url":null,"abstract":"<div><div>Knee osteoarthritis is one of the leading causes of disability worldwide and represents a major public health concern. Currently, metabolic and inflammatory factors are recognized as pathogenic elements to the extent that osteoarthritis has been redefined as a condition characterized by “low-grade chronic inflammation.” In this context, interest has grown in regenerative medicine therapies such as platelet-rich plasma (PRP) and hyaluronic acid (HA), used either individually or in combination. The aim of this study was to synthesize recent evidence on the efficacy and safety of these interventions in the treatment of knee osteoarthritis. A systematic review of the literature published between 2018 and 2024 was conducted in PubMed, Scopus, and ScienceDirect, using terms related to osteoarthritis, PRP, and HA. Six studies meeting the eligibility criteria were selected. The results showed that PRP provided superior benefits in pain reduction and functional improvement compared with HA, particularly in long-term follow-up. Combined therapy with PRP + HA demonstrated additional advantages in some studies, both in clinical efficacy and safety. Regarding safety, the combination was associated with a lower frequency of adverse events such as hypertension and proteinuria. In conclusion, PRP emerges as a more effective therapeutic option than HA for knee osteoarthritis, while the combination of PRP + HA may offer complementary benefits. However, methodological heterogeneity limits comparisons across studies, underscoring the need for research with larger sample sizes and standardized protocols for PRP preparation and administration.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100960"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221349","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":"Educational actions and group physiotherapy on the risk of falls in the older adults: Clinical trial","authors":"A. Oliveira ,&nbsp;M.M. Alves da Cruz ,&nbsp;G. Batista do Nascimento ,&nbsp;E.F. Baisi Chagas ,&nbsp;D. dos Santos Cutrim Garros ,&nbsp;P.R. Rocha Júnior","doi":"10.1016/j.rh.2025.100957","DOIUrl":"10.1016/j.rh.2025.100957","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The objective was to analyze the effect of educational actions and group physical therapy on the risk of falls in the older adults.</div></div><div><h3>Materials and methods</h3><div>A clinical trial was carried out approximately three months with older adults aged 60 years or older. The participants were randomized into two groups: physiotherapy (GF) and educational actions and physiotherapy (GEF) and all were evaluated before and after the interventions with the instruments: Falls Efficacy Scale (FES), Berg Balance Scale (BERG), Timed Up and Go (TUG), Health Assessment Questionnaire (HAQ) and Falls Risk Awareness Questionnaire (FRAQ-Brazil). Both groups were submitted to physiotherapeutic intervention and the GEF group participated in educational actions. The evaluation team and the statistician remained blinded throughout the study. The statistical analysis used the Chi-square test, mean, standard deviation and median, Box–Cox test, Mann–Whitney, and Wilcoxon. ANOVA with repeated measures was performed followed by Bonferroni's Post-Hoc test. The significance level (<em>α</em>) adopted was 5%.</div></div><div><h3>Results</h3><div>Eighty individuals were invited. Six were excluded, leaving 74 participants, they were randomized and allocated, 37 individuals to each group. A sample loss of 23 participants occurred. The final sample was 51 participants (GF <em>n</em> <!-->=<!--> <!-->25 and GEF <em>n</em> <!-->=<!--> <!-->26). In the Berg performance, there was a significant difference after reevaluation for both groups. In FRAQ and TUG performance there was a significant difference only for the GEF(<em>p</em> <!-->&lt;<!--> <!-->0.05). No effect was verified for the performance of FES and HAQ.</div></div><div><h3>Conclusions</h3><div>The physical therapy intervention is effective in improving balance and the educational approach improves the perception and knowledge about falls and functional mobility capacity.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100957"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976223","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":"Immersive virtual reality as a complementary tool in Achilles tendon rehabilitation: A proposal for sport-specific return","authors":"A. Aldardour ,&nbsp;S. Alna’amneh","doi":"10.1016/j.rh.2025.100947","DOIUrl":"10.1016/j.rh.2025.100947","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100947"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145555427","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":"Diagnóstico y tratamiento del paciente con obesidad: posicionamiento del Grupo de Trabajo de Obesidad y Sarcopenia de la Sociedad Española de Rehabilitación y Medicina Física","authors":"M. Supervía ,&nbsp;E. Sainz de Murieta ,&nbsp;J. Figueroa ,&nbsp;M.O. Arroyo-Riaño ,&nbsp;M.L. López de Munain ,&nbsp;C. de Miguel ,&nbsp;S. Laxe ,&nbsp;E. Marco ,&nbsp;A.B. Morata","doi":"10.1016/j.rh.2026.100968","DOIUrl":"10.1016/j.rh.2026.100968","url":null,"abstract":"<div><div>Obesity is a multifactorial, chronic, and complex disease that increases the risk of medical complications in the short, medium and long term, reducing functional capacity and life expectancy. Its management must be comprehensive, aimed at improving functionality beyond weight loss. Physical Medicine and Rehabilitation (PM&amp;R) plays a central role in the assessment and management of these patients, as obesity affects their overall functioning. Interventions are designed to improve function, quality of life, and prognosis, while reducing the burden of morbidity and mortality. However, most healthcare professionals lack specific training, and existing clinical guidelines rarely address rehabilitation interventions. Developing evidence-based recommendations for the rehabilitative management of overweight and obesity can optimize care and health outcomes. PM&amp;R specialists should actively participate in managing these patients through a personalized therapeutic plan derived from a thorough comprehensive assessment. This plan includes individualized exercise prescriptions, pharmacotherapy, nutritional intervention, and psychological support, with continuous monitoring of progress throughout the care process.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100968"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318642","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":"La importancia de tener un buen comité científico: rigor y transparencia","authors":"S. Laxe ,&nbsp;J. Sánchez-Raya ,&nbsp;J. Chaler ,&nbsp;E. Marco","doi":"10.1016/j.rh.2026.100965","DOIUrl":"10.1016/j.rh.2026.100965","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100965"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229073","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":"Shoulder characteristics in para athletes: A comparative analysis of range of motion, posture, and muscle function","authors":"G.J.B. Sanchis ,&nbsp;R.A. Resende ,&nbsp;P.F.F. Martins ,&nbsp;M.T. de Mello ,&nbsp;J.M. Ocarino ,&nbsp;Y.A. Mohmara ,&nbsp;A. Silva","doi":"10.1016/j.rh.2026.100969","DOIUrl":"10.1016/j.rh.2026.100969","url":null,"abstract":"<div><h3>Introduction</h3><div>The pre-existing health conditions, and the specific demands of sports modality influence the physical functions of para athletes. In overhead sports, musculoskeletal alterations are commonly observed in the shoulder joint. The aim of this study to characterize the total shoulder range of motion (ROM), posture, and muscle function in para athletes (swimming, powerlifting, and throwing) and compare the modalities and types of impairments.</div></div><div><h3>Material and methods</h3><div>Thirty-one para athletes participated. Assessments measured total shoulder ROM, posture, and isometric muscle strength. Data distribution was checked using the Shapiro–Wilk test. Differences between groups (sport and impairment) were analyzed using one-way ANOVA, with Bonferroni post hoc tests identifying specific differences, and the effect size was calculated.</div></div><div><h3>Results</h3><div>This study included 31 para athletes. Swimmers showed the lowest bilateral ROM (@<em>p</em> <!-->&lt;<!--> <!-->0.01) with a high effect size, and powerlifters demonstrated higher values in the posture bilaterally (<em>p</em> <!-->&lt;<!--> <!-->0.01), when compared to swimmers, with a high effect size. No statistical differences were found in muscle function across sports or types of impairments.</div></div><div><h3>Conclusion</h3><div>Powerlifting para athletes exhibited greater shoulder postural alterations than swimmers bilaterally. Swimmers demonstrated lower total shoulder ROM than other groups. The findings underscore the need for personalized assessments in para athletes.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100969"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311179","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 supervised multilevel oropharyngeal rehabilitation via videoconference on tongue function and apnea severity in obstructive sleep apnea: Quasi-experimental study","authors":"J.H. Ong ,&nbsp;C.Y. Liu ,&nbsp;M.H. Chooi ,&nbsp;C.Y. Lin ,&nbsp;C.H. Hung","doi":"10.1016/j.rh.2026.100963","DOIUrl":"10.1016/j.rh.2026.100963","url":null,"abstract":"<div><h3>Introduction</h3><div>Obstructive sleep apnea (OSA) is marked by recurrent upper airway collapse during sleep and is associated with upper airway muscle dysfunction. Oropharyngeal rehabilitation (OPR) targets this dysfunction through structured muscle training. While supervised OPR improves adherence, its time and logistical demands may hinder access and increase dropout.</div></div><div><h3>Objective</h3><div>This study evaluated the effectiveness of a multilevel OPR program delivered via video conferencing on muscle function and the apnea–hypopnea index (AHI) in individuals with OSA.</div></div><div><h3>Methods</h3><div>This quasi-experimental study included 40 participants with OSA who were pair-matched by age, body mass index, and AHI and assigned to either the intervention or control group. The intervention group underwent 12 weeks of a supervised group-based OPR program delivered via video conferencing. Outcomes measured included polysomnographic parameters, tongue muscle strength and endurance, and sleep-related questionnaires, assessed at baseline and post-intervention.</div></div><div><h3>Results</h3><div>The intervention group demonstrated significantly greater reductions in AHI, hypopnea index, and AHI in the supine position compared to controls, with decreases of 25%, 28%, and 29%, respectively, versus 10%, 2%, and a 16% increase in the control group. Significant gains in tongue depression, protrusion, and lateralization strength and endurance were observed. Improvements in tongue protrusion endurance showed a weak, negative correlation (<em>ρ</em> <!-->=<!--> <!-->−0.32) with AHI reduction, and adherence to telerehabilitation reached 90%.</div></div><div><h3>Conclusion</h3><div>Supervised group-based multilevel OPR delivered via video conferencing effectively improved tongue muscle strength and endurance and significantly reduced AHI in individuals with OSA. These findings suggest that remotely supervised OPR may represent a feasible and non-invasive approach for OSA management.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100963"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285502","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":"Tiempo insuficiente en rehabilitación: impacto en la calidad asistencial y el burnout","authors":"G. Candoni","doi":"10.1016/j.rh.2025.100950","DOIUrl":"10.1016/j.rh.2025.100950","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100950"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145555426","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}