Rehabilitacion最新文献

{"title":"Resultados preliminares del tratamiento de la seudoartrosis mediante ondas de choque de alta energía: estudio cuasiexperimental multicéntrico","authors":"M. Colomer Giralt , J. Castro Ruiz , M.J. Durà Mata , J. Sánchez Raya , S. Ramón Rona","doi":"10.1016/j.rh.2025.100945","DOIUrl":"10.1016/j.rh.2025.100945","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100945"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145580127","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":"Why delayed onset muscle soreness in the foot matters: Addressing gaps in sports rehabilitation practice","authors":"R. Tedeschi","doi":"10.1016/j.rh.2025.100949","DOIUrl":"10.1016/j.rh.2025.100949","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100949"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145555425","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":"Efectividad de las intervenciones de rehabilitación y telerrehabilitación en los pacientes con esclerosis sistémica: revisión de alcance","authors":"N. Velasquez Leon ,&nbsp;S.V. Alarcon Espinal ,&nbsp;V.M. Gallegos Rejas","doi":"10.1016/j.rh.2025.100936","DOIUrl":"10.1016/j.rh.2025.100936","url":null,"abstract":"<div><h3>Introduction</h3><div>Systemic sclerosis (SSc) is an autoimmune condition affecting mainly the skin and musculoskeletal system. Clinically, SSc translates to chronic pain, fatigue and loss of functionality. Rehabilitation interventions aim to improve motor functions, relieve pain, maintain work capacity, and promote functional independence in patients with SSc. However, the effectiveness of different rehabilitation modalities, including telerehabilitation, remains insufficiently described in the literature.</div></div><div><h3>Methods</h3><div>This review aimed to describe the effectiveness of rehabilitation and telerehabilitation focused on pain, fatigue, function/functionality, and strength in the oral region, hand, and upper limbs. A Scoping Review was carried out following the PRISMA-ScR recommendations. We searched PubMed®, Scopus®, and Embase® for studies from 2010 to 2024, including those that evaluated the effectiveness of rehabilitation and telerehabilitation interventions in SSc.</div></div><div><h3>Results</h3><div>Our review included 29 articles, mainly from Europe (n<!--> <!-->=<!--> <!-->16, 55%) and Asia (n<!--> <!-->=<!--> <!-->7, 24%). Most were clinical trials (69%) with an average sample size of 58 participants. Hospital-based and combined rehabilitation modalities were the most common. Interventions showed positive effects across outcomes: improvement in pain (41%), fatigue (14%), strength (41%), and function (97%).</div></div><div><h3>Conclusions</h3><div>Rehabilitation, including telerehabilitation, is effective in improving key symptoms in patients with SSc.Telerehabilitation is an effective and promising alternative for patients with SSc, for the reduction of pain and fatigue.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100936"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097252","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":"Anthropometric and pain-related factors associated with functional performance in knee osteoarthritis: A cross-sectional study","authors":"R.B. Ramalho,&nbsp;L. Furlan,&nbsp;L.F.A. Selistre","doi":"10.1016/j.rh.2025.100956","DOIUrl":"10.1016/j.rh.2025.100956","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Given their known impact on function, anthropometrics and pain should be examined in knee osteoarthritis functional tests. To evaluate how anthropometric measures and pain influence the 30-s CST, 40m FPWT, and 11-step SCT in individuals with KOA.</div></div><div><h3>Material and methods</h3><div>This is a cross-sectional study with 142 participants included. We collected anthropometric data, then applied the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire, recorded pain and we administered the performance-based tests. Multiple linear regression models were used to assess the influence of clinical and demographic variables on each performance-based test. We performed the analyses in the R language (R version 4.3.2), adopting a significance level of 5%.</div></div><div><h3>Results</h3><div>Participants had a mean BMI of 29.1, mean pain 3.5, and mean WOMAC 47. Older age, higher BMI, and female sex were consistently associated with poorer performance. In the 40-meter Fast-Paced Walk Test, older age (<em>β</em> <!-->=<!--> <!-->0.39, 95% CI [0.25, 0.53], <em>p</em> <!-->&lt;<!--> <!-->0.001) and higher BMI (<em>β</em> <!-->=<!--> <!-->0.41, 95% CI [0.15, 0.66], <em>p</em> <!-->=<!--> <!-->0.002) predicted slower performance, with men performing faster (<em>β</em> <!-->=<!--> <!-->−3.86, 95% CI [−6.36, −1.36], <em>p</em> <!-->=<!--> <!-->0.003). Similar patterns were observed in the 30-s Chair Stand and 11-step Stair Climb tests, with worse WOMAC scores additionally associated with lower performance. Pain did not significantly affect any test.</div></div><div><h3>Conclusion</h3><div>Advanced age, being female, high BMI and low self-reported function negatively impacted performance-based tests.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100956"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684580","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":"Escala de la calidad del desempeño sensoriomotor en bebés de 2 a 15 meses (ECDSM2-15) con retraso motor o riesgo/diagnóstico de parálisis cerebral: ajuste de límites de áreas percentiles y sensibilidad al cambio","authors":"A.P. Moraga Aguilar ,&nbsp;F. Solís Flores ,&nbsp;M.I. Rodríguez Sáez","doi":"10.1016/j.rh.2025.100943","DOIUrl":"10.1016/j.rh.2025.100943","url":null,"abstract":"<div><h3>Introduction</h3><div>The Escala de la Calidad del Desempeño Sensoriomotor (ECDSM2-15) identifies the quality of sensorimotor performance in infants aged 2 to 15 months old, previously identified with motor delay (MD), or at risk/diagnosed with cerebral palsy (CP) on six subscales. It classifies the strategies infants use during functional motor behaviors as typical, delayed, or atypical, identifying the influence of alignment, movement, and base of support components.</div></div><div><h3>Objective</h3><div>To adjust the cutoff points of the percentile areas and determine the sensitivity to change on the sensorimotor performance in the six subscales.</div></div><div><h3>Participants and method</h3><div>Intentional samples of 1,432 infants for the percentile area adjustment and 371 infants for sensitivity to change were recruited from three child rehabilitation centers in Chile. Summary measures were calculated to establish the percentile area limits. For sensitivity to change, the corresponding age group subscale was administered twice to each infant with a 6-week interval. For the analysis, the Wilcoxon and δ Somers test were applied with a significance of p &lt;<!--> <!-->0.05.</div></div><div><h3>Results</h3><div>Five sensorimotor performance areas are established: atypical, mildly atypical, delayed at risk of atypical, delayed, and typical. The sensitivity to change in all age groups is significant.</div></div><div><h3>Conclusion</h3><div>The ECDSM2-15 classifies infants with MD or at risk/diagnosis of CP in five percentile areas of sensorimotor performance and is highly sensitive in detecting changes in sensorimotor functional performance, results that contribute to increasing its reliability.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100943"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520081","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 integral tras cirugía cardiaca de pacientes con síndrome de bajo gasto cardiaco posoperatorio","authors":"M.P. Sanz Ayán ,&nbsp;J.L. Pérez Vela ,&nbsp;H. Domínguez Aguado ,&nbsp;Á. Martínez Linares ,&nbsp;A. Eixerés Esteve","doi":"10.1016/j.rh.2025.100953","DOIUrl":"10.1016/j.rh.2025.100953","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>Postoperative low cardiac output syndrome (LCOS) after cardiac surgery (CS) is a serious complication that significantly affects patients’ clinical and functional outcomes. The aim of this study was to analyze short- and medium/long-term evolution, including clinical, functional, and emotional aspects, in order to identify areas for improvement in the care process.</div></div><div><h3>Patients and methods</h3><div>A prospective, single-center cohort study was conducted in a tertiary hospital. Adult patients undergoing CS between April and October 2023 were included. Follow-up comprised the hospital phase (ICU and ward) and a telephone assessment 9 months after discharge, using the Kansas City Cardiomyopathy Questionnaire (KCCQ) and the Hospital Anxiety and Depression Scale (HADS).</div></div><div><h3>Results</h3><div>Of 197 postoperative patients, 34 developed LCOS. In the ICU, the cardiogenic shock group showed longer time to extubation and a higher incidence of AKIN III renal failure (p&lt;<!--> <!-->0.001 and p<!--> <!-->=<!--> <!-->0.012). ICU and hospital stays were significantly longer (p<!--> <!-->=<!--> <!-->0.017 and p<!--> <!-->=<!--> <!-->0.048). At medium/long-term follow-up, 41.7% reported reduced quality of life and 43.8% reduced social life. Half of the patients remained symptomatic or worsened during follow-up. Possible anxiety was detected in 15% and depression in 30%.</div></div><div><h3>Conclusions</h3><div>Postoperative LCOS is associated with poorer clinical, functional, and emotional outcomes. Structured follow-up strategies are needed, including therapeutic adjustment, incorporation of new targets in cardiac rehabilitation programs, and management of emotional well-being.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100953"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145614556","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":"Hombro doloroso como antecedente en esclerosis lateral amiotrófica: estudio descriptivo retrospectivo y exploratorio","authors":"M. Novo-Rigueiro ,&nbsp;A. Crespo-De ,&nbsp;A. Antelo-Pose ,&nbsp;I. Novo-Veleiro","doi":"10.1016/j.rh.2025.100932","DOIUrl":"10.1016/j.rh.2025.100932","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100932"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145049938","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":"Associations between bone mineral density loss in the past decade and sarcopenia in community-dwelling older women—The FRISBEE 2 study","authors":"A. Bellanger ,&nbsp;D. Sanchez-Rodriguez ,&nbsp;F.K. Youssa Nzintcheu ,&nbsp;L. Iconaru ,&nbsp;A. Mugisha ,&nbsp;J.M.K. De Filette ,&nbsp;F. Baleanu ,&nbsp;A.-S. Hambye ,&nbsp;D. Ene Lenghel ,&nbsp;F. Benoit ,&nbsp;M. Surquin ,&nbsp;P. Bergmann ,&nbsp;J.-J. Body","doi":"10.1016/j.rh.2025.100935","DOIUrl":"10.1016/j.rh.2025.100935","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the associations between EWGSOP2-defined sarcopenia and bone mineral density (BMD) loss in the past 6–16 years in community-dwelling older women from the <em>Fracture RISk Brussels Epidemiological Enquiry</em> (FRISBEE2) study.</div></div><div><h3>Methods</h3><div>Retrospective cohort design. Nine hundred seven community-dwelling older women constitute the baseline sample of the FRISBEE2 study. Participants had undergone an initial dual-energy X-ray absorptiometry (DXA) evaluation for osteoporosis in the past 6–16 years prior to the study's commencement and were re-assessed at baseline. Baseline evaluations included EWGSOP2-defined sarcopenia (handgrip strength, appendicular lean soft tissue mass/height², 4-m gait speed) and osteoporosis assessment (total hip BMD). Baseline BMD value of each participant was compared with their own value in the previous DXA evaluation in the past 6–16 years. A BMD loss<!--> <!-->&gt;<!--> <!-->3.0% threshold was considered as “least significant change”. Adjusted multiple logistic regression models were used to evaluate associations between sarcopenia and BMD loss.</div></div><div><h3>Results</h3><div>Out of 907 participants, 172 (19.0%) had EWGSOP2-defined probable sarcopenia, 76 (8.4%) had confirmed sarcopenia, and 630 (73.2%) experienced significant BMD loss. After adjustment for confounders, regression models showed that BMD loss<!--> <!-->&gt;<!--> <!-->3% in the past years was associated to twofold higher odds of probable sarcopenia (i.e., low handgrip strength) [OR<!--> <!-->=<!--> <!-->2.23 (95%CI 1.36–3.66); <em>p</em> <!-->=<!--> <!-->0.002].</div></div><div><h3>Conclusions</h3><div>The study found a clinically relevant association between the presence of sarcopenia and bone loss in the past 6 to 16 years in community-dwelling older women. A significant BMD loss should alert clinicians to the possible coexistence of sarcopenia.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100935"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097251","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":"Reflexiones críticas sobre el consenso intervencionista en gonartrosis. Respuesta de los autores","authors":"J. Formigo-Couceiro ,&nbsp;C. Cordero-García ,&nbsp;A. Fernández-Bravo Rueda","doi":"10.1016/j.rh.2025.100940","DOIUrl":"10.1016/j.rh.2025.100940","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100940"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253026","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":"Baecke questionnaire validity in knee osteoarthritis: A cross-sectional study","authors":"R.B. Ramalho,&nbsp;L.F.A. Selistre","doi":"10.1016/j.rh.2025.100952","DOIUrl":"10.1016/j.rh.2025.100952","url":null,"abstract":"<div><h3>Introduction</h3><div>The Baecke Habitual Physical Activity Questionnaire (BHPAQ) has been widely used to assess physical activity levels in adults and older populations. However, the construct validity of this instrument was never tested in individuals with knee osteoarthritis (KOA). The present study aimed to assess the construct validity of the BHPAQ in the KOA population.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. A sample of 80 participants met the American College of Rheumatology (ACR) criteria for KOA. In the first session, demographic data were collected, and participants performed the 40m fast-paced walk test (40m FPWT). The WOMAC and BHPAQ were applied, and an accelerometer was used, returned after a 7-day period. Construct validity was assessed using the COSMIN checklist, with &gt;75% of predefined hypotheses required for BHPAQ validity. These hypotheses were based on WOMAC domains and accelerometer outcomes.</div></div><div><h3>Results</h3><div>Of the 80 participants in the final sample, 40 (or 50%) were women, and their average age was 59.5<!--> <!-->±<!--> <!-->8.40 years. To determine construct validity, the Spearman's correlation coefficient was computed. Only four out of ten (40%) of the predefined hypotheses were confirmed by the BHPAQ. Limitations include not assessing participants’ educational level and not capturing activities undetectable by the accelerometer.</div></div><div><h3>Conclusion</h3><div>The BHPAQ demonstrated low construct validity for assessing the level of physical activity in the population with KOA. For this reason, its use is not recommended for research or clinical practice.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100952"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558031","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}