Rehabilitacion最新文献

{"title":"Efectividad de la radiofrecuencia pulsada sobre nervios periféricos en espasticidad focal severa refractaria: estudio observacional ambispectivo","authors":"S. Otero-Villaverde ,&nbsp;M. Caparros-Calle ,&nbsp;R. Martin-Mourelle ,&nbsp;P. Vega-Gomez ,&nbsp;A. Montoto-Marques ,&nbsp;J. Formigo-Couceiro","doi":"10.1016/j.rh.2025.100939","DOIUrl":"10.1016/j.rh.2025.100939","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the efficacy and safety of pulsed radiofrequency (PRF) in spasticity.</div></div><div><h3>Design</h3><div>Ambispective observational study of patients with spasticity refractory to conventional treatment, enrolled from July/2019 to December/2024 and treated with PRF.</div></div><div><h3>Materials and methods</h3><div>The following scales were evaluated: Modified Ashworth (MAS), Visual Analogue (VAS) before, 2 and 6 months after the procedure, and GAS, PGA and PGI-C. The study was approved by the Galician Ethics Committee for Pharmaceutical Research (registration number 2023/153). All patients signed the informed consent form. We used the Wilcoxon test to analyse significant differences, concordance using Cohen's Kappa Coefficient for MAS and Intraclass Correlation Coefficient (ICC) for VAS.</div></div><div><h3>Results</h3><div>22 patients were included in the study. There were no significant differences between baseline MAS and at 2 months (p<!--> <!-->=<!--> <!-->0.096) and 6 months (p<!--> <!-->=<!--> <!-->0.257), nor between baseline VAS and at 2 months (p<!--> <!-->=<!--> <!-->0.109) and 6 months (p<!--> <!-->=<!--> <!-->0.102). Agreement was moderate between baseline and 2-month MAS (Kappa<!--> <!-->=<!--> <!-->0.549, p&lt;<!--> <!-->0.001), good between baseline and 6-month MAS (Kappa<!--> <!-->=<!--> <!-->0.698, p&lt;<!--> <!-->0.001), and excellent for both baseline and 2-month VAS (ICC<!--> <!-->=<!--> <!-->0.935, p&lt;<!--> <!-->0.001) and 6-month VAS (ICC<!--> <!-->=<!--> <!-->0.975, p&lt;<!--> <!-->0.001). The mean GAS, PGA and PGI-C at 6 months were -1.35, 0.1 and 0.05, respectively. No adverse events were observed.</div></div><div><h3>Conclusions</h3><div>(PRF) at 45<!--> <!-->V appears to be ineffective for the treatment of spasticity and related pain. Further research is warranted to confirm these findings.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100939"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145158894","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":"Estancias en el extranjero para residentes de Medicina Física y Rehabilitación: una ventana enriquecedora al mundo","authors":"G. García Cortés ,&nbsp;A. Galván Ruíz ,&nbsp;G. Vergara-Díaz","doi":"10.1016/j.rh.2025.100938","DOIUrl":"10.1016/j.rh.2025.100938","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100938"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145119434","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":"Cribado de la disfagia orofaríngea pediátrica en la parálisis cerebral: revisión de alcance","authors":"A. Outón Arteaga,&nbsp;P. Díaz Borrego","doi":"10.1016/j.rh.2025.100951","DOIUrl":"10.1016/j.rh.2025.100951","url":null,"abstract":"<div><div>Cerebral palsy is frequently associated with oropharyngeal dysphagia, affecting two out of three cases. Despite its high prevalence and the risk of serious complications (nutritional and respiratory), there are no standardized diagnostic protocols for its early detection in the pediatric population, highlighting a gap in the literature and clinical practice. The aim of this scoping review was to identify and describe the pediatric oropharyngeal dysphagia screening tools for cerebral palsy that have been validated into Spanish. A systematic search was conducted following PRISMA guidelines in PubMed, WOS, Cochrane, and CINAHL, and studies were selected based on their relevance and methodological quality. Of 993 articles initially retrieved, 14 were included. Among the tools analyzed, the Pedi-EAT-10 questionnaire was the most-widely supported for screening. Likewise, the EDACS scale and Kristie L. Bell's 4-item test were also considered useful tools in clinical practice. While videofluoroscopy remains the gold standard for confirmatory diagnosis, and fiberoptic endoscopy evaluation represents a more accessible alternative, screening methods are essential to identify patients at risk early. In conclusion, the combination of effective clinical screening with instrumental confirmation constitutes the basis of a structured and multidisciplinary approach to pediatric oropharyngeal dysphagia in cerebral palsy.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100951"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145520082","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":"Peripartum cardiomyopathy and the path to recovery: The role of structured cardiac rehabilitation","authors":"M. Mesquita-Guimarães ,&nbsp;A. Teixeira-Vaz ,&nbsp;D. Ferreira ,&nbsp;J. Afonso Rocha","doi":"10.1016/j.rh.2025.100937","DOIUrl":"10.1016/j.rh.2025.100937","url":null,"abstract":"<div><div>Peripartum cardiomyopathy (PPCM) is a rare but serious condition resulting from structural and functional cardiac impairment in the late stages of pregnancy or shortly after delivery. The patient, a 33-year-old healthy woman, presented with sudden onset of shortness of breath, fatigue and chest discomfort five days after an uncomplicated full-term vaginal delivery following an uneventful pregnancy. Diagnostic workup confirmed a PPCM. Following a multidisciplinary approach, the patient underwent a comprehensive cardiac rehabilitation program which included 24 supervised biweekly exercise training sessions, a home-exercise program and a once-weekly group psycho-behavioral intervention. After 12 weeks, the patient showed substantial improvements in functional capacity, cardiac function, and quality of life. This case underscores the importance of early diagnosis, timely intervention, and the central role of cardiac rehabilitation in the management of PPCM.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100937"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145119435","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":"Reeducación de la marcha mediante el uso de exoesqueletos en pacientes con ictus","authors":"S. Torrell-Vallespín ,&nbsp;I. Martínez-Villar ,&nbsp;E. Duarte-Oller ,&nbsp;A. Guillén-Solà","doi":"10.1016/j.rh.2025.100941","DOIUrl":"10.1016/j.rh.2025.100941","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100941"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259570","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":"Sports for persons with disabilities: A bibliometric analysis of research landscape and future directions","authors":"N. Cherappurath ,&nbsp;S. Perumbalath ,&nbsp;M. Elayaraja ,&nbsp;M.R. Dhinu ,&nbsp;M.A. Thoompenthodi","doi":"10.1016/j.rh.2025.100931","DOIUrl":"10.1016/j.rh.2025.100931","url":null,"abstract":"<div><div>Research on sports for persons with disabilities (PWDs) has grown significantly in recent years, particularly in parasports, disability sports, and adapted sports. Numerous studies have consistently highlighted the role of sports as a powerful tool for promoting social integration, enhancing psychological well-being, and improving the physical health of PWDs. However, comprehensive reviews on the development and progression of this field remain limited. Analysing relevant papers in the past and outlining the research's depth, hotspots, and future directions are essential. This study aims to use bibliometric techniques to quantitatively evaluate the publications published in sports for PWDs to provide new perspectives for further research. A total of 1979 publications indexed in the Scopus database, covering the period from 1971 to January 2025, were analyzed in this study. The study reveals key research areas in sports for PWDs and recommends that future studies focus on these areas. The findings of the study provide valuable insights for academic institutions, governmental bodies, and funding organizations, fostering collaboration and aiding in the formulation of policies for PWDs. Future studies could benefit from applying sophisticated methodologies, comprehensive datasets, and an expanded array of keywords.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100931"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145011214","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":"¿Por qué le llaman rehabilitación cuando quieren decir fisioterapia?","authors":"E. Marco ,&nbsp;J. Iborra Urios ,&nbsp;D. Meza-Valderrama ,&nbsp;J. Chaler-Vilaseca","doi":"10.1016/j.rh.2025.100942","DOIUrl":"10.1016/j.rh.2025.100942","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100942"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145313909","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","authors":"A. Alcántara Montero","doi":"10.1016/j.rh.2025.100933","DOIUrl":"10.1016/j.rh.2025.100933","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100933"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061043","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":"Comparative assessment of cough capacity in patients with neuromuscular disease: Spirometer versus portable peak flow meter","authors":"A. Balañá Corberó ,&nbsp;J. Martínez Llorens","doi":"10.1016/j.rh.2025.100955","DOIUrl":"10.1016/j.rh.2025.100955","url":null,"abstract":"<div><h3>Introduction</h3><div>Cough impairment in neuromuscular diseases (NMD) increases pulmonary infection risk. Peak cough flow (PCF) is crucial for assessment, with spirometry (PCFs) as gold standard. Portable peak flow meters (PCFp) are practical, yet their comparability with spirometers in NMD remains debated. This study compared PCFs and PCFp in NMD patients with restrictive lung disease.</div></div><div><h3>Methods</h3><div>A prospective, cross-sectional observational study included patients with NMD from a home mechanical ventilation unit. Inclusion criteria comprised a definitive diagnosis of NMD and the ability to perform forced expiratory maneuvers. PCF was measured using a calibrated spirometer (PCFs) and a portable peak flow meter (PCFp) in randomized order. The measurement protocol followed ATS/ERS 2019 standards. Agreement was evaluated using the Bland–Altman method and the Intraclass Correlation Coefficient (ICC). Data normality was assessed by the Shapiro–Wilk test. A <em>p</em>-value<!--> <!-->&lt;<!--> <!-->0.05 was considered statistically significant.</div></div><div><h3>Results</h3><div>Sixty-seven patients (62.1<!--> <!-->±<!--> <!-->14.9 years; 46.3% female) with various NMD where included. No significant difference was found between mean PCFs (314.5<!--> <!-->±<!--> <!-->98.5<!--> <!-->L/min) and PCFp (301.6<!--> <!-->±<!--> <!-->100.1<!--> <!-->L/min) (<em>p</em> <!-->=<!--> <!-->0.4535). The ICC was 0.92 (95% CI 0.88–0.95). The Bland–Altman analysis indicated a mean difference of 12.9<!--> <!-->L/min (limits of agreement ranged from −52.7<!--> <!-->L/min to 78.5<!--> <!-->L/min). A strong correlation was observed (<em>r</em> <!-->=<!--> <!-->0.949, <em>p</em> <!-->&lt;<!--> <!-->0.001). Impaired cough capacity (35.8% of patients) was linked to older age and poorer function. No device differences were found within subgroups.</div></div><div><h3>Conclusion</h3><div>PCPp demonstrates an acceptable level of agreement with PCPs in NMD patients. PCPp is a reliable and accessible screening tool for home monitoring. However, the wide limits of agreement observed necessitate further studies involving larger, possibly specific, patient populations to definitively establish the full clinical interchangeability required for therapeutic decision-making.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100955"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684579","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":"The burden of Wilson's disease: Insights into clinical, psychological, and functional dimensions","authors":"P. Freixo Ribeiro ,&nbsp;J. Moura ,&nbsp;E. Santos Silva ,&nbsp;F. Nery ,&nbsp;H. Pessegueiro Miranda ,&nbsp;I. Pedroto ,&nbsp;J.M. Ferreira ,&nbsp;J. Gandara ,&nbsp;L. Maia ,&nbsp;P. Ramos ,&nbsp;S. Ferreira ,&nbsp;M. Magalhães","doi":"10.1016/j.rh.2025.100934","DOIUrl":"10.1016/j.rh.2025.100934","url":null,"abstract":"<div><h3>Introduction</h3><div>Wilson's disease (WD) is a rare genetic disorder of copper metabolism with multi-systemic manifestations. Despite available treatment, patients often experience functional impairment. However, the relationship between clinical phenotype, mental status, and disability remains underexplored.</div></div><div><h3>Objective</h3><div>To investigate the associations between disease severity, cognitive performance, depressive symptoms, and functional disability in adults with WD using validated instruments.</div></div><div><h3>Methods</h3><div>In this prospective, single-center cross-sectional study (2021–2023), 32 clinically stable WD patients followed at a tertiary neurology clinic were assessed with the WHODAS 2.0, GAS-WD, Mini-MoCA, and PHQ-9. Functional outcomes were evaluated using WHODAS 2.0 domains. Associations between clinical variables and scale scores were analyzed using non-parametric tests. Ethical approval (ref: 183-DEFI/165-CE) and informed consent were obtained.</div></div><div><h3>Results</h3><div>Participants had a mean age of 39.8<!--> <!-->±<!--> <!-->13.6 years; 56.3% were female. Median diagnostic delay was 1 year. Most had hepatic (56.3%) or neurological phenotype (37.5%). The WHODAS 2.0 participation domain was the most impaired (median<!--> <!-->=<!--> <!-->4.0, IQR 2–9). WHODAS scores correlated positively with GAS-WD scores (<em>r</em>s<!--> <!-->=<!--> <!-->0.77, <em>p</em> <!-->&lt;<!--> <!-->0.001) and PHQ-9 (<em>r</em>s<!--> <!-->=<!--> <!-->0.65, <em>p</em> <!-->&lt;<!--> <!-->0.001), and negatively with Mini-MoCA. No significant associations were found between diagnostic delay and disability. Stratified analysis revealed no statistically significant differences in participation across genders (<em>p</em> <!-->=<!--> <!-->0.83) or clinical subtypes (<em>p</em> <!-->=<!--> <!-->0.47).</div></div><div><h3>Conclusion</h3><div>Functional disability in WD is significantly associated with disease severity, cognitive deficits, and depressive symptoms, but not with gender or clinical subtype. WHODAS 2.0 is a feasible tool for comprehensive functional assessment in WD. Multidisciplinary approaches addressing mental and cognitive health are essential.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100934"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097250","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}