Rehabilitacion最新文献_第6页

Resistencia frente al uso de la silla de ruedas y dispositivos para la marcha por parte de los pacientes con ELA amiotrófica: creencias y actitudes aprendidas [肌萎缩 ALS 患者对使用轮椅和步态辅助工具的抵触情绪：学习信念和态度]。

Rehabilitacion Pub Date : 2023-12-21 DOI: 10.1016/j.rh.2023.100830

C.M. Manrique Rabelo

引用次数: 0

Estrategias de intervención motora sobre el control postural en niños y jóvenes con trastorno del espectro autista: una revisión sistemática 自闭症谱系障碍儿童和青少年姿势控制的运动干预策略:系统综述

Rehabilitacion Pub Date : 2023-10-30 DOI: 10.1016/j.rh.2023.100820

N. González León , A. González-Olguín

引用次数: 0

Efectividad de una aplicación de telerrehabilitación para tableta en pacientes con fractura de extremo distal del radio 片剂远程修复应用于桡骨远端骨折患者的有效性

Rehabilitacion Pub Date : 2023-10-25 DOI: 10.1016/j.rh.2023.100818

A. Suero-Pineda , A. Oliva-Pascual-Vaca , M. Rodríguez-Piñero Durán , P. Rodríguez Sánchez-Laulhé , M.A. García-Frasquet , J. Blanquero

{"title":"Efectividad de una aplicación de telerrehabilitación para tableta en pacientes con fractura de extremo distal del radio","authors":"A. Suero-Pineda , A. Oliva-Pascual-Vaca , M. Rodríguez-Piñero Durán , P. Rodríguez Sánchez-Laulhé , M.A. García-Frasquet , J. Blanquero","doi":"10.1016/j.rh.2023.100818","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100818","url":null,"abstract":"<div><h3>Introduction</h3><p>To assess whether, in patients with distal radius fracture feedback-guided exercises performed on a tablet touchscreen reduce healthcare usage and improve clinical recovery, more than the conventional home exercise program prescribed on paper.</p></div><div><h3>Material and methods</h3><p>A multicentre, parallel, two-group, pragmatic, controlled trial with assessor blinding and intention-to-treat analysis. Forty-six patients with distal radius fracture were recruited in Andalusian Public Health System<em>.</em> Participants in the experimental and control groups received the same in-patient physiotherapy sessions. Experimental group received a home exercise program using the ReHand tablet application and control group received an evidence-based home exercise program on paper. The primary outcome was the number of physiotherapy sessions tallied from hospitals data management system. Secondary outcomes included: the face-to-face rehabilitation consultations with a physiatrist, and clinical outcomes such as functional ability, grip strength, dexterity, pain intensity and range of motion.</p></div><div><h3>Results</h3><p>The experimental group required fewer physiotherapy sessions (MD: −16.94; 95%CI: −32.5 to −1.38) and rehabilitation consultations (MD: −1.7; 95%CI: −3.39 to −0.02) compared to the control group.</p></div><div><h3>Conclusions</h3><p>In patients with distal radius fracture, prescribing feedback-guided exercises performed on a tablet touchscreen provided by ReHand reduced number of physiotherapy sessions and rehabilitation consultations.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 1","pages":"Article 100818"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92026329","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

Eficacia del ejercicio de alta intensidad en personas con dolor lumbar crónico: una revisión sistemática 高强度运动对慢性腰痛患者的疗效：系统评价

Rehabilitacion Pub Date : 2023-10-23 DOI: 10.1016/j.rh.2023.100817

L. Fernández-Lorenzo, S. Pértega-Díaz, M. Sobrido-Prieto

引用次数: 0

Análisis de los parámetros ecográficos descritos en el estudio del síndrome del túnel del carpo. Una revisión sistemática 腕管综合征研究中描述的超声参数分析。系统回顾

Rehabilitacion Pub Date : 2023-10-20 DOI: 10.1016/j.rh.2023.100822

M.P. Murciano Casas , M. Rodríguez-Piñero Durán , J.M. Delgado Mendilivar , J.A. Expósito Tirado , A.S. Jiménez Sarmiento

{"title":"Análisis de los parámetros ecográficos descritos en el estudio del síndrome del túnel del carpo. Una revisión sistemática","authors":"M.P. Murciano Casas , M. Rodríguez-Piñero Durán , J.M. Delgado Mendilivar , J.A. Expósito Tirado , A.S. Jiménez Sarmiento","doi":"10.1016/j.rh.2023.100822","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100822","url":null,"abstract":"<div><p>Carpal tunnel syndrome (CTS) is the most common entrapment mononeuropathy; the diagnosis is established by electrodiagnostic tests with until 34% of false positives/negatives. We present the following systematic review which objective is to analyze the most recent literature related to the ultrasound parameters described to study CTS. We selected studies that evaluated ultrasound parameters in patients with clinical suspicion following the Cochrane manual's recommendations. We include systematic reviews, meta-analyses, case–control studies and diagnostic tests, evaluating retrospective studies and bibliographic reviews with proper methodological quality. Articles published between 2005 and 2019. We included eight articles (two systematic reviews/meta-analyses, two case–control studies, one diagnostic test study, two literature reviews, and one retrospective). The parameters analyzed were cross-sectional area, wrist–forearm index, entry–exit index, thinning range, palmar bowing of the flexor retinaculum, and vascularity/mobility. Current evidence allows us to affirm that ultrasound is useful in screening for CTS.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 1","pages":"Article 100822"},"PeriodicalIF":0.0,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49848718","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

Efectos de la rehabilitación pulmonar en pacientes con EPOC según la clasificación GOLD 2020 en Cali, Colombia 哥伦比亚卡利根据2020年Gold分类对COPD患者进行肺康复的影响

Rehabilitacion Pub Date : 2023-10-18 DOI: 10.1016/j.rh.2023.100815

J. Betancourt-Peña , V. Vidal , D. Zapata-Jiménez , J.C. Ávila-Valencia , V. Benavides-Córdoba

{"title":"Efectos de la rehabilitación pulmonar en pacientes con EPOC según la clasificación GOLD 2020 en Cali, Colombia","authors":"J. Betancourt-Peña , V. Vidal , D. Zapata-Jiménez , J.C. Ávila-Valencia , V. Benavides-Córdoba","doi":"10.1016/j.rh.2023.100815","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100815","url":null,"abstract":"<div><h3>Introduction</h3><p>Chronic obstructive pulmonary disease has a guide in charge of prevention and treatment, called the Global Initiative for Chronic Lung Disease, which is annually updated and catalogs pulmonary rehabilitation, within the treatment options.</p></div><div><h3>Objective</h3><p>To describe the effects on clinical variables, functional capacity, anxiety/depression and health-related quality of life in patients with chronic obstructive pulmonary disease, after a pulmonary rehabilitation program, according to the GOLD 2020 classification in a Cali clinic.</p></div><div><h3>Materials and methods</h3><p>Descriptive, longitudinal study where 79 patients divided into 3 groups were included (B, C and D).</p></div><div><h3>Results</h3><p>The mean age was 70 years, 69% men. The number of hospitalized days was greater for groups C and D with an average of 8 and 13 days, respectively (<em>p</em>    ≤0.006. In anxiety and depression, group D managed to obtain improvements as well as in the quality of life questionnaire.</p></div><div><h3>Conclusion</h3><p>Group C presented greater functional capacity and better quality of life, group B had better results in clinical variables, and group D had worse clinical condition, functional capacity and quality of life. At the end of pulmonary rehabilitation, group D presented greater changes in functional capacity and quality of life.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 1","pages":"Article 100815"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49806936","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

Hipoterapia versus simuladores de hipoterapia como opción de tratamiento en niños con parálisis cerebral: revisión sistemática 低血压与低血压模拟器作为脑瘫儿童治疗选择的系统评价

Rehabilitacion Pub Date : 2023-10-18 DOI: 10.1016/j.rh.2023.100816

A. García-Arandilla , T. Gonzàlez-Gàzquez , A. Morgado-Pérez , V. Davalos Yerovi , M. Tejero-Sánchez , D. Meza-Valderrama

{"title":"Hipoterapia versus simuladores de hipoterapia como opción de tratamiento en niños con parálisis cerebral: revisión sistemática","authors":"A. García-Arandilla , T. Gonzàlez-Gàzquez , A. Morgado-Pérez , V. Davalos Yerovi , M. Tejero-Sánchez , D. Meza-Valderrama","doi":"10.1016/j.rh.2023.100816","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100816","url":null,"abstract":"<div><h3>Introduction and objective</h3><p>Hippotherapy (HPOT) and hippotherapy simulators (SHPOT) are used in children with cerebral palsy to achieve their maximum functionality and independence. The aim is to find out if HPOT and SHPOT produce the same effects on balance, gross motor function, and postural control in children under 18 years old with cerebral palsy.</p></div><div><h3>Materials and methods</h3><p>The keywords used were: hippotherapy, equine-assisted therapy and cerebral palsy. The databases used were PeDro, Scopus, LILACS, ScienceDirect, Cochrane Library, Web of Science and CINAHL Complete (Ebsco). Studies were included if they were randomized clinical trials that studied the effect of HPOT and/or SHPOT on the variables mentioned in these patients.</p></div><div><h3>Results</h3><p>Four studies assessed balance, 4 studied gross motor function, and 2 investigated postural control. Both HPOT and SHPOT produced benefits in all of them.</p></div><div><h3>Conclusions</h3><p>According to the studied variables both interventions produce similar improvements. Although, they increase with HPOT possibly due to greater sensory stimulation.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 1","pages":"Article 100816"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49843791","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

Sensibilidad de la respuesta simpática cutánea y de la gammagrafía en el diagnóstico del síndrome dolor regional complejo 皮肤交感神经反应和闪烁扫描在复杂区域疼痛综合征诊断中的敏感性

Rehabilitacion Pub Date : 2023-10-18 DOI: 10.1016/j.rh.2023.100807

M.E. Fernández-Cuadros , L.M. Martín-Martín , M.J. Albaladejo-Florín , O.S. Pérez-Moro , G. Goizueta-San-Martín

{"title":"Sensibilidad de la respuesta simpática cutánea y de la gammagrafía en el diagnóstico del síndrome dolor regional complejo","authors":"M.E. Fernández-Cuadros , L.M. Martín-Martín , M.J. Albaladejo-Florín , O.S. Pérez-Moro , G. Goizueta-San-Martín","doi":"10.1016/j.rh.2023.100807","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100807","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the sensitivity of sympathetic skin response (SSR) and compare it with scintigraphy in patients with complex regional pain syndrome diagnosed according to the Budapest criteria.</p></div><div><h3>Material and methods</h3><p>Twenty-two patients with complex regional pain syndrome who attended the Rehabilitation and Physical Medicine Department between January-2018 and May-2022 have been prospectively evaluated. The scintigraphy was considered positive if in the 1st-2nd phase slight asymmetric and diffuse uptake was observed, or when in the 3rd phase marked periarticular radioisotope uptake was observed. SSR was abnormal if: a) no response after 20 stimuli; b) lack of habituation with permanence of the stimuli greater than 67.2%.</p></div><div><h3>Results</h3><p>Age 55.4±8.57 years. Complex regional pain syndrome was more frequent in women (90.9%), more common in upper limbs (68.2%) than lower limbs (31.8%). In SSR, we have observed normal response (<67.2%) in 2 patients (11.1%), lack of SSR in 2 patients (11.1%) and lack of habituation (>67.2%) in 14 patients (77.8%). In total, 16 patients presented abnormal or absent responses (88.8%). The diagnostic sensitivity of scintigraphy is similar to that of SSR (89.5% vs 88.8%), with no statistical difference (<em>P</em>  <!-->.6721).</p></div><div><h3>Conclusion</h3><p>Scintigraphy has shown similar sensitivity to SSR, although the simplicity, security, low cost, non-ionizing and non-invasiveness of the latter technique suggest that it could be more cost-effective. The lack of habituation and the absence of response could identify response patterns and localize the involvement in the afferent, central, efferent or post-ganglionic pathways.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 1","pages":"Article 100807"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49843792","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

Evolución neurológica en la lesión medular traumática en función del tamaño de la hemorragia intraparenquimatosa 外伤性脊髓损伤的神经系统演变与实质内出血大小的关系

Rehabilitacion Pub Date : 2023-10-18 DOI: 10.1016/j.rh.2023.100819

R. Mora-Boga , M.E. Díaz Recarey , S. Salvador de la Barrera , M.E. Ferreiro Velasco , A. Rodríguez Sotillo , A. Montoto Marqués

{"title":"Evolución neurológica en la lesión medular traumática en función del tamaño de la hemorragia intraparenquimatosa","authors":"R. Mora-Boga , M.E. Díaz Recarey , S. Salvador de la Barrera , M.E. Ferreiro Velasco , A. Rodríguez Sotillo , A. Montoto Marqués","doi":"10.1016/j.rh.2023.100819","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100819","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>The presence of spinal cord hemorrhage is considered as a poor prognostic factor in traumatic spinal cord injury (SCI). However, it has been suggested in published works that the prognosis of small hemorrhages is not so negative. The aim of this paper is to assess the neurological evolution in individuals with intraparenchymal hemorrhage according to its size.</p></div><div><h3>Material and methods</h3><p>Retrospective observational study. Selected all the patients admitted for acute traumatic SCI between 2010 and 2018 with early magnetic resonance study and spinal cord hemorrhage. Two groups were established depending on the size of the bleeding: microhemorrhages (less than 4mm) and macrohemorrhages (greater than 4mm). The neurological examination at admission and discharge was compared according to the AIS grade and the motor score (MS).</p></div><div><h3>Results</h3><p>Forty-six cases collected, 17 microhemorrhages and 29 macrohemorrhages. 70.6% of the microhemorrhages were AIS A while among macrohemorrhages the percentage was 89.6%. At the time of discharge, an improvement in the AIS grade was observed in 40.0% of the microhemorrhages compared to 4.0% of the macrohemorrhages (<em>P</em>=.008). Initial MS was similar, 45.2±22.2 in the microhemorrhages and 40.9±20.4 in the macrohemorrhages (<em>P</em>=.459), but at discharge it was higher in the first group: 60.4±20.5 for 42.7±22.8 (<em>P</em>=.033). Eight patients (17.4%) died during admission.</p></div><div><h3>Conclusions</h3><p>There is a relationship between the size of the intraparenchymal hemorrhage and the neurological prognosis of SCI, with hemorrhages smaller than 4mm presenting a better evolution.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 1","pages":"Article 100819"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49806937","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

Calidad de vida de las personas con enfermedad de Parkinson durante el confinamiento por la pandemia por covid-19 新型冠状病毒大流行隔离期间帕金森氏症患者的生活质量

Rehabilitacion Pub Date : 2023-10-18 DOI: 10.1016/j.rh.2023.100821

A.M. Fernández-Elgueta , H.F. Retamal-Matus , C. Núñez-Espinosa , P. Barria Aburto

{"title":"Calidad de vida de las personas con enfermedad de Parkinson durante el confinamiento por la pandemia por covid-19","authors":"A.M. Fernández-Elgueta , H.F. Retamal-Matus , C. Núñez-Espinosa , P. Barria Aburto","doi":"10.1016/j.rh.2023.100821","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100821","url":null,"abstract":"<div><h3>Introduction</h3><p>The study was aimed to explore the quality of life of people with Parkinson's disease during confinement due to the coronavirus infectious disease 2019 (covid-19) pandemic.</p></div><div><h3>Material and methods</h3><p>The study was quantitative, descriptive and correlational. The sample was 51 people with Parkinson's disease, from the region of Magallanes and Chilean Antarctica, and whose information was collected from the database of the Rehabilitation Corporation Club de Leones Cruz del Sur, to which they belong.</p></div><div><h3>Results</h3><p>The main results show that 51.6% of people with Parkinson's disease report a «good and very good» quality of life and that the main domains of the Parkinson's Disease Questionnaire (PDQ-39) affected are: body discomfort, mobility and emotional well-being. According to the analysis of the qualitative ranges of the PDQ-39, the dimensions that were most compromised during the confinement by the covid-19 pandemic were: communication, stigma and emotional well-being. In addition, women had a poorer quality of life than men. Finally, it was shown that the progression of symptoms affects the quality of life of people with Parkinson's disease.</p></div><div><h3>Conclusions</h3><p>In conclusion, during the confinement due to the covid-19 pandemic people with Parkinson's disease increased symptoms and presented a lower quality of life, especially women.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 1","pages":"Article 100821"},"PeriodicalIF":0.0,"publicationDate":"2023-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49806938","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