Rehabilitacion最新文献_第7页

Advancement of wheelchairs in the field of medical science integration from biosensors to drone technology 轮椅在医学科学领域的进展——从生物传感器到无人机技术的整合。

IF 0.4

Rehabilitacion Pub Date : 2025-10-01 Epub Date: 2025-11-10 DOI: 10.1016/j.rh.2025.100946

N. Malhotra , A. Chahal , A. Jain , P. Sharma , M.R. Hasan , S. Khan , J. Narang

{"title":"Advancement of wheelchairs in the field of medical science integration from biosensors to drone technology","authors":"N. Malhotra , A. Chahal , A. Jain , P. Sharma , M.R. Hasan , S. Khan , J. Narang","doi":"10.1016/j.rh.2025.100946","DOIUrl":"10.1016/j.rh.2025.100946","url":null,"abstract":"<div><div>Wheelchairs are fundamental assistive mobility devices that support the enjoyment of human rights and a dignified quality of life. They are particularly vital for individuals with mobility limitations resulting from accidents, spinal cord injuries, or stroke. This narrative review aims to analyze current wheelchair designs, their clinical applicability, and emerging innovations, while also identifying persistent challenges related to accessibility, affordability, and user training. Modern wheelchairs increasingly integrate advanced technologies that allow better customization to meet diverse user needs, ranging from basic mobility support to sophisticated power-assisted systems. Beyond their functional role, wheelchairs promote independence, social participation, and inclusion, enabling individuals with disabilities to engage more fully in their personal, educational, and professional environments. Despite significant progress, gaps remain in equitable access, cost-effectiveness, and the dissemination of adequate training programs, underscoring the need for continued research, innovation, and policy development.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100946"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145496253","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

La formación como estrategia para mejorar la atención de los pacientes con disfagia orofaríngea [训练作为改善口咽吞咽困难患者护理的策略]。

IF 0.4

Rehabilitacion Pub Date : 2025-10-01 Epub Date: 2025-10-29 DOI: 10.1016/j.rh.2025.100948

M. Avellanet , E. Pages Bolibar , J. Garcia-Expósito , M.E. Gea Rodríguez , C. Grillo García , A. Boada-Pladellorens , M. Ros Armengol

{"title":"La formación como estrategia para mejorar la atención de los pacientes con disfagia orofaríngea","authors":"M. Avellanet , E. Pages Bolibar , J. Garcia-Expósito , M.E. Gea Rodríguez , C. Grillo García , A. Boada-Pladellorens , M. Ros Armengol","doi":"10.1016/j.rh.2025.100948","DOIUrl":"10.1016/j.rh.2025.100948","url":null,"abstract":"<div><h3>Introduction</h3><div>Oropharyngeal dysphagia (OD) is a common syndrome with significant clinical consequences, whose early detection and management require specific knowledge. Raising awareness and providing continuing education for healthcare professionals are essential to improve its management.</div></div><div><h3>Objective</h3><div>To assess participation rates and perceived usefulness of a stepwise educational program on OD for healthcare professionals and caregivers, in order to evaluate its potential impact on training for early detection and clinical management of the disorder.</div></div><div><h3>Materials and methods</h3><div>A three-level training program was designed: Level A (basic, 6h), Level B (advanced, 8h), and Level C (expert, 8h). Contents included swallowing anatomy and physiology, screening and diagnosis, therapeutic-nutritional interventions, and safe medication management, combined with practical workshops. Between November 2021 and December 2022, participation and course ratings were analyzed using satisfaction surveys.</div></div><div><h3>Results</h3><div>A total of 124 places were offered at Level A (67% attendance) and 50 at Level B (97%). The overall mean ratings were 4.46/5 and 4.55/5, respectively. Nineteen participants attended Level C, with an average score of 8.9/10. Methodology (4.60/5) and organization (4.53/5) were the best-rated aspects.</div></div><div><h3>Conclusions</h3><div>The training strategy was highly valued. There is a clear need to strengthen the dissemination of the basic level and to increase the practical component in order to enhance clinical applicability.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100948"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410407","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

Bloqueo ecoguiado de los nervios geniculares (BENG) en contexto de un paciente con gonalgia post cirugía de osteocondritis disecante de rodilla 膝关节性骨软骨炎术后痛风患者的膝关节神经回声导管阻塞

Rehabilitacion Pub Date : 2025-07-01 Epub Date: 2025-04-22 DOI: 10.1016/j.rh.2025.100910

D. Borda Lorente, J.G. Moranta Mesquides, P. Peret Hernández, S. Laxe

引用次数: 0

SORECAR: 30 años impulsando la rehabilitación cardiorrespiratoria en España SORECAR: 30年在西班牙促进心肺康复

Rehabilitacion Pub Date : 2025-07-01 Epub Date: 2025-07-08 DOI: 10.1016/j.rh.2025.100923

M.P. Sanz-Ayán

引用次数: 0

Beneficios de la prehabilitación en pacientes con cáncer colorrectal: estudio de casos y controles anidado 结直肠癌患者康复前的益处：病例研究和嵌套对照

Rehabilitacion Pub Date : 2025-07-01 Epub Date: 2025-06-04 DOI: 10.1016/j.rh.2025.100918

E.J. Frutos-Reoyo , P. Luque-Linero , L. López-Maté , S. Rodríguez-Valbuena , Á. Serrano-Combarro , E.D. Candau-Pérez

{"title":"Beneficios de la prehabilitación en pacientes con cáncer colorrectal: estudio de casos y controles anidado","authors":"E.J. Frutos-Reoyo , P. Luque-Linero , L. López-Maté , S. Rodríguez-Valbuena , Á. Serrano-Combarro , E.D. Candau-Pérez","doi":"10.1016/j.rh.2025.100918","DOIUrl":"10.1016/j.rh.2025.100918","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>Colorectal cancer (CRC) is one of the most prevalent and lethal malignancies worldwide. Surgical treatment is considered the gold standard. Prehabilitation emerges as a strategy integrating physical, nutritional, and psychological preparation before surgery. This study aimed to evaluate the effectiveness of prehabilitation in reducing hospital stay and mortality in CRC patients.</div></div><div><h3>Material and method</h3><div>A prospective observational nested case-control study within a cohort with a 24-month follow-up was conducted. Patients who underwent prehabilitation were defined as «cases» while those who did not were classified as «controls». Descriptive and analytical analyses were performed, with a significance level of p<0.05. A Kaplan-Meier curve was used to assess survival concerning hospital stay and mortality.</div></div><div><h3>Results</h3><div>Of the 279 patients, 276 were analyzed (127 cases and 149 controls). The bivariate analysis showed comparable baseline characteristics between groups. The prehabilitation group demonstrated a significant reduction in postoperative hospital stay (4 days vs. 5 days; p=0.02). No significant differences were observed in mortality (11.8% vs. 18.8%; p=0.11).</div></div><div><h3>Conclusions</h3><div>The implementation of multimodal prehabilitation programs in CRC patients is associated with reduced hospital stay. Although no significant difference in mortality was observed, the trend suggests a positive impact. These findings support the adoption of prehabilitation as a standard in oncological practice.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 3","pages":"Article 100918"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203070","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

Lectura crítica: ¿debemos confiar en todo lo que se publica? 评论阅读：我们应该相信所有出版的东西吗？

Rehabilitacion Pub Date : 2025-07-01 Epub Date: 2025-06-21 DOI: 10.1016/j.rh.2025.100919

E. Duarte

引用次数: 0

Importancia de la rehabilitación en la enfermedad de Parkinson: ¿estamos llegando tarde? 帕金森氏症康复的重要性：我们迟到了吗？

Rehabilitacion Pub Date : 2025-07-01 Epub Date: 2025-05-15 DOI: 10.1016/j.rh.2025.100914

G. Candoni

引用次数: 0

Comment on “The effect of a physical rehabilitation program on temperature symmetry, mobility, functionality and gait in amputee patients” 对“肢体康复项目对截肢患者体温对称性、活动能力、功能和步态的影响”的评论

Rehabilitacion Pub Date : 2025-07-01 Epub Date: 2025-05-16 DOI: 10.1016/j.rh.2025.100915

H. Daungsupawong , V. Wiwanitkit

引用次数: 0

Grading hypotonia in children with Down syndrome: A study psychometric 唐氏综合症儿童张力低下分级：一项心理测量学研究

Rehabilitacion Pub Date : 2025-07-01 Epub Date: 2025-05-29 DOI: 10.1016/j.rh.2025.100916

M.G. de Santos-Moreno , J.A. López-Pina , A. Velandrino-Nicolás , A. Gómez-Conesa

{"title":"Grading hypotonia in children with Down syndrome: A study psychometric","authors":"M.G. de Santos-Moreno , J.A. López-Pina , A. Velandrino-Nicolás , A. Gómez-Conesa","doi":"10.1016/j.rh.2025.100916","DOIUrl":"10.1016/j.rh.2025.100916","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Currently, hypotonia is diagnosed and graded observationally. This study aimed to develop a valid and reliable scale for assessing hypotonia in children with Down syndrome.</div></div><div><h3>Material and method</h3><div>An initial 43-item scale was created to measure hypotonia in children with Down syndrome. After psychometric analysis of the results, 21 items were eliminated, resulting in a 22-item scale that was applied to a sample of 50 children (28 girls) between 7 and 94 months. The item analysis, internal consistency, inter-rater agreement, and test–retest reliability with alpha and ICC coefficients were analyzed. Hypothesis testing was calculated by ANOVA and Student's <em>t</em>-tests, and criterion validity by comparison with the clinical sensation observed by an expert evaluator.</div></div><div><h3>Results</h3><div>The 22-item scale reported high reliability, stability, and reproducibility of its measures, both globally and individually. Inter-rater agreement was high [0.88–1.00] and internal consistency was higher. No significant differences were found according to sex or motor stage. Furthermore, significant differences were found according to the clinical sensation of the rater and grade of hypotonia.</div></div><div><h3>Conclusions</h3><div>The developed scale allows to assess hypotonia and proved to be reliable and valid.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 3","pages":"Article 100916"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167565","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

Uso de las presiones linguales para determinar la indicación de estudio instrumentado de deglución en pacientes con ELA espinal 使用舌压来确定脊柱侧凸患者的仪器吞咽试验适应症

Rehabilitacion Pub Date : 2025-07-01 Epub Date: 2025-06-03 DOI: 10.1016/j.rh.2025.100917

A. Guillen-Sola , B. Bertran-Recasens , J. Martinez-Llorens , A. Balaña , M. Villatoro , M.A. Rubio

{"title":"Uso de las presiones linguales para determinar la indicación de estudio instrumentado de deglución en pacientes con ELA espinal","authors":"A. Guillen-Sola , B. Bertran-Recasens , J. Martinez-Llorens , A. Balaña , M. Villatoro , M.A. Rubio","doi":"10.1016/j.rh.2025.100917","DOIUrl":"10.1016/j.rh.2025.100917","url":null,"abstract":"<div><h3>Objective</h3><div>Systematic swallowing assessment in amyotrophic lateral sclerosis (ALS) is essential, as approximately 85% of patients will develop dysphagia, and 8% of these cases may remain clinically silent. Although instrumental diagnostic tools exist, they are not always accessible. Recent studies suggest that lingual pressure measurements may be valuable for early detection of bulbar dysfunction. This study aims to establish lingual pressure cutoff points for early screening of such dysfunction.</div></div><div><h3>Design</h3><div>Transversal study based on prospectively collected data from patients with spinal-onset ALS at the Motor Neuron Unit, Hospital del Mar (Barcelona).</div></div><div><h3>Materials and methods</h3><div>A total of 58 patients were included. Anterior (PA) and posterior (PP) lingual pressures were measured using the IOPI system and analyzed alongside the ALSFRS-R scale. Statistical analysis included descriptive statistics, Spearman correlation, and ROC curve analysis (SPSS v25).</div></div><div><h3>Results</h3><div>A moderate correlation was found between lingual strength and ALSFRS-R scores (PA: r=.634, <em>P</em>    <.001). Identified cutoff values: PA: 39.5kPa (AUC=.766; 95%CI: .700-.831; <em>P</em>      <.001), sensitivity 55.1%, specificity 72.2%.</div></div><div><h3>Conclusion</h3><div>In spinal-onset ALS, a moderate correlation exists between global functionality and lingual pressures. Cutoff points of PA=39.5kPa and PP=37.0kPa are proposed for early screening of bulbar dysfunction.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 3","pages":"Article 100917"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194833","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