Rehabilitacion最新文献_第7页

Validación de test de flexión-relajación para definir un déficit lumbar con electrodos tetrapolares [利用四极电极验证屈曲-放松测试以确定腰椎损伤]。

Rehabilitacion Pub Date : 2023-12-22 DOI: 10.1016/j.rh.2023.100823

Y. Domínguez Ponce, J. García Díaz, J. Vargas Montes, M.E. Romero Díez

{"title":"Validación de test de flexión-relajación para definir un déficit lumbar con electrodos tetrapolares","authors":"Y. Domínguez Ponce, J. García Díaz, J. Vargas Montes, M.E. Romero Díez","doi":"10.1016/j.rh.2023.100823","DOIUrl":"10.1016/j.rh.2023.100823","url":null,"abstract":"<div><h3>Introduction and objective</h3><p>To obtain a new cut-off point (CP) for a lumbar flexion-relaxation (RF) test established with tetrapolar (e.) electrodes, from values already defined with bipolar devices.</p></div><div><h3>Materials and methods</h3><p>The study sample consists of 47 patients in a situation of temporary disability due to low back pain (DL). They were evaluated by means of an isometric dynamometry test, a kinematic test and an assessment of the FR phenomenon.</p><p>Two experiments with ROC curves are proposed. The first, with 47 patients who consecutively performed the RF test with both types of electrodes, using the cut-off point (CP) known for the e. bipolar (2.49μV). In the second, with the EMG data recorded with e. tetrapolar in 17 patients, a DeLong test was performed that compares the 2 ROC curves that were constructed on the one hand, by classifying the sample from dynamometry and kinematic tests, and on the other, by classifying them with the bipolar EMG values.</p></div><div><h3>Results</h3><p>A total of 34 patients adequately completed the evaluations of the first experiment and 17 patients the second. The first study shows a cut-off point of 1.2μV, with an AUC of 87.7%; Sensitivity 84.2% and Specificity 80%. The second shows a PC for e. bipolars of 1.21μV (AUC 87.5%) and for e. tetrapolar values of 1.43 (AUC 82.5%) with a DeLong test without significant differences between both curves (<em>p</em>  <!-->0.4065).</p></div><div><h3>Conclusions</h3><p>The validation methodology with ROC curves has made it possible to obtain a new PC for the RF test in a practical way, simply by simultaneously performing both tests on the same group of patients until a significant sample is obtained.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 2","pages":"Article 100823"},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032672","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

A heuristic-based approach for assessing usability in electric powered wheelchairs: A preliminary investigation 基于启发式的电动轮椅可用性评估方法：初步调查

Rehabilitacion Pub Date : 2023-12-22 DOI: 10.1016/j.rh.2023.100831

L.R. Borges, A. Abreu Rosa de SÁ, E.L.M. Naves

{"title":"A heuristic-based approach for assessing usability in electric powered wheelchairs: A preliminary investigation","authors":"L.R. Borges, A. Abreu Rosa de SÁ, E.L.M. Naves","doi":"10.1016/j.rh.2023.100831","DOIUrl":"10.1016/j.rh.2023.100831","url":null,"abstract":"<div><h3>Objective</h3><p>An important issue related to electric powered wheelchair (EPW) is usability. Recent studies did not use heuristic evaluation and did not consider users’ and developers’ participation in the usability evaluation process of the EPW, especially when it has to be driven using alternative commands. Thus, this study investigates the use of heuristics to evaluate the usability of EPW driven by alternative commands, considering the opinion of users and assistive technology (AT) development professionals.</p></div><div><h3>Methods</h3><p>The study was carried out with 54 participants: 28 EPW users (Group I) and 26 AT developers (Group II). We built a set of 25 heuristics that affects EPW usability. Participants rated each of the 25 heuristics according to their importance for the usability of EPW using the five-point Likert scale. We used the R Software to perform the Wilcoxon Mann–Whitney test as a statistical comparisons test between Group I and II.</p></div><div><h3>Results</h3><p>The results showed a statistically significant difference (<em>p</em>  <!-->0.05) between Group I and II in the evaluation of 16 heuristics. We identified an important set of heuristics that could help evaluate and improve the usability of EPW.</p></div><div><h3>Conclusion</h3><p>The findings highlighted the importance of considering users’ and developers’ points of view in developing an EPW and its evaluation criteria. It could help the design of the device match the user's needs and expectations. The set of heuristics in this study can be adapted to evaluate other devices’ usability using the heuristic evaluation approach.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 2","pages":"Article 100831"},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032673","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

Asimetría escapular por agenesia congénita de trapecio unilateral: a propósito de un caso [病例报告：先天性单侧斜方肌缺失导致肩胛骨不对称]。

Rehabilitacion Pub Date : 2023-12-22 DOI: 10.1016/j.rh.2023.100825

M. Ciller Martínez , S. Rodríguez Palero , T. Vara Arias , S. Cartas Carrión , M. Escribano Pérez , N.V. Ortiz Cabrera , P. Manzarbeitia Arroba

引用次数: 0

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