Rehabilitacion最新文献_第7页

Exploration of the relationship between functional motor and communication performance levels and amount of use of the more affected upper extremity based on the caregivers’ perceptions in children with hemiplegic cerebral palsy: A cross-sectional study 基于照顾者认知的偏瘫性脑瘫儿童功能运动和沟通表现水平与更严重上肢使用量的关系:一项横断面研究

Rehabilitacion Pub Date : 2023-10-01 DOI: 10.1016/j.rh.2023.100784

H. Bingol , M. Kerem Gunel

{"title":"Exploration of the relationship between functional motor and communication performance levels and amount of use of the more affected upper extremity based on the caregivers’ perceptions in children with hemiplegic cerebral palsy: A cross-sectional study","authors":"H. Bingol , M. Kerem Gunel","doi":"10.1016/j.rh.2023.100784","DOIUrl":"10.1016/j.rh.2023.100784","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate relationships between amount of use of the more affected upper extremity and functional motor and communication performance classification systems.</p></div><div><h3>Material and methods</h3><p>The study comprised 95 children with congenital hemiplegic cerebral palsy (CP) aged 6–15 years (52 males, 43 females; mean age 9.53, SD 3.1) and their parents/caregivers. The amount of use of the more affected upper extremity was assessed using Pediatric Motor Activity Log-Revised-How Often subscale (PMAL-R HO). Functional levels of the enrolled children were defined by the parents/caregivers using Manual Ability Classification System (MACS), Gross Motor Function Classification System-Expanded and Revised (GMFCS-E&R), and Communication Function Classification System (CFCS).</p></div><div><h3>Results</h3><p>A strong and negative correlation was found between PMAL-R HO subscale score and MACS (<em>r</em>      <!-->−0.567).</p></div><div><h3>Conclusion</h3><p>The amount of use of the more affected upper extremity is more sensitive to MACS than GMFCS-E&R and CFCS. Children with a given MACS level had a wide range of PMAL-R HO subscale score. In addition to MACS, a score on the PMAL-R HO subscale related to the more affected upper extremity should be included as an inclusion criterion in clinical trials to avoid misleading effects of intervention approaches aimed at improving the amount of use of the more affected upper extremity in children with congenital hemiplegic CP.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 4","pages":"Article 100784"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9221466","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}

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La importancia de la investigación en políticas y sistemas de salud para fortalecer la rehabilitación en la red sanitaria: una llamada a la acción para acelerar el progreso 卫生政策和系统研究对加强卫生网络康复的重要性:加速进展的行动呼吁

Rehabilitacion Pub Date : 2023-10-01 DOI: 10.1016/j.rh.2023.100824

W.R. Frontera , W. DeGroote , A. Ghaffar , Grupo para La Investigación en Políticas y Sistemas de Salud en Rehabilitación

引用次数: 0

Evaluación funcional tras SARS-CoV-2 crítico. Estudio de cohortes de la unidad de rehabilitación en un hospital de tercer nivel 关键SARS-CoV-2后的功能评估。三级医院康复组的队列研究

Rehabilitacion Pub Date : 2023-10-01 DOI: 10.1016/j.rh.2022.100779

I. Díaz-Cano Carmona, A.M. López Lozano, F.J. Pérez Rastrollo, A.M. Moreno Moreno, J.M. Barrera Chacón

{"title":"Evaluación funcional tras SARS-CoV-2 crítico. Estudio de cohortes de la unidad de rehabilitación en un hospital de tercer nivel","authors":"I. Díaz-Cano Carmona, A.M. López Lozano, F.J. Pérez Rastrollo, A.M. Moreno Moreno, J.M. Barrera Chacón","doi":"10.1016/j.rh.2022.100779","DOIUrl":"https://doi.org/10.1016/j.rh.2022.100779","url":null,"abstract":"<div><h3>Introduction</h3><p>SARS-COV-2 pneumonia is a highly contagious respiratory disease that causes respiratory, physical and psychological dysfunctions. We present the results of patient assessment when they were discharged from the ICU.</p></div><div><h3>Material and method</h3><p>Cohort study of patients affected by SARS-COV-2 pneumonia admitted to the intensive care unit from 01/10/2020 to 31/07/2021. We collect sociodemographic data, personal history, ICU and hospital stay, Barthel, FAC and mMRC (pre-admission/initial assessment/discharge), development of osteomuscular and/or neurological pathology and need for rehabilitation treatment.</p></div><div><h3>Results</h3><p>A total of 341 patients were evaluated, of which 224 met criteria. The average age was 63 years (68.75% men). Mean ICU/hospital stay were 27/44 days. They were assessed by physiatry, after that, we provide a guide developed by physiatry, solving doubts about the disease and setting exercises of intensity and progressive difficulty, to be carried out during the admission and at home. Neurological pathology was present at 42.86% patients, of whom a 83.33% were peripheral nervous system disease. The total of the sample needed respiratory physiotherapy and a 72.32% motor physiotherapy.</p></div><div><h3>Conclusions</h3><p>In our study, a high number of patients have needed rehabilitation treatment in order to get functional recovery, highlighting the development of post-COVID neurological pathology. SARS-COV-2 generates other complications, not only respiratory, subsidiary to be assessed and treated by rehabilitation services for a comprehensive recovery that minimizes sequelae.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 4","pages":"Article 100779"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49867555","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

Instrumentos predictores del éxito en la protetización de pacientes con amputaciones unilaterales mayores de miembro inferior 预测大型单侧下肢截肢患者假体成功的工具

Rehabilitacion Pub Date : 2023-10-01 DOI: 10.1016/j.rh.2023.100785

J.A. Expósito Tirado , P. García Kirschberg , J.M. Delgado Mendilívar , M. Rodríguez-Piñero Durán , A.M. Gómez González , J.M. Fernández Torrico , R. del Pino Algarrada

引用次数: 0

Incidencia, circunstancias y consecuencias de caídas en sujetos con accidente cerebrovascular: un año de seguimiento 中风受试者跌倒的发生率、情况和后果:一年的随访

Rehabilitacion Pub Date : 2023-10-01 DOI: 10.1016/j.rh.2023.100809

M. del Castillo, M.A. Mosteiro, J. Navarro, M.E. Rivas, M. Gianella, M. Ahumada

{"title":"Incidencia, circunstancias y consecuencias de caídas en sujetos con accidente cerebrovascular: un año de seguimiento","authors":"M. del Castillo, M.A. Mosteiro, J. Navarro, M.E. Rivas, M. Gianella, M. Ahumada","doi":"10.1016/j.rh.2023.100809","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100809","url":null,"abstract":"<div><h3>Introduction</h3><p>Falls are among the most frequent complications following stroke (CVA), and have a negative impact on rehabilitation.</p></div><div><h3>Objectives</h3><p>To study the incidence, circumstances, and consequences of falls in stroke patients up to 12months after starting outpatient kinetic treatment.</p></div><div><h3>Materials and methods</h3><p>Prospective design, case series. Consecutive sampling. Patients admitted to the day hospital between June 2019 and May 2020. Included: adults with a diagnosis of first supratentorial stroke and functional ambulatory category score ≥3. Exclusion criteria: other condition affecting locomotion. Main variables: number of falls, circumstances, and consequences. Clinical, demographic, and functional characteristics were measured.</p></div><div><h3>Results</h3><p>Twenty-one subjects were included, 13 suffered at least one fall. The subjects reported 41 falls: 15 were to the most affected side, 35 inside the home, 28 without the indicated equipment, they were alone when the event occurred on 29 occasions, and in two situations medical assistance was required. There were statistically significant differences (<em>P</em>  <!-->.05) in functional performance (balance, gait velocity) between those who fell and those who did not. No significant differences were found between gait endurance and falls.</p></div><div><h3>Conclusion</h3><p>More than half suffered a fall, alone, to the weaker side, and without the appropriate equipment. With this information the incidence could be reduced by preventive measures.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 4","pages":"Article 100809"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49867557","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}

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«Rehabilitación 2030»: una iniciativa de la OMS, una necesidad sanitaria “2030年康复”:世卫组织的一项倡议，一项卫生需求

Rehabilitacion Pub Date : 2023-10-01 DOI: 10.1016/j.rh.2023.100829

J. Chaler , E. Marco , H. Bascuñana , C. de Miguel

引用次数: 0

Percepción de la situación actual de la formación en el área de foniatría en España: un estudio descriptivo 对西班牙语音医学培训现状的看法:一项描述性研究

Rehabilitacion Pub Date : 2023-10-01 DOI: 10.1016/j.rh.2022.100782

A. Jover Llopis , W. Guanipa-Sierra , R.A. García Macero

引用次数: 0

¿Se puede utilizar la determinación del pico flujo de tos para valorar la capacidad tusígena en enfermedades respiratorias obstructivas graves? 咳嗽峰值流量的测定是否可用于评估严重阻塞性呼吸道疾病的咳嗽能力?

Rehabilitacion Pub Date : 2023-10-01 DOI: 10.1016/j.rh.2022.10.004

A. Balañá Corberó , A. Guillen-Solá , M.Á. Rubio , M. Admetlló , A. Sancho Muñoz , J. Martínez-Llorens

{"title":"¿Se puede utilizar la determinación del pico flujo de tos para valorar la capacidad tusígena en enfermedades respiratorias obstructivas graves?","authors":"A. Balañá Corberó , A. Guillen-Solá , M.Á. Rubio , M. Admetlló , A. Sancho Muñoz , J. Martínez-Llorens","doi":"10.1016/j.rh.2022.10.004","DOIUrl":"10.1016/j.rh.2022.10.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Cough capacity is assessed by measuring cough peak flow (CPF). However, this assessment could be altered by obstructive airway diseases. The aim was to assess measurement of cough capacity by CPF in patients with chronic obstructive pulmonary disease (COPD), as well as correlations with pulmonary, respiratory muscle, and oropharyngeal function.</p></div><div><h3>Methods</h3><p>Patients with COPD, and with neuromuscular disease, were selected as well as healthy subjects who had undergone respiratory muscle strength measurement in a healthcare setting. From this population, respiratory function values and lung and oropharyngeal muscle function were analysed. A subgroup of COPD patients underwent a videofluoroscopic swallow study.</p></div><div><h3>Results</h3><p>Three hundred and seven subjects were included (59.3% COPD, 38.4% neuromuscular diseases, and 2.3% healthy). CPF was found to be statistically significantly decreased in the COPD group compared to both the healthy and neuromuscular disease groups. Of the COPD patients, 70% had a pathological decrease in CPF. There was only a direct correlation between CPF with the degree of bronchial obstruction and expiratory muscle strength. No alteration of inspiratory or oropharyngeal muscle function was found.</p></div><div><h3>Conclusions</h3><p>The use of CPF in COPD patients does not reflect cough capacity as it is influenced by the degree of bronchial obstruction. Therefore, new diagnostic tests to measure cough capacity should be considered, especially in patients with coexisting neuromuscular diseases and severe bronchial obstructive disease.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 4","pages":"Article 100765"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40710931","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

Situación de la articulación de la cadera en pacientes adultos con parálisis cerebral 成人脑瘫患者髋关节状况

Rehabilitacion Pub Date : 2023-10-01 DOI: 10.1016/j.rh.2023.100811

E. Toro Tamargo, D. Pedrera Mulero, M. Meléndez Plumed

{"title":"Situación de la articulación de la cadera en pacientes adultos con parálisis cerebral","authors":"E. Toro Tamargo, D. Pedrera Mulero, M. Meléndez Plumed","doi":"10.1016/j.rh.2023.100811","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100811","url":null,"abstract":"<div><h3>Introduction</h3><p>In cerebral palsy, femoral head migration is defined as the loss of coverage of the femoral head by the acetabulum and is measured using the Reimer index. Surgical treatment can be preventive, reconstructive, or salvage, and failure rates of surgery are high and related to the severity of cerebral palsy. The aim of our work is to assess the incidence of hip migration in our series of adult patients with cerebral palsy, to determine the outcome of those who have undergone surgery, and to establish recurrence rates after the various surgical techniques.</p></div><div><h3>Material and methods</h3><p>We designed a retrospective observational study to determine the hip status of adult patients with cerebral palsy visiting the Unit between 2008 and 2021.</p></div><div><h3>Results</h3><p>The overall incidence of hip displacement was 75%, patients with more extensive disability (GMFCS IV and V) were more predisposed to dislocation, also more severe. Soft tissue surgery made up 49.5% of the operations performed with a failure rate of up to 82%. Reconstructive surgery was performed in 45.5% of cases with a failure rate of more than 86%.</p></div><div><h3>Conclusion</h3><p>The current hip surveillance programmes have been implemented to improve follow-up and interventions in hip displacement, with the objective of maintaining optimal acetabular coverage and reducing the failure rate of potential surgeries.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 4","pages":"Article 100811"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49867547","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 de la telerrehabilitación en pacientes con enfermedad pulmonar obstructiva crónica: revisión sistemática 远程康复治疗慢性阻塞性肺疾病患者的疗效:系统综述

Rehabilitacion Pub Date : 2023-10-01 DOI: 10.1016/j.rh.2022.100781

A. de la Cruz Hanna , J.J. López Marcos , D. López-Fernández

{"title":"Eficacia de la telerrehabilitación en pacientes con enfermedad pulmonar obstructiva crónica: revisión sistemática","authors":"A. de la Cruz Hanna , J.J. López Marcos , D. López-Fernández","doi":"10.1016/j.rh.2022.100781","DOIUrl":"https://doi.org/10.1016/j.rh.2022.100781","url":null,"abstract":"<div><p>Since 2020 we have lived an exceptional situation that made us experience a complete lockdown due to SARS-CoV-2, what affected the treatments of different pathologies, such as the chronic obstructive pulmonary disease (COPD). Because of those reasons, it has arisen the idea of implementing the tele-rehabilitation program as a treatment of these pathologies.</p><p>The search was done between the months of October and November 2020, with the aim of analyzing and updating the efficacy of the tele-rehabilitation in patients who have COPD, finding eight articles which met the inclusion criteria. The pulmonary tele-rehabilitation is able to improve the quality of life and physical state, and decreasing the number of hospitalizations and exacerbations. Furthermore, patients showed a great level of satisfaction and adherence to this treatment program. The pulmonary tele-rehabilitation can achieve similar results as of pulmonary rehabilitation. For this reason, people who have difficulties to go to their outpatients clinic or even in a lockdown can use it. However, it is necessary to investigate which tele-rehabilitation program is better.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 4","pages":"Article 100781"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49867550","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