Rehabilitacion最新文献

{"title":"Adaptación transcultural de la escala «sistema de evaluación del equilibrio» (Mini-BESTest) en pacientes con accidente cerebrovascular","authors":"M.D. Maldonado ,&nbsp;V. Abud ,&nbsp;M.T. García","doi":"10.1016/j.rh.2024.100868","DOIUrl":"10.1016/j.rh.2024.100868","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this study is to adapt cross-culturally to Chilean Spanish the assessment scale “Balance Assessment Systems (Mini-BESTest)” so that it can be applied to patients with stroke. Since stroke is a syndrome that compromises the patient's balance, an essential ability to perform activities of daily living safely, the study of different alternatives to improve the living conditions of patients is considered essential.</div></div><div><h3>Materials and methods</h3><div>Observational, descriptive, cross-sectional study. The process consisted of six stages: direct translation, translation synthesis, back translation, author approval, pre-test, and final consensus. In the pretest, the adapted scale was applied to a sample of stroke patients receiving rehabilitation therapy, who were able to stand up on their own, walk, and follow simple instructions.</div></div><div><h3>Results</h3><div>The process of cross-cultural adaptation to Chilean Spanish of the Mini-BESTest evaluation scale was satisfactorily completed. Interrater reliability obtained percentages of agreement greater than 92% and all were statistically significant, which suggests an excellent level of agreement. There was a trend for subacute patients to require a greater repetition of the command.</div></div><div><h3>Conclusions</h3><div>Mini-BESTest shows an excellent level of agreement among physiotherapists. These findings offer the possibility of continuing with the validation process of the scale. It is suggested to repeat the instructions to patients with subacute stroke.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100868"},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142326904","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":"From confusion to clarity: Strategies for effective communication in skeletal muscle rehabilitation","authors":"R. Tedeschi","doi":"10.1016/j.rh.2024.100867","DOIUrl":"10.1016/j.rh.2024.100867","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100867"},"PeriodicalIF":0.0,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142311572","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":"Diabetes mellitus doble. Doble desafío para la prescripción de ejercicio. Revisión sistemática","authors":"L.M. Trujillo ,&nbsp;A. von Oetinger","doi":"10.1016/j.rh.2024.100866","DOIUrl":"10.1016/j.rh.2024.100866","url":null,"abstract":"<div><p>Double diabetes (DD) refers to patients with type 1 diabetes who have developed insulin resistance. The objective of this review is to update relevant information on the prescription of physical activity, pharmacological adjustments and consumption of carbohydrates in DD. A systematic search for scientific articles was carried out in the following databases: PubMed, Cochrane, EBSCO, WoS, ScienceDirect and Medline. The evidence analyzed shows that both physical activity (PA) and physical exercise (PE) are essential to achieve metabolic control in people with DD. Physiological considerations such as: insulin adjustments, insulin injection sites, time to perform PA and PE, absolute and relative contraindications are essential to avoid complications, especially hypoglycemia.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100866"},"PeriodicalIF":0.0,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141978064","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":"Telerrehabilitación en patología musculoesquelética de miembro superior e inferior","authors":"S. Benot-López ,&nbsp;J. López-Moyano ,&nbsp;B. Ferrer-González ,&nbsp;R. Martínez Pérez Moreira ,&nbsp;J.A. Expósito-Tirado","doi":"10.1016/j.rh.2024.100860","DOIUrl":"https://doi.org/10.1016/j.rh.2024.100860","url":null,"abstract":"<div><p>Chronic musculoskeletal conditions cause pain and disability and have significant impact on morbidity worldwide. Tele-rehabilitation is proposed as an alternative or complement to improve patient's muscle function, pain, and quality of life. However, the satisfaction of both patients and professionals must be assessed, together with the patient's daily life activity independence. A search of the literature was made to locate assessment reports, systematic reviews and reports from regulatory bodies with support from a documentarian from the Andalusian Health Technologies Assessment Area (AETSA). For this purpose, the following sources were used: Medline, EMBASE, INAHTA (international network of health technologies assessment) and PEDro (Physiotherapy Evidence Database) from 2014 onwards. Subsequently a secondary search was carried out on the articles selected in the initial search. A search of open clinical trials was also carried out in the database: <span>www.ClinicalTrials.gov</span><svg><path></path></svg></p><p>Initially 345 articles were identified. Duplicated articles (57) were excluded. By first analysing the title and abstract 238 articles were excluded. The full texts of the remaining 30 articles were analysed. Finally 18 articles were included.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100860"},"PeriodicalIF":0.0,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141596692","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":"Resultados de un programa de rehabilitación respiratoria en pacientes receptores de trasplante pulmonar: estudio cuasiexperimental","authors":"V. Davalos-Yerovi ,&nbsp;A. Gómez-Garrido ,&nbsp;R. Garcia-Gutiérrez ,&nbsp;C. Berastegui ,&nbsp;V. Pujol-Blaya ,&nbsp;P. Launois ,&nbsp;M. Tejero-Sánchez ,&nbsp;B. Canut ,&nbsp;Y.G. Curbelo ,&nbsp;D. Sánchez-Rodríguez","doi":"10.1016/j.rh.2024.100862","DOIUrl":"10.1016/j.rh.2024.100862","url":null,"abstract":"<div><h3>Introduction</h3><p>Lung transplant (LT) is the ultimate option for end-stage lung diseases. Malnutrition and sarcopenia, common in LT recipients, can be reversible with adequate exercise and nutrition. This study aims to assess changes in physical performance and aerobic capacity after a 10-week rehabilitation program (RP) in LT recipients, as well as to describe the prevalence of sarcopenia and malnutrition before and after RP and their influence on clinically relevant outcomes.</p></div><div><h3>Materials and methods</h3><p>Quasi-experimental study, before and after a 10-week PR in first-time TP recipients, aged over 18 years, from January 2022 to September 2023. Aerobic exercise capacity was assessed through the 6-minute walking test (6MWT) and peak oxygen consumption (VO₂peak); and physical performance was measured using the Short Physical Performance Battery (SPPB). Additionally, the prevalence of sarcopenia was described according to the criteria of the European Working Group on Sarcopenia in Older People (EWGSOP2) and malnutrition according to the criteria of the Global Leadership Initiative on Malnutrition (GLIM).</p></div><div><h3>Results</h3><p>Of the 41 patients, 56% had sarcopenia and 80% had malnutrition. After RP, the distance walked in the 6MWT increased by 66.3<!--> <!-->m (p<!--> <!-->=<!--> <!-->0.004) in men and 61<!--> <!-->m (p<!--> <!-->=<!--> <!-->0.001) in women. VO₂peak increased in men by a mean of 3.1<!--> <!-->ml/min/kg (p<!--> <!-->=<!--> <!-->0.024). Physical performance improved significantly in both men and women according to the Short Physical Performance Battery (SPPB), with clinically relevant differences of 1.6 pts (p<!--> <!-->&lt;<!--> <!-->0.001) and 1.2 pts (p<!--> <!-->=<!--> <!-->0.012), respectively. The prevalence of sarcopenia decreased to 24% and malnutrition to 61%.</p></div><div><h3>Conclusions</h3><p>RP proved to be an effective and safe intervention for LT recipients. In addition to improvements in skeletal muscle strength and exercise capacity, a reduction in the prevalence of sarcopenia and malnutrition was also observed.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100862"},"PeriodicalIF":0.0,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581117","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":"Seguridad y eficacia de un programa de ejercicio terapéutico en jóvenes intervenidos de hernia diafragmática congénita","authors":"A.B. Castillo Velásquez ,&nbsp;M. Supervia ,&nbsp;D. Pelaez Mata ,&nbsp;J.C. de Agustín Asensio ,&nbsp;M.O. Arroyo Riaño","doi":"10.1016/j.rh.2024.100859","DOIUrl":"https://doi.org/10.1016/j.rh.2024.100859","url":null,"abstract":"<div><h3>Introduction and objective</h3><p>Patients with congenital diaphragmatic hernia (CDH) can have up to 40 times more frequency of muskuloskeletal deformities and decreased perception of physical activity tan their pairs. The objective of this study is to evaluate the safety and efficacy of an individualized exercise program in late adolescents and young adults with repaired CDH, as well as a description of their basal status.</p></div><div><h3>Material and methods</h3><p>Non randomized prospective trial of 13 patients with repaired CDH between 1997-2005. An initial physical exploration and a pre-post assessment of bioimpedance (BIA), dynamometry, maximal inspiratory and expiratory pressure (MIP/MEP), 6-minute walk test (6MWT), physical activity level (IPAQ) and quality of life (QoL) was made. The training program last for 4 weeks. For the statistical analysis, the Student's t test for paired samples and Wilcoxon test were used.</p></div><div><h3>Results</h3><p>77% (n<!--> <!-->=<!--> <!-->10) were male with a mean age of 19.23<!--> <!-->±<!--> <!-->2.13 years. In baseline BIA, 62% (n<!--> <!-->=<!--> <!-->8) had truncal sarcopenia that improved in −0.43<!--> <!-->±<!--> <!-->0.58, and <em>P</em> <!-->=<!--> <!-->.016. MIP, MEP, 6MWT and QoL tests increased by −7.27<!--> <!-->±<!--> <!-->8.26 cmH₂O, <em>P</em> <!-->=<!--> <!-->.008; −11.91<!--> <!-->±<!--> <!-->10.20 cmH₂O, <em>P</em> <!-->=<!--> <!-->.002; −70.63<!--> <!-->±<!--> <!-->17.88 m, <em>P</em> <!-->=<!--> <!-->.001; −42,19<!--> <!-->±<!--> <!-->26.79, <em>P</em> <!-->=<!--> <!-->.00 respectively. The IPAQ did not change significantly (<em>P</em> <!-->=<!--> <!-->0.86), however the time dedicated to muscle strengthening increased. No adverse effects were reported.</p></div><div><h3>Conclusions</h3><p>A personalized rehabilitation program is safe and could improve the respiratory muscle strength and truncal sarcopenia as well as the submaximal effort capacity in late adolescents and young adults with repaired CDH.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 4","pages":"Article 100859"},"PeriodicalIF":0.0,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141434246","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":"El proceso de revisión: una llamada a nuevos revisores","authors":"J. Chaler ,&nbsp;E. Marco","doi":"10.1016/j.rh.2024.100861","DOIUrl":"https://doi.org/10.1016/j.rh.2024.100861","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 3","pages":"Article 100861"},"PeriodicalIF":0.0,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141423101","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":"Relación entre la fragilidad y la capacidad funcional en los pacientes candidatos a trasplante de pulmón","authors":"A. Gómez-Garrido ,&nbsp;B. Planas-Pascual ,&nbsp;P. Launois ,&nbsp;V. Pujol-Blaya ,&nbsp;V. Dávalos-Yerovi ,&nbsp;C. Berastegui-García ,&nbsp;C. Esperidon-Navarro ,&nbsp;C. Simon-Talero ,&nbsp;M. Deu-Martin ,&nbsp;J. Sacanell-Lacasa ,&nbsp;P. Ciurana-Ayora ,&nbsp;G. Ballesteros-Reviriego ,&nbsp;I. Bello-Rodriguez ,&nbsp;A. Roman-Broto","doi":"10.1016/j.rh.2024.100858","DOIUrl":"10.1016/j.rh.2024.100858","url":null,"abstract":"<div><h3>Introduction</h3><p>Lung transplant (LT) is one of the therapeutic options for patients with terminal respiratory diseases. It is highly important to incorporate the functional status and frailty assessment into the selection process of candidates for LT.</p></div><div><h3>Objectives</h3><p>Identify the prevalence of frailty in the LT waiting list. Study the relationship between frailty, functional status, Lung Allocation Score (LAS) and muscular dysfunction.</p></div><div><h3>Methodology</h3><p>Descriptive transversal study of patients on the waiting list for LT. Population: 74 patients with chronic respiratory diseases assessed by the lung transplant committee and accepted to be transplanted in a university hospital in Barcelona.</p><p>The outcome variables were frailty status was evaluate for SPPB test, functional capacity was evaluate for the six-minute walking test (6MWT) and muscular dysfunction. The results were analyzed with the statistical package STATA 12.</p></div><div><h3>Results</h3><p>Sample of 48 men and 26 women, with a median age of 56.55 years (SD 10.87. The prevalence of frailty assessed with the SPPB was 33.8% (8.1% are in frailty and 25.7% are in a state of pre-frailty). There is a relationship between the SPPB, 6MWT and maximal inspiratory pressure, but not with others force values. There is a relationship between the risk of frailty (scores below 9 in SPPB) and the meters walked in 6 but not with the LAS.</p></div><div><h3>Conclusions</h3><p>The risk of frailty in patients with terminal chronic respiratory diseases is high. Frailty is related with functional capacity, but not with LAS.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 3","pages":"Article 100858"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141199100","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":"Propiedades psicométricas de herramientas de resultados de desempeño para evaluar la sensibilidad en sujetos con secuela de accidente cerebrovascular: revisión sistemática","authors":"M. Valdez ,&nbsp;C. Bartolini ,&nbsp;G. Candoni ,&nbsp;F. Scaminaci-Russo ,&nbsp;R. Tomadín ,&nbsp;A. Mendelevich","doi":"10.1016/j.rh.2024.100855","DOIUrl":"https://doi.org/10.1016/j.rh.2024.100855","url":null,"abstract":"<div><p>The objective was to perform a systematic review of those performance outcomes (HRD) tools that assess sensitivity in post-stroke subjects, as well as to know which of all is the most reliable and viable. The design was a systematic review. The following were included: HRD, developed in post-stroke subjects, of any etiology and period of evolution; 18 years of age or older and testing for sensitivity; results on psychometric properties. Excluded: self-reported results, the report of cross-cultural adaptation, designed through computerized means. 19 HRD were acquired. The psychometric properties analyzed were reliability, internal consistency, measurement error, construct validity, content validity, and sensitivity to change, the first being the most studied. Psychometric properties were identified, assessed, compared, and summarized. Of all of them, we recommend the use of the modified Erasmus Nottingham Sensory Assessment, as it presents the best degree of confidence in the evidence.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 3","pages":"Article 100855"},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141090959","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":"Assessment of pain relief after four botulinum toxin A injection cycles in patients with post-stroke lower limb spasticity: A prospective, observational study","authors":"A. Vázquez Doce ,&nbsp;F.J. De León García ,&nbsp;A. Mena ,&nbsp;L. Ortiz-Fernández ,&nbsp;M.P. Spottorno ,&nbsp;F. Medina ,&nbsp;P. Maisonobe ,&nbsp;A. Herrera ,&nbsp;I. García ,&nbsp;F.J. Juan-García ,&nbsp;on behalf of the RELIEF investigators group","doi":"10.1016/j.rh.2024.100856","DOIUrl":"https://doi.org/10.1016/j.rh.2024.100856","url":null,"abstract":"<div><h3>Introduction</h3><p>Spasticity is common after a stroke and is an independent risk factor for developing pain. BotulinumtoxinA injection is the treatment of choice for focal spasticity. We examined the effect of intramuscular botulinumtoxinA on pain relief in patients in routine clinical practice who were experiencing pain as a primary complaint associated with post-stroke lower limb spasticity.</p></div><div><h3>Methods</h3><p>Prospective, multicentre, post-marketing observational study. The study period was 16 months. The primary effectiveness variable was the mean change from baseline on the pain 0–10 Numerical Rating Scale after four botulinumtoxinA injection cycles. Secondary endpoints included changes from baseline on the pain 0–100 Visual Analogue Scale, Goal Attainment Scale, modified Ashworth Scale, 10-Meter Walk Test, Penn Spasm Frequency Scale, and 36-item Short-Form Health Survey.</p></div><div><h3>Results</h3><p>Of 186 enrolled patients, 180 (96.8%) received botulinumtoxinA at least once. The mean (standard deviation) pain 0–10 Numerical Rating Scale score decreased significantly (<em>p</em> <!-->&lt;<!--> <!-->0.0001) from 4.9 (2.2) at baseline to 2.5 (2.1) at study end, representing a 50% decrease in pain severity. Relief of pain due to spasticity was supported by improvement from baseline in all secondary variables except the 10-Meter Walk Test. Two adverse events (erysipelas and phlebitis) in one patient were considered likely to be related to botulinumtoxinA injection.</p></div><div><h3>Conclusion</h3><p>BotulinumtoxinA appears to provide pain relief as an additional benefit of local treatment in patients with post-stroke lower limb spasticity for whom pain relief is a primary therapeutic goal (a Lay Abstract has been provided as <span>Appendix A</span>).</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 3","pages":"Article 100856"},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141090958","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}