Rehabilitacion最新文献

{"title":"Lesión medular asociada a hematoma epidural espinal espontáneo","authors":"A.M. Sánchez Guerrero ,&nbsp;M. Alcobendas-Maestro ,&nbsp;R. Palazón García ,&nbsp;S.M. Cofiño Rodríguez","doi":"10.1016/j.rh.2023.100783","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100783","url":null,"abstract":"<div><h3>Introduction</h3><p>Spontaneous spinal epidural hematoma (SSEH) is a disease with low incidence and high morbidity/mortality. It can cause severe loss of function.</p></div><div><h3>Material and methods</h3><p>In order to determine the incidence, type of spinal injury and functional impact, a descriptive and retrospective study was developed, analysing demographic data, functional scores (SCIM<!--> <!-->III) and neurological scores (ISCNSCI).</p></div><div><h3>Results</h3><p>Cases of SSEH were reviewed. Seventy-five percent were male, median age was 55<!--> <!-->years old. All of the spinal injuries were incomplete and were frequently in the lower cervical and thoracic regions. Fifty percent of bleedings occurred in the anterior spinal cord. Most showed with a progress after an intensive rehabilitation program.</p></div><div><h3>Conclusion</h3><p>SSEH could be considered to have a good functional prognosis, related to usually posterior and incomplete sensory-motor spinal cord injuries that would benefit from early specific rehabilitative treatment.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 4","pages":"Article 100783"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49867554","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":"Mielopatía cervical por déficit de cobre secundario a sobrecarga de zinc dental. A propósito de un caso","authors":"M. Polo Royo ,&nbsp;B.B. Hidalgo Mendía ,&nbsp;R. Jariod Gaudes","doi":"10.1016/j.rh.2023.100810","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100810","url":null,"abstract":"<div><p>We present the case of a 68-year-old man with progressive brachial and crural hypoaesthesia with gait ataxia suggesting subacute myelopathy of the posterior cords, demonstrated by MRI. After blood tests, a diagnosis of copper deficiency was made following zinc intoxication, secondary to the use of denture glue containing zinc. Treatment was started with copper and the dental glue was removed. Rehabilitation treatment was started with physiotherapy, hydrotherapy and occupational therapy. Functional improvement was achieved, going from an ASIA<!--> <!-->D level C4 to an ASIA<!--> <!-->D level C7 spinal cord injury. Copper levels should be studied in all non-compressive myelopathies of subacute onset if there is clear involvement of the posterior cords. Copper deficiency in analysis would establish the diagnosis. Rehabilitative treatment, supplementary copper supplementation and zinc withdrawal are essential to prevent irreversible neurological damage.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 4","pages":"Article 100810"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49867552","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":"Análisis de periodicidad de reinyección en gonartrosis con distintos tipos de ácidos hialurónicos","authors":"M.E. Fernández-Cuadros,&nbsp;M.J. Albaladejo-Florín","doi":"10.1016/j.rh.2023.100802","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100802","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 4","pages":"Article 100802"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49867553","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":"Encuesta sobre la situación de investigación en rehabilitación en España. Resultados","authors":"E. Roldán Arcelus ,&nbsp;A. Teixeira Taborda ,&nbsp;R. Cutillas Ruiz ,&nbsp;en nombre de la Vocalía de Investigación e Innovación de la SERMEF","doi":"10.1016/j.rh.2023.100812","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100812","url":null,"abstract":"<div><p>The research, training and innovation committee of the Spanish Society of Physical Medicine and Rehabilitation (SERMEF) wanted to know the state of research in our speciality. To this end, an online survey was developed and distributed among rehabilitation doctors in Spain, which obtained 253 responses. Of these, 65% stated that research activity in rehabilitation does take place in their work centre; the number of active projects in their centres as stated by them was: none in 35.7%; one in 17.7%, two in 23.3%, three in 8.4% and four or more in 14.9%. Among the main difficulties encountered, 89% highlight that there is no staff hired for research and 95% that in their centres part of the working day is not allocated to research. In terms of personal research activity, 56% reported that they were involved in research, with the most common role being that of principal investigator (58%). Ninety-five percent of respondents report that the main obstacle to developing a research project is the pressure of care and lack of time, and correspondingly, a large majority (83%) claim that having stipulated time for research in their working day would be a motivation.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 4","pages":"Article 100812"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49867551","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":"Rehabilitación (Madr) refuerza su dirección. La indexación en el Web of Science en el horizonte","authors":"","doi":"10.1016/j.rh.2023.100833","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100833","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 4","pages":"Article 100833"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136695728","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":"Dysphagia and pulmonary complications in acute cerebrovascular disease: A retrospective observational study","authors":"A. Silva ,&nbsp;I. Carmezim ,&nbsp;C. Oliveira ,&nbsp;I. Peixoto ,&nbsp;M. Vaz ,&nbsp;P. Teixeira ,&nbsp;N. Albuquerque ,&nbsp;B. Lopes ,&nbsp;D. Coutinho ,&nbsp;E. Moreira ,&nbsp;R. Evangelista ,&nbsp;E. Bruco ,&nbsp;A. Gomes ,&nbsp;J. Caldas","doi":"10.1016/j.rh.2023.100804","DOIUrl":"10.1016/j.rh.2023.100804","url":null,"abstract":"<div><h3>Introduction</h3><p>Dysphagia is a common post-stroke complication, which may result in serious pulmonary sequelae. Early detection of dysphagia and aspiration risk can reduce morbidity, mortality and length of hospitalization.</p></div><div><h3>Objectives</h3><p>This study aims to identify association between dysphagia and acute cerebrovascular disease, and evaluate the prevalence and impact of pulmonary complications on readmissions and mortality.</p></div><div><h3>Material and methods</h3><p>Retrospective observational study based on 250 clinical records of patients with acute cerebrovascular disease: clinical history, neurological examination, imaging and Gugging Swallowing Screen in the first 48<!--> <!-->h. Patients were followed for 3 months via medical records to estimate 3-month mortality and readmissions.</p></div><div><h3>Results</h3><p>Out of 250 clinical records analyzed, 102 (40.8%) were evaluated for dysphagia. The prevalence of dysphagia was 32.4%. The risk was higher in older patients (<em>p</em> <!-->&lt;<!--> <!-->0.001), in severe stroke (<em>p</em> <!-->&lt;<!--> <!-->0.001) and in the hemorrhagic subtype (<em>p</em> <!-->=<!--> <!-->0.008). An association was found with dysarthria and aphasia (<em>p</em> <!-->=<!--> <!-->0.003; <em>p</em> <!-->=<!--> <!-->0.017). Respiratory tract infections occurred in 14.4% of all patients (GUSS group 11.8% versus no GUSS group 16.2%), and in 75% of those with severe dysphagia (<em>p</em> <!-->&lt;<!--> <!-->0.001). Mortality at 3 months was 24.2% in dysphagic patients, especially high in the severe dysphagia group (75%, <em>p</em> <!-->&lt;<!--> <!-->0.001).</p></div><div><h3>Conclusions</h3><p><span>The type of cerebrovascular disease, NIHSS and </span>GCS scores, age, dysarthria, and aphasia were significant associated factors to dysphagia. The prevalence of respiratory tract infections was higher in patients with no GUSS record, and no statistical significance was observed in related readmissions. Mortality at 3 months was superior in the severe dysphagia group.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 4","pages":"Article 100804"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9802620","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":"Efectos de un programa de rehabilitación cardíaca fase iii en la capacidad funcional y composición corporal en pacientes con cardiopatía isquémica","authors":"E. Arias Labrador ,&nbsp;J. Vilaró Casamitjana ,&nbsp;S. Blanco Díaz ,&nbsp;E. Brugué Pascual ,&nbsp;M. Buxó Pujolràs ,&nbsp;J.I. Grau ,&nbsp;R. Ramos Blanes ,&nbsp;R. Brugada Terradellas","doi":"10.1016/j.rh.2022.10.003","DOIUrl":"https://doi.org/10.1016/j.rh.2022.10.003","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>The effects of a phase III cardiac rehabilitation program (CRP) have been insufficiently studied in terms of training methods and administration. We studied the impact on functional capacity, body composition and physical activity engagement of interdisciplinary program based on aerobic and community strength therapeutic exercise after an acute coronary syndrome.</p></div><div><h3>Trial design</h3><p>Randomised clinical trial.</p></div><div><h3>Methods</h3><p>Eighty consecutive patients with stable ischemic heart disease and preserved systolic function before phase II CRP were included. They were distributed into a control group (CG), with autonomous exercise, and an experimental group (EG), that follows supervised community program based on aerobic exercise and overload dynamic muscle strength, and an educational strategy through short messaging. Both groups underwent monthly inpatient group therapy. Results were compared after 12 months.</p></div><div><h3>Results</h3><p>Functional capacity presented higher levels in the EG and measured by the 6-min walk test (26.0<!--> <!-->±<!--> <!-->27.4<!--> <!-->m; <em>P</em>&lt;.001), and maximal exercise test (0.6<!--> <!-->±<!--> <!-->2.2<!--> <!-->METs; <em>P</em>=.021). Home physical activity measured in minutes by IPAQ questionnaire increased more in the EG (90<!--> <!-->±<!--> <!-->78<!--> <!-->min/week) (<em>P</em>=.047), and the sitting time during the week decreased (−50.25<!--> <!-->±<!--> <!-->94.48<!--> <!-->min/day) (<em>P</em>=.001). There were no differences in body mass index, although we found a higher percentage of adipose tissue in CG after 12 months (<em>P</em>=.039).</p></div><div><h3>Conclusions</h3><p>A multidisciplinary community phase III CRP based on aerobic and dynamic muscle strength therapeutic exercise combined with a short message service educational strategy was feasible. After 12 months, patients in the EG presented higher levels on functional capacity, reported higher physical activity engagement compared to the CG.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 3","pages":"Article 100764"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49848563","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":"Indirect partial volumetry in breast cancer-related lymphoedema: Distribution of oedema and clinical-diagnostic implications","authors":"E. Cuello Villaverde,&nbsp;E. Rambla Tirado,&nbsp;B. Cardells Beltrán,&nbsp;N. Guerola Soler","doi":"10.1016/j.rh.2022.100777","DOIUrl":"10.1016/j.rh.2022.100777","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>Currently, the assessment of lymphoedema related to breast cancer (BCRL) is performed through the global perimeter volumetry. We implemented an additional system with partial measures (hand, forearm, and upper arm) that allows us to approximate the segmental distribution of oedema. We used this measurement tool to determine the oedema distribution and its evolution, as well as its possible impact on clinical assessment.</p></div><div><h3>Methods</h3><p>We carried out a retrospective observational study of the patients referred to our service with suspected BCRL.</p></div><div><h3>Inclusion criteria</h3><p>Unilateral breast cancer, availability of global and partial digital medical record, and follow-up for a minimum of 24 months.</p><p>Of the 210 selected patients, 190 were considered affected (≥10% excess volume). We analysed at three time points (initial, final, and peak involvement) the oedema distribution and segmental predominance and its relationship with the evolutionary course and the severity of the process. We subsequently examined, at the initial timepoint, the concordance of the global assessment with the partial assessment for the clinical classification of the 210 patients in the initial sample.</p></div><div><h3>Results</h3><p>The BCRL oedema was characteristically irregular, with the forearm being the most affected segment and the hand the least affected (RM ANOVA: <em>p</em> <!-->&lt;<!--> <!-->0.001). The irregularity was related to its severity (<em>χ</em>²: <em>p</em> <!-->&lt;<!--> <!-->0.001) and the evolutionary course (Student <em>t</em>-test: <em>p</em> <!-->&lt;<!--> <!-->0.005 for the hand). Overall, disagreement of 46.67% was observed between the clinical classification of the global and partial assessment.</p></div><div><h3>Conclusions</h3><p>This work supports the need to add partial volumetry to the commonly used global assessment.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 3","pages":"Article 100777"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9777736","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":"Botulinum toxin in the treatment of residual limb hyperhidrosis: A systematic review","authors":"J. Rocha Melo ,&nbsp;M.A. Rodrigues ,&nbsp;M. Caetano ,&nbsp;P. Cantista","doi":"10.1016/j.rh.2022.07.003","DOIUrl":"10.1016/j.rh.2022.07.003","url":null,"abstract":"<div><p>The aim of the study was to analyze the current evidence regarding the effect of intradermal injections of botulinum toxin on residual limb hyperhidrosis. A comprehensive search of the MEDLINE and Scopus databases from inception until December 2021 was performed according to the PRISMA guidelines. The search terms used were “botulinum toxins”, “botulinum toxins, Type A”, “rimabotulinumtoxinB”, “amputees”, “amputation stumps”, “amputation” and “residual limbs”. The specific controlled vocabulary of each database was also used (e.g., MeSH). One hundred and thirty-one different studies met this search criteria and were reviewed. Two independent reviewers assessed the quality of the manuscripts. Eight studies met the inclusion criteria for this review. The results demonstrated an improvement in residual limb hyperhidrosis in all studies. Botulinum toxin A or B can be regarded as safe and effective for the treatment of residual limb hyperhidrosis, as well as improving prosthesis use and quality of life.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 3","pages":"Article 100754"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10145900","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 la encuesta a los lectores de la revista Rehabilitación (Madr)","authors":"M.J. Rodríguez Bonache ,&nbsp;J.Ll. Chaler Vilaseca ,&nbsp;Comité Editorial de la revista Rehabilitación (Madr)","doi":"10.1016/j.rh.2022.10.001","DOIUrl":"https://doi.org/10.1016/j.rh.2022.10.001","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 3","pages":"Article 100762"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49848566","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}