Rehabilitacion最新文献

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Efectividad de la intervención motora temprana en el desarrollo motor de los niños con parálisis cerebral entre 3 y 5 años de edad. Revisión sistemática [早期运动干预对 3 至 5 岁脑瘫儿童的有效性:系统回顾]。
Rehabilitacion Pub Date : 2023-12-22 DOI: 10.1016/j.rh.2023.100832
V. Grajales López, O.I. Hernández Suárez, M.Y. Pinzón Bernal, L.M. Salamanca Duque
{"title":"Efectividad de la intervención motora temprana en el desarrollo motor de los niños con parálisis cerebral entre 3 y 5 años de edad. Revisión sistemática","authors":"V. Grajales López,&nbsp;O.I. Hernández Suárez,&nbsp;M.Y. Pinzón Bernal,&nbsp;L.M. Salamanca Duque","doi":"10.1016/j.rh.2023.100832","DOIUrl":"10.1016/j.rh.2023.100832","url":null,"abstract":"<div><p>Early motor intervention is essential in children with cerebral palsy; however, it is unknown its effectiveness between 3 to 5<!--> <!-->years. The objective was to determinate the effectiveness of early motor intervention in the motor development of this population. A systematic literature search was performed in Pubmed/Medline, PEDro, OTSeeker, Embase, and LILACS. Finally, 18 articles were selected, of which 4 showed favorable changes in the experimental group in the outcomes of overall motor development and manual motor function, with sensory integration therapy and movement-induced restriction therapy, respectively; however, the results were not statistically significant, and the level of evidence was low. Early motor intervention could be cautiously considered for improving overall motor development and manual function. Higher-quality methodological studies are necessary.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 2","pages":"Article 100832"},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032652","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
Asociación de trasplante de progenitores hematopoyéticos y síndrome de Parsonage-Turner: ¿coincidencia o relación causa-efecto? [造血干细胞移植与帕森纳特纳综合征之间的关联:巧合还是因果关系?]
Rehabilitacion Pub Date : 2023-12-22 DOI: 10.1016/j.rh.2023.100835
M.A. Taranu , G. Ezcurra Díaz , A. Olivé Marqués , R. Coll-Fernández , E. Montané , C. Ferra Coll , G. Lucente
{"title":"Asociación de trasplante de progenitores hematopoyéticos y síndrome de Parsonage-Turner: ¿coincidencia o relación causa-efecto?","authors":"M.A. Taranu ,&nbsp;G. Ezcurra Díaz ,&nbsp;A. Olivé Marqués ,&nbsp;R. Coll-Fernández ,&nbsp;E. Montané ,&nbsp;C. Ferra Coll ,&nbsp;G. Lucente","doi":"10.1016/j.rh.2023.100835","DOIUrl":"10.1016/j.rh.2023.100835","url":null,"abstract":"<div><p>Parsonage-Turner syndrome or idiopathic brachial neuritis is a total or partial inflammation of the brachial plexus, with a typical presentation as a sudden and very intense pain in the shoulder, followed by weakness and early amyotrophy. The etiology is still unknown, although an immune mediated mechanism is thought to be involved.</p><p>Hematopoietic stem cell transplantation is a well-established treatment for hematological malignancies, but with a growing implication in the treatment of autoimmune diseases. The neurological side effects are probably underdiagnosed.</p><p>The association of the Parsonage-Turner syndrome and the hematopoietic stem cell transplantation is scarce. We describe two clinical cases of idiopathic brachial plexopathy after hematopoietic stem cell transplantation.</p><p>The reconstruction of the immune system after a transplant may be the trigger of a brachial plexopathy, but more studies are necessary for the etiology of this disease to be understood and to establish a cause-effect relation with the transplant.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 2","pages":"Article 100835"},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032651","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
Efectividad del ultrasonido pulsado de baja intensidad en pacientes tras osteotomía: una revisión sistemática [低强度脉冲超声对截骨术后患者的疗效:系统回顾]。
Rehabilitacion Pub Date : 2023-12-22 DOI: 10.1016/j.rh.2023.100826
J. Rama Caamaño , O. Iglesias Sousa
{"title":"Efectividad del ultrasonido pulsado de baja intensidad en pacientes tras osteotomía: una revisión sistemática","authors":"J. Rama Caamaño ,&nbsp;O. Iglesias Sousa","doi":"10.1016/j.rh.2023.100826","DOIUrl":"10.1016/j.rh.2023.100826","url":null,"abstract":"<div><p>The use of low intensity pulsed ultrasound (LIPUS) therapy for bone healing and fracture treatment is increasingly considered as a therapeutic alternative with moderate economic cost and none or minimal adverse effects (e.g., low reaction to the conductive gel).</p><p>However, there is some controversy regarding its scientific evidence. The present review seeks to shed some light on this controversy and to cover an area of study not occupied by previous or current work on ultrasound therapy. It is necessary to know the real impact of the treatment with low intensity pulsed ultrasound in patients with osteotomy, as well as its applicability as a post-surgery protocol to improve the recovery and rehabilitation processes and, at the end of the day, to reduce the time of disability.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 2","pages":"Article 100826"},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032671","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
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,&nbsp;J. García Díaz,&nbsp;J. Vargas Montes,&nbsp;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 (2.49<!--> <!-->μV). 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 1.2<!--> <!-->μV, with an AUC of 87.7%; Sensitivity 84.2% and Specificity 80%. The second shows a PC for e. bipolars of 1.21<!--> <!-->μV (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> <!-->&gt;<!--> <!-->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,&nbsp;A. Abreu Rosa de SÁ,&nbsp;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> <!-->&lt;<!--> <!-->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
{"title":"Asimetría escapular por agenesia congénita de trapecio unilateral: a propósito de un caso","authors":"M. Ciller Martínez ,&nbsp;S. Rodríguez Palero ,&nbsp;T. Vara Arias ,&nbsp;S. Cartas Carrión ,&nbsp;M. Escribano Pérez ,&nbsp;N.V. Ortiz Cabrera ,&nbsp;P. Manzarbeitia Arroba","doi":"10.1016/j.rh.2023.100825","DOIUrl":"10.1016/j.rh.2023.100825","url":null,"abstract":"<div><p>Congenital unilateral absence of trapezius is a rare condition, previously reported in cadaveric specimens. It can cause static shoulder asymmetry and affects the scapular biomechanics and functionality, so complete physical examination of the patient becomes important in order to dimiss or suspect an anomaly.</p><p>We present a case of a 8 years old boy with asymmetry and scapular winging, who was referred to rehabilitation, suspected facioscapulohumeral dystrophy. An MRI scan of cervical spine and shoulder confirmed the absence of the right trapezius muscle. There were no functional disabilities. No other significant congenital anomalies were found.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 1","pages":"Article 100825"},"PeriodicalIF":0.0,"publicationDate":"2023-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032650","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
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
{"title":"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","authors":"C.M. Manrique Rabelo","doi":"10.1016/j.rh.2023.100830","DOIUrl":"10.1016/j.rh.2023.100830","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 1","pages":"Article 100830"},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138832080","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
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
{"title":"Estrategias de intervención motora sobre el control postural en niños y jóvenes con trastorno del espectro autista: una revisión sistemática","authors":"N. González León ,&nbsp;A. González-Olguín","doi":"10.1016/j.rh.2023.100820","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100820","url":null,"abstract":"<div><p>Autism spectrum disorder (ASD) has varied characteristics with an impact at the social, communicative and sensorimotor (SM) level. An SM feature is postural control (PC) problems. There are various motor intervention strategies (MIS), but the benefit over LC is something that has been analyzed less extensively. The objective was to describe the MIS and its results on the PC of children and adolescents with ASD. A search of PubMed, Scopus, Web of Science and Cochrane was performed. A total of eight articles met the eligibility criteria. All MIS showed beneficial results on the improvement of PC. The MIS were of a varied nature (dance practice, personalized physical activity, video games, Tai Chi Chuan, Taekwondo and virtual reality). It is necessary to improve the designs and consider the risks of bias, since they limit the scope of the results.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 1","pages":"Article 100820"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91959902","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
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 ,&nbsp;A. Oliva-Pascual-Vaca ,&nbsp;M. Rodríguez-Piñero Durán ,&nbsp;P. Rodríguez Sánchez-Laulhé ,&nbsp;M.A. García-Frasquet ,&nbsp;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
{"title":"Eficacia del ejercicio de alta intensidad en personas con dolor lumbar crónico: una revisión sistemática","authors":"L. Fernández-Lorenzo,&nbsp;S. Pértega-Díaz,&nbsp;M. Sobrido-Prieto","doi":"10.1016/j.rh.2023.100817","DOIUrl":"https://doi.org/10.1016/j.rh.2023.100817","url":null,"abstract":"<div><p>Chronic low back pain causes disability and socioeconomic impact. High-intensity exercise shows positive results in other diseases, but there is no evidence on this pathology.</p><p>The aim is to determine its efficacy on health-related quality of life, disability, pain intensity and adherence to treatment in people with chronic low back pain.</p><p>A literature review is conducted in Pubmed, PEDro and Scopus, including randomized clinical trials, clinical practice guidelines and systematic reviews in Spanish, English or Portuguese (2012-2022). In addition, a snowball search is performed.</p><p>Eight randomized clinical trials (n<!--> <!-->=<!--> <!-->379) are incorporated. Different high-intensity exercise modalities are analyzed, which seem to improve health-related quality of life and reduce disability and pain intensity. These data should be taken with caution given the small number of studies and the risk of bias presented.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"58 1","pages":"Article 100817"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49806929","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
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