Rehabilitacion最新文献

{"title":"La interconsulta hospitalaria de rehabilitación bajo la perspectiva del rehabilitador intervencionista en una unidad oncológica","authors":"P. Peret, M. Taranu, S. Laxe","doi":"10.1016/j.rh.2022.02.003","DOIUrl":"https://doi.org/10.1016/j.rh.2022.02.003","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 2","pages":"Article 100729"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49769507","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 cardiaca tras disección coronaria espontánea: de la duda al hecho","authors":"R. Muñoz-Rodríguez , J. Baute-Darias , I.F. Hernández-Baldomero","doi":"10.1016/j.rh.2022.08.002","DOIUrl":"https://doi.org/10.1016/j.rh.2022.08.002","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 2","pages":"Article 100759"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49782037","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":"Evaluación de las consecuencias físicas y psicosociales de la diástasis de rectos abdominales y su interferencia en la salud: un estudio mixto","authors":"V. Vicente-Campos ,&nbsp;L. Fuentes-Aparicio ,&nbsp;M. Rejano-Campo","doi":"10.1016/j.rh.2022.03.006","DOIUrl":"https://doi.org/10.1016/j.rh.2022.03.006","url":null,"abstract":"<div><h3>Introduction</h3><p>Diastasis rectus abdominis (DRA) is defined as the separation of the rectus abdominis along the linea alba. This condition can occur in both sexes, being frequent in women during pregnancy and pospartum. There is little evidence on the consequences of DRA on the quality of life of women.</p></div><div><h3>Objective</h3><p>The analysis of the perception of the symptoms of and its repercussion on a physical, psychological and social level in women affected by this condition.</p></div><div><h3>Patients and methods</h3><p>Observational study through a semi-structured online survey, composed of 30 closed questions and 2 open ones. The inclusion criteria were adult Spanish-speaking women who had given birth and who presented abdominal diástasis. The data were analyzed quantitatively and the qualitative information was obtained through a content analysis of the open questions.</p></div><div><h3>Results</h3><p>319 women with DRA were included. The results showed a negative effect of DRA on quality of life, functional capacities, and urogynecological and digestive health. Likewise, a negative impact was evidenced at an emotional level, on body image and poor self-perceived health.</p></div><div><h3>Conclusion</h3><p>DRA has a negative impact on women's health. Women with DRA present an impairment of the quality of life and functional capacities, an alteration in body image, feelings of abandonment by health institutions, shame, sadness, powerlessness, lack of self-esteem, resignation and social pressure.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 2","pages":"Article 100744"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49782058","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":"Radiofrecuencia térmica como alternativa en el tratamiento del dolor neuropático localizado persistente por atrapamiento de un nervio colateral de la mano","authors":"C. Teixidó Font ,&nbsp;J. Formigo Couceiro ,&nbsp;S. Otero Villaverde","doi":"10.1016/j.rh.2022.07.002","DOIUrl":"https://doi.org/10.1016/j.rh.2022.07.002","url":null,"abstract":"<div><p>Localized neuropathic pain (LNP) is a relatively common cause of musculoskeletal pain, which can be present in up to 60% of neuropathic pain conditions. Its appearance can be associated with numerous pathologies (herpes, diabetes, etc.). A less common cause would be the direct compression of a peripheral nerve branch. Its diagnosis is usually clinical since complementary tests such as neurophysiological tests do not provide definitive data. As therapeutic measures we have oral analgesics, anticonvulsants, analgesic skin patches and interventional actions, including radiofrequency (RF). Thermal RF consists in the transmission of an electric impulse through a needle reaching a controlled increase in temperature with which a nerve ablative injury is achieved.</p><p>We present a clinical case where thermal RF of the collateral nerve of the hand is proposed as a therapeutic alternative, whose entrapment is the cause of pain, obtaining a satisfactory clinical improvement.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 2","pages":"Article 100753"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49804330","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":"Impacto de la pandemia por COVID-19 en los Servicios de Rehabilitación de España","authors":"P. Begazo Flores ,&nbsp;M. Supervía ,&nbsp;M. Gimeno González ,&nbsp;A.B. Morata Crespo","doi":"10.1016/j.rh.2022.02.009","DOIUrl":"https://doi.org/10.1016/j.rh.2022.02.009","url":null,"abstract":"<div><h3>Introduction</h3><p>The COVID-19 pandemic situation has brought a considerable growth on the amount of patients requiring ICU admissions and long-term hospitalization. The present study is aimed at determining whether Rehabilitation Services has been able to reach a sufficient adaptation level, regarding the exponential increase on the demand of Rehab-related services from intensive care patients and inpatients.</p></div><div><h3>Material and methods</h3><p>Through this cross-sectional research, an online survey was implemented in various Rehabilitation Departments across Spain from December the 22^nd, 2020 to February the 12^th, 2021. SORECAR (The Spanish Cardiopulmonary Rehabilitation Society) was the responsible entity for the design of the survey (ICU Rehabilitation Services Identification). Descriptive statistical analysis was conducted using SPSS.</p></div><div><h3>Objective</h3><p>To address the specific needs and changes arising from the new COVID-19 pandemic situation within Spanish Rehabilitation Departments.</p></div><div><h3>Results</h3><p>38 hospitals from 18 cities (From a total of 49) participated in the study. The ICUs weekly demand scored 7.84 ± 6,8 Medical Consultation (MC) on average (range: 2-45). The hospitalization average was displayed as 9, 63 ± 6,2 MC/week (range: 2-55). The total worktime dedicated by physicians was 10.38 h/week, from which physiotherapists stood with 25.95 h/week. Only 7 hospitals (16.7%) counted with occupational therapists (OT) (average dedication of 5 h/week). Each Rehab-session lasted 30 min on average.</p><p>59.1% (n = 23) of the included hospitals had already implemented a specific post-covid follow-up rehab-consultation, whereas 9.1% (n = 4) of them were planning on implementing it. 64.3% (n = 24) of the surveyed centers implemented specific protocols for COVID-19 patients, while another 7.1% (n = 3) were in development progress. 48.5% (n = 18) of the surveyed centers did not owe its own specific training program within its ICUs and respiratory rehab-areas for the internal medical residents.</p></div><div><h3>Conclusions</h3><p>The pandemic situation has resulted in a substantial increase on the workload in the Spanish Rehabilitation Services. Most of the hospitals included in the present study had already implemented outpatient follow-up consultations. Rehabilitation in critical patients is an exponentially recurrent topic for this medical specialty that needs to be furtherly addressed in the nearby future.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 2","pages":"Article 100736"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49782035","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":"Síndromes por atrapamiento del nervio intercostal y sus ramas","authors":"L. Azcue Muñoz ,&nbsp;J. Formigo Couceiro ,&nbsp;R. Martín Mourelle ,&nbsp;M. Alonso Bidegain","doi":"10.1016/j.rh.2022.07.005","DOIUrl":"https://doi.org/10.1016/j.rh.2022.07.005","url":null,"abstract":"<div><p>Musculoskeletal chest pain poses a broad differential diagnosis, among which intercostal nerve involvement stands out. Its entrapment or that of any of its branches can resemble visceral pain and therefore can easily go unnoticed. With a good examination and the use of dynamic ultrasound, the diagnostic approach can be simpler.</p><p>We present a 40-year-old man evaluated in a rehabilitation department for right lower rib pain, triggered by certain movements and associated with a pectus excavatum type thoracic deformity. Using dynamic ultrasound maneuvers, he was diagnosed with neuralgia of the 7th right intercostal nerve secondary to dynamic entrapment in the context of a thoracic deformity with costal hypermobility. We describe the clinical presentation, ultrasound imaging, treatment, and evolution after treatment.</p><p>In this case, we describe entrapment syndromes of the intercostal nerve and its branches, their clinical and ultrasound diagnosis, and their therapeutic approach.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 2","pages":"Article 100756"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49804329","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":"Therapeutic intervention with virtual reality in patients with Parkinson's disease for upper limb motor training: A systematic review","authors":"D. Fernández-González ,&nbsp;I. Rodriguez-Costa ,&nbsp;I. Sanz-Esteban ,&nbsp;C. Estrada-Barranco","doi":"10.1016/j.rh.2022.06.003","DOIUrl":"10.1016/j.rh.2022.06.003","url":null,"abstract":"<div><p><span><span><span>To analyze the scientific evidence regarding changes in upper extremities in patients with </span>Parkinson's disease who use virtual reality as part of their </span>neurological rehabilitation<span><span> treatment. The search was carried out in the following databases: MEDLINE, Cochrane Library, PEDROs and SCOPUS. The following inclusion criteria were applied to a total of 106 articles: </span>Randomized clinical trials with an age of 5 years, the sample had to be of patients with PD (regardless of their state of involvement) and who had performed RV in the treatment of limbs superiors. A total of </span></span><em>n</em> <!-->=<!--> <!-->7 articles were used, in which the variables corresponding to upper limb motor control were measured, such as: fine motor dexterity, gross motor dexterity, strength, tremor, functionality and speed. Virtual Reality as tool in neurorehabilitation in patients with Parkinson's disease shows positive effects in all measurements related to upper limb motor control.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 2","pages":"Article 100751"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9635409","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":"Técnicas quirúrgicas y biológicas en parálisis cerebral","authors":"R.L. Lieber","doi":"10.1016/j.rh.2022.09.002","DOIUrl":"https://doi.org/10.1016/j.rh.2022.09.002","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 2","pages":"Article 100761"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49770316","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":"Movimientos involuntarios del muñón tras una amputación transtibial: síndrome del muñón saltarín","authors":"M. Hernández López,&nbsp;A.B. Puentes Gutiérrez,&nbsp;M.C. López Zarzuela,&nbsp;M. García Bascones","doi":"10.1016/j.rh.2022.05.002","DOIUrl":"https://doi.org/10.1016/j.rh.2022.05.002","url":null,"abstract":"<div><p>45-year-old woman with history of hallux valgus surgery and torpid evolution, which led to transtibial amputation. Six months after surgery, she began to experience involuntary movements of the stump such as myoclonus, that were triggered by touch or hip extension, associating worsening of the previous stump and phantom limb pain. During the following year, concurring with change of prosthesis, symptoms progressively worsened, which limited walking. The therapeutic approach to pain and myoclonus was initially pharmacological, without response. Given the clinical and ultrasound suspicion of neuroma in the external popliteal sciatic nerve, it was infiltrated with corticosteroid and anesthetic, and the gastrocnemius with botulinum toxin type A, without success. Finally, the myoclonus disappeared, and the pain decreased after surgical remodeling of the stump and resection of the neuroma. This clinical picture is known as jumping stump syndrome and is a rare complication that must be considered after amputation.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 2","pages":"Article 100745"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49804331","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":"Role of weight lost in breast cancer-related lymph","authors":"Y. Ruiz Molina ,&nbsp;S.A. Aguilera Quitzke ,&nbsp;A.B. Pabas Dotes ,&nbsp;L.M. Tirado Reyes ,&nbsp;P. Valdivielso","doi":"10.1016/j.rh.2022.10.002","DOIUrl":"10.1016/j.rh.2022.10.002","url":null,"abstract":"<div><h3>Objective</h3><p>Analysis of data collected in routine clinical practice of the combined impact of both physical activity and decrease in body mass index (BMI) on a minor prevalence of lymphedema in post-breast cancer patients.</p></div><div><h3>Methods</h3><p>Analysis of data obtained by the specialized rehabilitation unit, from 99 female patients for 18 months, after a specific diet, sports program and complete decongestive therapy (CDT) was indicated. Personal data, affected organ volume, weight, physical activity level and Functional Assessment of Cancer Therapy Questionnaire for Breast Cancer (FACT-B<!--> <!-->+<!--> <!-->4) were collected in follow-up visits.</p></div><div><h3>Results</h3><p>Although the average of body-mass index showed no change during the assessment period, about 13% of patients in the second follow-up visit and 30% in the third one had lost weight. Women experiencing weight-loss in the third follow-up visit presented a reduced volume of the affected organ [−50 (−248 to 141) ml vs. 130 (−148 to 355) ml, <em>p</em> <!-->&lt;<!--> <!-->0.05] as compared to weight-gaining patients. No relationship was established between physical activity and lymphedema volume changes.</p></div><div><h3>Conclusions</h3><p>Apart from the conventional treatment with orthotics and manual lymph drainage, BCRL prevention and treatment needs to focus – right from the start – on weight management or weight-loss in obese patients.</p></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"57 2","pages":"Article 100763"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9266782","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}