Rehabilitacion最新文献

[Hyaluronic acid vaginal injections in moderate-to-severe vulvovaginal atrophy: a pre-post pilot study in a pelvic floor rehabilitation unit]. 【透明质酸阴道注射治疗中至重度外阴阴道萎缩：一项骨盆底康复单位的前期-后期试点研究】。

IF 0.4 Q3 Medicine

Rehabilitacion

Pub Date : 2026-03-24 DOI: 10.1016/j.rh.2026.100970

G Romero-Cullerés, L Prados-Romero, C Jané-Feixas, A Arnau-Bartes

Objective: To evaluate the efficacy and safety of cross-linked hyaluronic acid vaginal injections in women with moderate-to-severe vulvovaginal atrophy (VVA) treated in a pelvic floor rehabilitation unit.

Material and methods: Pilot, quasi-experimental, prospective pre-post study designed to assess safety and detect a preliminary signal of clinical benefit following a single vaginal hyaluronic acid injection, without confirmatory intent. The primary efficacy endpoint was the pre-post change in the Vulvar Health Index (VHI). Eleven women with moderate or severe VVA were included, most with a history of hormone-dependent breast cancer and contraindications to hormonal therapy. A single 1-mL injection of hyaluronic acid was administered, and clinical and functional parameters were assessed using the following tools: VHI, Female Sexual Function Index (FSFI), Visual Analog Scale (VAS) for pain, vulvovaginal symptom questionnaire, dyspareunia grade, Modified Oxford Scale, and the Patient and Clinician Global Impression of Improvement (PGI-I, CGI-I).

Results: At 30 days, VHI improved significantly (11.4±2.9 to 7.8±3.2; p<0.001), FSFI increased (7.2 to 15.3; p=0.008), and pain decreased (VAS: 7.4±1.4 to 3.0±2.4; p<0.001). Overall, 72.7% of patients rated themselves as "very much improved" or "much improved," and no adverse events were reported.

Conclusions: Vaginal hyaluronic acid injections may represent a safe and effective therapeutic option for women with severe VVA, particularly those with oncological history. Larger controlled studies with extended follow-up are needed to confirm these preliminary findings.

目的：评价交联透明质酸阴道注射治疗盆底康复中心中重度外阴阴道萎缩（VVA）的疗效和安全性。材料和方法：试点、准实验、前瞻性的前后研究，旨在评估安全性和检测单次阴道透明质酸注射后临床获益的初步信号，没有确认意图。主要疗效终点是外阴健康指数（VHI）的前后变化。11名患有中度或重度VVA的女性被纳入研究，其中大多数有激素依赖性乳腺癌的病史和激素治疗的禁忌症。给予1 ml透明质酸单次注射，并使用以下工具评估临床和功能参数：VHI，女性性功能指数（FSFI），疼痛视觉模拟量表（VAS），外阴阴道症状问卷，性交困难等级，改良牛津量表，患者和临床医生总体改善印象（PGI-I, CGI-I）。结果：在30天，VHI显著改善（11.4±2.9至7.8±3.2）。结论：阴道透明质酸注射可能是严重VVA女性，特别是有肿瘤病史的女性安全有效的治疗选择。需要更大规模的对照研究和长期随访来证实这些初步发现。

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引用次数: 0

[Effects of nordic walking in individuals with Parkinson's disease: A review of systematic reviews]. [北欧步行对帕金森病患者的影响：系统综述]。

IF 0.4 Q3 Medicine

Rehabilitacion

Pub Date : 2026-03-18 DOI: 10.1016/j.rh.2026.100971

M L Sánchez-Basallote, E Monge-Pereira, I Machado de Oliveira, I Mollinedo-Cardalda

Parkinson's disease is a progressive neurodegenerative disorder characterized by motor and non-motor impairments that substantially affect functional capacity and quality of life. Although pharmacological treatment remains the cornerstone of therapeutic management, exercise-based interventions have gained prominence as effective complementary strategies. Among these, Nordic walking has emerged as a potentially beneficial modality to enhance motor performance and increase overall muscular engagement during locomotion. This overview of systematic reviews aims to synthesize the available evidence on the effects of Nordic walking in individuals diagnosed with Parkinson's disease, with a particular focus on its impact on functional capacity. The methodological assessment conducted using the AMSTAR-2 tool (A MeaSurement Tool to Assess Reviews-2) revealed confidence ratings ranging from moderate to critically low, which limits the overall robustness of the conclusions. The findings suggest that Nordic walking may be associated with improvements in clinically relevant domains such as quality of life, gait speed, step length, aerobic capacity, and balance. However, given the substantial methodological limitations of several included reviews, these conclusions should be interpreted with caution.

帕金森病是一种进行性神经退行性疾病，其特征是运动和非运动损伤，严重影响功能能力和生活质量。虽然药物治疗仍然是治疗管理的基石，但基于运动的干预作为有效的补充策略已经得到了突出。其中，北欧步行已经成为一种潜在的有益方式，可以提高运动表现，增加运动过程中的整体肌肉参与。本系统综述旨在综合现有证据，证明北欧步行对帕金森病患者的影响，特别关注其对功能能力的影响。使用AMSTAR-2工具（评估评论的测量工具-2）进行的方法学评估显示，信心评级从中等到极低，这限制了结论的总体稳健性。研究结果表明，北欧步行可能与临床相关领域的改善有关，如生活质量、步态速度、步长、有氧能力和平衡。然而，考虑到几篇纳入的综述在方法学上的重大局限性，这些结论应谨慎解释。

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引用次数: 0

Effectiveness of elastic resistance training in frail older adults on muscle strength and functionality levels: A systematic review 弹性阻力训练在虚弱老年人肌肉力量和功能水平上的有效性：系统回顾

IF 0.4 Q3 Medicine

Rehabilitacion

Pub Date : 2026-01-01 Epub Date: 2026-03-10 DOI: 10.1016/j.rh.2026.100961

A. Puelles-Diaz , N. Bousellet-Laflor , S. Pizarro-Torres , J. Grau-Riveros , J. González-Aroca

Introduction

Frailty in older adults is a clinical syndrome that significantly affects independence and quality of life. Resistance training with elastic bands has been proposed as a low-cost intervention to improve physical function in this population.

Objective

To evaluate the best available evidence on the effectiveness of elastic band training in frail older adults for improving muscle strength, physical performance, and overall functionality.

Methods

A systematic review was conducted following PRISMA guidelines and registered in PROSPERO (CRD42024582352). Four randomized controlled trials were included, comprising 148 frail participants aged 65 years or older. The interventions lasted between 12 and 28 weeks and included exercises with elastic bands, with or without nutritional education. The outcomes assessed included functionality, frailty status, muscle strength, physical fitness, cognition, quality of life, and endurance.

Results

Significant improvements were observed in functionality, handgrip strength, and lower-limb strength, particularly in programs with progressive intensity and longer duration. Combined interventions (exercise plus nutritional education) showed a greater impact in reducing frailty levels. However, no significant changes were observed in autonomy. The risk of bias was high in three studies, mainly due to insufficient reporting of randomization procedures and missing outcome data.

Conclusions

Elastic band training appears to be a safe, affordable, and feasible intervention to improve physical outcomes in frail older adults. These findings support its implementation in community and institutional settings, although further research with long-term follow-up and improved methodological quality is needed.

老年人虚弱是一种临床综合征，显著影响老年人的独立性和生活质量。弹性带阻力训练被认为是一种低成本的干预措施，可以改善这类人群的身体机能。目的评估现有的最佳证据，以证明松紧带训练对体弱老年人改善肌肉力量、体能表现和整体功能的有效性。方法按照PRISMA指南进行系统评价，并在PROSPERO注册（CRD42024582352）。纳入四项随机对照试验，包括148名65岁或以上的体弱参与者。干预持续了12到28周，包括橡皮筋运动，有或没有营养教育。评估的结果包括功能、虚弱状态、肌肉力量、体能、认知、生活质量和耐力。结果：在功能、握力和下肢力量方面观察到显著的改善，特别是在进行性强度和持续时间较长的项目中。联合干预（运动加营养教育）在降低虚弱程度方面显示出更大的影响。然而，自主性没有明显变化。三项研究的偏倚风险较高，主要是由于随机化程序报告不足和结果数据缺失。结论弹性带训练是一种安全、经济、可行的干预措施，可改善体弱老年人的身体状况。这些研究结果支持在社区和机构环境中实施，尽管需要进一步的长期跟踪研究和改进方法质量。

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引用次数: 0

Evolución de la incidencia de amputaciones en España desde 2016 hasta 2023 [2016 - 2023年西班牙截肢发病率演变]。

IF 0.4 Q3 Medicine

Rehabilitacion

Pub Date : 2026-01-01 Epub Date: 2026-02-18 DOI: 10.1016/j.rh.2026.100964

E. Santiago Mosquera , M.E. Mosquera Losada , M.D. Dapía Conde , J.M. Faílde Garrido

Introduction

Amputations represent a public health problem due to their functional, psychological, and social impact. In Spain, recent information on their incidence is limited, which makes it difficult to quantify the phenomenon and plan prevention strategies.

Objective

To analyse the evolution of the incidence of amputations in Spain between 2016 and 2023, describing their sociodemographic characteristics and the associated in-hospital mortality.

Method

Observational, descriptive and analytical study based on an analysis of annual aggregated trends, with cross-sectional data for each year. Amputation data were obtained from the Spanish Conjunto Mínimo Básico de Datos (Minimum Basic Data Set) hospital records, and population estimates from the Spanish Instituto Nacional de Estadística (National Statistics Institute). Temporal trends were evaluated using Spearman's rank correlation coefficient.

Results

Between 2016 and 2023, amputations increased by 42%, with more than 80% involving lower limbs. Minor amputations increased by 54%, compared with 13.7% for major amputations. Amputations were more frequent in men (3.7 for every woman in 2023), although in-hospital mortality was higher in women. Incidence increased with age, particularly among those over 65 years. Galicia, Cantabria and Asturias showed the highest rates, while Galicia and Murcia showed significant increases in their temporal evolution.

Conclusions

The incidence of amputations in Spain has increased substantially, especially minor amputations of the lower limbs. Sex, age and territory are related to their frequency, highlighting the need to strengthen prevention and to optimise healthcare planning in the most vulnerable groups.

导言：截肢由于其功能、心理和社会影响而成为一个公共卫生问题。在西班牙，关于其发病率的最新资料有限，因此难以量化这一现象并规划预防战略。目的：分析2016年至2023年西班牙截肢发病率的演变，描述其社会人口学特征和相关的住院死亡率。方法：基于年度汇总趋势分析的观察性、描述性和分析性研究，采用每年的横断面数据。截肢数据来自西班牙Conjunto Mínimo Básico de Datos（最低基本数据集）医院记录和西班牙Instituto Nacional de Estadística（国家统计局）的人口估计数。采用Spearman等级相关系数评价时间趋势。结果：2016年至2023年间，截肢增加了42%，其中80%以上涉及下肢。小截肢增加了54%，而大截肢增加了13.7%。截肢在男性中更为常见（2023年为每名女性3.7例），尽管女性的住院死亡率更高。发病率随着年龄的增长而增加，尤其是65岁以上的人。加利西亚、坎塔布里亚和阿斯图里亚斯的发病率最高，而加利西亚和穆尔西亚的时间进化显著增加。结论：西班牙截肢的发生率大幅上升，尤其是下肢的轻微截肢。性别、年龄和地域与其发生的频率有关，这突出表明需要加强预防并优化最脆弱群体的保健规划。

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引用次数: 0

Fracturas múltiples por fragilidad tras fractura de cadera: lecciones de un abordaje multidisciplinar rehabilitador [髋部骨折后多发脆性骨折：来自多学科康复方法的经验教训]。

IF 0.4 Q3 Medicine

Rehabilitacion

Pub Date : 2026-01-01 Epub Date: 2026-02-18 DOI: 10.1016/j.rh.2026.100966

C. Cid-Bassaletti , A.M. Andrés Toribio , R. Costa Segovia

A 58-year-old woman presented with multiple fragility fractures nine months after a a pertrochanteric hip fracture in the context of severe osteoporosis. Despite initial treatment with alendronate, calcium and cholecalciferol, she presented new pelvic and vertebral fractures, associated with persistently low vitamin D levels related to irregular treatment adherence. From premorbid functional independence, she developed severe disability, with loss of autonomous ambulation and dependence for basic activities of daily living. A multidisciplinary approach, focused on optimization of pharmacological treatment together with a structured rehabilitation programme, facilitated progressive functional recovery. This case highlights three key lessons: the role of hip fracture as a sentinel event, the importance of correcting vitamin D deficiency, and the value of coordinated multidisciplinary care in the comprehensive management of patients with severe osteoporosis.

一名58岁女性，在严重骨质疏松的情况下，髋粗隆骨折9个月后出现多发脆性骨折。尽管最初使用阿仑膦酸钠、钙和胆骨化醇进行治疗，但她出现了新的骨盆和椎体骨折，并伴有持续的低维生素D水平，这与不规则的治疗依从性有关。从发病前的功能独立开始，她发展为严重的残疾，失去自主行走和日常生活基本活动的依赖。一个多学科的方法，重点是优化药物治疗和一个结构化的康复计划，促进逐步功能恢复。本病例强调了三个关键教训：髋部骨折作为前哨事件的作用，纠正维生素D缺乏症的重要性，以及在严重骨质疏松症患者的综合管理中协调多学科护理的价值。

引用次数: 0

Assessing physical activity and sedentary behavior via IPAQ against accelerometer data in a vulnerable population: Validity and reliability study 通过IPAQ和加速度计数据评估弱势人群的身体活动和久坐行为：效度和信度研究

IF 0.4 Q3 Medicine

Rehabilitacion

Pub Date : 2026-01-01 Epub Date: 2025-11-21 DOI: 10.1016/j.rh.2025.100944

M.M. Zica , A. Pontes-Silva , F.R.P. Quaresma , E.S. Maciel

引用次数: 0

Valoración de la experiencia del paciente con fisioterapia acuática dentro de un modelo de atención centrada en la persona: estudio observacional pre-post sin grupo de control [以患者为中心的护理模式中水中物理治疗的患者体验评估：一项没有对照组的观察性前后研究]。

IF 0.4 Q3 Medicine

Rehabilitacion

Pub Date : 2026-01-01 Epub Date: 2026-02-21 DOI: 10.1016/j.rh.2026.100962

I. López-Zamora , D. Matz-Rabaneda , J. Adamuz , A. Aragonés-Campos , D. Cámara-Menoyo , A. Justes-Solé , A. Masmiquel-Soler , S. Muñoz-Castro , I. Campos-Varela

Introduction

Aquatic physical therapy (APT) leverages the therapeutic properties of water. Although its use is widespread, there is limited evidence regarding patients’ experiences with this intervention and their perception of care within a person-centered care (PCC) model in the hospital setting.

Objective

To evaluate patients’ experiences with APT and determine whether they perceived receiving PCC.

Methods

An observational pre-post study without a control group was conducted at a single center between August 2023 and May 2024. A questionnaire was administered, including clinical and sociodemographic variables: age, sex, pain, reason for referral, number of sessions attended, experience with APT and PCC. Descriptive analyses were performed, as well as a post hoc analysis using the Wilcoxon test to compare pain levels before and after treatment.

Results

A total of 136 patients participated (mean number of sessions = 14.4; SD = 6.9). Most were referred from Orthopedic Surgery and Traumatology (69.2%), followed by patients with pain syndromes (14.6%), oncology patients (8.1%), neurosurgical patients (4.4%), and neurological patients (3.7%). A significant reduction in pain was observed after the intervention (mean difference −2.01; CI 95%: −2.42 to −1.60; P < .001; r = 0.678). Between 97.1% and 88.3% reported positive experiences with AP. The average CCRQ-e score was 1.35, reflecting a very favorable perception of PCC.

Conclusion

APT was associated with a significant reduction in pain; patients also reported a satisfactory overall experience and indicated that they had received PCC. This study does not allow causal relationships to be established. Controlled, multicenter studies are required to confirm these findings.

简介：水生物理疗法（APT）利用水的治疗特性。虽然它的使用是广泛的，有有限的证据关于患者的经验，这种干预和他们的护理感知在医院设置以人为本的护理（PCC）模式。目的：评价患者接受APT治疗的经历，确定患者是否接受PCC治疗。方法：于2023年8月至2024年5月在单中心进行无对照组的观察性前后研究。进行问卷调查，包括临床和社会人口学变量：年龄、性别、疼痛、转诊原因、就诊次数、APT和PCC经验。进行描述性分析，并使用Wilcoxon检验进行事后分析，比较治疗前后的疼痛水平。结果：共有136例患者参与（平均疗程数=14.4；SD=6.9）。其中以骨科和创伤科患者居多（69.2%），其次为疼痛综合征患者（14.6%）、肿瘤患者（8.1%）、神经外科患者（4.4%）和神经内科患者（3.7%）。干预后疼痛明显减轻(平均差值-2.01;CI95%: -2.42至-1.60；结论：APT与疼痛显著减轻相关；患者也报告了令人满意的总体体验，并表示他们接受了PCC治疗。这项研究不允许建立因果关系。需要多中心对照研究来证实这些发现。

{"title":"Valoración de la experiencia del paciente con fisioterapia acuática dentro de un modelo de atención centrada en la persona: estudio observacional pre-post sin grupo de control","authors":"I. López-Zamora , D. Matz-Rabaneda , J. Adamuz , A. Aragonés-Campos , D. Cámara-Menoyo , A. Justes-Solé , A. Masmiquel-Soler , S. Muñoz-Castro , I. Campos-Varela","doi":"10.1016/j.rh.2026.100962","DOIUrl":"10.1016/j.rh.2026.100962","url":null,"abstract":"<div><h3>Introduction</h3><div>Aquatic physical therapy (APT) leverages the therapeutic properties of water. Although its use is widespread, there is limited evidence regarding patients’ experiences with this intervention and their perception of care within a person-centered care (PCC) model in the hospital setting.</div></div><div><h3>Objective</h3><div>To evaluate patients’ experiences with APT and determine whether they perceived receiving PCC.</div></div><div><h3>Methods</h3><div>An observational pre-post study without a control group was conducted at a single center between August 2023 and May 2024. A questionnaire was administered, including clinical and sociodemographic variables: age, sex, pain, reason for referral, number of sessions attended, experience with APT and PCC. Descriptive analyses were performed, as well as a post hoc analysis using the Wilcoxon test to compare pain levels before and after treatment.</div></div><div><h3>Results</h3><div>A total of 136 patients participated (mean number of sessions=14.4; SD=6.9). Most were referred from Orthopedic Surgery and Traumatology (69.2%), followed by patients with pain syndromes (14.6%), oncology patients (8.1%), neurosurgical patients (4.4%), and neurological patients (3.7%). A significant reduction in pain was observed after the intervention (mean difference −2.01; CI95%: −2.42 to −1.60; <em>P</em>    <!-->0.678). Between 97.1% and 88.3% reported positive experiences with AP. The average CCRQ-e score was 1.35, reflecting a very favorable perception of PCC.</div></div><div><h3>Conclusion</h3><div>APT was associated with a significant reduction in pain; patients also reported a satisfactory overall experience and indicated that they had received PCC. This study does not allow causal relationships to be established. Controlled, multicenter studies are required to confirm these findings.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"60 1","pages":"Article 100962"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146776817","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

Marcha nórdica: herramienta de salud en la rehabilitación postrasplante pulmonar 北欧步行：移植后肺康复中的健康工具

IF 0.4 Q3 Medicine

Rehabilitacion

Pub Date : 2026-01-01 Epub Date: 2025-12-18 DOI: 10.1016/j.rh.2025.100954

A. Gómez-Garrido , A.I. Mayer-Frutos , R. Roca-Escrihuela , O. Gásquez-Aguilar , V. Dávalos-Yerovi

引用次数: 0

Eficacia y seguridad del uso de plasma rico en plaquetas y ácido hialurónico en la osteoartritis de rodilla: una revisión sistemática de la literatura [富血小板血浆和透明质酸治疗膝骨关节炎的疗效和安全性：文献系统综述]。

IF 0.4 Q3 Medicine

Rehabilitacion

Pub Date : 2026-01-01 Epub Date: 2026-02-17 DOI: 10.1016/j.rh.2026.100960

K.T. González-Sierra , L.A. Gómez

Knee osteoarthritis is one of the leading causes of disability worldwide and represents a major public health concern. Currently, metabolic and inflammatory factors are recognized as pathogenic elements to the extent that osteoarthritis has been redefined as a condition characterized by “low-grade chronic inflammation.” In this context, interest has grown in regenerative medicine therapies such as platelet-rich plasma (PRP) and hyaluronic acid (HA), used either individually or in combination. The aim of this study was to synthesize recent evidence on the efficacy and safety of these interventions in the treatment of knee osteoarthritis. A systematic review of the literature published between 2018 and 2024 was conducted in PubMed, Scopus, and ScienceDirect, using terms related to osteoarthritis, PRP, and HA. Six studies meeting the eligibility criteria were selected. The results showed that PRP provided superior benefits in pain reduction and functional improvement compared with HA, particularly in long-term follow-up. Combined therapy with PRP + HA demonstrated additional advantages in some studies, both in clinical efficacy and safety. Regarding safety, the combination was associated with a lower frequency of adverse events such as hypertension and proteinuria. In conclusion, PRP emerges as a more effective therapeutic option than HA for knee osteoarthritis, while the combination of PRP + HA may offer complementary benefits. However, methodological heterogeneity limits comparisons across studies, underscoring the need for research with larger sample sizes and standardized protocols for PRP preparation and administration.

膝骨关节炎是世界范围内致残的主要原因之一，是一个主要的公共卫生问题。目前，代谢和炎症因素被认为是致病因素，以至于骨关节炎被重新定义为一种以“低度慢性炎症”为特征的疾病。在此背景下，再生医学疗法如富血小板血浆（PRP）和透明质酸（HA），无论是单独使用还是联合使用，都引起了人们的兴趣。本研究的目的是综合这些干预措施治疗膝骨关节炎的有效性和安全性的最新证据。对2018年至2024年间发表在PubMed、Scopus和ScienceDirect上的文献进行了系统回顾，使用了与骨关节炎、PRP和HA相关的术语。选择了6项符合资格标准的研究。结果显示，与HA相比，PRP在减轻疼痛和功能改善方面具有更好的益处，特别是在长期随访中。在一些研究中，PRP + HA联合治疗在临床疗效和安全性方面都显示出额外的优势。在安全性方面，联合用药与高血压和蛋白尿等不良事件的发生率较低有关。总之，对于膝骨关节炎，PRP是一种比HA更有效的治疗选择，而PRP + HA的组合可能会提供互补的益处。然而，方法学的异质性限制了研究间的比较，强调需要更大样本量的研究和PRP制备和给药的标准化方案。

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引用次数: 0

Educational actions and group physiotherapy on the risk of falls in the older adults: Clinical trial 老年人跌倒风险的教育行动和团体物理治疗：临床试验

IF 0.4 Q3 Medicine

Rehabilitacion

Pub Date : 2026-01-01 Epub Date: 2026-01-14 DOI: 10.1016/j.rh.2025.100957

A. Oliveira , M.M. Alves da Cruz , G. Batista do Nascimento , E.F. Baisi Chagas , D. dos Santos Cutrim Garros , P.R. Rocha Júnior

Introduction and objectives

The objective was to analyze the effect of educational actions and group physical therapy on the risk of falls in the older adults.

Materials and methods

A clinical trial was carried out approximately three months with older adults aged 60 years or older. The participants were randomized into two groups: physiotherapy (GF) and educational actions and physiotherapy (GEF) and all were evaluated before and after the interventions with the instruments: Falls Efficacy Scale (FES), Berg Balance Scale (BERG), Timed Up and Go (TUG), Health Assessment Questionnaire (HAQ) and Falls Risk Awareness Questionnaire (FRAQ-Brazil). Both groups were submitted to physiotherapeutic intervention and the GEF group participated in educational actions. The evaluation team and the statistician remained blinded throughout the study. The statistical analysis used the Chi-square test, mean, standard deviation and median, Box–Cox test, Mann–Whitney, and Wilcoxon. ANOVA with repeated measures was performed followed by Bonferroni's Post-Hoc test. The significance level (α) adopted was 5%.

Results

Eighty individuals were invited. Six were excluded, leaving 74 participants, they were randomized and allocated, 37 individuals to each group. A sample loss of 23 participants occurred. The final sample was 51 participants (GF n = 25 and GEF n = 26). In the Berg performance, there was a significant difference after reevaluation for both groups. In FRAQ and TUG performance there was a significant difference only for the GEF(p < 0.05). No effect was verified for the performance of FES and HAQ.

Conclusions

The physical therapy intervention is effective in improving balance and the educational approach improves the perception and knowledge about falls and functional mobility capacity.

前言和目的目的是分析教育行动和团体物理治疗对老年人跌倒风险的影响。材料和方法在60岁或以上的老年人中进行了大约3个月的临床试验。受试者随机分为物理治疗组（GF）和教育行动与物理治疗组（GEF），采用跌倒疗效量表（FES）、Berg平衡量表（Berg）、Timed Up and Go （TUG）、健康评估问卷（HAQ）和跌倒风险意识问卷（FRAQ-Brazil）对干预前后进行评估。两组均接受物理治疗干预，GEF组参与教育行动。评估小组和统计学家在整个研究过程中保持盲法。统计分析采用卡方检验、均数、标准差和中位数、Box-Cox检验、Mann-Whitney检验和Wilcoxon检验。采用重复测量进行方差分析，然后进行Bonferroni事后检验。采用显著性水平（α）为5%。结果共邀请80人。6人被排除在外，剩下74人，他们被随机分配，每组37人。23名参与者的样本丢失。最终样本为51名参与者（GF n = 25, GEF n = 26）。在Berg成绩上，两组在重评后均有显著差异。在FRAQ和TUG表现上，只有GEF有显著差异（p < 0.05）。未证实对FES和HAQ的性能有影响。结论物理治疗干预能有效提高平衡能力，教育方法能提高跌倒认知和功能活动能力。

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引用次数: 0