Rehabilitacion最新文献

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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 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

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 : 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

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 : 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

Immersive virtual reality as a complementary tool in Achilles tendon rehabilitation: A proposal for sport-specific return 沉浸式虚拟现实作为跟腱康复的补充工具：一项针对运动特定回归的建议

IF 0.4 Q3 Medicine

Rehabilitacion

Pub Date : 2025-11-21 DOI: 10.1016/j.rh.2025.100947

A. Aldardour , S. Alna’amneh

引用次数: 0

Tiempo insuficiente en rehabilitación: impacto en la calidad asistencial y el burnout 康复时间不足：对护理质量和倦怠的影响

IF 0.4 Q3 Medicine

Rehabilitacion

Pub Date : 2025-11-21 DOI: 10.1016/j.rh.2025.100950

G. Candoni

引用次数: 0

Why delayed onset muscle soreness in the foot matters: Addressing gaps in sports rehabilitation practice 为什么迟发性肌肉酸痛在足问题：解决差距在运动康复实践

IF 0.4 Q3 Medicine

Rehabilitacion

Pub Date : 2025-11-21 DOI: 10.1016/j.rh.2025.100949

R. Tedeschi

引用次数: 0

Resultados preliminares del tratamiento de la seudoartrosis mediante ondas de choque de alta energía: estudio cuasiexperimental multicéntrico 高能冲击波治疗假骨关节炎的初步结果：多中心准实验研究

IF 0.4 Q3 Medicine

Rehabilitacion

Pub Date : 2025-11-21 DOI: 10.1016/j.rh.2025.100945

M. Colomer Giralt , J. Castro Ruiz , M.J. Durà Mata , J. Sánchez Raya , S. Ramón Rona

引用次数: 0

Anthropometric and pain-related factors associated with functional performance in knee osteoarthritis: A cross-sectional study 膝关节骨关节炎的人体测量和疼痛相关因素与功能表现相关：一项横断面研究

IF 0.4 Q3 Medicine

Rehabilitacion

Pub Date : 2025-10-01 DOI: 10.1016/j.rh.2025.100956

R.B. Ramalho, L. Furlan, L.F.A. Selistre

Introduction and objectives

Given their known impact on function, anthropometrics and pain should be examined in knee osteoarthritis functional tests. To evaluate how anthropometric measures and pain influence the 30-s CST, 40m FPWT, and 11-step SCT in individuals with KOA.

Material and methods

This is a cross-sectional study with 142 participants included. We collected anthropometric data, then applied the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) questionnaire, recorded pain and we administered the performance-based tests. Multiple linear regression models were used to assess the influence of clinical and demographic variables on each performance-based test. We performed the analyses in the R language (R version 4.3.2), adopting a significance level of 5%.

Results

Participants had a mean BMI of 29.1, mean pain 3.5, and mean WOMAC 47. Older age, higher BMI, and female sex were consistently associated with poorer performance. In the 40-meter Fast-Paced Walk Test, older age (β = 0.39, 95% CI [0.25, 0.53], p < 0.001) and higher BMI (β = 0.41, 95% CI [0.15, 0.66], p = 0.002) predicted slower performance, with men performing faster (β = −3.86, 95% CI [−6.36, −1.36], p = 0.003). Similar patterns were observed in the 30-s Chair Stand and 11-step Stair Climb tests, with worse WOMAC scores additionally associated with lower performance. Pain did not significantly affect any test.

Conclusion

Advanced age, being female, high BMI and low self-reported function negatively impacted performance-based tests.

介绍和目的考虑到已知的对功能的影响，人体测量学和疼痛应该在膝关节骨关节炎功能测试中进行检查。评估人体测量和疼痛对KOA患者30-s CST、40 - m FPWT和11步SCT的影响。材料与方法本研究为横断面研究，纳入142名受试者。我们收集了人体测量数据，然后应用了西安大略和麦克马斯特大学骨关节炎指数（WOMAC）问卷，记录了疼痛并进行了基于性能的测试。使用多元线性回归模型来评估临床和人口统计学变量对每个基于性能的测试的影响。我们使用R语言（R版本4.3.2）进行分析，采用5%的显著性水平。结果参与者的平均BMI为29.1，平均疼痛为3.5，平均WOMAC为47。年龄越大，身体质量指数越高，性别越女性，成绩越差。在40米快节奏步行测试中，年龄越大（β = 0.39, 95% CI [0.25, 0.53], p < 0.001）和BMI越高（β = 0.41, 95% CI [0.15, 0.66], p = 0.002）的受试者表现越慢，而男性表现越快（β = - 3.86, 95% CI [- 6.36, - 1.36], p = 0.003）。在30秒的椅子站立和11步爬楼梯测试中也观察到类似的模式，WOMAC得分越低，表现越差。疼痛对任何测试都没有显著影响。结论高龄、女性、高BMI和低自我报告功能对性能测试有负面影响。

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引用次数: 0

Escala de la calidad del desempeño sensoriomotor en bebés de 2 a 15 meses (ECDSM2-15) con retraso motor o riesgo/diagnóstico de parálisis cerebral: ajuste de límites de áreas percentiles y sensibilidad al cambio 2-15个月有运动迟缓或有脑瘫风险/诊断的婴儿（ECDSM2-15）的运动感觉性能质量量表：百分位界限调整和对变化的敏感性

IF 0.4 Q3 Medicine

Rehabilitacion

Pub Date : 2025-10-01 DOI: 10.1016/j.rh.2025.100943

A.P. Moraga Aguilar , F. Solís Flores , M.I. Rodríguez Sáez

Introduction

The Escala de la Calidad del Desempeño Sensoriomotor (ECDSM2-15) identifies the quality of sensorimotor performance in infants aged 2 to 15 months old, previously identified with motor delay (MD), or at risk/diagnosed with cerebral palsy (CP) on six subscales. It classifies the strategies infants use during functional motor behaviors as typical, delayed, or atypical, identifying the influence of alignment, movement, and base of support components.

Objective

To adjust the cutoff points of the percentile areas and determine the sensitivity to change on the sensorimotor performance in the six subscales.

Participants and method

Intentional samples of 1,432 infants for the percentile area adjustment and 371 infants for sensitivity to change were recruited from three child rehabilitation centers in Chile. Summary measures were calculated to establish the percentile area limits. For sensitivity to change, the corresponding age group subscale was administered twice to each infant with a 6-week interval. For the analysis, the Wilcoxon and δ Somers test were applied with a significance of p < 0.05.

Results

Five sensorimotor performance areas are established: atypical, mildly atypical, delayed at risk of atypical, delayed, and typical. The sensitivity to change in all age groups is significant.

Conclusion

The ECDSM2-15 classifies infants with MD or at risk/diagnosis of CP in five percentile areas of sensorimotor performance and is highly sensitive in detecting changes in sensorimotor functional performance, results that contribute to increasing its reliability.

Escala dela Calidad del Desempeño Sensoriomotor （ECDSM2-15）通过6个亚量表来识别2至15个月大、先前被诊断为运动迟缓（MD）或有风险/被诊断为脑瘫（CP）的婴儿的感觉运动表现质量。它将婴儿在功能性运动行为中使用的策略分为典型、延迟或非典型，并确定了对齐、运动和支撑成分基础的影响。目的调整百分位区域的分界点，确定6个分量表对感觉运动表现变化的敏感性。参与者和方法从智利的三个儿童康复中心招募了1,432名婴儿进行百分位面积调整和371名婴儿对变化的敏感性。计算综合测度以确定百分位面积界限。对于变化的敏感性，相应的年龄组子量表以6周的间隔给予每个婴儿两次。分析采用Wilcoxon和δ Somers检验，p <； 0.05具有显著性。结果建立了不典型、轻度不典型、迟发性不典型、迟发性和典型五个感觉运动表现区。所有年龄组对变化的敏感性都是显著的。结论ECDSM2-15在感觉运动表现的5个百分位区域对MD或有CP危险/诊断的婴儿进行分类，在检测感觉运动功能表现的变化方面具有很高的敏感性，结果有助于提高其可靠性。

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引用次数: 0

Valoración integral tras cirugía cardiaca de pacientes con síndrome de bajo gasto cardiaco posoperatorio 术后低成本心脏综合征患者的心脏手术后综合评估

IF 0.4 Q3 Medicine

Rehabilitacion

Pub Date : 2025-10-01 DOI: 10.1016/j.rh.2025.100953

M.P. Sanz Ayán , J.L. Pérez Vela , H. Domínguez Aguado , Á. Martínez Linares , A. Eixerés Esteve

Introduction and objective

Postoperative low cardiac output syndrome (LCOS) after cardiac surgery (CS) is a serious complication that significantly affects patients’ clinical and functional outcomes. The aim of this study was to analyze short- and medium/long-term evolution, including clinical, functional, and emotional aspects, in order to identify areas for improvement in the care process.

Patients and methods

A prospective, single-center cohort study was conducted in a tertiary hospital. Adult patients undergoing CS between April and October 2023 were included. Follow-up comprised the hospital phase (ICU and ward) and a telephone assessment 9 months after discharge, using the Kansas City Cardiomyopathy Questionnaire (KCCQ) and the Hospital Anxiety and Depression Scale (HADS).

Results

Of 197 postoperative patients, 34 developed LCOS. In the ICU, the cardiogenic shock group showed longer time to extubation and a higher incidence of AKIN III renal failure (p< 0.001 and p = 0.012). ICU and hospital stays were significantly longer (p = 0.017 and p = 0.048). At medium/long-term follow-up, 41.7% reported reduced quality of life and 43.8% reduced social life. Half of the patients remained symptomatic or worsened during follow-up. Possible anxiety was detected in 15% and depression in 30%.

Conclusions

Postoperative LCOS is associated with poorer clinical, functional, and emotional outcomes. Structured follow-up strategies are needed, including therapeutic adjustment, incorporation of new targets in cardiac rehabilitation programs, and management of emotional well-being.

心脏手术后低心输出量综合征（LCOS）是严重影响患者临床和功能预后的并发症。本研究的目的是分析短期和中期/长期的发展，包括临床、功能和情感方面，以确定护理过程中需要改进的领域。患者和方法在某三级医院进行了一项前瞻性、单中心队列研究。纳入了2023年4月至10月间接受CS的成年患者。随访包括住院期（ICU和病房）和出院后9个月的电话评估，使用堪萨斯城心肌病问卷（KCCQ）和医院焦虑和抑郁量表（HADS）。结果197例术后34例发生LCOS。在ICU，心源性休克组拔管时间更长，AKIN III型肾功能衰竭发生率更高（p< 0.001, p = 0.012）。ICU和住院时间均显著延长（p = 0.017和p = 0.048）。在中期/长期随访中，41.7%的人报告生活质量下降，43.8%的人报告社交生活下降。半数患者在随访期间仍有症状或病情恶化。15%的人可能患有焦虑，30%的人可能患有抑郁症。结论术后LCOS与较差的临床、功能和情绪预后相关。需要结构化的随访策略，包括治疗调整，在心脏康复计划中纳入新的目标，以及情绪健康的管理。

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引用次数: 0

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