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Estancias en el extranjero para residentes de Medicina Física y Rehabilitación: una ventana enriquecedora al mundo 物理医学和康复住院医师的海外停留:丰富的世界之窗
IF 0.4 Q3 Medicine Pub Date : 2025-09-22 DOI: 10.1016/j.rh.2025.100938
G. García Cortés , A. Galván Ruíz , G. Vergara-Díaz
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引用次数: 0
Efectividad de las intervenciones de rehabilitación y telerrehabilitación en los pacientes con esclerosis sistémica: revisión de alcance 全身硬化症患者康复和远程康复干预措施的有效性:范围回顾
IF 0.4 Q3 Medicine Pub Date : 2025-09-19 DOI: 10.1016/j.rh.2025.100936
N. Velasquez Leon , S.V. Alarcon Espinal , V.M. Gallegos Rejas

Introduction

Systemic sclerosis (SSc) is an autoimmune condition affecting mainly the skin and musculoskeletal system. Clinically, SSc translates to chronic pain, fatigue and loss of functionality. Rehabilitation interventions aim to improve motor functions, relieve pain, maintain work capacity, and promote functional independence in patients with SSc. However, the effectiveness of different rehabilitation modalities, including telerehabilitation, remains insufficiently described in the literature.

Methods

This review aimed to describe the effectiveness of rehabilitation and telerehabilitation focused on pain, fatigue, function/functionality, and strength in the oral region, hand, and upper limbs. A Scoping Review was carried out following the PRISMA-ScR recommendations. We searched PubMed®, Scopus®, and Embase® for studies from 2010 to 2024, including those that evaluated the effectiveness of rehabilitation and telerehabilitation interventions in SSc.

Results

Our review included 29 articles, mainly from Europe (n = 16, 55%) and Asia (n = 7, 24%). Most were clinical trials (69%) with an average sample size of 58 participants. Hospital-based and combined rehabilitation modalities were the most common. Interventions showed positive effects across outcomes: improvement in pain (41%), fatigue (14%), strength (41%), and function (97%).

Conclusions

Rehabilitation, including telerehabilitation, is effective in improving key symptoms in patients with SSc.Telerehabilitation is an effective and promising alternative for patients with SSc, for the reduction of pain and fatigue.
系统性硬化症(SSc)是一种主要影响皮肤和肌肉骨骼系统的自身免疫性疾病。临床上,SSc转化为慢性疼痛、疲劳和功能丧失。康复干预旨在改善SSc患者的运动功能,缓解疼痛,维持工作能力,促进功能独立性。然而,不同的康复方式,包括远程康复的有效性,在文献中仍然没有充分的描述。方法本综述旨在描述康复和远程康复的有效性,重点关注口腔、手部和上肢的疼痛、疲劳、功能和力量。根据PRISMA-ScR的建议进行了范围审查。我们检索了PubMed®、Scopus®和Embase®,检索了2010年至2024年的研究,包括那些评估SSc康复和远程康复干预有效性的研究。结果纳入29篇文献,主要来自欧洲(n = 16, 55%)和亚洲(n = 7, 24%)。大多数是临床试验(69%),平均样本量为58名参与者。以医院为基础的康复和综合康复方式是最常见的。干预措施显示出积极的结果:疼痛(41%)、疲劳(14%)、力量(41%)和功能(97%)的改善。结论包括远程康复在内的康复治疗可有效改善SSc患者的主要症状。对于SSc患者来说,远程康复是一种有效且有希望的替代方法,可以减轻疼痛和疲劳。
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引用次数: 0
Associations between bone mineral density loss in the past decade and sarcopenia in community-dwelling older women—The FRISBEE 2 study 过去十年中社区老年妇女骨密度损失与肌肉减少症之间的关系——FRISBEE 2研究
IF 0.4 Q3 Medicine Pub Date : 2025-09-19 DOI: 10.1016/j.rh.2025.100935
A. Bellanger , D. Sanchez-Rodriguez , F.K. Youssa Nzintcheu , L. Iconaru , A. Mugisha , J.M.K. De Filette , F. Baleanu , A.-S. Hambye , D. Ene Lenghel , F. Benoit , M. Surquin , P. Bergmann , J.-J. Body

Objective

To assess the associations between EWGSOP2-defined sarcopenia and bone mineral density (BMD) loss in the past 6–16 years in community-dwelling older women from the Fracture RISk Brussels Epidemiological Enquiry (FRISBEE2) study.

Methods

Retrospective cohort design. Nine hundred seven community-dwelling older women constitute the baseline sample of the FRISBEE2 study. Participants had undergone an initial dual-energy X-ray absorptiometry (DXA) evaluation for osteoporosis in the past 6–16 years prior to the study's commencement and were re-assessed at baseline. Baseline evaluations included EWGSOP2-defined sarcopenia (handgrip strength, appendicular lean soft tissue mass/height2, 4-m gait speed) and osteoporosis assessment (total hip BMD). Baseline BMD value of each participant was compared with their own value in the previous DXA evaluation in the past 6–16 years. A BMD loss > 3.0% threshold was considered as “least significant change”. Adjusted multiple logistic regression models were used to evaluate associations between sarcopenia and BMD loss.

Results

Out of 907 participants, 172 (19.0%) had EWGSOP2-defined probable sarcopenia, 76 (8.4%) had confirmed sarcopenia, and 630 (73.2%) experienced significant BMD loss. After adjustment for confounders, regression models showed that BMD loss > 3% in the past years was associated to twofold higher odds of probable sarcopenia (i.e., low handgrip strength) [OR = 2.23 (95%CI 1.36–3.66); p = 0.002].

Conclusions

The study found a clinically relevant association between the presence of sarcopenia and bone loss in the past 6 to 16 years in community-dwelling older women. A significant BMD loss should alert clinicians to the possible coexistence of sarcopenia.
目的评估来自骨折风险布鲁塞尔流行病学调查(FRISBEE2)研究的过去6-16年社区老年妇女ewgsop2定义的肌肉减少症与骨密度(BMD)损失之间的关系。方法回顾性队列设计。997名居住在社区的老年妇女构成了FRISBEE2研究的基线样本。在研究开始前的6-16年,参与者接受了最初的双能x线骨质疏松症(DXA)评估,并在基线时重新评估。基线评估包括ewgsop2定义的肌肉减少症(握力、阑尾瘦软组织质量/高度2、4米步速)和骨质疏松症评估(髋总骨密度)。将每位参与者的基线骨密度值与他们自己在过去6-16年的DXA评估中的值进行比较。骨密度损失3.0%的阈值被认为是“最不显著的变化”。采用调整后的多元logistic回归模型评估肌肉减少症与骨密度损失之间的关系。结果907名参与者中,172名(19.0%)患有ewgsop2定义的可能的肌肉减少症,76名(8.4%)确诊为肌肉减少症,630名(73.2%)经历了明显的骨密度损失。在调整混杂因素后,回归模型显示,过去几年骨密度损失3%与肌肉减少症(即握力低)的可能性增加两倍相关[OR = 2.23 (95%CI 1.36-3.66);p = 0.002]。结论:该研究发现,在过去6至16年的社区老年妇女中,肌肉减少症和骨质流失之间存在临床相关关系。明显的骨密度损失应提醒临床医生注意肌肉减少症的可能共存。
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引用次数: 0
The burden of Wilson's disease: Insights into clinical, psychological, and functional dimensions 威尔逊病的负担:对临床、心理和功能维度的洞察
IF 0.4 Q3 Medicine Pub Date : 2025-09-19 DOI: 10.1016/j.rh.2025.100934
P. Freixo Ribeiro , J. Moura , E. Santos Silva , F. Nery , H. Pessegueiro Miranda , I. Pedroto , J.M. Ferreira , J. Gandara , L. Maia , P. Ramos , S. Ferreira , M. Magalhães

Introduction

Wilson's disease (WD) is a rare genetic disorder of copper metabolism with multi-systemic manifestations. Despite available treatment, patients often experience functional impairment. However, the relationship between clinical phenotype, mental status, and disability remains underexplored.

Objective

To investigate the associations between disease severity, cognitive performance, depressive symptoms, and functional disability in adults with WD using validated instruments.

Methods

In this prospective, single-center cross-sectional study (2021–2023), 32 clinically stable WD patients followed at a tertiary neurology clinic were assessed with the WHODAS 2.0, GAS-WD, Mini-MoCA, and PHQ-9. Functional outcomes were evaluated using WHODAS 2.0 domains. Associations between clinical variables and scale scores were analyzed using non-parametric tests. Ethical approval (ref: 183-DEFI/165-CE) and informed consent were obtained.

Results

Participants had a mean age of 39.8 ± 13.6 years; 56.3% were female. Median diagnostic delay was 1 year. Most had hepatic (56.3%) or neurological phenotype (37.5%). The WHODAS 2.0 participation domain was the most impaired (median = 4.0, IQR 2–9). WHODAS scores correlated positively with GAS-WD scores (rs = 0.77, p < 0.001) and PHQ-9 (rs = 0.65, p < 0.001), and negatively with Mini-MoCA. No significant associations were found between diagnostic delay and disability. Stratified analysis revealed no statistically significant differences in participation across genders (p = 0.83) or clinical subtypes (p = 0.47).

Conclusion

Functional disability in WD is significantly associated with disease severity, cognitive deficits, and depressive symptoms, but not with gender or clinical subtype. WHODAS 2.0 is a feasible tool for comprehensive functional assessment in WD. Multidisciplinary approaches addressing mental and cognitive health are essential.
威尔逊氏病(WD)是一种罕见的铜代谢遗传性疾病,具有多系统表现。尽管有可用的治疗方法,但患者往往会出现功能障碍。然而,临床表型、精神状态和残疾之间的关系仍未得到充分探讨。目的探讨成年WD患者疾病严重程度、认知能力、抑郁症状和功能障碍之间的关系。方法在这项前瞻性、单中心横断研究(2021-2023)中,采用WHODAS 2.0、GAS-WD、Mini-MoCA和PHQ-9对32例临床稳定的WD患者进行随访。使用WHODAS 2.0域评估功能结果。使用非参数检验分析临床变量与量表得分之间的关系。获得伦理批准(ref: 183-DEFI/165-CE)和知情同意。结果参与者平均年龄39.8±13.6岁;56.3%为女性。中位诊断延迟为1年。多数为肝型(56.3%)或神经型(37.5%)。WHODAS 2.0参与域受损最严重(中位数= 4.0,IQR 2-9)。WHODAS评分与GAS-WD评分(rs = 0.77, p < 0.001)和PHQ-9评分(rs = 0.65, p < 0.001)呈正相关,与Mini-MoCA评分呈负相关。在诊断延迟和残疾之间没有发现显著的关联。分层分析显示,不同性别(p = 0.83)或临床亚型(p = 0.47)的参与无统计学意义差异。结论WD患者的功能障碍与疾病严重程度、认知缺陷和抑郁症状显著相关,但与性别或临床亚型无关。WHODAS 2.0是一种可行的WD功能综合评价工具。解决心理和认知健康问题的多学科方法至关重要。
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引用次数: 0
Reflexiones críticas sobre el consenso intervencionista en gonartrosis 对淋病干预主义共识的批判性反思
IF 0.4 Q3 Medicine Pub Date : 2025-09-15 DOI: 10.1016/j.rh.2025.100933
A. Alcántara Montero
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引用次数: 0
Hombro doloroso como antecedente en esclerosis lateral amiotrófica: estudio descriptivo retrospectivo y exploratorio 肩部疼痛作为肌萎缩性侧索硬化症的病因:回顾性和探索性描述性研究
IF 0.4 Q3 Medicine Pub Date : 2025-09-11 DOI: 10.1016/j.rh.2025.100932
M. Novo-Rigueiro , A. Crespo-De , A. Antelo-Pose , I. Novo-Veleiro
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引用次数: 0
Sports for persons with disabilities: A bibliometric analysis of research landscape and future directions 残疾人运动:研究前景和未来方向的文献计量学分析
IF 0.4 Q3 Medicine Pub Date : 2025-09-07 DOI: 10.1016/j.rh.2025.100931
N. Cherappurath , S. Perumbalath , M. Elayaraja , M.R. Dhinu , M.A. Thoompenthodi
Research on sports for persons with disabilities (PWDs) has grown significantly in recent years, particularly in parasports, disability sports, and adapted sports. Numerous studies have consistently highlighted the role of sports as a powerful tool for promoting social integration, enhancing psychological well-being, and improving the physical health of PWDs. However, comprehensive reviews on the development and progression of this field remain limited. Analysing relevant papers in the past and outlining the research's depth, hotspots, and future directions are essential. This study aims to use bibliometric techniques to quantitatively evaluate the publications published in sports for PWDs to provide new perspectives for further research. A total of 1979 publications indexed in the Scopus database, covering the period from 1971 to January 2025, were analyzed in this study. The study reveals key research areas in sports for PWDs and recommends that future studies focus on these areas. The findings of the study provide valuable insights for academic institutions, governmental bodies, and funding organizations, fostering collaboration and aiding in the formulation of policies for PWDs. Future studies could benefit from applying sophisticated methodologies, comprehensive datasets, and an expanded array of keywords.
近年来,对残疾人运动的研究有了显著的增长,特别是在体育运动、残疾人运动和适应性运动方面。许多研究都强调了体育作为促进社会融合、增强心理健康和改善残疾人士身体健康的有力工具的作用。然而,对这一领域的发展和进展的全面审查仍然有限。分析过去的相关论文,概述研究的深度、热点和未来的方向是必不可少的。本研究旨在运用文献计量学技术对残疾人体育相关文献进行定量评价,为进一步的研究提供新的视角。本研究分析了Scopus数据库中1971年至2025年1月期间共收录的1979份出版物。该研究揭示了残疾人运动的关键研究领域,并建议未来的研究重点放在这些领域。研究结果为学术机构、政府机构和资助机构提供了宝贵的见解,有助促进合作和制定残疾人士政策。未来的研究可以从应用复杂的方法、全面的数据集和扩展的关键字数组中受益。
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引用次数: 0
SORECAR: 30 años impulsando la rehabilitación cardiorrespiratoria en España SORECAR: 30年在西班牙促进心肺康复
Q3 Medicine Pub Date : 2025-07-01 DOI: 10.1016/j.rh.2025.100923
M.P. Sanz-Ayán
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引用次数: 0
Low back pain after total hip arthroplasty: Long-term retrospective cohort study 全髋关节置换术后腰痛:长期回顾性队列研究
IF 0.4 Q3 Medicine Pub Date : 2025-07-01 DOI: 10.1016/j.rh.2025.100928
F.J. Gallego-Peñalver , S.B. Romero-de-la-Higuera , V. Berdejo Arceiz , E.M. Gómez Trullén

Introduction and objective

Total hip arthroplasty (THA) effectively treats hip osteoarthritis, but postoperative low back pain (LBP) is a known complication. While prior studies report short-term LBP resolution, long-term outcomes and incidence in patients without prior LBP remain unclear. This study aims to determine the long-term cumulative prevalence of LBP post-THA.

Material and methods

A longitudinal retrospective cohort study was conducted on 476 patients undergoing THA for coxarthrosis at Lozano Blesa University Clinical Hospital of Zaragoza (2010–2020). Pre- and postoperative LBP (lumbar pain ≥7 days) and sociodemographic, clinical, and postsurgical variables were analyzed. Strict exclusion criteria were applied. The study was approved by the CEICA (C.P.-C.I.-PI21/346) and registered at ClinicalTrials.gov (NCT05647629).

Results

Among 476 patients (mean age: 60.11 ± 8 years; mean follow-up: 7 years), four clinical trajectories were identified: 202 (42.43%) without pre/postoperative LBP, 97 (20.37%) without preoperative but with postoperative LBP (P = 0.002), 128 (26.89%) with pre- and postoperative LBP (P < 0.001), and 49 (10.29%) with preoperative but without postoperative LBP. Overall, 47.26% (n = 225) experienced postoperative LBP. Weak correlations were observed between BMI (R = 0.16; P = 0.040) and weight (R = 0.22; P = 0.004) with LBP in patients with preoperative LBP, with no differences in age or sex.

Conclusions

Post-THA LBP affects 47.26% of patients long-term (26.89% persistent, 20.38% new onset). BMI and weight are modest associated factors. The heterogeneity of surgical impact highlights the need for prospective studies to optimize management.
前言和目的全髋关节置换术(THA)可有效治疗髋关节骨关节炎,但术后腰痛(LBP)是已知的并发症。虽然先前的研究报告了短期下腰痛的缓解,但没有下腰痛的患者的长期结果和发病率仍不清楚。本研究旨在确定tha后腰痛的长期累积患病率。材料与方法对2010-2020年在萨拉戈萨Lozano Blesa大学临床医院接受髋关节置换术治疗的476例患者进行纵向回顾性队列研究。分析术前和术后腰痛(腰痛≥7天)、社会人口统计学、临床和术后变量。采用了严格的排除标准。该研究已获得CEICA批准(cpp - ci - pi21 /346),并在ClinicalTrials.gov注册(NCT05647629)。结果476例患者(平均年龄:60.11±8岁;平均随访时间:7年),确定了4种临床轨迹:202例(42.43%)术前/术后无LBP, 97例(20.37%)术前/术后无LBP (P = 0.002), 128例(26.89%)术前/术后均有LBP (P <;0.001),术前无术后无腰痛的49例(10.29%)。总体而言,47.26% (n = 225)的患者出现了术后腰痛。BMI与BMI之间呈弱相关(R = 0.16;P = 0.040)和权重(R = 0.22;P = 0.004)术前有LBP的患者中,年龄和性别无差异。结论术后LBP长期发生率为47.26%(持续发生率为26.89%,新发发生率为20.38%)。BMI和体重是适度的相关因素。手术影响的异质性突出了前瞻性研究以优化管理的必要性。
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引用次数: 0
Standardizing functional assessment in hospital rehabilitation: A proposal based on RASS, S5Q, and JH-HLM scales 标准化医院康复功能评估:基于RASS、S5Q、JH-HLM量表的建议
IF 0.4 Q3 Medicine Pub Date : 2025-07-01 DOI: 10.1016/j.rh.2025.100929
A.J. Guerra-Cabrera , F.J. Gallego-Peñalver
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引用次数: 0
期刊
Rehabilitacion
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