Rehabilitacion最新文献

英文中文

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

Rehabilitacion

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

Rehabilitacion

Pub Date : 2025-07-01 DOI: 10.1016/j.rh.2025.100923

M.P. Sanz-Ayán

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

Rehabilitacion

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

Rehabilitacion

Pub Date : 2025-07-01 DOI: 10.1016/j.rh.2025.100929

A.J. Guerra-Cabrera , F.J. Gallego-Peñalver

引用次数: 0

Experiencias con las ondas de choque en el tratamiento de la hipertonía en personas con parálisis cerebral: una perspectiva cualitativa 冲击波治疗脑瘫患者高血压的经验：定性视角

Q3 Medicine

Rehabilitacion

Pub Date : 2025-07-01 DOI: 10.1016/j.rh.2025.100921

M.F. Gimeno Esteve , M. Tur Segura , J. Jiménez Redondo , N. García Rodríguez , T. Biedermann Villagra

Introduction

Muscle hypertonia is one of the major issues in individuals with cerebral palsy. Treatment with radial shockwave therapy represents a relatively new alternative to conventional approaches and has been established in recent years as a non-invasive option with few side effects.

Objectives

To assess the subjective experience of individuals with cerebral palsy undergoing radial shockwave therapy in terms of reducing local hypertonia, changes in motor functionality, and changes in pain perception.

Methodology

A qualitative phenomenological study was conducted through semi-structured interviews. Out of 79 patients treated, 27 interviews were selected that provided the best information regarding the subjective experience before and after the treatment.

Results

Patients reported a perceived reduction in spasticity, muscle tension, and pain perception. There was an improvement in walking functionality, although functional improvement was less noticeable in the upper limbs. Among individuals engaged in sports, overall ability appeared to improve. Regarding the subjective experience of the treatment, the majority of patients reported good tolerance to the shockwaves.

Conclusions

Overall, the treatment of local hypertonia with shockwave therapy has been positive in all analyzed dimensions, with good acceptance of the treatment itself.

肌肉强直是脑瘫患者的主要问题之一。放射冲击波治疗是一种相对较新的替代传统方法的治疗方法，近年来已被确立为一种副作用少的无创治疗方法。目的评估脑瘫患者在接受放射冲击波治疗后，在减轻局部高张力、改变运动功能和改变痛觉方面的主观体验。方法采用半结构化访谈法进行质性现象学研究。在接受治疗的79名患者中，选择了27个访谈，提供了关于治疗前后主观体验的最佳信息。结果患者报告痉挛、肌肉紧张和疼痛感明显减轻。行走功能有所改善，尽管上肢的功能改善不太明显。在从事体育运动的个体中，整体能力似乎有所提高。关于治疗的主观体验，大多数患者报告对冲击波的耐受性良好。结论总的来说，冲击波治疗局部高渗症在所有分析维度上都是积极的，对治疗本身有很好的接受度。

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引用次数: 0

Effect of pillow on pain, disability and sleep quality in patients with chronic neck pain: A systematic review 枕对慢性颈痛患者疼痛、残疾和睡眠质量的影响：一项系统综述

Q3 Medicine

Rehabilitacion

Pub Date : 2025-07-01 DOI: 10.1016/j.rh.2025.100922

S. Ghosh, M. Goyal, K. Goyal

Chronic neck pain impairs physical function and sleep quality. Appropriate pillow use may support spinal alignment, reduce muscle strain, and improve sleep. This systematic review evaluated the effectiveness of various pillow characteristics in alleviating pain, disability, and sleep disturbances among individuals with chronic neck pain. A comprehensive literature search was conducted in PubMed, Scopus, PEDro, and Cochrane Library for interventional studies published from 2015 to June 2024. Following PRISMA guidelines, the methodological quality was assessed using the PEDro scale, GRADE system, risk of bias tool, and level of evidence criteria. From 29,091 screened records, five studies (239 participants) met the inclusion criteria. Outcome measures included the Visual Analogue Scale (VAS), Numerical Pain Rating Scale (NPRS), Neck Disability Index (NDI), and Pittsburgh Sleep Quality Index (PSQI). NPRS scores showed minor improvements (p > 0.05), NDI results were inconsistent, and PSQI differences were not statistically significant. High heterogeneity in study designs, outcome measures, and pillow characteristics limits definitive conclusions. However, limited evidence supports the use of specific pillows as adjunctive therapy for chronic neck pain, with no particular type (latex, foam or standard) demonstrating clear superiority. Therefore, further high-quality RCTs are needed to establish definitive clinical recommendations.

慢性颈部疼痛会损害身体机能和睡眠质量。适当使用枕头可以帮助脊柱挺直，减少肌肉劳损，改善睡眠。本系统综述评估了各种枕头特征在缓解慢性颈部疼痛患者的疼痛、残疾和睡眠障碍方面的有效性。全面检索PubMed、Scopus、PEDro和Cochrane图书馆2015年至2024年6月发表的介入性研究文献。遵循PRISMA指南，使用PEDro量表、GRADE系统、偏倚风险工具和证据水平标准对方法学质量进行评估。从29,091份筛选记录中，有5项研究（239名参与者）符合纳入标准。结果测量包括视觉模拟量表（VAS）、数值疼痛评定量表（NPRS）、颈部残疾指数（NDI）和匹兹堡睡眠质量指数（PSQI）。NPRS得分略有改善(p >；0.05)， NDI结果不一致，PSQI差异无统计学意义。研究设计、结果测量和枕头特征的高度异质性限制了明确的结论。然而，有限的证据支持使用特定枕头作为慢性颈部疼痛的辅助治疗，没有特定类型（乳胶，泡沫或标准）表明明显的优势。因此，需要进一步的高质量随机对照试验来建立明确的临床建议。

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引用次数: 0

Effect of exercise-based cardiac rehabilitation on dyspnoea in heart failure: A systematic review of assessment tools, outcomes, and FITT parameters 基于运动的心脏康复对心力衰竭患者呼吸困难的影响：评估工具、结果和FITT参数的系统回顾

Q3 Medicine

Rehabilitacion

Pub Date : 2025-07-01 DOI: 10.1016/j.rh.2025.100924

C. García-Conejo , C. Roldán-Jiménez , A.I. Cuesta-Vargas

Exercise-based cardiac rehabilitation (EBCR) programmes are strongly recommended to enhance exercise capacity and quality of life in heart failure (HF). However, their effects on dyspnoea have not been systematically reviewed, possibly due to the knowledge gap in the assessment of dyspnoea. The aim of this study was to recognise the dyspnoea tool used in HF for the EBCR trial, assess the effects of EBCR on dyspnoea and identify which patient characteristics and FITT parameters (Frequency, Intensity, Time and Type) are associated with better outcomes. A review and meta-analysis of randomised controlled trials following the PRISMA guideline were performed, including fifteen studies (n = 766 participants). Up to 8 dyspnoea measurement instruments were identified in the studies. EBCR showed a moderate effect size on dyspnoea (d = 0.69, 95% CI 0.54–0.84). Larger effects were seen in patients < 65 years (d = 0.77, 95% CI 0.54–0.99) and in non-hospitalised patients (d = 0.735, 95% CI 0.550–0.921). Greater effects were observed for low-intensity (d = 0.79, 95% CI 0.44–1.15) and multimodal programmes (d = 1.12, 95% CI 0.47–1.77). Programmes with three sessions per week and ≥12 weeks were the most common. Findings were limited due to the varying dyspnoea scales, highlighting the need for standardised assessment in HF.

强烈推荐以运动为基础的心脏康复（EBCR）方案，以提高心力衰竭（HF）患者的运动能力和生活质量。然而，它们对呼吸困难的影响尚未被系统地审查，可能是由于在评估呼吸困难方面的知识差距。本研究的目的是识别用于心力衰竭EBCR试验的呼吸困难工具，评估EBCR对呼吸困难的影响，并确定哪些患者特征和FITT参数（频率、强度、时间和类型）与更好的结果相关。对遵循PRISMA指南的随机对照试验进行回顾和荟萃分析，包括15项研究（n = 766名参与者）。研究中发现多达8种呼吸困难测量仪器。EBCR对呼吸困难的影响中等（d = 0.69, 95% CI 0.54-0.84）。在患者中观察到更大的影响；65岁（d = 0.77, 95% CI 0.54-0.99）和非住院患者（d = 0.735, 95% CI 0.550-0.921）。低强度方案（d = 0.79, 95% CI 0.44-1.15）和多模式方案（d = 1.12, 95% CI 0.47-1.77）的效果更大。每周3次且≥12周的治疗方案最为常见。由于不同的呼吸困难量表，研究结果有限，强调了对心力衰竭进行标准化评估的必要性。

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引用次数: 0

Instrumentalización clínica en la evaluación del linfedema. Una necesidad emergente en la consulta del médico rehabilitador 淋巴水肿评估的临床工具。康复医生会诊的新需求

Q3 Medicine

Rehabilitacion

Pub Date : 2025-07-01 DOI: 10.1016/j.rh.2025.100926

V. Pujol-Blaya , A. Gómez-Garrido , I. Donat-Cruz , V. Dávalos-Yerovi

引用次数: 0

Más allá de la percepción: resultados de una encuesta sobre escalas de valoración al colectivo de médicos rehabilitadores en España 超越认知：对西班牙康复医生群体评价量表的调查结果

IF 0.4 Q3 Medicine

Rehabilitacion

Pub Date : 2025-07-01 DOI: 10.1016/j.rh.2025.100927

G. Arrieta-Bartolomé , M. Supervía , S. Laxe

Introduction

Measurement in rehabilitation is a fundamental pillar for objectifying the functional status of patients, determining and evaluating interventions, and monitoring treatment progress. However, its use in clinical practice is not yet sufficiently widespread among physicians.

Objective

To describe the usage habits of measurement instruments, particularly validated scales, in the clinical practice of Spanish physical and rehabilitation medicine (PRM) physicians.

Methods

A structured survey was designed and distributed, consisting of 11 mandatory Likert-type questions related to clinical practice, available time, use of scales and assessment tools, perceived barriers, and training needs. Data were analyzed using descriptive statistics and correlation analysis.

Results

Out of 390 professionals, 61.8% (n = 241) reported using some type of measurement tool systematically. A total of 53 different scales were reported, with the Barthel Index being the most frequently used (42.3%, n = 103). Those who did not use scales (n = 95) relied on anamnesis and physical examination to assess patient progress. The main barrier identified was lack of time (78.4%, n = 135). A significant association was observed between longer consultation times and routine use of scales (P<.001). Additionally, 76.9% (n = 297) cited lack of training as a barrier, and 94.8% (n = 365) expressed interest in receiving specific training.

Conclusion

Although a majority of PRM physicians use measurement scales, important barriers such as limited time and lack of training remain. Addressing these factors through organizational and educational strategies could help promote wider adoption of measurement tools in clinical practice.

康复测量是客观化患者功能状态、确定和评估干预措施、监测治疗进展的基本支柱。然而，它在临床实践中的应用在医生中还不够广泛。目的了解西班牙物理与康复医学（PRM）医师在临床实践中对测量仪器尤其是经验证的量表的使用习惯。方法设计并分发一份结构化调查，包括11个强制性李克特型问题，涉及临床实践、可用时间、量表和评估工具的使用、感知障碍和培训需求。数据分析采用描述性统计和相关分析。结果390名专业人员中，61.8% （n = 241）报告系统地使用了某种类型的测量工具。共有53种不同的量表被报道，Barthel指数是最常用的（42.3%,n = 103）。未使用量表的患者（n = 95）依靠记忆和体格检查来评估患者的进展。确定的主要障碍是缺乏时间（78.4%,n = 135）。在较长的咨询时间和常规使用量表之间观察到显著的关联（P<.001）。此外，76.9% （n = 297）认为缺乏培训是一个障碍，94.8% （n = 365）表示有兴趣接受特定的培训。结论尽管大多数PRM医生使用测量量表，但时间有限和缺乏培训等重要障碍仍然存在。通过组织和教育策略解决这些因素可以帮助促进在临床实践中更广泛地采用测量工具。

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引用次数: 0

The role of immersive virtual reality in geriatric rehabilitation 沉浸式虚拟现实在老年康复中的作用

IF 0.4 Q3 Medicine

Rehabilitacion

Pub Date : 2025-07-01 DOI: 10.1016/j.rh.2025.100930

A. Aldardour , S. Alnammaneh

As the global population continues to age, virtual reality (VR) has emerged as a promising tool in geriatric rehabilitation, offering benefits across physical, cognitive, and psychological domains. This narrative review synthesizes the current literature on VR applications in geriatric adult care, encompassing areas such as fall prevention, balance training, gait rehabilitation, cognitive enhancement, and emotional well-being. VR enhances motivation through gamification and provides real-time feedback in safe, controlled environments. This review explores key challenges—including cost, motion sickness, and usability—and highlights emerging opportunities such as telerehabilitation and tailored programs for individuals with dementia. In contrast to previous reviews, this work places a stronger emphasis on psychological aspects, personalized in-home use, and clinical applicability. VR holds transformative potential to improve outcomes and quality of life in aging populations.

随着全球人口持续老龄化，虚拟现实（VR）已成为一种有前途的老年康复工具，在身体、认知和心理领域提供益处。本文综述了VR在老年成人护理中的应用，包括预防跌倒、平衡训练、步态康复、认知增强和情绪健康等领域。VR通过游戏化增强动机，并在安全、可控的环境中提供实时反馈。这篇综述探讨了主要的挑战，包括成本、晕动病和可用性，并强调了新兴的机会，如远程康复和为痴呆症患者量身定制的项目。与之前的综述相比，这项工作更加强调心理方面、个性化的家庭使用和临床适用性。虚拟现实具有变革性的潜力，可以改善老年人的生活结果和生活质量。

引用次数: 0

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