Pub Date : 2025-10-01Epub Date: 2025-09-07DOI: 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.
{"title":"Sports for persons with disabilities: A bibliometric analysis of research landscape and future directions","authors":"N. Cherappurath , S. Perumbalath , M. Elayaraja , M.R. Dhinu , M.A. Thoompenthodi","doi":"10.1016/j.rh.2025.100931","DOIUrl":"10.1016/j.rh.2025.100931","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100931"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145011214","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}
Pub Date : 2025-10-01Epub Date: 2025-09-15DOI: 10.1016/j.rh.2025.100933
A. Alcántara Montero
{"title":"Reflexiones críticas sobre el consenso intervencionista en gonartrosis","authors":"A. Alcántara Montero","doi":"10.1016/j.rh.2025.100933","DOIUrl":"10.1016/j.rh.2025.100933","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100933"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145061043","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}
Pub Date : 2025-10-01Epub Date: 2025-12-04DOI: 10.1016/j.rh.2025.100955
A. Balañá Corberó , J. Martínez Llorens
Introduction
Cough impairment in neuromuscular diseases (NMD) increases pulmonary infection risk. Peak cough flow (PCF) is crucial for assessment, with spirometry (PCFs) as gold standard. Portable peak flow meters (PCFp) are practical, yet their comparability with spirometers in NMD remains debated. This study compared PCFs and PCFp in NMD patients with restrictive lung disease.
Methods
A prospective, cross-sectional observational study included patients with NMD from a home mechanical ventilation unit. Inclusion criteria comprised a definitive diagnosis of NMD and the ability to perform forced expiratory maneuvers. PCF was measured using a calibrated spirometer (PCFs) and a portable peak flow meter (PCFp) in randomized order. The measurement protocol followed ATS/ERS 2019 standards. Agreement was evaluated using the Bland–Altman method and the Intraclass Correlation Coefficient (ICC). Data normality was assessed by the Shapiro–Wilk test. A p-value < 0.05 was considered statistically significant.
Results
Sixty-seven patients (62.1 ± 14.9 years; 46.3% female) with various NMD where included. No significant difference was found between mean PCFs (314.5 ± 98.5 L/min) and PCFp (301.6 ± 100.1 L/min) (p = 0.4535). The ICC was 0.92 (95% CI 0.88–0.95). The Bland–Altman analysis indicated a mean difference of 12.9 L/min (limits of agreement ranged from −52.7 L/min to 78.5 L/min). A strong correlation was observed (r = 0.949, p < 0.001). Impaired cough capacity (35.8% of patients) was linked to older age and poorer function. No device differences were found within subgroups.
Conclusion
PCPp demonstrates an acceptable level of agreement with PCPs in NMD patients. PCPp is a reliable and accessible screening tool for home monitoring. However, the wide limits of agreement observed necessitate further studies involving larger, possibly specific, patient populations to definitively establish the full clinical interchangeability required for therapeutic decision-making.
神经肌肉疾病（NMD）的咳嗽障碍增加肺部感染的风险。咳流量峰值（PCF）是评估的关键，肺活量测定（PCF）是金标准。便携式峰值流量计（PCFp）是实用的，但其与NMD肺活量计的可比性仍存在争议。本研究比较了NMD合并限制性肺疾病患者的PCFs和PCFp。方法一项前瞻性、横断面观察性研究纳入了来自家用机械通气装置的NMD患者。纳入标准包括NMD的明确诊断和执行强制呼气操作的能力。PCF采用校准后的肺活量计（PCF）和便携式峰值流量计（PCFp），按随机顺序进行测量。测量方案遵循ATS/ERS 2019标准。使用Bland-Altman方法和类内相关系数（ICC）评估一致性。采用Shapiro-Wilk检验评估数据的正态性。p值<； 0.05被认为具有统计学意义。结果67例患者（62.1±14.9岁，女性46.3%）均患有不同程度的NMD。PCFs平均值（314.5±98.5 L/min）与PCFp平均值（301.6±100.1 L/min）无统计学差异（p = 0.4535）。ICC为0.92 （95% CI 0.88-0.95）。Bland-Altman分析显示平均差异为12.9 L/min（一致性范围为- 52.7 L/min至78.5 L/min）。相关性强（r = 0.949, p < 0.001）。咳嗽能力受损（35.8%的患者）与年龄较大和功能较差有关。亚组内未发现设备差异。结论pcpp与pcp在NMD患者中的一致性可接受。PCPp是一种可靠且易于使用的家庭监测筛查工具。然而，观察到的广泛的一致性限制需要进一步的研究，涉及更大的，可能特定的患者群体，以明确地建立治疗决策所需的完全临床互换性。
{"title":"Comparative assessment of cough capacity in patients with neuromuscular disease: Spirometer versus portable peak flow meter","authors":"A. Balañá Corberó , J. Martínez Llorens","doi":"10.1016/j.rh.2025.100955","DOIUrl":"10.1016/j.rh.2025.100955","url":null,"abstract":"<div><h3>Introduction</h3><div>Cough impairment in neuromuscular diseases (NMD) increases pulmonary infection risk. Peak cough flow (PCF) is crucial for assessment, with spirometry (PCFs) as gold standard. Portable peak flow meters (PCFp) are practical, yet their comparability with spirometers in NMD remains debated. This study compared PCFs and PCFp in NMD patients with restrictive lung disease.</div></div><div><h3>Methods</h3><div>A prospective, cross-sectional observational study included patients with NMD from a home mechanical ventilation unit. Inclusion criteria comprised a definitive diagnosis of NMD and the ability to perform forced expiratory maneuvers. PCF was measured using a calibrated spirometer (PCFs) and a portable peak flow meter (PCFp) in randomized order. The measurement protocol followed ATS/ERS 2019 standards. Agreement was evaluated using the Bland–Altman method and the Intraclass Correlation Coefficient (ICC). Data normality was assessed by the Shapiro–Wilk test. A <em>p</em>-value<!--> <!--><<!--> <!-->0.05 was considered statistically significant.</div></div><div><h3>Results</h3><div>Sixty-seven patients (62.1<!--> <!-->±<!--> <!-->14.9 years; 46.3% female) with various NMD where included. No significant difference was found between mean PCFs (314.5<!--> <!-->±<!--> <!-->98.5<!--> <!-->L/min) and PCFp (301.6<!--> <!-->±<!--> <!-->100.1<!--> <!-->L/min) (<em>p</em> <!-->=<!--> <!-->0.4535). The ICC was 0.92 (95% CI 0.88–0.95). The Bland–Altman analysis indicated a mean difference of 12.9<!--> <!-->L/min (limits of agreement ranged from −52.7<!--> <!-->L/min to 78.5<!--> <!-->L/min). A strong correlation was observed (<em>r</em> <!-->=<!--> <!-->0.949, <em>p</em> <!--><<!--> <!-->0.001). Impaired cough capacity (35.8% of patients) was linked to older age and poorer function. No device differences were found within subgroups.</div></div><div><h3>Conclusion</h3><div>PCPp demonstrates an acceptable level of agreement with PCPs in NMD patients. PCPp is a reliable and accessible screening tool for home monitoring. However, the wide limits of agreement observed necessitate further studies involving larger, possibly specific, patient populations to definitively establish the full clinical interchangeability required for therapeutic decision-making.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100955"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145684579","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}
Pub Date : 2025-10-01Epub Date: 2025-09-19DOI: 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.
{"title":"The burden of Wilson's disease: Insights into clinical, psychological, and functional dimensions","authors":"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","doi":"10.1016/j.rh.2025.100934","DOIUrl":"10.1016/j.rh.2025.100934","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Objective</h3><div>To investigate the associations between disease severity, cognitive performance, depressive symptoms, and functional disability in adults with WD using validated instruments.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>r</em>s<!--> <!-->=<!--> <!-->0.77, <em>p</em> <!--><<!--> <!-->0.001) and PHQ-9 (<em>r</em>s<!--> <!-->=<!--> <!-->0.65, <em>p</em> <!--><<!--> <!-->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 (<em>p</em> <!-->=<!--> <!-->0.83) or clinical subtypes (<em>p</em> <!-->=<!--> <!-->0.47).</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100934"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097250","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}
Pub Date : 2025-10-01Epub Date: 2025-11-10DOI: 10.1016/j.rh.2025.100946
N. Malhotra , A. Chahal , A. Jain , P. Sharma , M.R. Hasan , S. Khan , J. Narang
Wheelchairs are fundamental assistive mobility devices that support the enjoyment of human rights and a dignified quality of life. They are particularly vital for individuals with mobility limitations resulting from accidents, spinal cord injuries, or stroke. This narrative review aims to analyze current wheelchair designs, their clinical applicability, and emerging innovations, while also identifying persistent challenges related to accessibility, affordability, and user training. Modern wheelchairs increasingly integrate advanced technologies that allow better customization to meet diverse user needs, ranging from basic mobility support to sophisticated power-assisted systems. Beyond their functional role, wheelchairs promote independence, social participation, and inclusion, enabling individuals with disabilities to engage more fully in their personal, educational, and professional environments. Despite significant progress, gaps remain in equitable access, cost-effectiveness, and the dissemination of adequate training programs, underscoring the need for continued research, innovation, and policy development.
{"title":"Advancement of wheelchairs in the field of medical science integration from biosensors to drone technology","authors":"N. Malhotra , A. Chahal , A. Jain , P. Sharma , M.R. Hasan , S. Khan , J. Narang","doi":"10.1016/j.rh.2025.100946","DOIUrl":"10.1016/j.rh.2025.100946","url":null,"abstract":"<div><div>Wheelchairs are fundamental assistive mobility devices that support the enjoyment of human rights and a dignified quality of life. They are particularly vital for individuals with mobility limitations resulting from accidents, spinal cord injuries, or stroke. This narrative review aims to analyze current wheelchair designs, their clinical applicability, and emerging innovations, while also identifying persistent challenges related to accessibility, affordability, and user training. Modern wheelchairs increasingly integrate advanced technologies that allow better customization to meet diverse user needs, ranging from basic mobility support to sophisticated power-assisted systems. Beyond their functional role, wheelchairs promote independence, social participation, and inclusion, enabling individuals with disabilities to engage more fully in their personal, educational, and professional environments. Despite significant progress, gaps remain in equitable access, cost-effectiveness, and the dissemination of adequate training programs, underscoring the need for continued research, innovation, and policy development.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100946"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145496253","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}
Pub Date : 2025-10-01Epub Date: 2025-10-29DOI: 10.1016/j.rh.2025.100948
M. Avellanet , E. Pages Bolibar , J. Garcia-Expósito , M.E. Gea Rodríguez , C. Grillo García , A. Boada-Pladellorens , M. Ros Armengol
Introduction
Oropharyngeal dysphagia (OD) is a common syndrome with significant clinical consequences, whose early detection and management require specific knowledge. Raising awareness and providing continuing education for healthcare professionals are essential to improve its management.
Objective
To assess participation rates and perceived usefulness of a stepwise educational program on OD for healthcare professionals and caregivers, in order to evaluate its potential impact on training for early detection and clinical management of the disorder.
Materials and methods
A three-level training program was designed: Level A (basic, 6 h), Level B (advanced, 8 h), and Level C (expert, 8 h). Contents included swallowing anatomy and physiology, screening and diagnosis, therapeutic-nutritional interventions, and safe medication management, combined with practical workshops. Between November 2021 and December 2022, participation and course ratings were analyzed using satisfaction surveys.
Results
A total of 124 places were offered at Level A (67% attendance) and 50 at Level B (97%). The overall mean ratings were 4.46/5 and 4.55/5, respectively. Nineteen participants attended Level C, with an average score of 8.9/10. Methodology (4.60/5) and organization (4.53/5) were the best-rated aspects.
Conclusions
The training strategy was highly valued. There is a clear need to strengthen the dissemination of the basic level and to increase the practical component in order to enhance clinical applicability.
{"title":"La formación como estrategia para mejorar la atención de los pacientes con disfagia orofaríngea","authors":"M. Avellanet , E. Pages Bolibar , J. Garcia-Expósito , M.E. Gea Rodríguez , C. Grillo García , A. Boada-Pladellorens , M. Ros Armengol","doi":"10.1016/j.rh.2025.100948","DOIUrl":"10.1016/j.rh.2025.100948","url":null,"abstract":"<div><h3>Introduction</h3><div>Oropharyngeal dysphagia (OD) is a common syndrome with significant clinical consequences, whose early detection and management require specific knowledge. Raising awareness and providing continuing education for healthcare professionals are essential to improve its management.</div></div><div><h3>Objective</h3><div>To assess participation rates and perceived usefulness of a stepwise educational program on OD for healthcare professionals and caregivers, in order to evaluate its potential impact on training for early detection and clinical management of the disorder.</div></div><div><h3>Materials and methods</h3><div>A three-level training program was designed: Level A (basic, 6<!--> <!-->h), Level B (advanced, 8<!--> <!-->h), and Level C (expert, 8<!--> <!-->h). Contents included swallowing anatomy and physiology, screening and diagnosis, therapeutic-nutritional interventions, and safe medication management, combined with practical workshops. Between November 2021 and December 2022, participation and course ratings were analyzed using satisfaction surveys.</div></div><div><h3>Results</h3><div>A total of 124 places were offered at Level A (67% attendance) and 50 at Level B (97%). The overall mean ratings were 4.46/5 and 4.55/5, respectively. Nineteen participants attended Level C, with an average score of 8.9/10. Methodology (4.60/5) and organization (4.53/5) were the best-rated aspects.</div></div><div><h3>Conclusions</h3><div>The training strategy was highly valued. There is a clear need to strengthen the dissemination of the basic level and to increase the practical component in order to enhance clinical applicability.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 4","pages":"Article 100948"},"PeriodicalIF":0.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410407","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}
Pub Date : 2025-07-01Epub Date: 2025-04-22DOI: 10.1016/j.rh.2025.100910
D. Borda Lorente, J.G. Moranta Mesquides, P. Peret Hernández, S. Laxe
{"title":"Bloqueo ecoguiado de los nervios geniculares (BENG) en contexto de un paciente con gonalgia post cirugía de osteocondritis disecante de rodilla","authors":"D. Borda Lorente, J.G. Moranta Mesquides, P. Peret Hernández, S. Laxe","doi":"10.1016/j.rh.2025.100910","DOIUrl":"10.1016/j.rh.2025.100910","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 3","pages":"Article 100910"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855260","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}
Pub Date : 2025-07-01Epub Date: 2025-07-08DOI: 10.1016/j.rh.2025.100923
M.P. Sanz-Ayán
{"title":"SORECAR: 30 años impulsando la rehabilitación cardiorrespiratoria en España","authors":"M.P. Sanz-Ayán","doi":"10.1016/j.rh.2025.100923","DOIUrl":"10.1016/j.rh.2025.100923","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 3","pages":"Article 100923"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570653","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}
Pub Date : 2025-07-01Epub Date: 2025-06-04DOI: 10.1016/j.rh.2025.100918
E.J. Frutos-Reoyo , P. Luque-Linero , L. López-Maté , S. Rodríguez-Valbuena , Á. Serrano-Combarro , E.D. Candau-Pérez
Introduction and objective
Colorectal cancer (CRC) is one of the most prevalent and lethal malignancies worldwide. Surgical treatment is considered the gold standard. Prehabilitation emerges as a strategy integrating physical, nutritional, and psychological preparation before surgery. This study aimed to evaluate the effectiveness of prehabilitation in reducing hospital stay and mortality in CRC patients.
Material and method
A prospective observational nested case-control study within a cohort with a 24-month follow-up was conducted. Patients who underwent prehabilitation were defined as «cases» while those who did not were classified as «controls». Descriptive and analytical analyses were performed, with a significance level of p < 0.05. A Kaplan-Meier curve was used to assess survival concerning hospital stay and mortality.
Results
Of the 279 patients, 276 were analyzed (127 cases and 149 controls). The bivariate analysis showed comparable baseline characteristics between groups. The prehabilitation group demonstrated a significant reduction in postoperative hospital stay (4 days vs. 5 days; p = 0.02). No significant differences were observed in mortality (11.8% vs. 18.8%; p = 0.11).
Conclusions
The implementation of multimodal prehabilitation programs in CRC patients is associated with reduced hospital stay. Although no significant difference in mortality was observed, the trend suggests a positive impact. These findings support the adoption of prehabilitation as a standard in oncological practice.
{"title":"Beneficios de la prehabilitación en pacientes con cáncer colorrectal: estudio de casos y controles anidado","authors":"E.J. Frutos-Reoyo , P. Luque-Linero , L. López-Maté , S. Rodríguez-Valbuena , Á. Serrano-Combarro , E.D. Candau-Pérez","doi":"10.1016/j.rh.2025.100918","DOIUrl":"10.1016/j.rh.2025.100918","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>Colorectal cancer (CRC) is one of the most prevalent and lethal malignancies worldwide. Surgical treatment is considered the gold standard. Prehabilitation emerges as a strategy integrating physical, nutritional, and psychological preparation before surgery. This study aimed to evaluate the effectiveness of prehabilitation in reducing hospital stay and mortality in CRC patients.</div></div><div><h3>Material and method</h3><div>A prospective observational nested case-control study within a cohort with a 24-month follow-up was conducted. Patients who underwent prehabilitation were defined as «cases» while those who did not were classified as «controls». Descriptive and analytical analyses were performed, with a significance level of p<!--> <!--><<!--> <!-->0.05. A Kaplan-Meier curve was used to assess survival concerning hospital stay and mortality.</div></div><div><h3>Results</h3><div>Of the 279 patients, 276 were analyzed (127 cases and 149 controls). The bivariate analysis showed comparable baseline characteristics between groups. The prehabilitation group demonstrated a significant reduction in postoperative hospital stay (4 days vs. 5 days; p<!--> <!-->=<!--> <!-->0.02). No significant differences were observed in mortality (11.8% vs. 18.8%; p<!--> <!-->=<!--> <!-->0.11).</div></div><div><h3>Conclusions</h3><div>The implementation of multimodal prehabilitation programs in CRC patients is associated with reduced hospital stay. Although no significant difference in mortality was observed, the trend suggests a positive impact. These findings support the adoption of prehabilitation as a standard in oncological practice.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 3","pages":"Article 100918"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144203070","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}
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