Rehabilitacion最新文献

英文中文

Lectura crítica: ¿debemos confiar en todo lo que se publica? 评论阅读：我们应该相信所有出版的东西吗？

Q3 Medicine

Rehabilitacion

Pub Date : 2025-07-01 Epub Date: 2025-06-21 DOI: 10.1016/j.rh.2025.100919

E. Duarte

引用次数: 0

Importancia de la rehabilitación en la enfermedad de Parkinson: ¿estamos llegando tarde? 帕金森氏症康复的重要性：我们迟到了吗？

Q3 Medicine

Rehabilitacion

Pub Date : 2025-07-01 Epub Date: 2025-05-15 DOI: 10.1016/j.rh.2025.100914

G. Candoni

引用次数: 0

Comment on “The effect of a physical rehabilitation program on temperature symmetry, mobility, functionality and gait in amputee patients” 对“肢体康复项目对截肢患者体温对称性、活动能力、功能和步态的影响”的评论

Q3 Medicine

Rehabilitacion

Pub Date : 2025-07-01 Epub Date: 2025-05-16 DOI: 10.1016/j.rh.2025.100915

H. Daungsupawong , V. Wiwanitkit

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 Epub Date: 2025-07-08 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。

{"title":"Experiencias con las ondas de choque en el tratamiento de la hipertonía en personas con parálisis cerebral: una perspectiva cualitativa","authors":"M.F. Gimeno Esteve , M. Tur Segura , J. Jiménez Redondo , N. García Rodríguez , T. Biedermann Villagra","doi":"10.1016/j.rh.2025.100921","DOIUrl":"10.1016/j.rh.2025.100921","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Objectives</h3><div>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.</div></div><div><h3>Methodology</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>Overall, the treatment of local hypertonia with shockwave therapy has been positive in all analyzed dimensions, with good acceptance of the treatment itself.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 3","pages":"Article 100921"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570654","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

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 Epub Date: 2025-08-05 DOI: 10.1016/j.rh.2025.100929

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

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 Epub Date: 2025-08-04 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。

{"title":"Low back pain after total hip arthroplasty: Long-term retrospective cohort study","authors":"F.J. Gallego-Peñalver , S.B. Romero-de-la-Higuera , V. Berdejo Arceiz , E.M. Gómez Trullén","doi":"10.1016/j.rh.2025.100928","DOIUrl":"10.1016/j.rh.2025.100928","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>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.</div></div><div><h3>Material and methods</h3><div>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 (<span><span>NCT05647629</span><svg><path></path></svg></span>).</div></div><div><h3>Results</h3><div>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 (<em>P</em>  <0.001), and 49 (10.29%) with preoperative but without postoperative LBP. Overall, 47.26% (<em>n</em>  =0.16; <em>P</em>  =0.22; <em>P</em>  <!-->0.004) with LBP in patients with preoperative LBP, with no differences in age or sex.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 3","pages":"Article 100928"},"PeriodicalIF":0.4,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144770916","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

Uso de las presiones linguales para determinar la indicación de estudio instrumentado de deglución en pacientes con ELA espinal 使用舌压来确定脊柱侧凸患者的仪器吞咽试验适应症

Q3 Medicine

Rehabilitacion

Pub Date : 2025-07-01 Epub Date: 2025-06-03 DOI: 10.1016/j.rh.2025.100917

A. Guillen-Sola , B. Bertran-Recasens , J. Martinez-Llorens , A. Balaña , M. Villatoro , M.A. Rubio

Objective

Systematic swallowing assessment in amyotrophic lateral sclerosis (ALS) is essential, as approximately 85% of patients will develop dysphagia, and 8% of these cases may remain clinically silent. Although instrumental diagnostic tools exist, they are not always accessible. Recent studies suggest that lingual pressure measurements may be valuable for early detection of bulbar dysfunction. This study aims to establish lingual pressure cutoff points for early screening of such dysfunction.

Design

Transversal study based on prospectively collected data from patients with spinal-onset ALS at the Motor Neuron Unit, Hospital del Mar (Barcelona).

Materials and methods

A total of 58 patients were included. Anterior (PA) and posterior (PP) lingual pressures were measured using the IOPI system and analyzed alongside the ALSFRS-R scale. Statistical analysis included descriptive statistics, Spearman correlation, and ROC curve analysis (SPSS v25).

Results

A moderate correlation was found between lingual strength and ALSFRS-R scores (PA: r = .634, P < .001; PP: r = .539, P < .001). Identified cutoff values: PA: 39.5 kPa (AUC = .766; 95% CI: .700-.831; P < .001), sensitivity 64.6%, specificity 76.4%. PP: 37.0 kPa (AUC = .726; 95% CI: .653-.799; P < .001), sensitivity 55.1%, specificity 72.2%.

Conclusion

In spinal-onset ALS, a moderate correlation exists between global functionality and lingual pressures. Cutoff points of PA = 39.5 kPa and PP = 37.0 kPa are proposed for early screening of bulbar dysfunction.

在肌萎缩性侧索硬化症（ALS）中，系统的吞咽评估是必不可少的，因为大约85%的患者会出现吞咽困难，其中8%的患者可能会保持临床沉默。虽然存在仪器诊断工具，但它们并不总是可用的。最近的研究表明舌压测量可能对早期发现球功能障碍有价值。本研究旨在建立早期筛查这种功能障碍的舌压分界点。设计：基于前瞻性收集的来自巴塞罗那del Mar医院运动神经元部门脊髓性ALS患者数据的横向研究。材料与方法共纳入58例患者。使用IOPI系统测量前（PA）和后（PP）舌压，并与ALSFRS-R量表一起分析。统计学分析采用描述性统计、Spearman相关、ROC曲线分析（SPSS v25）。结果舌强度与ALSFRS-R评分存在中度相关性(PA: r = .634, P <；措施;PP: r = .539, P <；措施)。识别截止值：PA: 39.5 kPa (AUC = .766；95% ci: 0.700 - 0.831；P & lt;.001)，敏感性64.6%，特异性76.4%。PP: 37.0 kPa (AUC = .726；95% ci: 0.653 - 0.799；P & lt;.001)，敏感性55.1%，特异性72.2%。结论脊髓性渐冻症患者，全功能与舌压之间存在中度相关性。建议PA = 39.5 kPa、PP = 37.0 kPa作为早期筛查球功能障碍的分界点。

{"title":"Uso de las presiones linguales para determinar la indicación de estudio instrumentado de deglución en pacientes con ELA espinal","authors":"A. Guillen-Sola , B. Bertran-Recasens , J. Martinez-Llorens , A. Balaña , M. Villatoro , M.A. Rubio","doi":"10.1016/j.rh.2025.100917","DOIUrl":"10.1016/j.rh.2025.100917","url":null,"abstract":"<div><h3>Objective</h3><div>Systematic swallowing assessment in amyotrophic lateral sclerosis (ALS) is essential, as approximately 85% of patients will develop dysphagia, and 8% of these cases may remain clinically silent. Although instrumental diagnostic tools exist, they are not always accessible. Recent studies suggest that lingual pressure measurements may be valuable for early detection of bulbar dysfunction. This study aims to establish lingual pressure cutoff points for early screening of such dysfunction.</div></div><div><h3>Design</h3><div>Transversal study based on prospectively collected data from patients with spinal-onset ALS at the Motor Neuron Unit, Hospital del Mar (Barcelona).</div></div><div><h3>Materials and methods</h3><div>A total of 58 patients were included. Anterior (PA) and posterior (PP) lingual pressures were measured using the IOPI system and analyzed alongside the ALSFRS-R scale. Statistical analysis included descriptive statistics, Spearman correlation, and ROC curve analysis (SPSS v25).</div></div><div><h3>Results</h3><div>A moderate correlation was found between lingual strength and ALSFRS-R scores (PA: r=.634, <em>P</em>    <.001). Identified cutoff values: PA: 39.5kPa (AUC=.766; 95%CI: .700-.831; <em>P</em>      <.001), sensitivity 55.1%, specificity 72.2%.</div></div><div><h3>Conclusion</h3><div>In spinal-onset ALS, a moderate correlation exists between global functionality and lingual pressures. Cutoff points of PA=39.5kPa and PP=37.0kPa are proposed for early screening of bulbar dysfunction.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 3","pages":"Article 100917"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194833","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

Grading hypotonia in children with Down syndrome: A study psychometric 唐氏综合症儿童张力低下分级：一项心理测量学研究

Q3 Medicine

Rehabilitacion

Pub Date : 2025-07-01 Epub Date: 2025-05-29 DOI: 10.1016/j.rh.2025.100916

M.G. de Santos-Moreno , J.A. López-Pina , A. Velandrino-Nicolás , A. Gómez-Conesa

Introduction and objectives

Currently, hypotonia is diagnosed and graded observationally. This study aimed to develop a valid and reliable scale for assessing hypotonia in children with Down syndrome.

Material and method

An initial 43-item scale was created to measure hypotonia in children with Down syndrome. After psychometric analysis of the results, 21 items were eliminated, resulting in a 22-item scale that was applied to a sample of 50 children (28 girls) between 7 and 94 months. The item analysis, internal consistency, inter-rater agreement, and test–retest reliability with alpha and ICC coefficients were analyzed. Hypothesis testing was calculated by ANOVA and Student's t-tests, and criterion validity by comparison with the clinical sensation observed by an expert evaluator.

Results

The 22-item scale reported high reliability, stability, and reproducibility of its measures, both globally and individually. Inter-rater agreement was high [0.88–1.00] and internal consistency was higher. No significant differences were found according to sex or motor stage. Furthermore, significant differences were found according to the clinical sensation of the rater and grade of hypotonia.

Conclusions

The developed scale allows to assess hypotonia and proved to be reliable and valid.

目前，张力过低是通过观察来诊断和分级的。本研究旨在开发一个有效和可靠的量表来评估唐氏综合症儿童张力低下。材料与方法创建了一个43项的初始量表来测量唐氏综合征儿童的张力低下。在对结果进行心理测量分析后，消除了21个项目，产生了22个项目的量表，应用于50名7至94个月大的儿童（28名女孩）的样本。用α系数和ICC系数对项目分析、内部一致性、评价者间一致性和重测信度进行分析。假设检验通过方差分析和学生t检验计算，标准效度通过与专家评估者观察到的临床感觉进行比较。结果22项量表报告了其测量的高可靠性，稳定性和可重复性，无论是整体还是单个。评价间一致性较高[0.88-1.00]，内部一致性较高。根据性别或运动阶段没有发现显著差异。此外，根据临床感觉的程度和张力低下的程度也有显著差异。结论该量表能较好地评价肌张力过低，是一种可靠、有效的量表。

{"title":"Grading hypotonia in children with Down syndrome: A study psychometric","authors":"M.G. de Santos-Moreno , J.A. López-Pina , A. Velandrino-Nicolás , A. Gómez-Conesa","doi":"10.1016/j.rh.2025.100916","DOIUrl":"10.1016/j.rh.2025.100916","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Currently, hypotonia is diagnosed and graded observationally. This study aimed to develop a valid and reliable scale for assessing hypotonia in children with Down syndrome.</div></div><div><h3>Material and method</h3><div>An initial 43-item scale was created to measure hypotonia in children with Down syndrome. After psychometric analysis of the results, 21 items were eliminated, resulting in a 22-item scale that was applied to a sample of 50 children (28 girls) between 7 and 94 months. The item analysis, internal consistency, inter-rater agreement, and test–retest reliability with alpha and ICC coefficients were analyzed. Hypothesis testing was calculated by ANOVA and Student's <em>t</em>-tests, and criterion validity by comparison with the clinical sensation observed by an expert evaluator.</div></div><div><h3>Results</h3><div>The 22-item scale reported high reliability, stability, and reproducibility of its measures, both globally and individually. Inter-rater agreement was high [0.88–1.00] and internal consistency was higher. No significant differences were found according to sex or motor stage. Furthermore, significant differences were found according to the clinical sensation of the rater and grade of hypotonia.</div></div><div><h3>Conclusions</h3><div>The developed scale allows to assess hypotonia and proved to be reliable and valid.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 3","pages":"Article 100916"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167565","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

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 Epub Date: 2025-07-08 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。

{"title":"Effect of pillow on pain, disability and sleep quality in patients with chronic neck pain: A systematic review","authors":"S. Ghosh, M. Goyal, K. Goyal","doi":"10.1016/j.rh.2025.100922","DOIUrl":"10.1016/j.rh.2025.100922","url":null,"abstract":"<div><div>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 (<em>p</em>  <!-->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.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 3","pages":"Article 100922"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144570655","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

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 Epub Date: 2025-07-26 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。

{"title":"Effect of exercise-based cardiac rehabilitation on dyspnoea in heart failure: A systematic review of assessment tools, outcomes, and FITT parameters","authors":"C. García-Conejo , C. Roldán-Jiménez , A.I. Cuesta-Vargas","doi":"10.1016/j.rh.2025.100924","DOIUrl":"10.1016/j.rh.2025.100924","url":null,"abstract":"<div><div>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 (<em>n</em>  =0.69, 95% CI 0.54–0.84). Larger effects were seen in patients<65 years (<em>d</em>  =0.735, 95% CI 0.550–0.921). Greater effects were observed for low-intensity (<em>d</em>  =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.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 3","pages":"Article 100924"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144711570","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

首页上一页

下一页尾页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

Rehabilitacion

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀