Pub Date : 2025-04-01DOI: 10.1016/j.rh.2025.100904
A. Guillen-Sola , N. Bofill-Soler , O. Pera-Cegarra , X. Duran Jorda , P. Foro
Objective
To determine the best time to start rehabilitation to preserve swallowing function and enhance health-related quality of life in patients with head and neck cancer (HNC) undergoing chemoradiation therapy (CRT).
Material and methods
Randomized single-blind controlled trial study conducted at a tertiary university hospital. Fifty-two HNC patients treated with CRT were randomized into early intervention (EIG, at diagnosis) and late intervention groups (LIG, post-radiotherapy). Interventions included Inspiratory and Expiratory Muscle Strength Training and standard swallowing exercises for 21 weeks, starting 2 weeks before RT in EIG and immediately after RT in LIG. Functional parameters, dysphagia severity, and HRQoL were assessed at baseline, RT completion, and post-RT follow-ups (3, 6, 12 months).
Results
No significant differences were observed between groups, except for mouth interincisor opening at RT completion in EIG. At final assessment, PEmax% values recovered in EIG but deteriorated in LIG (p = 0.028). Speech problems decreased in EIG (p = 0.019) compared to baseline. PImax showed a positive trend in both groups. Both groups had isolated improvements in quality of life.
Conclusion
The effectiveness of rehabilitation was similar regardless of initiation timing, suggesting both early and late interventions are viable for preserving swallowing function and improving quality of life in HNC patients undergoing CRT.
{"title":"The ReDyor study: Effects of prophylactic swallowing exercises on dysphagia and quality of life in patients with head and neck cancer receiving chemoradiation therapy, a randomized clinical trial","authors":"A. Guillen-Sola , N. Bofill-Soler , O. Pera-Cegarra , X. Duran Jorda , P. Foro","doi":"10.1016/j.rh.2025.100904","DOIUrl":"10.1016/j.rh.2025.100904","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the best time to start rehabilitation to preserve swallowing function and enhance health-related quality of life in patients with head and neck cancer (HNC) undergoing chemoradiation therapy (CRT).</div></div><div><h3>Material and methods</h3><div>Randomized single-blind controlled trial study conducted at a tertiary university hospital. Fifty-two HNC patients treated with CRT were randomized into early intervention (EIG, at diagnosis) and late intervention groups (LIG, post-radiotherapy). Interventions included Inspiratory and Expiratory Muscle Strength Training and standard swallowing exercises for 21 weeks, starting 2 weeks before RT in EIG and immediately after RT in LIG. Functional parameters, dysphagia severity, and HRQoL were assessed at baseline, RT completion, and post-RT follow-ups (3, 6, 12 months).</div></div><div><h3>Results</h3><div>No significant differences were observed between groups, except for mouth interincisor opening at RT completion in EIG. At final assessment, PEmax% values recovered in EIG but deteriorated in LIG (<em>p</em> <!-->=<!--> <!-->0.028). Speech problems decreased in EIG (<em>p</em> <!-->=<!--> <!-->0.019) compared to baseline. PImax showed a positive trend in both groups. Both groups had isolated improvements in quality of life.</div></div><div><h3>Conclusion</h3><div>The effectiveness of rehabilitation was similar regardless of initiation timing, suggesting both early and late interventions are viable for preserving swallowing function and improving quality of life in HNC patients undergoing CRT.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100904"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747684","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 : 2025-04-01DOI: 10.1016/j.rh.2025.100908
F. Marcon Alfieri , D. Mitiyo Odagiri Utiyama , A.C. Aquino dos Santos , L. Rizzo Battistella
Introduction
Rehabilitation centers offer specialized programs for amputees aimed at enhancing their functional abilities and quality of life. This study aimed to evaluate the impact of a hospital-based rehabilitation program on lower-limb skin temperature distribution, mobility, functionality and gait in individuals with lower-limb amputations.
Material and methods
This is a pilot, longitudinal, observational study, with pre–post-intervention assessments of 14 patients admitted for inpatient intensive rehabilitation program. The skin temperature of the thigh, knee, and leg was evaluated with an infrared thermography camera (FLIR T650SC®), and mobility, functionality and gait were tested with the Timed Up and Go, Amputee Mobility test Predictor (AMP), and the 2-minute walk test, before and after the multidisciplinary physical rehabilitation program. The baseline and post-intervention data were compared with the Student's T-test or Wilcoxon test for paired data according to data distribution. The α level was established at 5%.
Results
The comparison of baseline and post-intervention temperature outcomes showed no significant changes regardless of the side. There was a significant improvement in balance (AMP scores from 32 ± 7.10 to 35.07 ± 6.76; p < 0.0001), gait (2-MWT distance 73.14 ± 52.87 m to 96.57 ± 60.91 m; p = 0.004), and function (TUG total time from 27.14 ± 22.68 s to 16.82 ± 10.09 s; p < 0.001).
Conclusion
This study demonstrated that individuals with lower limb amputees experienced improvements in terms of mobility, functionality and gait after the physical rehabilitation program, however, they did not have significant changes in relation to the distribution of skin temperature between the lower limbs.
康复中心为截肢者提供专门的项目，旨在提高他们的功能能力和生活质量。本研究旨在评估以医院为基础的康复计划对下肢截肢患者下肢皮肤温度分布、活动、功能和步态的影响。材料和方法这是一项实验性、纵向、观察性研究，对14名住院强化康复患者进行干预前和干预后评估。在多学科物理康复计划前后，用红外热像仪（FLIR T650SC®）评估大腿、膝盖和腿部的皮肤温度，用Timed Up and Go、截肢者活动能力测试预测器（AMP）和2分钟步行测试测试活动、功能和步态。根据数据分布，对基线和干预后数据进行Student’st检验或配对数据的Wilcoxon检验。α水平设为5%。结果两组患者的基线体温与干预后体温比较均无明显变化。平衡(AMP评分由32±7.10分提高至35.07±6.76分；p & lt;0.0001)，步态(2-MWT距离73.14±52.87 m ~ 96.57±60.91 m；p = 0.004)，功能(TUG总时间由27.14±22.68 s降至16.82±10.09 s；p & lt;0.001)。结论下肢截肢患者在肢体康复治疗后，在活动能力、功能和步态方面均有改善，但在下肢皮肤温度分布方面无明显变化。
{"title":"The effect of a physical rehabilitation program on temperature symmetry, mobility, functionality and gait in amputee patients","authors":"F. Marcon Alfieri , D. Mitiyo Odagiri Utiyama , A.C. Aquino dos Santos , L. Rizzo Battistella","doi":"10.1016/j.rh.2025.100908","DOIUrl":"10.1016/j.rh.2025.100908","url":null,"abstract":"<div><h3>Introduction</h3><div>Rehabilitation centers offer specialized programs for amputees aimed at enhancing their functional abilities and quality of life. This study aimed to evaluate the impact of a hospital-based rehabilitation program on lower-limb skin temperature distribution, mobility, functionality and gait in individuals with lower-limb amputations.</div></div><div><h3>Material and methods</h3><div>This is a pilot, longitudinal, observational study, with pre–post-intervention assessments of 14 patients admitted for inpatient intensive rehabilitation program. The skin temperature of the thigh, knee, and leg was evaluated with an infrared thermography camera (FLIR T650SC®), and mobility, functionality and gait were tested with the Timed Up and Go, Amputee Mobility test Predictor (AMP), and the 2-minute walk test, before and after the multidisciplinary physical rehabilitation program. The baseline and post-intervention data were compared with the Student's <em>T</em>-test or Wilcoxon test for paired data according to data distribution. The <em>α</em> level was established at 5%.</div></div><div><h3>Results</h3><div>The comparison of baseline and post-intervention temperature outcomes showed no significant changes regardless of the side. There was a significant improvement in balance (AMP scores from 32<!--> <!-->±<!--> <!-->7.10 to 35.07<!--> <!-->±<!--> <!-->6.76; <em>p</em> <!--><<!--> <!-->0.0001), gait (2-MWT distance 73.14<!--> <!-->±<!--> <!-->52.87<!--> <!-->m to 96.57<!--> <!-->±<!--> <!-->60.91<!--> <!-->m; <em>p</em> <!-->=<!--> <!-->0.004), and function (TUG total time from 27.14<!--> <!-->±<!--> <!-->22.68<!--> <!-->s to 16.82<!--> <!-->±<!--> <!-->10.09<!--> <!-->s; <em>p</em> <!--><<!--> <!-->0.001).</div></div><div><h3>Conclusion</h3><div>This study demonstrated that individuals with lower limb amputees experienced improvements in terms of mobility, functionality and gait after the physical rehabilitation program, however, they did not have significant changes in relation to the distribution of skin temperature between the lower limbs.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100908"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143835276","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 : 2025-04-01DOI: 10.1016/j.rh.2025.100907
A. Navas-Otero , A. Canal-Pérez , J. Martín-Núñez , A. Ortiz-Rubio , J. Raya-Benítez , M.C. Valenza , I. Cabrera-Martos
Virtual reality (VR) is emerging technologies in the field of rehabilitation of post-stroke patients. The aim of this study was to systematically explore the effects of VR rehabilitation program on functional capacity of stroke patients. We conducted a systematic review and meta-analysis. The searches were carried out in the PubMed/Medline, Web of Science, PEDro and OTSeeker to October 2024. Methodological quality was assessed using the Downs and Black scale and the Version 2 of the Cochrane risk-of-bias tool for randomized trials (RoB 2) was used to assess risk of bias. A total of 4 studies met the inclusion criteria. The type of VR intervention varied among studies using Wii Fit, ARMEO Spring 1.1, Rehabilitation Gaming System and ArmAble™. The meta-analysis indicated that the VR group showed statistically significant improvement in functional ability versus control group. The methodological quality mean was moderate quality level. VR interventions seem to be a promising therapeutic system for functional capacity rehabilitation in people with post-stroke.
虚拟现实（VR）是脑卒中后患者康复领域的新兴技术。本研究旨在系统探讨VR康复方案对脑卒中患者功能能力的影响。我们进行了系统回顾和荟萃分析。这些搜索在PubMed/Medline、Web of Science、PEDro和OTSeeker上进行，截止到2024年10月。采用Downs和Black量表评估方法学质量，并使用Cochrane随机试验风险偏倚工具（RoB 2）评估偏倚风险。共有4项研究符合纳入标准。在使用Wii Fit、ARMEO Spring 1.1、康复游戏系统和ArmAble™的研究中，VR干预的类型有所不同。荟萃分析显示，与对照组相比，VR组在功能能力方面有统计学意义的改善。方法学质量均值为中等质量水平。虚拟现实干预似乎是一种很有前途的治疗系统，用于中风后患者的功能能力康复。
{"title":"Rehabilitation applied with virtual reality improves functional capacity in post-stroke patients. A systematic review and meta-analysis","authors":"A. Navas-Otero , A. Canal-Pérez , J. Martín-Núñez , A. Ortiz-Rubio , J. Raya-Benítez , M.C. Valenza , I. Cabrera-Martos","doi":"10.1016/j.rh.2025.100907","DOIUrl":"10.1016/j.rh.2025.100907","url":null,"abstract":"<div><div>Virtual reality (VR) is emerging technologies in the field of rehabilitation of post-stroke patients. The aim of this study was to systematically explore the effects of VR rehabilitation program on functional capacity of stroke patients. We conducted a systematic review and meta-analysis. The searches were carried out in the PubMed/Medline, Web of Science, PEDro and OTSeeker to October 2024. Methodological quality was assessed using the Downs and Black scale and the Version 2 of the Cochrane risk-of-bias tool for randomized trials (RoB 2) was used to assess risk of bias. A total of 4 studies met the inclusion criteria. The type of VR intervention varied among studies using Wii Fit, ARMEO Spring 1.1, Rehabilitation Gaming System and ArmAble™. The meta-analysis indicated that the VR group showed statistically significant improvement in functional ability versus control group. The methodological quality mean was moderate quality level. VR interventions seem to be a promising therapeutic system for functional capacity rehabilitation in people with post-stroke.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100907"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143847953","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 : 2025-03-28DOI: 10.1016/j.rh.2025.100903
J.C. Perrot , M. Segura , G. Flotats , C. Closa , I. Gich , C. Garcia , A. Alba , M.J. Nadal , A. Pintor , J. Terra , E. Ramirez , M. Beranuy , H. Bascuñana , V. Plaza , M.R. Güell-Rous
Introduction
Several guidelines have proposed specific rehabilitation programs to treat symptoms/sequelae in patients with post-acute COVID syndrome (PACS). Only a few studies show that rehabilitation reduce disability after COVID-19.
Objective
To describe the response to a personalized rehabilitation program in terms of exercise tolerance, muscle function, dyspnea, quality of life, and frailty state in a cohort of patients with PACS.
Methods
Observational prospective cohort study of community-dwelling patients. The rehabilitation program included three modalities (outpatient, home-based, and self-administered), optionally supplemented with respiratory muscle training. Study variables: 6-minute walking distance (6MWD), inspiratory muscle strength (PImax), dyspnea, muscle strength (estimated with the Medical Research Council scale and handgrip), health-related quality of life (HRQoL), and frailty estimated with the Short Physical Performance Battery (SPPB) and at 3- and 6-months following baseline.
Results
Of 178 patients with PACS, 101 (56.7%) were enrolled in a rehabilitation program: 41.6% home-based, 27.7% outpatient, and 24.8% self-administered. Inspiratory muscle training (IMT) was provided to 56 patients, with 50 included in the rehabilitation program and 6 (5.9%) receiving IMT alone. Significant improvements were observed at 3 months in mMRC strength (p = 0.001), SPPB (p < 0.0001), handgrip strength (p = 0.017), mMRC dyspnea, PImax (p < 0.0001), and 6-MWD (p = 0.008). Improvements persisted at 6 months for mMRC strength (p = 0.048), SPPB (p = 0.002), PImax (p < 0.0001), and 6MWD (p = 0.048). HRQoL mental and physical component scores improved only at 3 months.
Conclusions
Personalized rehabilitation for patients with PACS improved muscle parameters, dyspnoea, and exercise capacity, but not HRQoL, up to 6 months. Improvements in respiratory muscle strength were associated with reductions in dyspnoea and increased exercise capacity.
{"title":"Long COVID-19: Impact of a personalized rehabilitation program","authors":"J.C. Perrot , M. Segura , G. Flotats , C. Closa , I. Gich , C. Garcia , A. Alba , M.J. Nadal , A. Pintor , J. Terra , E. Ramirez , M. Beranuy , H. Bascuñana , V. Plaza , M.R. Güell-Rous","doi":"10.1016/j.rh.2025.100903","DOIUrl":"10.1016/j.rh.2025.100903","url":null,"abstract":"<div><h3>Introduction</h3><div>Several guidelines have proposed specific rehabilitation programs to treat symptoms/sequelae in patients with post-acute COVID syndrome (PACS). Only a few studies show that rehabilitation reduce disability after COVID-19.</div></div><div><h3>Objective</h3><div>To describe the response to a personalized rehabilitation program in terms of exercise tolerance, muscle function, dyspnea, quality of life, and frailty state in a cohort of patients with PACS.</div></div><div><h3>Methods</h3><div>Observational prospective cohort study of community-dwelling patients. The rehabilitation program included three modalities (outpatient, home-based, and self-administered), optionally supplemented with respiratory muscle training. Study variables: 6-minute walking distance (6MWD), inspiratory muscle strength (PI<sub>max</sub>), dyspnea, muscle strength (estimated with the Medical Research Council scale and handgrip), health-related quality of life (HRQoL), and frailty estimated with the Short Physical Performance Battery (SPPB) and at 3- and 6-months following baseline.</div></div><div><h3>Results</h3><div>Of 178 patients with PACS, 101 (56.7%) were enrolled in a rehabilitation program: 41.6% home-based, 27.7% outpatient, and 24.8% self-administered. Inspiratory muscle training (IMT) was provided to 56 patients, with 50 included in the rehabilitation program and 6 (5.9%) receiving IMT alone. Significant improvements were observed at 3 months in mMRC strength (<em>p</em> <!-->=<!--> <!-->0.001), SPPB (<em>p</em> <!--><<!--> <!-->0.0001), handgrip strength (<em>p</em> <!-->=<!--> <!-->0.017), mMRC dyspnea, PI<sub>max</sub> (<em>p</em> <!--><<!--> <!-->0.0001), and 6-MWD (<em>p</em> <!-->=<!--> <!-->0.008). Improvements persisted at 6 months for mMRC strength (<em>p</em> <!-->=<!--> <!-->0.048), SPPB (<em>p</em> <!-->=<!--> <!-->0.002), PI<sub>max</sub> (<em>p</em> <!--><<!--> <!-->0.0001), and 6MWD (<em>p</em> <!-->=<!--> <!-->0.048). HRQoL mental and physical component scores improved only at 3 months.</div></div><div><h3>Conclusions</h3><div>Personalized rehabilitation for patients with PACS improved muscle parameters, dyspnoea, and exercise capacity, but not HRQoL, up to 6 months. Improvements in respiratory muscle strength were associated with reductions in dyspnoea and increased exercise capacity.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100903"},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143716038","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 : 2025-03-26DOI: 10.1016/j.rh.2025.100902
E.J. Frutos-Reoyo , I. Aguado-Maestro , A.M. González-Rebollo
{"title":"Neck of femur fractures in children, a challenging and unfrequent injury","authors":"E.J. Frutos-Reoyo , I. Aguado-Maestro , A.M. González-Rebollo","doi":"10.1016/j.rh.2025.100902","DOIUrl":"10.1016/j.rh.2025.100902","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100902"},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697198","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 : 2025-03-24DOI: 10.1016/j.rh.2025.100900
C. Rodríguez-Hernández , A. Guillén-Solà , Y.G. Curbelo , R. Boza , C. Acuña-Pardo , M. Tejero-Sánchez
Introduction
Two-thirds of patients infected with SARS-CoV-2 experience persistent symptoms after infection.
Objectives
To study the benefits of a respiratory rehabilitation program (RRP) in patients with long COVID and compare the results based on the time of evolution and clinical presentation.
Methods
Post-hoc analysis of a prospective cohort of patients with long COVID. Changes were evaluated using the modified Medical Research Council (mMRC) dyspnea scale, the 6-minute walk test (6MWT), maximal inspiratory and expiratory pressures (maxIP and maxEP), and peripheral muscle strength. Statistical tests used: Chi-square, paired and independent t-Student tests, one-way ANOVA, and a general linear model.
Results
Out of 158 patients referred to rehabilitation, 110 (mean age 58.1 years; 57.3% women) started the RRP. After the intervention, significant improvements were observed: a reduction of 0.8 points (95% CI: −1.1 to −0.6) on the mMRC dyspnea scale, an increase of 19.6 m (95% CI: −0.8 to 39.9) in the 6MWT, 16.8 cmH2O (95% CI: 10.3 to 23.2) in maxIP, 22.5 cmH2O (95% CI: 15.3 to 29.7) in maxEP, and 5.0 kg (95% CI: 3.3 to 6.7) in quadriceps strength. Although these improvements were independent of infection onset and disease duration, patients from the first wave showed more modest improvements.
Conclusions
The RRP provides clinical and functional benefits for patients with long COVID, regardless of disease duration and initial severity of infection.
三分之二的SARS-CoV-2感染患者在感染后出现持续症状。目的研究呼吸康复方案（RRP）对长COVID患者的益处，并根据病程和临床表现对效果进行比较。方法对长冠状病毒肺炎患者前瞻性队列进行事后分析。使用改良的医学研究委员会（mMRC）呼吸困难量表、6分钟步行测试（6MWT）、最大吸气和呼气压力（maxIP和maxEP）和外周肌力来评估变化。使用的统计检验：卡方检验、配对和独立t-Student检验、单向方差分析和一般线性模型。结果158例康复患者中，110例(平均年龄58.1岁；57.3%的女性)开始了RRP。干预后，观察到显著改善：mMRC呼吸困难量表降低0.8点（95% CI:−1.1至−0.6），6MWT增加19.6 m (95% CI:−0.8至39.9)，maxIP增加16.8 cmH2O (95% CI: 10.3至23.2)，maxEP增加22.5 cmH2O (95% CI: 15.3至29.7)，股头肌力量增加5.0 kg （95% CI: 3.3至6.7）。虽然这些改善与感染的发生和疾病持续时间无关，但第一波患者表现出更温和的改善。结论无论病程和初始感染严重程度如何，RRP均可为长COVID患者提供临床和功能益处。
{"title":"Beneficios de un programa de rehabilitación pulmonar para pacientes con COVID persistente: impacto de la gravedad inicial, tiempo de evolución y forma de presentación en los resultados clínicos","authors":"C. Rodríguez-Hernández , A. Guillén-Solà , Y.G. Curbelo , R. Boza , C. Acuña-Pardo , M. Tejero-Sánchez","doi":"10.1016/j.rh.2025.100900","DOIUrl":"10.1016/j.rh.2025.100900","url":null,"abstract":"<div><h3>Introduction</h3><div>Two-thirds of patients infected with SARS-CoV-2 experience persistent symptoms after infection.</div></div><div><h3>Objectives</h3><div>To study the benefits of a respiratory rehabilitation program (RRP) in patients with long COVID and compare the results based on the time of evolution and clinical presentation.</div></div><div><h3>Methods</h3><div>Post-hoc analysis of a prospective cohort of patients with long COVID. Changes were evaluated using the modified Medical Research Council (mMRC) dyspnea scale, the 6-minute walk test (6MWT), maximal inspiratory and expiratory pressures (maxIP and maxEP), and peripheral muscle strength. Statistical tests used: Chi-square, paired and independent t-Student tests, one-way ANOVA, and a general linear model.</div></div><div><h3>Results</h3><div>Out of 158 patients referred to rehabilitation, 110 (mean age 58.1<!--> <!-->years; 57.3% women) started the RRP. After the intervention, significant improvements were observed: a reduction of 0.8 points (95%<!--> <span>C</span>I<span>:</span> −1.1 to −0.6) on the mMRC dyspnea scale, an increase of 19.6<!--> <!-->m (95%<!--> <!-->CI: −0.8 to 39.9) in the 6MWT, 16.8<!--> <!-->cmH<sub>2</sub>O (95%<!--> <!-->CI: 10.3 to 23.2) in maxIP, 22.5<!--> <!-->cmH<sub>2</sub>O (95%<!--> <!-->CI: 15.3 to 29.7) in maxEP, and 5.0<!--> <!-->kg (95%<!--> <!-->CI: 3.3 to 6.7) in quadriceps strength. Although these improvements were independent of infection onset and disease duration, patients from the first wave showed more modest improvements.</div></div><div><h3>Conclusions</h3><div>The RRP provides clinical and functional benefits for patients with long COVID, regardless of disease duration and initial severity of infection.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100900"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680994","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 : 2025-03-24DOI: 10.1016/j.rh.2025.100901
N. Kaur Aulakh , N. Sharma , G. Singh , S. Kaur
The Western Ontario Rotator Cuff Index (WORC) is a self-administered questionnaire designed to assess quality of life in patients with rotator cuff injuries. This systematic review aims to evaluate the effectiveness of exercise-based interventions using WORC as an outcome measure in patients with rotator cuff injuries. A comprehensive search was conducted in PubMed, Cochrane Library, EMBASE, Ovid MEDLINE, and PEDro from inception until August 2024. Out of 13 potentially eligible studies, five studies (218 patients) met the inclusion criteria and were included in the review. Various rehabilitation interventions, such as exercise therapy, neuromuscular training, kinesiotaping, and proprioceptive exercises, showed significant improvements in pain relief, shoulder function, and quality of life. These findings suggest that the WORC index is a reliable tool for assessing pain and quality of life in patients with rotator cuff injuries.
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Pub Date : 2025-03-03DOI: 10.1016/j.rh.2025.100896
J. Formigo-Couceiro , C. Cordero-García , A. Fernández-Bravo Rueda
{"title":"Recomendaciones para el tratamiento intervencionista de la gonartrosis: consenso de expertos y algoritmos. Respuesta de los autores","authors":"J. Formigo-Couceiro , C. Cordero-García , A. Fernández-Bravo Rueda","doi":"10.1016/j.rh.2025.100896","DOIUrl":"10.1016/j.rh.2025.100896","url":null,"abstract":"","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 2","pages":"Article 100896"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529286","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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