Rehabilitacion最新文献

英文中文

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 持续的2019冠状病毒病患者肺康复计划的益处：初始严重程度的影响、发展时间和临床结果的呈现方式

Q3 Medicine

Rehabilitacion

Pub Date : 2025-03-24 DOI: 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。

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引用次数: 0

The use of the Western Ontario Rotator Cuff Index to assess effectiveness of physical therapy on rotator cuff injuries: A systematic review 使用西安大略肩袖指数评估肩袖损伤物理治疗的有效性：一项系统综述

Q3 Medicine

Rehabilitacion

Pub Date : 2025-03-24 DOI: 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.

西安大略省肩袖指数（WORC）是一份自我管理的问卷，旨在评估肩袖损伤患者的生活质量。本系统综述旨在评估以运动为基础的干预措施的有效性，使用WORC作为肩袖损伤患者的结果测量。在PubMed， Cochrane Library， EMBASE， Ovid MEDLINE和PEDro中进行了全面的检索，从成立到2024年8月。在13项可能符合条件的研究中，有5项研究（218例患者）符合纳入标准，纳入了本综述。各种康复干预措施，如运动疗法、神经肌肉训练、运动带子和本体感受练习，在疼痛缓解、肩部功能和生活质量方面都有显着改善。这些发现表明，WORC指数是评估肩袖损伤患者疼痛和生活质量的可靠工具。

引用次数: 0

Tendinopatía calcificada. Nuevos desafíos Tendinopatía calcificada。新挑战

Q3 Medicine

Rehabilitacion

Pub Date : 2025-03-06 DOI: 10.1016/j.rh.2025.100895

J. Formigo-Couceiro , F.J. Juan-García , J.M. Climent-Barberá , I. Iriarte-Posse

引用次数: 0

Recomendaciones para el tratamiento intervencionista de la gonartrosis: consenso de expertos y algoritmos. Respuesta de los autores 干预性淋病治疗的建议：专家共识和算法。提交人的答复

Q3 Medicine

Rehabilitacion

Pub Date : 2025-03-03 DOI: 10.1016/j.rh.2025.100896

J. Formigo-Couceiro , C. Cordero-García , A. Fernández-Bravo Rueda

引用次数: 0

Recomendaciones para el tratamiento intervencionista de la gonartrosis: ozonoterapia, la gran desconocida aun entre expertos 对淋病的干预治疗的建议：臭氧疗法，专家们最大的未知数

Q3 Medicine

Rehabilitacion

Pub Date : 2025-02-27 DOI: 10.1016/j.rh.2025.100893

M.E. Fernández-Cuadros , M.J. Albaladejo-Florín , J. Baeza-Noci

引用次数: 0

Eficacia de la rehabilitación pélvica en el manejo de las disfunciones sexuales secundarias al cáncer ginecológico: revisión sistemática de revisiones 盆腔康复在管理妇科癌症引起的性功能障碍方面的有效性：系统复核

Q3 Medicine

Rehabilitacion

Pub Date : 2025-01-01 DOI: 10.1016/j.rh.2024.100875

N. Devan Moy , M.C. Simarro González

The systematic review synthesized the current scientific evidence on the recommendations for pelvic rehabilitation in the management of sexual dysfunctions secondary to gynecological cancer. Twelve literature reviews, systematic reviews, and meta-analyses were included, evaluating the methodological quality using the Joanna Briggs Institute Risk of Bias Assessment tool. The results highlight the efficacy of pelvic floor exercises, alone or with biofeedback, and education and information provided to patients, with a high degree of recommendation. Vaginal dilators, and manual techniques received a moderate recommendation due to inconclusive protocols and high risk of bias. Early initiation of pelvic rehabilitation is recommended, but variability was identified in the intervention protocols, which hinders the comparison of the efficacy of the treatments.

该系统综述综合了目前盆腔康复治疗妇科癌症继发性功能障碍的科学证据。纳入12篇文献综述、系统综述和荟萃分析，使用乔安娜布里格斯研究所偏倚风险评估工具评估方法学质量。结果强调了骨盆底运动的有效性，单独或结合生物反馈，并向患者提供教育和信息，高度推荐。阴道扩张器和手动技术由于不确定的方案和高偏倚风险而得到中度推荐。建议尽早开始盆腔康复治疗，但干预方案中存在差异，这阻碍了治疗效果的比较。

引用次数: 0

The effect of ultrasound-guided botulinum toxin injections on pain, functionality, spasticity, and range of motion in patients with post-stroke upper extremity spasticity 超声引导下肉毒毒素注射对中风后上肢痉挛患者疼痛、功能、痉挛和活动范围的影响。

Q3 Medicine

Rehabilitacion

Pub Date : 2025-01-01 DOI: 10.1016/j.rh.2024.100876

G. Çelebi , A. Ayyildiz , S. Çiftci Inceoğlu , B. Kuran

Objective

Spasticity developing in the upper extremity in stroke patients causes disability by limiting movement and causing pain. This study investigates the effects of botulinum toxin injections on pain, functionality, spasticity, and range of motion in hemiplegic patients with post-stroke spasticity.

Materials and methods

The study involved a double-blind, prospective, randomized controlled trial with thirty-one stroke patients aged 35–80 who developed upper extremity spasticity. The study group (n = 16) received botulinum toxin-A (BT-A) injections in addition to conventional rehabilitation and stretching exercises, while the control group (n = 15) received placebo injections. Evaluations were conducted before treatment, in the second week, and three months after treatment. The study evaluated pain relief through the Visual Analog Scale (VAS), assessed spasticity with the Modified Ashworth Scale (MAS), and measured functionality using the Fugl Meyer Assessment Scale (FMAS) and the Box Block Test (BBT).

Results

The mean age of patients was 56.03 ± 11.81. The median time after stroke was 24 months. The BT-A group demonstrated significantly lower VAS and MAS scores compared to controls at both 2 weeks and 3 months after treatment. Additionally, the BT-A group showed significantly higher changes in arm, wrist, and total FMAS scores compared to the control group. However, no significant difference was found in terms of hand, coordination, and speed FMAS score changes.

Conclusions

The results of our study demonstrated that BT-A injection with ultrasonography guidance is an effective method for alleviating pain caused by passive shoulder movement, significantly reducing spasticity, and markedly improving motor functions.

目的：脑卒中患者上肢痉挛通过限制运动和引起疼痛而导致残疾。本研究探讨了注射肉毒杆菌毒素对卒中后痉挛偏瘫患者疼痛、功能、痉挛和活动范围的影响。材料和方法：本研究采用双盲、前瞻性、随机对照试验，纳入31例年龄在35-80岁之间出现上肢痉挛的中风患者。研究组（n=16）在常规康复和伸展运动的基础上接受肉毒毒素a （BT-A）注射，对照组（n=15）接受安慰剂注射。分别于治疗前、治疗后第2周和治疗后3个月进行评估。该研究通过视觉模拟量表（VAS）评估疼痛缓解程度，使用改良Ashworth量表（MAS）评估痉挛程度，并使用Fugl Meyer评估量表（FMAS）和Box Block Test （BBT）测量功能。结果：患者平均年龄56.03±11.81岁。中风后的中位时间为24个月。治疗后2周和3个月，BT-A组的VAS和MAS评分均明显低于对照组。此外，与对照组相比，BT-A组在手臂、手腕和FMAS总分方面的变化明显更高。然而，在手、协调性和速度方面，FMAS得分的变化没有显著差异。结论：超声引导下注射BT-A可有效缓解肩部被动运动引起的疼痛，明显减轻痉挛，明显改善运动功能。

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引用次数: 0

Exploring the efficacy of neural mobilization and electromyographic analysis in enhancing post-stroke rehabilitation: A scoping review 探讨神经动员和肌电图分析在增强脑卒中后康复中的功效：一项范围综述。

Q3 Medicine

Rehabilitacion

Pub Date : 2025-01-01 DOI: 10.1016/j.rh.2025.100889

R. Tedeschi

Stroke survivors often suffer from upper limb spasticity and impaired motor function. This review seeks to: (1) explore the efficacy of neural mobilization, particularly using the Upper Limb Neurodynamic Test 1 (ULNT1), in modulating electromyographic (EMG) activity of muscles; (2) examine its role in reducing spasticity and improving functional outcomes; and (3) outline the current state of knowledge, identifying existing gaps and directions for future research. A comprehensive literature review was conducted, focusing on studies that implemented ULNT1 and EMG analysis in post-stroke patients. The included studies varied in participant characteristics, methodologies, and outcome measures. The results demonstrated that neural mobilization has the potential to reduce EMG activity in spastic muscles and modify pain perceptions. However, results regarding the improvement of range of motion and functional outcomes were mixed. Neural mobilization and electromyographic analysis show promise for improving post-stroke rehabilitation. However, further research is required to confirm these benefits, with more rigorous methodologies and larger sample sizes.

中风幸存者经常遭受上肢痉挛和运动功能受损。本综述旨在：(1)探索神经活动，特别是使用上肢神经动力学测试1 (ULNT1)，在调节肌肉肌电图（EMG）活动中的功效；(2)检查其在减少痉挛和改善功能预后中的作用；(3)概述目前的知识状况，确定存在的差距和未来的研究方向。我们进行了全面的文献综述，重点研究了对脑卒中后患者实施ULNT1和肌电图分析的研究。纳入的研究在参与者特征、方法和结果测量方面各不相同。结果表明，神经动员有可能减少痉挛肌肉的肌电图活动，并改变疼痛感知。然而，关于活动范围和功能结果的改善结果喜忧参半。神经动员和肌电图分析显示了改善中风后康复的希望。然而，需要进一步的研究来证实这些好处，需要更严格的方法和更大的样本量。

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引用次数: 0

Escala de estado funcional post-COVID-19: concordancia entre la versión administrada por evaluador versus autoevaluada en pacientes con síndrome post-COVID-19 [covid -19后功能状态量表：评估者给药版本与自评版本在covid -19后综合征患者中的一致性]。

Q3 Medicine

Rehabilitacion

Pub Date : 2025-01-01 DOI: 10.1016/j.rh.2024.100878

J. Betancourt-Peña , J. Rodriguez-Castro , V. Perez-Hortua , J.C. Ávila-Valencia , V. Benavides-Córdoba

Introduction

Patients diagnosed with COVID-19 may present sequelae which are called Post COVID-19 Syndrome or Long COVID in which physical, psychological and/or social complications are evident. The objective of this study was to evaluate the agreement of the Post-COVID-19 Functional Status Scale (PCFS) of the evaluator-administered version vs patient self-assessed in post-COVID-19 patients.

Methods

Observational study in patients diagnosed with COVID-19 with subsequent recovery. Once the project was approved by the ethics committee and the patients signed the informed consent, a survey was carried out to collect sociodemographic and clinical data and the application of the PCFS scale, in its two forms, self-administered and by an evaluator.

Results

97 patients entered the study, 57.7% being women. The agreement analysis determined a concordance index of 0.857 95% CI (0.7-0.934) (almost perfect agreement). The agreement for women was 0.817 95% CI 0.700-0.934 and for men 0.907 95% CI (0.806-1).

Conclusion

The use of the Spanish version of the PCFS scale carried out by the health professional compared to the version self-assessed by patients, demonstrates adequate agreement.

诊断为COVID-19的患者可能出现被称为COVID-19后综合征或长COVID的后遗症，其中身体、心理和/或社会并发症很明显。本研究的目的是评估评估者给药版本的covid -19后功能状态量表（PCFS）与患者自我评估的covid -19后患者的一致性。方法：对确诊后康复的COVID-19患者进行观察性研究。一旦项目获得伦理委员会的批准，患者签署知情同意书，就开始进行调查，收集社会人口统计学和临床数据，并应用PCFS量表，有两种形式，一种是自我管理的，另一种是由评估者管理的。结果：97例患者入组，其中57.7%为女性。一致性分析确定一致性指数为0.857,95% CI(0.7 ~ 0.934)（几乎完全一致）。女性的一致性为0.817 95% CI 0.700-0.934，男性为0.907 95% CI（0.806-1）。结论：卫生专业人员编制的西班牙语版PCFS量表与患者自行评定的PCFS量表比较，显示出充分的一致性。

{"title":"Escala de estado funcional post-COVID-19: concordancia entre la versión administrada por evaluador versus autoevaluada en pacientes con síndrome post-COVID-19","authors":"J. Betancourt-Peña , J. Rodriguez-Castro , V. Perez-Hortua , J.C. Ávila-Valencia , V. Benavides-Córdoba","doi":"10.1016/j.rh.2024.100878","DOIUrl":"10.1016/j.rh.2024.100878","url":null,"abstract":"<div><h3>Introduction</h3><div>Patients diagnosed with COVID-19 may present sequelae which are called Post COVID-19 Syndrome or Long COVID in which physical, psychological and/or social complications are evident. The objective of this study was to evaluate the agreement of the Post-COVID-19 Functional Status Scale (PCFS) of the evaluator-administered version vs patient self-assessed in post-COVID-19 patients.</div></div><div><h3>Methods</h3><div>Observational study in patients diagnosed with COVID-19 with subsequent recovery. Once the project was approved by the ethics committee and the patients signed the informed consent, a survey was carried out to collect sociodemographic and clinical data and the application of the PCFS scale, in its two forms, self-administered and by an evaluator.</div></div><div><h3>Results</h3><div>97 patients entered the study, 57.7% being women. The agreement analysis determined a concordance index of 0.857 95% CI (0.7-0.934) (almost perfect agreement). The agreement for women was 0.817 95% CI 0.700-0.934 and for men 0.907 95% CI (0.806-1).</div></div><div><h3>Conclusion</h3><div>The use of the Spanish version of the PCFS scale carried out by the health professional compared to the version self-assessed by patients, demonstrates adequate agreement.</div></div>","PeriodicalId":39532,"journal":{"name":"Rehabilitacion","volume":"59 1","pages":"Article 100878"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972583","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

Enhancing cardiac rehabilitation through storytelling: A necessary but challenging approach. Author's reply 通过讲故事促进心脏康复：一个必要但具有挑战性的方法。作者的回复

Q3 Medicine

Rehabilitacion

Pub Date : 2025-01-01 DOI: 10.1016/j.rh.2025.100894

R. Tedeschi

引用次数: 0

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