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Humans , Coronavirus Infections/epidemiology , Severe acute respiratory syndrome-related coronavirus/pathogenicity , Rehabilitation/organization & administration , Respiration, Artificial/adverse effects , Acute Chest Syndrome/rehabilitation , Spain/epidemiology , Pandemics , Communicable Disease Control/methods , Coronavirus Infections/rehabilitation , Rehabilitation Centers/organization & administrationSubject(s)
Betacoronavirus/isolation & purification , Coronavirus Infections/epidemiology , Pneumonia, Viral/epidemiology , Rehabilitation/organization & administration , COVID-19 , Coronavirus Infections/prevention & control , Humans , Pandemics/prevention & control , Pneumonia, Viral/prevention & control , SARS-CoV-2 , Spain/epidemiologyABSTRACT
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Humans , Physical Therapy Specialty/education , Education, Medical, Continuing/trends , Accreditation/trends , Licensure/trends , Curriculum/trends , Physical Therapy Modalities/educationABSTRACT
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Humans , Biomechanical Phenomena/physiology , Rehabilitation/trends , Societies, Medical/standards , Quality of Health Care/trends , Congresses as Topic , Physical and Rehabilitation Medicine/methods , Physical and Rehabilitation MedicineABSTRACT
Introducción. El Poststroke checklist (PSC) es un cuestionario breve y fácil de usar que pretende estandarizar el seguimiento de los pacientes con ictus crónico y asegurar el acceso a intervenciones de rehabilitación basadas en la evidencia. El objetivo de este trabajo es describir la metodología seguida para elaborar el cuestionario y su validación preliminar. Material y métodos. Se describe la elaboración del PSC original y de la versión en castellano (retrotraducción y adaptación al lenguaje clínico local). Se realizó una validación preliminar para evaluar su comprensibilidad en 20 pacientes con ictus de más de 6 meses de evolución (tiempo de latencia de respuesta y grado de comprensión de cada ítem). Por último, se evaluó la satisfacción de los pacientes con el PSC en cuanto a la capacidad de identificar los problemas que afectaban su vida después del ictus. Resultados. El tiempo medio de respuesta fue < 2 seg para todas las preguntas del PSC. Respecto a la interpretación del cuestionario, la comprensión fue buena para la mayoría de pacientes. La comprensión fue parcial en la pregunta sobre movilidad en 5 pacientes, actividades de la vida diaria, comunicación, cognición y vida tras el ictus en 4 y sobre espasticidad en 3. Solo un paciente no comprendió la cuestión sobre prevención secundaria. Los 20 pacientes se mostraron satisfechos con el cuestionario. Conclusiones. El PSC es una herramienta de uso rápido y comprensible para los pacientes, y puede ser útil para detectar necesidades de rehabilitación a largo plazo después de un ictus (AU)
Introduction. The Poststroke checklist (PSC) is a short, easy-to-use questionnaire, intended to facilitate a standardized approach to identifying long-term problems in stroke survivors and ensure access to evidence-based rehabilitation interventions. The aim of this study was to describe the methodology used to develop the questionnaire and its preliminary validation. Material and methods. The development of the original PSC and the Spanish version (back-translation and adaptation to the local clinical language) is described. Preliminary validation was performed to assess its comprehensibility in 20 stroke patients over a 6-month period (latency of response and degree of understanding of each item). Finally, patients satisfaction with the PSC regarding its ability to identify problems affecting their lives after stroke was evaluated. Results. The average response time was < 2 sec for all questions in the PSC. Concerning the interpretation of the questionnaire, understanding was good for most patients. Understanding was partial in the question on mobility in 5 patients, activities of daily living, communication, cognition and life after stroke in 4, and spasticity in 3. Only one patient did not understand the question on secondary prevention. The 20 patients were satisfied with the questionnaire. Conclusions. The PSC is a brief tool that is easily understood by patients and could be useful for detecting long term needs after stroke and to facilitate appropriate referrals (AU)
Subject(s)
Female , Humans , Male , Stroke/epidemiology , Stroke/rehabilitation , Cognition , Secondary Prevention/methods , Secondary Prevention/trends , Surveys and Questionnaires/standards , Surveys and Questionnaires , Follow-Up Studies , Muscle Spasticity/complicationsABSTRACT
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Humans , Disabled Persons , Rehabilitation/trends , Motor Skills Disorders/rehabilitation , Physical Therapy Department, HospitalABSTRACT
BACKGROUND: Strength training has been proposed by several authors to treat Lateral Epicondylitis. However, there is still a lack of information concerning muscle weakness and its relationship to imbalances and fatigability of forearm muscles during dynamic conditions in subjects after epicondylitis recovery. AIM: To analyze the relationship between lateral humeral epicondylitis, and forearm muscle strength and fatigue. SETTING: Rehabilitation specialized center POPULATION: Cross-sectional study in eight former epicondylitis men free of symptoms and actively working at the moment of the evaluation and eight healthy men volunteers. METHODS: Isokinetic tests were performed at different velocities in order to assess strength in concentric and eccentric contractions. Additionally, a long-term concentric test was carried out in order to analyze strength during endurance. The following variables were analyzed: Average torque of dorsal and palmar flexors of the wrist and ratio of agonist/antagonist for non-endurance contractions; length of initial and final plateaus and the slope of average torque decay during the endurance test. RESULTS: In both groups, average torque produced by palmar flexor muscles was higher than that produced by dorsal flexor muscles. Patients showed higher strength in palmar flexor muscles, whereas dorsal flexor strength was similar for both populations. Palmar flexor vs. dorsal flexor ratio was significantly higher in patients for eccentric contractions. Regarding fatigue, results showed that torque decreased earlier in patients. CONCLUSIONS AND CLINICAL REHABILITATION IMPACT: Both palmar flexor force and palmar/dorsal ratio in eccentric exercise were significantly higher in patients. This finding indicates a muscular imbalance in patients underlying the epicondylitis condition. Additionally, former patients fatigued earlier. Findings indicate that muscle imbalances and fatigability might be related to lateral epicondylitis. This information may be useful in the design and monitoring of programs intended for lateral epicondylitis rehabilitation. More studies are necessary to conclude if these differences are cause or consequence of the epicondylitis.
Subject(s)
Muscle Fatigue/physiology , Muscle Strength/physiology , Muscle Weakness/physiopathology , Resistance Training/methods , Tennis Elbow/rehabilitation , Wrist/physiopathology , Adult , Cross-Sectional Studies , Forearm/physiology , Forearm/physiopathology , Humans , Male , Muscle Contraction/physiology , Muscle Strength Dynamometer , Muscle Weakness/etiology , Muscle, Skeletal/physiology , Muscle, Skeletal/physiopathology , Physical Endurance/physiology , Rehabilitation Centers , Spain , Tennis Elbow/physiopathology , Wrist/physiologyABSTRACT
AIM: The aim of this study was to establish the test-retest reliability of a knee extensor and flexor muscle fatigue protocol using a biodex system 3 isokinetic dynamometer. METHODS: Three-outpatient Rehabilitation Departments undertook the study. Fatigue was evaluated in the dominant knee of 90 healthy female volunteers, non-sportswomen, aged between 20 and 40. They performed 40 consecutive concentric knee flexions and extensions, at 120 degrees /s, on a Biodex 3 isokinetic dynamometer. Two evaluations were done over a period of seven days. Analysed variables were: maximal repetition of total work, maximal work repetition number, work to body weight ratio, total work, work during first and last third of the protocol, fatigue ratio, work fatigue. Statistical analysis determined mean values, medians and box-plots. Intraclass Correlation Coefficients (ICC) (confidence interval 95 %), t-test and one-way analysis of variance (ANOVA) evaluated reliability. Difference of means (di), standard error of measurement (SEM) and 95% of interval confidence (IC di) were also calculated (P<0.05). RESULTS: All participants completed the study. Reliability data were excellent (ICC>0.75) for total work (0.85), work during first third (0.80) and last third (0.80) in extension, and for total work in flexion. Reliability data were fair to good (ICC 0.4-0.75) for the rest of the variables. Median varied less than 20% in all cases during test-retest. CONCLUSION: This knee fatigue protocol is reliable for flexion and extension, above all when using the total work as a variable. The desirability of multicentre studies in rehabilitation and standardisation of protocols is emphasised.
Subject(s)
Knee/physiology , Muscle Fatigue , Adult , Female , Humans , Reproducibility of Results , Young AdultABSTRACT
La determinación del déficit de fuerza muscular como secuela es fundamental en la rehabilitación laboral. Para definir un déficit muscular se requiere una colaboración máxima del paciente en la realización del esfuerzo. La valoración de la colaboración de los pacientes en la realización de las pruebas dinamométricas se ha venido realizando mediante el coeficiente de variación, aunque la literatura reciente cuestiona esta aproximación y propone otras basadas en la fisiología de la contracción muscular máxima en modalidades concéntrica y excéntrica. El objetivo de este trabajo es analizar nuestra experiencia en la evaluación de la fuerza y la sinceridad del esfuerzo de la musculatura del hombro mediante dinamometría isocinética. Material y métodos: Se aplica el protocolo evaluador a 14 pacientes (13 varones y una mujer; edad media 46 años; la mayoría trabajadores manuales) remitidos a la unidad de isocinesia de una mutua laboral para peritación de la fuerza muscular del hombro. La patología más frecuente fue la ruptura de manguito intervenida. El protocolo comprende la determinación de los momentos de fuerza máximos de ambos hombros en rotaciones, abducción y flexoextensión a diferentes velocidades (60º/s, 120º/s y 180º/s) y dos modalidades de contracción (concéntrica y excéntrica). A continuación, se calculan los déficit de fuerza y los ratios contracción excéntrica/concéntrica (REC).Un déficit mayor al 20 por ciento se considera relevante y un REC superior al 2,05 sugestivo de poca colaboración. Resultados: Doce pacientes mostraron déficit relevantes de fuerza muscular, de los cuales cinco presentaron indicios de poca colaboración. Tres aceptaron la propuesta de alta basada en los resultados, uno continua de baja y en un caso fue utilizada como prueba en magistratura para desestimar la petición de incapacidad del paciente. Discusión: La medición de la fuerza muscular mediante dinamometría isocinética debería acompañarse siempre de una valoración del grado de colaboración del paciente. La aproximación propuesta en este trabajo nos ha sido útil en un entorno laboral (AU)
