Maximal Aerobic Power, Quality of Life, and Ejection Fraction in Survivors of Childhood Cancer Treated with Anthracyclines.

BACKGROUND: Anthracycline-induced cardiotoxicity is a frequent complication that can occur at any stage of treatment, even in survivors. OBJECTIVE: To determine maximum aerobic power, quality of life, and left ventricular ejection fraction in childhood cancer survivors treated with anthracyclines. DESIGN: Cross-sectional, observational study. METHODS: The left ventricular ejection fraction was obtained from the transthoracic echocardiogram report in the medical records. Each patient underwent a 6-minute walk test, assessment of maximum aerobic power on a cycle ergometer, and evaluation of perceived exertion using the EPInfant scale, and finally, their quality of life was evaluated using the pediatric quality of life inventory model. RESULTS: A total of 12 patients were studied, with an average of 16.2 years of age. All patients exhibited a left ventricular ejection fraction >60%, the mean distance covered in the 6-minute walk test was 516.7 m, and the mean of the maximum aerobic power was 70 W. Low quality of life scores were obtained in the physical and psychosocial aspects. In the Pearson test, a weak correlation without statistical significance was found between all the variables studied. CONCLUSIONS: Simultaneously with the detection of cardiotoxicity in childhood cancer survivors, it is pertinent to perform physical evaluations as physical condition and cardiotoxicity seem to be issues that are not necessarily dependent.

Reproducibility and safety of the 30" sit to stand test in individuals with obesity and cardiovascular risk factors.

BACKGROUND: The 30″ sit to stand test is a submaximal exercise test that assesses functional capacity and it has been validated for various pathologies. Although it has been used in individuals with obesity, its reproducibility in this population has not yet been determined. The main objective of this study was to determine the reproducibility and safety of the 30″ sit to stand test in individuals with overweight or obesity and with cardiovascular risk factors. METHODS: A cross-sectional study was performed. Individuals with obesity or overweight who also presented cardiovascular risk factors were evaluated with the 30″ sit to stand test. The reproducibility and safety of the 30" sit to stand test were determined, as well as its association with other functional tests and anthropometric characteristics. RESULTS: 59 individuals (27 men, 32 women) with obesity or overweight and cardiovascular risk factors, aged 57.93 (9.62) years, were included in the study. The 30″ sit to stand test showed good overall reproducibility (0.907 ICC) and significant correlation with the 6-minute walk test, handgrip strength test, body fat percentage and waist - height index, with a similar hemodynamic response to the 6-minute walk test. CONCLUSION: The 30" sit to stand test is a highly reproducible and safe test for individuals with obesity and cardiovascular risk factors, with a significant correlation to anthropometric characteristics and other functional tests regularly used for the evaluation of individuals with obesity.

Guía para una adecuada telerrehabilitación en personas convalecientes de Covid-19 / Guide for an adequate telerehabilitation in convalescent people of Covid-19

La pandemia de COVID-19 aún persiste y debemos mantener las medidas restrictivas. Sabemos que alrededor de 14% de los casos presentan una infección respiratoria aguda grave y que en 5% de los casos se requiere ingreso en una unidad de cuidados intensivos (UCI) con ventilación mecánica prolongada, sedación y uso de agentes bloqueantes neuromusculares; por tanto, existe un alto riesgo de desarrollar debilidad adquirida en la UCI. Por tales razones los profesionales de la rehabilitación deben considerarse trabajadores de primera línea que deben participar en la atención de los pacientes con COVID-19 grave en cuidados intensivos, hospitalización o cuando el paciente regresa al hogar y todavía está en recuperación.

The COVID-19 pandemic still persists and we must maintain restrictive measures. We know that about 14% of cases present with severe acute respiratory infection and that 5% of cases require admission to an intensive care unit (ICU) with prolonged mechanical ventilation, sedation and use of neuromuscular blocking agents; therefore, there is a high risk of developing ICU-acquired weakness. For such reasons rehabilitation professionals should be considered front-line workers who should be involved in the care of patients with severe COVID-19 in intensive care, hospitalization or when the patient returns home and is still recovering.

A new Isokinetic positioning for shoulder test in functional scapular plane / Un nuevo posicionamiento para evaluación isocinética del hombro en plano escapular funcional

In this article we present a proposal of positioning to perform an isokinetic test of the shoulder in the scapular plane, which allows patients with shoulder dysfunction to undergo a test and training for re-education of the biomechanics of the muscles involved, and which also facilitates greater functional movement, more in line with that done in daily life; and we also explain the biomechanical bases that justify such a position.

En este artículo presentamos una propuesta de posicionamiento para realizar una prueba isocinética del hombro en el plano escapular, que permite hacer a los pacientes con disfunción de hombro una prueba y un entrenamiento de reeducación de la biomecánica de los músculos involucrados, y que además facilita un mayor movimiento funcional, más acorde con el que se hace en la vida diaria; y también explicamos las bases biomecánicas que justifican dicha posición.

Papel del especialista en Medicina Física y Rehabilitación en los procesos de rehabilitación en el deporte / Role of the specialist in Physical Medicine and Rehabilitation in the rehabilitation process in sports

El deporte actual se caracteriza por una alta carga competitiva y, en consecuencia, la recuperación tras una lesión debe ser rápida y eficiente, por lo que los modelos convencionales de rehabilitación en el deporte(RD) probablemente resulten insuficientes.El objetivo de esta carta editorial es reflexionar sobre el papel del especialista en Medicina Física y Rehabilitación (EMFR) en el proceso de RD

Today's sport is characterized by a high competitive load and, consequently, recovery from injury must be fast and efficient, so that conventional models of rehabilitation in sport (RD) are likely to be insufficient. The aim of this editorial letter is to reflect on the role of the specialist in Physical Medicine and Rehabilitation (EMFR) in the DR process.