Impacto del confinamiento en el ejercicio físico de los pacientes con artrosis durante la pandemia COVID-19 / Impact of lockdown on physical activity of patients with osteoarthritis during the COVID-19 pandemic

Introducción: La actividad física es esencial en la población con artrosis, sin embargo, el confinamiento durante la pandemia por COVID obligó al cambio en los estilos de vida. Se llevó a cabo un estudio observacional y descriptivo con el objetivo de evaluar el ejercicio físico realizado en personas con patología osteoarticular degenerativa (POD) durante la pandemia por COVID-19. Material y métodos: Se realizó una encuesta telefónica a personas mayores de 60 años con POD atendidos previamente en el Hospital Central de la Cruz Roja, valorando el ejercicio físico durante el confinamiento por pandemia COVID-19. Se analizaron las variables (tiempo de ejercicio físico, causas si el ejercicio fue reducido, y la intensidad de dolor) y se compararon con la situación previa al confinamiento domiciliario. Resultados: Se incluyeron un total de 33 pacientes (ocho hombres, 25 mujeres), con una edad media de 75,6 años. La poliartrosis fue el diagnóstico más frecuente. El 51,5% realizaban la misma cantidad de ejercicio físico, el 21,21% realizaban más y 24,2% menos que antes. Solo el 6,1% realizaba más de una hora al día de actividad. El 36,4% tenían más dolor que previamente. Conclusiones: Aunque existe una alta adherencia a los ejercicios aprendidos en el servicio de rehabilitación, el confinamiento por COVID-19 ha tenido un efecto negativo en el nivel de ejercicio realizado por los pacientes con POD. Es recomendable incentivar el ejercicio físico durante períodos de confinamiento.(AU)

Introduction: Physical activity is essential in the osteoarthritis population, however, confinement during the COVID pandemic forced lifestyle changes. An observational and descriptive study was conducted to assess physical exercise in people with degenerative osteoarticular disease (DOD) during the COVID-19 pandemic. Material and methods: A telephone survey was conducted among people over 60 years of age with DOD previously treated at the Hospital Central de la Cruz Roja, assessing physical exercise during the COVID-19 pandemic confinement. The variables (time of physical exercise, causes if exercise was reduced, and pain intensity) were analysed and compared with the situation prior to home confinement. Results: A total of 33 patients (8 men, 25 women) were included, with a mean age of 75.6 years. Polyarthrosis was the most frequent diagnosis. 51.5% performed the same amount of physical exercise, 21.21% performed more and 24.2% less than before. Only 6.1% performed more than 1 h a day of activity. 36.4% had more pain than previously. Conclusions: Although there is a high adherence to the exercises learned in the rehabilitation service, COVID-19 confinement has had a negative effect on the level of exercise performed by POD patients. It is advisable to encourage physical exercise during periods of lockdown.(AU)

[Impact of lockdown on physical activity of patients with osteoarthritis during the COVID-19 pandemic]. / Impacto del confinamiento en el ejercicio físico de los pacientes con artrosis durante la pandemia COVID-19.

INTRODUCTION: Physical activity is essential in the osteoarthritis population, however, confinement during the COVID pandemic forced lifestyle changes. An observational and descriptive study was conducted to assess physical exercise in people with degenerative osteoarticular disease (DOD) during the COVID-19 pandemic. MATERIAL AND METHODS: A telephone survey was conducted among people over 60 years of age with DOD previously treated at the Hospital Central de la Cruz Roja, assessing physical exercise during the COVID-19 pandemic confinement. The variables (time of physical exercise, causes if exercise was reduced, and pain intensity) were analysed and compared with the situation prior to home confinement. RESULTS: A total of 33 patients (8 men, 25 women) were included, with a mean age of 75.6 years. Polyarthrosis was the most frequent diagnosis. 51.5% performed the same amount of physical exercise, 21.21% performed more and 24.2% less than before. Only 6.1% performed more than 1 h a day of activity. 36.4% had more pain than previously. CONCLUSIONS: Although there is a high adherence to the exercises learned in the rehabilitation service, COVID-19 confinement has had a negative effect on the level of exercise performed by POD patients. It is advisable to encourage physical exercise during periods of lockdown.

El tratamiento quirúrgico de las roturas de bíceps distal mediante técnica Endo-Button asociada a tornillo interferencial permite un programa de rehabilitación acelerado: caso clínico / Surgical treatment of distal biceps tendon rupture through the Endo-Button technique associated with interferential screw allows an accelerated rehabilitation program. A case report

Se presenta el caso de un varón de 53 años que presentó una rotura del tendón bicipital distal derecho. Se llevó a cabo la reinserción quirúrgica del tendón distal del bíceps en la tuberosidad radial, por vía anterior, mediante técnica de Endo-Button. El postoperatorio cursó sin complicaciones, inmovilizándose el codo con un vendaje durante 2 semanas. Tras ser valorado por el especialista en Rehabilitación, se estableció un programa terapéutico individualizado, de inicio precoz y de carácter acelerado. Los objetivos fueron 2: ganar la máxima amplitud articular con movilización inmediata durante la primera fase y lograr un refuerzo muscular y propioceptivo con posterioridad. El programa rehabilitador le permitió lograr la recuperación funcional completa y conseguir una musculatura bicipital competente en un periodo de 10 semanas. El paciente pudo retomar todas las actividades, cotidianas, laborales y deportivas, que realizaba antes de la lesión (AU)

We present the case of a 53-year-old man with a distal biceps tendon rupture in his right upper limb. Endo-Button repair was performed by reattaching the distal biceps tendon in the radial tuberosity through an anterior approach. There were no complications during the postoperative period. The elbow was immobilized with a bandage for 2 weeks. After the patient was assessed by the rehabilitation physician, we decided to carry out an early individualized accelerated therapeutic program. The goals of treatment were to gain the maximum range of motion by immediate mobilization in a first phase, and then to achieve adequate muscular and proprioceptive reinforcement. The rehabilitation program allowed the patient to achieve full functional recovery with a competent biceps muscle in 10 weeks. The patient was able to return to all his activities (daily living, work, sport) before the tendon rupture (AU)

Tratamiento rehabilitador en la CADASIL: a propósito de un caso / Rehabilitation treatment in CADASIL disease. A case report

La arteriopatía autosómica dominante con infartos subcorticales y leucoencefalopatía (CADASIL) es una angiopatía con herencia autosómica dominante por mutación en el gen NOTCH3 del cromosoma 19. La enfermedad produce migraña con aura, alteraciones psiquiátricas, episodios isquémicos y déficit cognitivos. Su evolución es progresiva y escalonada. Su diagnóstico requiere confirmación detectando la mutación genética característica y/o cambios anatomopatológicos en la piel. El caso que se presenta es un varón de 63 años con cuadros neurológicos episódicos de hemiparesia izquierda y síndrome seudobulbar, con secuelas progresivas. En febrero de 2004 se le diagnosticó CADASIL con mutación G428A (Gys171Tyr) en el exón 4 del gen NOTCH3. Se pautó tratamiento de rehabilitación durante 3 meses utilizando técnicas de fisioterapia y terapia ocupacional. Al año el resultado del tratamiento ha sido satisfactorio. El curso progresivamente incapacitante y la ausencia de tratamiento etiológico hace fundamental un programa adecuado y multidisciplinario de rehabilitación(AU)

CADASIL (cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy) is a dominant autosomal hereditary angiopathy produced by the mutation of NOCTH 3 gene in chromosome number 19. The symptoms of the disease include migraine with aurea, psychiatric problems, ischemic episodes and cognitive deficits. The typical course of CADASIL is slowly progressive. The diagnosis must be genetically confirmed through the detection of its characteristic mutations and/or some cutaneous pathological changes. We present the case of a 63-year-old man who suffered from episodic neurological deficits, left hemiparesis, pseudobulbar syndrome, and progressive sequelae. In February 2004, the diagnosis of CADASIL was reached, due to mutation G428A (Gys171Tyr) in exon number 4 of NOTCH 3 gene. Treatment was performed with physical and occupational therapy for 3 months. At one year of follow-up, the result was satisfactory. Due to the disabling and progressive outcome of the disease, and to the lack of etiological treatment, physical and occupational therapy are paramount to minimize its functional impact and sequelae(AU)

Resultados funcionales de la prótesis total radiocubital distal: caso clínico y revisión de la bibliografía / Functional outcomes of total distal radioulnar joint: a case report and review of the literature

La articulación radio cubital distal (ARCD) resulta imprescindible para poder elevar objetos contra gravedad. En las lesiones de dicha articulación, es necesario reconstruir todos los elementos articulares y estabilizadores para poder soportar la fuerzas de tensión en muñeca y antebrazo y evitar una importante pérdida de función de la extremidad. La prótesis total radiocubital distal promulgada por Scheker es una alternativa novedosa para reparar anatómica y biomecánicamente esta articulación, ya que los procedimientos previos (resección, artrodesis o hemiartroplastia) no han mostrado resultados satisfactorios. Se presenta el caso de una paciente con inestabilidad de muñeca por disfunción de la ARCD en la que se implantó dicho modelo protésico y se desarrolló un programa de rehabilitación posquirúrgico previamente no descrito, de 12 semanas de duración. Se exponen unos resultados funcionales excelentes y se comparan con los publicados en la bibliografía(AU)

The distal radioulnar joint (DRUJ) is very important for lifting objects. When the DRUJ is injured, all of the joint elements and stabilizing elements must be reconstructed in order to be able to support the tension forces on the wrist and forearm and avoid significant loss of limb functions. The total DRUJ prosthesis developed by Scheker is a new alternative to be taken into account. It seems to allow anatomical and biomechanical repair of the DRUJ. Moreover, it gives better results than previously published procedures (removal, arthrodesis and hemiarthroplasty of the DRUJ). We present the case of a woman with symptomatic wrist instability due to dysfunction of the DRUJ who underwent Scheker's arthroplasty. In the postoperative period, we designed a new 12-week rehabilitation program, which gave us an excellent result. Finally we discuss our case, comparing them with those previously reported in the literature(AU)

Ectasia dural y dolor lumbar en el síndrome de Marfan / Dural ectasia and lumbar pain associated with Marfan syndrome

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