SAP Rehabilitation and Sports Medicine (Journal)
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Application of Work Training Actions for people with disabilities in a Professional Rehabilitation Service. Case report
Full text linkThe labor inclusion of people with disabilities (PWD) is an issue in which public policies play a fundamental role in achieving the objectives subscribed by the United Nations for 2030. This report describes the implementation of a public policy through a Professional Rehabilitation Service of a national rehabilitation institute, whose objective was to promote the employability and inclusion, both labor and educational, of PWD through training and on-the-job training. A program called Work Training Actions (EPT) was implemented, financed by the Ministry of Labor, Employment and Social Security of the Nation during the period 2017 to 2020. The 324 participants received training in theoretical and practical aspects of work activity on the following professional families: administrative training and customer service, art, crafts, agricultural training and textile training. The social, economic and educational context of PWD represented a challenge to overcome in daily practice, making accessibility a relevant aspect to work on PWD with motor deficiencies. Conclusions: The application of this type of programs is essential to achieve the objectives of socio-labor inclusion of PWD.
Respiratory Rehabilitation Programs in Portugal: Rapid Review
Full text linkIntroduction: Respiratory rehabilitation is an essential intervention in the management of respiratory diseases, focusing on physical symptoms and psychological aspects that pharmacological therapy alone cannot resolve. The aim of this review was to map the existing evidence on respiratory rehabilitation programs implemented in Portugal.
Method: A rapid literature review was carried out, following the recommendations of Cochrane Rapid Reviews, PICoS strategy and PRISMA guidelines. Evidence was sought regarding the implementation of programs, services offered and user needs. The search included EBSCOHost and B-on databases, with study selection by two independent reviewers.
Results: Twelve articles were included, presenting a high level of evidence and medium to high methodological quality. Inductive thematic analysis revealed central topics: program organization, accessibility, transition pathways, benefits, structures, management, and user perspectives.
Conclusion: Several variables influence the success of programs, such as high costs, geographic inequalities, insufficient supply and limited capacity of the hospital network. Alternatives such as home-based programs, telerehabilitation and community initiatives show promise for expanding access to and effectiveness of respiratory rehabilitation. These findings suggest that the integration of innovative approaches can contribute to overcoming current limitations, promoting improvements in patients\u27 quality of life. Future studies should confirm evidence.
Keywords: Respiratory Diseases; Respiratory Rehablitation; Respiratory Rehabilitation Services
Intervention to promote physical activity in children aged 5 to 10 at the Eladio Roldós Barreiro XXI Educational Unit, Santo Domingo, 2024
Full text linkThe aim of this study was to implement an intervention to promote physical activity in children from 5 to 10 years of age at the Eladio Roldós Barreiro XXI Educational Unit. A quantitative, descriptive and basic purpose study was applied, with a pre-experimental longitudinal design. The sample consisted of 78 children selected intentionally. Two instruments were used: the “Weekly physical activity frequency questionnaire” and the “Perception and barriers to children\u27s physical activity questionnaire”. The results showed that the percentage of children who were not physically active decreased by 54%, while those who exercised between 3 and 6 times a week increased by 38%. There was also a 33% increase in active participation during physical education classes, and a 31% increase in physical activity outside school hours, mainly after school and on weekends. Perceived barriers to exercise decreased by 31%, reflecting greater willingness to engage in movement. It is concluded that the intervention was effective in reducing sedentary lifestyles, improving the frequency and intensity of physical activity and establishing more active habits in students, highlighting the importance of programs adapted to the school level to strengthen children\u27s physical and emotional well-being
Total Hip Arthroplasty: Contemporary Surgical Approaches, Navigation Technology and Determinant Factors of Clinical Outcomes. A Narrative Review
Full text linkBackground and Objective: Total hip arthroplasty (THA) represents one of the most successful orthopedic interventions for treating degenerative and traumatic hip pathologies. This narrative review aims to critically analyze current evidence regarding contemporary surgical approaches in THA, the role of computer-assisted technology, and determinant factors influencing clinical outcomes.
Methods: A comprehensive narrative literature review was conducted covering publications from 2010 to 2025 across PubMed, Scopus, SciELO, SpringerLink, and Google Scholar databases. Inclusion criteria comprised studies with sample sizes ≥30 patients, functional assessment using validated scales (Harris Hip Score, WOMAC, SF-36), and minimum three-month follow-up. Original articles, systematic reviews, meta-analyses, randomized controlled trials, and academic theses in English or Spanish were included.
Results: Minimally invasive approaches including SuperPATH (Supercapsular Percutaneous Assisted Total Hip) and direct anterior approach (DAA) demonstrate significant advantages over traditional posterior approach, including reduced intraoperative bleeding, decreased postoperative pain, and accelerated functional recovery. Meta-analyses involving over 1,500 patients confirm SuperPATH superiority in terms of blood loss reduction, shorter hospital stays, and lower dislocation rates. Intraoperative navigation technology improves acetabular component positioning accuracy, with up to 98% of implants placed within optimal anteversion and abduction ranges (15°-25° anteversion, 40°-45° abduction). Institutional surgical volume emerges as a critical determinant factor, with high-volume centers (>100 annual procedures) reporting significantly lower complication rates, reduced mortality, and improved functional outcomes.
Conclusions: Contemporary THA has evolved toward less invasive techniques with enhanced technological integration. The combination of minimally invasive surgical approaches, computer-assisted navigation, and centralization in high-experience centers represents the current trend for optimizing clinical and functional outcomes. Future directions include greater integration of robotic technology, advanced navigation systems, and personalized treatment approaches based on detailed preoperative analysis and three-dimensional modeling
Ozone Therapy and Magnetotherapy in Patients with Acute Low Back Pain
Full text linkIntroduction: low back pain is among the most frequently treated conditions in rehabilitation centers in the municipality of 10 de Octubre, Havana; therefore, it is necessary to implement therapies that promote the prompt recovery of affected patients.
Objective: to assess the initial status for implementing a combined magnetotherapy and rectal ozone-therapy regimen in individuals with acute low back pain treated at the “Raúl Gómez García” Teaching Polyclinic.
Methods: a descriptive, cross-sectional study was conducted. Theoretical approaches were used for document analysis and for systematizing relevant references; empirical methods included a survey to collect data on acute low back pain, direct observation of therapy administration in affected patients, and a diagnostic rubric to evaluate symptom severity.
Results: analysis of the diagnostic instruments and their methodological triangulation revealed the key challenges and enabling factors for applying combined magnetotherapy and rectal ozone therapy in patients with acute low back pain
Efficacy of Platelet-Rich Plasma in the Treatment of Rotator Cuff Injuries
Full text linkBackground: Rotator cuff injuries are a common cause of shoulder pain and functional limitation. Recently, platelet-rich plasma (PRP) has been proposed as a regenerative therapy to potentially accelerate tendon healing and improve outcomes. Material and methods: We performed a review of studies published between 2010 and 2024 examining the effectiveness of PRP in patients with rotator cuff tendinopathies or partial tears. Clinical trials, observational studies, and meta-analyses were included, focusing on pain reduction (Visual Analogue Scale) and functional improvement (Constant-Murley, Quick DASH). Results: Most studies reported a significant decrease in pain and an improvement in shoulder function after PRP application, especially in patients who did not respond to conventional treatments. No severe adverse effects were identified, although the efficacy varied depending on the concentration of platelets and injection protocols. Conclusion: PRP appears to be a promising option for enhancing tendon healing and reducing pain in rotator cuff injuries. However, the lack of standardized protocols calls for further research to establish definitive guidelines and confirm its long-term benefits and safety
Subacute Combined Degeneration of the spinal cord: case report
Full text linkIntroduction: Subacute Combined Degeneration is a neurological condition that manifests itself by a degeneration of the nerve pathways in the spinal cord affecting the posterior and lateral cords. It is caused by a deficiency of vitamin B12 which affects the brain and peripheral nerves. Magnetic Resonance Imaging (MRI) may not reveal significant changes initially. Electrophysiological studies like somatosensory evoked potentials (SSEPs) are useful for early detection.Case report: A 58-year-old male patient who denies any personal pathological history. He comes to the clinic due to periods of cramps in the lower limbs and ataxia. After two months, he begins to experience loss of muscle strength in both lower limbs. Conclusions: Prompt identification and intervention are vital for the recovery from the deficiency
Tramadol abuse and consumption disorders: Systematic Review
Full text linkIntroduction: tramadol hydrochloride is a weak opioid agonist that acts by preventing the reuptake of neurotransmitters such as serotonin and noradrenaline in the descending inhibitory neurons of the nervous system, thus modulating the perception of painful stimuli. After its introduction on the market, it was marketed as an effective analgesic, underestimating the risk of its use and abuse.
Objectives: to characterize the association between tramadol consumption and disorders caused by its abuse.
Method: to develop the research protocol and later prepare the systematic review, a search was carried out in PubMed, Google Scholar, TripDataBase, Elsevier, Brieflads ResearchGate, SciELO, selecting articles that provide information based on scientific literature that demonstrates the problems of tramadol consumption and abuse in studies carried out on different populations.
Results: the 7 publications (2004-2023) of selected studies report the relationship between tramadol consumption and its abuse and addiction in the populations selected in the research.
Conclusion: greater public awareness and development of health strategies that observe trends in tramadol consumption and the risks in cases of abuse and drug dependence are necessar
Effectiveness of the VIDA SANA educational program to promote the habit of physical activity in the staff of CADE Foods, Santo Domingo-Ecuador
Full text linkIntroduction: physical exercise is any physical activity that improves and maintains a person\u27s physical fitness, health and well-being; it is an important tool for preventing diseases and maintaining an adequate quality of life. Objective: determine the effectiveness of the VIDA SANA educational program to promote the habit of physical activity in the staff of CADE Foods, Santo Domingo de los Tsáchilas.Method: a quantitative, pre-experimental and prospective study was carried out in the facilities of the institution “Alimentos CADE” located in the coastal region of Ecuador in the province of Santo Domingo during the year 2021. The study sample was made up of 24 people. The questionnaire to be used is the "International Physical Activity Questionnaire" (IPAQ) Results: the male sex predominated with 62.5 % and the adult age group with 79.2 %, 54.2 % manifested low intensity physical activity and after the training program only 41.7 %, in the Pre- test at 25 % as the participants who practiced “low moderate physical activity”, after its application the results increased, leaving an effect of 41.7 %, 70.8 % appears to the participants who practiced “low walking physical activity ” before starting the program, after its application a result of 37.5 % was obtained, the Wilcoxon test indicates that there is a significant improvement in the dimensions of physical activity. Conclusions: it can be seen that a percentage of the sample has been oriented towards carrying out physical activity once the program has been applied, in addition, those who maintained low intensity physical activity were motivated to increase the intensity of their practices
Clinical epidemiological method in the evaluation of rehabilitative technological procedures in Multiple Sclerosis
Full text linkIntroduction: clinical-epidemiological methods make it possible to build medical knowledge, to delve into the essence of phenomena in accordance with principles. In people diagnosed with Multiple Sclerosis, it is of vital importance because it provides knowledge and skills in the management of the disease. The authors of this research identify as an objective: to argue the relevance of the clinical-epidemiological assessment in the evaluation process of rehabilitative technological procedures in Multiple Sclerosis.Method: a longitudinal descriptive study with a qualitative approach was carried out in the period from January to October 2024, in the Physiotherapy and Rehabilitation Department of the Villa Clara Clinical-Surgical University Hospital "Arnaldo Milián Castro". For theoretical inquiries, the following theoretical levels were used: analytical-synthetic, historical-logical, systematization and the statistical-mathematical level: descriptive statistics.Results: in the rehabilitation process, both methods provide precise and detailed information, which will facilitate the evaluation and indication of physical-rehabilitative treatment guidelines. In addition, their prior application to rehabilitation technological procedures contributes to the development of competencies and skills, by following the procedure and connecting the examination, evaluation and intervention.Conclusions: the application of clinical-epidemiological methods will allow the evaluation and indication of treatment guidelines focused on the person\u27s health status