Rehabilitación Integral

Team ParaChile y Teleton hacen historia en Paris 2024

2025-01-16T18:44:29+00:00

Efectividad y beneficios del ejercicio físico en pacientes con fibromialgia: una revisión bibliográfica

2025-01-16T18:51:42+00:00

Introduction: Fibromyalgia is a chronic condition characterized by widespread pain, non-restorative sleep, fatigue, and cognitive dysfunction, which significantly affects patients’ quality of life. Material or Patients and Methods: This literature review analyzes the efficacy and benefits of physical exercise in the management of fibromyalgia, including aerobic exercises, strengthening, flexibility, aquatic activities, and specific practices like Tai Chi, yoga, and Pilates. The search was conducted in the scientific databases PubMed, Scopus, and Google Scholar. Priority was given to the inclusion of randomized clinical trials, systematic reviews, and meta-analyses. Results: Evidence demonstrates that physical exercise can reduce pain, improve functional capacity and quality of life, and decrease fatigue and stiffness. At the molecular level, physical exercise modulates inflammatory markers and neurotransmitters, contributing to the reduction of central sensitization and improving cognitive function and sleep quality. However, the response to exercise varies among patients due to the heterogeneity of the condition. Conclusion: It is crucial to design individualized and progressive exercise programs to maximize benefits and minimize the risk of exacerbating symptoms. Interdisciplinary collaboration and the integration of strategies to improve adherence are essential for developing safe and effective exercise programs that enhance the quality of life for patients with fibromyalgia.

Evaluación cualitativa de modelos de inteligencia artificial generativa para resolución de preguntas clínicas de rehabilitación infantil

2025-01-16T19:27:38+00:00

Introduction: The use of artificial intelligence in the healthcare field has shown multiple potentials. Among them, using generative artificial intelligence models, such as ChatGPT, to support the creation of clinical documents like reviews, clinical guidelines, or protocols. The objective of this study is to evaluate and compare the responses to clinical questions defined by experts on two rehabilitation topics, provided by the most widely used generative AI models on the market, in order to analyze their role in the creation of clinical documents, such as clinical guidelines or protocols. Material or Patients and Methods: Qualitative descriptive study. Through prompts of various types of clinical questions, an expert evaluates and rates, using a scale design for this study, the responses provided by 5 generative artificial intelligence models: ChatGPT, Gemini, Claude, Perplexity, and a customized GPT. Results: All generative artificial intelligence models are capable of delivering well-structured and coherent responses, but with some shortcomings in their technical content and updates according to evidence-based medicine. ChatGPT received the highest ratings, using the study rating scale. Discussion: Generative artificial intelligence models can play a role in the creation of clinical documents, such as reviews, guidelines, and protocols, providing a quick and effective tool. However, each step in the creation of these documents should be supervised by a human expert to identify possible errors, hallucinations and protection of ethic and security issues.

Comparación de los umbrales ventilatorios y los parámetros cardiorrespiratorios entre hombres adultos con paraplejia torácica baja e individuos sin lesión medular: Un estudio observacional transversal

2025-01-16T19:41:58+00:00

Introduction: People with spinal cord injury (SCI) experience sensory, motor, and autonomic alterations that influence cardiovascular and respiratory responses during exercise. In this context, the objective of the present study was to compare the first and second ventilatory thresholds (VT1 and VT2), peak oxygen uptake (VO_{2 peak}), and peak heart rate (HR_peak) between adult men with low thoracic paraplegia and men without SCI. Material or Patients and Methods: A cross-sectional observational comparative study, n = 8 adult males with low thoracic paraplegia (neurological level T6-T12, ASIA A) (PARA group) and n = 19 adult males without SCI (CON group). A maximal incremental test was performed on an upper limb cycle ergometer, using a MetaMax®3B ergos- pirometer and a Polar H7 cardiac transmitter. The data obtained were analyzed with SPSS 17.0, applying the nonparametric Mann-Whitney U test for group comparison. Results: Statistically significant differences were found in VT1 (U = 32, p = 0.019) and VT2 (U = 18.5, p = 0.002) in favor of the CON group. In contrast, no significant differences were observed in VO_2peak (PARA = 2.7_{ml/kg/ min} vs. CON=3.0_ml/kg/min; p = 0.200) or HR_peak (PARA = 186 bpm vs. CON = 173 bpm; p = 0.099). Conclusion: This study revealed significant differences in ventilatory thresholds between men with and without low thoracic paraplegia, suggesting variations in submaximal exercise efficiency and capacity. However, no notable differences were recorded in VO2 peak or HR_peak. These findings reinforce the importance of ventilatory thresholds as a tool for the assessment and prescription of exercise in individuals with SCI.