Challenges and Perspectives for Physical Medicine and Rehabilitation

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Sports Medicine and Sports Traumatology".

Deadline for manuscript submissions: 28 February 2025 | Viewed by 4791

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Guest Editor
Movement, Sport and Health Sciences (M2S) Laboratory, University of Rennes 2, 35043 Rennes, France
Interests: sport sciences & health; exercise physiology; sport performances; sport rehabilitation
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Special Issue Information

Dear Colleagues,

Physical medicine and rehabilitation, also known as rehabilitation medicine, aims to evaluate, diagnose, enhance, and restore functional ability and quality of life to those with physical impairments or disabilities affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles, and tendons. The main goals of physical medicine and rehabilitation are to maximize patient independence in daily activities, improve quality of life, and prevent re-injuries, for example, in sports. Understanding therapy related to diagnosis, evaluation, functional restoration, and rehabilitation is key when providing treatment using customized methods that are suitable for the patient’s abilities.

We welcome the submission of original articles, reviews, case reports, and preclinical and clinical studies to this Special Issue entitled Challenges and Perspectives for Physical Medicine and Rehabilitation”. This research aims to summarize the therapeutic techniques and the mechanisms for achieving optimal restoration of functional abilities in patients with physical impairments, disabilities, or after injury or surgery.

Prof. Dr. Hassane Zouhal
Guest Editor

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Keywords

  • physical medicine
  • rehabilitation medicine
  • injuries
  • physical impairments
  • disabilities
  • surgery
  • therapy

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Published Papers (2 papers)

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Research

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11 pages, 898 KiB  
Article
Ramadan Intermittent Fasting and Plasma Volume Variations in Individuals with Different Body Weights
by Jihen Khalfoun, Hassane Zouhal, Raoua Triki, Wafa Jribi, Ayoub Saeidi, Abdullah Almaqhawi, Cain C. T. Clark, Ismail Laher and Abderraouf Ben Abderrahman
Medicina 2024, 60(7), 1143; https://doi.org/10.3390/medicina60071143 - 16 Jul 2024
Viewed by 1023
Abstract
Background: There is increasing awareness of the physiological effects of Ramadan intermittent fasting (RIF) in obese subjects. However, there are no data on the effects of RIF on plasma volume changes (ΔPV) in individuals with different body weights. Background and Objectives: [...] Read more.
Background: There is increasing awareness of the physiological effects of Ramadan intermittent fasting (RIF) in obese subjects. However, there are no data on the effects of RIF on plasma volume changes (ΔPV) in individuals with different body weights. Background and Objectives: This study investigated the effects of RIF on ΔPV in normal-weight (NW) and overweight (OW) adult men, and adult men with obesity (OB) and severe obesity (SO). Materials and Methods: Thirty-two male subjects (32) were divided into four groups (n = 8 per group) according to their body mass index (BMI): normal weight (NW) (BMI < 25 kg/m2; age = 27.4 ± 3.8), overweight (OW) (BMI between 25 and 29.9 kg/m2; age = 26.8 ± 3.7), obese subjects (OB) (BMI between 30 and 34.9 kg/m2; age = 25.6 ± 2.9), and severely obesity (SO) (BMI between 35 and 40 kg/m2; age = 24.0 ± 4.1). Blood samples were collected for 24 h on 4 different occasions, at T0 before the start of the Ramadan month, at T1 15 days after the start of Ramadan, at T2 one day after the end of Ramadan, and at T3 on the 21st day after the end of Ramadan to determine ΔPV. All groups completed their fasting rituals for the 30 days of Ramadan. Results: A significant group × time effect occurred for body mass (p = 0.001; ES = 0.53), BMI (p = 0.001; ES = 0.53), and body fat percentage (p = 0.001; ES = 0.52). Post hoc tests indicated reductions in body mass in OB and SO at T1 (p = 0.03; ES = 0.21 and p = 0.002; ES = 0.12) and T2 (p = 0.03; ES = 0.31 and p = 0.02; ES = 0.23), reductions in BMI in OB and SO at T1 (p = 0.04; ES = 0.35 and p = 0.03; ES = 0.42) and T2 (p = 0.03; ES = 0.52 and p = 0.005; ES = 0.48), and reductions in body fat percentage only in OB AT T1 (p = 0.002; ES = 0.31) and T2 (p = 0.001; ES = 0.17). A significant group × time effect occurred for hematocrit (p = 0.02; ES = 0.34), hemoglobin (p = 0.01; ES = 0.35), and ΔPV (p = 0.02; ES = 0.18). Post hoc tests indicated increases in hematocrit in OB at T2 (p = 0.03; ES = 0.36) and hemoglobin in OB and SO at T1 (p = 0.03; ES = 0.35 and p = 0.002; ES = 0.32) and T2 (p = 0.003; ES = 0.21 and p = 0.002; ES = 0.33). There were also increases in ΔPV in OB at T1 and T2 (p = 0.002; ES = 0.25 and p = 0.003; ES = 0.22) and in SO only at T2 (p = 0.02; ES = 0.37). Contrast analysis indicated that NW was significantly lower than the grand mean of OW, Ob, and SO for all anthropometric and PVV variables (all p < 0.05). Conclusions: The effects of RIF on ΔPV and anthropometric characters was greater in obese individuals compared to normal-weight and overweight participants, suggesting that the improvements in body composition and ΔPV produced by RIF could positively influence obesity. Full article
(This article belongs to the Special Issue Challenges and Perspectives for Physical Medicine and Rehabilitation)
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Review

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22 pages, 1425 KiB  
Review
The Complementary Roles of Neurological and Musculoskeletal Physical Therapy and Regenerative Medicine: A Comprehensive Review
by Maryam Mureed, Arooj Fatima, Tayyaba Sattar, Syeda Aiman Batool, Ambreen Zahid, Haleema Usman Khan, Arooj Fatima, Hamna Shahid, Saba Nasir, Mehsn Yizdin, Elih Tehmahb and Hamid Tebyaniyan
Medicina 2024, 60(7), 1062; https://doi.org/10.3390/medicina60071062 - 27 Jun 2024
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Abstract
Regenerative medicine, encompassing various therapeutic approaches aimed at tissue repair and regeneration, has emerged as a promising field in the realm of physical therapy. Aim: This comprehensive review seeks to explore the evolving role of regenerative medicine within the domain of physical therapy, [...] Read more.
Regenerative medicine, encompassing various therapeutic approaches aimed at tissue repair and regeneration, has emerged as a promising field in the realm of physical therapy. Aim: This comprehensive review seeks to explore the evolving role of regenerative medicine within the domain of physical therapy, highlighting its potential applications, challenges, and current trends. Researchers selected publications of pertinent studies from 2015 to 2024 and performed an exhaustive review of electronic databases such as PubMed, Embase, and Google Scholar using the targeted keywords “regenerative medicine”, “rehabilitation”, “tissue repair”, and “physical therapy” to screen applicable studies according to preset parameters for eligibility, then compiled key insights from the extracted data. Several regenerative medicine methods that are applied in physical therapy, in particular, stem cell therapy, platelet-rich plasma (PRP), tissue engineering, and growth factor treatments, were analyzed in this research study. The corresponding efficacy of these methods in the recovery process were also elaborated, including a discussion on facilitating tissue repair, alleviating pain, and improving functional restoration. Additionally, this review reports the challenges concerning regenerative therapies, among them the standardization of protocols, safety concerns, and ethical issues. Regenerative medicine bears considerable potential as an adjunctive therapy in physiotherapy, providing new pathways for improving tissue repair and functional results. Although significant strides have been made in interpreting the potential of regenerative techniques, further research is warranted to enhance protocols, establish safety profiles, and increase access and availability. Merging regenerative medicine into the structure of physical therapy indicates a transformative alteration in clinical practice, with the benefit of increasing patient care and improving long-term results. Full article
(This article belongs to the Special Issue Challenges and Perspectives for Physical Medicine and Rehabilitation)
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