Clinical Rehabilitation最新文献

{"title":"Effect of sensorimotor training on stability, mobility, and quality of life after lower extremity thermal burns: A prospective randomised controlled trial.","authors":"Nesma M Allam, Nabil Mahmoud Abdel-Aal, Khadra M Ali, Hadaya Mosaad Eladl","doi":"10.1177/02692155251318560","DOIUrl":"https://doi.org/10.1177/02692155251318560","url":null,"abstract":"<p><strong>Objective: </strong>To determine the effect of sensorimotor training on stability, balance, mobility, quality of life, and muscle strength after lower extremity and trunk thermal burns.</p><p><strong>Design: </strong>A prospective, randomised controlled trial.</p><p><strong>Setting: </strong>Physiotherapy outpatient setting.</p><p><strong>Participants: </strong>Sixty participants with lower extremity and trunk thermal burns, aged 20-50 years, were randomly allocated to either the Sensorimotor Training group or the Control group.</p><p><strong>Intervention: </strong>The Sensorimotor Training group received both a sensorimotor training programme and a traditional physiotherapy programme, while the Control group received only the traditional physiotherapy programme. The intervention was applied three days per week for eight weeks.</p><p><strong>Outcome measures: </strong>The anteroposterior stability index was the primary outcome, while secondary outcomes included the overall stability index, mediolateral stability index, Timed Up and Go Test, Berg Balance Scale, and the Short Form-36 questionnaire, all measured at baseline and after eight weeks.</p><p><strong>Results: </strong>Significant differences were identified between groups after eight weeks, favouring the Sensorimotor Training group. Mean differences (95% CI) between groups were: -0.89 (-1.23, -0.54) for the anteroposterior stability index; 6.67 (4.48, 8.86) for the Berg Balance Scale; -1.7 (-2.82, -0.59) for the Timed Up and Go Test; 11.22 (7.03, 15.40) for knee extensor torque; and 7.98 (4.62, 11.35) for physical function.</p><p><strong>Conclusion: </strong>Sensorimotor training, when added to a conventional physiotherapy programme, can significantly improve stability, balance, mobility, quality of life, and muscle strength compared to conventional physiotherapy alone in participants with lower extremity and trunk thermal burns.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251318560"},"PeriodicalIF":2.6,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cardiopulmonary exercise tests in people with chronic stroke: Interpretation and clinical application.","authors":"Kiersten M McCartney, David Edwards, Ryan Pohlig, Pierce Boyne, Tamara Wright, Henry Wright, Matthew Overstreet, Darcy S Reisman","doi":"10.1177/02692155251315605","DOIUrl":"https://doi.org/10.1177/02692155251315605","url":null,"abstract":"<p><strong>Objective: </strong>To understand in people with stroke: (1) reasons for cardiopulmonary treadmill exercise test termination, (2) how frequently secondary criteria indicating a maximal test are met, and (3) how test termination is related to volume of oxygen consumption and participant characteristics.</p><p><strong>Design: </strong>A secondary analysis from the Promoting Recovery Optimization of Walking Activity in Stroke (NCT02835313) clinical trial.</p><p><strong>Setting: </strong>Four outpatient rehabilitation clinics.</p><p><strong>Participants: </strong>People with chronic stroke able to walk without assistance of another person.</p><p><strong>Intervention: </strong>Participants (<i>n</i> = 250) randomized in a larger clinical trial completed symptom limited graded exercise treadmill tests pre- (<i>n</i> = 247) and post-intervention (<i>n</i> = 185). Treadmill exercise tests were conducted at constant speed with incremental incline increases.</p><p><strong>Main measures: </strong>The primary measure was reason for cardiopulmonary exercise test termination. Secondary measures included: oxygen consumption, ventilatory threshold, peak heart rate, respiratory exchange ratio, six-minute walk test, and fastest walking speed.</p><p><strong>Results: </strong>There were six categories of test termination, electrocardiogram (11%), blood pressure/heart rate (13%), biomechanical (25%), self-selected (41%), equipment malfunction (8%), and other (2%). Only 1.9% of tests achieved the threshold to confirm a maximal aerobic effort. There were no differences in peak volume of oxygen consumption or participant characteristics between test termination categories.</p><p><strong>Conclusions: </strong>Analyses indicate few with chronic stroke exhibit a maximal aerobic effort on a cardiopulmonary exercise test. If the cardiorespiratory system is not thoroughly taxed during treadmill exercise tests in people with chronic stroke, interpreting results as their cardiorespiratory fitness should be done cautiously.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251315605"},"PeriodicalIF":2.6,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Fear Avoidance Beliefs Questionnaire thresholds and gender on spatiotemporal parameters during walking in patients with chronic low back pain.","authors":"Yannick Delpierre, Sophie Michaud, Arnaud Brayer","doi":"10.1177/02692155251318572","DOIUrl":"https://doi.org/10.1177/02692155251318572","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to evaluate the effects of the threshold value of Fear-Avoidance Beliefs Subscales on quantified movement as a function of gender.</p><p><strong>Design study: </strong>Retrospective cohort study.</p><p><strong>Settings: </strong>Single center study.</p><p><strong>Participants: </strong>One hundred forty patients (aged 38.4) with chronic low back pain and referred to functional restauration program.</p><p><strong>Intervention: </strong>Patients participated in a five-week multidisciplinary Functional Restoration Program between 1 April 2013 and 1 April 2019, evaluated with clinical scales, psychosocial care and objective gait analysis. This study was a noninterventional retrospective study.</p><p><strong>Main measures: </strong>Objective gait analysis with the Vicon Motion Systems (Ltd, Oxford, UK), Fear-Avoidance Belief Scale, Visual Analog Scale, the DALLAS Pain Questionnaire, and the Hospital Anxiety and Depression Scale.</p><p><strong>Results: </strong>Data from 131 patients were studied. Patients with significant Fear-Avoidance Beliefs scores walked with significantly higher cadence. Patients with higher work subscale values presented significantly lower cadence, without effects on step length and self-selected speed. Women with significant fear-avoidance belief score walked with higher step length (0.58 m (0.05)) than men with significant fear-avoidance belief score (0.61 m (0.05). Correlations between Fear Avoidance Beliefs Questionnaire and spatiotemporal parameters were gender-dependent but nonsignificant or low.</p><p><strong>Conclusions: </strong>The threshold values depicted in the literature on psychometric analysis reveal low but quantitative effect of fear-avoidance on spatiotemporal parameters. These threshold values can be used by clinicians to evaluate the significance of the clinical scale. Considering gait, cadence should help the clinician to assess the fear-avoidance, particularly for patients are not able to complete all clinical scale items.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251318572"},"PeriodicalIF":2.6,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aquatic exercise interventions in the treatment of musculoskeletal upper extremity disorders: A scoping review.","authors":"Lynn Murray, Michelle Kennedy, Michael Malone, Lyn Mair, Lyndsay Alexander","doi":"10.1177/02692155251315078","DOIUrl":"https://doi.org/10.1177/02692155251315078","url":null,"abstract":"<p><strong>Objective: </strong>To identify literature on aquatic exercise therapy used to manage upper extremity musculoskeletal disorders and identify key concepts, intervention components, and gaps in the evidence base.</p><p><strong>Data sources: </strong>The comprehensive search included MEDLINE (Ovid), CINAHL (EBSCOHost), Embase (Ovid), CENTRAL (Cochrane Central Register of Controlled Trials) databases and grey literature sources.</p><p><strong>Review methods: </strong>JBI Scoping review methodology guided this review through protocol development, searching, screening, data extraction and analysis. Study Selection included: Participants - Adults with upper extremity musculoskeletal disorders; Concept - Aquatic based exercise therapy; Context - any setting in any very highly developed nation.</p><p><strong>Results: </strong>The search identified 5045 sources with 68 studies included in the final synthesis. Findings outlined shoulder problems were the most reported upper extremity condition treated (<i>n</i> = 78) especially following rotator cuff repair (<i>n</i> = 17), followed by the hand and wrist (<i>n</i> = 9), and elbow (<i>n</i> = 6). Range of movement (<i>n</i> = 36) and resistance exercises (<i>n</i> = 17) were the most common interventions reported for aquatic therapy, however compliance with reporting guidance across included studies was poor. Sixteen health domains were identified with range of movement (<i>n</i> = 21) and pain (<i>n</i> = 20) the most common, and 62 outcome measures were reported related to the identified domains. Qualitative aspects of aquatic interventions were evaluated in two papers.</p><p><strong>Conclusion: </strong>There is a need for more primary experimental and qualitative studies related to the upper extremity and aquatic therapy. Improved reporting quality of aquatic therapy exercise intervention is required as is the need to establish specific core outcome sets and domains in this area.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251315078"},"PeriodicalIF":2.6,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Coming to my own wisdom: A qualitative study exploring the role of the Take Charge intervention in stroke recovery.","authors":"Vivian Fu, Kathryn Mary Fernando, Felicity Bright, Judith Riley, Kathryn McPherson, Harry McNaughton","doi":"10.1177/02692155241310770","DOIUrl":"https://doi.org/10.1177/02692155241310770","url":null,"abstract":"<p><strong>Objective: </strong>The Take Charge intervention, delivered early after hospital discharge following acute stroke, is effective at improving 12-month health status, independence and advanced activities of daily living. This study aims to provide a deeper understanding of the experiences of receiving Take Charge.</p><p><strong>Design: </strong>This was a qualitative study nested within a large randomised control trial, the Taking Charge After Stroke (TaCAS) study. Data were analysed using thematic analysis, and we describe our findings using interpretive description.</p><p><strong>Participants: </strong>People with stroke aged over 18 years, who were participants in the TaCAS study conducted in Aotearoa New Zealand.</p><p><strong>Intervention: </strong>Take Charge, a person-centred conversation delivered face-to-face, designed to explore a person's identity and priorities, conducted by a trained facilitator and guided by a workbook.</p><p><strong>Results: </strong>We interviewed nine participants, three from each of the three arms of the TaCAS trial - each would have received one, two, or zero Take Charge sessions (the control group). The overall theme of 'Doing things my way/coming to know my own wisdom and expertise' was enabled by 'being listened to and feeling heard' and 'focusing on the goals which were important to me', both strongly expressed by people who received the Take Charge intervention, and hindered by 'medical paternalism' and 'loss of sense of self/\"not me\"' most commonly expressed by people in the control arm.</p><p><strong>Conclusions: </strong>The Take Charge intervention empowers people with stroke by enhancing intrinsic motivation. A trusting, therapeutic relationship and non-judgemental facilitation are essential to ensure that the person feels heard.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155241310770"},"PeriodicalIF":2.6,"publicationDate":"2025-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of a home-based pelvic floor muscle training with and without action and cue observation on urinary incontinence after prostatectomy: A randomized controlled trial.","authors":"Filippo Russo, Federico Temporiti, Damiana Cifoletti, Elisabetta Benaglia, Claudia Franzini, Vittorio Fasulo, Marco Paciotti, Nicolò Maria Buffi, Roberto Gatti","doi":"10.1177/02692155241309086","DOIUrl":"https://doi.org/10.1177/02692155241309086","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effects of a home-based pelvic floor muscle training with and without action and cue observation on urinary incontinence after prostatectomy.</p><p><strong>Design: </strong>Two-armed single-blind randomized controlled trial.</p><p><strong>Setting: </strong>Humanitas Research Hospital, Milan, Italy.</p><p><strong>Participants: </strong>Ninety-two participants with age between 40 and 80 years and urinary incontinence after robot-assisted laparoscopic prostatectomy.</p><p><strong>Intervention: </strong>Participants were randomized into an action and cue observation (<i>n = </i>46) or control (<i>n = </i>46) group undergoing an 8-week home-based pelvic floor muscle training. Action and cue observation group observed video clips showing exercises synchronized with a visual cue indicating the correct pelvic floor muscle activation timing and imitated the observed tasks. Control group observed landscape video clips and performed the same exercises of experimental group.</p><p><strong>Main measures: </strong>A blinded physiotherapist assessed participants for urinary leakages (24-h pad test), symptom severity (International Prostate Symptoms Score and International Prostate Symptoms Score - Quality of Life), quality of life (International Consultation on Incontinence Questionnaire - Short Form), and erectile dysfunction (International Index of Erectile Function) before and after the training.</p><p><strong>Results: </strong>All participants improved urinary leakages, symptom severity, and quality of life after training. Action and cue observation group revealed significantly larger improvements in 24-h pad test (mean difference: 106.1 g, 95% CI: 13.4 g, 199.1 g, <i>p</i> = .037) than control group.</p><p><strong>Conclusions: </strong>Home-based pelvic floor muscle training with action and cue observation led to larger improvements in urinary continence compared to the same training without action and cue observation after prostatectomy.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155241309086"},"PeriodicalIF":2.6,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The 9-item Tampa Scale for Kinesiophobia (TSK-9) has adequate measurement properties in patients with chronic low back pain.","authors":"Daniel Nunes Morais, André Pontes-Silva, Felipe Souza Barreto, Jocassia Silva Pinheiro, Leonardo Antônio Santos de Oliveira, Daniela Bassi-Dibai, Cid André Fidelis-de-Paula-Gomes, Mariana Arias Avila, Almir Vieira Dibai-Filho","doi":"10.1177/02692155251315060","DOIUrl":"https://doi.org/10.1177/02692155251315060","url":null,"abstract":"<p><strong>Objective: </strong>To assess the test-retest reliability, internal consistency, and construct validity of the 9-item Tampa Scale for Kinesiophobia in patients with chronic low back pain.</p><p><strong>Design: </strong>Questionnaire validation study.</p><p><strong>Setting: </strong>Study was conducted in an online environment.</p><p><strong>Participants: </strong>We included people aged 18 to 50 years with self-reported low back pain lasting > three months and assessed the Pain-Related Catastrophizing Thoughts Scale and the 9-item Tampa Scale for Kinesiophobia.</p><p><strong>Main measures: </strong>We used intraclass correlation coefficient, standard error of measurement, minimum detectable change, and Cronbach's alpha to assess the reliability and internal consistency of the 9-item Tampa Scale for Kinesiophobia. We tested correlations between the domains of the 9-item Tampa Scale for Kinesiophobia and the other variables to assess construct validity.</p><p><strong>Results: </strong>A total of 174 participants with chronic low back pain were included in the analysis. No ceiling or floor effect was found. In terms of construct validity, there was a positive correlation between the domains of the 9-item Tampa Scale for Kinesiophobia and the other variables. In the reliability analysis, there was adequate test-retest reliability of the two domains of the 9-item Tampa Scale for Kinesiophobia: intraclass correlation coefficient = 0.99, standard error of measurement = 3.4%, and minimum detectable change = 9.6% for the activity avoidance domain; and intraclass correlation coefficient = 0.99, standard error of measurement = 3.5%, and minimum detectable change = 9.9% for the somatic focus domain. There was acceptable internal consistency (Cronbach's alpha ≥ 0.68) for both domains.</p><p><strong>Conclusion: </strong>The 9-item Tampa Scale for Kinesiophobia has adequate measurement properties in patients with chronic low back pain.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251315060"},"PeriodicalIF":2.6,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143051833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of brief, repetitive balance training on balance and fall risk in older people with stroke: A randomized controlled trial.","authors":"Almudena Medina-Rincón, Laura M Pérez, Caritat Bagur-Calafat, Ana M Barrios-Franquesa, Marta Amor Barbosa, Víctor Doménech-García, Pablo Bellosta-López, Almudena Buesa-Estéllez, Montserrat Girabent-Farrés","doi":"10.1177/02692155241312067","DOIUrl":"https://doi.org/10.1177/02692155241312067","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effect of integrating a specific balance-training program focused on static balance to the conventional rehabilitation program on dynamic balance, risk of falls, and activities of daily living (ADLs) in older adults post-stroke.</p><p><strong>Design: </strong>A single-blinded randomized controlled trial.</p><p><strong>Setting: </strong>Institutional Intermediate Care Hospital.</p><p><strong>Subjects: </strong>Post-stroke older adults in a subacute phase without cognitive impairment, aged 65 years and older, exhibiting trunk control in a seated position for 30 seconds without supporting the arms.</p><p><strong>Intervention: </strong>The control group underwent the usual treatment, consisting of 60-minute physiotherapy sessions, 5 days per week, for 30 days. The experimental group integrated into the usual treatment 15 minutes of the balance-training program (45 min + 15 min).</p><p><strong>Main measures: </strong>Balance impairment (Mini-BESTest and Berg Balance Scale (BBS), risk of falls (BBS), and independence for ADLs (Barthel Index)) were assessed at baseline, 15 and 30 days after the start of interventions.</p><p><strong>Results: </strong>Seventy-one post-stroke patients (77.7 ± 9.0 years, 49.2% women) were randomized into the experimental (<i>n</i> = 35) or control (<i>n</i> = 36) groups. The experimental group showed improved dynamic balance at day 15 (Mini-BESTest: 2.90 [1.05-4.77], <i>p</i> = 0.003; BBS: 4.31 [1.41-7.23], <i>p</i> = 0.004) and day 30 (Mini-BESTest: 6.06 [2.85-9.27], <i>p</i> < 0.001; BBS: 8.24 [2.96-13.53], <i>p</i> = 0.003), as well as greater independence levels (11 [2.75-19.23], <i>p</i> = 0.010) compared to the control group. The control group showed higher risk of falls on day 15 (<i>p</i> = 0.035) and day 30 (<i>p</i> = 0.003) than the experimental group.</p><p><strong>Conclusions: </strong>A simple, easily reproducible approach designed by and for the older adult to rehabilitate post-stroke impairments effectively improved balance, functional gait, risk of falls, and ADLs.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155241312067"},"PeriodicalIF":2.6,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A scoping review on motor imagery-based rehabilitation: Potential working mechanisms and clinical application for cognitive function and depression.","authors":"Yule Hu, Yan Li, Angela Yee Man Leung, Jiaying Li, Xiaoxiao Mei, Jed Montayre, Ran Tao, Janelle Yorke","doi":"10.1177/02692155241313174","DOIUrl":"https://doi.org/10.1177/02692155241313174","url":null,"abstract":"<p><strong>Objective: </strong>To map evidence on the characteristics, effectiveness, and potential mechanisms of motor imagery interventions targeting cognitive function and depression in adults with neurological disorders and/or mobility impairments.</p><p><strong>Data sources: </strong>Six English databases (The Cochrane Library, PubMed, Embase, Scopus, Web of Sciences, and PsycINFO), two Chinese databases (CNKI and WanFang), and a gray literature database were searched from inception to December 2024.</p><p><strong>Review methods: </strong>This scoping review followed the Joanna Briggs Institute Scoping Review methodology. Interventional studies that evaluated motor imagery for cognitive function and/or depression in adults with neurological disorders and/or mobility impairments were included.</p><p><strong>Results: </strong>A total of 24 studies, primarily involving adults with cerebrovascular diseases, multiple sclerosis, and Parkinson's disease, were identified. Motor imagery was typically conducted at home/clinic, occurring 2 to 3 sessions per week for approximately 2 months, with each session lasting 20 to 30 minutes. The 62.5% of studies (n = 10) reported significant improvements in cognitive function, exhibiting moderate-to-large effect sizes (Cohen's <i>d </i>= 0.48-3.41), especially in memory, attention, and executive function, while 53.3% (n = 8) indicated alleviation in depression with moderate-to-large effect sizes (Cohen's <i>d </i>= -0.72- -2.56). Motor imagery interventions could relieve pain perception and promote beneficial neurological changes in brains by facilitating neurotrophic factor expression and activating neural circuits related to motor, emotional, and cognitive functions.</p><p><strong>Conclusion: </strong>Motor imagery could feasibly be conducted at home, with promising effects on cognitive function and depression. More high-quality randomized controlled trials and neuroimaging techniques are needed to investigate the effects of motor imagery on neuroplasticity and brain functional reorganization, thereby aiding in the development of mechanism-driven interventions.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155241313174"},"PeriodicalIF":2.6,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Together is no longer completely together\": Exploring the influence of social cognition problems on partner relationships following acquired brain injury.","authors":"Brenda van den Broek, Jorn Muskens, Caroline van Heugten, Boudewijn Bus, Sophie Rijnen","doi":"10.1177/02692155241312134","DOIUrl":"https://doi.org/10.1177/02692155241312134","url":null,"abstract":"<p><strong>Objective: </strong>To examine the experiences of individuals with acquired brain injury and their partners regarding the effects of social cognition problems on their relationships.</p><p><strong>Design: </strong>Qualitative interview study.</p><p><strong>Setting: </strong>Interviews were conducted 1 to 5 years post-injury, either in the participants' home or at a care facility in the Netherlands.</p><p><strong>Participants: </strong>Nine couples consisting of an individual with acquired brain injury and a partner without acquired brain injury. Scores on neuropsychological tests indicated social cognition difficulties in individuals with acquired brain injury.</p><p><strong>Methods: </strong>Individual semi-structured interviews were conducted, audio recorded, and transcribed verbatim. Two independent analysts analyzed the data using thematic analysis aimed at finding common themes across the data set. Data analysis was carried out recursively and parallel to data collection to help determine when saturation was reached.</p><p><strong>Results: </strong>Six themes were generated from the interview data: (1) partners feeling disappointed, lonely, and despondent, (2) individuals with acquired brain injury feeling insecure and ashamed of falling short, (3) relationship roles changing, (4) the aggravating role of fatigue and sensory hypersensitivity, (5) the importance of professional help, and (6) silver linings: increased awareness creating closeness.</p><p><strong>Conclusion: </strong>Social cognition problems have the potential to strongly affect relationships between those with acquired brain injury and their partners in many ways. Addressing social cognition problems is recommended as it is greatly appreciated by individuals with acquired brain injury and their partners and holds promise for improving their relationship.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155241312134"},"PeriodicalIF":2.6,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142968832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}