Clinical Rehabilitation最新文献

{"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}

{"title":"Kinesophobia in patients with osteoporotic vertebral compression fractures: a latent profile analysis.","authors":"Rui Li, Meng-Yao Liang, Yue Wu, Hong Song, Hai-Tang Liu","doi":"10.1177/02692155241312139","DOIUrl":"https://doi.org/10.1177/02692155241312139","url":null,"abstract":"<p><strong>Objective: </strong>To explore the status of kinesophobia in patients with osteoporotic vertebral compression fractures and analyze the influencing factors of different kinesophobia profiles.</p><p><strong>Design: </strong>Cross-sectional survey study.</p><p><strong>Participants: </strong>A total of 245 patients with osteoporotic vertebral compression fractures who underwent surgical treatment at our Department of Orthopedics between January 2023 and March 2024 were selected.</p><p><strong>Main measure: </strong>A general data questionnaire and Tampa Scale for Kinesiophobia were used in the investigation. Latent profile analysis was conducted to categorise kinesophobia in patients with osteoporotic vertebral compression fractures, while univariate logistic regression was performed to identify the factors influencing the latent profiles of kinesophobia.</p><p><strong>Results: </strong>The average kinesophobia score of the patients with osteoporotic vertebral compression fractures was 45.38 ± 7.12 points. The patients were divided into three latent profile categories, namely high, medium, and low kinesophobia, with mean probabilities of 0.958, 0.966, and 0.970, respectively. Furthermore, age, gender, pain score, injury cause, and other injuries were significant influencing factors in the kinesophobia groups (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>Kinesophobia in patients with osteoporotic vertebral compression fractures is heterogeneous and affected by age, gender, pain score, injury cause, and other injuries. Clinical staff should recognise the characteristics of patients in different kinesophobia categories and actively adopt appropriate measures for those in the high kinesophobia group to enhance the alleviation of their fear status and mitigate the occurrence of fear-induced adverse outcomes, such as disability and weakness.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155241312139"},"PeriodicalIF":2.6,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945855","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 association between ambiguity tolerance and psychological well-being among physical therapists engaged in geriatric rehabilitation: A multicentre collaborative cross-sectional study.","authors":"Shotaro Tamura, Kenta Hiratsuka, Minato Oonuki, Masanobu Yokochi, Daiki Matsuzaka, Yuutarou Satou, Naoto Ishikawa, Masahiko Tai, Koki Kikuchi, Ryouichi Kuneta, Masanori Ooya, Kensuke Kakiuchi, Ryo Matsuda","doi":"10.1177/02692155241310324","DOIUrl":"https://doi.org/10.1177/02692155241310324","url":null,"abstract":"<p><strong>Objective: </strong>This study clarifies the association between ambiguity tolerance and psychological well-being in physical therapists engaged in geriatric rehabilitation.</p><p><strong>Design: </strong>Multicentre cross-sectional study.<b>Setting:</b> Five facilities in Japan.</p><p><strong>Methods and measures: </strong>A total of 143 physical therapists (response rate: 58.1%) participated in geriatric rehabilitation. The main outcome measures were the multidimensional attitude scale towards ambiguity, professional quality of life scale and quick inventory of depressive symptomatology.</p><p><strong>Results: </strong>Hierarchical regression analyses showed associations of need for complexity (β = 0.40) with compassion satisfaction, discomfort with ambiguity (β = 0.30) with compassion fatigue, need for complexity (β = -0.34) and discomfort with ambiguity (β = 0.33) with burnout and discomfort with ambiguity (β = 0.30) with quick inventory of depressive symptomatology (<i>p</i> < .05). Sub-group analyses revealed that in the group with less than five years' experience, need for complexity was not associated with burnout, and in men, there were no significant variables for compassion fatigue and quick inventory of depressive symptomatology.</p><p><strong>Conclusions: </strong>Among physical therapists in geriatric rehabilitation, discomfort with ambiguity was associated with compassion fatigue, burnout and depressive symptoms, whereas need for complexity was associated with compassion satisfaction. Management and education that reduces discomfort with ambiguity and increases need for complexity may improve physical therapists' psychological well-being.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155241310324"},"PeriodicalIF":2.6,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920970","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":"Cardiac Rehabilitation for Persons with Stroke: A Cost-Effectiveness Analysis.","authors":"Jessica Ruff, Belinda Udeh, Susan Linder","doi":"10.1177/02692155241302765","DOIUrl":"https://doi.org/10.1177/02692155241302765","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the cost-effectiveness of a cardiac rehabilitation program in individuals with stroke compared with customary care.</p><p><strong>Design: </strong>A Markov model was created using a 30-year time horizon, with cycle lengths of 1 year to determine the effectiveness and cost-effectiveness of a cardiac rehabilitation program in persons with stroke. Input parameters were based on recently published literature. Health states were defined as degree of disability evaluated by the modified Rankin scale score. Costs were based on recent cost-effectiveness analyses and inflated to 2024 US Dollars using the medical care component of the US Consumer Price Index.</p><p><strong>Setting: </strong>Outpatient ambulatory setting.</p><p><strong>Participants: </strong>Persons with mild disability after ischemic stroke.</p><p><strong>Intervention: </strong>A model comparing cardiac rehabilitation versus usual care was created.</p><p><strong>Main measures: </strong>Quality-adjusted life years (QALYs) were used to measure the effectiveness of cardiac rehabilitation versus usual care. The cost-effectiveness of cardiac rehabilitation versus usual care was compared with respect to incremental costs, incremental effectiveness, and incremental cost-effectiveness ratios (ICERs).</p><p><strong>Results: </strong>Cardiac rehabilitation was the superior strategy, resulting in higher incremental effectiveness of 3.28 QALY at an increased incremental cost of $5704. The ICER was $1740/QALY. A two-way sensitivity analysis of these variables had no change, with cardiac rehab remaining the optimal strategy.</p><p><strong>Conclusions: </strong>While numerous studies and systematic analyses have reported compelling evidence of the clinical benefits of cardiac rehabilitation for patients with stroke, the current study contributes to the existing body of literature, demonstrating that cardiac rehabilitation is also cost-effective in the stroke population.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155241302765"},"PeriodicalIF":2.6,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920969","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":"Letter to the Editor: \"Effect of a Transitional Tele-Rehabilitation Programme on Quality of Life of Adult Burn Survivors: A Randomised Controlled Trial\".","authors":"Jonathan Bayuo, Frances Kam Yuet Wong, Loretta Yuet Foon Chung","doi":"10.1177/02692155241309196","DOIUrl":"https://doi.org/10.1177/02692155241309196","url":null,"abstract":"","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155241309196"},"PeriodicalIF":2.6,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142892455","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":"Challenges for first contact physiotherapists' managing sickness absence: Consensus development using the nominal group technique.","authors":"Cameron Black, Sivaramkumar Shanmugam, Heather Gray","doi":"10.1177/02692155241300089","DOIUrl":"https://doi.org/10.1177/02692155241300089","url":null,"abstract":"<p><strong>Objective: </strong>To identify the challenges and key learning and development needs of First Contact Physiotherapists (FCPs) providing fitness for work and sickness absence certification from Occupational Health physiotherpists' viewpoints.</p><p><strong>Design: </strong>An online modified version of the Nominal Group Technique.</p><p><strong>Participants: </strong>A convenience sample of 21 expert occupational health physiotherapists as participants whose substantive job role was within a public or private UK based occupational health provider.</p><p><strong>Main measure: </strong>Consensus on each competency was defined a priori as an agreement of more than 60%.</p><p><strong>Results: </strong>Nine items ultimately reached the required 60% threshold consensus level from the Occupational Health expert group for Question 1 on the challenges involved in providing fitness for work and sickness absence certification. Of these items, five reached full consensus; two of which ('Time' and 'Lack of knowledge') were deemed the most important items. For Question 2 on the learning and development needs, six items reached full consensus from the group (100% of participants that ranked an item) and two of these items ('Work conversations' and 'Training in Occupational Health topics') both reached full consensus from the group and were deemed the most important items.</p><p><strong>Conclusion: </strong>Most employees in the UK do not have access to Occupational Health services. Fit Notes can be an important vehicle to provide work-related, fitness for work and sickness absence advice to help prevent long-term sickness absence. This study provides insights into some barriers and educational development needs of FCPs in primary care, as judged by an expert Occupational Health physiotherapy group.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155241300089"},"PeriodicalIF":2.6,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863571","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":"Does shockwave therapy lead to better pain and function than sham over 12 weeks in people with insertional Achilles tendinopathy? A randomised controlled trial.","authors":"Baraa Alsulaimani, Luke Perraton, Patrick Vallance, Tim Powers, Peter Malliaras","doi":"10.1177/02692155241295683","DOIUrl":"https://doi.org/10.1177/02692155241295683","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the efficacy of adding radial extracorporeal shockwave therapy or sham to exercise for people with insertional Achilles tendinopathy.</p><p><strong>Design: </strong>A two-armed, parallel-group, explanatory, single-centre, randomised controlled trial within a superiority framework.</p><p><strong>Setting: </strong>Private clinic.</p><p><strong>Participants: </strong>People diagnosed with insertional Achilles tendinopathy who were over 18 years old with a symptom duration of greater than 3 months.</p><p><strong>Intervention: </strong>A total of 76 people were randomly assigned (one-to-one ratio) to receive three sessions of radial extracorporeal shockwave therapy or sham to the affected side (or most affected side if bilateral). All participants received identical education and exercise.</p><p><strong>Outcome measures: </strong>The primary outcome was the Victorian Institute of Sports Assessment - Achilles questionnaire. Measures were recorded at baseline, 6 weeks and 12 weeks.</p><p><strong>Results: </strong>At 12 weeks, the questionnaire data were available for 37 people (96%) in the radial extracorporeal shockwave therapy group and 36 people (95%) in the sham group. For the primary outcome, we found no evidence for between-group differences at 6 (3, 95% confidence interval -4.6-10.5) or 12 weeks (4.6, 95% confidence interval -2.5-11.6). There was also no evidence for a between-group difference for any secondary outcome measures at either 6 or 12 weeks (<i>p</i> > .05). No serious adverse events were reported.</p><p><strong>Conclusion: </strong>The addition of radial extracorporeal shockwave therapy to exercise and education did not lead to improvements in pain, function or other outcomes compared to sham at 6 or 12 weeks among people with insertional Achilles tendinopathy.<b>ANZCTR Reg No:</b> ACTRN12620000035921.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155241295683"},"PeriodicalIF":2.6,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863572","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":"Effect of acetic acid shockwave phonophoresis on spur morphology, foot pain and function in patients with calcaneal spur: A randomised controlled trial.","authors":"Nabil Mahmoud Abdel-Aal, Fatma Seddek Amen, Ahmad Hamdi Azzam, Mostafa Ali Elwan","doi":"10.1177/02692155241306072","DOIUrl":"https://doi.org/10.1177/02692155241306072","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effect of acetic acid shockwave phonophoresis on spur morphology, foot pain, and function in patients with calcaneal spurs.</p><p><strong>Design: </strong>A double-blinded, randomised clinical trial.</p><p><strong>Setting: </strong>Outpatients physical therapy clinics.</p><p><strong>Participants: </strong>One hundred forty-seven patients with calcaneal spurs, 18-65 years old, were randomly allocated to three equal groups.</p><p><strong>Intervention: </strong>The study group (A) received acetic acid shockwave phonophoresis plus conventional physical therapy. The study group (B) received shockwave therapy plus conventional physical therapy. The control group received conventional physical therapy programme only. Interventions were applied twice a week for 3 weeks.</p><p><strong>Outcome measures: </strong>Calcaneal spur width, calcaneal spur length, pain intensity level, pain pressure threshold and foot and ankle ability measure activities of daily living subscale were measured at baseline, after 3 weeks of interventions and after 4 weeks of follow-up with no intervention.</p><p><strong>Results: </strong>Between-group differences were observed for calcaneal spur width and length, pain intensity, pain pressure threshold and function after 3 weeks favouring Group A (<i>p</i> < 0.001). Mean differences (95% CI) between study groups were -1.11 mm (-1.46, -0.77) for spur width; -1.34 mm (-1.67, -1.01) for spur length; -20.71 mm (-24.66, -16.77) for pain; 1.45 kg/cm² (1.05, 1.85) for pain pressure threshold; and 12.16 points (9.24, 15.09) for function after 3 weeks.</p><p><strong>Conclusions: </strong>Acetic acid shockwave phonophoresis combined with exercise clinically and statistically improves calcaneal spur width, length, pain intensity, pain pressure threshold and foot function more than shockwave therapy alone or conventional physical therapy. This method might be considered an effective, feasible, safe, non-invasive and locally applicable treatment for heel spurs.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155241306072"},"PeriodicalIF":2.6,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863573","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":"Reliability and Optimal Cut-Off Points of the Test for Upper Limb Apraxia (TULIA) for Spanish-Speaking Post-Stroke Patients.","authors":"Laura Sánchez-Bermejo, Pedro Jesús Milla-Ortega, José Manuel Pérez-Mármol","doi":"10.1177/02692155241305250","DOIUrl":"https://doi.org/10.1177/02692155241305250","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the reliability, identify the optimal cut-off points, and determine the diagnostic accuracy of the TULIA Apraxia test in a sample of Spanish-speaking post-stroke patients.</p><p><strong>Design: </strong>Cross-sectional.</p><p><strong>Setting: </strong>Public primary care.</p><p><strong>Participants: </strong>201 post-stroke patients.</p><p><strong>Main measures: </strong>Reliability was assessed using Cronbach's alpha. Cut-off points were identified for each TULIA Apraxia sub-test and stratified for age (≤65 years, > 65 years) using ROC curve analysis, area under the curve, and Youden index. Diagnostic accuracy was evaluated using sensitivity, specificity, and predictive values.</p><p><strong>Results: </strong>Cronbach's alpha of the sub-tests varied from 0.716 (95% CI 0.653-0.772) for pantomime intransitive to 0.824 (95% CI 0.784-0.858) for imitation non-symbolic. Cut-off points ranged from ≤25 to ≤35 points. For individuals aged ≤65 years, the cut-offs that best balanced sensitivity and specificity were ≤25 points for detecting alterations in imitation transitive and ≤33 points for pantomime non-symbolic. For individuals over 65 years, the imitation transitive cut-off (≤26 points) presented the most adjusted balance. The minimum positive predictive value was 0.667 (95% CI 0.542-0.777), indicating that the TULIA Apraxia tests correctly classified more than 67% of patients with apraxia. The minimum negative predictive value was 0.763 (95% CI 0.644-0.859), showing that the test accurately identified more than 76% of patients without apraxia.</p><p><strong>Conclusions: </strong>The TULIA Apraxia test is reliable in Spanish-speaking post-stroke patients. Optimal cut-off points, along with their respective sensitivity and specificity values, exhibit adequate test accuracy. Predictive values indicate that the test correctly identifies individuals with and without apraxia.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155241305250"},"PeriodicalIF":2.6,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853329","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":"Children's amputee mobility predictor-Assessing the functional capability of children with leg length discrepancy.","authors":"Sharon Eylon, Nurit Stern, Itai Schurr, Itzhak Siev-Ner, Patrice L Weiss, Anat Kristal","doi":"10.1177/02692155241295991","DOIUrl":"https://doi.org/10.1177/02692155241295991","url":null,"abstract":"<p><strong>Objective: </strong>The study purpose was twofold: (1) to develop the Children's Amputee Mobility Predictor and establish its content and social validity and (2) to determine its intra and inter-rater reliability.</p><p><strong>Design: </strong>A reliability and validity study.</p><p><strong>Setting: </strong>Pediatric rehabilitation hospital.</p><p><strong>Participants: </strong><i>Content validity study</i>: 10 clinical experts; <i>Social validity study</i>: 24 stakeholders (i.e., children's parents); <i>Reliability study</i>: 3 physical therapists.</p><p><strong>Intervention: </strong>Not applicable.</p><p><strong>Main measure: </strong>The functional capability of 30 children with leg length discrepancy was evaluated using the Children's Amputee Mobility Predictor. The Intraclass Correlation Coefficient, two-way mixed model, and absolute agreement for a single measure were used to establish intra and inter-rater reliability.</p><p><strong>Results: </strong>Experts reached a consensus on the relevancy and clarity of all 26 tasks included in the Children's Amputee Mobility Predictor. The intra- and inter-rater reliability were excellent, Intraclass Correlation Coefficient (ICC)_2,1= .95, with 95% CI ranging from 0.88-0.98; and ICC_3,1 = 0.96 with 95% CI ranging from 0.93-0.98, respectively. Parent feedback indicated the relevancy of tasks for children with leg length discrepancies.</p><p><strong>Conclusions: </strong>The Children's Amputee Mobility Predictor is a comprehensive outcome measure that requires minimal equipment or space. It appears stable over time when used by the same physical therapist and results suggest that it may be used by multiple physical therapists. The Children's Amputee Mobility Predictor appears to measure important and relevant aspects of functional capability and be a meaningful and relevant assessment tool, helping to guide the determination of medical necessity for specific prosthetic and physical therapy interventions.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155241295991"},"PeriodicalIF":2.6,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812329","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}