Clinical Rehabilitation最新文献

{"title":"Development of Enhanced Reviews of Psychological Changes After Stroke (ENRICH): A complex Intervention to Monitor and Support Self-Management of Post-Stroke Psychological Changes Within a Matched Care Model.","authors":"Georgina Hobden, Nele Demeyere","doi":"10.1177/02692155261488767","DOIUrl":"https://doi.org/10.1177/02692155261488767","url":null,"abstract":"<p><p>ObjectiveTo report the design and development of a complex intervention to monitor and support self-management of post-stroke psychological changes.DesignThe Medical Research Council framework for complex intervention research guided development work, which included a literature review, semi-structured interviews with stroke survivors (<i>n</i> = 26) and family members (<i>n</i> = 11), a Delphi survey with healthcare professionals and researchers (<i>n</i> = 42), and workshops with stroke survivors (<i>n</i> = 4), family members (<i>n</i> = 3), and healthcare professionals (<i>n</i> = 5).SettingStroke community care.ParticipantsStroke survivors, family members, healthcare professionals and researchers.InterventionThe Enhanced Reviews of Psychological Changes after stroke (ENRICH) programme is a brief intervention deliverable within the UK matched care model of post-stroke psychological support. It supports stroke survivors with mild to moderate cognitive changes, low mood, anxiety and fatigue by monitoring symptoms, providing personalised psychoeducation, and supporting self-management through three brief reviews at 1, 3, and 6 months. Those with more severe or persistent psychological changes are referred through local care pathways for specialist psychological input.Main measuresThe intervention is reported using the TIDieR checklist.ResultsThe logic model and programme theory suggest benefits for psychological wellbeing and quality of life, with stakeholder input likely to enhance acceptability and feasibility.ConclusionsENRICH has the potential to address gaps in UK post-stroke care for those with mild to moderate changes affecting cognition, mood, anxiety and fatigue when delivered within the matched care model. Feasibility testing is underway with future clinical effectiveness testing is planned.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261488767"},"PeriodicalIF":2.9,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179832","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 qualitative exploration of the perceptions and experiences of UK nurses, occupational therapists, pharmacists and physiotherapists certifying 'fit notes'.","authors":"Diane Trusson, Katie Powers, Avril Drummond, Kate Radford, Stephen Timmons, Denise Kendrick, Jade Kettlewell","doi":"10.1177/02692155261498394","DOIUrl":"https://doi.org/10.1177/02692155261498394","url":null,"abstract":"<p><p>Objectives(1) To explore the knowledge, experiences and perspectives of UK nurses, occupational therapists, pharmacists and physiotherapists around certifying fit notes. (2) To identify barriers/facilitators that might affect fit note completion and identify training needs.DesignQualitative.SettingPrimary and secondary care and community settings in the United Kingdom.ParticipantsTotal (<i>n</i> = 25): occupational therapists (<i>n</i> = 12, 48%), physiotherapists (<i>n</i> = 9, 36%), nurses (<i>n</i> = 3, 12%) and pharmacists (<i>n</i> = 1, 4%). Participants were recruited through an associated survey and snowball sampling.InterventionSemi-structured interviews and focus groups were conducted online. Data were thematically analysed using framework analysis, informed by the Theoretical Domains Framework. Themes were agreed between research team members.Patient/public representatives were involved throughout the research.ResultsEighteen participants were interviewed individually; seven participated in a focus group. Two-thirds of participants (<i>n</i> = 17, 68%) were experienced in certifying fit notes. Participants with fit note experience were enthusiastic about the legislation change. They valued the opportunity to use their skills and knowledge to enable patients to return-to-work and enhance their professional role.Participants without fit note experience reported barriers including lack of policies/guidelines, poor communication about the legislation change and available training, concerns about legal implications and time pressures.Online training was considered adequate, but participants suggested improvements, for example, interactive training sessions.ConclusionsMany nurses, occupational therapists, pharmacists and physiotherapists potentially have the knowledge and skills to undertake fit note certification in their areas of expertise. Our findings suggest that consistent guidelines on fit note certification may help clinicians overcome organisational barriers.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261498394"},"PeriodicalIF":2.9,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179722","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":"How inpatients spend their day: A behavioural mapping study of physical, cognitive and social participation across acute and rehabilitation wards.","authors":"Stephen Barrett, Jacob Procter, Wonbin Sun, Ashley R Dunford, Prue McCrae, Carol Maher, Alison Mudge","doi":"10.1177/02692155261490491","DOIUrl":"https://doi.org/10.1177/02692155261490491","url":null,"abstract":"<p><p>ObjectiveTo describe and compare patterns of physical, cognitive and social activity across inpatient wards in a regional hospital.DesignProspective observational study using behavioural mapping.SettingFive inpatient wards (three acute, two rehabilitation) in a regional public hospital in Australia.ParticipantsA total of 151 inpatients were observed over five weekdays between March and April 2025.Main measuresBehavioural mapping was conducted from 08:00 to 16:00 using a standardised protocol. At each observation, four domains were recorded: location, body position, activity and social context (presence of others). Proportions within each category were summarised descriptively for each ward.ResultsAcross 6804 data points recorded, patients spent most of their observed time in their bedrooms (85-100% across wards). In acute wards, patients were predominantly on or in bed (65%-100%); rehabilitation wards demonstrated lower but still substantial time on or in bed (37%-45%). Walking or standing accounted for ≤13% of body-position observations, and structured exercise was infrequent (0%-14% of activity observations). Patients were alone for 50%-67% of observations. Differences between acute and rehabilitation wards were modest, with rehabilitation wards demonstrating greater sitting out of bed but similarly low upright mobility.ConclusionsAcross acute and rehabilitation settings, patients spent most of the daytime hours in bed and alone, with limited physical activity. The consistency of these behaviours across wards suggests inactivity and isolation reflect routine hospital environments rather than individual patient motivation. System-level strategies that reshape hospital routines and environments may be required to meaningfully increase participation during admission.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261490491"},"PeriodicalIF":2.9,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179891","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":"Inconsistent definitions and outcome measurement: A systematic review of impairments following transient ischaemic attack and minor stroke.","authors":"Birgitte H Ebessen, Jennifer Crow, Tenelle Hodson, Emma Finch, Boris Modrau, Gary Crowfoot, Eirini Kontou, Paul Mackie, Connie Krubbeltrang, Jade Kettlewell, Grace Turner","doi":"10.1177/02692155261490502","DOIUrl":"https://doi.org/10.1177/02692155261490502","url":null,"abstract":"<p><p>ObjectiveThis systematic review aimed to synthesise and characterise studies reporting cognitive, psychological and participation outcomes in transient ischaemic attack (TIA) and minor stroke, including how impairments are measured, definitions of TIA and minor stroke and study representativeness.MethodsSystematic searches of PubMed, Embase, CINAHL, PsycInfo and the Cochrane Library were conducted (from 2013 to 4 June 2026). Articles included participants with TIA/minor stroke and quantitative measures of fatigue, cognitive or communication impairments, depression, anxiety, quality of life, return to work/education or social participation.ResultsSearches identified 39,136 records, with 190 articles included (comprising 64,638 participants). Cognitive impairment was most frequently reported (<i>n</i> = 134), followed by depression (<i>n</i> = 71) and quality of life (<i>n</i> = 46). Less common were fatigue (<i>n</i> = 33), social participation (<i>n</i> = 16), return to work/education (<i>n</i> = 14) and communication impairment (<i>n</i> = 8). Only 41 studies (21.6%) examined these impairments as primary outcomes. There was heterogeneity in the definition of TIA/minor stroke, the outcome measures and cut-off scores, as well as under-representation from lower-middle and low-income countries and female participants. Ethnicity was rarely reported.DiscussionWe identified a large volume of literature that measured lasting impairment following TIA/minor stroke; however, these were seldom the primary outcome. Substantial heterogeneity in outcome measures, cut-off scores and TIA/minor stroke definitions limited comparability across studies.ConclusionThis review highlights the need for a core outcome set in TIA/minor stroke assessments. Clinicians should recognise that cognitive, psychological and participation difficulties may persist after TIA/minor stroke and ensure these outcomes are considered from initial to follow-up assessments.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261490502"},"PeriodicalIF":2.9,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179896","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 implementability of healthcare professional-led physical activity promotion interventions for people living with multiple sclerosis: A scoping review.","authors":"Katherine L Wilson, Yvonne C Learmonth, Cathy Bulley, Marietta L van der Linden","doi":"10.1177/02692155261491941","DOIUrl":"https://doi.org/10.1177/02692155261491941","url":null,"abstract":"<p><p>ObjectiveTo identify healthcare professional-led physical activity promotion interventions for multiple sclerosis care and evaluate their implementability.Data SourcesA systematic search was conducted across CINAHL, Scopus, MEDLINE, PEDro, SPORTDiscus, PsycINFO, CENTRAL, OpenGrey, Google Scholar.MethodsEligible studies included adults (≥18 years) with confirmed multiple sclerosis participating in healthcare professional-led physical activity promotion interventions measuring participation outcomes. Stage of intervention development was assessed using the National Institute of Health Stage Model, and implementability assessed using the Implementability Framework, evaluating acceptability, fidelity, and feasibility (recruitment, retention, adherence, compliance, and safety). Quantitative and qualitative data were synthesised using parallel-results convergent design.ResultsTwenty-eight interventions from ten countries were included. Across 11 randomised controlled trials, two pretest-posttest studies, and 12 mixed-methods studies, 1662 participants were enrolled. Participants were predominantly female, with relapsing-remitting multiple sclerosis, and mild impairment. Acceptability was favourable, with participants valuing professional expertise and support. Healthcare professionals recognised their role in promoting physical activity but identified implementation challenges at service levels. Recruitment (76%), retention (88%), and adherence (81%) were high, although reporting of fidelity (<i>n = </i>4 interventions), compliance (<i>n = </i>5), and safety (<i>n = </i>17) was inconsistent. No interventions met National Institute of Health Stage 4 or 5 criteria, indicating lack of real-world implementation and dissemination research.ConclusionsAvailable data suggest favourable feasibility and acceptability of healthcare professional-led physical activity promotion interventions for people with multiple sclerosis at the efficacy evaluation stage. However, absence of later-stage translational research means it remains unclear whether these interventions can be effectively implemented, sustained, and disseminated within routine clinical services.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261491941"},"PeriodicalIF":2.9,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147756","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":"Physiotherapists' perspectives on direct access in a referral-based system in Austria - A qualitative study.","authors":"Leon Ernhofer, Jean-Pascal Grenier","doi":"10.1177/02692155261493268","DOIUrl":"https://doi.org/10.1177/02692155261493268","url":null,"abstract":"<p><p>ObjectivesTo investigate physiotherapists' perceptions of direct access to physiotherapy in Tyrol, Austria, and identify profession-specific barriers and facilitators to its implementation.DesignQualitative exploratory study. Data were collected through semi-structured interviews and analysed using structured qualitative content analysis. Reporting adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines.SettingTyrol, Austria; physiotherapists working in outpatient practices.ParticipantsTen state-recognised physiotherapists (seven women, three men; mean age = 30.9 years, <i>SD</i> = 6.9) working in musculoskeletal care, recruited via purposive and snowball sampling. Professional experience ranged from 0.4 to 15 years across private practices, clinical and rehabilitation settings.Intervention(s) or exposure(s)Exposure to current physiotherapy models, including informal elements of direct access.Main outcome(s) and measure(s)Perceived readiness for direct access, including competencies, barriers, facilitators and training needs, derived from structured qualitative content analysis.ResultsFour main themes emerged: (1) Status quo - informal direct access already exists, with physiotherapists undertaking triage roles without a legal framework; (2) Professional competence - moderate-to-high confidence in differential diagnosis but lower confidence in red-flag screening; (3) Organisational barriers - legal uncertainty, liability concerns and hierarchical physician relationships; (4) Training needs - demand for structured education in red-flag screening, imaging interpretation and mentoring.Conclusions and relevanceParticipants reported perceived readiness for direct access but also identified gaps between theoretical knowledge and clinical confidence. The findings highlight targeted training, interprofessional collaboration and remuneration as important considerations for safe and equitable implementation.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261493268"},"PeriodicalIF":2.9,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165163","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 Behaviour Change Intervention Delivered Using Telehealth with a Physical Activity Monitor to Increase Physical Activity Post-Stroke: A Feasibility Randomised Controlled Trial.","authors":"Paula da Cruz Peniche, Jordana de Paula Magalhães, Olive Lennon, Jéssica Melo Dos Santos Ferreira, Janaine Cunha Polese, Christina Danielli Coelho de Morais Faria","doi":"10.1177/02692155261493887","DOIUrl":"https://doi.org/10.1177/02692155261493887","url":null,"abstract":"<p><p>Objective(1) To assess the feasibility of implementing a theoretically informed behaviour change intervention delivered via telehealth, with the additional use of a physical activity monitor, compared with the behaviour change intervention alone, to increase physical activity post-stroke; (2) To explore changes in physical activity levels in both study arms, focusing on effect sizes to inform a fully powered randomised controlled trial (RCT).DesignPhase 1 feasibility RCT, with concealed allocation and blinded assessments.SettingUniversity.ParticipantsAbout 24 individuals post-stroke (12 per group).InterventionBoth groups received the behaviour change intervention via telehealth. The experimental group used a physical activity monitor (Smartwatch Mi Band 7^®).Main measuresFeasibility indicators (e.g., recruitment, retention and cost) and clinical variables (e.g., physical activity level measured using the Adjusted Activity Score of the Human Activity Profile).ResultsTrial feasibility was supported regarding recruitment, intervention delivery and measurement. Challenges included participant attrition. Main costs were related to transportation for in-person assessments. Physical activity levels increased in both groups (experimental group: 12.08 ± 12.01; control group: 11.83 ± 15.51), with changes exceeding the minimal detectable change (6.8). A large within-group effect was observed in the experimental group (Cohen's d = 1.01), compared with a medium effect in the control group (Cohen's d = 0.76).ConclusionsBoth interventions were feasible and led to changes exceeding the minimal detectable change in physical activity levels post-stroke, with greater effects in the experimental group. These findings should inform a future, larger RCT addressing retention, follow-up and the added potential of the physical activity monitor.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261493887"},"PeriodicalIF":2.9,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149135284","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":"Engagement strategies to support sub-acute, post-stroke upper limb interventions: A co-design study.","authors":"Matthew Wingfield, Gavin Williams, Amy Brodtmann, Kevin English, Sarah P Newton, Ruth Barker, Kathyrn S Hayward, Natalie A Fini","doi":"10.1177/02692155261490507","DOIUrl":"https://doi.org/10.1177/02692155261490507","url":null,"abstract":"<p><p>ObjectiveTo co-design clinician-delivered strategies to support stroke survivor engagement during sub-acute, face-to-face upper limb rehabilitation sessions.DesignFour-stage integrated knowledge translation co-design study.ParticipantsThree groups of purposively selected knowledge-users (stroke survivor, clinician and science).SettingScience knowledge-user group included international authors and industry leaders with stroke recovery and/or engagement expertise. Other knowledge-users were Australian clinicians and stroke survivors recruited through research networks.Intervention/methodsNo intervention was delivered. Study scope was defined through team meetings (Stage 1); knowledge-user perspectives on engagement were collected through workshops and interviews (Stage 2); data were synthesised through descriptive content analysis (Stage 3); engagement strategies were refined through knowledge-user workshops and interviews (Stage 4).ResultsStudy scope was restricted to in-person rehabilitation sessions in the subacute recovery phase (Stage 1). Thirty knowledge-users participated (stroke survivor <i>n</i> = 9, clinician <i>n</i> = 11 and science <i>n</i> = 10) in workshops and interviews (Stage 2). Thirteen engagement themes were identified and synthesised into 10 engagement strategies (Stage 3). Eighteen knowledge-users (stroke survivor <i>n</i> = 5, clinician <i>n</i> = 8 and science <i>n</i> = 5) refined strategy wording, framing and confirmed personalisation as the governing principle across strategies that may be applied through two clinician-adjustable parameters: timing (proactive or reactive) and emphasis (subtle to explicit) (Stage 4).ConclusionUsing co-design, we produced a suite of clinician strategies that may support stroke survivor engagement during post-stroke upper limb rehabilitation sessions. Personalisation through timing and emphasis was positioned as the governing principle guiding each engagement strategy. Feasibility for use in clinical practice remains to be tested.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261490507"},"PeriodicalIF":2.9,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149135335","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":"Self-directed and caregiver-assisted technology-based interventions in inpatient stroke rehabilitation: A scoping review.","authors":"Dina Pogrebnoy, Jennifer Ra Jones, Shahad Alsawaf, Lourdes Joseph, Pak Yin Lau, Kelly J Bower","doi":"10.1177/02692155261428703","DOIUrl":"10.1177/02692155261428703","url":null,"abstract":"<p><p>ObjectiveTechnology-based interventions may enhance self-directed or caregiver-assisted activity during inpatient stroke rehabilitation, yet effective implementation strategies for technology-based tools remain unclear. This scoping review synthesises existing evidence on acceptability, feasibility and effectiveness of technology-based interventions in inpatient stroke rehabilitation, and maps barriers and enablers to implementation through the Capability, Opportunity, Motivation and Behaviour model.Data sourcesComprehensive searches of MEDLINE, Embase, CINAHL and Google Scholar were conducted through to December 2025.Review methodsStudies involving adult stroke survivors using self-directed technology-based interventions during inpatient rehabilitation were included. Arksey and O'Malley's scoping review framework guided data extraction. Analysis focused on acceptability, feasibility, effectiveness and behaviour change strategies.ResultsEighteen high-moderate quality studies (20 papers) from 13 countries, involving 1081 participants, were included (10 pilot randomised controlled trials, 6 feasibility studies, 1 non-randomised and 1 observational study). Interventions were upper limb exergaming or robotics devices (<i>n</i> = 4) and tablet/smartphone applications with exercise videos (<i>n</i> = 14). Acceptability, feasibility and effectiveness outcomes were reported in 12 studies (63%), with rates of recruitment, safety and retention being reported in eight (67%), eight (67%) and six (50%) studies, respectively. All studies reported on at least one construct relating to barriers or enablers. Key enablers were caregiver involvement and additional support for more impaired individuals. Common barriers were stroke-related impairments and reduced staffing.ConclusionThis review offers an integrated overview of the acceptability, feasibility and effectiveness of technology-based interventions in inpatient stroke rehabilitation, with identified strategies to support clinicians with implementation. Further research is needed on long-term outcomes.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1285-1314"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13620255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147364358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determining the reliability and validity of a new method for measuring upper extremity joint range of motion in patients with burn injury using a tracking system.","authors":"Seung Yeol Lee, Ya Xin Zheng, Cheong Hoon Seo, Yoon Soo Cho, Jisu Seo, Ye Dam Bae, Jisu Yoon, Kyungseok Byun, So Young Joo","doi":"10.1177/02692155261432011","DOIUrl":"10.1177/02692155261432011","url":null,"abstract":"<p><p>DesignA cross-sectional study.SettingPatients with burn injuries often present with joint contracture caused by hypertrophic scars. To assess the patient's degree of disability or outcome to rehabilitation treatment, various objective assessment tools are used, such as a standard goniometer, which is often used for measuring joint range of motion; however, measurements using a handheld goniometer may have a large margin of error depending on the therapist's experience. Herein, the reliability and validity of a novel marker-based system were investigated for evaluating joint range of motion in patients with burn injuries.ParticipantsIn total, 48 participants with joint contractures in the shoulder, elbow, and wrist owing to hypertrophic scars after thermal injury were enrolled.InterventionUpper extremity joint range of motion was measured using a goniometer and optical motion capture system (Session 1), followed by remeasurement 2 days later (Session 2).Main measuresTwenty-two reflective markers were attached to the upper limbs, and motion analysis was measured using eight infrared cameras.ResultsNo statistical differences were detected between the range of motion values measured using the two methods. The measurements based on the optical motion capture system showed excellent intra-rater reliability.ConclusionsThe findings of this study highlight the value of the motion capture system as a tool to objectively evaluate the joint range of motion in patients with contractures caused by burns.This study was registered at ClinicalTrials.gov (Identifier: NCT05881876).</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1366-1376"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728799","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}