Clinical Rehabilitation最新文献

Responsiveness of the Timed 'Up and Go' test in people with Parkinson's disease. 帕金森氏症患者的定时“上走”测试反应性

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-09-03 DOI: 10.1177/02692155261485360

John K Brincks, Jens Bansi, Martin Langeskov-Christensen, Ulrik Dalgas, Caroline S Nielsen, Line V Neergaard, Isa Slotboom, Franziska Riegel, Jacob Callesen

{"title":"Responsiveness of the Timed 'Up and Go' test in people with Parkinson's disease.","authors":"John K Brincks, Jens Bansi, Martin Langeskov-Christensen, Ulrik Dalgas, Caroline S Nielsen, Line V Neergaard, Isa Slotboom, Franziska Riegel, Jacob Callesen","doi":"10.1177/02692155261485360","DOIUrl":"https://doi.org/10.1177/02692155261485360","url":null,"abstract":"ObjectivesThis study evaluates the responsiveness of the Timed 'Up and Go' test in people with Parkinson's disease to determine its sensitivity in detecting changes in functional mobility.DesignRetrospective cohort study.SettingInpatient rehabilitation.ParticipantsOne hundred ninety-six people with Parkinson's disease.Main measuresData on the Timed 'Up and Go' test, the 10 m walk test, and the 6 min walk test, collected before and after an assigned multidisciplinary inpatient rehabilitation stay, were retrieved from an existing clinical database and analysed retrospectively, for the period from January 2020 to 2025.ResultsAfter a median (first quartile, third quartile) inpatient rehabilitation stay of 20 days (19, 27), significant (p < 0.001) median (first quartile; third quartile) changes and corresponding effect sizes were observed for the Timed 'Up and Go' test (-2 (-1; -4), effect size = -0.83), the 10 m walk test (-1 (0; -2), effect size = -0.61), and the 6 min walk test (44 (13; 86), effect size = 0.76). Analyses showed moderate correlations between changes in the Timed 'Up and Go' test and the 10 m walk test (Spearman's rank correlation coefficient = 0.35, p < 0.001) and between the Timed 'Up and Go' test and the 6 min walk test (Spearman's rank correlation coefficient = -0.32, p < 0.001).ConclusionThe Timed 'Up and Go' test demonstrated strong responsiveness to changes in functional mobility in people with Parkinson's disease. The consistent pattern of large effect sizes across all gait-related measures following multidisciplinary inpatient rehabilitation suggests that these assessments capture a shared underlying construct, gait performance, essential for maintaining independent community living.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261485360"},"PeriodicalIF":2.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886353","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}

引用次数: 0

Adapted cardiac rehabilitation for individuals after stroke and transient ischaemic attack: A scoping review. 中风和短暂性缺血性发作后个体适应性心脏康复：范围综述。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-09-03 DOI: 10.1177/02692155261479927

Peter Hartley, Katie Bond, Claire Brown, Faye Forsyth, Jennifer Harrison, Isla Kuhn, Gemma Smith, Lydia Wiffen, Joanne McPeake

{"title":"Adapted cardiac rehabilitation for individuals after stroke and transient ischaemic attack: A scoping review.","authors":"Peter Hartley, Katie Bond, Claire Brown, Faye Forsyth, Jennifer Harrison, Isla Kuhn, Gemma Smith, Lydia Wiffen, Joanne McPeake","doi":"10.1177/02692155261479927","DOIUrl":"https://doi.org/10.1177/02692155261479927","url":null,"abstract":"ObjectiveTo summarise evidence on the intervention design, safety, feasibility, acceptability, and effectiveness of a cardiac rehabilitation-based intervention for people who have had a stroke or transient ischaemic attack (TIA).Data sourcesMedline, PsycINFO, Embase, and CINAHL were searched between inception and 2026 for experimental or observational English-language studies that evaluated a cardiac rehabilitation-based intervention delivered to people with a history of stroke or TIA.Review methodsData were synthesised descriptively.ResultsNineteen studies were included (1951 participants), nine included people who had had a TIA, one exclusively. Most studies specified that participants had to have minimal or no stroke-associated disability. Reported time since stroke or TIA ranged from four weeks to more than one year. The interventions varied considerably in dose and components, though all included aerobic exercise training. Adverse event reporting was inconsistent; no study concluded that their interventions were unsafe, and one study stopped exercise testing. All 14 studies that measured feasibility reported that their study or intervention was feasible, though one concluded that it may not be feasible to enrol people with moderate stroke severity into existing cardiac rehabilitation programmes. Eight studies examined acceptability, all concluding that the interventions were acceptable and positively received. One powered randomised controlled trial found improvements were not sustained at 1-year follow-up.ConclusionsThe evidence suggests that cardiac rehabilitation after stroke and TIA is safe, feasible and acceptable. There are limited data relating to the inclusion of people with moderate or severe disability after stroke, or from trials regarding effectiveness.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261479927"},"PeriodicalIF":2.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886319","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}

引用次数: 0

A systematic review of physical activity guidelines for adults with cardio-respiratory diseases: Stepping towards evidence-based recommendations. 成人心肺疾病患者身体活动指南系统综述：迈向循证建议。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-09-01 Epub Date: 2026-04-24 DOI: 10.1177/02692155261441158

Eda Tonga, Thomas Yates, Hannah Worboys, Sally J Singh, Pip Divall, G Andre Ng, Rachael A Evans

{"title":"A systematic review of physical activity guidelines for adults with cardio-respiratory diseases: Stepping towards evidence-based recommendations.","authors":"Eda Tonga, Thomas Yates, Hannah Worboys, Sally J Singh, Pip Divall, G Andre Ng, Rachael A Evans","doi":"10.1177/02692155261441158","DOIUrl":"10.1177/02692155261441158","url":null,"abstract":"ObjectivesPhysical activity benefits for adults with cardio-respiratory diseases are well established, and evidence-based recommendations are essential for healthcare professionals. This study systematically reviewed existing recommendations on physical activity for adults with cardio-respiratory diseases, specifically chronic obstructive pulmonary disease, asthma, and heart failure, focusing on the frequency, intensity, time and type (FITT).Data SourcesWe searched OVID MEDLINE, EMBASE, CINAHL, and grey literature for guidelines and related documents. The comprehensive search was conducted in July 2025 and subsequently updated through March 2026. Two authors independently screened guidelines, extracted FITT components, and documented disease-specific precautions. Disagreements were resolved with a third author. The AGREE II instrument assessed methodological quality for identified CPGs. Recommendations were categorised based on the FITT framework.ResultsWe included 29 guidelines, of which 14 were classified as Clinical Practice Guideline and assessed with AGREE II. Among the 14 guidelines, 7 demonstrated high quality, 6 were moderate, and 1 was low quality. Most guidelines recommended at least 150 minutes of moderate aerobic activity per week. Adaptive recommendations primarily addressed exacerbations and symptom management.ConclusionWhile aerobic physical activity was consistently recommended, disease-specific guidance and adherence to FITT principles were limited. Significant gaps were noted in methodological quality, particularly in stakeholder involvement and applicability. To enhance usability, guidelines should standardise recommendations for type, duration, intensity, and frequency, incorporating evidence grading system.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1143-1159"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13525178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764509","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}

引用次数: 0

Factors influencing clinical decision-making in inpatient rehabilitation: A scoping review. 影响住院康复患者临床决策的因素：一项范围综述。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-09-01 Epub Date: 2026-03-26 DOI: 10.1177/02692155261435521

Caitlin G Dobson, Holly Carrington, Gloria M Hernandez, Hannah C Go, Sophia N Hameed, Alison M Cogan

{"title":"Factors influencing clinical decision-making in inpatient rehabilitation: A scoping review.","authors":"Caitlin G Dobson, Holly Carrington, Gloria M Hernandez, Hannah C Go, Sophia N Hameed, Alison M Cogan","doi":"10.1177/02692155261435521","DOIUrl":"10.1177/02692155261435521","url":null,"abstract":"ObjectiveTo synthesize research about clinical reasoning and decision-making among therapists in inpatient rehabilitation facilities about how they organize care and use their treatment time.Data sourcesPubMed, CINAHL, and PsycINFO were searched for relevant empirical studies published prior to January 13, 2026.Review methodsScoping review. The review process was organized using Covidence. Included studies featured descriptions of clinical decisions explained by occupational therapists, physical therapists, and speech therapists in inpatient rehabilitation facilities. Two reviewers coded the extracted themes through inductive analysis using Dedoose.ResultsOf 1239 articles identified through the search process, 51 met inclusion criteria. We identified six factors across studies that contributed to therapists' clinical decision-making including: (1) consideration of non-medical circumstances (with sub-themes of understanding the patient's perspective, presence of families and caregivers, and assessment of patient resources); (2) collaboration and roles within care teams; (3) within-session communication techniques; (4) knowledge-base and the influence of experience; (5) medical and safety considerations; and (6) balancing institutional priorities within treatment. We created a concept map showing connections across these six factors.ConclusionThe process of making decisions about therapy time and organization of care within inpatient rehabilitation settings is complex and requires integration of multiple factors. Therapists usually prefer familiar approaches to complex or time-intensive ones, and local culture shapes decision-making norms. Future research may examine how these factors relate to patient outcomes and implementation of practice changes such as introduction of new evidence-based treatments or assessment tools.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1268-1282"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13525182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147510007","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}

引用次数: 0

The road to a new normal - A qualitative study on relatives' needs and roles in amputation rehabilitation. 走向新常态之路——截肢康复中亲属需求与角色的定性研究。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-09-01 Epub Date: 2026-03-24 DOI: 10.1177/02692155261432020

Katrine R Støvring, Nina Rottmann, Annette Rasmussen, Ulla R Madsen

{"title":"The road to a new normal - A qualitative study on relatives' needs and roles in amputation rehabilitation.","authors":"Katrine R Støvring, Nina Rottmann, Annette Rasmussen, Ulla R Madsen","doi":"10.1177/02692155261432020","DOIUrl":"10.1177/02692155261432020","url":null,"abstract":"ObjectiveTo explore the roles, experiences and support needs of relatives of individuals who have undergone major lower extremity amputation during the early post-amputation period (0-2 years).DesignQualitative study using focus group interviews and a Research-Driven Photo Elicitation approach.SettingA 5-day psychosocial residential rehabilitation program for individuals with lower extremity amputation.ParticipantsThirty-three relatives of individuals with a major lower extremity amputation recruited through participating patients.InterventionParticipation in focus group interviews informed by photo elicitation to facilitate reflection and discussion of caregiving experiences.Main MeasuresData were analysed using Reflexive Thematic Analysis to identify patterns and themes related to relatives' roles and needs.ResultsOne overarching theme, The Road to a New Normal, described relatives' adaptive processes following amputation. Three subthemes were identified: (a) a gradual realisation of the long-term emotional and practical consequences of amputation; (b) challenges in supporting patients' emotional reactions, including grief and altered identity; and (c) shifting relationship dynamics, where relatives assumed caregiving roles while striving to maintain their original relational identity. Many relatives adopted a shared 'we-perspective', emphasising joint adaptation and coping.ConclusionsRelatives play a central role in post-amputation rehabilitation, and the findings highlight the complexity of relatives' adaptation following amputation. Their experiences highlight the importance of systematically involving relatives in rehabilitation through support for dyadic coping, emotional preparedness and shared goal setting to enhance outcomes for both patients and caregivers.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1254-1267"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147503002","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}

引用次数: 0

Emergent motion capture technology for upper extremity assessment in stroke: A systematic scoping review. 紧急运动捕捉技术在中风的上肢评估：一个系统的范围审查。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-09-01 Epub Date: 2026-02-25 DOI: 10.1177/02692155261420748

Jarrad Fisher, Kate Makroglou, Justine Tinker, Christine T Shiner, Alexandra Hurden, Jack Weston, Lorraine Li, Ceyaan Rauniyar, Natasha A Lannin, Craig S Anderson, Xiaoying Chen

{"title":"Emergent motion capture technology for upper extremity assessment in stroke: A systematic scoping review.","authors":"Jarrad Fisher, Kate Makroglou, Justine Tinker, Christine T Shiner, Alexandra Hurden, Jack Weston, Lorraine Li, Ceyaan Rauniyar, Natasha A Lannin, Craig S Anderson, Xiaoying Chen","doi":"10.1177/02692155261420748","DOIUrl":"10.1177/02692155261420748","url":null,"abstract":"ObjectiveTo systematically appraise motion capture technologies used for clinical assessment of upper limb function in adults post stroke, focusing on applicability, strengths, limitations, and research gaps.Data SourcesA systematic scoping review was conducted in accordance with PRISMA-ScR guidelines. PubMed, MEDLINE, CINAHL, CENTRAL, and IEEE Xplore were searched for studies published between January 2014 and December 2025.Review MethodsEligible studies quantitatively evaluated motion capture systems in adult stroke populations. Data extracted included technology type, technical specifications, outcomes, and reported strengths and limitations.ResultsFrom 3217 screened studies, 204 were included. Inertial measurement units were most common (71) followed by markerless optical motion capture (43), electromyography (39), marker-based optical motion capture (33), fusion systems (10), and smart devices (8). Marker-based systems provided high precision but were costly and complex. Markerless systems reduced setup requirements and supported clinical use but were prone to tracking errors. Inertial measurement units enabled portable monitoring, though accuracy decreased for slow or fine movements. Electromyography offered insights into neuromuscular activity but was expensive and sensitive to placement. Fusion systems allowed multidimensional assessment but were resource intensive. Smart devices provided accessible options but lacked precision. Most studies focused on chronic stroke, with limited evaluation in acute or home contexts. Reporting of stroke severity was inconsistent, and protocols were rarely standardised.ConclusionMotion capture technologies show promise for upper limb assessment after stroke but face challenges of cost, accessibility, and standardisation. Research in acute and home settings, along with predictive modelling, is needed to support clinical translation.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1195-1215"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147282600","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}

引用次数: 0

Optimizing exercise interventions for motor skills enhancement in attention deficit hyperactivity disorder: Evidence from meta-analysis. 优化运动干预对提高注意缺陷多动障碍患者运动技能的作用：来自荟萃分析的证据。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-09-01 Epub Date: 2026-03-05 DOI: 10.1177/02692155261428944

Yuxuan Zhang, Xiaoman Che, Zhenghao Dong, Jiaxing Shen, Ye Tao, Bo Cui, Feilong Zhu

{"title":"Optimizing exercise interventions for motor skills enhancement in attention deficit hyperactivity disorder: Evidence from meta-analysis.","authors":"Yuxuan Zhang, Xiaoman Che, Zhenghao Dong, Jiaxing Shen, Ye Tao, Bo Cui, Feilong Zhu","doi":"10.1177/02692155261428944","DOIUrl":"10.1177/02692155261428944","url":null,"abstract":"ObjectiveThis meta-analysis aimed to evaluate effects of physical exercises on gross and fine motor skills in children and adolescents with attention deficit hyperactivity disorder (ADHD), and to explore the influencing factors and dose-response relationships for optimizing exercise parameters.Data sourcesSix electronic databases were searched from inception to 20 June 2025, with an updated search performed on 27 January 2026.MethodsThe effect sizes were estimated using Hedge's g within three-level random-effects modeling frameworks. Subgroup analyses were performed to examine potential moderators, while restricted cubic splines were employed to characterize dose-response relationships.ResultsTwenty-one studies with 850 participants were included. Physical exercises showed moderate positive effects on both gross motor skills (Hedge's g = 0.62, 95% CI: 0.48-0.76) and fine motor skills (Hedge's g = 0.72, 95% CI: 0.54-0.90). Significant improvements were observed in subcomponents of gross motor skills (locomotion, object control, body coordination, and strength) and fine motor skills (manual dexterity, hand-eye coordination, and handwriting). Moderator analyses indicated that longer session durations (>45 min) and higher frequencies (≥3 sessions/week) were associated with greater benefits. Fine motor skills (∼1350 min) appeared to require greater cumulative exercise exposure than gross motor skills (∼810 min) to achieve substantial gains.ConclusionPhysical exercise is an effective intervention for improving motor skills in children and adolescents with ADHD. However, the effectiveness of interventions appears to be moderated by motor subcomponents and dose parameters. Tailored programs, specific motor skill targets and dose parameters, should be integrated into clinical and educational practices to maximize outcomes.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1177-1194"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147364334","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}

引用次数: 0

Rehabilitation interventions for the management of treatment-induced trismus in people with head and neck cancer: A scoping review. 康复干预对头颈癌患者治疗性牙关的管理：范围综述。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-09-01 Epub Date: 2026-02-26 DOI: 10.1177/02692155261426637

Ernesto Anarte-Lazo, Ana Bravo-Vazquez, Carlos Bernal-Utrera, Daniel Torres-Lagares, Cleofas Rodriguez-Blanco, Deborah Falla

{"title":"Rehabilitation interventions for the management of treatment-induced trismus in people with head and neck cancer: A scoping review.","authors":"Ernesto Anarte-Lazo, Ana Bravo-Vazquez, Carlos Bernal-Utrera, Daniel Torres-Lagares, Cleofas Rodriguez-Blanco, Deborah Falla","doi":"10.1177/02692155261426637","DOIUrl":"10.1177/02692155261426637","url":null,"abstract":"ObjectiveTrismus is a common and debilitating complication following head and neck cancer treatment, with significant consequences for quality of life, nutrition and oral function. Although several rehabilitation strategies have been proposed, their design and effectiveness remain poorly systematized. This review aimed to summarize evidence from randomized controlled trials on rehabilitation interventions for treatment-induced trismus in HNC.Data sourcesA scoping review was performed using PubMed, PEDro, Web of Science, Scopus and EMBASE, covering publications up to May 2025.Review methodsWe included randomized controlled trials in English or Spanish evaluating any rehabilitation intervention in adults with trismus following HNC treatment. One author conducted the search, and two authors independently screened articles for inclusion.ResultsFrom 2215 records identified, 25 randomized controlled trials met the inclusion criteria. Twelve investigated preventions during or shortly after cancer treatment, while 13 addressed established trismus. Most interventions were based on exercise therapy, delivered in hospitals, private clinics or at home. Only a minority incorporated manual therapy or physical agents. Devices such as TheraBite or JawTrainer were evaluated in several studies. While most trials reported improvements in maximal mouth opening, few assessed condition-specific patient-reported outcomes. Rehabilitation interventions were predominantly implemented by physiotherapists.ConclusionExercise therapy, often combined with devices, is the most frequently studied approach for treatment-induced trismus. Evidence for manual therapy and physical modalities remains limited. Considerable heterogeneity across studies hinders comparison and replication, underlining the need for standardized protocols and outcomes in future trials.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1160-1176"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147289249","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}

引用次数: 0

Post-stroke cognitive impairment is associated with poorer return-to-work outcomes in working-aged stroke survivors: A systematic review. 中风后认知障碍与工作年龄中风幸存者较差的重返工作结果相关：一项系统综述

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-09-01 Epub Date: 2026-02-10 DOI: 10.1177/02692155261420770

Libby J Cunningham, Tadhg Stapleton, Killian Walsh, Frances Horgan

{"title":"Post-stroke cognitive impairment is associated with poorer return-to-work outcomes in working-aged stroke survivors: A systematic review.","authors":"Libby J Cunningham, Tadhg Stapleton, Killian Walsh, Frances Horgan","doi":"10.1177/02692155261420770","DOIUrl":"10.1177/02692155261420770","url":null,"abstract":"ObjectivesTo examine the relationship between post-stroke cognitive impairment and return-to-work outcomes in working-aged stroke survivors and evaluate cognitive assessment methods used in included studies.Data sourcesMEDLINE, EMBASE, CINAHL, and APA PsycINFO databases were searched from 2003 to October 2025 according to PRISMA guidelines.Review methodsTwo reviewers independently screened titles and abstracts for inclusion. Data extraction and quality appraisal was completed by two reviewers. Narrative synthesis was completed due to substantial heterogeneity across studies.ResultsThirty-nine studies met inclusion criteria (observational studies (n = 33), qualitative (n = 5) and randomised control trial (n = 1)). Stroke severity was predominantly mild. Post-stroke cognitive impairment prevalence across study cohorts ranged from 17.5% at 28 days to 89% at 7 years with considerable variance in assessments and timing (range 2 days to 7 years). Concentration, memory and processing speed impairments were most frequently reported. Return-to-work rates ranged from 7.5% to 100%, with no clear trends for time post-stroke or stroke sub-type. Cognition was the most commonly associated variable influencing return-to-work outcomes followed by stroke severity, mood and functional status. The invisible nature of post-stroke cognitive impairment and limited awareness among employers and clinicians was highlighted.ConclusionPost-stroke cognitive impairment is commonly associated with poorer return-to-work outcomes even following milder stroke. Despite high detection, post-stroke cognitive impairment often remains hidden. This review highlights the substantial variation in post-stroke cognitive assessment practices and lack of intervention studies. Findings emphasise the need for consistent assessment and management of post-stroke cognitive impairment and increased awareness of its considerable negative impact on employment outcomes.PROSPERO: CRD42023462322.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1216-1253"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146156340","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}

引用次数: 0

Effects of short-term compression in people with knee osteoarthritis: A sham-controlled randomised trial. 短期压迫对膝骨关节炎患者的影响：一项假对照随机试验。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-08-27 DOI: 10.1177/02692155261479928

Angelica Viana Ferrari, Hugo Jario Almeida Silva, Glauko A F Dantas, Julya P M Perea, Gabriel M Ferretti, Tarcísio F De Campos, Francisco Alburquerque-Sendín, Tania F Salvini

{"title":"Effects of short-term compression in people with knee osteoarthritis: A sham-controlled randomised trial.","authors":"Angelica Viana Ferrari, Hugo Jario Almeida Silva, Glauko A F Dantas, Julya P M Perea, Gabriel M Ferretti, Tarcísio F De Campos, Francisco Alburquerque-Sendín, Tania F Salvini","doi":"10.1177/02692155261479928","DOIUrl":"https://doi.org/10.1177/02692155261479928","url":null,"abstract":"ObjectiveTo evaluate the effects of knee compression using elastic bandages on pain intensity and physical function in individuals with knee osteoarthritis in the short term.DesignThree-arm, randomised controlled trial.SettingIndividuals with knee osteoarthritis received compression, sham compression, or no bandaging.Main measuresNinety participants were assessed at baseline (Day 1), Day 6 after intervention, and 12 and 24 weeks post-intervention. The primary outcomes were pain intensity assessed using the Visual Analogue Scale and the pain subscale of the Western Ontario and McMaster Universities Osteoarthritis Index. Secondary outcomes included the Western Ontario and McMaster Universities Osteoarthritis Index, physical function tests, and global rating of change.InterventionsThe experimental group received knee compression with elastic bandages for 20 min per day over four consecutive days; sham group used elastic bandages without compression; and the control group received no bandaging.ResultsNo between-group differences reached the minimal clinically important difference for pain measured by the Visual Analogue Scale or Western Ontario and McMaster Universities Osteoarthritis Index pain subscale at any follow-up. Likewise, not clinically important between-group differences were found for Western Ontario and McMaster Universities Osteoarthritis Index or physical function tests. On Day 6, global rating of change favored the experimental versus sham group (-1.5; 95% confidence interval -2.6 to -0.3) and the sham versus control group (-1.4; 95% confidence interval -2.5 to -0.3).ConclusionKnee compression using elastic bandages was not superior to sham or control conditions in reducing pain or improving physical function in individuals with knee osteoarthritis.Level of evidence1b.Trial registration: NCT04724902.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261479928"},"PeriodicalIF":2.9,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839364","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}

引用次数: 0