Guleser Guney Yilmaz, Barkın Köse, Süleyman Yıldızdal, Kübra Ersoy, Yusuf Irmak, Nur Dilay Yumuş, Serkan Pekçetin, Figen Özgür
{"title":"Understanding the activity and participation limitations in adolescents with cleft lip and palate: A mixed design study using the concept of International Classification of Functioning, Disability and Health Children and Youth Version.","authors":"Guleser Guney Yilmaz, Barkın Köse, Süleyman Yıldızdal, Kübra Ersoy, Yusuf Irmak, Nur Dilay Yumuş, Serkan Pekçetin, Figen Özgür","doi":"10.1177/02692155251327952","DOIUrl":"https://doi.org/10.1177/02692155251327952","url":null,"abstract":"<p><p>ObjectiveThe primary objective is to comprehensively examine the activity and participation limitations in adolescents with cleft lip and palate utilizing the ICF-CY (International Classification of Functioning, Disability and Health Children and Youth Version).DesignMixed designed study.</p><p><strong>Setting: </strong>Hacettepe University Plastic and Reconstructive Surgery Department.</p><p><strong>Participants: </strong>264 adolescents with cleft lip and palate and 300 healthy adolescents.</p><p><strong>Main measures: </strong>The Mann-Whitney <i>U</i> test was used to compare occupational balance levels, and qualitative content analysis was used for analyzing interviews. Data were then coded according to the categories of the ICF-CY.ResultsThere was a statistically significant difference between temporality (<i>P</i> = .001), rest and sleep (<i>P</i> = .004), occupational variations and adaptations(<i>P</i> = .001), occupational meaning and value (<i>P</i> = .0001), and A-OBS (Adolescent Occupational Balance Scale<b>)</b> total scores. Participants expressed that they especially had problems in carrying out daily life activities and ensuring social participation. They further stressed that their families tended to provide an overly protective environment. Additionally, adolescents reported improved communication within virtual environments. Adolescents emphasized the impact of the ongoing surgical history on personal development.ConclusionsICF-CY provides an important perspective in examining the activity and participation limitations of children with cleft lip and palate, providing an opportunity to understand the effects of impairments in body structure and function, environmental barriers, and social impacts.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251327952"},"PeriodicalIF":2.6,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662433","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}
Stacey Lalande, Maria Moffatt, Toby Smith, Chris Littlewood
{"title":"Exploring the experience of people with shoulder osteoarthritis and their perceptions of non-surgical management: A qualitative study.","authors":"Stacey Lalande, Maria Moffatt, Toby Smith, Chris Littlewood","doi":"10.1177/02692155251325613","DOIUrl":"https://doi.org/10.1177/02692155251325613","url":null,"abstract":"<p><p>ObjectiveTo investigate the experience of people with shoulder osteoarthritis and their perception of non-surgical management in the U.K. National Health Service (NHS).DesignQualitative design, using semi-structured telephone interviews. Two authors (SL and MM) performed coding and theme development following principles of reflexive thematic analysis.SettingPhysiotherapy services within three NHS trusts in England. Individual interviews were conducted with patients with a diagnosis of shoulder osteoarthritis.ParticipantsTen participants were recruited (age range 57-86 years; six females; five with bilateral shoulder osteoarthritis).ResultsParticipants reported significant pain, functional limitations, and emotional distress. Non-surgical management experiences varied, with some finding relief from steroid injections, analgesia, and physiotherapy, while others reported limited perceived effectiveness. All participants expressed a desire for more information and support. There were divergent views on the need for surgery.ConclusionThis is the first study to explore the experiences of people with symptomatic shoulder osteoarthritis who have received care within an NHS setting. It highlights the significant impact of shoulder osteoarthritis on daily life and the challenges faced in accessing appropriate care. Findings emphasise the need for patient-centred care, including education, support, information provision and consideration of psychosocial factors. Future research is required to develop an evidence-based guideline for non-surgical management of shoulder osteoarthritis.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251325613"},"PeriodicalIF":2.6,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656284","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}
Peter Malliaras, Luke Perraton, Patrick Vallance, Tim Powers, Baraa Alsulaimani
{"title":"Response letter: The only defendable scientific position: A strong case against radial extracorporeal shockwave therapy for insertional Achilles tendinopathy.","authors":"Peter Malliaras, Luke Perraton, Patrick Vallance, Tim Powers, Baraa Alsulaimani","doi":"10.1177/02692155251327664","DOIUrl":"https://doi.org/10.1177/02692155251327664","url":null,"abstract":"","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251327664"},"PeriodicalIF":2.6,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647581","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":"Group versus individual delivery of upper limb intervention for adults post-stroke: A systematic review and meta-analysis.","authors":"Siobhan T McNally, Corey Joseph, Sarah C Milne","doi":"10.1177/02692155251322999","DOIUrl":"https://doi.org/10.1177/02692155251322999","url":null,"abstract":"<p><p>ObjectiveTo systematically review the evidence and examine the effectiveness of group-based UL intervention versus individual therapy, in decreasing impairment and improving UL function post-stroke.Data SourcesA comprehensive search of four key databases (CINAHL, Embase, Emcare, and MEDLINE) identified relevant studies published from inception through to November 2024.Review methodsTwo reviewers independently performed screening for inclusion according to selection criteria. Eligible studies provided dose-matched group and individual UL rehabilitation programs. Outcomes that measured UL impairment (Fugl-Meyer Upper Extremity Test) or function (Action Research Arm Test) were extracted for meta-analysis. Methodological quality was assessed using the PEDro scale.ResultsOf 3291 publications, eight studies were included (<i>n</i> = 348) (seven randomised controlled trials and one controlled trial) of poor to good quality. A random effects meta-analysis model was conducted. Statistical significance was determined using analysis of covariance. No significant effects were shown in the meta-analyses on the effect of group versus individual therapy on UL impairment (mean difference 0.87, 95% CI: -0.87 to 2.62, <i>p</i> = .327) or function (mean difference 1.53, 95% CI: -0.23 to 3.29, <i>p</i> = .089). Results were limited by small sample sizes and substantial heterogeneity, with wide variation in intervention type, dosage and setting.ConclusionMeta-analyses suggest group-based UL intervention may be as effective as intervention delivered one-to-one, post-stroke. Additional studies of large sample size and rigorous methodology are necessary to substantiate these findings. Future research should investigate which types of UL intervention are most effective when provided in group-based settings across the different stages of stroke recovery.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251322999"},"PeriodicalIF":2.6,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647579","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":"Acupuncture combined with pelvic floor rehabilitation training for postpartum stress urinary incontinence: A systematic review and meta-analysis.","authors":"Wenming Chu, Xiaoman Deng, Ling Gao, Xiyan Gao","doi":"10.1177/02692155251324585","DOIUrl":"https://doi.org/10.1177/02692155251324585","url":null,"abstract":"<p><p>ObjectivePostpartum stress urinary incontinence is a common postpartum complication. Acupuncture combined with pelvic floor rehabilitation training has certain clinical effects. This systematic review and meta-analysis aims to investigate the efficacy of acupuncture combined with pelvic floor rehabilitation training in the treatment of postpartum stress urinary incontinence.Data sourcesWe searched randomized controlled trials in eight databases including PubMed, Web of Science, EMBASE, Cochrane Library, CNKI, Wanfang, VIP, and Sinomed, as well as the Chinese Clinical Trial Registry and ClinicalTrials.gov databases. The search was conducted on 6 February 2025.MethodsAfter the retrieved literature were screened and the relevant data were extracted, RevMan 5.4 software was used to conduct the statistical analysis. The risk of bias was assessed using the methods recommended in the <i>Cochrane Handbook.</i>ResultsTwenty-one studies with 1867 participants were included in the review. Compared with pelvic floor rehabilitation training alone, acupuncture combined with pelvic floor rehabilitation training improved the clinical efficacy rate (relative risk (RR) = 1.24, 95% CI = 1.19-1.29) and pelvic floor muscle potential (mean difference (MD) = 10.85, 95% CI = 9.28-12.43) and reduced the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form score (MD = -2.32, 95% CI = -3.06 to -1.58) and 1-hour pad test (MD = -1.80, 95% CI = -2.32 to -1.28) in patients with postpartum stress urinary incontinence.ConclusionCurrent literature reviewed here suggests that the combination of acupuncture and pelvic floor rehabilitation training may offer benefits in the management of stress urinary incontinence in postpartum women over pelvic floor rehabilitation training alone.Registration numberPROSPERO CRD42023455801.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251324585"},"PeriodicalIF":2.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604228","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":"Facilitators and barriers to physical activity in patients in an acute care hospital setting from an interprofessional perspective: A qualitative study.","authors":"Gesche Gertz, Gesche Ketels, Susanne Gr Klotz","doi":"10.1177/02692155251325614","DOIUrl":"https://doi.org/10.1177/02692155251325614","url":null,"abstract":"<p><p>ObjectivePhysical activity levels of patients in hospital are low. The aim of this study was to explore the perceptions of physiotherapists, nurses, and physicians about physical activity of hospitalized patients.DesignQualitative focus group study using phenomenology.SettingUniversity hospital.ParticipantsThirty healthcare professionals (physiotherapists, nurses, and physicians) participated in six focus groups.Main measuresSemi-structured focus groups following an interview guide were conducted. Besides identification of influencing factors and development of ideas for associated interventions, participants should reflect on the roles of different professions. Content analysis of the transcriptions was performed in iterative cycles involving three researchers using inductive coding and redefining based on the literature. Consensus was reached through discussions in the research team.ResultsThree themes of influencing factors on physical activity of patients in hospital with seven codes emerged. In the theme \"patient\" physical and psychosocial factors were mentioned. The theme \"organization\" pooled all factors regarding facilities and processes. The third theme \"health literacy\" has an impact on the two other themes. In this theme self-efficacy, handling of health literacy/knowledge, and communication and cooperation became apparent as codes.ConclusionsHealth literacy plays an important role in the physical activity of patients in hospital. The developed model of influencing factors on physical activity highlights the importance of health literacy for all stakeholders, including patients, staff, and the organization and illustrates the connections to other influencing factors. This model can be helpful in conceptualizing interventions to promote physical activity.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251325614"},"PeriodicalIF":2.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604230","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":"'It can be very complicated': A qualitative analysis of clinicians' practices and perspectives on treating adolescents with nonspecific persistent back pain.","authors":"Sara D Hauber, Katie Robinson, Kieran O'Sullivan","doi":"10.1177/02692155251324589","DOIUrl":"https://doi.org/10.1177/02692155251324589","url":null,"abstract":"<p><p>ObjectiveTo explore the practices, perspectives and beliefs of clinicians treating adolescents with nonspecific persistent back pain.DesignA qualitative descriptive study using individual, semi-structured interviews. Reflexive thematic analysis was used to code interview transcripts and generate relevant themes.SettingClinicians in any clinical setting where adolescents with nonspecific persistent back pain are treated.ParticipantsTen clinicians (eight chartered physiotherapists, one nurse and one psychologist) who currently treat or have treated adolescents with nonspecific persistent back pain.ResultsFive themes were identified which captured the practices, perspectives and beliefs of clinicians treating adolescents with nonspecific persistent back pain: (1) Multiple relationships, one priority, (2) Without buy-in, it won't work, (3) Managing pain, living life, (4) No one-size-fits-all treatment, and (5) Who you see is what you get.ConclusionsTreating an adolescent with nonspecific persistent back pain is not the same as treating an adult with the same condition. Specifically, clinicians must attend to the needs, concerns and beliefs of both adolescents and their parents, reflecting the diminished autonomy of adolescent patients. Clinicians tend to offer person-centred care to adolescents with nonspecific persistent back pain. However, they currently lack guidance on how to foster effective treatment relationships with parents and how to achieve buy-in to a modern conceptualisation of persistent back pain as a biopsychosocial phenomenon.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251324589"},"PeriodicalIF":2.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604179","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 influence of hearing loss and hearing aid use on experienced emotion in everyday listening situations.","authors":"Jack A Holman, Graham Naylor","doi":"10.1177/02692155251326830","DOIUrl":"https://doi.org/10.1177/02692155251326830","url":null,"abstract":"<p><p>ObjectiveTo address the extent to which the emotional experience of everyday listening situations is impacted by hearing loss and hearing aid use.DesignAn exploratory prospective study with an observation arm and an intervention arm utilising smartphone-based ecological momentary assessment over 10 days. A hearing loss group was asked to wear and not wear their hearing aids on alternate days. A normal hearing group completed the surveys without hearing aids.SettingRemote study gathering data during daily life.ParticipantsTwenty-six experienced hearing aid users with hearing loss and twenty participants with normal hearing thresholds.InterventionRotating hearing aid use on alternate days in the hearing loss group.Main measuresParticipants reported on experienced emotions (valence, arousal and discrete emotion) in listening activities at random points throughout the day, as well as at baseline for related socioemotional variables.ResultsParticipants with hearing loss reported similar valence and arousal to the normal hearing group when wearing their hearing aids, but significantly lower when not wearing hearing aids. Wearing (versus not wearing) hearing aids showed a significant beneficial effect on valence and arousal. Discrete emotions were more negative when not wearing hearing aids. End-of-day reports of valence were also more negative. There was no significant effect of listening situation type.ConclusionsUnaided hearing loss was associated with a negative impact on emotions in listening situations. Hearing aids can restore the emotions experienced in everyday listening situations. The results highlight the importance of socioemotional well-being as a factor and outcome in audiological rehabilitation.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251326830"},"PeriodicalIF":2.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604182","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}
Elizabeth Bell, Kathy Briffa, James McLoughlin, Robyn Fary
{"title":"Physiotherapy of the Trunk Related to Sitting Function After Stroke: A Delphi Study.","authors":"Elizabeth Bell, Kathy Briffa, James McLoughlin, Robyn Fary","doi":"10.1177/02692155251322263","DOIUrl":"https://doi.org/10.1177/02692155251322263","url":null,"abstract":"<p><strong>Objective: </strong>To develop consensus statements from a Delphi panel about physiotherapy of the trunk related to sitting function for people with subacute stroke, with the express aim of facilitating treatment choices by novice physiotherapists.</p><p><strong>Design: </strong>A four-round e-Delphi study using free-text responses and 5-point Likert scales for agreement.</p><p><strong>Participants: </strong>Twenty-six panel members with expertise in clinical and/or research in neurological rehabilitation.</p><p><strong>Main measures: </strong>Round 1 consisted of 5 free-text questions. Subsequent rounds ascertained agreement and consensus on statements formulated from Round 1 responses. Consensus was defined a priori as ≥70% agreement. Round 3 presented an additional two clinical observation queries related to the statements for comment.</p><p><strong>Results: </strong>Twenty participants completed all four rounds. Nineteen of 26 participants (73%) thought physiotherapy of the trunk was important through all stages of recovery after stroke. Different interpretations about what constitutes physiotherapy of the trunk following stroke were identified. Fourteen statements of agreement regarding physiotherapy of the trunk were formulated. The majority of statements involved different activities in sitting such as control of movement over the base of support and reaching with the unaffected arm. In addition to the statements of agreement clinical observations for implementation of the statements were developed.</p><p><strong>Conclusions: </strong>In the absence of detail in clinical guidelines and a wide range of interventions in systematic reviews, this study provides clear and specific options for novice physiotherapists of treatment of the trunk related to functional task practice in sitting and as preparation for sit to stand.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251322263"},"PeriodicalIF":2.6,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522767","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":"Patients' and staffs' experiences of clinical support after a lower limb reconstruction: An interview study.","authors":"Heather Leggett, Jennie Lister, Catherine Hewitt, Hemant Sharma, Catriona McDaid","doi":"10.1177/02692155251317500","DOIUrl":"https://doi.org/10.1177/02692155251317500","url":null,"abstract":"<p><p><b>Objective:</b> To explore patient and healthcare professional perspectives on post-lower limb reconstruction support. <b>Design:</b> A qualitative study<i>.</i> <b>Setting:</b> One-to-one semi-structured interviews undertaken via video conferencing software or over the telephone. <b>Participants:</b> Thirty-two patients (who had undergone reconstructive surgery due to trauma, malunion, non-union, infection or congenital issues treated by internal or external fixation) and 22 orthopaedic healthcare professionals (surgeons, nurses and physiotherapists) were interviewed between November 2020 and June 2021. <b>Results:</b> Thematic analysis was undertaken on data surrounding clinical support. Four themes were generated: being involved and feeling informed, physiotherapy as a motivator for recovery, the importance of timely access to physiotherapy, and mental health support. Patients valued being involved in decisions about their care and feeling informed. Supportive nurses played a key role, with patients appreciating clear communication and empathy. Trust in the clinical team eased anxiety, whilst a lack of information caused stress and dissatisfaction. Post-surgery, information on recovery, access to physiotherapy, and hospital contacts were crucial. Physiotherapy was vital for regaining mobility, providing motivation, and promoting confidence. Access to mental health support was limited, though patients appreciated emotional support from physiotherapists and hospital staff. <b>Conclusion:</b> By providing comprehensive support, healthcare professionals can optimise patient satisfaction with care, enhance psychological well-being, and facilitate the successful rehabilitation and reintegration of patients back into their daily lives.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251317500"},"PeriodicalIF":2.6,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522762","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}