Clinical Rehabilitation最新文献

{"title":"Evaluation of usability, adherence, and clinical efficacy of therapeutic footwear in persons with diabetes at moderate to high risk of diabetic foot ulcers: A multicenter prospective study.","authors":"Mateo López-Moral, Raúl J Molines-Barroso, Borja J Altonaga-Calvo, Elena Carrascosa-Romero, Almudena Cecilia-Matilla, Montserrat Dòria-Cervós, María T García-Martínez, Adrian Ortiz-Nistal, Anabel Palma-Bravo, Navor Pereira-Losada, Gabriel Rivera-San Martin, Jordi Samaniego-Muñoz, Marcos Villares-Tobajas, José Luis Lázaro-Martínez","doi":"10.1177/02692155231225743","DOIUrl":"10.1177/02692155231225743","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate therapeutic footwear expectations and usability of individuals with diabetes and foot complications.</p><p><strong>Design: </strong>A prospective multicenter study was conducted on participants with a high risk of developing a diabetic foot ulcer.</p><p><strong>Setting: </strong>Participants were enrolled in 11 different specialized diabetic foot units in Spain between March 2022 and June 2023.</p><p><strong>Subjects: </strong>Patients with diabetes at moderate to high risk of foot ulceration receiving first therapeutic footwear prescription.</p><p><strong>Interventions: </strong>All the patients included in the research were prescribed with their first pair of therapeutic footwear.</p><p><strong>Main measures: </strong>Primary outcome measures were MOS-pre and MOS-post questionnaires evaluating use and usability of prescribed therapeutic footwear. Secondary outcome measures aimed to evaluate footwear clinical efficacy as ulceration rate and self-reported perceived walking distance per day.</p><p><strong>Results: </strong>The use of therapeutic footwear exceeded the patient's pre-provision prediction of their anticipated use in 94% of people (<i>n</i> = 126). Based on the visual analogic satisfaction scale, the median satisfaction of daily wearing their therapeutic footwear was 7 points, Interquartile Range (IQR) [5-8.25]. During the follow-up period, 39 participants (29.1%) experienced diabetic foot ulcer. Perceived walking distance participants reported an improvement in their perceived walking ability during various daily life activities.</p><p><strong>Conclusions: </strong>Diabetes patients at moderate to high risk of diabetic foot ulcer improved their perception of walking ability after therapeutic footwear prescription. Adherence to the therapeutic footwear prescription resulted in less ulcerations.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"612-622"},"PeriodicalIF":3.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139402155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects on temporomandibular disorder in the treatment of tension-type headache with acupuncture and therapeutic exercises. A secondary analysis from a randomized controlled trial.","authors":"Joerg Schiller, Alina Büttner, Daniel Niederer, Andrea Bökel, Christoph Korallus, Christian Sturm, Lutz Vogt, Christoph Gutenbrunner, Matthias Karst, Matthias Fink, Christoph Egen","doi":"10.1177/02692155241229282","DOIUrl":"10.1177/02692155241229282","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the effects of acupuncture and therapeutic exercise alone and in combination on temporomandibular joint symptoms in tension-type headache and to evaluate the potential interaction of existing temporomandibular dysfunction on the success of headache treatment.</p><p><strong>Design: </strong>Pre-planned secondary analysis of a randomized controlled, non-blinded trial.</p><p><strong>Setting: </strong>Outpatient clinic of a German university hospital.</p><p><strong>Subjects: </strong>Ninety-six Participants with frequent episodic or chronic tension-type headache were randomized to one of four treatment groups.</p><p><strong>Interventions: </strong>Six weeks of acupuncture or therapeutic exercise either as monotherapies or in combination, or usual care. Follow-up at 3 and 6 months.</p><p><strong>Main measures: </strong>Subjective temporomandibular dysfunction symptoms were measured using the Functional Questionnaire Masticatory Organ, and the influence of this sum score and objective initial dental examination on the efficacy of headache treatment interventions was analyzed.</p><p><strong>Results: </strong>Temporomandibular dysfunction score improved in all intervention groups at 3-month follow-up (usual care: 0.05 [SD 1.435]; acupuncture: -5 [SD 1.436]; therapeutic exercise: -4 [SD 1.798]; combination: -3 [SD 1.504]; <i>P</i> = 0.03). After 6 months, only acupuncture (-6 [SD 1.736]) showed a significant improvement compared to the usual care group (<i>P</i> < 0.01). Subjective temporomandibular dysfunction symptoms had no overall influence on headache treatment.</p><p><strong>Conclusions: </strong>Only acupuncture had long-lasting positive effects on the symptoms of temporomandibular dysfunction. Significant dental findings seem to inhibit the efficacy of acupuncture for tension-type headache.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"623-635"},"PeriodicalIF":3.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11005303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139671432","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":"Percutaneous tendon dry needling and thrust manipulation as an adjunct to multimodal physical therapy in patients with lateral elbow tendinopathy: A multicenter randomized clinical trial","authors":"James Dunning, Firas Mourad, Paul Bliton, Casey Charlebois, Patrick Gorby, Noah Zacharko, Brus Layson, Filippo Maselli, Ian Young, César Fernández-de-las-Peñas","doi":"10.1177/02692155241249968","DOIUrl":"https://doi.org/10.1177/02692155241249968","url":null,"abstract":"ObjectiveThe purpose of this study was to assess the effects of adding electrical dry needling and thrust manipulation into a multimodal program of exercise, mobilization, and ultrasound in patients with lateral elbow tendinopathy.DesignRandomized, single-blinded, multicenter, parallel-group trial.SettingThirteen outpatient physical therapy clinics in nine different US states.ParticipantsOne hundred and forty-three participants (n = 143) with lateral elbow tendinopathy were randomized.InterventionCervical spine manipulation, extremity manipulation, and percutaneous tendon electrical dry needling plus multimodal physical therapy (n = 73) or multimodal physical therapy (n = 70) alone.Main measuresThe primary outcome was elbow pain intensity and disability as measured by the Patient-Rated Tennis Elbow Evaluation at baseline, 1 week, 4 weeks, and 3 months. Secondary outcomes included the Numeric Pain Rating Scale, Tennis Elbow Functional Scale, Global Rating of Change, and medication intake.ResultsThe 2 × 4 analysis of covariance demonstrated that individuals with lateral elbow tendinopathy receiving electrical dry needling and thrust manipulation plus multimodal physical therapy experienced significantly greater improvements in disability (Patient-Rated Tennis Elbow Evaluation: F = 19.675; P &lt; 0.001), elbow pain intensity (Numeric Pain Rating Scale: F = 22.769; P &lt; 0.001), and function (Tennis Elbow Function Scale: F = 13.269; P &lt; 0.001) than those receiving multimodal physical therapy alone at 3 months. The between-group effect size was large for pain and disability (Patient-Rated Tennis Elbow Evaluation: standardized mean difference = 1.13; 95% confidence interval: 0.78, 1.48) in favor of the electrical dry needling and thrust manipulation group.ConclusionsThe inclusion of percutaneous tendon electrical dry needling and thrust manipulation into a multimodal program of exercise, mobilization and ultrasound was more effective than multimodal physical therapy alone in individuals with lateral elbow tendinopathy. Trial Registration: www.clinicaltrials.gov NCT03167710 May 30, 2017.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":"72 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140808736","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":"Effectiveness of Rehabilitation Interventions in Individuals With Emerging Virtual Respiratory Tract Infectious Disease: A Systematic Review and Meta-Analysis","authors":"Jinming Huang, Xu Qiao, Kangping Song, Rong Liu, Shuangshuang Huang, Jing He, Siyi Zhu, Jan D. Reinhardt, Chengqi He","doi":"10.1177/02692155241239881","DOIUrl":"https://doi.org/10.1177/02692155241239881","url":null,"abstract":"ObjectiveAssessing rehabilitation effectiveness for persistent symptoms post-infection with emerging viral respiratory diseases.Data sourcesSystematic review of seven databases (MEDLINE, EMBASE, Cochrane Library, PEDro, MedRxiv, CNKI, Wanfang) until 30 December 2023.Review methodsEvaluated 101 studies (9593 participants) on respiratory function, exercise capacity, and quality of life. Methodological quality was assessed using the Cochrane Collaboration's Risk of Bias tool for randomized controlled trials (RCTs), the Newcastle-Ottawa Scale (NOS) for observational studies and non-RCTs, and the NIH Quality Assessment Tools for before-after studies.ResultsThe most common rehabilitation program combined breathing exercises with aerobic exercise or strength training. Rehabilitation interventions significantly enhanced respiratory function, as evidenced by improvements on the Borg Scale (MD, −1.85; 95% CI, −3.00 to −0.70, low certainty), the mMRC Dyspnea Scale (MD, −0.45; 95% CI, −0.72 to −0.18, low certainty), and the Multidimensional Dyspnoea-12 Scale (MD, −4.64; 95% CI, −6.54 to −2.74, moderate certainty). Exercise capacity also improved, demonstrated by results from the Six-Minute Walk Test (MD, 38.18; 95% CI, 25.33–51.03, moderate certainty) and the Sit-to-Stand Test (MD, 3.04; 95% CI, 1.07–5.01, low certainty).ConclusionRehabilitation interventions are promising for survivors of viral respiratory diseases, yet gaps in research remain. Future investigations should focus on personalizing rehabilitation efforts, utilizing remote technology-assisted programs, improving research quality, and identifying specific subgroups for customized rehabilitation strategies to achieve the best outcomes for survivors.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":"301 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140609654","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":"Clinical effectiveness of cardiac rehabilitation and barriers to completion in patients of low socioeconomic status in rural areas: A mixed-methods study","authors":"Alline Beleigoli, Hila Ariela Dafny, Maria Alejandra Pinero de Plaza, Claire Hutchinson, Tania Marin, Joyce S. Ramos, Orathai Suebkinorn, Lemlem G. Gebremichael, Norma B. Bulamu, Wendy Keech, Marie Ludlow, Jeroen Hendriks, Vincent Versace, Robyn A. Clark","doi":"10.1177/02692155241236998","DOIUrl":"https://doi.org/10.1177/02692155241236998","url":null,"abstract":"ObjectiveTo investigate cardiac rehabilitation utilisation and effectiveness, factors, needs and barriers associated with non-completion.DesignWe used the mixed-methods design with concurrent triangulation of a retrospective cohort and a qualitative study.SettingEconomically disadvantaged areas in rural Australia.ParticipantsPatients (≥18 years) referred to cardiac rehabilitation through a central referral system and living in rural areas of low socioeconomic status.Main measuresA Cox survival model balanced by inverse probability weighting was used to assess the association between cardiac rehabilitation utilization and 12-month mortality/cardiovascular readmissions. Associations with non-completion were tested by logistic regression. Barriers and needs to cardiac rehabilitation completion were investigated through a thematic analysis of semi-structured interviews and focus groups (n = 28).ResultsAmong 16,159 eligible separations, 44.3% were referred, and 11.2% completed cardiac rehabilitation. Completing programme (HR 0.65; 95%CI 0.57–0.74; p &lt; 0.001) led to a lower risk of cardiovascular readmission/death. Living alone (OR 1.38; 95%CI 1.00–1.89; p = 0.048), having diabetes (OR 1.48; 95%CI 1.02–2.13; p = 0.037), or having depression (OR 1.54; 95%CI 1.14–2.08; p = 0.005), were associated with a higher risk of non-completion whereas enrolment in a telehealth programme was associated with a lower risk of non-completion (OR 0.26; 95%CI 0.18–0.38; p &lt; 0.001). Themes related to logistic issues, social support, transition of care challenges, lack of care integration, and of person-centeredness emerged as barriers to completion.ConclusionsCardiac rehabilitation completion was low but effective in reducing mortality/cardiovascular readmissions. Understanding and addressing barriers and needs through mixed methods can help tailor cardiac rehabilitation programmes to vulnerable populations and improve completion and outcomes.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":"18 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140609661","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":"Optokinetic stimulation in the rehabilitation of visually induced dizziness in people with vestibular disorders: A systematic review","authors":"Jessica HJ Law, Hui Ying Koh, Agnes Kua","doi":"10.1177/02692155241244932","DOIUrl":"https://doi.org/10.1177/02692155241244932","url":null,"abstract":"ObjectiveThis systematic review and meta-analysis investigates the effects optokinetic stimulation in people with vestibular disorders, with a specific focus on people with visually induced dizziness.Data sourcesA systematic review was conducted using three electronic databases, CINAHL, PubMed and Physiotherapy Evidence Database (PEDro), from 2000 up to February 2024.Review methodsRandomised controlled trials were included, which compared: (a) adults above 18 years old with vestibular disorders, (b) the study evaluated interventions using optokinetic stimulation, (c) the intervention was compared with usual care; placebo or to no intervention, (d) the study included at least one outcome measure evaluating vestibular symptoms and (e) published in English. The methodological quality of the included studies was assessed using the PEDro scale and PROSPERO's registration number ID: CRD42021273382).ResultsEleven randomised control trials, reported in 12 records, fulfilled the inclusion criteria. All of the studies were considered to have ‘good’ methodological quality according to the PEDro scale. All studies showed significant improvement in vestibular symptoms in both the intervention and control groups. A meta-analysis performed on six of the records found a preference towards the addition of OKS to conventional vestibular rehabilitation helped to further reduce dizziness symptoms for patients, but the results were not statistically significant.ConclusionNo optimal duration or frequency for OKS has been determined. The addition of OKS to conventional vestibular rehabilitation may be beneficial in further improving vestibular symptoms in patients with dizziness. OKS could help to improve enjoyment and adherence to vestibular rehabilitation.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":"244 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140599322","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 general theory of rehabilitation: Rehabilitation catalyses and assists adaptation to illness.","authors":"Derick T Wade","doi":"10.1177/02692155231210151","DOIUrl":"10.1177/02692155231210151","url":null,"abstract":"<p><strong>Background: </strong>There is no general theory of rehabilitation, only definitions and descriptions, with the biopsychosocial model of illness as a structure.</p><p><strong>Objective: </strong>To develop a general theory of rehabilitation that explains how healthcare rehabilitation changes outcomes and to evaluate its validity.</p><p><strong>Need: </strong>A general rehabilitation theory would help research, improve services, increase understanding, modify resource allocation and explain some anomalies, such as how rehabilitation helps when no natural recovery occurs.</p><p><strong>Building blocks: </strong>People adapt to change throughout their lives. Illness is a change, and people adapt to their illness. Adaptation's purpose is to maintain an equilibrium in a person's life. The balanced components are related to Maslow's five needs: basic, safety, affiliation, status and self-fulfilment. The general theory of behaviour suggests that a person's behaviours change to maintain balance, regulated by a central homeostatic mechanism.</p><p><strong>The theory: </strong>Rehabilitation aids adaptation to changes associated with illness through accurate diagnosis and formulation, catalysing adaptation, optimising the environment and assisting the person in making necessary changes by safely practising activities and teaching self-management.</p><p><strong>Implications: </strong>The theory makes the person the central active agent, emphasises the importance of the environment in facilitating adaptation, explains why all conditions may benefit, including progressive and static conditions, suggests that health can be equated to someone maintaining their equilibrium and explains why a small dose may be very effective.</p><p><strong>Conclusion: </strong>The general theory of rehabilitation emphasises the catalytic effects of rehabilitation in facilitating and guiding adaptation and suggests areas for research and improvement.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"429-442"},"PeriodicalIF":3.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10898207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54227958","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":"A scoping review of the use of creative activities in stroke rehabilitation.","authors":"Shuang Liu, XianYi Huang, Yan Liu, Jie Yue, Yu Li, Li Chen","doi":"10.1177/02692155241227049","DOIUrl":"10.1177/02692155241227049","url":null,"abstract":"<p><strong>Objective: </strong>Clarifying the distinctions between art-based creative activities in the domains of occupational therapy and art therapy in the context of stroke rehabilitation, while also describing the effects of art-based creative activities on stroke rehabilitation.</p><p><strong>Design: </strong>Scoping review.</p><p><strong>Data source: </strong>A systematic search was performed in nine databases (Web of Science, PubMed, EMBASE, Cochrane Library, CINAHL and four Chinese database) from their inception to December 2023.</p><p><strong>Review methods: </strong>The study included randomized and non-randomized controlled trials involving art-based creative activities, as well as qualitative research providing detailed intervention measures. The study focused on stroke patients, with primary outcomes related to patients' physiological recovery, psychological well-being, ADL, etc. Data extraction included information on intervention strategies and study results.</p><p><strong>Results: </strong>Seventeen studies were included, extracting six similarities and differences in creative activity between two domains. Creative activities were observed to have positive impacts on daily living activities, limb motor function, fine motor ability, and emotional well-being in stroke patients.</p><p><strong>Conclusion: </strong>Creative activities, whether in occupational therapy or art therapy, involve providing participants with tangible crafting materials for the creation of artistic works. Future stroke rehabilitation practices should tailor activities and intervention focus based on patients' rehabilitation needs, preferences, and cultural background. The current comprehensive analysis provides initial support for the potential positive role of creative activities in stroke rehabilitation, but further in-depth research is needed to confirm their effectiveness.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"497-509"},"PeriodicalIF":3.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139485273","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":"Motion tracking virtual reality technology in improving gait in the elderly: A randomized controlled trial.","authors":"Ehab M Abd El-Kafy, Mohamad S Alayat, Moayad S Subahi, Mohammed S Badghish","doi":"10.1177/02692155231217468","DOIUrl":"10.1177/02692155231217468","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the effectiveness of virtual reality-based treadmill training on gait performance and tolerance in the elderly.</p><p><strong>Design: </strong>Two-armed randomized controlled trial.</p><p><strong>Setting: </strong>The Medical Rehabilitation Sciences Department, Umm Al Qura University, Saudi Arabia.</p><p><strong>Participants: </strong>Sixty Saudi elderly of both sexes, aged 65-75 years, were included.</p><p><strong>Interventions: </strong>Participants were divided into two groups. The control group received treadmill training without virtual reality, alongside a conventional exercise program. The experimental group received a training program that was similar to the control group's exercises but with C-Mill virtual reality treadmill training. The program lasted one hour, three times per week, over four consecutive weeks.</p><p><strong>Main measures: </strong>The study assessed changes in outcome measures at baseline, Post-1 (after four weeks of training), and Post-2 (four weeks post-training). These measures encompassed the primary outcome, the 6-minute walk test (meter), as well as secondary outcomes such as stride length (meter), stride time (second), cadence (steps/minute), and velocity (meter/second). These parameters were evaluated using the GaitRite electronic gait analysis walkway.</p><p><strong>Results: </strong>The experimental group showed better improvement in the mean values of the 6-minute walk test, stride length, stride time, cadence, and velocity compared to the control group at post-1 and post-2. The <i>P</i>-values were respectively at post-1 (0.019, 0.015, 0.041, 0.013, and 0.021) and (0.011, 0.025, 0.073, 0.061, and 0.017) at post-2 (all, <i>P</i> < .05).</p><p><strong>Conclusions: </strong>C-Mill virtual reality treadmill training shows potential in improving gait parameters and walking tolerance in the elderly in Saudi Arabia.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"520-529"},"PeriodicalIF":3.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138828466","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":"Influence of vaginal birth on lumbopelvic muscle mechanical properties on urinary incontinence.","authors":"María Teresa Garzón-Alfaro, Inés Cruz-Medel, Sandra Alcaraz-Clariana, Lourdes García-Luque, María Cristina Carmona-Pérez, Juan Luis Garrido-Castro, Francisco Alburquerque-Sendín, Daiana Priscila Rodrigues-de-Souza","doi":"10.1177/02692155231224058","DOIUrl":"10.1177/02692155231224058","url":null,"abstract":"<p><strong>Objective: </strong>To identify differences in the muscle mechanical properties of the pelvic floor (PF) and lumbar paravertebral (LP) muscles between young nulliparous and uni/multiparous women. Secondarily, specific behaviors, depending on the presence or absence or urinary incontinence (UI), were also researched.</p><p><strong>Design: </strong>Case-control study.</p><p><strong>Setting: </strong>Higher education institution.</p><p><strong>Participants: </strong>One hundred young women participated, divided into two groups depending on whether they had vaginal birth (nulliparous or uni/multiparous). Each group included women with and without UI.</p><p><strong>Main measures: </strong>A muscle mechanical properties (tone, stiffness, decrement-inverse of elasticity-, and viscoelastic properties: relaxation and creep) assessment of the PF and LP muscles were performed with a hand-held tonometer.</p><p><strong>Results: </strong>Tone and stiffness of both sides of the PF presented group by UI interaction (<i>p</i> < 0.05), with uni/multiparous women with UI showing higher tone and stiffness compared to multiparous women without UI. In LP muscles, uni/multiparous women showed greater tone and stiffness on the right and left sides [-2.57 Hz (95% confidence interval -4.42,-0.72) and -79.74 N/m (-143.52,-15.97); -2.20 Hz (-3.82,-0.58) and -81.30 N/m (-140.66-,21.95), respectively], as well as a decrease in viscoelastic properties compared to nulliparous women [relaxation: 2.88 ms (0.31,5.44); creep: 0.15 (0.01,0.30); relaxation: 2.69 ms (0.13,5.25); creep: 0.14 (0,0.28), respectively].</p><p><strong>Conclusions: </strong>Vaginal birth and UI have a differential influence on the muscle mechanical properties of the PF and LP muscles. The determination of muscle mechanical properties by externally applied hand-held tonometry improves the knowledge of the lumbopelvic status, with applicability in clinical and research fields.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"558-568"},"PeriodicalIF":3.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139650382","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}