Clinical Rehabilitation最新文献_第10页

Sex and gender differences in technology-based rehabilitation for people with stroke: A scoping review. 脑卒中患者技术康复的性别差异：范围综述。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-06-19 DOI: 10.1177/02692155261462424

Romina Rahmaniharedasht, Martina Andò, Alex Lando, Nicola Ferri, Valentin Konika, Maria Rosaria Leo, Roberto Piperno, Andrea Turolla, Paolo Pillastrini, Marco Tramontano

{"title":"Sex and gender differences in technology-based rehabilitation for people with stroke: A scoping review.","authors":"Romina Rahmaniharedasht, Martina Andò, Alex Lando, Nicola Ferri, Valentin Konika, Maria Rosaria Leo, Roberto Piperno, Andrea Turolla, Paolo Pillastrini, Marco Tramontano","doi":"10.1177/02692155261462424","DOIUrl":"https://doi.org/10.1177/02692155261462424","url":null,"abstract":"ObjectivesThis scoping review maps evidence on sex and gender differences in technology-assisted stroke rehabilitation and identifies gaps to inform equitable approaches.Data sourcesSearches were conducted in two rounds (up to March 2025 and April 2025-March 2026) on MEDLINE, CINAHL, Scopus, Web of Science, Cochrane Library, and Google Scholar.Review methodsFollowing PRISMA-ScR guidelines, we included primary studies reporting sex and gender outcomes in adults with stroke receiving technological interventions, guided by the PCC framework.ResultsFrom 7071 records, 11 studies (1626 stroke survivors, 39.9% female) met inclusion criteria. Interventions included robotic exoskeletons, soft robotic gloves, virtual reality, exergaming, functional electrical stimulation, and biofeedback. Five studies found no significant sex differences. However, others reported female advantages in robotic gait training (p = 0.007), functional electrical stimulation (OR = 3.92), soft robotic glove hand function (3.43-fold greater improvement), and Virtual Reality-based balance recovery (p = 0.03). Younger women (<62 years) outperformed men in fine motor tasks, a pattern reversing with age.ConclusionGender and sex disparities in rehabilitation outcomes vary by technology type, underscoring the need for inclusive device designs and improved female representation in trials. Future research must integrate biological and sociocultural perspectives and standardize outcome measures to optimize tailored rehabilitation for all stroke survivors.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261462424"},"PeriodicalIF":2.9,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148276520","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

Effect of oral nutritional supplements on mortality and hospital admissions in older hip fracture patients at nutritional risk: secondary analysis of a randomised controlled trial. 口服营养补充剂对有营养风险的老年髋部骨折患者死亡率和住院率的影响：一项随机对照试验的二次分析

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-06-16 DOI: 10.1177/02692155261459227

Alberte Jensen, Elna Dalsgaard Ninh, Anne Wilkens Knudsen, Tina Munk, Anne Marie Beck

{"title":"Effect of oral nutritional supplements on mortality and hospital admissions in older hip fracture patients at nutritional risk: secondary analysis of a randomised controlled trial.","authors":"Alberte Jensen, Elna Dalsgaard Ninh, Anne Wilkens Knudsen, Tina Munk, Anne Marie Beck","doi":"10.1177/02692155261459227","DOIUrl":"https://doi.org/10.1177/02692155261459227","url":null,"abstract":"ObjectiveTo examine the association between increased energy and protein intake through oral nutritional supplements and mortality and hospital admissions in older hip fracture patients at nutritional risk, using a preplanned secondary analysis of a randomised controlled trial.SettingDepartment of Orthopaedic Surgery, Copenhagen University Hospital - Herlev and Gentofte, Herlev, Denmark.ParticipantsHip fracture patients aged ≥65 at nutritional risk.InterventionParticipants were randomised to receive two cans daily of high-energy, high-protein oral nutritional supplements enriched with vitamin D and omega-3 fatty acids for 12 weeks after discharge or standard care.Main MeasuresAll-cause mortality and hospital admissions during a pre-planned 38-week follow-up after discharge, including time to first admission and length of hospital stay.ResultsAll-cause mortality was low, with no difference between intervention and control groups 2 (3%) versus 3 (5%). During follow-up, 31% (n = 19) of intervention participants was admitted to hospital compared with 47% (n = 29) in the control group. The difference approached significance in the intention-to-treat analysis (Risk ratio 0.72, 95% CI 0.51-1.03, p = 0.075) and was statistically significant in the per-protocol analysis (18% vs. 44%; Risk ratio 0.69, 95% CI 0.52-0.92, p = 0.019). No significant differences were observed in admissions frequency, length of hospital stay, or time to first admission.ConclusionPost-discharge oral nutritional supplementation was associated with a trend towards fewer hospital admission, with the strongest effect among adherent participants. No significant effects were observed in mortality, admission frequency, length of hospital stay or time to admission.ClinicalTrials.gov: NCT05556876. Date of registration: 2022-09-23.URL: https://clinicaltrials.gov/study/NCT05556876.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261459227"},"PeriodicalIF":2.9,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148257565","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

Trajectories of physical fitness following paediatric burn injury: A two-year longitudinal and predictive analysis. 儿童烧伤后身体健康的轨迹：一项为期两年的纵向和预测分析。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-06-16 DOI: 10.1177/02692155261459618

Maged A Basha, Ragab K Elnaggar, Saleh M Aloraini, Feras Alsultan, Amal Alharbi, Ashwaq Alqahtani, Mohamed Maher El-Keblawy, Alshimaa R Azab, FatmaAlzahraa H Kamel

{"title":"Trajectories of physical fitness following paediatric burn injury: A two-year longitudinal and predictive analysis.","authors":"Maged A Basha, Ragab K Elnaggar, Saleh M Aloraini, Feras Alsultan, Amal Alharbi, Ashwaq Alqahtani, Mohamed Maher El-Keblawy, Alshimaa R Azab, FatmaAlzahraa H Kamel","doi":"10.1177/02692155261459618","DOIUrl":"https://doi.org/10.1177/02692155261459618","url":null,"abstract":"ObjectiveTo analyse physical fitness trajectories in paediatric burn survivors from discharge to 2 years post-injury, compare them with an age- and gender-matched control group, and identify baseline demographic and clinical determinants.DesignProspective and longitudinal cohort study.ParticipantsThe study included participants with burn injuries (burn group, n = 45), aged 10-17 years, with burns involving ≥25% of total body surface area, and an age- and gender-matched group of healthy children (control group, n = 45).Main measuresParticipants underwent standardised fitness assessments at discharge and 24 months later. Health-related physical fitness was quantitatively assessed using the validated EUROFIT physical fitness test battery.ResultsLongitudinal analysis revealed significant improvements in seven of nine fitness domains for participants with burn injuries over two years (pFDR < 0.001). Despite these gains, these participants exhibited persistent fitness deficits compared to healthy controls across all domains at follow-up (all p < 0.001). Among those with burn injuries, greater total body surface area (β = -0.007, p = 0.03) and third-degree burn percentage (β = -0.57, p < 0.001) predicted lower overall fitness, while longer rehabilitation predicted higher fitness (β = 0.50, p < 0.001). No baseline clinical factors significantly predicted the rate of fitness change over time (all interaction p > 0.05).ConclusionPaediatric burn survivors demonstrated significant improvements in physical fitness over 2 years but failed to close the performance gap with their healthy peers. Injury severity and rehabilitation duration were strong determinants of fitness level, but they did not predict the rate of improvement.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261459618"},"PeriodicalIF":2.9,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148257640","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

How do people with multiple sclerosis who have walking difficulties perceive participation? A qualitative analysis. 行走困难的多发性硬化症患者如何看待参与？定性分析。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-06-12 DOI: 10.1177/02692155261458318

Anna Levke Brütt, Elise-Marie Dilger, Nadja Reeck, Dyon Hoekstra, Annett Thiele

{"title":"How do people with multiple sclerosis who have walking difficulties perceive participation? A qualitative analysis.","authors":"Anna Levke Brütt, Elise-Marie Dilger, Nadja Reeck, Dyon Hoekstra, Annett Thiele","doi":"10.1177/02692155261458318","DOIUrl":"https://doi.org/10.1177/02692155261458318","url":null,"abstract":"ObjectiveParticipation plays a pivotal role in rehabilitation for people with multiple sclerosis. In clinical practice, the International Classification of Functioning, Disability and Health serves as a basis for characterizing participation. However, this framework lacks the subjective perception of participation. This study examines the perceived participation of people with multiple sclerosis and gait impairment through a sense of connection, efficacy, and meaning.DesignQualitative research design with focus group and individual interviews.SettingParticipants were interviewed using an online conference tool.ParticipantsTranscripts from four online focus group interviews with people with multiple sclerosis and gait impairment (4-6 participants each, totaling N = 19, aged 33 to 76, with 12 females) and from 12 individual interviews with participants from these focus groups were analyzed.InterventionNone.Main measuresTwo researchers coded transcripts using qualitative content analysis by Kuckartz.ResultsA sense of connection was about common activities, a sense of inclusion, sameness, familiarity, and contributing to a social system. Experiences of exclusion, otherness, and foreignness were reported. A sense of efficacy ranged from a sense of competence, influence, and independence to a sense of dependence, a lack of spontaneity, and helplessness, leading to refraining from activities. Meaningful activities, sensual experience, a sense of purpose, identity, and equality were related to a sense of meaning.ConclusionsPerceived participation goes beyond the ability of being involved in life situations. Clinicians following a patient-centered approach can incorporate the presented perspective of people with multiple sclerosis and gait impairment on participation into their clinical action.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261458318"},"PeriodicalIF":2.9,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148223658","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

Motor excitability in painful musculoskeletal shoulder conditions: A scoping review. 疼痛性肌肉骨骼肩部疾病的运动兴奋性：范围回顾。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-06-11 DOI: 10.1177/02692155261458737

Jeffrey S Paskewitz, Daniel W Safford, Kshamata M Shah, Philip W McClure

{"title":"Motor excitability in painful musculoskeletal shoulder conditions: A scoping review.","authors":"Jeffrey S Paskewitz, Daniel W Safford, Kshamata M Shah, Philip W McClure","doi":"10.1177/02692155261458737","DOIUrl":"https://doi.org/10.1177/02692155261458737","url":null,"abstract":"ObjectiveAltered motor excitability is a proposed mechanism of musculoskeletal shoulder pain. This scoping review aims to summarise studies examining motor excitability in individuals with painful musculoskeletal shoulder conditions, identify research gaps, and suggest clinical and research insights from these studies.Data SourcesPubMed, EMBASE, CINAHLReview methodsDatabases were searched for studies from January 2004 to April 2026. Studies were included if they assessed motor excitability in participants with painful musculoskeletal shoulder conditions or healthy participants with experimentally induced shoulder pain.ResultsA total of 19 studies were included. Shoulder pain condition, target muscle selection, participant positioning, and measures of motor excitability varied between studies. Moreover, 11 of 16 studies comparing shoulder motor excitability in those with clinical or experimental shoulder pain to controls reported decreases in motor excitability in those with shoulder pain. Two of three studies reporting intervention effects describe increased excitability following interventions in at least one measure.ConclusionShoulder motor excitability appears decreased in those with clinical shoulder pain. Mixed effects of experimental shoulder pain models on motor excitability suggest that more work clarifying the effect of pain on motor excitability changes is warranted. Preliminary studies report increased excitability following interventions, yet the clinical significance of these improvements is unclear. In order to minimise nervous system maladaptations in those with shoulder pain, clinicians may emphasise pain management and consider interventions that enhance motor excitability of the shoulder musculature. Because of heterogeneity in methodology and experimental pain models, further exploration of motor excitability as a mechanism and treatment target in musculoskeletal shoulder pain appears warranted.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261458737"},"PeriodicalIF":2.9,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148216754","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

Nurse-initiated transitional care interventions to support the transition from hospital to home amongst older stroke survivors and caregivers: A systematic review and meta-analysis. 护士发起的过渡护理干预以支持老年中风幸存者和护理人员从医院到家庭的过渡：一项系统回顾和荟萃分析。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-06-10 DOI: 10.1177/02692155261430092

Usanee Ankanawin, Lisa Kidd, Dawn A Skelton

{"title":"Nurse-initiated transitional care interventions to support the transition from hospital to home amongst older stroke survivors and caregivers: A systematic review and meta-analysis.","authors":"Usanee Ankanawin, Lisa Kidd, Dawn A Skelton","doi":"10.1177/02692155261430092","DOIUrl":"https://doi.org/10.1177/02692155261430092","url":null,"abstract":"ObjectiveTo explore and describe the components and underpinning theories of nurse-initiated transitional (hospital-to-home) care and to evaluate the effects of interventions on activities of daily living (ADLs), quality of life (QoL), depression, anxiety, self-efficacy, stroke-related knowledge, patient satisfaction and healthcare service utilisation in older stroke survivors and self-efficacy, caregiver burden, QoL and satisfaction with care in caregivers.Data sourcesMEDLINE, CINAHL, Cochrane Library, Health and Medical Collection, Nursing and Allied Health, Web of Science, Health Source: Nursing/Academic Edition and Scopus databases were searched in February 2024 and updated in March 2026.Review methodsRandomised controlled trials (RCTs) and cluster-RCTs were included. Risk of bias was assessed using the Cochrane Risk of Bias tool, and evidence quality was rated with GRADE. Meta-analysis was undertaken using random-effects models.ResultsSeventeen trials were included. Transitional care interventions were guided by various theoretical frameworks and had multiple components. Interventions improved ADLs at 1 month (standardised mean difference (SMD) 0.54; 95% CI 0.12-0.97, four studies) and 3 months (SMD 0.43; 95% CI 0.12-0.74, seven studies), increased patient satisfaction and reduced hospital readmissions up to 3 months. Interventions may improve the Mental Component Score at 1 month, Role Limitations due to Physical Problems and General Health of QoL at 6 months. The certainty of evidence was low to very low.ConclusionNurse-initiated transitional care can improve ADLs and QoL, while reducing hospital readmissions among older stroke survivors during the hospital-to-home transition. Multicomponent interventions combining home visits and follow-up phone calls may enhance improvements in ADLs. High-quality studies are needed to clarify long-term effects.PROSPERO IDCRD42024517619.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261430092"},"PeriodicalIF":2.9,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148210468","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

Barriers and facilitators to leisure-time physical activity among individuals with spinal cord injury in China: A qualitative study. 中国脊髓损伤患者休闲时间体育活动的障碍与促进因素：一项定性研究。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-06-10 DOI: 10.1177/02692155261458911

Wentao Jin, Yingmin Wang, Wenxuan Wang, Yue He, Sumei Xie, Kun Li

{"title":"Barriers and facilitators to leisure-time physical activity among individuals with spinal cord injury in China: A qualitative study.","authors":"Wentao Jin, Yingmin Wang, Wenxuan Wang, Yue He, Sumei Xie, Kun Li","doi":"10.1177/02692155261458911","DOIUrl":"https://doi.org/10.1177/02692155261458911","url":null,"abstract":"ObjectiveTo explore the barriers and facilitators to leisure-time physical activity among community-dwelling adults with spinal cord injury in China, using the Capability, Opportunity, Motivation-Behaviour model as a theoretical framework.DesignA qualitative study employing semi-structured interviews.SettingTwo rehabilitation centres in Guangzhou, China.ParticipantsTwenty community-dwelling adults with spinal cord injury, purposively sampled for diversity in gender, age, injury level and severity.ResultsThe analysis identified multifaceted factors across the Capability, Opportunity and Motivation-Behaviour domains. Within the Capability domain, barriers included limited physical function and a pessimistic mindset, whereas facilitators encompassed strong psychological resilience, high self-efficacy and positive beliefs in rehabilitation. Opportunity was constrained by limited social resources, inadequate rehabilitation facilities and financial constraints, but was enhanced by diverse social support. Within the Motivation domain, engagement in leisure-time physical activity was hindered by low self-discipline, fear of physical activity and motivational conflict, while motivation was strengthened by reflection on the benefits of physical activity, a desire for social reintegration and return to work.ConclusionsPromoting leisure-time physical activity among this population requires a theory-informed, multi-level intervention strategy. Interventions should simultaneously strengthen individual capability, expand opportunity and foster motivation. Crucially, such interventions must be contextually adapted to address China-specific socioeconomic constraints and cultural norms.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261458911"},"PeriodicalIF":2.9,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148210474","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

Towards a core outcome set for post-stroke facial palsy: Results from an international e-Delphi study and online consensus meeting with professionals. 走向中风后面瘫的核心结果集：来自国际e-Delphi研究和专业人士在线共识会议的结果。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-06-09 DOI: 10.1177/02692155261458311

Havva Sumeyye Eroglu, Audrey Bowen, Matthew Checketts, Claire Mitchell

{"title":"Towards a core outcome set for post-stroke facial palsy: Results from an international e-Delphi study and online consensus meeting with professionals.","authors":"Havva Sumeyye Eroglu, Audrey Bowen, Matthew Checketts, Claire Mitchell","doi":"10.1177/02692155261458311","DOIUrl":"https://doi.org/10.1177/02692155261458311","url":null,"abstract":"ObjectiveTo initiate the development of an agreed core outcome set for post-stroke facial palsy, identifying which outcome domains should be measured in research and may inform clinical practice.DesignTwo online e-Delphi rounds followed by an online consensus meeting.SettingInternational, multi-disciplinary.ParticipantsClinicians and researchers working in post-stroke facial palsy.MethodsDelphi items were developed from existing literature, qualitative interviews with stroke survivors and patient/public involvement, then aligned with ICF levels. Participants completed two e-Delphi rounds rating outcome domains on a 1 to 9 GRADE scale: 7 to 9 'critical'; 1 to 3 'least important'. All domains were discussed at the consensus meeting and included in the final list if ≥70% of participants voted 'yes' to include the domain in the core outcome set.ResultsIn total, 156 Delphi questionnaires (round one, 101 participants from 16 countries; round two, 55 from 12 countries) were completed. Fifteen participants from 6 countries attended the consensus meeting. Three outcome domains were agreed for inclusion in the initial core outcome set: (1) facial movement and sensation, (2) everyday function, and (3) living with facial palsy.ConclusionsWe report the first internationally informed consensus between clinicians and researchers on 'what' outcome domains are important to measure for post-stroke facial palsy. We share these findings to encourage their measurement and to guide next steps. Our future work includes a separate consensus study, using a more inclusive methodology, on 'what' to measure with lived-experience stakeholders, and a systematic review on 'how' to measure these outcomes. COMET Initiative registration (December 2024): https://www.comet-initiative.org/Studies/Details/3295.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261458311"},"PeriodicalIF":2.9,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148204328","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

Exploring family caregivers' needs and influencing factors of mobile health in older adults with hip fractures rehabilitation: A qualitative study. 老年髋部骨折康复患者家庭照顾者需求及影响因素的定性研究

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-06-06 DOI: 10.1177/02692155261456144

Jian Song, Binyu Yang, Jiaqi Yang, Qi Wang, ZiRong Tao, Lingli Peng

{"title":"Exploring family caregivers' needs and influencing factors of mobile health in older adults with hip fractures rehabilitation: A qualitative study.","authors":"Jian Song, Binyu Yang, Jiaqi Yang, Qi Wang, ZiRong Tao, Lingli Peng","doi":"10.1177/02692155261456144","DOIUrl":"10.1177/02692155261456144","url":null,"abstract":"ObjectiveTaking family caregivers as the main users of mobile health applications, comprehensively examine their needs and the influencing factors of using applications to support the rehabilitation of older patients with hip fractures.DesignA qualitative descriptive study employing semi-structured interviews was conducted to collect data between April 2025 and June 2025. The data was analysed using content analysis.SettingThe orthopaedic ward of a 3000-bed tertiary comprehensive teaching hospital in Hunan Province, China.ParticipantsPurposive sampling was conducted to select participants. A total of 21 family caregivers were finally interviewed.ResultsThe study identified two key dimensions: user needs and influencing factors, each containing six themes. User needs included content requirements (information and knowledge) and features and functionality (user information management, communication with orthopaedic surgeons, cross-platform and interdisciplinary collaboration, information delivery modalities and task reminders). Influencing factors comprised user-related (user characteristics, patient recovery outcomes, previous experiences and attitudes towards mobile health applications resources, concerns about privacy and information); technology-related (user-friendly and functional, information quality and personalisation).ConclusionThe findings of this study contribute to the development of mobile health applications tailored for family caregivers. Healthcare providers and researchers should recognise and address caregivers' needs and influencing factors to optimise application functionality, thereby enhancing patient recovery outcomes and reducing caregiver burden.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261456144"},"PeriodicalIF":2.9,"publicationDate":"2026-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148175551","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

Effect of Femoral Nerve Neurodynamic Techniques on Pain in Patellofemoral Pain Syndrome: A Randomised Controlled Trial. 股神经动力学技术对髌股疼痛综合征疼痛的影响：一项随机对照试验。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-06-01 DOI: 10.1177/02692155261432693

Romina Gerami, Maryam Abbaszadeh-Amirdehi, Ghadamali Talebi, Mahdi Sepidarkish, Mehdi Tavassoli

{"title":"Effect of Femoral Nerve Neurodynamic Techniques on Pain in Patellofemoral Pain Syndrome: A Randomised Controlled Trial.","authors":"Romina Gerami, Maryam Abbaszadeh-Amirdehi, Ghadamali Talebi, Mahdi Sepidarkish, Mehdi Tavassoli","doi":"10.1177/02692155261432693","DOIUrl":"10.1177/02692155261432693","url":null,"abstract":"DesignA randomised controlled trial was designed to evaluate the added value of femoral nerve neurodynamic techniques on knee pain and function in patients with patellofemoral pain syndrome.Setting: University Physiotherapy Clinic.Participants: 71 patients with unilateral patellofemoral pain syndrome aged 18-45 years were randomised.Intervention: Patients were assigned to either the treatment group, receiving femoral nerve neurodynamic techniques and standard physiotherapy, or the control group, receiving standard physiotherapy alone, for 10 sessions.Main measures: Outcome measures include visual analogue scales at rest and during activity, functional ability measured with the Kujala patellofemoral score, and the range of hip extension recorded at baseline and immediately post-intervention.ResultsAfter 10 sessions, the combined effect of femoral nerve neurodynamic techniques and standard physiotherapy showed significantly greater improvements in pain scores compared with the standard physiotherapy alone: pain at squat (adjusted mean difference: -6.12, 95% CI: -10.37, -1.87), pain at stair (adjusted mean difference: -7.76, 95% CI: -12.01, -3.53), pain at kneel (adjusted mean difference: -6.57, 95% CI: -9.97, -3.17), and pain at sitting (adjusted mean difference: -5.31, 95% CI: -8.88, -1.74). Additional benefits were observed in knee function (adjusted mean difference: 7.06, 95% CI: 4.56, 9.55) and hip extension (adjusted mean difference: 2.09, 95% CI: 1.27, 2.90).ConclusionsThe combination of femoral nerve neurodynamic techniques with standard physiotherapy demonstrated promising short-term reductions in knee pain and improvements in function among patients with patellofemoral pain syndrome. These findings suggest that femoral nerve neurodynamic techniques may offer additional benefits as an adjunct therapy, although further research with longer follow-up is needed to confirm the durability of these effects.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261432693"},"PeriodicalIF":2.9,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148136889","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