Clinical Rehabilitation最新文献

{"title":"Rationale and description of Tied by Tiredness: A blended care intervention for fatigue after acquired brain injury.","authors":"Ela Lazeron-Savu, Tom Smejka, Bert Lenaert, Jeanette Dijkstra, Claire Wolfs, Vera Schepers, Rudolf Ponds, Caroline van Heugten","doi":"10.1177/02692155251407318","DOIUrl":"10.1177/02692155251407318","url":null,"abstract":"<p><p>AimThe development of a new intervention designed to reduce persistent fatigue following acquired brain injury through personalised support.RationaleFatigue is a common and long-lasting consequence after brain injury. Evidence indicates that tailored, multimodal interventions targeting individual experiences are more effective than standardised approaches.Materials and proceduresThe intervention combines real-time data collection using the Experience Sampling Method via a dedicated mHealth app with a workbook containing practical instructions and an online secure feedback environment. Patients complete eight short daily assessments for three consecutive days each week, collecting detailed information on fatigue and contextual factors such as mood, physical activities and social situations.Providers, setting, and deliveryTied by Tiredness is delivered by psychologists or occupational therapists in rehabilitation or outpatient settings to adults with acquired brain injuries aged 18 and over. In face-to-face therapy sessions, patient-collected data are used to tailor personalised feedback and advice on strategies, emphasising collaborative decision-making and active engagement.Dose and personalisationPatients attend six weekly 1-h sessions. Intervention strategies are adjusted to individual needs and goals throughout the programme, based on ongoing assessment data.Unique featuresContinuous personalisation and the integration of real-time data into therapy sessions distinguish this intervention.Purpose and implicationsThe programme aims to provide insight into the personal and environmental factors that contribute to a person's fatigue, enabling patients to implement cognitive and behavioural strategies for effective daily fatigue management. Tied by Tiredness represents a novel, practical approach to supporting self-management after brain injury.Trial registrationOverview of Medical Research in the Netherlands (OMON), ID: NL-OMON21265.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"575-586"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145762421","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":"The Planning Strategies for Driving on a Map test (COMAP): Initial validation in stroke patients.","authors":"Lucía Laffarga, Ana Clara Szot, Candida Castro, Daniel Salazar-Frías, Jorge Clavijo-Ruiz, María Rodríguez-Bailón","doi":"10.1177/02692155251410487","DOIUrl":"10.1177/02692155251410487","url":null,"abstract":"<p><p>ObjectiveTo validate a novel off-road assessment tool-the Planning Strategies for Driving on a Map (COMAP)-designed to evaluate strategic predriving planning in individuals with stroke.DesignCross-sectional observational study following COSMIN and STROBE guidelines.SettingResearch conducted at a university-affiliated research facility.ParticipantsA total of 41 stroke survivors (≥6 months poststroke) and 42 age- and gender-matched healthy controls. Participants with significant language or cognitive impairments (Mini-Mental State Examination < 24) were excluded.Main measuresParticipants completed the COMAP and a battery of cognitive tests including tests of attention, executive functions, working memory, and visuospatial organization.ResultsThe COMAP total performance showed good internal consistency (α = .885) and significant correlations with cognitive measures of executive function and memory. A cutoff score of 59 demonstrated strong diagnostic utility (area under the curve = .829; sensitivity = 78%; specificity = 87%) in identifying stroke-related cognitive impairments. Strategy use and planning time were associated with better task performance. The COMAP was more sensitive to within-group variability among stroke participants than between-group differences with healthy controls.ConclusionsThe COMAP is a valid and reliable tool for assessing strategic predriving planning after stroke. It offers clinically relevant insights into executive functioning and compensatory strategies, with potential applications in rehabilitation and driving-related decision-making.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"635-646"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145988213","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":"Nurse-Administered Yale Swallow Protocol in High-Risk Hospitalised Adults for Dysphagia: Feasibility and Refinement.","authors":"Yu-Chun Chang, Chih-Hung Chang, Tyng-Guey Wang, Pei-Jen Lou, Ming-Chu Feng, Hsueh-Pei Wang, Ya-Wen Kuo, Cheryl Chia-Hui Chen","doi":"10.1177/02692155251407317","DOIUrl":"10.1177/02692155251407317","url":null,"abstract":"<p><p>ObjectiveTo assess the feasibility of the Yale Swallow Protocol and refine it for parsimony.DesignCross-sectional study.SettingFour diverse units at a medical centre.ParticipantsHospitalised adults at high risk of dysphagia (i.e., those aged over 65 years, admitted for stroke, Parkinson's disease, or head and neck cancer treatment) using consecutive sampling.Main MeasuresA research nurse administered the protocol, recording adverse events, administration time, and failure rates, with an 85% failure rate threshold to assess the ceiling effect. The protocol consists of contraindications, cognitive screenings, oral motor examinations, and a 3-ounce water swallow challenge, but pass/fail decisions are based solely on contraindications and the water challenge. Parsimonious combinations of items were explored to refine and potentially shorten the protocol. The measurement precision of the refined and shortened protocols was evaluated using the Rasch model.ResultsOf the 502 patients enrolled (mean age 71; 59.8% male), no adverse events occurred, and the protocol took under 3 min. The failure rate was 41.8%, indicating no ceiling effect. Five well-fitting items were retained from cognitive screenings and oral motor examinations: location, year, tongue sticking out, lingual motion, and facial symmetry. Both refined protocol (contraindications, five well-fitting items and water challenge) and shortened protocol (contraindications and five well-fitting items) enhanced measurement precision beyond the original version.ConclusionThe Yale Swallow Protocol is a safe, quick, and ceiling-effect-free screening for identifying dysphagia, even among diverse high-risk hospitalised patients. Our study also refined the protocol, achieving better measurement precision than the original protocol.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"622-634"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145854905","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":"Perceptions and experiences of self-initiated discontinuation of home-based exercise rehabilitation in people with coronary artery disease.","authors":"Shiyin Zhai, Lan Wei, Dandan Xu, Hongmei Sun, Li Sun, Xinyue Zhang","doi":"10.1177/02692155251405844","DOIUrl":"10.1177/02692155251405844","url":null,"abstract":"<p><p>ObjectiveTo qualitatively explore the perceptions and experiences of patients with coronary artery disease regarding discontinuation of home-based exercise rehabilitation.DesignA qualitative, descriptive design was utilized in this study.SettingThis study focused on home-based exercise rehabilitation.ParticipantsA purposive sample of 24 patients who had voluntarily participated in the home-based exercise rehabilitation program was recruited.Main measuresSemistructured interviews were undertaken. Data were analyzed using a framework approach.ResultsA total of 24 participants (13 males and 11 females) from 28 to 77 years were recruited for this study to examine the endogenous and exogenous factors that influence withdrawal from exercise rehabilitation. The four major themes identified were (1) \"exercise inertia,\" (2) \"perception deviation,\" (3) \"disruption of habit loop,\" and (4) \"weakness in exercise literacy.\" These themes were further divided into 12 subthemes.ConclusionsSustained implementation of home-based exercise rehabilitation is crucial for patients with coronary heart disease. Discontinuation of exercise regimens frequently stems from patients' internal perceptions, including exercise inertia, cognitive biases, disruptions in established habit loops, and insufficient exercise literacy. Consequently, enhancing patient awareness of exercise rehabilitation and strengthening supervision of exercise routines are imperative. Establishing a multidisciplinary home-based exercise management system would further facilitate the optimization of exercise-related benefits.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"687-698"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145755422","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":"Cardiorespiratory fitness in kidney transplant recipients: A pilot randomised controlled trial of structured home-based rehabilitation and a nested case-control analysis.","authors":"Roseanne E Billany, Noemi Vadaszy, Stephanie Burns, Rafhi Chowdhury, Ella C Ford, Zahra Mubaarak, Gurneet K Sohansoha, Jian L Yeo, Abhishek Dattani, Alice C Cowley, Gaurav S Gulsin, Nicolette C Bishop, Alice C Smith, Gerry P McCann, Matthew Pm Graham-Brown","doi":"10.1177/02692155251408792","DOIUrl":"10.1177/02692155251408792","url":null,"abstract":"<p><p>Objectives(1) Explore the effects of a 12-week home-based rehabilitation programme on cardiorespiratory fitness in kidney transplant recipients; (2) Compare cardiorespiratory fitness parameters in kidney transplant recipients and age-sex matched healthy volunteers to aid the justification for routine rehabilitation programmes.DesignPilot randomised controlled trial with nested case-control.SettingHome-based rehabilitation; hospital-based outcome assessments.ParticipantsPilot randomised controlled trial: 50 stable kidney transplant recipients (>1 year post-transplant) (randomised 1:1; <i>n</i> = 25 control and <i>n</i> = 25 intervention). Nested case-control: 30 kidney transplant recipients and 30 healthy volunteers.InterventionA 12-week home-based aerobic and resistance rehabilitation programme or guideline-directed care control.Main measuresCardiorespiratory fitness measured by cardiopulmonary exercise testing.ResultsPilot randomised controlled trial: After adjusting for baseline, follow-up values were significantly greater in intervention compared to control for peak oxygen uptake (V̇O_2peak) mL/kg/min, (+1.50, <i>p</i> = .03) and maximum workload (+8 W, <i>p</i> = .04) but not V̇O_2peak L/min or variables at the gas exchange threshold. Higher frequency of aerobic exercise sessions was associated with greater improvements in cardiorespiratory fitness (<i>R</i>₂ = .252, <i>p</i> = .040).Nested case-control: V̇O_2peak was reduced in kidney transplant recipients compared to healthy volunteers (18.81 ± 4.61 vs 24.06 ± 5.72 mL/kg/min; <i>p</i> < .01), as was V̇O₂ at the gas exchange threshold (11.70 ± 2.67 vs 14.47 ± 3.39 mL/kg/min; <i>p</i> < .01).ConclusionsA 12-week home-based rehabilitation programme induced a significant improvement in some cardiorespiratory fitness variables and higher frequency of aerobic exercise associated with greater improvements. Cardiorespiratory fitness is significantly impaired in kidney transplant recipients compared to age-sex-matched healthy volunteers. Together, these findings highlight the clinical importance of promoting aerobic exercise and the integration of rehabilitation programmes into routine care for this population.Trial registrationClinicalTrials.gov, NCT04123951 (https://clinicaltrials.gov/study/NCT04123951).</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"587-602"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145854809","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":"The role of personal social networks in social participation for adult burn survivors: A cohort study.","authors":"Huan Deng, Cailin A Abouzeid, Pengsheng Ni, Zachary Robert Rothfeld-Wehrwein, Amar Dhand, Mary D Slavin, Juan P Herrera-Escobar, Lewis E Kazis, Colleen M Ryan, Jeffrey C Schneider","doi":"10.1177/02692155251406571","DOIUrl":"10.1177/02692155251406571","url":null,"abstract":"<p><p>ObjectiveTo describe the structure and composition of personal social networks in burn survivors and examine their associations with social participation.DesignA 6-month cohort study.SettingCommunity.Participants23 adult burn survivors.Main MeasuresParticipants completed the Personal Network Survey and Life Impact Burn Recovery Evaluation Social Interactions and Social Activities short forms at baseline, 3-month, and 6-month. Personal Network Survey assesses individual social network in two categories: network structure depicts the architecture of social connections, while network composition describes the characteristics of network members. Life Impact Burn Recovery Evaluation measures social participation after burn injury.ResultsThe average age of the 23 participants was 49.1 (SD 12.5) years, with an average of 45.0% (SD 25.9%) total body surface area burned. Friends and family were the major relationship types, while camaraderie, emotion, and advice were the major support types. Multilevel models results showed that within-person smaller (β=-0.91; 95% CI = -1.48, -0.33; <i>p = </i>.004) and more close-knit (β=-1.29; 95% CI = -2.22, -0.37; <i>p = </i>.009) networks, as well as between-person networks in which burn survivors had fewer advisors (β=-40.97; 95% CI = -69.56, -12.38; <i>p = </i>.008) and received less health support (β=-20.35; 95% CI = -37.91, -2.79; <i>p = </i>.030), were significantly associated with better social participation.ConclusionThe findings advance the current understanding of burn survivors' social networks and their impact on social participation and lay the foundation for developing targeted strategies to promote social engagement and well-being by optimizing network composition and the balance of received support.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"676-686"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12860503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145780643","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":"Comparative efficacy of mind-body exercises for treating chronic obstructive pulmonary disease: a systematic review and network meta-analysis.","authors":"Qian Gao, Peijun Li, Xiaoyu Han, Yifan Lv, Jun Wang, Huifang Tang, Yuhong Zhang, Xiaodan Liu, Weibing Wu","doi":"10.1177/02692155261444584","DOIUrl":"https://doi.org/10.1177/02692155261444584","url":null,"abstract":"<p><p>ObjectiveThe comparative effectiveness of various mind-body exercises for chronic obstructive pulmonary disease remains unclear. This study aimed to compare and rank different mind-body interventions for improving objective and subjective outcomes in patients with chronic obstructive pulmonary disease.Data sourcesWe systematically searched PubMed, Web of Science, EMBASE, Cochrane Library, and Scopus.MethodsRandomised controlled trials assessing mind-body exercises for chronic obstructive pulmonary disease were included. A network meta-analysis was performed using Stata 16.0. The protocol was registered with PROSPERO (CRD42024592835).ResultsThirty-seven studies involving 3179 participants and nine interventions were analysed. Regarding objective outcomes, Pilates plus pulmonary rehabilitation showed the largest improvement in exercise capacity. For pulmonary function, Pilates plus pulmonary rehabilitation significantly improved forced expiratory volume in the first second as a percentage of the predicted value and forced expiratory volume in the first second/forced vital capacity, while Yoga demonstrated superior effects on forced expiratory volume in the first second and forced vital capacity. Regarding subjective outcomes, Tai Chi, alone or combined with pulmonary rehabilitation, was superior in reducing dyspnea, while Tai Chi plus pulmonary rehabilitation and Qigong showed the greatest benefits for health-related quality of life.ConclusionsMind-body exercises are beneficial for chronic obstructive pulmonary disease management. Pilates plus pulmonary rehabilitation stands out for improving objective outcomes, particularly exercise capacity and pulmonary function, whereas Tai Chi, alone or combined with pulmonary rehabilitation, emerges as the most effective intervention for subjective outcomes, including dyspnea and health-related quality of life.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261444584"},"PeriodicalIF":2.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764522","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 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":"https://doi.org/10.1177/02692155261441158","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261441158"},"PeriodicalIF":2.9,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise to reduce falls in Community-Dwelling people after stroke: A systematic review with meta-analysis.","authors":"Katharine Scrivener, Ingrid Lin, Louise Ada, Natasha A Lannin, Petra L Graham, Elisabeth Preston, Alena Haines, Sally Day, Lindy Clemson, Catherine M Dean","doi":"10.1177/02692155261441558","DOIUrl":"10.1177/02692155261441558","url":null,"abstract":"<p><p>ObjectiveTo determine the effect of falls-prevention exercise compared with nothing, sham or another exercise intervention on reducing falls after stroke. To also determine the effect of falls-prevention exercise on balance, mobility and quality of life.Data sourcesSearches were conducted from inception to December 2025 on MEDLINE, EMBASE, Scopus and PEDro databases according to predefined search terms with details provided in supplementary materials.Review methodsRandomised trials were included if the intervention targeted falls and the primary outcome was the rate of falls or the number of people experiencing one or more falls. Other outcomes of interest were balance, mobility and quality of life. Methodological quality was rated with the PEDro scale. Two researchers independently extracted data, which was synthesised by meta-analysis.ResultsThree trials (n = 677) were included in the review. Exercise trended towards a lower rate of falls compared to no/sham intervention (IRR 0.84, 95% CI 0.62 to 1.15, p = 0.29) with uncertainty in the estimate (confidence interval includes the possibility of no effect). Exercise did not reduce the number of individuals experiencing one or more falls (RR 0.98, 95% CI 0.81 to 1.18, p = 0.84). There was a trend towards improved balance (MD 0.49 steps in the Step Test, 95% CI -0.11 to 1.08, p = 0.11) and exercise did improve mobility a small amount (MD 0.04 m/s preferred walking speed, 95% CI 0.01 to 0.07, p < 0.01). No trials compared two exercise interventions.ConclusionThere is a suggestion that exercise can reduce the rate of falls after stroke but does not affect the number of individuals falling.RegistrationPROSPERO CRD42024520272.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261441558"},"PeriodicalIF":2.9,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764514","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":"Determining the reliability and validity of a new method for measuring upper extremity joint range of motion in patients with burn injury using a tracking system.","authors":"Seung Yeol Lee, Ya Xin Zheng, Cheong Hoon Seo, Yoon Soo Cho, Jisu Seo, Ye Dam Bae, Jisu Yoon, Kyungseok Byun, So Young Joo","doi":"10.1177/02692155261432011","DOIUrl":"https://doi.org/10.1177/02692155261432011","url":null,"abstract":"<p><p>DesignA cross-sectional study.SettingPatients with burn injuries often present with joint contracture caused by hypertrophic scars. To assess the patient's degree of disability or outcome to rehabilitation treatment, various objective assessment tools are used, such as a standard goniometer, which is often used for measuring joint range of motion; however, measurements using a handheld goniometer may have a large margin of error depending on the therapist's experience. Herein, the reliability and validity of a novel marker-based system were investigated for evaluating joint range of motion in patients with burn injuries.ParticipantsIn total, 48 participants with joint contractures in the shoulder, elbow, and wrist owing to hypertrophic scars after thermal injury were enrolled.InterventionUpper extremity joint range of motion was measured using a goniometer and optical motion capture system (Session 1), followed by remeasurement 2 days later (Session 2).Main measuresTwenty-two reflective markers were attached to the upper limbs, and motion analysis was measured using eight infrared cameras.ResultsNo statistical differences were detected between the range of motion values measured using the two methods. The measurements based on the optical motion capture system showed excellent intra-rater reliability.ConclusionsThe findings of this study highlight the value of the motion capture system as a tool to objectively evaluate the joint range of motion in patients with contractures caused by burns.This study was registered at ClinicalTrials.gov (Identifier: NCT05881876).</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261432011"},"PeriodicalIF":2.9,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147728799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}