Clinical Rehabilitation最新文献

{"title":"Validity, safety, usability, and user experience of virtual reality gamified home-based exercises in stroke.","authors":"Hatem Lazem, David Harris, Abi Hall, Maedeh Mansoubi, Rodrigo Garcia Pontes, Carlos Bandeira de Mello Monteiro, Luciano Vieira de Araújo, Sarah E Lamb, Helen Dawes","doi":"10.1177/02692155251371435","DOIUrl":"https://doi.org/10.1177/02692155251371435","url":null,"abstract":"<p><p>ObjectiveThis study adopted a novel approach to exploring the content validity, safety, usability, and user experiences of different games for telerehabilitation purposes from the perspective of physiotherapists and stroke survivors.DesignA cross-sectional content validity and usability study.SettingLab and online.Participants23 participants were recruited; 11 neuro-physiotherapists and 12 chronic stroke survivors.OutcomesContent validity and safety were assessed using a bespoke state evaluation questionnaire. The usability was evaluated using the system usability scale (SUS) and user experience questionnaire (UEQ). House of Quality analysis was conducted to identify the priority aspects for improvement.ResultsPhysiotherapists perceived the usability of the games as good to excellent for three games, median SUS = 80%, and poor for two games SUS < 68%. Three games had a mean average content validity index (CVI) > 0.8, and all games were safe to be administrated at home; mean CVI-safety item = 0.90. Stroke survivors with Fugl-Meyer Assessment of Upper Extremity function mean (SD) = 41(19.4), and mild to moderate spasticity perceived usability as very good to excellent for four games (median SUS = 85%). UEQ scale showed good to excellent acceptance among most of the games. House of Quality analysis revealed that clear instructions, avatar quality, motivational exercise scenarios, and clinical assessment tools are important criteria that should be considered throughout the development.ConclusionThis study demonstrated the value of exploring patient and physiotherapist perspectives for better telerehabilitation interventions co-development. Clinical trials should be conducted after further refinement of the games to investigate their feasibility and potential efficacy as a telerehabilitation tool for arm and balance training.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251371435"},"PeriodicalIF":2.9,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144945092","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":"Effect of robot-assisted rehabilitation of patients with Parkinson's disease: A meta-analysis.","authors":"Dongyun Wu, Zifen Yang, Songchun Liu, Shuqin Guan, Xiaoyong Liu, Jingjing Luo","doi":"10.1177/02692155251355089","DOIUrl":"10.1177/02692155251355089","url":null,"abstract":"<p><p>ObjectiveThis meta-analysis evaluates the effectiveness of robot-assisted rehabilitation on various functional outcomes in patients with Parkinson's disease.Data sourcesA comprehensive search was conducted in databases including PubMed, Embase, Cochrane Central Register of Controlled Trials, Scopus, Web of Science, and Google Scholar up to April 2025.Review methodsRandomized controlled trials assessing the impact of robot-assisted rehabilitation were included. Pooled standardized mean differences (SMD) were calculated using a random-effects model, with heterogeneity assessed via <i>I</i>² and tau² statistics. Sensitivity analyses and publication bias assessments were also performed.ResultsThe meta-analysis included 22 studies with 819 participants. Significant improvements were observed in the Six-Minute Walk Test (SMD = 1.304, 95%CI: 0.387-2.221, <i>p</i> = 0.005, <i>I</i>² = 93.1%), timed up-and-go test (SMD = -0.302, 95%CI: -0.490 to -0.114, <i>p</i> = 0.002, <i>I</i>² = 0.0%), Unified Parkinson's Disease Rating Scale Part-III (SMD = -0.924, 95% CI: -1.330 to -0.518, <i>p</i> < 0.0001, <i>I</i>² = 79.9%), Berg Balance Scale (SMD = 0.986, 95% CI: 0.546-1.425, <i>p</i> < 0.0001, <i>I</i>² = 76.3%), and gait speed (SMD = 0.772, 95%CI: 0.290-1.255, <i>p</i> = 0.002, <i>I</i>² = 73.1%). Step length showed significant improvement (SMD = 0.848; 95%CI: 0.196-1.501, <i>p</i> = 0.011, <i>I</i>² = 87%).ConclusionRobot-assisted rehabilitation significantly improves functional outcomes in patients with Parkinson's disease, particularly in walking distance, balance, and gait speed. These findings support the integration of robot-assisted rehabilitation into clinical practice for enhancing mobility and reducing motor symptoms in Parkinson's disease.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1156-1169"},"PeriodicalIF":2.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144590541","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":"Lower limb proprioception and postural control strategies in people with non-specific low back pain: A systematic review and meta-analysis.","authors":"Zhengquan Chen, Xiaojian Shi, Oren Tirosh, Doa El-Ansary, Roger Adams, Jia Han, Adrian Pranata","doi":"10.1177/02692155251362719","DOIUrl":"10.1177/02692155251362719","url":null,"abstract":"<p><p>ObjectiveTo investigate whether lower limb proprioception and postural control strategies are impaired in people with non-specific low back pain.Data sourcesA literature search was performed in the Cochrane Library, Web of Science, PubMed, Embase and Cumulative Index to Nursing and Allied Health Literature, between January 2000 and June 2025.Review methodsStudies comparing lower limb proprioception and postural control strategies in adults with non-specific low back pain versus asymptomatic controls were included. Postural control was assessed through relative proprioception weighting, with higher values indicating greater reliance on ankle strategies and lower values indicating reliance on hip strategies. Quality appraisal utilised the Newcastle-Ottawa scale, while evidence certainty was evaluated using the grading of recommendations assessment, development and evaluation system.ResultsSeventeen studies with 1187 participants were included, of which 14 had Newcastle-Ottawa Scale scores above five. The pooled analysis showed that the non-specific low back pain group had significantly decreased ankle proprioception compared to the control group (standardised mean difference = -0.710). People with non-specific low back pain relied more on ankle strategies for postural control on both stable (weighted mean difference = 0.086) and unstable surfaces (weighted mean difference = 0.195). However, the three pooled outcome measures showed very low level of evidence due to research design and heterogeneity.ConclusionVery low level of evidence showed that people with non-specific low back pain had impaired lower limb proprioception and a higher reliance on an ankle strategy compared to asymptomatic controls, suggesting potential benefits of assessing and improving lower limb function in this population.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1181-1196"},"PeriodicalIF":2.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144788420","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":"How important are working relationships for stroke self-management? A qualitative study with healthcare professionals in community stroke teams.","authors":"Lauren Lucas, Sarah Peters, Sarah Cotterill, Audrey Bowen","doi":"10.1177/02692155251358457","DOIUrl":"10.1177/02692155251358457","url":null,"abstract":"<p><p>ObjectiveTo understand healthcare professionals' experiences of developing therapeutic alliances (working relationships) with stroke survivors, and their views on how alliance relates to self-management in community settings.DesignQualitative study.SettingCommunity.ParticipantsHealthcare professionals recruited purposively from four National Health Service community stroke teams in England.Main measuresSemi-structured, one-to-one qualitative interviews, transcribed verbatim and analysed using Braun and Clarke's reflexive thematic analysis.ResultsNineteen clinicians (six physiotherapists, four occupational therapists, two speech and language therapists, two nurses, one psychologist and four people in assistant/trainee roles) were included in the study. Three main themes were developed from the data. (1) <i>The team can't come forever</i>: alliances were shaped by the time-limited nature of community rehabilitation and relied on trust, buy-in, and clearly defined roles and expectations. (2) <i>Therapeutic alliances help and hinder</i>: whilst alliances supported motivation and engagement, complicated power dynamics sometimes undermined self-management. (3) <i>Confusion about what self-management is</i>: participants often equated self-management with self-directed rehabilitation and described a lack of clarity, confidence and training in supporting emotional and long-term adjustment needs. Strong alliances were viewed as essential for self-management, but formal support strategies were rarely used.ConclusionsCommunity-based healthcare professionals consider therapeutic alliance to be the foundation for stroke self-management in the community. However, a limited understanding of self-management among clinicians, combined with unbalanced power dynamics, may restrict patient autonomy. Relationship-based training (e.g. Bridges) and the development of self-management champion roles within organisations may enhance clinicians' confidence and consistency in delivering self-management support in the community.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1254-1265"},"PeriodicalIF":2.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12340139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144674022","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":"Cross-cultural adaptation, reliability, and validity of the Arabic version of the Speech, Spatial, and Qualities of Hearing Scale.","authors":"Safa Alqudah, Aya Shatarah, Aya Milhem, Mohammed F ALHarbi, Hind Maher Alenzi, Margaret Zuriekat, Razan Rababah, Safa Alazzam, Eman Alhawamdh, Israa Saleem","doi":"10.1177/02692155251361913","DOIUrl":"10.1177/02692155251361913","url":null,"abstract":"<p><p>ObjectiveTo translate the full version of the Speech, Spatial, and Qualities of Hearing Scale into Arabic, assess its reliability and validity, and evaluate the listening ability scores of Arabic-speaking individuals with hearing impairments.DesignCross-sectional study involving linguistic adaptation and psychometric evaluation of a self-reported hearing questionnaire.SettingConducted in audiology clinics and university research facilities, where participants were assessed and followed-up under standardized testing conditions.ParticipantsTwo hundred twenty participants, including 110 with hearing loss and 110 age- and gender-matched individuals with normal hearing. All were native Arabic speakers.InterventionParticipants underwent audiological assessments and completed the translated full version of the Speech, Spatial, and Qualities of Hearing Scale. A subset completed the questionnaire again after 3 months to assess test-retest reliability.Main measuresInternal consistency was evaluated using Cronbach's alpha, while test-retest reliability was assessed through the intraclass correlation coefficient comparing baseline and follow-up scores. Discriminant validity was established by comparing the scores of individuals with and without hearing loss, and the relationships between scale scores and the percentage of hearing loss were also examined.ResultsThe Arabic version demonstrated excellent internal consistency (Cronbach's alpha = 0.974). Test-retest reliability was confirmed with a high intraclass correlation coefficient (0.958; p < 0.001). The scale distinguished between participants with hearing loss and those with normal hearing (p < 0.001). Total scores showed significant negative correlations with hearing loss (r = 0.609; p < 0.001).ConclusionsThe Arabic full version of the Speech, Spatial, and Qualities of Hearing Scale is a valid and reliable tool for assessing auditory perception, spatial hearing, and communication challenges among Arabic-speaking individuals with hearing impairments.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1209-1218"},"PeriodicalIF":2.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144752614","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":"Exploring availability of physiotherapy service for people with Parkinson's Disease in Europe: An cross-sectional study.","authors":"Katarzyna Smilowska, Josefa Domingos, Vanessa Carvalho, Anna Siuda, John Dean, Tamine Capato, Bastiaan R Bloem","doi":"10.1177/02692155251361915","DOIUrl":"10.1177/02692155251361915","url":null,"abstract":"<p><p>DesignA cross-sectional study.SettingNational-level physiotherapy care for Parkinson's Disease across European countries.ParticipantsOne physiotherapist from each of the 26 European countries was invited to provide national-level information based on availability of physiotherapy for Parkinson's Disease, based on a questionnaire.Main measuresNational-level information was collected on accessibility and conditions of physiotherapy specialized in Parkinson's Disease across European countries.ResultsData from 24 countries were collected. Parkinson's Disease-specific physiotherapy was offered in 20 countries. The number of hours of physiotherapy per year available for people with Parkinson's Disease varied widely across countries, from none to an unlimited number of sessions. Treatment was typically provided free of charge through public or government-financed national health systems, with treatment frequency informed by national insurance. Only eight countries reported formal Parkinson's Disease training programs for physiotherapy, which were available only as a separate, external program not integrated with the standard physiotherapy curriculum at a university.ConclusionsPhysiotherapy for people with Parkinson's Disease in European countries varies significantly across countries that completed the questionnaire, with differences in the number of hours and treatment settings. It is crucial to standardize training and care for people with Parkinson's Disease and prioritize the development and implementation of policies to facilitate access to evidence-based physiotherapy services.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1266-1273"},"PeriodicalIF":2.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144759335","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":"Novel brace with long-duration neuromuscular electrical stimulation in patients with full-thickness rotator cuff tears: A randomized controlled trial.","authors":"Yi-Hsuan Weng, Chon-Kio Wong, Yang-Ting Chien, Jing-Lan Yang, Chung-Hsun Chang, Jiu-Jenq Lin","doi":"10.1177/02692155251356455","DOIUrl":"10.1177/02692155251356455","url":null,"abstract":"<p><p>ObjectiveTo evaluate the efficacy of exercise with a long-duration neuromuscular electrical stimulation brace compared to exercise alone in patients with full-thickness rotator cuff tears.DesignA prospective randomized controlled trial.SettingResearch laboratory.ParticipantsPatients with full-thickness rotator cuff tears were randomized into the experimental (<i>n</i> = 21) or exercise-only group (<i>n</i> = 21).InterventionBoth groups completed exercises daily for 6 weeks, with the experimental group receiving neuromuscular electrical stimulation during exercises.Main measuresFunction, pain, strength, and scapular biomechanics (arm raising and lowering).ResultsThe principal outcome showed no differences between groups in function, pain, or strength at 3 and 6 weeks. However, the experimental group exhibited significantly less posterior tilt (6.3 ± 2.9°, <i>p</i> = 0.006) at week 3 and reduced upper trapezius (6.0%-19.0%, <i>p</i> = 0.017) and serratus anterior (15.3%-20.4%, <i>p</i> = 0.009-0.016) activation at weeks 3 and 6. The within-group comparison showed pain (1.8 ± 0.4, <i>p</i> < 0.001) and strength (6.5-9.4%, <i>p</i> < 0.007) improved in the experimental group by week 3, while the exercise-only group showed strength gains (3.4-10.1%, <i>p</i> < 0.01) from weeks 3 to 6. Both groups demonstrated decreased upward rotation (2.1° ± 0.8°, <i>p</i> = 0.042), whereas the experimental group showed decreased muscle activation (2.0-10.5%, <i>p</i> < 0.03) after training.ConclusionsDespite a 6-week exercise program with long-duration neuromuscular electrical stimulation, no significant group differences were observed in function, pain, or strength at 3 or 6 weeks. However, secondary analyses indicated reduced scapular compensation and early pain and strength improvements in the experimental group.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1197-1208"},"PeriodicalIF":2.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144574931","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":"Intensity of task-specific training for functional ability post-stroke: Systematic review and meta-analysis.","authors":"Rabi'u Ibrahim, Auwal Abdullahi, Abubakar Tijjani Salihu, Isa Usman Lawal","doi":"10.1177/02692155251351906","DOIUrl":"10.1177/02692155251351906","url":null,"abstract":"<p><p>ObjectivesTo evaluate the effectiveness of intensities of task-specific training on upper and lower limbs functions, balance, and quality of life post-stroke.Data sourcesSix electronic databases (Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, PsycINFO, and Clinical trials.gov registries) were searched up to 19 April 2025.Review methodsWe selected randomized controlled trials with at least one group involving an active repetitive motor sequence. Using an online systematic review application (Covidence), two reviewers screened the studies and extracted the data. Risk of bias was appraised using the standard Cochrane tool. Review Manager 5.4 was used for analysis.ResultsTwenty-six randomized controlled trials involving 1431 stroke survivors were included, with moderate to high risk of bias. Subgroup analyses across most outcomes (arm/hand function, lower limb function, balance, quality of life) showed no significant effects of task-specific training based on dosage variables (frequency, sessions, duration, and repetitions). Although some trends favored higher-dose task-specific training or control, only hand function improved significantly in studies with >20 sessions (SMD = 0.57, p = 0.02; I² = 69). A significant effect on arm function was seen with >50 repetitions (p = 0.001), but evidence quality was very low.ConclusionsThere is insufficient evidence to determine whether higher-intensity task-specific training leads to improved functional outcomes in stroke rehabilitation. Future well-designed trials are needed to explore optimal training intensities and their impact on recovery.International prospective register of systematic reviews ID CRD42020130991.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1133-1155"},"PeriodicalIF":2.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505044","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":"Shoulder irritability differs by standardised measures of movement-evoked pain.","authors":"Abigail W Anderson, William J Hanney","doi":"10.1177/02692155251348853","DOIUrl":"10.1177/02692155251348853","url":null,"abstract":"<p><p>ObjectiveIrritability utilises pain behaviour during movement to inform examination and treatment intensity. Standardised measures of movement-evoked pain have not previously been applied to irritability. This study examined whether shoulder pain during standard movements differed by irritability category and level.DesignObservational studySettingResearch laboratoryParticipantsParticipants with shoulder pain (n=40)InterventionIrritability was assessed followed by psychological questionnaires (Fear of Pain Questionnaire, Pain Catastrophizing Scale, Tampa Scale of Kinesiophobia, Center for Epidemiologic Studies-Depression, State-Trait Anger Expression Inventory, Pain Anxiety Symptoms Scale, Pain Self-Efficacy Questionnaire), quantitative sensory testing (pressure pain threshold, heat pain threshold, conditioned pain modulation, temporal summation), and movement-evoked pain (lifting, functional movements, repetitive movements, self-selected task).Main measuresShoulder pain intensity was assessed before, during, and after each task. A t-test and ANOVA examined differences in each movement task by irritability.ResultsPain during the standardised lifting task was significantly higher in individuals categorised as irritable (p=0.03) than not irritable, as well as high irritability compared to moderate (p<0.01). Pain during functional movements was significantly higher in individuals categorised as irritable (p<0.01) compared to not, as well as high compared to low irritability (p<0.01). Performance on repetitive tasks did not significantly differ by irritability category (p=0.63) or level (p=0.44). Change in pain ratings during the self-selected task did not differ by irritability category (p=0.67) or level (p=0.95).ConclusionsPain during standardised, functional movements may differentiate irritability. Clinicians may want to consider functional testing in which pain is assessed during movement for patients with irritable shoulder pain.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1068-1079"},"PeriodicalIF":2.6,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246740","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":"Co-designing and testing a management programme with peer support for post-stroke fatigue: Nottingham fatigue after stroke study (NotFAST3).","authors":"Joanne Ablewhite, Shirley Thomas, Roshan das Nair, Fiona Jones, Nikola Sprigg, Heather Wharrad, Avril Drummond","doi":"10.1177/02692155251350084","DOIUrl":"10.1177/02692155251350084","url":null,"abstract":"<p><p>ObjectiveTo develop and test a novel programme to support post-stroke fatigue management for testing in a future clinical trial.DesignStaged approach to development and preliminary testing. Phases 1 and 2: co-design groups held to agree programme content and resources. Phase 3: training for facilitators developed and delivered. Phase 4: feasibility of programme delivery tested with questionnaires completed at beginning and end, and feedback interviews conducted.SettingCommunity, online.ParticipantsStroke survivors with post-stroke fatigue, carers and healthcare professionals.InterventionPost-stroke fatigue management programme supported by 'buddies' with lived or professional experience of managing fatigue.Main measuresIn phase 4, we examined feasibility of programme delivery (recruitment, retention, engagement and acceptability) and preliminary signals of efficacy.ResultsIn phases 1 and 2 we recruited 23 participants (16 stroke survivors, 2 carers and 5 healthcare professionals) and designed resources. In phase 3, 10 people supported training development: 7 received training to be buddies. In phase 4 we recruited 15 people with fatigue; 13 completed the programme. Of these, 13 completed baseline and 12 follow-up questionnaires. All buddies (7/7) and 12/13 participants were interviewed. Mean number of sessions delivered was 9 (SD 3.24; range 3-13) and ranged from 10 to 60 minutes (mean 28 minutes; SD 10.04). Overall, mean fatigue severity reduced, activity increased, and mood measures improved. Participants and buddies were positive about the programme and believed it was worthwhile.ConclusionsThe programme was acceptable and feasible, with preliminary evidence of efficacy, but some issues need to be addressed in future trial design.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1080-1091"},"PeriodicalIF":2.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12290229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144332557","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}