Clinical Rehabilitation最新文献_第3页

Efficacy of immersive virtual reality-based self-managed naming therapy for chronic post-stroke aphasia: A randomized controlled trial. 沉浸式虚拟现实自我管理命名疗法对慢性中风后失语症的疗效：一项随机对照试验。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-04-21 DOI: 10.1177/02692155261445265

Ramazan Kurul, Enes Tayyip Benli, Tarık Ozkan, Mustafa Fatih Yaşar, Sule Aydin Turkoğlu

{"title":"Efficacy of immersive virtual reality-based self-managed naming therapy for chronic post-stroke aphasia: A randomized controlled trial.","authors":"Ramazan Kurul, Enes Tayyip Benli, Tarık Ozkan, Mustafa Fatih Yaşar, Sule Aydin Turkoğlu","doi":"10.1177/02692155261445265","DOIUrl":"https://doi.org/10.1177/02692155261445265","url":null,"abstract":"ObjectiveThis study aimed to evaluate the efficacy of immersive virtual reality-based naming therapy in individuals with chronic post-stroke aphasia.DesignRandomized, single-blind, parallel-group, and controlled trial.SettingBolu Abant Izzet Baysal University Physical Medicine and Rehabilitation Hospital.ParticipantsA total of 102 individuals with non-fluent aphasia (aged 40-80 years), randomly assigned to two groups (n = 51 each).InterventionsThe virtual reality group received virtual reality-based self-managed naming therapy in an immersive environment, while the control group received conventional therapy. Both interventions were delivered 5 times per week over 8 weeks.Outcome measuresThe primary outcome was language performance, measured by the Gulhane Aphasia Test. Secondary outcomes included Stroke and Aphasia Quality of Life Scale and enjoyment.ResultsAt baseline, groups were similar in demographics and clinical measures (p > 0.05). Both groups showed significant improvements in the Gulhane Aphasia Test and Stroke and Aphasia Quality of Life Scale scores (p < 0.05). The virtual reality group improved across all Gulhane Aphasia Test subscales (p < 0.05). In contrast, the control group did not show gains in listening comprehension and repetition. Stroke and Aphasia Quality of Life subscale improvements were broader in the virtual reality group. Between-group comparisons indicated significantly higher gains in the virtual reality group in oral motor (p = 0.005), naming (p = 0.001), and enjoyment (p = 0.002).ConclusionsTherapy based on immersive virtual reality showed better results for naming, quality of life, and patient engagement. These findings suggest that virtual reality is an effective intervention for aphasia rehabilitation. Future studies are needed to investigate long-term effects and the potential for home-based applications.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261445265"},"PeriodicalIF":2.9,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147764520","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

Modernising functional independence measurement: Validation of a Contemporary Extended Activities of Daily Living scale in a mixed sample. 现代化功能独立性测量：在混合样本中验证当代扩展日常生活活动量表。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-04-17 DOI: 10.1177/02692155261436989

Kalliopi Mavromati, Lucie Tvrda, Terence J Quinn

{"title":"Modernising functional independence measurement: Validation of a Contemporary Extended Activities of Daily Living scale in a mixed sample.","authors":"Kalliopi Mavromati, Lucie Tvrda, Terence J Quinn","doi":"10.1177/02692155261436989","DOIUrl":"https://doi.org/10.1177/02692155261436989","url":null,"abstract":"ObjectiveTo validate a previously described 5-item short-form Nottingham Extended Activities of Daily Living and assess the properties of incorporating contemporary tasks to create a novel Contemporary Extended Activities of Daily Living scale.DesignValidation study.SettingConducted through an online questionnaire.ParticipantsAdults over 60 years of age, living with a chronic condition or receiving care, caregivers, and healthcare providers.Main measuresWe assessed internal consistency of each scale using Cronbach's alpha. Additionally, criterion validity and convergent validity of the short-form and contemporary scales were assessed using Spearman's correlation analyses with the original 22-item Nottingham scale, and with quality of life measured by the European Quality of Life 5-dimension scale.ResultsAcross 712 participants (n = 256, 36% with a chronic condition), both the short-form Nottingham Extended Activities of Daily Living scale (α = 0.84, 95% CI: 0.82-0.86) and a novel Contemporary Extended Activities of Daily Living scale (α = 0.88, 95% CI: 0.87-0.89) had good internal consistency. The short-form scale had excellent concurrent validity (rs = 0.82, p < .00). Each contemporary item was correlated with the original Nottingham scale, and the full Contemporary scale had good concurrent validity (rs = 0.78, p < .001). Both scales had moderate construct validity in relation to quality of life (short-form Nottingham scale rs = 0.68, p < .001, contemporary scale rs = 0.56, p ≤ .001).ConclusionsOur initial evaluation of a Contemporary Extended Activities of Daily Living scale shows that construct validity is not compromised by the inclusion of contemporary tasks. Future research is needed to account for the diversity of activity patterns to improve the perceived relevance of scales assessing functional outcomes.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261436989"},"PeriodicalIF":2.9,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716400","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

Cross-cultural adaptation and validation of the physical activity scale for individuals with physical disabilities among people with spinal cord injury in China. 中国脊髓损伤残障人群体力活动量表的跨文化适应与验证

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-04-15 DOI: 10.1177/02692155261438617

Yinnan Liu, Yue He, Yanbo Chen, Mengmeng Jia, Wenxuan Wang, Jie Tang, Sumei Xie, Yan Li, Tiebin Yan, Kun Li

{"title":"Cross-cultural adaptation and validation of the physical activity scale for individuals with physical disabilities among people with spinal cord injury in China.","authors":"Yinnan Liu, Yue He, Yanbo Chen, Mengmeng Jia, Wenxuan Wang, Jie Tang, Sumei Xie, Yan Li, Tiebin Yan, Kun Li","doi":"10.1177/02692155261438617","DOIUrl":"https://doi.org/10.1177/02692155261438617","url":null,"abstract":"ObjectiveTo translate the Physical Activity Scale for Individuals with Physical Disabilities into Mandarin according to Brislin guidelines and to examine its reliability and validity.DesignCross-sectional study.SettingsTwo rehabilitation centers in China.ParticipantsA convenience sample of 208 adults with spinal cord injury.Main MeasuresA total of 208 participants completed the Chinese version of the Physical Activity Scale for Individuals with Physical Disabilities at the first measurement. One week later, 122 of them completed both the scale and the International Physical Activity Questionnaire Short Form. Construct validity, criterion-related validity, internal consistency, test-retest reliability, goodness of fit of items, and differential item functioning were evaluated in this study.ResultsFactor analysis found a four-factor structure, including household activities, moderate to vigorous intensity activities, mild activities, and work-related activities. The Cronbach's α coefficient of the Chinese version of the Physical Activity Scale for Individuals with Physical Disabilities was 0.795. A significant correlation was found between Physical Activity Scale for Individuals with Physical Disabilities and International Physical Activity Questionnaire Short Form (r = 0.842, p＜0.05). The test-retest intraclass correlation coefficient was 0.814 (P < 0.001). Three rounds of Rasch analyses were conducted in this study. The results indicated that the Rasch model for the questionnaire had a good fit.ConclusionThe Chinese version of the Physical Activity Scale for Individuals with Physical Disabilities is a reliable and valid scale for assessing physical activity among individuals with spinal cord injury in China.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261438617"},"PeriodicalIF":2.9,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688668","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

Cross-cultural adaptation, reliability, and validity of the arabic version of the foot-health status questionnaire. 阿拉伯语版足部健康状况问卷的跨文化适应、信度和效度。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-04-15 DOI: 10.1177/02692155261441559

Afnan M Shayani, Alaa J Albarakati, Hosam Alzahrani

{"title":"Cross-cultural adaptation, reliability, and validity of the arabic version of the foot-health status questionnaire.","authors":"Afnan M Shayani, Alaa J Albarakati, Hosam Alzahrani","doi":"10.1177/02692155261441559","DOIUrl":"https://doi.org/10.1177/02692155261441559","url":null,"abstract":"ObjectiveTo translate and culturally adapt the Foot Health Status Questionnaire into Arabic (Foot Health Status Questionnaire-Ar) and investigate its psychometric properties in patients with various foot conditions.DesignCross-sectional study.Setting: The study was conducted in outpatient clinics across various private and general hospitals in Saudi Arabia.ParticipantsParticipants included 135 adult patients from Saudi Arabia (83.7% females) with foot problems (mean age=38.1 years).Main measuresWe utilized the intraclass correlation coefficient and Cronbach's alpha to evaluate the test-retest reliability and internal consistency, respectively, of the Foot Health Status Questionnaire-Ar domains. To evaluate construct validity, we calculated Pearson's correlation coefficients between the Foot Health Status Questionnaire-Ar domains scores and other related constructs, including the Foot Function Index, Numeric Pain Rating Scale, and the EuroQol Health Questionnaire, five-dimension, five-level. Floor and ceiling effects were also assessed to determine the scale's ability to discriminate across the full range of scores.ResultsThe Foot Health Status Questionnaire-Ar exhibited acceptable test-retest reliability, with intraclass correlation coefficients ranging from 0.760-0.858 across four domains. Internal consistency was good, with Cronbach's α values between 0.843 and 0.912 across the domains. The construct validity was supported by significant correlations between the Foot Health Status Questionnaire-Ar domains and related constructs, including the Foot Function Index, Numeric Pain Rating Scale, and EuroQol Health Questionnaire.ConclusionFoot Health Status Questionnaire-Ar is a reliable and valid scale for evaluating foot health in Arabic-speaking populations. These results support its use in research and clinical settings for evaluating foot health.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261441559"},"PeriodicalIF":2.9,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688707","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

Early controlled mobilisation improves functional outcomes in nonoperatively treated radial head fractures: A multicenter retrospective cohort study. 一项多中心回顾性队列研究：早期控制活动可改善非手术治疗桡骨头骨折的功能预后。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-04-13 DOI: 10.1177/02692155261441555

Yusuf Altuntas, Enver Ipek, Mehmet Ali Bozca, Ismail Tuter, Osman Tugrul Eren

{"title":"Early controlled mobilisation improves functional outcomes in nonoperatively treated radial head fractures: A multicenter retrospective cohort study.","authors":"Yusuf Altuntas, Enver Ipek, Mehmet Ali Bozca, Ismail Tuter, Osman Tugrul Eren","doi":"10.1177/02692155261441555","DOIUrl":"https://doi.org/10.1177/02692155261441555","url":null,"abstract":"DesignRetrospective multicentre cohort study.SettingData were collected between 2015 and 2024 from the orthopaedic departments of multiple hospitals.ParticipantsAdult patients with isolated Mason type I and selected Mason type II radial head fractures (≤2 mm displacement, no mechanical block) treated nonoperatively between 2015 and 2024 were included. A total of 174 patients met the inclusion criteria and completed a minimum follow-up of 24 months.InterventionPatients were allocated to either early controlled mobilisation using a functional brace (Group 1) or delayed rehabilitation following four weeks of long-arm cast immobilisation (Group 2).Main measuresPrimary outcome measures were the Mayo Elbow Performance Score at final follow-up. Secondary outcomes included elbow range of motion, pain assessed using the visual analogue scale, time to return to work, and treatment-related complications.ResultsEarly controlled mobilisation was associated with slightly higher functional outcome scores, including the Mayo Elbow Performance Score (89.5 vs 87.0) and the Oxford Elbow Score (87.3 vs 85.0). Differences were also observed in elbow flexion (138.0° vs 134.8°), pain scores (0.67 vs 1.01), and time to return to work (10.5 vs 11.7 weeks), whereas extension loss and forearm rotation were comparable between groups. Complication rates were similar. However, the magnitude of these differences did not exceed established minimal clinically important difference thresholds.ConclusionsEarly controlled mobilisation is a safe and reasonable approach in the nonoperative management of radial head fractures. Although small differences favouring early mobilisation were observed, no clinically meaningful difference was identified between the two approaches.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261441555"},"PeriodicalIF":2.9,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147671140","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

Response to letter: Methodological reflections on a postoperative home-based exercise rehabilitation trial. 回复信件：对术后家庭运动康复试验的方法学思考。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-04-09 DOI: 10.1177/02692155261438609

Ryoko Nishiyama, Hiroshi Hashizume, Akihito Minamide, Shizumasa Murata, Munehito Yoshida, Hiroshi Yamada

引用次数: 0

Letter to the editor regarding methodological reflections in a postoperative home-based exercise rehabilitation trial. 致编辑关于术后家庭运动康复试验的方法学思考的信。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-04-08 DOI: 10.1177/02692155261438612

Fei-Yi Zhao, Qiang-Qiang Fu, Yan-Mei Wang, Wen-Jing Zhang

引用次数: 0

Letter to the editor on quantitative clinical assessment of wrist proprioception with stroke survivors. 致编辑关于中风幸存者腕部本体感觉定量临床评估的信。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-04-06 DOI: 10.1177/02692155261437006

Jun Tao, Yongchao Zhao, Hongjian Li, Wenqi Feng

引用次数: 0

Author's response to 'Quantitative clinical assessment of wrist proprioception with stroke survivors'. 作者对“中风幸存者腕部本体感觉的定量临床评估”的回应。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-04-06 DOI: 10.1177/02692155261437007

Yvonne Yk Mak-Yuen, Thomas A Matyas, Kylee Lockwood, Leeanne M Carey

引用次数: 0

Healthcare professionals' perspectives on early sling removal following conservatively managed proximal humerus fractures: A qualitative study. 医疗专业人员对保守治疗肱骨近端骨折后早期移除吊带的看法：一项定性研究。

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2026-04-02 DOI: 10.1177/02692155261437345

Helen Tunnicliffe, Seth O'Neill, Sion Scott, Harvinder Singh, David Wright

{"title":"Healthcare professionals' perspectives on early sling removal following conservatively managed proximal humerus fractures: A qualitative study.","authors":"Helen Tunnicliffe, Seth O'Neill, Sion Scott, Harvinder Singh, David Wright","doi":"10.1177/02692155261437345","DOIUrl":"https://doi.org/10.1177/02692155261437345","url":null,"abstract":"DesignA qualitative study using uni-professional focus groups, forming the first stage of a multi-phase co-design project to develop a model of care for early sling removal after conservatively managed proximal humerus fracture.SettingFocus groups were conducted online via Microsoft Teams with participants from a wide geographical spread across multiple United Kingdom National Health Service Trusts.ParticipantsHealthcare professionals (n = 23), including orthopaedic surgeons, therapists (physio and occupational), and nurses, recruited through purposive sampling.InterventionThree focus groups explored healthcare professionals' perspectives on early sling removal in the non-operative management of proximal humerus fractures. Patient and public involvement and engagement work informed study design, identifying the need to first understand professionals' viewpoints before engaging patients and progressing to consensus co-design.Main measuresData were collected through focus groups supported by pre-session forms and analysed thematically following Braun and Clarke's framework using NVivo software.ResultsThree overarching themes were identified: Navigating pain and fear, clinician confidence, and early engagement. Fear of patient harm and high pain levels in the early weeks were barriers to early sling removal. Confidence was influenced by experience, fracture severity and limited evidence, with hierarchical decision-making by surgeons. Participants considered enablers to be consistent messaging, early education, and reassurance to support both clinicians and patients.ConclusionsWhilst healthcare professionals recognise benefits of earlier sling removal, implementation is limited by pain, uncertainty, and hierarchical decision-making. These findings highlight the need for multidisciplinary, co-designed pathways. There is a need next to explore patient perspectives to inform future co-designed pathways.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261437345"},"PeriodicalIF":2.9,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147590417","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