Clinical Rehabilitation最新文献

{"title":"Effect of hyperbaric oxygen therapy for non-motor symptoms among patients with Parkinson's disease: A systematic review and meta-analysis.","authors":"Zhaoquan Pan, Weiqiang Tan, Xiaoke Ran, Mingyue Yan, Fengxi Xie","doi":"10.1177/02692155241310750","DOIUrl":"10.1177/02692155241310750","url":null,"abstract":"<p><p>ObjectiveTo systematically evaluate the efficacy of hyperbaric oxygen therapy for non-motor symptoms in patients with Parkinson's disease.Data sourcesA systematic search was performed across several databases, including the Chinese Science and Technology Periodical Database, Web of Science, SinoMed, PubMed, Cochrane Library, Embase and Wanfang databases up to 1 December 2024. Studies considered for inclusion comprised randomised controlled trials and pre-post control studies.Review methodsThe authors conducted the data extraction and literature screening procedures independently. The selected studies' quality was evaluated using the Cochrane risk of bias technique. Review Manager 5.3 was used to conduct meta-analyses, while Stata 15.0 was utilised for sensitivity analysis and to assess publication bias.ResultsSixteen studies with a total of 1324 individuals satisfied the inclusion criteria. The results of the meta-analysis showed that hyperbaric oxygen therapy significantly improved scores on the Hamilton Anxiety Scale and Hamilton Depression Scale compared with baseline (both <i>p </i>< 0.05). Additionally, improvements were observed in the Montreal Cognitive Assessment, Mini-Mental State Examination, Parkinson's Disease Sleep Scale, Pittsburgh Sleep Quality Index, Kubota's Drinking Water Test and Unified Parkinson's Disease Rating Scale III. Improvements in sleep efficiency and extension of total sleep time were also noted compared with controls (all <i>p </i>< 0.05).ConclusionThe findings indicate that hyperbaric oxygen therapy effectively alleviates non-motor symptoms such as anxiety, depression, cognitive impairments, sleep disturbances, and swallowing dysfunction, as well as improving motor function in Parkinson's disease patients. Since the hyperbaric oxygen therapy protocol had significant differences between studies, further prospective randomised controlled trials with rigorous methodology are needed.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"281-294"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613773","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":"Cardiopulmonary exercise tests in people with chronic stroke: Interpretation and clinical application.","authors":"Kiersten M McCartney, David Edwards, Ryan Pohlig, Pierce Boyne, Tamara Wright, Henry Wright, Matthew Overstreet, Darcy S Reisman","doi":"10.1177/02692155251315605","DOIUrl":"10.1177/02692155251315605","url":null,"abstract":"<p><p>ObjectiveTo understand in people with stroke: (1) reasons for cardiopulmonary treadmill exercise test termination, (2) how frequently secondary criteria indicating a maximal test are met, and (3) how test termination is related to volume of oxygen consumption and participant characteristics.DesignA secondary analysis from the Promoting Recovery Optimization of Walking Activity in Stroke (NCT02835313) clinical trial.SettingFour outpatient rehabilitation clinics.ParticipantsPeople with chronic stroke able to walk without assistance of another person.InterventionParticipants (<i>n</i> = 250) randomized in a larger clinical trial completed symptom limited graded exercise treadmill tests pre- (<i>n</i> = 247) and post-intervention (<i>n</i> = 185). Treadmill exercise tests were conducted at constant speed with incremental incline increases.Main MeasuresThe primary measure was reason for cardiopulmonary exercise test termination. Secondary measures included: oxygen consumption, ventilatory threshold, peak heart rate, respiratory exchange ratio, six-minute walk test, and fastest walking speed.ResultsThere were six categories of test termination, electrocardiogram (11%), blood pressure/heart rate (13%), biomechanical (25%), self-selected (41%), equipment malfunction (8%), and other (2%). Only 1.9% of tests achieved the threshold to confirm a maximal aerobic effort. There were no differences in peak volume of oxygen consumption or participant characteristics between test termination categories.ConclusionsAnalyses indicate few with chronic stroke exhibit a maximal aerobic effort on a cardiopulmonary exercise test. If the cardiorespiratory system is not thoroughly taxed during treadmill exercise tests in people with chronic stroke, interpreting results as their cardiorespiratory fitness should be done cautiously.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"306-316"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381708","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":"Facilitating involvement of nursing home residents in food-related activities in breakfast clubs: A qualitative inquiry.","authors":"Lise Justesen, Søren Tange Kristensen, Ute Walter, Niels Heine Kristensen","doi":"10.1177/02692155241310121","DOIUrl":"https://doi.org/10.1177/02692155241310121","url":null,"abstract":"<p><p>ObjectiveTo explore how healthcare professionals facilitate nursing home residents' involvement in food-related activities in two breakfast clubs based on a hospitality and reminiscences approach.DesignQualitative one-year intervention studyParticipantsNineteen residents and twelve healthcare professionalsMethodThe data were based on observation and debriefing notes from 29 breakfast club events, including 20 ladies' club events and 9 men's club events. Additionally, 13 interviews were conducted with residents, while 10 interviews were carried out with health care professionals. Data were subjected to thematic analysis and categorized into themes about how healthcare professionals can facilitate involvement in food-related activities.ResultsFive ways of facilitating involvement were identified. Recognizable meal routines and structure, combined with facilitating shifting host and guest roles, created a secure space for residents and formed the basis for involvement in food-related activities. Facilitating dialogues based on a reminiscence approach helped residents become authors of their own identities and facilitating co-creation supported mutual learning processes both for residents and healthcare professionals and allowed residents to negotiate their value as a club participant. Improvisation created opportunities for co-creating new social practices and new ways for residents to represent themselves.ConclusionInvolving nursing home residents in food-related activities is a potential rehabilitation arena, but new competencies for healthcare professionals are needed. They include meal-preparation and hospitality competencies and the ability to support residents in transferring valuable past experiences into present and future intentions. In addition, rehabilitation can be considered as mutual learning processes with shared, negotiated goals.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":"39 3","pages":"399-409"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673341","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":"Physiotherapy of the Trunk Related to Sitting Function After Stroke: A Delphi Study.","authors":"Elizabeth Bell, Kathy Briffa, James McLoughlin, Robyn Fary","doi":"10.1177/02692155251322263","DOIUrl":"https://doi.org/10.1177/02692155251322263","url":null,"abstract":"<p><strong>Objective: </strong>To develop consensus statements from a Delphi panel about physiotherapy of the trunk related to sitting function for people with subacute stroke, with the express aim of facilitating treatment choices by novice physiotherapists.</p><p><strong>Design: </strong>A four-round e-Delphi study using free-text responses and 5-point Likert scales for agreement.</p><p><strong>Participants: </strong>Twenty-six panel members with expertise in clinical and/or research in neurological rehabilitation.</p><p><strong>Main measures: </strong>Round 1 consisted of 5 free-text questions. Subsequent rounds ascertained agreement and consensus on statements formulated from Round 1 responses. Consensus was defined a priori as ≥70% agreement. Round 3 presented an additional two clinical observation queries related to the statements for comment.</p><p><strong>Results: </strong>Twenty participants completed all four rounds. Nineteen of 26 participants (73%) thought physiotherapy of the trunk was important through all stages of recovery after stroke. Different interpretations about what constitutes physiotherapy of the trunk following stroke were identified. Fourteen statements of agreement regarding physiotherapy of the trunk were formulated. The majority of statements involved different activities in sitting such as control of movement over the base of support and reaching with the unaffected arm. In addition to the statements of agreement clinical observations for implementation of the statements were developed.</p><p><strong>Conclusions: </strong>In the absence of detail in clinical guidelines and a wide range of interventions in systematic reviews, this study provides clear and specific options for novice physiotherapists of treatment of the trunk related to functional task practice in sitting and as preparation for sit to stand.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251322263"},"PeriodicalIF":2.6,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522767","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":"Patients' and staffs' experiences of clinical support after a lower limb reconstruction: An interview study.","authors":"Heather Leggett, Jennie Lister, Catherine Hewitt, Hemant Sharma, Catriona McDaid","doi":"10.1177/02692155251317500","DOIUrl":"https://doi.org/10.1177/02692155251317500","url":null,"abstract":"<p><p><b>Objective:</b> To explore patient and healthcare professional perspectives on post-lower limb reconstruction support. <b>Design:</b> A qualitative study<i>.</i> <b>Setting:</b> One-to-one semi-structured interviews undertaken via video conferencing software or over the telephone. <b>Participants:</b> Thirty-two patients (who had undergone reconstructive surgery due to trauma, malunion, non-union, infection or congenital issues treated by internal or external fixation) and 22 orthopaedic healthcare professionals (surgeons, nurses and physiotherapists) were interviewed between November 2020 and June 2021. <b>Results:</b> Thematic analysis was undertaken on data surrounding clinical support. Four themes were generated: being involved and feeling informed, physiotherapy as a motivator for recovery, the importance of timely access to physiotherapy, and mental health support. Patients valued being involved in decisions about their care and feeling informed. Supportive nurses played a key role, with patients appreciating clear communication and empathy. Trust in the clinical team eased anxiety, whilst a lack of information caused stress and dissatisfaction. Post-surgery, information on recovery, access to physiotherapy, and hospital contacts were crucial. Physiotherapy was vital for regaining mobility, providing motivation, and promoting confidence. Access to mental health support was limited, though patients appreciated emotional support from physiotherapists and hospital staff. <b>Conclusion:</b> By providing comprehensive support, healthcare professionals can optimise patient satisfaction with care, enhance psychological well-being, and facilitate the successful rehabilitation and reintegration of patients back into their daily lives.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251317500"},"PeriodicalIF":2.6,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522762","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":"The Oxford Visual Perception Screen: Development and normative data of a standardised assessment for visual perception difficulties.","authors":"Kathleen Vancleef, Ruby Castellani, Rebecca Shorthose, Catherine Guo, Merak Fulin Cai, Federica Guazzo, Nele Demeyere","doi":"10.1177/02692155251315606","DOIUrl":"https://doi.org/10.1177/02692155251315606","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to develop and standardise a practical systematic screening tool for visual perception impairments after a stroke to replace current subjective methods.</p><p><strong>Design: </strong>A mixed methods study including a cross-sectional study and a case series.</p><p><strong>Setting: </strong>In the community and on stroke rehabilitation units.</p><p><strong>Participants: </strong>Older volunteers without a neurological history contributed to normative data. Patients with ocular conditions or a stroke took part in our case series.</p><p><strong>Instrument: </strong>The Oxford Visual Perception Screen.</p><p><strong>Main measures: </strong>For each task of the Oxford Visual Perception Screen, we determined 5^th centile cut-off scores. We further explored effects of age, visual acuity and gender on visual perception through generalised linear models.</p><p><strong>Results: </strong>Oxford Visual Perception Screen is a 15-min paper-and-pen assessment comprising 10 tasks including picture naming, star counting and reading. Normative data of 107 participants demonstrated persistent high performance with most cut-offs near ceiling. Apart from the Figure Copy (<i>Z</i> = 6.57, <i>p</i> < 0.001) and Global Shape Perception task (<i>Z</i> = 3.32, <i>p</i> < 0.001) we found no evidence for an effect of visual acuity on OxVPS. An effect of age was only observed in the Face Recognition (<i>Z</i> = 3.61, <i>p</i> < 0.001) and Reading task (<i>Z</i> = -3.50, <i>p</i> < 0.001). No effects of gender were observed. A series of eight cases illustrates the interpretation of OxVPS.</p><p><strong>Conclusion: </strong>We present the Oxford Visual Perception Screen, a standardised visual perception screening tool alongside normative data and illustrative cases. The Oxford Visual Perception Screen can potentially change screening for visual perception impairments in clinical practice and is available at https://oxvps.webspace.durham.ac.uk/.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251315606"},"PeriodicalIF":2.6,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514864","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":"Letter to the editor: In radial extracorporeal shock wave therapy, energy matters.","authors":"Christoph Schmitz, Javier Crupnik, Daniel Morgan, Nicola Maffulli, Antoni Morral","doi":"10.1177/02692155251321013","DOIUrl":"https://doi.org/10.1177/02692155251321013","url":null,"abstract":"","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251321013"},"PeriodicalIF":2.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467276","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":"An economic evaluation of pre-discharge home assessment visits following hip fracture: Analysis from a randomised controlled trial.","authors":"Kylee J Lockwood, Nicholas F Taylor, Katherine E Harding, Natasha K Brusco","doi":"10.1177/02692155241312065","DOIUrl":"https://doi.org/10.1177/02692155241312065","url":null,"abstract":"<p><strong>Objective: </strong>To investigate cost-effectiveness of pre-discharge home assessment visits for patients recovering after hip fracture.</p><p><strong>Design: </strong>Cost-effectiveness analysis completed alongside a randomised controlled trial.</p><p><strong>Setting: </strong>Hospital wards and the community.</p><p><strong>Participants: </strong>Adults 50 years and over with hip fractures planning to return home.</p><p><strong>Intervention: </strong>Participants were randomised to either usual-care hospital-based discharge planning or usual-care hospital-based discharge planning with a pre-discharge home assessment visit by an occupational therapist.</p><p><strong>Main measures: </strong>Functional Independence Measure, EQ-5D-3L, and number of falls. Incremental cost-effectiveness ratios were calculated for changes at 30 days and 6 months.</p><p><strong>Results: </strong>Seventy-seven patients participated. Compared to usual care, the home assessment group likely had fewer falls at 30 days (incidence rate ratio = 0.41, 95% confidence interval (CI) 0.15 to 1.11) and increased functional independence at 6 months (11.2 units, 95% CI 4.2 to 18.2) but no difference in quality of life (0.0 units, 95% CI -0.1 to 0.1). The mean cost to provide a home assessment visit was A$135.70. A mean cost saving of A$6182 (95% CI -$6414 to $18,777) favoured the home assessment group. The incremental cost-effectiveness ratio found a saving of A$71,337 (95% CI -$998,930 to $411,409) in achieving clinically important changes in functional independence for the home assessment group at 6 months and a saving of A$34,832 (95% CI -$331,344 to $213,900) per fall avoided in favour of the home assessment group at 30 days.</p><p><strong>Conclusion: </strong>From a health service perspective, pre-discharge home assessments for patients after hip fracture are likely to be cost-effective in restoring functional independence and reducing falls.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155241312065"},"PeriodicalIF":2.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467275","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":"Shockwave therapy technique: Concerns around a recent publication.","authors":"Fusun Ardic, Alev Atigan, Meltem Akinci","doi":"10.1177/02692155251318163","DOIUrl":"https://doi.org/10.1177/02692155251318163","url":null,"abstract":"","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251318163"},"PeriodicalIF":2.6,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467277","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 sensorimotor training on stability, mobility, and quality of life after lower extremity thermal burns: A prospective randomised controlled trial.","authors":"Nesma M Allam, Nabil Mahmoud Abdel-Aal, Khadra M Ali, Hadaya Mosaad Eladl","doi":"10.1177/02692155251318560","DOIUrl":"https://doi.org/10.1177/02692155251318560","url":null,"abstract":"<p><strong>Objective: </strong>To determine the effect of sensorimotor training on stability, balance, mobility, quality of life, and muscle strength after lower extremity and trunk thermal burns.</p><p><strong>Design: </strong>A prospective, randomised controlled trial.</p><p><strong>Setting: </strong>Physiotherapy outpatient setting.</p><p><strong>Participants: </strong>Sixty participants with lower extremity and trunk thermal burns, aged 20-50 years, were randomly allocated to either the Sensorimotor Training group or the Control group.</p><p><strong>Intervention: </strong>The Sensorimotor Training group received both a sensorimotor training programme and a traditional physiotherapy programme, while the Control group received only the traditional physiotherapy programme. The intervention was applied three days per week for eight weeks.</p><p><strong>Outcome measures: </strong>The anteroposterior stability index was the primary outcome, while secondary outcomes included the overall stability index, mediolateral stability index, Timed Up and Go Test, Berg Balance Scale, and the Short Form-36 questionnaire, all measured at baseline and after eight weeks.</p><p><strong>Results: </strong>Significant differences were identified between groups after eight weeks, favouring the Sensorimotor Training group. Mean differences (95% CI) between groups were: -0.89 (-1.23, -0.54) for the anteroposterior stability index; 6.67 (4.48, 8.86) for the Berg Balance Scale; -1.7 (-2.82, -0.59) for the Timed Up and Go Test; 11.22 (7.03, 15.40) for knee extensor torque; and 7.98 (4.62, 11.35) for physical function.</p><p><strong>Conclusion: </strong>Sensorimotor training, when added to a conventional physiotherapy programme, can significantly improve stability, balance, mobility, quality of life, and muscle strength compared to conventional physiotherapy alone in participants with lower extremity and trunk thermal burns.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251318560"},"PeriodicalIF":2.6,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390309","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}