Clinical Rehabilitation最新文献

{"title":"Comparative effectiveness of dysphagia rehabilitation in head and neck cancer: A network meta-analysis.","authors":"Jong Mi Park, Seo Yeon Yoon, Sang Chul Lee, Yong Wook Kim","doi":"10.1177/02692155261487949","DOIUrl":"https://doi.org/10.1177/02692155261487949","url":null,"abstract":"<p><p>ObjectiveTo compare rehabilitation interventions for dysphagia after head and neck cancer treatment using network meta-analysis.Data sourcesPubMed/MEDLINE, EMBASE, Cochrane Library, Scopus, and Web of Science were searched from inception to 21 July 2026.Review methodsRandomised controlled trials evaluating swallowing exercise, neuromuscular electrical stimulation combined with exercise (NMES+ex), speech therapy combined with exercise (Speech+ex) or telerehabilitation were included. Random-effects network meta-analyses estimated Hedges' g standardised mean differences (SMDs) and treatment rankings across four outcome domains. Confidence was assessed using the Confidence in Network Meta-Analysis framework.ResultsTwenty-one trials were included in the systematic review; 18 trials involving 1139 participants contributed to connected networks. Exercise improved clinician-rated swallowing compared with usual care (SMD 0.98, 95% confidence interval 0.28 to 1.69) and instrumental swallowing compared with telerehabilitation (SMD 1.24, 0.07 to 2.42). No other comparisons were statistically significant. Speech+ex ranked highest for clinician-rated outcomes, exercise for instrumental outcomes and NMES+ex for patient-reported quality of life and symptom/handicap outcomes. In sensitivity analyses separating exercise types, prophylactic exercise ranked highest for instrumental and quality-of-life outcomes. Confidence ranged from moderate to very low and was very low for all patient-reported comparisons.ConclusionRehabilitation effects varied by outcome domain, with no consistently superior intervention. Exercise showed benefits for selected clinician-rated and instrumental outcomes, but sparse networks, imprecision and inconsistency limit certainty. These findings support individualised intervention selection and adequately powered trials using standardised outcomes.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261487949"},"PeriodicalIF":2.9,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149023929","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":"Effectiveness of different rehabilitation modalities for fall prevention in people with lower-limb amputation: a systematic review and meta-analysis.","authors":"Audrey Cointo, Marianne Rangström, Abdelhak Karrouchi, Marine Maze, Laëtitia Dourlens, Kevin Arribart, Adrien Pallot","doi":"10.1177/02692155261487458","DOIUrl":"https://doi.org/10.1177/02692155261487458","url":null,"abstract":"<p><p>ObjectiveTo evaluate various rehabilitation interventions to reduce fall incidence and improve fall-related outcomes in people with lower-limb amputation.Data sourcesPubMed, PEDro, Google Scholar, ScienceDirect, Lissa, ClinicalTrials.gov and the World Health Organization International Clinical Trials Registry Platform were searched in February 2024, and updated in April 2026.Review methodsRandomised controlled trials investigating rehabilitation for fall incidence, risk, balance, confidence or fear of falling were included. Findings were synthesised narratively and through meta-analysis. Risk of bias was assessed using the Revised Cochrane risk-of-bias tool, and evidence certainty using the Grading of Recommendations Assessment, Development and Evaluation criteria.ResultsTwenty-three studies (<i>n</i> = 832) were included. Interventions encompassed virtual reality, resistance training, neuromuscular and muscular electrical stimulation, proprioceptive neuromuscular facilitation, dual-task training, harness-supported treadmill training, behavioural change interventions, education, motor imagery and comprehensive protocols. Resistance training and proprioceptive neuromuscular facilitation were associated with significant improvements in fall risk, comprehensive protocols with a significant decrease in fall incidence and preoperative education with improved balance. A meta-analysis of 10 articles revealed that virtual reality significantly improved balance confidence but had no significant impact on measures of fall risk or balance.ConclusionPreliminary, low-certainty evidence suggests that combining comprehensive protocols, resistance training, proprioceptive neuromuscular facilitation and preoperative education may offer benefits for fall-related outcomes in people with lower-limb amputation. However, given the low to very low evidence certainty and high risk of bias across most studies, these findings must be interpreted cautiously and considered exploratory, not conclusive. Standardised reporting and methodological rigour are needed before clinical mandates can be made.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261487458"},"PeriodicalIF":2.9,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149016089","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 Returning to Sport Following Myocardial Infarction: A Qualitative Study.","authors":"Emily Gray, Jess Calverley, Matthew Jenkins, Olivia Stone, Gisela Sole","doi":"10.1177/02692155261487460","DOIUrl":"https://doi.org/10.1177/02692155261487460","url":null,"abstract":"<p><p>ObjectiveTo explore people's perceptions and experiences of returning to sport after a myocardial infarction.DesignQualitative descriptive methodology informed the study design. Data were collected using individual semi-structured interviews that were transcribed verbatim and analysed using Thomas' General Inductive Analysis.SettingInterviews were conducted either in the participants' homes via telephone or video conferencing, or in person at the research institution.ParticipantsPeople who had experienced a myocardial infarction within the past 2 years and regularly engaged in sport prior to their myocardial infarction.ResultsFour themes were identified: (1) reconciling an active identity with a new reality; (2) feeling vulnerable; (3) the need for strong and relevant support; and (4) navigating their own path. Experiencing a myocardial infarction significantly challenged participants' active identities and sporting aspirations. Psychosocial challenges such as fear, uncertainty and lack of relevant information and support were prominent during recovery. Despite this, participants were highly motivated and navigated their return to sport journey by listening to their body and decision-making underpinned by their personal risk tolerance.ConclusionsThe study provides insights into the broader psychosocial needs of people wanting to return to sport after myocardial infarction. Providing tailored specific advice and support that is relevant for active individuals is essential to empower them to confidently and safely return to sport.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261487460"},"PeriodicalIF":2.9,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148988194","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 impact of therapy-led hand clinics for the treatment of acute hand injury: A cluster non-randomised controlled trial.","authors":"Margo Sheerin, Rose Galvin, Damien Ryan, Leonora Carey, Eleanor Fallon, Brenda Bleach, Lorna Spellman, Simone Derham, Eileen Walsh, Ann-Marie Morrissey","doi":"10.1177/02692155261487461","DOIUrl":"https://doi.org/10.1177/02692155261487461","url":null,"abstract":"<p><p>PurposeTo evaluate the effectiveness of therapy-led conservative management of acute hand injury in adults when compared to medical-led, care as usual.DesignCluster non-randomised trial.SettingFour intervention sites and one control site, acute hospitals providing emergency care for hand injuries.ParticipantsAdults (18 years +) with acute hand injuries, such as hand fracture, mallet, volar plate and central slip injuries.InterventionThe intervention group had access to therapy-led hand therapy management of their hand injury, compared to care as usual.Main measuresStandardised outcome tools measuring function, health-related quality of life, pain, and occupational value and competence were completed at baseline, 8 weeks and 6 months.ResultsA total of 133 participants were recruited (intervention, <i>n</i> = 67; control, <i>n</i> = 66). Baseline demographics of participants were similar between groups. There was no statistically significant between-group differences in the primary outcome of QuickDASH function at 8 weeks (mean difference -0.05; 95% CI -6.41 to 6.3; <i>p</i> = 0.99) or 6 months (mean difference -1.74; 95% CI -6.35 to 2.87; <i>p</i> = 0.46), or in the secondary outcomes at each time point. However, the difference in scores across time was statistically significant for the primary outcome (<i>p</i> < 0.001), and a number of secondary outcomes. The intervention group had a significantly lower number of onward referrals (<i>p</i> < 0.001) and a reduced number of healthcare contacts.ConclusionNo statistically significant differences were detected between groups on primary or secondary outcomes, suggesting comparable functional recovery between therapy-led and medical-led pathways, while requiring fewer healthcare contacts and onward referrals. Greater utilisation of therapy-led pathways is indicated in the management of hand injury.RegistrationClinicalTrials.gov (NCT06399614).</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261487461"},"PeriodicalIF":2.9,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148988182","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":"Barriers to adhering to a pain neuroscience education and therapeutic exercise programme in people with chronic neck pain: A mixed-methods study.","authors":"Ivan Palahí-Calsina, Júlia Jubany, Albert Espelt, Joan Viladomat-Sallés, Sonny Bettagnier, Olga Borao","doi":"10.1177/02692155261485354","DOIUrl":"https://doi.org/10.1177/02692155261485354","url":null,"abstract":"<p><p>ObjectiveTo identify perceived barriers to adhering to a group-based programme combining pain neuroscience education and therapeutic exercise among people with chronic neck pain, and to assess the perceived relative importance and frequency of such barriers according to sociodemographic factors and programme attendance.DesignMixed-methods study using a concept mapping approach.SettingTwo primary care centres in Catalonia (Spain).ParticipantsSixty-three individuals with chronic neck pain.InterventionParticipation in a group-based pain neuroscience education and therapeutic exercise programme.Main measuresPerceived barriers to adhering to a combined pain neuroscience education and therapeutic exercise programme were generated, sorted, and rated by participants according to importance and frequency scores (5-point Likert scale). Cluster maps and go-zone plots were derived using multidimensional scaling and hierarchical cluster analysis. Exploratory subgroup analyses were conducted.ResultsThirty-two statements were grouped into four clusters: Adequacy and adaptation, Organisation and format, Information and educational support, and Therapeutic relationship. Adequacy and adaptation showed the highest ratings for importance and frequency, followed by Information and educational support, and Therapeutic relationship; Organisation and format showed the lowest. Exploratory analyses indicated higher ratings for barriers related to organisational and information-related aspects among younger participants, and for understanding-related difficulties among participants with <70% programme attendance.ConclusionsPerceived barriers to adherence appear to be structured around three interrelated domains: programme adequacy and adaptation, information and educational support, and therapeutic relationship. Organisational and information-related barriers were perceived as more relevant among younger participants, whereas understanding-related difficulties were more relevant among participants with <70% programme attendance.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261485354"},"PeriodicalIF":2.9,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148911012","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":"Responsiveness of the Timed 'Up and Go' test in people with Parkinson's disease.","authors":"John K Brincks, Jens Bansi, Martin Langeskov-Christensen, Ulrik Dalgas, Caroline S Nielsen, Line V Neergaard, Isa Slotboom, Franziska Riegel, Jacob Callesen","doi":"10.1177/02692155261485360","DOIUrl":"https://doi.org/10.1177/02692155261485360","url":null,"abstract":"<p><p>ObjectivesThis study evaluates the responsiveness of the Timed 'Up and Go' test in people with Parkinson's disease to determine its sensitivity in detecting changes in functional mobility.DesignRetrospective cohort study.SettingInpatient rehabilitation.ParticipantsOne hundred ninety-six people with Parkinson's disease.Main measuresData on the Timed 'Up and Go' test, the 10 m walk test, and the 6 min walk test, collected before and after an assigned multidisciplinary inpatient rehabilitation stay, were retrieved from an existing clinical database and analysed retrospectively, for the period from January 2020 to 2025.ResultsAfter a median (first quartile, third quartile) inpatient rehabilitation stay of 20 days (19, 27), significant (<i>p</i> < 0.001) median (first quartile; third quartile) changes and corresponding effect sizes were observed for the Timed 'Up and Go' test (-2 (-1; -4), effect size = -0.83), the 10 m walk test (-1 (0; -2), effect size = -0.61), and the 6 min walk test (44 (13; 86), effect size = 0.76). Analyses showed moderate correlations between changes in the Timed 'Up and Go' test and the 10 m walk test (Spearman's rank correlation coefficient = 0.35, <i>p</i> < 0.001) and between the Timed 'Up and Go' test and the 6 min walk test (Spearman's rank correlation coefficient = -0.32, <i>p</i> < 0.001).ConclusionThe Timed 'Up and Go' test demonstrated strong responsiveness to changes in functional mobility in people with Parkinson's disease. The consistent pattern of large effect sizes across all gait-related measures following multidisciplinary inpatient rehabilitation suggests that these assessments capture a shared underlying construct, gait performance, essential for maintaining independent community living.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261485360"},"PeriodicalIF":2.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886353","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":"Adapted cardiac rehabilitation for individuals after stroke and transient ischaemic attack: A scoping review.","authors":"Peter Hartley, Katie Bond, Claire Brown, Faye Forsyth, Jennifer Harrison, Isla Kuhn, Gemma Smith, Lydia Wiffen, Joanne McPeake","doi":"10.1177/02692155261479927","DOIUrl":"https://doi.org/10.1177/02692155261479927","url":null,"abstract":"<p><p>ObjectiveTo summarise evidence on the intervention design, safety, feasibility, acceptability, and effectiveness of a cardiac rehabilitation-based intervention for people who have had a stroke or transient ischaemic attack (TIA).Data sourcesMedline, PsycINFO, Embase, and CINAHL were searched between inception and 2026 for experimental or observational English-language studies that evaluated a cardiac rehabilitation-based intervention delivered to people with a history of stroke or TIA.Review methodsData were synthesised descriptively.ResultsNineteen studies were included (1951 participants), nine included people who had had a TIA, one exclusively. Most studies specified that participants had to have minimal or no stroke-associated disability. Reported time since stroke or TIA ranged from four weeks to more than one year. The interventions varied considerably in dose and components, though all included aerobic exercise training. Adverse event reporting was inconsistent; no study concluded that their interventions were unsafe, and one study stopped exercise testing. All 14 studies that measured feasibility reported that their study or intervention was feasible, though one concluded that it may not be feasible to enrol people with moderate stroke severity into existing cardiac rehabilitation programmes. Eight studies examined acceptability, all concluding that the interventions were acceptable and positively received. One powered randomised controlled trial found improvements were not sustained at 1-year follow-up.ConclusionsThe evidence suggests that cardiac rehabilitation after stroke and TIA is safe, feasible and acceptable. There are limited data relating to the inclusion of people with moderate or severe disability after stroke, or from trials regarding effectiveness.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261479927"},"PeriodicalIF":2.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886319","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":"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":"1143-1159"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13525178/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing clinical decision-making in inpatient rehabilitation: A scoping review.","authors":"Caitlin G Dobson, Holly Carrington, Gloria M Hernandez, Hannah C Go, Sophia N Hameed, Alison M Cogan","doi":"10.1177/02692155261435521","DOIUrl":"10.1177/02692155261435521","url":null,"abstract":"<p><p>ObjectiveTo synthesize research about clinical reasoning and decision-making among therapists in inpatient rehabilitation facilities about how they organize care and use their treatment time.Data sourcesPubMed, CINAHL, and PsycINFO were searched for relevant empirical studies published prior to January 13, 2026.Review methodsScoping review. The review process was organized using Covidence. Included studies featured descriptions of clinical decisions explained by occupational therapists, physical therapists, and speech therapists in inpatient rehabilitation facilities. Two reviewers coded the extracted themes through inductive analysis using Dedoose.ResultsOf 1239 articles identified through the search process, 51 met inclusion criteria. We identified six factors across studies that contributed to therapists' clinical decision-making including: (1) consideration of non-medical circumstances (with sub-themes of understanding the patient's perspective, presence of families and caregivers, and assessment of patient resources); (2) collaboration and roles within care teams; (3) within-session communication techniques; (4) knowledge-base and the influence of experience; (5) medical and safety considerations; and (6) balancing institutional priorities within treatment. We created a concept map showing connections across these six factors.ConclusionThe process of making decisions about therapy time and organization of care within inpatient rehabilitation settings is complex and requires integration of multiple factors. Therapists usually prefer familiar approaches to complex or time-intensive ones, and local culture shapes decision-making norms. Future research may examine how these factors relate to patient outcomes and implementation of practice changes such as introduction of new evidence-based treatments or assessment tools.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1268-1282"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13525182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147510007","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 road to a new normal - A qualitative study on relatives' needs and roles in amputation rehabilitation.","authors":"Katrine R Støvring, Nina Rottmann, Annette Rasmussen, Ulla R Madsen","doi":"10.1177/02692155261432020","DOIUrl":"10.1177/02692155261432020","url":null,"abstract":"<p><p>ObjectiveTo explore the roles, experiences and support needs of relatives of individuals who have undergone major lower extremity amputation during the early post-amputation period (0-2 years).DesignQualitative study using focus group interviews and a Research-Driven Photo Elicitation approach.SettingA 5-day psychosocial residential rehabilitation program for individuals with lower extremity amputation.ParticipantsThirty-three relatives of individuals with a major lower extremity amputation recruited through participating patients.InterventionParticipation in focus group interviews informed by photo elicitation to facilitate reflection and discussion of caregiving experiences.Main MeasuresData were analysed using Reflexive Thematic Analysis to identify patterns and themes related to relatives' roles and needs.ResultsOne overarching theme, <i>The Road to a New Normal</i>, described relatives' adaptive processes following amputation. Three subthemes were identified: (a) a gradual realisation of the long-term emotional and practical consequences of amputation; (b) challenges in supporting patients' emotional reactions, including grief and altered identity; and (c) shifting relationship dynamics, where relatives assumed caregiving roles while striving to maintain their original relational identity. Many relatives adopted a shared 'we-perspective', emphasising joint adaptation and coping.ConclusionsRelatives play a central role in post-amputation rehabilitation, and the findings highlight the complexity of relatives' adaptation following amputation. Their experiences highlight the importance of systematically involving relatives in rehabilitation through support for dyadic coping, emotional preparedness and shared goal setting to enhance outcomes for both patients and caregivers.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1254-1267"},"PeriodicalIF":2.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147503002","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}