Clinical Rehabilitation最新文献

{"title":"Relationship between postoperative dietary intake and walking ability among older adults with hip fractures: A retrospective study.","authors":"Hikaru Kobayashi, Koutatsu Nagai, Yasuhiro Shimamura, Masami Hidaka, Akiko Mori, Kaoru Sakuma, Tomoyuki Ogino","doi":"10.1177/02692155241307504","DOIUrl":"https://doi.org/10.1177/02692155241307504","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine whether total dietary intake assessed in the acute phase after hip fracture surgery is associated with walking ability.</p><p><strong>Design: </strong>The retrospective observational study.</p><p><strong>Setting: </strong>A single institution.</p><p><strong>Participants: </strong>Patients with hip fractures aged ≥65 years.</p><p><strong>Main measures: </strong>Dietary intake was recorded daily on an 11-point scale using visual plate waste. The primary outcome was walking ability, which was assessed using functional ambulation categories at discharge. We categorised the patients into those with improved walking ability (functional ambulation categories score ≥3) and those without (<3). Cox proportional hazard models were used to estimate hazard ratios and 95% confidence intervals for functional ambulation categories according to total dietary intake during acute hospitalisation.</p><p><strong>Results: </strong>In total, 182 patients were included with a median age of 85 years; 73.6% were women. The median dietary intake during the first week after surgery, the second postoperative week, and throughout the postoperative period were 24.5, 28.4, and 27.1 kcal, respectively. After adjusting for potential confounders, high total dietary intake (hazard ratio, 1.05; 95% confidence intervals, 1.02-1.09; <i>P</i> = .006) and high dietary intake after the second week (hazard ratio, 1.04; 95% confidence intervals, 1.01-1.08; <i>P</i> = .017) were associated with walking ability.</p><p><strong>Conclusions: </strong>Total dietary intake was associated with walking ability at discharge during the acute postoperative period after hip fracture. Dietary intake following the second postoperative week may play a significant role in the recovery of walking ability.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":"39 2","pages":"259-267"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143476338","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 acetic acid shockwave phonophoresis on spur morphology, foot pain and function in patients with calcaneal spur: A randomised controlled trial.","authors":"Nabil Mahmoud Abdel-Aal, Fatma Seddek Amen, Ahmad Hamdi Azzam, Mostafa Ali Elwan","doi":"10.1177/02692155241306072","DOIUrl":"10.1177/02692155241306072","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effect of acetic acid shockwave phonophoresis on spur morphology, foot pain, and function in patients with calcaneal spurs.</p><p><strong>Design: </strong>A double-blinded, randomised clinical trial.</p><p><strong>Setting: </strong>Outpatients physical therapy clinics.</p><p><strong>Participants: </strong>One hundred forty-seven patients with calcaneal spurs, 18-65 years old, were randomly allocated to three equal groups.</p><p><strong>Intervention: </strong>The study group (A) received acetic acid shockwave phonophoresis plus conventional physical therapy. The study group (B) received shockwave therapy plus conventional physical therapy. The control group received conventional physical therapy programme only. Interventions were applied twice a week for 3 weeks.</p><p><strong>Outcome measures: </strong>Calcaneal spur width, calcaneal spur length, pain intensity level, pain pressure threshold and foot and ankle ability measure activities of daily living subscale were measured at baseline, after 3 weeks of interventions and after 4 weeks of follow-up with no intervention.</p><p><strong>Results: </strong>Between-group differences were observed for calcaneal spur width and length, pain intensity, pain pressure threshold and function after 3 weeks favouring Group A (<i>p</i> < 0.001). Mean differences (95% CI) between study groups were -1.11 mm (-1.46, -0.77) for spur width; -1.34 mm (-1.67, -1.01) for spur length; -20.71 mm (-24.66, -16.77) for pain; 1.45 kg/cm² (1.05, 1.85) for pain pressure threshold; and 12.16 points (9.24, 15.09) for function after 3 weeks.</p><p><strong>Conclusions: </strong>Acetic acid shockwave phonophoresis combined with exercise clinically and statistically improves calcaneal spur width, length, pain intensity, pain pressure threshold and foot function more than shockwave therapy alone or conventional physical therapy. This method might be considered an effective, feasible, safe, non-invasive and locally applicable treatment for heel spurs.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"187-201"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863573","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 of digitally supported home exercise for people with Parkinson's disease: A qualitative study.","authors":"Jenny Sedhed, Hanna Johansson, Elisabet Åkesson, Erika Franzén, Breiffni Leavy","doi":"10.1177/02692155241298859","DOIUrl":"10.1177/02692155241298859","url":null,"abstract":"<p><strong>Background: </strong>Digitally supported home exercise offers the potential to expand accessibility to rehabilitation. However, little is known about how people with Parkinson's disease experience performing home exercise programs using digital delivery.</p><p><strong>Objective: </strong>To explore and describe how people with Parkinson's disease perceive digital home-based exercise that is not supported in real-time, and how it affected their everyday lives.</p><p><strong>Methods: </strong>This study was qualitative in nature, using qualitative content analysis with an inductive approach. In-depth, individual, semi-structured interviews were held with 14 participants with Parkinson's disease.</p><p><strong>Results: </strong>Two overarching themes were formed: \"Active agency in the face of uncertainty\" and \"The home - safe space or disability on display\". The overarching themes were formed by four themes: 1) resisting the disease - a hope and a burden, 2) interpreting mixed messages, 3) home exercise - consideration and responsibility, and 4) the social context - judgement and support. Participants with Parkinson's disease believe that home exercise enables them to actively counter the disease, and this belief serves as both a source of hope but also a burden. Although perceived as advantageous, digitally supported home exercise may also incur becoming vulnerable to exposing one's disability.</p><p><strong>Conclusions: </strong>People with Parkinson's disease struggle to reconcile their beliefs about exercise with that which is encouraged or discouraged by those around them. Exercise in the home involves a dynamic interplay between achieving self-directed goals while trying to balance social consideration and maintaining integrity of identity.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"268-278"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142779515","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":"Cost consequences analysis of early vocational rehabilitation compared with usual care for stroke survivors.","authors":"Sarah Pyne, Tracey H Sach, Rory Cameron, Helen Risebro, Alexandra Wright-Hughes, Ellen Thompson, Dame Caroline Watkins, Audrey Bowen, Judith Stevens, Amanda J Farrin, Christopher McKevitt, John D Murray, Rory J O'Connor, Julie Phillips, Kate A Radford","doi":"10.1177/02692155241299372","DOIUrl":"10.1177/02692155241299372","url":null,"abstract":"<p><strong>Objective: </strong>To compare costs and consequences of Early Stroke Specialist Vocational Rehabilitation (ESSVR) with usual care in working age, stroke survivors over 12 months.</p><p><strong>Design: </strong>An economic evaluation nested within the pragmatic, multi-centre, randomised, controlled RETurn to work After stroKE (RETAKE) study.</p><p><strong>Setting: </strong>Twenty-one English and Welsh National Health Service (NHS) hospital-based stroke units. A UK NHS and Personal Social Services perspective was taken in the base-case and a wider perspective (participant, family, employer and other public services) in a secondary analysis.</p><p><strong>Participants: </strong>A total of 583 stroke survivors age ≥18 years (mean 54.0 years, 69% male).</p><p><strong>Interventions: </strong>Participants were randomised to ESSVR, an early, individually tailored (in content, dose, intensity and duration) intervention, plus usual care or usual care alone.</p><p><strong>Main measures: </strong>Disease-specific resource-use data and EQ-5D-5L (health-related quality of life) collected at baseline, 3, 6 and 12 months. Resource-use items were valued using unit costs in UK£ 2021/22. EQ-5D-5L was used to estimate Quality-adjusted life-years (QALYs). If ESSVR was found effective, an incremental cost-utility analysis was planned, otherwise a cost-consequence analysis.</p><p><strong>Results: </strong>The clinical study found no evidence of a between-group difference in the proportion of participants returning to work at 12 months. This, and the level of missing data, means a cost-consequence analysis is reported. Using imputed data, ESSVR plus usual care is estimated to be more expensive with slightly higher QALYs compared with usual care.</p><p><strong>Conclusions: </strong>Early Stroke Specialist Vocational Rehabilitation is unlikely to be considered cost-effective over 12 months, which fits with the clinical finding of no between-group difference in return-to-work rates post-stroke.</p><p><strong>Clinical trial registration information: </strong>The ISRCTN registry: ISRCTN12464275 https://doi.org/10.1186/ISRCTN12464275.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"161-173"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784144","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 9-item Tampa Scale for Kinesiophobia (TSK-9) has adequate measurement properties in patients with chronic low back pain.","authors":"Daniel Nunes Morais, André Pontes-Silva, Felipe Souza Barreto, Jocassia Silva Pinheiro, Leonardo Antônio Santos de Oliveira, Daniela Bassi-Dibai, Cid André Fidelis-de-Paula-Gomes, Mariana Arias Avila, Almir Vieira Dibai-Filho","doi":"10.1177/02692155251315060","DOIUrl":"https://doi.org/10.1177/02692155251315060","url":null,"abstract":"<p><strong>Objective: </strong>To assess the test-retest reliability, internal consistency, and construct validity of the 9-item Tampa Scale for Kinesiophobia in patients with chronic low back pain.</p><p><strong>Design: </strong>Questionnaire validation study.</p><p><strong>Setting: </strong>Study was conducted in an online environment.</p><p><strong>Participants: </strong>We included people aged 18 to 50 years with self-reported low back pain lasting > three months and assessed the Pain-Related Catastrophizing Thoughts Scale and the 9-item Tampa Scale for Kinesiophobia.</p><p><strong>Main measures: </strong>We used intraclass correlation coefficient, standard error of measurement, minimum detectable change, and Cronbach's alpha to assess the reliability and internal consistency of the 9-item Tampa Scale for Kinesiophobia. We tested correlations between the domains of the 9-item Tampa Scale for Kinesiophobia and the other variables to assess construct validity.</p><p><strong>Results: </strong>A total of 174 participants with chronic low back pain were included in the analysis. No ceiling or floor effect was found. In terms of construct validity, there was a positive correlation between the domains of the 9-item Tampa Scale for Kinesiophobia and the other variables. In the reliability analysis, there was adequate test-retest reliability of the two domains of the 9-item Tampa Scale for Kinesiophobia: intraclass correlation coefficient = 0.99, standard error of measurement = 3.4%, and minimum detectable change = 9.6% for the activity avoidance domain; and intraclass correlation coefficient = 0.99, standard error of measurement = 3.5%, and minimum detectable change = 9.9% for the somatic focus domain. There was acceptable internal consistency (Cronbach's alpha ≥ 0.68) for both domains.</p><p><strong>Conclusion: </strong>The 9-item Tampa Scale for Kinesiophobia has adequate measurement properties in patients with chronic low back pain.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155251315060"},"PeriodicalIF":2.6,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143051833","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 effect of brief, repetitive balance training on balance and fall risk in older people with stroke: A randomized controlled trial.","authors":"Almudena Medina-Rincón, Laura M Pérez, Caritat Bagur-Calafat, Ana M Barrios-Franquesa, Marta Amor-Barbosa, Víctor Doménech-García, Pablo Bellosta-López, Almudena Buesa-Estéllez, Montserrat Girabent-Farrés","doi":"10.1177/02692155241312067","DOIUrl":"10.1177/02692155241312067","url":null,"abstract":"<p><p>ObjectiveTo evaluate the effect of integrating a specific balance-training program focused on static balance to the conventional rehabilitation program on dynamic balance, risk of falls, and activities of daily living (ADLs) in older adults post-stroke.DesignA single-blinded randomized controlled trial.SettingInstitutional Intermediate Care Hospital.SubjectsPost-stroke older adults in a subacute phase without cognitive impairment, aged 65 years and older, exhibiting trunk control in a seated position for 30 seconds without supporting the arms.InterventionThe control group underwent the usual treatment, consisting of 60-minute physiotherapy sessions, 5 days per week, for 30 days. The experimental group integrated into the usual treatment 15 minutes of the balance-training program (45 min + 15 min).Main measuresBalance impairment (Mini-BESTest and Berg Balance Scale (BBS), risk of falls (BBS), and independence for ADLs (Barthel Index)) were assessed at baseline, 15 and 30 days after the start of interventions.ResultsSeventy-one post-stroke patients (77.7 ± 9.0 years, 49.2% women) were randomized into the experimental (<i>n</i> = 35) or control (<i>n</i> = 36) groups. The experimental group showed improved dynamic balance at day 15 (Mini-BESTest: 2.90 [1.05-4.77], <i>p</i> = 0.003; BBS: 4.31 [1.41-7.23], <i>p</i> = 0.004) and day 30 (Mini-BESTest: 6.06 [2.85-9.27], <i>p</i> < 0.001; BBS: 8.24 [2.96-13.53], <i>p</i> = 0.003), as well as greater independence levels (11 [2.75-19.23], <i>p</i> = 0.010) compared to the control group. The control group showed higher risk of falls on day 15 (<i>p</i> = 0.035) and day 30 (<i>p</i> = 0.003) than the experimental group.ConclusionsA simple, easily reproducible approach designed by and for the older adult to rehabilitate post-stroke impairments effectively improved balance, functional gait, risk of falls, and ADLs.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155241312067"},"PeriodicalIF":2.6,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001366","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 scoping review on motor imagery-based rehabilitation: Potential working mechanisms and clinical application for cognitive function and depression.","authors":"Yule Hu, Yan Li, Angela Yee Man Leung, Jiaying Li, Xiaoxiao Mei, Jed Montayre, Ran Tao, Janelle Yorke","doi":"10.1177/02692155241313174","DOIUrl":"https://doi.org/10.1177/02692155241313174","url":null,"abstract":"<p><strong>Objective: </strong>To map evidence on the characteristics, effectiveness, and potential mechanisms of motor imagery interventions targeting cognitive function and depression in adults with neurological disorders and/or mobility impairments.</p><p><strong>Data sources: </strong>Six English databases (The Cochrane Library, PubMed, Embase, Scopus, Web of Sciences, and PsycINFO), two Chinese databases (CNKI and WanFang), and a gray literature database were searched from inception to December 2024.</p><p><strong>Review methods: </strong>This scoping review followed the Joanna Briggs Institute Scoping Review methodology. Interventional studies that evaluated motor imagery for cognitive function and/or depression in adults with neurological disorders and/or mobility impairments were included.</p><p><strong>Results: </strong>A total of 24 studies, primarily involving adults with cerebrovascular diseases, multiple sclerosis, and Parkinson's disease, were identified. Motor imagery was typically conducted at home/clinic, occurring 2 to 3 sessions per week for approximately 2 months, with each session lasting 20 to 30 minutes. The 62.5% of studies (n = 10) reported significant improvements in cognitive function, exhibiting moderate-to-large effect sizes (Cohen's <i>d </i>= 0.48-3.41), especially in memory, attention, and executive function, while 53.3% (n = 8) indicated alleviation in depression with moderate-to-large effect sizes (Cohen's <i>d </i>= -0.72- -2.56). Motor imagery interventions could relieve pain perception and promote beneficial neurological changes in brains by facilitating neurotrophic factor expression and activating neural circuits related to motor, emotional, and cognitive functions.</p><p><strong>Conclusion: </strong>Motor imagery could feasibly be conducted at home, with promising effects on cognitive function and depression. More high-quality randomized controlled trials and neuroimaging techniques are needed to investigate the effects of motor imagery on neuroplasticity and brain functional reorganization, thereby aiding in the development of mechanism-driven interventions.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155241313174"},"PeriodicalIF":2.6,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001323","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":"Response to letter to the editor \"Standardizing blood flow restriction research-the crucial role of identifying apparatus methodology and analysis\".","authors":"Stuart A Warmington, Matthew J Clarkson","doi":"10.1177/02692155241296131","DOIUrl":"10.1177/02692155241296131","url":null,"abstract":"","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"130-131"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567340","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":"Response to Letter to the Editor: \"Effect of a Transitional Tele-Rehabilitation Programme on Quality of Life of Adult Burn Survivors: A Randomised Controlled Trial\".","authors":"Jonathan Bayuo, Frances Kam Yuet Wong, Loretta Yuet Foon Chung","doi":"10.1177/02692155241309196","DOIUrl":"10.1177/02692155241309196","url":null,"abstract":"","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"134-136"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142892455","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":"Standardizing blood flow restriction research-the crucial role of identifying apparatus in methodology and analysis: A letter to the editor.","authors":"Nicholas Rolnick, Jim McEwen, Victor De Queiros, Tim Werner","doi":"10.1177/02692155241293247","DOIUrl":"10.1177/02692155241293247","url":null,"abstract":"","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"128-129"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567523","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}