Clinical Rehabilitation最新文献

{"title":"'It can be very complicated': A qualitative analysis of clinicians' practices and perspectives on treating adolescents with nonspecific persistent back pain.","authors":"Sara D Hauber, Katie Robinson, Kieran O'Sullivan","doi":"10.1177/02692155251324589","DOIUrl":"10.1177/02692155251324589","url":null,"abstract":"<p><p>ObjectiveTo explore the practices, perspectives and beliefs of clinicians treating adolescents with nonspecific persistent back pain.DesignA qualitative descriptive study using individual, semi-structured interviews. Reflexive thematic analysis was used to code interview transcripts and generate relevant themes.SettingClinicians in any clinical setting where adolescents with nonspecific persistent back pain are treated.ParticipantsTen clinicians (eight chartered physiotherapists, one nurse and one psychologist) who currently treat or have treated adolescents with nonspecific persistent back pain.ResultsFive themes were identified which captured the practices, perspectives and beliefs of clinicians treating adolescents with nonspecific persistent back pain: (1) Multiple relationships, one priority, (2) Without buy-in, it won't work, (3) Managing pain, living life, (4) No one-size-fits-all treatment, and (5) Who you see is what you get.ConclusionsTreating an adolescent with nonspecific persistent back pain is not the same as treating an adult with the same condition. Specifically, clinicians must attend to the needs, concerns and beliefs of both adolescents and their parents, reflecting the diminished autonomy of adolescent patients. Clinicians tend to offer person-centred care to adolescents with nonspecific persistent back pain. However, they currently lack guidance on how to foster effective treatment relationships with parents and how to achieve buy-in to a modern conceptualisation of persistent back pain as a biopsychosocial phenomenon.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"549-558"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604179","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":"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":"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":"536-548"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","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":"\"Together is no longer completely together\": Exploring the influence of social cognition problems on partner relationships following acquired brain injury.","authors":"Brenda van den Broek, Jorn Muskens, Caroline van Heugten, Boudewijn Bus, Sophie Rijnen","doi":"10.1177/02692155241312134","DOIUrl":"10.1177/02692155241312134","url":null,"abstract":"<p><p>ObjectiveTo examine the experiences of individuals with acquired brain injury and their partners regarding the effects of social cognition problems on their relationships.DesignQualitative interview study.SettingInterviews were conducted 1 to 5 years post-injury, either in the participants' home or at a care facility in the Netherlands.ParticipantsNine couples consisting of an individual with acquired brain injury and a partner without acquired brain injury. Scores on neuropsychological tests indicated social cognition difficulties in individuals with acquired brain injury.MethodsIndividual semi-structured interviews were conducted, audio recorded, and transcribed verbatim. Two independent analysts analyzed the data using thematic analysis aimed at finding common themes across the data set. Data analysis was carried out recursively and parallel to data collection to help determine when saturation was reached.ResultsSix themes were generated from the interview data: (1) partners feeling disappointed, lonely, and despondent, (2) individuals with acquired brain injury feeling insecure and ashamed of falling short, (3) relationship roles changing, (4) the aggravating role of fatigue and sensory hypersensitivity, (5) the importance of professional help, and (6) silver linings: increased awareness creating closeness.ConclusionSocial cognition problems have the potential to strongly affect relationships between those with acquired brain injury and their partners in many ways. Addressing social cognition problems is recommended as it is greatly appreciated by individuals with acquired brain injury and their partners and holds promise for improving their relationship.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"339-352"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142968832","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 association between ambiguity tolerance and psychological well-being among physical therapists engaged in geriatric rehabilitation: A multicentre collaborative cross-sectional study.","authors":"Shotaro Tamura, Kenta Hiratsuka, Minato Oonuki, Masanobu Yokochi, Daiki Matsuzaka, Yuutarou Satou, Naoto Ishikawa, Masahiko Tai, Koki Kikuchi, Ryouichi Kuneta, Masanori Ooya, Kensuke Kakiuchi, Ryo Matsuda","doi":"10.1177/02692155241310324","DOIUrl":"10.1177/02692155241310324","url":null,"abstract":"<p><p>ObjectiveThis study clarifies the association between ambiguity tolerance and psychological well-being in physical therapists engaged in geriatric rehabilitation.DesignMulticentre cross-sectional study.<b>Setting:</b> Five facilities in Japan.Methods and MeasuresA total of 143 physical therapists (response rate: 58.1%) participated in geriatric rehabilitation. The main outcome measures were the multidimensional attitude scale towards ambiguity, professional quality of life scale and quick inventory of depressive symptomatology.ResultsHierarchical regression analyses showed associations of need for complexity (β = 0.40) with compassion satisfaction, discomfort with ambiguity (β = 0.30) with compassion fatigue, need for complexity (β = -0.34) and discomfort with ambiguity (β = 0.33) with burnout and discomfort with ambiguity (β = 0.30) with quick inventory of depressive symptomatology (<i>p</i> < .05). Sub-group analyses revealed that in the group with less than five years' experience, need for complexity was not associated with burnout, and in men, there were no significant variables for compassion fatigue and quick inventory of depressive symptomatology.ConclusionsAmong physical therapists in geriatric rehabilitation, discomfort with ambiguity was associated with compassion fatigue, burnout and depressive symptoms, whereas need for complexity was associated with compassion satisfaction. Management and education that reduces discomfort with ambiguity and increases need for complexity may improve physical therapists' psychological well-being.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"366-376"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920970","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":"Coming to my own wisdom: A qualitative study exploring the role of the Take Charge intervention in stroke recovery.","authors":"Vivian Fu, Kathryn Mary Fernando, Felicity Bright, Judith Riley, Kathryn McPherson, Harry McNaughton","doi":"10.1177/02692155241310770","DOIUrl":"10.1177/02692155241310770","url":null,"abstract":"<p><p>ObjectiveThe Take Charge intervention, delivered early after hospital discharge following acute stroke, is effective at improving 12-month health status, independence and advanced activities of daily living. This study aims to provide a deeper understanding of the experiences of receiving Take Charge.DesignThis was a qualitative study nested within a large randomised control trial, the Taking Charge After Stroke (TaCAS) study. Data were analysed using thematic analysis, and we describe our findings using interpretive description.ParticipantsPeople with stroke aged over 18 years, who were participants in the TaCAS study conducted in Aotearoa New Zealand.InterventionTake Charge, a person-centred conversation delivered face-to-face, designed to explore a person's identity and priorities, conducted by a trained facilitator and guided by a workbook.ResultsWe interviewed nine participants, three from each of the three arms of the TaCAS trial - each would have received one, two, or zero Take Charge sessions (the control group). The overall theme of 'Doing things my way/coming to know my own wisdom and expertise' was enabled by 'being listened to and feeling heard' and 'focusing on the goals which were important to me', both strongly expressed by people who received the Take Charge intervention, and hindered by 'medical paternalism' and 'loss of sense of self/\"not me\"' most commonly expressed by people in the control arm.ConclusionsThe Take Charge intervention empowers people with stroke by enhancing intrinsic motivation. A trusting, therapeutic relationship and non-judgemental facilitation are essential to ensure that the person feels heard.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"377-387"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078711","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":"Effects of a home-based pelvic floor muscle training with and without action and cue observation on urinary incontinence after prostatectomy: A randomized controlled trial.","authors":"Filippo Russo, Federico Temporiti, Damiana Cifoletti, Elisabetta Benaglia, Claudia Franzini, Vittorio Fasulo, Marco Paciotti, Nicolò Maria Buffi, Roberto Gatti","doi":"10.1177/02692155241309086","DOIUrl":"10.1177/02692155241309086","url":null,"abstract":"<p><p>ObjectiveTo investigate the effects of a home-based pelvic floor muscle training with and without action and cue observation on urinary incontinence after prostatectomy.DesignTwo-armed single-blind randomized controlled trial.SettingHumanitas Research Hospital, Milan, Italy.ParticipantsNinety-two participants with age between 40 and 80 years and urinary incontinence after robot-assisted laparoscopic prostatectomy.InterventionParticipants were randomized into an action and cue observation (<i>n = </i>46) or control (<i>n = </i>46) group undergoing an 8-week home-based pelvic floor muscle training. Action and cue observation group observed video clips showing exercises synchronized with a visual cue indicating the correct pelvic floor muscle activation timing and imitated the observed tasks. Control group observed landscape video clips and performed the same exercises of experimental group.Main measuresA blinded physiotherapist assessed participants for urinary leakages (24-h pad test), symptom severity (International Prostate Symptoms Score and International Prostate Symptoms Score - Quality of Life), quality of life (International Consultation on Incontinence Questionnaire - Short Form), and erectile dysfunction (International Index of Erectile Function) before and after the training.ResultsAll participants improved urinary leakages, symptom severity, and quality of life after training. Action and cue observation group revealed significantly larger improvements in 24-h pad test (mean difference: 106.1 g, 95% CI: 13.4 g, 199.1 g, <i>p</i> = .037) than control group.ConclusionsHome-based pelvic floor muscle training with action and cue observation led to larger improvements in urinary continence compared to the same training without action and cue observation after prostatectomy.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"295-305"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143064158","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":"Coaching stroke survivors to persevere with practice: An observational behavioural mapping study.","authors":"Bridee Neibling, Moira Smith, Ruth N Barker, Kathryn S Hayward","doi":"10.1177/02692155241304340","DOIUrl":"10.1177/02692155241304340","url":null,"abstract":"<p><p>ObjectiveTo quantitatively describe therapists' use of coaching with stroke survivors, in a hospital-based rehabilitation setting, to promote perseverance with longer-term practice.DesignProspective observational behavioural mapping study.SettingRehabilitation unit of a regional public hospital in Queensland, Australia.Main measuresA custom-designed behavioural mapping tool was used to collect rehabilitation session contextual data and therapists' use of coaching. Data were captured in 3-minute epochs for a maximum of 30 minutes. Data were analysed using descriptive statistics.ResultsThirty-six rehabilitation sessions, including 34 participants (therapists <i>n</i> = 22, stroke survivors <i>n</i> = 12) were observed. Rehabilitation sessions were mostly inpatient (<i>n</i> = 33, 91.7%), one-on-one (<i>n</i> = 30, 83.3%), and conducted in the physiotherapy (<i>n</i> = 160, 45.5%) or occupational therapy (<i>n</i> = 155, 44.0%) gym. Strategies to promote perseverance were used in 76.7% (<i>n</i> = 267) of observed epochs. The most frequently used strategy was <i>monitoring the quality of practice</i> and the least frequently used strategy was <i>utilising a support person to facilitate practice.</i>ConclusionCoaching that may promote perseverance with practice was regularly used by therapists during hospital-based rehabilitation sessions. Coaching that may enable longer-term perseverance beyond a therapist-dependent rehabilitation model was less commonly observed.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"410-420"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142794546","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":"Enhancing safety monitoring in post-stroke rehabilitation through wearable technologies.","authors":"Kátia Rech, Maira Jaqueline da Cunha, Ana Paula Salazar, Rosicler da Rosa Almeida, Clarissa Pedrini Schuch, Gustavo Balbinot","doi":"10.1177/02692155241309083","DOIUrl":"10.1177/02692155241309083","url":null,"abstract":"<p><p>ObjectiveCurrent clinical practice guidelines support structured, progressive protocols for improving walking after stroke. Technology enables monitoring of exercise and therapy intensity, but safety concerns could also be addressed. This study explores functional mobility in post-stroke individuals using wearable technology to quantify movement smoothness-an indicator of safe mobility.DesignObservational cohort study.SettingA movement analysis and rehabilitation laboratory.ParticipantsA total of 56 chronic post-stroke individuals and 51 healthy controls.InterventionParticipants performed the mobility test while wearing an inertial measurement unit attached to their waist. Thirty-two healthy participants also engaged in a steady-state walking task.Main measuresFunctional mobility smoothness by examining angular velocities in the yaw, pitch, and roll axes, employing the spectral arc length metrics.ResultsOur findings reveal that post-stroke individuals extend the duration of the timed-up-and-go test (≈9 s and 23 s longer compared to the controls) to ensure safe mobility-greater mobility smoothness (<i>p</i> < 0.001). Notably, for mild and severe impairments, post-stroke mobility demonstrated ≈8% and ≈11% greater smoothness in pitch movements, respectively (<i>p</i> = 0.025 and <i>p</i> = 0.002). In the roll direction, mobility was ≈12% smoother in cases of severe strokes (<i>p</i> = 0.006).ConclusionThis study addresses a crucial gap in the understanding of mobility smoothness in chronic stroke survivors using wearable technology. Our study suggests the potential utility of spectral arc length to predict challenging mobility situations in real-world situations. We highlight the potential for automated monitoring of safety offering promising avenues for real-time, real-life monitoring.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":"39 3","pages":"388-398"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669297","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":"Priorities for post-stroke aphasia service development: Prioritisation phase of an experience-based co-design study.","authors":"Lisa Anemaat, Victoria J Palmer, David A Copland, Geoffrey Binge, Kent Druery, Julia Druery, Kathryn Mainstone, Bruce Aisthorpe, Sarah J Wallace","doi":"10.1177/02692155241310579","DOIUrl":"10.1177/02692155241310579","url":null,"abstract":"<p><p>ObjectivePost-stroke aphasia (language impairment) has a devastating impact on quality of life and people with aphasia experience long-term unmet needs. A shared understanding of the experiences underpinning these unmet needs is required to identify priorities for improvement. Establishing priorities for meaningful service improvement requires involvement of service users and providers. Therefore, this research aimed to: (1) collaboratively identify priorities for aphasia service improvement according to people with aphasia, significant others, speech pathologists, and (2) co-design a plan for service development and improvement.DesignPrioritisation phase of an experience-based co-design project. Online surveys were used to prioritise ideas (<i>n</i> = 773). Three multi-stakeholder consensus groups were held to shortlist top priorities. Design principles were applied during three consecutive co-design workshops, to develop a concept design targeting the top priority.Participants, settingPeople with aphasia (<i>n</i> = 41), significant others (<i>n</i> = 35) and speech pathologists (<i>n</i> = 75) across 26 health and hospital sites in remote, regional, and metropolitan Queensland, Australia.ResultsConsensus was established on seven priorities: (1) chart alert system for aphasia, (2) training for healthcare providers in ways to support communication, (3) care that is tailored to the individual, (4) consistent care, (5) equitable access to care, (6) intensive communication therapy options, and (7) mental health service options. A concept design (implementation strategy) was created for the top priority.ConclusionsMulti-stakeholder consensus was gained on seven priorities. Development, implementation, and evaluation of the co-designed concept plan for the top priority may decrease miscommunication in hospital settings and enhance experiences of people with aphasia communicating with healthcare providers.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"353-365"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143448434","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":"Kinesophobia in patients with osteoporotic vertebral compression fractures: a latent profile analysis.","authors":"Rui Li, Meng-Yao Liang, Yue Wu, Hong Song, Hai-Tang Liu","doi":"10.1177/02692155241312139","DOIUrl":"10.1177/02692155241312139","url":null,"abstract":"<p><p>ObjectiveTo explore the status of kinesophobia in patients with osteoporotic vertebral compression fractures and analyze the influencing factors of different kinesophobia profiles.DesignCross-sectional survey studyParticipantsA total of 245 patients with osteoporotic vertebral compression fractures who underwent surgical treatment at our Department of Orthopedics between January 2023 and March 2024 were selectedMain MeasureA general data questionnaire and Tampa Scale for Kinesiophobia were used in the investigation. Latent profile analysis was conducted to categorise kinesophobia in patients with osteoporotic vertebral compression fractures, while univariate logistic regression was performed to identify the factors influencing the latent profiles of kinesophobia.ResultsThe average kinesophobia score of the patients with osteoporotic vertebral compression fractures was 45.38 ± 7.12 points. The patients were divided into three latent profile categories, namely high, medium, and low kinesophobia, with mean probabilities of 0.958, 0.966, and 0.970, respectively. Furthermore, age, gender, pain score, injury cause, and other injuries were significant influencing factors in the kinesophobia groups (<i>P</i> < 0.05).ConclusionKinesophobia in patients with osteoporotic vertebral compression fractures is heterogeneous and affected by age, gender, pain score, injury cause, and other injuries. Clinical staff should recognise the characteristics of patients in different kinesophobia categories and actively adopt appropriate measures for those in the high kinesophobia group to enhance the alleviation of their fear status and mitigate the occurrence of fear-induced adverse outcomes, such as disability and weakness.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"317-325"},"PeriodicalIF":2.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142945855","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}