Clinical Rehabilitation最新文献

{"title":"The interaction between knee osteoarthritis and multimorbidity with fall risk: A longitudinal study using data from the osteoarthritis initiative.","authors":"Aqeel M Alenazi","doi":"10.1177/02692155261420780","DOIUrl":"10.1177/02692155261420780","url":null,"abstract":"<p><p>ObjectiveTo examine the interaction between baseline Multiple Long-term Conditions (multimorbidity) and baseline knee osteoarthritis with longitudinal fall risk and fall counts.DesignA longitudinal study using publicly available data from the osteoarthritis initiative.SettingMultisite centres.ParticipantsParticipants (45-79 years) with or without knee osteoarthritis at baseline were included (<i>n = </i>4449).Main outcome measuresMultimorbidity was categorised as having ≥ two chronic conditions using the Charlson Comorbidity Index at baseline and having knee osteoarthritis (Kellgren and Lawrence grade ≥ two) or without knee osteoarthritis (Kellgren and Lawrence grades < two) were the main predictor variables. The occurrence of falls was the main dependent outcome variables as evaluated at the initial visit, 12, 24, 36, 48, 72, and 96 months.ResultsAfter adjustments for false discovery rate using Benjamini-Hochberg correction for p-values, having one chronic disease with knee osteoarthritis (odds ratio 1.21, <i>p = .</i>016) and without knee osteoarthritis (odds ratio 1.29, <i>p = .</i>004) were significantly associated with over time increased risk of fall. Having multimorbidity (≥ two chronic conditions) with knee osteoarthritis (odds ratio 1.21, <i>p = .</i>010) was associated with increased over time number of falls. Having one chronic disease with knee osteoarthritis (Incidence Rate Ratio: 1.28, <i>p < .</i>001) and without knee osteoarthritis (Incidence Rate Ratio: 1.33, <i>p < .</i>001) were associated with increased over time number of falls.ConclusionsThe interaction between baseline one chronic disease and the presence or absence of baseline knee osteoarthritis was associated with a longitudinal increased risk of fall. Multimorbidity with knee osteoarthritis was linked with number of falls.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1109-1119"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146177387","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":"Exploring the meaning and establishment of the therapeutic relationship in physiotherapy through reflective practice: A qualitative study.","authors":"Eduardo Alba-Pérez, Óscar Rodríguez-Nogueira, María José Álvarez-Álvarez, Antonio Rafael Moreno-Poyato","doi":"10.1177/02692155261420220","DOIUrl":"10.1177/02692155261420220","url":null,"abstract":"<p><p>ObjectiveTo explore, through reflective practice, physiotherapists' perspectives on the meaning and establishment of the therapeutic relationship with patients.DesignThe study formed part of a broader mixed-methods implementation study based on participatory action research and corresponded to the initial stages of recognition, analysis, action and observation, framed within a constructivist paradigm aimed at improving the therapeutic relationship. A qualitative study was conducted.SettingThe study was carried out at the Rehabilitation Service of El Bierzo Hospital (Ponferrada, Spain).ParticipantsAll physiotherapists were invited to participate. Of the 19 physiotherapists and one physiotherapist manager invited, 18 consented to take part in the study.Main measuresFocus groups and self-observation through reflective diaries were undertaken. Focus groups were audio-recorded, and data from both methods were transcribed, coded, and thematically analysed.ResultsSix key categories were identified that provide insight into how physiotherapists understand, construct, and experience the therapeutic relationship: (1) meaning of the therapeutic relationship, (2) importance of the therapeutic relationship, (3) purpose of the therapeutic relationship, (4) establishment of the therapeutic relationship, (5) bi-directionality in the therapeutic relationship, and (6) the environment of the therapeutic relationship.ConclusionThis study highlights physiotherapists' perceptions regarding the therapeutic relationship and how these are transferred to daily clinical practice. The therapeutic relationship is centred on accompaniment and trust. Participants emphasised the importance of initial patient contact, during which the therapeutic bond is established through a friendly and cordial approach. Subsequently, physiotherapists lack a structured process for the development of the therapeutic relationship.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1085-1097"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146156355","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":"Enhancing participation with power-assist device: An exploratory study in manual wheelchair users.","authors":"Dounia Bouazzaoui, Violaine Leynaert, Philippe Gallien, Adelie Leffray, Cassandra Chaldaureille, Alexis Homs, Anthony Gelis","doi":"10.1177/02692155261420658","DOIUrl":"10.1177/02692155261420658","url":null,"abstract":"<p><p>ObjectiveTo evaluate the impact of acquiring a power-assist device on participation.DesignProspective multicenter cohort study.SettingThree physical medicine and rehabilitation outpatient centers.ParticipantsEighteen individuals with neurological impairments who primarily use manual wheelchairs for mobility.InterventionParticipants were followed throughout the process of acquiring a power-assisted mobility device, with assessments conducted at delivery, 3 months, and 6 months post-acquisition.Main outcome measuresParticipation (Wheelchair Outcome Measure), shoulder pain (Wheelchair User's Shoulder Pain Index), wheelchair skills (Wheelchair Skills Test Questionnaire), and satisfaction with the device (Quebec User Evaluation of Satisfaction with Assistive Technology). Evaluations were performed at baseline (pre-acquisition), delivery, and at 3 and 6 months.ResultsThirty-six participants were enrolled. Eighteen did not complete the study mostly due to funding difficulties and 18 completed the acquisition. Participation significantly increased, with WHOM scores rising from 19.33 ± 15.02 at baseline to 36.55 ± 17.06 at 3 months (<i>p</i> = 0.0001). WST-Q scores improved from 21.1 [19.9-23.7] at baseline to 25.2 [23.6-27.6] at 6 months (<i>p</i> = 0.0001). Although the overall WUSPI score did not change significantly, the mobility sub-score improved from 4.5 [0-9.2] at baseline to 0 [0-0] at 6 months (<i>p</i> = 0.03). Satisfaction with the device remained stable over time, with a consistent QUEST score of 3.3.ConclusionThe acquisition of a power-assist device may enhance participation, wheelchair skills, and reduce mobility-related shoulder pain in manual wheelchair users. Further comparative studies are needed to confirm these findings.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1098-1108"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146257558","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 on quantitative clinical assessment of wrist proprioception with stroke survivors.","authors":"Jun Tao, Yongchao Zhao, Hongjian Li, Wenqi Feng","doi":"10.1177/02692155261437006","DOIUrl":"10.1177/02692155261437006","url":null,"abstract":"","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1136-1137"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147621847","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 regarding methodological reflections in a postoperative home-based exercise rehabilitation trial.","authors":"Fei-Yi Zhao, Qiang-Qiang Fu, Yan-Mei Wang, Wen-Jing Zhang","doi":"10.1177/02692155261438612","DOIUrl":"10.1177/02692155261438612","url":null,"abstract":"","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1132-1133"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147632543","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 mind-body therapies among stroke survivors with pain: A qualitative interview study.","authors":"Nicole Prideaux, Diana Dorstyn, Brendon Haslam, Melissa Oxlad","doi":"10.1177/02692155251415498","DOIUrl":"10.1177/02692155251415498","url":null,"abstract":"<p><p>ObjectiveTo explore the perceptions and experiences of stroke survivors with pain regarding the use of mind-body therapies.DesignQualitative.SettingCommunity.ParticipantsFifteen Australian stroke survivors with pain; 11 women and four men, aged 28-84 years, and 5 months to 24 years post-stroke.Main MeasuresSemi-structured, one-to-one qualitative interviews, transcribed verbatim and analysed using reflexive thematic analysis.ResultsFour themes described participants' perceptions and experiences of mind-body therapies. Theme 1 detailed our stroke survivors' determination to improve, openness to mind-body therapies and desire to have these therapies provided in rehabilitation. Theme 2 collated suggestions and reasons for individualising/tailoring mind-body therapy use, including having a range of formats/modes available. Theme 3 described reported benefits of mind-body therapies for pain post-stroke, while Theme 4 summarised perceived benefits for pain-related biopsychosocial wellbeing.ConclusionsPeople with pain post-stroke are open to using mind-body therapies when ready/able in order to improve ongoing post-stroke symptoms. If used, healthcare professionals should tailor mind-body therapy format and delivery to individual stroke survivors' needs and preferences to maximise treatment benefits, which stroke survivors with pain report to include improved pain management and physical and psychosocial functioning.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1049-1060"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146200198","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":"Author's response to 'Quantitative clinical assessment of wrist proprioception with stroke survivors'.","authors":"Yvonne Yk Mak-Yuen, Thomas A Matyas, Kylee Lockwood, Leeanne M Carey","doi":"10.1177/02692155261437007","DOIUrl":"10.1177/02692155261437007","url":null,"abstract":"","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1138-1140"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147621824","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 clinical roadmap for lateropulsion after stroke based on a realist review strategy.","authors":"Suzanne Babyar, Nicholas Sheehan, Jessica Nolan, Taiza G S Edwards, Jeannine Bergmann, Amy Meyer, Michael W O'Dell","doi":"10.1177/02692155261418609","DOIUrl":"10.1177/02692155261418609","url":null,"abstract":"<p><p>ObjectiveTo generate a clinical roadmap for managing lateropulsion after supratentorial stroke which integrates theory and practice using a realist review strategy.Data SourcesMedline Complete, CINAHL Complete, PEDro, Academic Search Complete, Health and Psychosocial Instruments, Health Source: Nursing/Academic Edition, and Embase were searched until December 2025.Review MethodsTwo searches included review and non-review articles about people with contralesional lateropulsion after supratentorial stroke. We excluded articles about people with ipsilesional lateropulsion resulting from brainstem or cerebellar stroke and non-English articles. Guided by <i>Realist and Meta-narrative Evidence Syntheses: Evolving Standards</i>, pairs of authors independently screened titles and abstracts, determining final lists by consensus. Pairs of authors independently extracted data, ranked levels of evidence, and collaborated to synthesise findings following the context-mechanism-outcome configuration of realist reviews. All authors used this foundation to generate the Lateropulsion Clinical Roadmap and clinical recommendations.ResultsThe review article search yielded four systematic reviews and one scoping review (of 19 screened). The non-review article search yielded 39 articles (of 167 screened), categorised as neuroimaging, epidemiology, assessment and intervention. Clinical recommendations and a Lateropulsion Clinical Roadmap integrated this information.ConclusionA Lateropulsion Clinical Roadmap integrated theory with neuroimaging, epidemiology, assessment and interventions based upon a realist review. Thorough assessment of severity of lateropulsion and neurological impairments should guide clinical decisions about how to leverage sensorimotor systems while considering task difficulty and environment during interventions for lateropulsion. A new hypothesis linking patient presentation with interventions directed at improving sensorimotor performance of the paretic extremities requires further study.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1061-1084"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13428074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146212267","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":"Tailored circuit training and an educational programme reduce pain sensitivity in patients with knee osteoarthritis: A feasibility study.","authors":"Paula Jf Venturini, Marialice G da Silva, Natália A Casonato, Filipe E Sette, Enrique Lluch, Stela M Mattiello","doi":"10.1177/02692155261418936","DOIUrl":"10.1177/02692155261418936","url":null,"abstract":"<p><p><b>Objective:</b> The primary objective of this study was to evaluate the feasibility of tailored circuit training associated with patient education versus patient education alone in individuals with knee osteoarthritis. <b>Design:</b> randomised controlled parallel-group feasibility study. <b>Setting:</b> one centre. <b>Participants:</b> 30 participants with a clinical diagnosis of knee osteoarthritis and a primary symptom of knee pain (≥4). <b>Interventions:</b> The participants were randomly allocated to two groups for the 14-week intervention. The experimental group performed exercises three times a week and had an individualised progression of exercise duration and intensity. Both groups participated in an educational programme with health professionals. <b>Main measures:</b> feasibility and acceptability rates. Physical performance tests, muscle strength, quantitative sensory testing, and self-administered questionnaires were used to assess the impact of the interventions. <b>Results:</b> The rates of recruitment (2.73 participants/week), eligibility (31.50%), long-term retention (80% at 14 weeks and 73% at 26 weeks), and adherence to educational sessions (80% attended most lectures) were adequate, whereas the adherence to the exercise programme (60% completion of exercise sessions) was partially adequate. Acceptability and perceived usefulness were high in both groups, and the main barriers were related to accessing programmes via the Internet. Changes in physical performance tests, muscle strength, quantitative sensory testing, and self-administered questionnaires for both groups have been reported. <b>Conclusion:</b> This study demonstrated good feasibility and acceptability rates. The results will guide strategies to improve adherence and retention in clinical trials.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1001-1015"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146200232","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":"Problematic smartphone use as a modifiable factor in cervicogenic headache: Effects on pain, function, mood, and sleep.","authors":"Gülseren Demir Karakılıç, Huriye Ünlüel","doi":"10.1177/02692155261426638","DOIUrl":"10.1177/02692155261426638","url":null,"abstract":"<p><p>ObjectiveTo examine whether problematic smartphone use is associated with pain intensity, functional disability, emotional distress, sleep quality, and health-related quality of life in individuals with cervicogenic headache compared with healthy adults.DesignCase-control study.SettingOutpatient clinics of Physical Medicine and Rehabilitation and Neurology at a university hospital.ParticipantsA total of 158 adults, including 78 individuals diagnosed with cervicogenic headache and 80 age- and sex-matched healthy controls.Main measuresSmartphone Addiction Scale-Short Form, Headache Impact Test-6, Neck Disability Index, Hospital Anxiety and Depression Scale, Jenkins Sleep Scale, and Short Form-12 Health Survey.ResultsIndividuals with cervicogenic headache reported significantly higher levels of smartphone-related behavioural problems, headache impact, neck-related disability, anxiety, depressive symptoms, and sleep disturbance than healthy controls (all <i>p</i> < 0.05). Physical and mental health-related quality of life scores were significantly lower in the cervicogenic headache group. Problematic smartphone use was positively associated with depressive symptoms (<i>r</i> = 0.224) and poor sleep quality (<i>r</i> = 0.369), and negatively associated with mental health-related quality of life (<i>r</i> = -0.277). Neck-related disability (<i>β</i> = 0.327) and mental health-related quality of life (<i>β</i> = 0.551) were independent predictors of problematic smartphone use, explaining 31% of the variance.ConclusionsProblematic smartphone use is associated with greater symptom burden, emotional distress, sleep problems, and reduced quality of life in individuals with cervicogenic headache. Smartphone-related behavioural patterns may represent a modifiable factor to be considered within comprehensive rehabilitation and lifestyle-based management strategies.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1120-1131"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147354115","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}