Clinical Rehabilitation最新文献

{"title":"The effect of breathing exercises and mindset with or without cold exposure on mental and physical health in persons with a spinal cord injury-Results of a randomized controlled trial.","authors":"Sonja de Groot, Frank Wl Ettema, Max van der Bijll, Thomas Wj Janssen, Wendy J Achterberg-Warmer, Sven P Hoekstra","doi":"10.1177/02692155261428705","DOIUrl":"10.1177/02692155261428705","url":null,"abstract":"<p><p>ObjectiveTo examine the effects of the Wim Hof Method (WHM), with cold exposure (WHM-C) and without (WHM-NC), on mental and physical health in individuals with chronic spinal cord injury (SCI).DesignRandomized-controlled trial.SettingRehabilitation center.ParticipantsSixty-two adults with chronic SCI (37% tetraplegia, 41% motor complete) were randomized into three groups: WHM-C, WHM-NC, and usual care (UC).InterventionThe intervention groups participated in a 7-week program involving weekly supervised sessions and daily home practice. WHM-NC included breathing exercises and mindset training, while WHM-C also incorporated cold exposure. UC participants received no intervention.Main measuresThe primary outcome was the Mental Health Inventory (MHI-5) score. Secondary outcomes included inflammatory and metabolic markers, pulmonary function, body composition, sleep quality, spasticity, chronic pain, and psychological stress.ResultsWHM-NC had eight dropouts, mostly due to motivation or unrelated medical issues, while WHM-C and UC had one dropout each. No significant differences in MHI-5 scores were observed between groups. However, WHM-C participants reported reduced pain interference in daily activities compared to UC (p=0.027). WHM-C also showed improvements in inspiratory parameters FIV1 (+27%, p=0.02) and PIF (+23%, p=0.02) and a significant reduction in fasting glucose concentration (-6%, p=0.006) compared to UC.ConclusionsWhile 44% of WHM-NC dropped out, WHM-C appears to be a feasible, effective intervention for improving aspects of physical health and pain perception in a broad group of individuals with chronic SCI, although no significant mental health benefits were observed.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1016-1034"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13428070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147431374","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":"Response to letter: Methodological reflections on a postoperative home-based exercise rehabilitation trial.","authors":"Ryoko Nishiyama, Hiroshi Hashizume, Akihito Minamide, Shizumasa Murata, Munehito Yoshida, Hiroshi Yamada","doi":"10.1177/02692155261438609","DOIUrl":"10.1177/02692155261438609","url":null,"abstract":"","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1134-1135"},"PeriodicalIF":2.9,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147637957","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":"Sensory integration strategies for static balance control in older adults with knee osteoarthritis.","authors":"Xiaoling Wang, Yuanya Xie, Lei Yang, Huiling Zou, Yuhuang Chen, Changbin You, Jingran Liang, Ahui Ni, Yang Liu, Jiaxiang Liu, Zhishan Wang, Qi Zhang, Qiurong Xie","doi":"10.1177/02692155261469072","DOIUrl":"10.1177/02692155261469072","url":null,"abstract":"<p><p>ObjectiveTo preliminarily investigate sensory integration strategies of proprioception, vision and vestibular sensation in static balance control in patients with knee osteoarthritis.DesignRepeated-measures design.SettingA university-based rehabilitation assessment laboratory.Participants69 patients with knee osteoarthritis (19 men, 50 women).InterventionsNot applicable.Main outcome measuresStatic balance metrics (centre of pressure displacement in the mediolateral and anteroposterior directions, sway velocity) were recorded using a Pro-Kin platform under four conditions: firm support with eyes open (T1), firm support with eyes closed (T2), foam support with eyes open (T3) and foam support with eyes closed (T4). Sensory contributions were estimated using sway velocity-based ratios.ResultsCentre of pressure displacement in the mediolateral and anteroposterior directions differed between T1-T4, T1-T3 and T2-T3 (<i>P</i> < 0.05), and centre of pressure displacement in the anteroposterior direction also differed between T2-T4. Sway velocity increased when proprioception or vision was disrupted. With full sensory input, vestibular sensation, proprioception and vision contributions were 62.07%, 21.87% and 15.49%. Removing vision raised proprioception to 32.58% and vestibular sensation to 67.42%. Removing proprioception elevated vision to 28.75% and vestibular sensation to 71.25%.ConclusionsIn individuals with knee osteoarthritis, balance control depends mainly on vestibular sensation, then proprioception and least on vision. Without vision, proprioception contributes more in the sagittal plane. The central nervous system can reorganise and optimise postural control. Therefore, rehabilitation should include vestibular training, sagittal-plane proprioceptive training without vision and multisensory coordination.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261469072"},"PeriodicalIF":2.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148599642","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":"What do people with Parkinson's think about telerehabilitation? A thematic analysis of patient interviews.","authors":"Rafaela Simon Myra, Camila Pinto, Francisca Pereira, Ana Paula Da Silva, Bruna Medeiros Calegare, Aline Souza Pagnussat","doi":"10.1177/02692155261467914","DOIUrl":"https://doi.org/10.1177/02692155261467914","url":null,"abstract":"<p><p>ObjectiveThis study aims to investigate the facilitators and barriers to engagement in telerehabilitation programmes among people with Parkinson's disease. Furthermore, we examined whether the exercise modality (dance or multimodal exercise) influenced participants' perceptions of the telerehabilitation experience, including benefits, challenges and engagement.DesignThis is a qualitative component of a randomised clinical trial.SettingGroup-based telerehabilitation delivered via videoconferencing.ParticipantsSixty-three people with Parkinson's disease.InterventionTwo telerehabilitation groups: (1) Multimodal Exercise and (2) Dance, delivered twice a week, in 60-min sessions for three months.Main measuresSemi-structured interviews were conducted via live videoconferencing. We coded and organised the interviews using Atlas.TI software and applied a structured thematic analysis.ResultsTwo themes emerged: (1) Facilitators to engagement in telerehabilitation, including satisfaction, acceptance of online format, recognition of functional, emotional, cognitive and social benefits, appreciation for a disease-specific programme; and instructor's expertise (2) Barriers were problems in programme design and implementation, timing and scheduling conflicts, motor, cognitive and social barriers. The dance group focused on their experience with telerehabilitation, emphasising the emotional and mind-body aspects, while the multimodal exercise group focused on the motor function of activities of daily living.ConclusionsThis study identified facilitators and barriers to engagement in group-based telerehabilitation among people with Parkinson's disease. People with Parkinson's disease reported satisfaction and recognised telerehabilitation as feasible, and highlighted some motor, cognitive, social, technological and scheduling barriers. Additionally, the type of exercise (dance or exercise) influenced people with Parkinson's disease's perceptions of the telerehabilitation experience.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261467914"},"PeriodicalIF":2.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148599631","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":"Pain and health-related quality of life for children with lower limb absence: An exploratory study.","authors":"Claudia Ghidini, Caitlin E Edgar, Chanthearin Ry, Yean Yong, Phanith Karng, Jamie Heaffey, Amy Arnott, Val Jacques-Robinson, Sherron Furtado, Thearith Heang, Alasdair Gilbertson, Craig Gerrand, Sisary Kheng, Anthony M J Bull","doi":"10.1177/02692155261462423","DOIUrl":"https://doi.org/10.1177/02692155261462423","url":null,"abstract":"<p><p>ObjectiveTo investigate health-related quality of life, pain, socket comfort and residual limb conditions in children with lower limb absence.DesignThis is a cross-sectional study with patient-reported outcomes measures collected from children with congenital and acquired lower limb absence. Outcomes included health-related quality of life, body pain mapping, socket comfort score and clinical evaluation of the residual limb. Effects of age, prosthetic technology, school attendance and pain on health-related quality of life and socket comfort were investigated.SettingData from 31 children were collected in prosthetic centres in the UK (N = 15) and Cambodia (N = 16).ResultsThis cohort had a clinically important reduction in health-related quality of life compared to normative data (Δ = 13.21). Psychosocial health declined with age (ρ = -0.394, p = 0.014). Low intensity pain in the residual limb, back and intact joints was frequent and negatively correlated with health-related quality of life (ρ = -0.327, p = 0.036). Socket comfort was positively correlated with physical well-being (ρ = 0.398, p = 0.013). Unplanned emergency amputations resulted in worse residual limb outcomes than planned surgeries (p = 0.02).ConclusionThis cohort experience significant, under-addressed challenges in physical and mental well-being. Declining mental well-being underscores the urgent need for age-appropriate psychological support that addresses the evolving social and emotional demands of growing up with a disability. The prevalence of widespread pain highlights the need for targeted gait training and improved prosthetic fit and design. Poorer residual limb health outcomes following emergency amputations reinforce the importance of paediatric-specific surgical and post-operative protocols. Holistic, child-centred care integrating physical, psychological and social support is essential.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261462423"},"PeriodicalIF":2.9,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148435375","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":"Telerehabilitation during the hospital-to-home transition for stroke survivors: A scoping review.","authors":"Hiroto Takenaka, Hirotaka Iijima, Ryota Ashizawa, Keisuke Yamamori","doi":"10.1177/02692155261465887","DOIUrl":"https://doi.org/10.1177/02692155261465887","url":null,"abstract":"<p><p>ObjectiveTo identify and map the intervention models, outcome domains and evidence gaps of telerehabilitation studies initiated during the hospital-to-home transition after a stroke.DesignA scoping review following the Arksey and O'Malley framework, reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews.Data sourcesPubMed, Web of Science and Physiotherapy Evidence Database were searched from 2000 onward (original search: April 2025). An updated supplementary search using broader terms was conducted in the same three databases in May 2026, applying the same start date and the same eligibility criteria.Review methodsTwo independent reviewers screened the titles, abstracts and full texts. Data on the study design, participants, intervention characteristics, comparators and outcomes were extracted and descriptively synthesised. The studies were grouped by intervention model.ResultsEighteen studies were included and classified into four models: caregiver-mediated exercise, technology-driven motor telerehabilitation, multidisciplinary transitional care and low-technology or mobile health-supported. Technology-driven models showed motor outcomes comparable to conventional rehabilitation but inconsistent between-group superiority. Caregiver-mediated models did not improve primary mobility outcomes but suggested benefits for caregivers and psychosocial outcomes. Multidisciplinary models frequently improved quality of life, self-management and broader outcomes. Participation-level outcomes remained under-represented in the literature.ConclusionTelerehabilitation during the hospital-to-home transition is feasible and has been delivered through diverse models. Future research should evaluate participation, community reintegration, caregiver outcomes and implementation fidelity.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261465887"},"PeriodicalIF":2.9,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148419290","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 qualitative study of lived experience 5-8 years after young-onset stroke: UCL Young Stroke Systematic Evaluation Study (ULYSSES).","authors":"Raafiah Mussa, Siobhan McLernon, Calvin R Moorley, Iryna Klopotovska, Hatice Ozkan, Mila Penzel, Charlotte Willett, Robert Simister, Arvind Chandratheva, David J Werring","doi":"10.1177/02692155261467644","DOIUrl":"https://doi.org/10.1177/02692155261467644","url":null,"abstract":"<p><p>ObjectiveTo explore lived experience after young-onset stroke.DesignThis embedded qualitative analysis formed part of a larger, ongoing observational follow-up study of young-onset stroke. Using an open-ended prompt at the end of a structured questionnaire, participants were invited to share further insights on their life after stroke. These responses formed the dataset for this qualitative analysis. Two authors developed codes and themes using reflexive thematic analysis, guided by the Biopsychosocial Model, and Coping and Adaptation Theory.SettingTelephone, electronic, or postal follow-up assessments were conducted between 13 September 2024 and 13 May 2025 with individuals who had been admitted to the University College London Hospitals Hyperacute Stroke Unit 5-8 years earlier with ischaemic stroke or intracerebral haemorrhage and were aged <55 at the time of stroke.ParticipantsOf 127 eligible participants, 80 responded (age range: 20-54 years; 33 females; 65 with ischaemic stroke; 15 with intracerebral haemorrhage).ResultsFour themes emerged: (1) persistent 'hidden' disabilities affecting daily life; (2) loss of sense of self and disruption of age-normative roles; (3) systemic gaps in stroke awareness and long-term support; and (4) emotional resilience developed in response to life disruption.ConclusionsYoung-onset stroke has profound and lasting effects, including 'hidden' disabilities that remain prevalent years later. Our findings emphasise the need for increased public awareness of young-onset stroke and call for a more holistic, long-term post-stroke care model that supports not only functional recovery but also the restoration of identity and life roles.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261467644"},"PeriodicalIF":2.9,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148419271","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":"Hospital mobility scale: Measurement properties in neurocritical patients in the intensive care unit (ICU).","authors":"Lucas Lima Ferreira, Roberto Rodrigues Job Júnior, Sandra Regina Alouche, Adriana Claudia Lunardi","doi":"10.1177/02692155261467635","DOIUrl":"https://doi.org/10.1177/02692155261467635","url":null,"abstract":"<p><p><b>Objective:</b> To evaluate the measurement properties of the hospital mobility scale (HMS) in neurological patients admitted to the intensive care unit. <b>Design:</b> Measurement properties study. <b>Setting:</b> Neurological intensive care unit. <b>Participants:</b> About 101 neurocritical patients. <b>Intervention:</b> The HMS and the ICU mobility scale were applied at intensive care unit admission. The HMS was reapplied 4 hours later and again at discharge. <b>Main Measures:</b> Inter- and intra-rater reliability were analysed using the intraclass correlation coefficient; measurement error using the standard error of measurement; internal consistency using Cronbach's alpha; construct validity through correlation with the ICU mobility scale total score; floor and ceiling effects using frequency analyses; and responsiveness through effect size (internal), receiver operating characteristic analysis, and correlation with change in ICU mobility scale (external). <b>Results:</b> The HMS demonstrated excellent inter-rater and intra-rater reliability (intraclass correlation coefficient = 0.966 [95%CI 0.946-0.978]; <i>p</i> < 0.001 and 0.955 [95%CI 0.928-0.970]; <i>p</i> < 0.001, respectively), with very good measurement error (standard error of measurement = 5%). Construct validity showed a moderate negative correlation with the ICU mobility scale (<i>r</i> = -0.72; <i>p</i> < 0.001). Internal responsiveness was moderate (effect size = 0.59). External responsiveness showed a moderate correlation with change in ICU mobility scale (<i>r</i> = -0.52; <i>p</i> < 0.001) and a small area under the receiver operating characteristic curve (0.67; 95%CI 0.53-0.81). No floor or ceiling effects were observed. <b>Conclusions:</b> The HMS appears to be a valid and reliable tool for assessing functional mobility in neurological intensive care unit patients; however, its ability to detect short-term changes in mobility over time is limited.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261467635"},"PeriodicalIF":2.9,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148419223","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 effectiveness of cardiovascular rehabilitation for transient ischaemic attack and mild stroke: A randomised controlled trial.","authors":"Lucy Walton, Elisabeth Preston, Allyson Flynn, Rachel Davey, Theophile Niyonsenga, Itismita Mohanty, Shahla Cowans, Christian Lueck, Nicole Freene","doi":"10.1177/02692155261465655","DOIUrl":"https://doi.org/10.1177/02692155261465655","url":null,"abstract":"<p><p>ObjectivesEvaluate the effectiveness of integrated cardiovascular rehabilitation on functional exercise capacity, physical activity, anthropometrics, blood pressure, quality-of-life, anxiety, and depression, for people with transient ischaemic attack (TIA) or mild stroke, over 6 months compared with usual care.DesignRandomised controlled trial.SettingUniversity health centre.ParticipantsAdults (≥18 years) with a TIA or mild stroke in the past 12-months.InterventionOverall, 140 TIA and mild stroke participants were randomised 1:1 to a once-weekly 6-week cardiovascular rehabilitation programme (<i>n</i> = 70), or usual care (<i>n</i> = 70).Main measuresOutcomes assessed at baseline, 6 weeks, and 6 months included 6-min walk test distance (6MWTD), moderate-to-vigorous physical activity, body mass index, waist circumference, blood pressure, Assessment of Quality-Of-Life 6 dimensions (AQoL-6D) and Hospital Anxiety and Depression Scale.ResultsParticipants' median age was 73 years (interquartile range 63-80). Fully-adjusted analyses showed no between-group differences in 6MWTD, while AQoL-6D coping scores improved significantly, favouring cardiovascular rehabilitation at 6 weeks (β:  3.6, 95% CI:  0.07-7.2). There were significant within-group improvements in the intervention group only for AQoL-6D mental health at 6 weeks and coping at 6 months. No other outcomes differed between groups. Subgroup analyses showed small, non-significant 6MWTD gains among TIA intervention participants (Cohen's <i>d</i> = 0.40).ConclusionsCardiovascular rehabilitation was not more effective than usual care in improving exercise capacity, physical activity, anthropometrics, blood pressure, anxiety or depression. Though a short-term quality-of-life improvements suggest psychosocial benefits. Future studies should explore minimum effective programme dosage using sensitive exercise capacity measures, evaluating TIA and mild stroke populations separately.<b>Clinical Trial Registration:</b> Australian New Zealand Clinical Trials Registry: ACTRN12621001586808, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12621001586808.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261465655"},"PeriodicalIF":2.9,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148396126","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":"Feasibility of applying the Cognitive Orientation to daily Occupational Performance (CO-OP) approach in a Danish municipal neurorehabilitation context.","authors":"Tove Lise Nielsen, Helene Polatajko, Mette Brandi, Helene Windstrup Holst-Stensborg, Louise Moeldrup Nielsen","doi":"10.1177/02692155261465889","DOIUrl":"https://doi.org/10.1177/02692155261465889","url":null,"abstract":"<p><p>ObjectiveThis feasibility study examined the following aspects of applying Cognitive Orientation to daily Occupational Performance to stroke survivors: recruitment, dose, fidelity, perceived value, benefits, harms and potential outcomes.DesignSingle-group pretest-posttest design.SettingDanish municipal neurorehabilitation centre.SubjectsHome-living stroke survivors aged 45 years or older, with a score of at least 20 on the Montreal Cognitive Assessment, referred from hospital or rehabilitation units. Participants identified at least two occupational performance issues.InterventionsThe Cognitive Orientation to daily Occupational Performance approach aims to improve occupational performance through a therapist-guided process focusing on problem-solving, strategy use, generalisation and transfer. Three occupational therapists delivered the intervention.Main measuresData on participant characteristics and feasibility aspects were collected using surveys, registration forms, interviews and performance-based measures. Occupational performance was assessed using the Canadian Occupational Performance Measure and the Performance Quality Rating Scale.ResultsOf 65 invited stroke survivors, 20 (30.8%) were enrolled. Recruitment took longer than expected due to organisational factors. The intervention was delivered with high fidelity and was perceived as meaningful by both therapists and participants. Significant improvements (<i>p</i> < 0.001) were observed in occupational performance on the Canadian Occupational Performance Measure: performance (mean difference 2.98), satisfaction (mean difference 4.33) and on the Performance Quality Rating Scale (mean difference 2.69).ConclusionThe intervention was feasible in this setting. A full-scale effectiveness study is warranted.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261465889"},"PeriodicalIF":2.9,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148396178","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}