Clinical Rehabilitation最新文献_第7页

Validation of the work functioning assessment for epilepsy - An ICF-based instrument for measuring work functioning of individuals with epilepsy. 癫痫患者工作功能评估的验证——一种基于icf的测量癫痫患者工作功能的仪器。

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-07-01 Epub Date: 2025-05-30 DOI: 10.1177/02692155251340681

Patricia Dos Santos Fernandes, Renato Nickel, Gabriella Bueno Ferreira, Eduarda Barboza, Carla Sabariego, Cesar Augusto Taconeli, Carlos Silvado

{"title":"Validation of the work functioning assessment for epilepsy - An ICF-based instrument for measuring work functioning of individuals with epilepsy.","authors":"Patricia Dos Santos Fernandes, Renato Nickel, Gabriella Bueno Ferreira, Eduarda Barboza, Carla Sabariego, Cesar Augusto Taconeli, Carlos Silvado","doi":"10.1177/02692155251340681","DOIUrl":"10.1177/02692155251340681","url":null,"abstract":"ObjectiveTo validate the Work Functioning Assessment for Epilepsy.DesignMethodological and cross-sectional research in which the Work Functioning Assessment for Epilepsy was applied to a sample of individuals with epilepsy.SettingThe field test was conducted through in-person and online interviews with individuals treated in public and private services in two epilepsy outpatient clinics.Participants120 individuals with epilepsy.Main measuresExploratory Factor Analysis, Confirmatory Factor Analysis, Cronbach's alpha coefficient analysis, and Pearson's linear correlation coefficient were used to measure the validity and reliability of the instrument.ResultsThe Work Functioning Assessment for Epilepsy final version contains 30 items divided into two dimensions. The Exploratory Factor Analysis and Confirmatory Factor Analysis confirmed the plausibility of the factor structure established. The Cronbach's alpha (95% IC) coefficient was 0.94 and there was a significative linear correlation (p-value: <0.001) between the Work Functioning Assessment for Epilepsy, WHO Disability Assessment Schedule -12 items, and Seizure Severity Questionnaire scores.ConclusionsThe Work Functioning Assessment for Epilepsy is a brief, valid and reliable tool for measuring the work functioning of individuals with epilepsy and has the potential to be a basis for a unified system of work functioning assessment to be used throughout Brazil and translated and adapted for other countries and cultures.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"902-913"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144181198","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}

引用次数: 0

Factors associated with functional recovery after intensive care unit discharge in patients with mechanical ventilation: A multi-centre prospective observational study. 机械通气患者重症监护病房出院后功能恢复相关因素：一项多中心前瞻性观察研究

IF 2.9 3区医学

Clinical Rehabilitation Pub Date : 2025-07-01 Epub Date: 2025-06-06 DOI: 10.1177/02692155251341555

Kota Yamauchi, Shinichi Watanabe, Yuji Naito, Kei Goto, Shota Tanaka, Tokuaki Shinya, Yoshihisa Fujino, Kazuki Ogawa, Tomohiro Yoshikawa, Yoshie Hirota

{"title":"Factors associated with functional recovery after intensive care unit discharge in patients with mechanical ventilation: A multi-centre prospective observational study.","authors":"Kota Yamauchi, Shinichi Watanabe, Yuji Naito, Kei Goto, Shota Tanaka, Tokuaki Shinya, Yoshihisa Fujino, Kazuki Ogawa, Tomohiro Yoshikawa, Yoshie Hirota","doi":"10.1177/02692155251341555","DOIUrl":"10.1177/02692155251341555","url":null,"abstract":"ObjectiveThe rehabilitation of patients with disabilities post-intensive care unit (ICU) discharge is gaining importance and we aimed to identify factors associated with recovery in this study.DesignThis study was a secondary analysis of a multi-centre cohort study.SettingNine centres in Japan.ParticipantsA total of 121 patients admitted to the ICU who used an invasive ventilator for >48 h were the participants of this study.Main measuresThe relative functional gain and rehabilitation efficiency index, based on the Barthel Index, were calculated from the time of ICU discharge to hospital discharge. Factors related to the relative functional gain and rehabilitation efficiency index were analysed using multiple regression analysis.ResultsThe median relative functional gain value was 85% and the median rehabilitation efficiency index value was 1.61 points/day. Multiple regression analysis showed that relative functional gain was significantly associated with ventilator duration (β = -1.420, p < 0.001), the Medical Research Council score at ICU discharge (β = 1.557, p < 0.001), the Barthel Index at ICU discharge (β = 0.501, p < 0.001) and rehabilitation hours in general wards (β = 0.591, p = 0.008). The rehabilitation efficiency index was significantly associated with ventilator duration (β = -0.089, p = 0.022) and Medical Research Council score at ICU discharge (β = 0.098, p < 0.001).ConclusionsOur findings highlight the importance of post-ICU rehabilitation, particularly in patients with prolonged ventilation or reduced muscle strength, and support the clinical utility of rehabilitation impact indices in monitoring recovery trajectories.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"945-954"},"PeriodicalIF":2.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233390","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}

引用次数: 0

The Modified Ashworth and Modified Tardieu Scales differ in their classification of lower limb spasticity. 改良Ashworth量表和改良Tardieu量表对下肢痉挛的分类不同。

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-06-01 Epub Date: 2025-04-29 DOI: 10.1177/02692155251337306

J Beard, G Williams, M Kahn, M Banky

{"title":"The Modified Ashworth and Modified Tardieu Scales differ in their classification of lower limb spasticity.","authors":"J Beard, G Williams, M Kahn, M Banky","doi":"10.1177/02692155251337306","DOIUrl":"10.1177/02692155251337306","url":null,"abstract":"ObjectiveTo investigate agreement in spasticity classification between the Modified Ashworth Scale (MAS) and the Modified Tardieu Scale (MTS) when performed on four lower limb muscles in adults following neurological injury.DesignObservational trial.SettingInpatient and outpatient neurological rehabilitation unit.ParticipantsNinety adults with lower limb spasticity.Main MeasuresNinety participants underwent a spasticity assessment of their hamstrings at 40° and 90° of hip flexion, quadriceps, gastrocnemius and soleus using the MAS and MTS. Assessment findings were dichotomised into spastic (MAS ≥ 1 or MTS X ≥ 2) or not spastic (MAS = 0 or MTS X ≤ 1) categories. To evaluate agreement, 2 × 2 contingency tables were generated to calculate positive, negative and overall agreement. Statistical association was calculated using the Fisher's Exact Test.ResultsThe MAS classified the presence of spasticity more frequently than the MTS. The proportion of trials with agreement in spasticity classifications according to both scales and their Fishers exact test were hamstrings at 90° hip flexion (17.6%; p = 0.009); hamstrings at 40° hip flexion (75.0%; p = 0.166); quadriceps (67.1%; p = 0.020); gastrocnemius (77.9%; p = 0.586); and soleus (67.8%; p = 0.113).ConclusionThe MAS and MTS demonstrated a level of disparity in their classification of lower limb spasticity across all four muscles, particularly the more proximal muscle groups.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"761-769"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985361","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}

引用次数: 0

The association between frailty and stroke rehabilitation outcomes: A cohort study. 虚弱与脑卒中康复结果之间的关系：一项队列研究。

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-06-01 Epub Date: 2025-04-27 DOI: 10.1177/02692155251336700

Tania Yeon Jung Cho, H Carl Hanger, Tim J Wilkinson

{"title":"The association between frailty and stroke rehabilitation outcomes: A cohort study.","authors":"Tania Yeon Jung Cho, H Carl Hanger, Tim J Wilkinson","doi":"10.1177/02692155251336700","DOIUrl":"10.1177/02692155251336700","url":null,"abstract":"ObjectiveTo assess the independent effect of pre-morbid frailty on stroke rehabilitation outcomes, including mortality, function, and discharge destination.DesignObservational cohort study.SettingInpatient stroke rehabilitation.ParticipantsTwo hundred consecutive stroke patients, 65 years or older, admitted during 2021.Main measuresLogistic regression models analysed binary outcomes (mortality, discharge destination, and significant functional gain), and multiple linear regression models analysed normally distributed continuous outcomes (function, measured by Functional Independence Measure (FIM)). The confounders of age, stroke severity, and pre-morbid dementia/cognitive impairment, were accounted for. Clinical Frailty Scale was the predictor (considered as categorical and dichotomous) for these models.ResultsAfter accounting for the confounders, increased frailty was independently associated with lower discharge FIM (B = -11.32; 95% confidence interval (CI) -14.46-8.18, p < 0.001), smaller FIM change (B = -4.21; 95% CI -6.58-1.84, p < 0.001) and smaller FIM improvements over time (B = -2.36; 95% CI -3.40-1.32, p < 0.001). Frailer patients were less likely to return home (Odds Ratio 0.26; 95% CI 0.17-0.41, p < 0.001). Most patients improved function, at all levels of frailty. Stroke severity (Odds Ratio 1.13; 95% CI 1.06-1.20, p < 0.001), but not frailty, was independently associated with 6-month mortality.ConclusionsPre-morbid frailty was independently associated with lower functional improvement and lower likelihood of discharge back home after stroke rehabilitation, but not with mortality up to 6 months. Measuring both pre-morbid frailty and stroke severity may be useful to provide prognostic information and set realistic expectations.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"830-841"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969373","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}

引用次数: 0

A technology-enriched approach to increasing rehabilitation dose after stroke: Clinical feasibility study. 一种提高脑卒中后康复剂量的技术强化方法：临床可行性研究。

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-06-01 Epub Date: 2025-04-18 DOI: 10.1177/02692155251333542

Gillian Sweeney, Fiona Boyd, Maisie Keogh, Patrycja Lyczba, Elaine Forrest, Philip Rowe, Mark Barber, Andy Kerr

{"title":"A technology-enriched approach to increasing rehabilitation dose after stroke: Clinical feasibility study.","authors":"Gillian Sweeney, Fiona Boyd, Maisie Keogh, Patrycja Lyczba, Elaine Forrest, Philip Rowe, Mark Barber, Andy Kerr","doi":"10.1177/02692155251333542","DOIUrl":"10.1177/02692155251333542","url":null,"abstract":"ObjectiveTo assess the feasibility of a multi-technology, group based, approach to increasing rehabilitation dose early after stroke.MethodsMixed methods design reporting recruitment, dropout, safety, dose and acceptability.SettingAcute Hospital Stroke UnitParticipantsSixty stroke patients, 9.0 median (IQR 12.8) days after stroke, referred for rehabilitation, without contraindications to light exercise.InterventionPersonalised rehabilitation delivered in supervised groups, using a multi-technology rehabilitation gym, in addition to usual care.Main measuresFeasibility was based on achieving recruitment rates over 3.2 per month, dropout rates below 6%, absence of suspected unexpected serious adverse reactions and shoulder pain prevalence below 60%. Acceptability was derived from interviews with the clinical team. Dose (rehabilitation time) was recorded manually. Function was measured with the modified Rivermead Mobility Index and Therapy Outcome Measure.ResultsFeasibility was satisfactory with high recruitment rates (6 per month), low dropout (2%), no suspected unexpected serious adverse reactions and low prevalence (19%) of shoulder pain. Thematic analysis of interview data indicated the clinical team (n = 9) found the intervention acceptable and identified organisational constraints to higher doses. Participants attended an average of 9.1 (1-32) sessions during their hospital stay (23.0 days, SD 19.7), with sessions lasting 52 min (SD 15.7), on average. The modified Rivermead Mobility Index and Therapy Outcome Measure increased by 17.9 (SD 8.6) and 5.7 points (SD 2.4), respectively.ConclusionsStrong feasibility findings support future trials of multi-technology, group-based rehabilitation. This novel approach is an encouraging step toward achieving recommended doses of rehabilitation after stroke but needs further investigation.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"740-749"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143982396","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}

引用次数: 0

Virtual reality as a complementary therapy in the rehabilitation of balance and gait disorders in patients with mild cognitive impairment and Alzheimer's disease: Systematic review. 虚拟现实在轻度认知障碍和阿尔茨海默病患者平衡和步态障碍康复中的辅助治疗：系统综述

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-06-01 Epub Date: 2025-04-23 DOI: 10.1177/02692155251328619

Juan Rodríguez-Mansilla, Patricia Chamizo-Gallego, Blanca González-Sánchez, Elisa Maria Garrido-Ardila, Silvia Torres-Piles, Maria Jesús Rodríguez-Mansilla, Álvaro De Toro-García, María Jiménez-Palomares

{"title":"Virtual reality as a complementary therapy in the rehabilitation of balance and gait disorders in patients with mild cognitive impairment and Alzheimer's disease: Systematic review.","authors":"Juan Rodríguez-Mansilla, Patricia Chamizo-Gallego, Blanca González-Sánchez, Elisa Maria Garrido-Ardila, Silvia Torres-Piles, Maria Jesús Rodríguez-Mansilla, Álvaro De Toro-García, María Jiménez-Palomares","doi":"10.1177/02692155251328619","DOIUrl":"10.1177/02692155251328619","url":null,"abstract":"ObjectiveTo analyse the benefits of virtual reality in the management of balance and gait disorders in people with Alzheimer's disease and cognitive impairment.Data sourcesPubMed, PEDro, Cochrane Library, Science Direct, Google Scholar and Epistemonikos.Review methodThis study is a systematic review (PROSPERO Registration number: CRD42023486083). The inclusion criteria were: randomised, cross-sectional, quasi-experimental controlled clinical trials involving patients diagnosed with mild cognitive impairment, dementia and Alzheimer's disease with a score of ≤23 on the MMSE test and age ≥60 years, and interventions conducted with virtual reality and conventional physiotherapy for the treatment of balance and gait disorders. The methodological quality and risk of bias assessment was performed with the PEDro scale.Results12 studies were included in the review (n = 476). Three studies applied virtual reality to both experimental and control groups, six applied virtual reality to the experimental group and conventional physiotherapy to the control, and three investigations applied virtual reality to the experimental group and no treatment to the control group. Virtual reality based rehabilitation significantly improved balance and gait, as well as cognitive level, functionality, postural control and mood of the patients compared to those participants who received conventional physiotherapy or no treatment.ConclusionStudies suggest that interventions based on virtual environments in older adults with early Alzheimer's disease can improve balance and gait impairments, postural control and executive function, delaying the deterioration caused by the disease. Furthermore, this therapy has a positive impact on cognitive and motivational performance in these patients.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"728-739"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977156","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}

引用次数: 0

Recommending 24-hour attendant care: A qualitative study exploring the clinical decision-making process of occupational therapists in Ontario, Canada. 推荐24小时护理：一项探讨加拿大安大略省职业治疗师临床决策过程的定性研究。

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-06-01 Epub Date: 2025-04-27 DOI: 10.1177/02692155251336574

Bao-Zhu Stephanie Long, Kishana Balakrishnar, Maryna Mazur, Elana Maria, Kathleen Hennessy, Mathew Rose, Behdin Nowrouzi-Kia

{"title":"Recommending 24-hour attendant care: A qualitative study exploring the clinical decision-making process of occupational therapists in Ontario, Canada.","authors":"Bao-Zhu Stephanie Long, Kishana Balakrishnar, Maryna Mazur, Elana Maria, Kathleen Hennessy, Mathew Rose, Behdin Nowrouzi-Kia","doi":"10.1177/02692155251336574","DOIUrl":"10.1177/02692155251336574","url":null,"abstract":"ObjectiveThis study aims to explore how occupational therapists working in private practices in Canada use clinical indicators and tools to determine if clients require 24-hour attendant care.DesignA qualitative research study.SettingThe setting involved semi-structured, one-on-one interviews with occupational therapists in Canada.ParticipantsOccupational therapists were selected through purposive sampling: (1) registered Canadian occupational therapists, (2) with over 10 years of private practice experience, and (3) who have assessed the need for 24-hour attendant care at least once before the study.Main measuresThe interviews were conducted, transcribed, coded, and thematically analyzed by two researchers using Braun and Clarke's protocol. The paper is also reported based on the consolidated criteria for reporting qualitative research guidance.ResultsThe study involved nine occupational therapists (eight women and one man), with 14 to 24 years of private practice experience in Ontario. Three main themes in the decision-making process for 24-hour attendant care were identified: (1) Individualized and Holistic Assessments; (2) Clinical Expertise-Based Decision-making; and (3) Risk Assessment in Decision-Making.ConclusionsThis study provides a greater understanding of the decision-making process of occupational therapists working in Canada when recommending 24-hour attendant care. However, further research and development of guidelines are needed to support occupational therapists in this area.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"819-829"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977546","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}

引用次数: 0

Letter to the Editor: Comments on 'Physiotherapy-led Care Versus Physician-led Care for Persons with low Back Pain: A Systematic Review' by Severijns et al. 致编辑的信：Severijns等人对“下腰痛患者理疗主导的护理与医生主导的护理：一项系统综述”的评论。

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-06-01 Epub Date: 2025-04-25 DOI: 10.1177/02692155251334282

Jean-François Kaux, Marc Schiltz, Patrick Linden, Geoffrey Brands, Bruno Schoonejans, Thierry Lejeune

引用次数: 0

Do some people with a prolonged disorder of consciousness experience pain? A clinically focused narrative review and synthesis. 有些患有长期意识障碍的人会感到疼痛吗？临床集中的叙述回顾和综合。

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-06-01 Epub Date: 2025-04-13 DOI: 10.1177/02692155251333540

Derick T Wade, Andrew Hanrahan

{"title":"Do some people with a prolonged disorder of consciousness experience pain? A clinically focused narrative review and synthesis.","authors":"Derick T Wade, Andrew Hanrahan","doi":"10.1177/02692155251333540","DOIUrl":"10.1177/02692155251333540","url":null,"abstract":"ObjectiveTo investigate the hypothesis that people with a prolonged disorder of consciousness experience nociceptive pain.MethodA non-systematic literature review into the nature and neurophysiological basis of consciousness and pain likely function when someone has severe thalamocortical dysfunction; the behavioural manifestations of pain in people who cannot communicate; and how they relate to the experience.FindingsConsciousness depends on thalamocortical integrity and is judged clinically by establishing the person's behaviour depends on extracting or using meaning. The experience of pain is also deduced from a person's behaviour, including increased purposeless motor movements, facial expressions, non-verbal vocal expressions and physiological (autonomic) changes such as tachycardia and tear production. Extensive brainstem and midbrain networks are activated by pain, including autonomic networks. Given their early evolution and location, they likely resist damage. The networks appear intrinsically resilient, functioning when damaged unless the damage is severe.SynthesisSomeone with a prolonged disorder of consciousness usually has intransitive consciousness (arousal) that is not dependent on cortical cognitive processes and may have retained occurrent consciousness of mental states when aroused. Nociceptive stimuli elicit automatic but purposeless behaviours typically associated with pain. These behaviours are likely to be responses to this unpleasant mental state of occurrent consciousness that is limited to the time they show pain behaviours, with no memory of it.ConclusionThe unconscious person with a prolonged disorder of consciousness exhibiting pain behaviours in response to nociceptive stimuli likely experiences pain without analysing its significance; they are unlikely to anticipate or remember it.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"796-807"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143955693","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}

引用次数: 0

What is the level of work and societal participation in patients with pelvic ring injuries? A two-year prospective cohort study. 盆腔环损伤患者的工作和社会参与水平如何？一项为期两年的前瞻性队列研究。

IF 2.6 3区医学

Clinical Rehabilitation Pub Date : 2025-06-01 Epub Date: 2025-04-23 DOI: 10.1177/02692155251333535

Camryn C Therrien, Kaj Ten Duis, Hester Banierink, N M Trouwborst, Jean-Paul Pm de Vries, Frank Fa IJpma, Inge Hf Reininga

{"title":"What is the level of work and societal participation in patients with pelvic ring injuries? A two-year prospective cohort study.","authors":"Camryn C Therrien, Kaj Ten Duis, Hester Banierink, N M Trouwborst, Jean-Paul Pm de Vries, Frank Fa IJpma, Inge Hf Reininga","doi":"10.1177/02692155251333535","DOIUrl":"10.1177/02692155251333535","url":null,"abstract":"ObjectiveTo provide insight into the impact of pelvic ring injuries on patients' work and school activities and participation in society.DesignProspective-cohort study.SettingA level-1 trauma center in the Netherlands.Participants195 patients with a pelvic ring injury.Main measuresThe work or school activities and participation in society domains of the World Health Organization Disability Assessment Score II (WHO-DAS II) were administered at admission (pre-injury score), 3 months, 6 months, 1 year and 2 years following the injury.ResultsBefore the injury, the median scores were 80 for both work or school activities and participation in society. The scores 3 months after the injury were 40 and 60, respectively, but both improved to 75 after 2 years. The percentage of non-recovered patients decreased over time, from 45% to 35% for work or school activities and from 34% to 18% for participation in society between 6 months and 2 years. At work or school, patients struggled to complete daily tasks and important activities as efficiently and effectively as needed. Regarding participation in society, patients struggled with the amount of time spent managing their injuries, joining community activities, and doing things for relaxation. No relationships between patients or injury characteristics and recovery were identified one year following the injury.ConclusionsPelvic ring injuries greatly impact patients' work or school activities and participation in society. However, these domains greatly improve within the first two years, with many individuals regaining their pre-injury capabilities. Still, some continue to experience long-term difficulties in participation.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"808-818"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986852","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}

引用次数: 0