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Assessment of mood after severe acquired brain injury: Interviews with UK clinical psychologists and medical professionals 严重后天性脑损伤后的情绪评估:访谈英国临床心理学家和医疗专业人员
IF 3 3区 医学
Clinical Rehabilitation Pub Date : 2024-09-11 DOI: 10.1177/02692155241278289
Alexandra E Rose, Breda Cullen, Sarah Crawford, Jonathan J Evans
{"title":"Assessment of mood after severe acquired brain injury: Interviews with UK clinical psychologists and medical professionals","authors":"Alexandra E Rose, Breda Cullen, Sarah Crawford, Jonathan J Evans","doi":"10.1177/02692155241278289","DOIUrl":"https://doi.org/10.1177/02692155241278289","url":null,"abstract":"ObjectiveMood assessment is challenging when people have cognitive and receptive communication impairments after severe brain injury. This study explored how UK-based medical and psychology professionals working with people with severe cognitive and communication impairments after brain injury assess mood in this population.DesignFollowing their participation in an online survey, professionals were invited to participate in individual semi-structured interviews. Interviews were analysed using thematic analysis to label explicit data (semantic themes) and implicit data (latent themes).ParticipantsTwenty-three clinical psychologists and nine medical professionals participated in online or in-person interviews.ResultsBoth groups explicitly reported using a combination of collateral information, history, observations, and patient interviews when assessing mood in this population. Medical professionals did not routinely use standardised measures and clinical psychologists often adjusted them when they used them. The respondents discussed difficulties conceptualising depression after brain injury, the experience needed by the assessor, and the need for an individualised approach for this population. Clinical psychologists discussed the pressures of working in healthcare systems and medical professionals discussed how symptoms may influence prescription choices. Seven latent themes were labelled which highlighted additional challenges and complexities experienced by those assessing mood, beyond the actual assessment process itself.ConclusionsNo ‘gold standard’ approach to assessing mood in those with cognitive and communication difficulties after severe brain injury was identified. There was overlap in assessment approaches but no clear consensus. Interviewees felt that mood assessment must be approached differently in this population and that self-report measures are not useful.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":"31 1","pages":"2692155241278289"},"PeriodicalIF":3.0,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142176572","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 sustainability of exercise following colorectal surgery: A qualitative study of participants in the PREPARE-ABC trial. 结肠直肠手术后运动的可持续性:对 PREPARE-ABC 试验参与者的定性研究。
IF 3 3区 医学
Clinical Rehabilitation Pub Date : 2024-09-10 DOI: 10.1177/02692155241278936
J Naisby,K Baker,K Skarparis,J Murdoch,A Clark,S Stirling,D Turner,A M Swart,J Hernon,J Saxton
{"title":"The sustainability of exercise following colorectal surgery: A qualitative study of participants in the PREPARE-ABC trial.","authors":"J Naisby,K Baker,K Skarparis,J Murdoch,A Clark,S Stirling,D Turner,A M Swart,J Hernon,J Saxton","doi":"10.1177/02692155241278936","DOIUrl":"https://doi.org/10.1177/02692155241278936","url":null,"abstract":"OBJECTIVEThis study aimed to explore perceptions regarding the sustainability of exercise following participation in a pre- and post-colorectal surgery exercise intervention trial (PREPARE-ABC).DESIGNQualitative interview study. Data were analysed using framework analysis and independently coded by two researchers.SETTINGSix United Kingdom National Health Service Trusts.PARTICIPANTSEighteen interviews (hospital-based exercise n = 9, home-based exercise n = 3, standard care n = 6) were conducted with patients 12-15 months after being randomised in the trial, after their 12 month appointment.INTERVENTIONIndividuals who participated in one of two exercise intervention groups (hospital-supervised or home-supported exercise) or a standard care control group of the PREPARE-ABC trial were invited to interview.RESULTSThe exercise interventions were reported to influence participants' recovery and future sustainability of exercise behaviour change. Several participants continued to engage in exercise over a year after their surgery. Reasons for this included being engaged with exercise prior to diagnosis, psychological benefits of exercise and wanting to be engaged with something to help recovery. Perceptions about the sustainability of active lifestyles were influenced by confidence to engage in structured exercise or physical activity and beliefs about its potential to promote future wellness.CONCLUSIONSSustainability varies among individuals and early assessment of physical activity engagement could be beneficial. Physical activity interventions immediately following surgery may be important for future engagement.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":"41 1","pages":"2692155241278936"},"PeriodicalIF":3.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142176573","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 efficacy of exercise training for improving body composition in patients with breast cancer: A systematic review and meta-analysis of randomized controlled trials. 运动训练对改善乳腺癌患者身体成分的功效:随机对照试验的系统回顾和荟萃分析。
IF 2.6 3区 医学
Clinical Rehabilitation Pub Date : 2024-09-01 Epub Date: 2024-05-24 DOI: 10.1177/02692155241232399
Chuncha Bao, Yuan Feng, Jiapeng Huang, Zezhang Wang, Xiaoyi Wang, Yue Hou, Chengqi He
{"title":"The efficacy of exercise training for improving body composition in patients with breast cancer: A systematic review and meta-analysis of randomized controlled trials.","authors":"Chuncha Bao, Yuan Feng, Jiapeng Huang, Zezhang Wang, Xiaoyi Wang, Yue Hou, Chengqi He","doi":"10.1177/02692155241232399","DOIUrl":"10.1177/02692155241232399","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the efficacy of exercise in improving body composition in patients with breast cancer; the effects of exercise on weight and BMI were evaluated as secondary outcomes.</p><p><strong>Data sources: </strong>Cochrane Library, EMBASE, PubMed and Web of Science were searched for randomized controlled trials published in English from database inception to 29 November 2023.</p><p><strong>Methods: </strong>The effects of exercise on body composition in patients with breast cancer were explored. After separately extracting the data, two reviewers assessed the overall quality of the evidence as well as the methodological quality of the included studies.</p><p><strong>Results: </strong>Fourteen studies with 1241 participants were included, of which 12 studies were eligible for meta-analysis. Exercise significantly reduced body fat (mean difference [MD], -0.33; 95% CI, -0.37 to -0.29; P < 0.00001) and increased lean mass (MD, 0.42; 95% CI, 0.34 to 0.49; P < 0.00001) in patients with breast cancer. Further, exercise intervention was associated with increased BMI of patients with breast cancer (MD, 0.03; 95% CI, 0.01 to 0.06; P = 0.01), while no significant difference in weight was detected between the exercise and the non-exercise groups. Subgroup analysis results showed that only resistance exercise reduced fat mass (MD, -0.22; 95% CI, -0.27 to -0.16; P < 0.00001).</p><p><strong>Conclusions: </strong>Exercise effectively improves body composition in patients with breast cancer. Clinicians should encourage patients to engage in exercise and develop optimized exercise prescriptions.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1188-1199"},"PeriodicalIF":2.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141092802","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 perceptions of nurses and physicians in primary care of rehabilitation for frail older adults. 基层医疗机构的护士和医生对体弱老年人康复治疗的看法。
IF 2.6 3区 医学
Clinical Rehabilitation Pub Date : 2024-09-01 Epub Date: 2024-06-02 DOI: 10.1177/02692155241258286
Maria Laitalainen Törnudd, Anneli Peolsson, Maria M Johansson
{"title":"The perceptions of nurses and physicians in primary care of rehabilitation for frail older adults.","authors":"Maria Laitalainen Törnudd, Anneli Peolsson, Maria M Johansson","doi":"10.1177/02692155241258286","DOIUrl":"10.1177/02692155241258286","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the perceptions of primary care nurses and physicians of the potential contributions of physiotherapists (PTs) and occupational therapists (OTs) in the treatment of frail older persons, as well as the obstacles to, and opportunities for, collaboration.</p><p><strong>Design: </strong>A qualitative study.</p><p><strong>Participants and setting: </strong>Nurses (n = 9) and physicians (n = 8) in primary care in the county council [14 women (82%)] with experience working with older people.</p><p><strong>Method: </strong>Interview study conducted with a semi-structured interview guide. Analyses were carried out with content analysis with an inductive approach.</p><p><strong>Results: </strong>The analysis resulted in six categories: knowledge of physiotherapy and occupational therapy interventions; what triggers the need for physiotherapy and occupational therapy?; the availability of rehabilitation interventions; teamwork opportunities and difficulties; motivating the patient; the site of the rehabilitation.</p><p><strong>Conclusions: </strong>Close and clear collaboration between nurses and physicians and PTs and OTs is an important factor in ensuring that rehabilitation interventions provide the greatest possible benefit to the patient. Improving communication between different healthcare providers and clarifying the contact routes is a prerequisite for patients to be able to get the rehabilitation they need. More research is needed to determine the best approach to achieving this goal.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1276-1286"},"PeriodicalIF":2.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11468118/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141199618","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
Considerations for developing complex post-stroke upper limb behavioural interventions: An international qualitative study. 制定复杂的中风后上肢行为干预措施的考虑因素:一项国际定性研究。
IF 2.6 3区 医学
Clinical Rehabilitation Pub Date : 2024-09-01 Epub Date: 2024-07-25 DOI: 10.1177/02692155241265271
Matthew Wingfield, Gemma Hughes, Natalie A Fini, Amy Brodtmann, Gavin Williams, Kathryn S Hayward
{"title":"Considerations for developing complex post-stroke upper limb behavioural interventions: An international qualitative study.","authors":"Matthew Wingfield, Gemma Hughes, Natalie A Fini, Amy Brodtmann, Gavin Williams, Kathryn S Hayward","doi":"10.1177/02692155241265271","DOIUrl":"10.1177/02692155241265271","url":null,"abstract":"<p><strong>Objective: </strong>To simultaneously explore the perspectives and opinions of different invested participant groups on the important considerations for development of upper limb behavioural interventions that drive optimal post-stroke upper limb motor recovery.</p><p><strong>Design: </strong>A qualitative descriptive study in a constructivist epistemology.</p><p><strong>Participants: </strong>Purposively selected participant groups (preclinical research <i>n</i> = 9, clinical research <i>n</i> = 9, clinical experience <i>n</i> = 9 and lived experience <i>n</i> = 10).</p><p><strong>Setting: </strong>Research participants were selected from top internationally published authors. Experiential participants were recruited internationally, through networks.</p><p><strong>Results: </strong>Four themes were identified with embedded subthemes. Theme 1: 'Clinical relevance should be the core of a \"good\" research question' with two subthemes: 'Breaking down silos: forging interdisciplinary research teams', and 'Beyond the pipeline: bench to bedside and back'; theme 2: 'Balance restitution and compensation to maximise outcomes' with three subthemes: 'Good outcome: going beyond an outcome measure', 'Recovery is a puzzle: measure all the pieces', and 'Optimising capacity: knowing when and how'; theme 3: 'Stroke demands personalised solutions' with two subthemes: 'Condition-specific considerations', and 'Person-specific considerations'; theme 4: 'Upper limb recovery requires complex interventions' with four subthemes: 'Fuelling engagement', 'Content is crucial', 'Multidimensional dose', and 'Therapist sway'.</p><p><strong>Conclusions: </strong>This study suggests that post-stroke upper limb motor interventions are the interactions of multiple intervention elements (e.g. dose and content) shaped by different contextual considerations (e.g. stroke and personal factors). Development of such interventions may need to consider both content and context of the intervention to drive optimal recovery.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1249-1263"},"PeriodicalIF":2.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757570","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
Attitudes of cardiac rehabilitation and stroke teams towards integration of stroke survivors into adapted cardiac rehabilitation: A focus group study. 心脏康复团队和脑卒中团队对脑卒中幸存者融入适应性心脏康复的态度:焦点小组研究。
IF 2.6 3区 医学
Clinical Rehabilitation Pub Date : 2024-09-01 Epub Date: 2024-05-15 DOI: 10.1177/02692155241253476
Nicola Clague-Baker, Thompson Robinson, Annegret Hagenberg, Sophie Drewry, Sally Singh
{"title":"Attitudes of cardiac rehabilitation and stroke teams towards integration of stroke survivors into adapted cardiac rehabilitation: A focus group study.","authors":"Nicola Clague-Baker, Thompson Robinson, Annegret Hagenberg, Sophie Drewry, Sally Singh","doi":"10.1177/02692155241253476","DOIUrl":"10.1177/02692155241253476","url":null,"abstract":"<p><strong>Objective: </strong>To explore the attitudes and beliefs of cardiac rehabilitation and stroke teams towards adapted cardiac rehabilitation, and the broader topics of exercise, healthy lifestyles and health behaviour change, for people with mild-to-moderate severity stroke in the sub-acute phase of recovery.</p><p><strong>Design: </strong>Qualitative focus group-based study.</p><p><strong>Setting: </strong>Acute and community national health service trusts.</p><p><strong>Participants: </strong>Stroke and cardiac rehabilitation team members.</p><p><strong>Intervention: </strong>Adapted cardiac rehabilitation.</p><p><strong>Main measures: </strong>Focus groups. Thematic analysis was applied to the transcribed data.</p><p><strong>Results: </strong>Overall, 57 health professionals participated in 12 focus groups. Positive impacts for teams and stroke survivors were identified particularly confidence. However, there were negatives, barriers and adaptations identified. In addition, there was a lack of knowledge for cardiac rehabilitation teams in relation to stroke survivors and stroke teams in relation to cardiac rehabilitation, exercise and healthy lifestyles.</p><p><strong>Conclusions: </strong>Cardiac rehabilitation and stroke staff attitudes to cardiac rehabilitation for stroke survivors showed a range of benefits, negatives, barriers and adaptations needed. Confidence and knowledge of the cardiac rehabilitation and stroke teams needs to be addressed.</p><p><strong>Registration: </strong>ISRCTN65957980.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1264-1275"},"PeriodicalIF":2.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11465600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140944071","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
Best practice exercise for emerging depression in multiple sclerosis: A systematic review and meta-analysis. 针对多发性硬化症新发抑郁症的最佳运动疗法:系统回顾和荟萃分析。
IF 2.6 3区 医学
Clinical Rehabilitation Pub Date : 2024-09-01 Epub Date: 2024-07-25 DOI: 10.1177/02692155241262884
Kristiina Ahola, Diana Dorstyn, Nicole Prideaux
{"title":"Best practice exercise for emerging depression in multiple sclerosis: A systematic review and meta-analysis.","authors":"Kristiina Ahola, Diana Dorstyn, Nicole Prideaux","doi":"10.1177/02692155241262884","DOIUrl":"10.1177/02692155241262884","url":null,"abstract":"<p><strong>Objective: </strong>To examine the effects of instructor-led exercise on depression symptoms in adults with multiple sclerosis, with a focus on moderating factors to treatment response.</p><p><strong>Data sources: </strong>Cochrane Library, Embase, PEDro, PsycINFO and PubMed databases were searched until 21 April 2024.</p><p><strong>Review methods: </strong>The reporting quality of included studies assessed (PEDro and TESTEX scales). Hedges' <i>g</i> effect sizes were calculated and pooled using random and mixed-effects modelling.</p><p><strong>Results: </strong>Twenty-two independent studies (<i>k</i>), representing 785 participants with relapsing remitting or progressive MS, were included. Individual studies varied in their reporting quality (PEDro range: 3-8) and did not routinely detail exercise parameters (TESTEX range: 5-13). Nonetheless, exercise reduced core symptoms of depression (<i>g</i><sub>w </sub>= .52, CI: .30-.73, <i>P </i>< .01). Treatment effects were, however, not maintained once training had ceased (<i>g</i><sub>w </sub>= -.53, CI: -.80 to .24, <i>P </i>≤ .01, <i>k </i>= 5). Both aerobic and non-aerobic exercise groups experienced a significant (<i>P </i>< .01) reduction in depression scores. Larger gains were noted by those with better ambulation at baseline (<i>P </i>= .03).</p><p><strong>Conclusion: </strong>Regular exercise can help to stabilise mood for people living with multiple sclerosis, regardless of session frequency or duration. Treatment efficacy could be maximised by addressing potential barriers for those with limited mobility, including exercise type, delivery and intensity. Protocol registered on Open Science Framework [https://osf.io/zfymq/].</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1171-1187"},"PeriodicalIF":2.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11468659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757533","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
Early Daily Activity: Development and description of an occupation-based intervention for surgically repaired distal radius Fractures. 早期日常活动:针对手术修复的桡骨远端骨折,开发并描述基于职业的干预措施。
IF 2.6 3区 医学
Clinical Rehabilitation Pub Date : 2024-09-01 Epub Date: 2024-05-30 DOI: 10.1177/02692155241258296
Julie M Collis, Elizabeth C Mayland, Nicola Kayes, Nada Signal
{"title":"Early Daily Activity: Development and description of an occupation-based intervention for surgically repaired distal radius Fractures.","authors":"Julie M Collis, Elizabeth C Mayland, Nicola Kayes, Nada Signal","doi":"10.1177/02692155241258296","DOIUrl":"10.1177/02692155241258296","url":null,"abstract":"<p><strong>Objective: </strong>To describe the theoretical development and structure of an occupation-based intervention for people with a surgically repaired distal radius fracture.</p><p><strong>Intervention development and rationale: </strong>The Early Daily Activity (EDA) intervention uses the performance of strategically selected daily activities as the primary rehabilitative strategy. Occupation-based interventions are recommended for hand injury rehabilitation but are often poorly described and lack explicit theoretical underpinnings. The EDA-intervention was developed from exploratory research that informed the theory and structure. The theoretical principles are that daily activity performance is (i) safe within defined parameters (ii) appropriately self-determined (iii) produces high ranges and amounts of therapeutic movement, and (iv) builds psychosocial competencies.</p><p><strong>Intervention description: </strong>The EDA-intervention is designed to be commenced within 2 weeks of surgery. There are three key components. The first is activity-specific education to emphasise the safety, benefits, and therapeutic actions of activity performance. A set of parameters for defining safe activities is described to support education. The second component is patient-therapist collaboration to select a range of daily activities that provide a 'just-right' challenge. Collaboration occurs at regular intervals throughout the rehabilitation period to incrementally increase the challenge of activities. The third component is performance of activities at-home targeted at improving range of movement and function.</p><p><strong>Next steps: </strong>The EDA-intervention can be used by hand therapists, but it has not yet undergone effectiveness evaluation. A planned study will explore clinician readiness to adopt the EDA-intervention, inform iterative changes to the protocol and the design of feasibility and effectiveness studies.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1158-1170"},"PeriodicalIF":2.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11465607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141178671","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
Remotely Assessing Motor Function and Activity of the Upper Extremity After Stroke: A Systematic Review of Validity and Clinical Utility of Tele-Assessments. 远程评估中风后上肢的运动功能和活动:远程评估有效性和临床实用性的系统回顾。
IF 2.6 3区 医学
Clinical Rehabilitation Pub Date : 2024-09-01 Epub Date: 2024-06-05 DOI: 10.1177/02692155241258867
Lena Sauerzopf, Andreas R Luft, Anna Baldissera, Sara Frey, Verena Klamroth-Marganska, Martina R Spiess
{"title":"Remotely Assessing Motor Function and Activity of the Upper Extremity After Stroke: A Systematic Review of Validity and Clinical Utility of Tele-Assessments.","authors":"Lena Sauerzopf, Andreas R Luft, Anna Baldissera, Sara Frey, Verena Klamroth-Marganska, Martina R Spiess","doi":"10.1177/02692155241258867","DOIUrl":"10.1177/02692155241258867","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this systematic review is to identify currently available tele-assessments for motor impairments of the upper extremity in adults after a stroke and to assess their psychometric properties and clinical utility.</p><p><strong>Data sources: </strong>We searched for studies describing the psychometric properties of tele-assessments for the motor function of the upper extremity. A systematic search was conducted in the Cumulative Index to Nursing and Allied Health Literature, Medline via OVID, Embase, The Cochrane Library, Scopus, Web of Science and Institute of Electrical and Electronics Engineers Xplore from inception until 30 April 2024.</p><p><strong>Review methods: </strong>The quality assessment for the included studies and the rating of the psychometric properties were performed using the COSMIN Risk of Bias Checklist for systematic reviews of patient-reported outcome measures.</p><p><strong>Results: </strong>A total of 12 studies (N = 3912) describing 11 tele-assessments met the predefined inclusion criteria. The included assessments were heterogeneous in terms of quality and psychometric properties and risk of bias. None of the tele-assessments currently meets the criteria of clinical utility to be recommended for clinical practice without restriction.</p><p><strong>Conclusion: </strong>The quality and clinical utility of tele-assessments varied widely, suggesting a cautious consideration for immediate clinical practice application. There is potential for tele-assessments in clinical practice, but the clinical benefits need to be improved by simplifying the complexity of tele-assessments.</p><p><strong>Registration number: </strong>CRD42022335035.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1214-1225"},"PeriodicalIF":2.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11487868/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141261317","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
Measurement properties of the Foot Function Index (FFI) questionnaire: A systematic review. 足部功能指数(FFI)问卷的测量特性:系统回顾。
IF 2.6 3区 医学
Clinical Rehabilitation Pub Date : 2024-09-01 Epub Date: 2024-06-10 DOI: 10.1177/02692155241258299
Pablo Cervera-Garvi, Maria Hermas Galan-Hurtado, Ana Belen Ortega-Avila, Ana Marchena-Rodriguez, Eva Lopezosa-Reca, Alejandro Castillo-Dominguez, Salvador Diaz-Miguel
{"title":"Measurement properties of the Foot Function Index (FFI) questionnaire: A systematic review.","authors":"Pablo Cervera-Garvi, Maria Hermas Galan-Hurtado, Ana Belen Ortega-Avila, Ana Marchena-Rodriguez, Eva Lopezosa-Reca, Alejandro Castillo-Dominguez, Salvador Diaz-Miguel","doi":"10.1177/02692155241258299","DOIUrl":"10.1177/02692155241258299","url":null,"abstract":"<p><strong>Objective: </strong>Large numbers of people are subject to alterations and pathologies in the foot. To quantify how these problems of foot function affect the quality of life, clinicians and researchers have developed measures such as the Foot Function Index (FFI). Our aim is to determine the methodological quality of the FFI including adaptations to other languages.</p><p><strong>Data sources: </strong>The studies considered in this review were extracted from the PubMed, Embase and CINAHL databases. The inclusion criteria were followed: (1) studies of patients with no previous foot or ankle pathology and aged over 18 years; (2) based on English-language patient-reported outcome measures that assess foot function; (3) the patient-reported outcome measures should present measurement properties based on COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN) criteria.</p><p><strong>Review methods: </strong>The systematic review was conducted following the COSMIN criteria to establish the methodological quality of the original FFI, together with its variants and adaptations. The last search was carried out in May 2024.</p><p><strong>Results: </strong>Of the 1994 studies obtained in the preliminary search, 20 were eligible for inclusion in the final analysis. These results are the validations and cross-cultural adaptations to the following languages: the original FFI has cross-cultural adaptation in 13 languages and the FFI-Revised Short Form has been adapted and validated for use in 2 languages.</p><p><strong>Conclusion: </strong>In terms of methodological quality, the FFI-Revised Short Form questionnaire is a valuable instrument for evaluating ankle and foot function and could usefully be expanded to be available in more languages.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"1226-1237"},"PeriodicalIF":2.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141295705","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}
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