Clinical Rehabilitation最新文献

{"title":"The Vellore Pain Impact Questionnaire (V-PIQ): Initial validation of a tool for assessing the impact of low back pain based on the brief ICF core set.","authors":"Mammen Abijithgeorge, Selvaraj Samuelkamaleshkumar, Suresh Annpatriciacatherine, Ranjan Aruna, Joel Ronaldthomvicmaradona, Maya P Ganesan","doi":"10.1177/02692155251337570","DOIUrl":"10.1177/02692155251337570","url":null,"abstract":"<p><p>ObjectiveTo develop and validate the Vellore Pain Impact Questionnaire to assess the impact of low back pain in the Indian context.DesignA cross-sectional, quantitative study with two phases: development and validation of the Vellore Pain Impact Questionnaire. Content validity was ensured through a Delphi process involving five occupational therapists, while reliability and criterion validity were assessed.SettingThe study was conducted at the Occupational Therapy outpatient unit of a tertiary care teaching hospital in South India.ParticipantsSixty-five patients aged 18 years and above with nonspecific low back pain persisting for at least 12 weeks were recruited through convenience sampling.InterventionNot applicable.Main MeasuresThe Vellore Pain Impact Questionnaire underwent inter-rater and test-retest reliability using the intraclass correlation coefficient. Criterion validity was evaluated against the Oswestry disability index.ResultsThe Vellore Pain Impact Questionnaire showed excellent content validity (content validity index: 0.96). It demonstrated high reliability, with inter-rater (intraclass correlation coefficient: 0.985) and test-retest (intraclass correlation coefficient: 0.973) scores. The receiver operating characteristic analysis indicated moderate criterion validity (area under the curve: 0.628) compared to the Oswestry disability index. The questionnaire's broader coverage of ICF categories, including psychological and environmental factors, highlights its ability to capture the multidimensional impact of low back pain.ConclusionsThe Vellore Pain Impact Questionnaire shows promise as a reliable and culturally relevant tool for assessing low back pain impact in India, addressing physical, psychological, and social factors. However, further studies are necessary to establish its validity across diverse populations and settings.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"750-760"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144076532","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":"Response to \"comments on the article \"physiotherapy-led care versus physician-led care for persons with Low back pain: A systematic review\" by severijns et al. (clin rehabil. 2024 dec;38(12):1571-1589)\".","authors":"Pieter Severijns, Nina Goossens, Wim Dankaerts, Laurent Pitance, Nathalie Roussel, Corentin Denis, Antoine Fourré, Pieter Verschueren, Annick Timmermans, Lotte Janssens","doi":"10.1177/02692155251340671","DOIUrl":"10.1177/02692155251340671","url":null,"abstract":"","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"844-845"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961442","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":"Inter-individual differences in early post-operative pain, cognitions, and emotions after total hip arthroplasty: A longitudinal cohort study.","authors":"Abner Sergooris, Jonas Verbrugghe, Bruno Bonnechère, Thomas Matheve, Kristoff Corten, Katleen Bogaerts, Annick Timmermans","doi":"10.1177/02692155251333537","DOIUrl":"10.1177/02692155251333537","url":null,"abstract":"<p><p>ObjectiveTo identify (1) pre- to early post-operative changes in pain and related cognitions and emotions, (2) early post-operative pain trajectories and their covariates, and (3) predictors of early post-operative cognitions and emotions.DesignLongitudinal cohort study.SettingSecondary care setting at Hospital East-Limburg and the European Hip Center (Belgium).ParticipantsOne hundred thirty-three individuals with hip osteoarthritis undergoing total hip arthroplasty.InterventionData were collected before total hip arthroplasty and during the first post-operative week.Main measuresSociodemographic information, traumatic experiences, anxiety, depression, perceived injustice, fear-avoidance, self-efficacy, and pain-related variables were assessed. Statistical analyses included Friedman tests to evaluate pre- to post-operative changes in pain and related cognitions and emotions, Latent Class Growth Analysis and multinomial logistic regression to identify pain trajectories and their covariates, and Least Absolute Shrinkage and Selection Operator regression to identify predictors of early post-operative cognitions and emotions.ResultsFour early post-operative pain trajectories were identified. Two trajectories (36%, <i>n</i> = 48) demonstrated no reduction in pain intensity one week after surgery. Higher levels of self-efficacy (odds ratio = 0.83) and pre- to post-operative reductions in perceived injustice (odds ratio = 0.86) were associated with lower odds of being classified in the unremitting pain trajectory. Between 38% and 64% in the variance of early post-operative cognitions and emotions could be predicted. Pre-operative perceived injustice showed a positive association with fear-avoidance (ß = 1.96) and anxiety symptoms (ß = 0.80).ConclusionsInter-individual differences exist in early post-operative pain after total hip arthroplasty but are poorly associated with cognitions or emotions. Pre-operative perceived injustice may influence early post-operative cognitions and emotions.<b>Registration:</b> ClinicalTrials.gov, NCT05265858 (https://classic.clinicaltrials.gov/ct2/show/NCT05265858).</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"784-795"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981935","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":"Retraction notice: \"Acceptance and commitment therapy for the treatment of depression in persons with physical disability: A randomized controlled trial\".","authors":"","doi":"10.1177/02692155251345412","DOIUrl":"https://doi.org/10.1177/02692155251345412","url":null,"abstract":"","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":"39 6","pages":"846"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233391","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 influence of hearing loss and hearing aid use on experienced emotion in everyday listening situations.","authors":"Jack A Holman, Graham Naylor","doi":"10.1177/02692155251326830","DOIUrl":"10.1177/02692155251326830","url":null,"abstract":"<p><p>ObjectiveTo address the extent to which the emotional experience of everyday listening situations is impacted by hearing loss and hearing aid use.DesignAn exploratory prospective study with an observation arm and an intervention arm utilising smartphone-based ecological momentary assessment over 10 days. A hearing loss group was asked to wear and not wear their hearing aids on alternate days. A normal hearing group completed the surveys without hearing aids.SettingRemote study gathering data during daily life.ParticipantsTwenty-six experienced hearing aid users with hearing loss and twenty participants with normal hearing thresholds.InterventionRotating hearing aid use on alternate days in the hearing loss group.Main measuresParticipants reported on experienced emotions (valence, arousal and discrete emotion) in listening activities at random points throughout the day, as well as at baseline for related socioemotional variables.ResultsParticipants with hearing loss reported similar valence and arousal to the normal hearing group when wearing their hearing aids, but significantly lower when not wearing hearing aids. Wearing (versus not wearing) hearing aids showed a significant beneficial effect on valence and arousal. Discrete emotions were more negative when not wearing hearing aids. End-of-day reports of valence were also more negative. There was no significant effect of listening situation type.ConclusionsUnaided hearing loss was associated with a negative impact on emotions in listening situations. Hearing aids can restore the emotions experienced in everyday listening situations. The results highlight the importance of socioemotional well-being as a factor and outcome in audiological rehabilitation.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"770-783"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of the number of sessions and stimulation parameters on repetitive transcranial magnetic stimulation efficacy for post-stroke upper extremity recovery: A systematic review and meta-analysis.","authors":"Gabriel Barreto, Paz Sánchez, Rebeca Dias, Adriana Baltar, Lívia Shirahige, Rodrigo Fragoso de Andrade, Kelly Sukar Cavalcanti de Oliveira, Carlos Alberto Santana, Daniele Piscitelli, Kátia Monte-Silva","doi":"10.1177/02692155251328945","DOIUrl":"10.1177/02692155251328945","url":null,"abstract":"<p><p>ObjectiveTo identify the optimal number of sessions and parameters of repetitive transcranial magnetic stimulation frequency, stimulation intensity, number of pulses per session/treatment that promotes a greater effect on post-stroke upper extremity function.Data sourcesMEDLINE (PubMed), Cumulative Index to Nursing and Allied Health Literature, Physiotherapy Evidence Database, Latin American and Caribbean Health Science Literature, Scientific Electronic Library Online, and Scopus up to November 2024.Review methodsWe conducted a meta-analysis on randomized controlled trials of repetitive transcranial magnetic stimulation combined with other therapies for post-stroke upper extremity function, assessed risk-of-bias using the Physiotherapy Evidence Database scale, calculated standard mean differences (SMD) with 95% confidence intervals (CI), and determined parameter cutoff points using a receiver operating characteristic curve.ResultsThirty-five randomized clinical trials involving 897 patients were included. Compared to control groups, repetitive transcranial magnetic stimulation combined with other therapies improved upper extremity motor function with a higher effect size for: ≥ 15 sessions (SMD 0.72 95% CI, 0.37 to 1.08; p < 0.0001]), > 1 Hz frequencies (0.98 [95% CI, 0.48 to 1.48; p = 0001]), intensities of <100% of resting motor threshold (SMD 0.52 [95% CI, 0.29 to 0.75; p < 0.00001]), ≥ 1000 pulses per session (SMD 0.61 [95% CI, 0.40 to 0.82; p < 0.00001]), and ≥12,000 pulses per treatment (SMD 0.64 [95% CI, 0.36 to 0.93; p < 0.0001]).ConclusionTo enhance post-stroke upper extremity function, the optimal repetitive transcranial magnetic stimulation protocol involves at least 15 sessions, frequencies above 1 Hz, intensities below 100% of resting motor threshold, at least 1000 pulses per session, and 12,000 pulses per treatment.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"707-727"},"PeriodicalIF":2.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143974411","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":"Maintaining the use of telehealth for delivering rehabilitation services in a regional hospital post-COVID19: Learning from telehealth delivery rates and staff experiences.","authors":"Owen Howlett, Tracy Harnetty, Stephen Barrett","doi":"10.1177/02692155251326050","DOIUrl":"10.1177/02692155251326050","url":null,"abstract":"<p><p>ObjectiveTo examine what delivery format had been used to facilitate rehabilitation services over recent years and to identify barriers and enablers to using telehealth in the future.DesignMultiple method research approach.Setting:Outpatient rehabilitation service in a large regional hospital in Australia.Participants:Clinicians that deliver rehabilitation interventions including allied health professionals and nurses.Main measuresFirst, a retrospective audit of data examining the rate of telehealth use. Second, semi-structured focus groups with clinical staff to identify barriers and enablers to using telehealth. Data were thematically analysed and mapped to a behaviour change framework.ResultsPre-pandemic, 82% (n = 45,960) of rehabilitation services were delivered in-person; during peak restrictions, in-person delivery was 54% (n = 49,337). Following the ease of restrictions, 71% (n = 49,337) of the rehabilitation services were delivered in-person, 28% (n = 21,624) via phone and 1% (n = 493) via video. Telehealth use increased 11% from pre-pandemic to when restrictions were eased, driven by increased use of phone consultations. Six themes related to barriers and four themes related enablers to using telehealth were identified. Using the behaviour change framework, five interventions functions (education, training, environmental restructure, modelling and enablement) were recommended to facilitate telehealth use.ConclusionsTelehealth-delivered rehabilitation rates increased post-pandemic, primarily via phone consultations. Reported barriers and enablers highlight the need for targeted strategies, with five intervention functions identified that may support increased telehealth adoption in rehabilitation settings. Future efforts should address clinician-raised barriers to optimise telehealth integration into service delivery.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"679-689"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699523","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":"Aquatic exercise interventions in the treatment of musculoskeletal upper extremity disorders: A scoping review.","authors":"Lynn Murray, Michelle Kennedy, Michael Malone, Lyn Mair, Lyndsay Alexander","doi":"10.1177/02692155251315078","DOIUrl":"10.1177/02692155251315078","url":null,"abstract":"<p><p>ObjectiveTo identify literature on aquatic exercise therapy used to manage upper extremity musculoskeletal disorders and identify key concepts, intervention components, and gaps in the evidence base.Data sourcesThe comprehensive search included MEDLINE (Ovid), CINAHL (EBSCOHost), Embase (Ovid), CENTRAL (Cochrane Central Register of Controlled Trials) databases and grey literature sources.Review methodsJBI Scoping review methodology guided this review through protocol development, searching, screening, data extraction and analysis. Study Selection included: Participants - Adults with upper extremity musculoskeletal disorders; Concept - Aquatic based exercise therapy; Context - any setting in any very highly developed nation.ResultsThe search identified 5045 sources with 68 studies included in the final synthesis. Findings outlined shoulder problems were the most reported upper extremity condition treated (<i>n</i> = 78) especially following rotator cuff repair (<i>n</i> = 17), followed by the hand and wrist (<i>n</i> = 9), and elbow (<i>n</i> = 6). Range of movement (<i>n</i> = 36) and resistance exercises (<i>n</i> = 17) were the most common interventions reported for aquatic therapy, however compliance with reporting guidance across included studies was poor. Sixteen health domains were identified with range of movement (<i>n</i> = 21) and pain (<i>n</i> = 20) the most common, and 62 outcome measures were reported related to the identified domains. Qualitative aspects of aquatic interventions were evaluated in two papers.ConclusionThere is a need for more primary experimental and qualitative studies related to the upper extremity and aquatic therapy. Improved reporting quality of aquatic therapy exercise intervention is required as is the need to establish specific core outcome sets and domains in this area.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"565-579"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12099020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078704","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 letter: The only defendable scientific position: A strong case against radial extracorporeal shockwave therapy for insertional Achilles tendinopathy.","authors":"Peter Malliaras, Luke Perraton, Patrick Vallance, Tim Powers, Baraa Alsulaimani","doi":"10.1177/02692155251327664","DOIUrl":"10.1177/02692155251327664","url":null,"abstract":"","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"703-704"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647581","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":"Enhanced recovery in cardiac surgery patients with frailty through comprehensive perioperative nursing interventions: A randomized controlled trial.","authors":"Na Jin, Tianxiang Gu, Shiyang Song, Jiannan Yao, Xin Pang","doi":"10.1177/02692155251325618","DOIUrl":"10.1177/02692155251325618","url":null,"abstract":"<p><p>ObjectiveTo evaluate the effects of comprehensive perioperative nursing interventions on postoperative recovery in cardiac surgery patients with frailty, with a focus on physical activity, nutritional status, and cognitive function.DesignA prospective, randomized, single-blind, parallel-group design with a 1:1 allocation ratio.SettingCardiac surgery department in a tertiary care hospital.ParticipantsThis study included 300 patients with frailty after cardiac surgery. Using a computer-generated random number table, patients were randomly assigned to the experimental group (150 patients) and the control group (150 patients). The intervention group received preoperative psychological counseling, targeted nutritional support, skincare, and continuous hemodynamic monitoring; the control group received routine care, including postoperative vital sign monitoring, basic nutritional support, wound care, and standard cardiovascular assessments (e.g., heart rate and blood pressure).Primary outcomesPostoperative recovery was assessed through improvements in physical activity (Barthel Index), nutritional status (Mini Nutritional Assessment), cognitive function (Mini-Mental State Examination), biostatistical data and cardiopulmonary function indicators.ResultsThe intervention group showed significant improvements: Barthel Index increased by 20 points (95% CI: 15-25, <i>p</i> < 0.01), Mini Nutritional Assessment scores by 3 points (95% CI: 1-5, <i>p</i> < 0.05), and Mini-Mental State Examination scores by 4 points (95% CI: 2-6, <i>p</i> < 0.05). Hospital stay was reduced by 5 days (95% CI: 3-7, <i>p</i> < 0.01), and the 6-month survival rate was 10% higher (95% CI: 5-15%, <i>p</i> < 0.05) compared to the control group.ConclusionsComprehensive perioperative nursing interventions significantly improve postoperative recovery, self-care ability, nutritional status, cognitive function, and short-term survival in cardiac surgery patients with frailty.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"632-645"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143974396","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}