Clinical Rehabilitation最新文献

{"title":"Effect of quick acupuncture combined with rehabilitation therapy on improving motor and swallowing function in patients with stroke.","authors":"Yinfei Ma, Hairui Guo, Lijuan Geng, Zhongfen Jia, Guangzhi Li, Wei Shen, Jianyu Wang","doi":"10.1177/02692155241228694","DOIUrl":"10.1177/02692155241228694","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effect of quick acupuncture combined with rehabilitation therapy on motor and swallowing function of patients with stroke.</p><p><strong>Design: </strong>A retrospective study.</p><p><strong>Setting: </strong>Single center study.</p><p><strong>Participants: </strong>One hundred and twenty patients with stroke were divided into control and observation group based on the therapeutic regimen.</p><p><strong>Intervention: </strong>Control group (n = 60) only received rehabilitation therapy, and observation group (n = 60) received rehabilitation therapy combined with quick acupuncture. Acupuncture was performed once a day, and 6 times/week for 4 consecutive weeks.</p><p><strong>Main measures: </strong>The simplified Fugl-Meyer assessment scale and Barthel index were used to assess limb motor function and daily living ability. The Dysphagia Outcome Severity Scale and Swallowing Quality of Life questionnaire were conducted to estimate the dysphagia severity and life quality of patients with swallowing disorders. The therapeutic efficacy and complications after treatment were analyzed and counted.</p><p><strong>Results: </strong>After treatment, the scores of the observation group were significantly improved compared with the control group (<i>P </i>< 0.05). In the observation group, the therapeutic efficacy was 93% (n = 56); the complication rate was 5% (n = 3); the therapeutic efficacy of the control group was 75% (n = 45); and the complication rate was 25% (n = 15), indicating that the therapeutic efficacy of the observation group is better and the incidence of complications is lower than that of the control group.</p><p><strong>Conclusion: </strong>This study suggests that rehabilitation therapy combined with rapid acupuncture therapy has a potential therapeutic effect on the relief of swallowing and motor dysfunction after stroke.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"793-801"},"PeriodicalIF":3.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139650381","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":"Access to inpatient mood management services after stroke in Australian acute and rehabilitation hospitals.","authors":"Shaun L Hancock, Tara Purvis, Tharshanah Thayabaranathan, Rene Stolwyk, Jan Cameron, Lachlan L Dalli, Megan Reyneke, Monique F Kilkenny, Kelvin Hill, Dominique A Cadilhac","doi":"10.1177/02692155241232990","DOIUrl":"10.1177/02692155241232990","url":null,"abstract":"<p><strong>Objective: </strong>Post-stroke mental health impairments are common, but under-assessed and under-treated. We aim to describe trends in the provision of mood management to patients with stroke, and describe factors associated with adoption of national mood management recommendations for stroke within Australian hospitals.</p><p><strong>Design: </strong>Secondary analysis of cross-sectional data from the biennial Stroke Foundation Audit Program.</p><p><strong>Setting: </strong>Participating acute (2011-2021) and rehabilitation hospitals (2012-2020) in Australia.</p><p><strong>Participants: </strong>In the acute audit, 22,937 stroke cases were included from 133 hospitals. In the rehabilitation audit, 15,891 stroke cases were included from 127 hospitals.</p><p><strong>Main measures: </strong>Hospital- and patient-level mood management processes.</p><p><strong>Results: </strong>Among 133 acute hospitals (22,937 stroke episodes), improvements were made between 2011 and 2021 in utilization of mood screening (17% [2011], 33% [2021]; <i>p </i>< 0.001) and access to psychologists during hospital stay (18% [2011], 45% [2021]; <i>p </i>< 0.001). There was no change in access to a psychologist among those with a mood impairment (<i>p </i>= 0.34). Among 127 rehabilitation hospitals (15,891 stroke episodes) improvements were observed for mood screening (35% [2012], 61% [2020]; <i>p </i>< 0.001), and access to a psychologist during hospital stay (38% [2012], 68% [2020]; <i>p </i>< 0.001) and among those with a mood-impairment (30% [2012], 50% [2020]; <i>p </i>< 0.001). Factors associated with receiving mood management processes included: younger age, not requiring an interpreter and longer length of stay.</p><p><strong>Conclusions: </strong>Adherence to mood management recommendations has improved over 10 years within Australian hospitals. Those aged over 65, requiring an interpreter, or with shorter hospital stays are at risk of missing out on appropriate mood management.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"811-823"},"PeriodicalIF":3.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11059847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139930368","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":"Physical therapy for acute and sub-acute low back pain: A systematic review and expert consensus.","authors":"Xue-Qiang Wang, Yu-Ling Wang, Jeremy Witchalls, Jia Han, Zhi-Jie Zhang, Phillip Page, Yi Zhu, Carla Stecco, Jian-Hua Lin, Doa El-Ansary, Quan-Sheng Ma, Qi Qi, Jae-Seop Oh, Wei-Ming Zhang, Adrian Pranata, Li Wan, Kui Li, Ming Ma, Lin-Rong Liao, Yu-Lian Zhu, Jing-Wei Guo, Pei-Jie Chen","doi":"10.1177/02692155241229398","DOIUrl":"10.1177/02692155241229398","url":null,"abstract":"<p><strong>Objective: </strong>To review the effectiveness of different physical therapies for acute and sub-acute low back pain supported by evidence, and create clinical recommendations and expert consensus for physiotherapists on clinical prescriptions.</p><p><strong>Data sources: </strong>A systematic search was conducted in PubMed and the Cochrane Library for studies published within the previous 15 years.</p><p><strong>Review methods: </strong>Systematic review and meta-analysis, randomized controlled trials assessing patients with acute and sub-acute low back pain were included. Two reviewers independently screened relevant studies using the same inclusion criteria. The Physiotherapy Evidence Database and the Assessment of Multiple Systematic Reviews tool were used to grade the quality assessment of randomized controlled trials and systematic reviews, respectively. The final recommendation grades were based on the consensus discussion results of the Delphi of 22 international experts.</p><p><strong>Results: </strong>Twenty-one systematic reviews and 21 randomized controlled trials were included. Spinal manipulative therapy and low-level laser therapy are recommended for acute low back pain. Core stability exercise/motor control, spinal manipulative therapy, and massage can be used to treat sub-acute low back pain.</p><p><strong>Conclusions: </strong>The consensus statements provided medical staff with appliable recommendations of physical therapy for acute and sub-acute low back pain. This consensus statement will require regular updates after 5-10 years.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"715-731"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139691402","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":"Transcranial direct current stimulation for upper extremity motor dysfunction in poststroke patients: A systematic review and meta-analysis.","authors":"Xian Tang, Nan Zhang, Zhiyuan Shen, Xin Guo, Jun Xing, Shujuan Tian, Yuan Xing","doi":"10.1177/02692155241235336","DOIUrl":"10.1177/02692155241235336","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy and safety of transcranial direct current stimulation in poststroke patients with upper extremity motor dysfunction using a systematic review and meta-analysis.</p><p><strong>Data sources: </strong>We searched the Web of Science, Cochrane Library, EMBASE, and PubMed for randomized controlled trials investigating the effects of both active and sham stimulation up until January 27, 2024.</p><p><strong>Review methods: </strong>Efficacy, including the upper extremity Fugl-Meyer Assessment, Action Research Arm Test, Barthel Index, and safety, were assessed. The risk of bias was assessed using the Cochrane Risk of Bias 2 tool and the Physiotherapy Evidence Database Scale. Meta-analysis was performed using the RevMan 5.4 software.</p><p><strong>Results: </strong>Forty-four studies with 1555 participants were included. Transcranial direct current stimulation proved effective in improving upper extremity motor function (standardized mean difference = 0.22, 95% confidence interval: 0.12-0.32, <i>P</i> < 0.001) and Barthel Index (mean difference = 4.65, 95% confidence interval: 2.82-6.49, <i>P</i> < 0.001). Subgroup analysis revealed the highest transcranial direct current stimulation efficacy in patients with subacute stroke. Both anodal and cathodal stimulation were effective against upper extremity motor dysfunction. C3/C4 was the most effective stimulus target. Optimal stimulation parameters included stimulus current densities <0.057 mA/cm² for 20-30 min and <30 sessions. Adverse effects and dropouts during follow-up showed that transcranial direct current stimulation is safe and feasible.</p><p><strong>Conclusions: </strong>Our findings suggest that both anodal and cathodal stimulation were significantly effective in subacute stroke patients, particularly when preceding other treatments and when C3/C4 is targeted.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"749-769"},"PeriodicalIF":3.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139995800","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":"Towards a core outcome set for dysarthria after stroke: What should we measure?","authors":"Claire Mitchell, Kate Woodward-Nutt, Annette Dancer, Stephen Taylor, Joe Bugler, Audrey Bowen, Paul Conroy, Brooke-Mai Whelan, Sarah J Wallace, Sabrina El Kouaissi, Jamie Kirkham","doi":"10.1177/02692155241231929","DOIUrl":"10.1177/02692155241231929","url":null,"abstract":"<p><strong>Objective: </strong>To identify and agree on what outcome domains should be measured in research and clinical practice when working with stroke survivors who have dysarthria.</p><p><strong>Design: </strong>Delphi process, two rounds of an online survey followed by two online consensus meetings.</p><p><strong>Setting: </strong>UK and Australia.</p><p><strong>Participants: </strong>Stroke survivors with experience of dysarthria, speech and language therapists/pathologists working in stroke and communication researchers.</p><p><strong>Methods: </strong>Initial list of outcome domains generated from existing literature and with our patient and public involvement group to develop the survey. Participants completed two rounds of this survey to rate importance. Outcomes were identified as 'in', 'unclear' or 'out' from the second survey. All participants were invited to two consensus meetings to discuss these results followed by voting to identify critically important outcome domains for a future Core Outcome Set. All outcomes were voted on in the consensus meetings and included if 70% of meeting participants voted 'yes' for critically important.</p><p><strong>Results: </strong>In total, 148 surveys were fully completed, and 28 participants attended the consensus meetings. A core outcome set for dysarthria after stroke should include four outcome domains: (a) intelligibility of speech, (b) ability to participate in conversations, (c) living well with dysarthria, (d) skills and knowledge of communication partners (where relevant).</p><p><strong>Conclusions: </strong>We describe the consensus of 'what' speech outcomes after stroke are valued by all stakeholders including those with lived experience. We share these findings to encourage the measurement of these domains in clinical practice and research and for future research to identify 'how' best to measure these outcomes.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"802-810"},"PeriodicalIF":3.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11059832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139905226","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":"Does Including Facebook Training Improve the Effectiveness of Computerized Cognitive Training? A Randomized Controlled Trial.","authors":"S Rute-Pérez, C Rodríguez-Domínguez, E M Sánchez-Lara, M Pérez-García, A Caracuel","doi":"10.1177/02692155241228832","DOIUrl":"10.1177/02692155241228832","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether implementing a Facebook training program improves the effectiveness of computerized cognitive training (CCT) in older adults.</p><p><strong>Design: </strong>Randomized, controlled, double single-blind trial with parallel groups.</p><p><strong>Setting: </strong>Community centers.</p><p><strong>Subjects: </strong>Eighty-six adults between 60 and 90 years old.</p><p><strong>Interventions: </strong>Nine face-to-face 60-min sessions of CCT with VIRTRAEL for all participants. The experimental group received an additional 30 min of Facebook training per session.</p><p><strong>Main measures: </strong>Attention (d2 Test of Attention); learning and verbal memory (Hopkins Verbal Learning Test-Revised); working memory (Letter-Number Sequencing test), semantic and abstract reasoning (Similarities and Matrix Reasoning tests); and planning (Key Search test).</p><p><strong>Results: </strong>There was a significant Group*Time interaction in the Hopkins Verbal Learning Test-Revised-Trial 3, Letter-Number sequencing, and Matrix tests. Between groups, post-hoc analyses showed a difference in Matrix reasoning (<i>p</i> < .001; <i>d</i>  =  0.893) at post-intervention in favor of the experimental group. Significant main effects of time were found in the CCT group between baseline and 3-month follow-up for Concentration (F  =  26.431, <i>p</i> ≤ .001), Letters and Numbers (F  =  30.549, <i>p</i> ≤ .001), Learning (F  =  38.678, <i>p</i> ≤ .001), Similarities (F  =  69.885, <i>p</i> ≤ .001), Matrix (F  =  90.342, <i>p</i> ≤ .001), and Key Search (F  =  7.904, <i>p</i>  =  .006) tests.</p><p><strong>Conclusions: </strong>The utilization of CCT with VIRTRAEL, a freely accessible tool with broad applicability, resulted in enhanced attention, verbal learning, working memory, abstract and semantic reasoning, and planning among older adults. These improvements were sustained for at least three months post-training. Additional training in Facebook did not enhance the effectiveness of CCT.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"783-792"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139641691","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":"Effects of kinesiotaping during early post-operative rehabilitation in individuals who underwent a total knee arthroplasty: A systematic review and meta-analysis of randomized control trials.","authors":"Edmund C Ickert, David Griswold, Omar Ross, Shannon Dudash, Colleen Duchon, Ken Learman","doi":"10.1177/02692155241230894","DOIUrl":"10.1177/02692155241230894","url":null,"abstract":"<p><strong>Objective: </strong>To report the treatment effects of early use kinesiotaping on pain, range of motion, mobility, and edema outcomes following total knee arthroplasty.</p><p><strong>Data sources: </strong>Cochrane Central Register of Controlled Trials, PubMED, SPORTDiscus, Biosis Citation Index, and the Cumulative Index to Nursing and Allied Health Literature were searched for potential randomized control trials from inception to 8 January 2024.</p><p><strong>Review methods: </strong>Randomized control trials evaluating the effect of kinesiotaping published in English were included. Reference lists for relevant reviews were searched. Study quality was assessed using the Cochrane Risk of Bias 2 tool. Certainty of evidence was determined using the Grading of Recommendations Assessment, Development, and Evaluation approach.</p><p><strong>Results: </strong>Seven articles totaling 534 participants were included for meta-analysis. Kinesiotaping with standard rehabilitation when compared to standard rehabilitation alone had very low certainty of evidence in pain and knee flexion range of motion. Kinesiotaping was favored at post-operative days two to four for pain (<i>P</i> = 0.03, standard mean difference = -0.77 [-1.45, -0.09]) and range of motion (<i>P</i> = 0.002, standard mean difference = -0.24 [-0.44, -0.03]). Kinesiotaping was favored at post-operative days six to eight for pain (<i>P</i> = 0.02, standard mean difference = -0.76 [-1.41, -0.12]) and range of motion (<i>P</i> = 0.04, standard mean difference = -0.63 [-1.22, -0.04]). Edema and mobility could not be meta-analyzed.</p><p><strong>Conclusion: </strong>The use of kinesiotaping early in post-operative rehabilitation could be a useful modality for reducing pain and increasing the range of knee flexion, however, the certainty of evidence is very low.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"732-748"},"PeriodicalIF":3.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139697073","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":"'If he thought that I was going to go and hurt myself, he had another thing coming': Treatment experiences of those with large to massive rotator cuff tears and the perspectives of healthcare practitioners.","authors":"Kathryn Fahy, Rose Galvin, Jeremy Lewis, Karen McCreesh","doi":"10.1177/02692155241235338","DOIUrl":"10.1177/02692155241235338","url":null,"abstract":"<p><strong>Objective: </strong>To explore the treatment experiences of those diagnosed with large to massive rotator cuff tears and the perspectives of healthcare practitioners providing their care.</p><p><strong>Design: </strong>A qualitative descriptive study using reflexive thematic analysis.</p><p><strong>Setting: </strong>In-person focus groups were undertaken in a clinical setting (private practice [<i>n</i> = 1]; public outpatient [<i>n</i> = 2]). Semi-structured interviews were conducted online via Microsoft Teams.</p><p><strong>Participants: </strong>Patients diagnosed with these tears (<i>n</i> = 12) and healthcare practitioners (<i>n</i> = 11).</p><p><strong>Results: </strong>Two interlinking themes were identified based on the care received and provided for patients with symptomatic large to massive rotator cuff tears:1) <i>Positive treatment experiences and management:</i> Education, clear communication and reassurance around prognosis were the foundation of positive patient-clinician care. Sub-themes of pain relief, exercise prescription and confidence in their pathway underpinned this experience. This proficiency in care was affirmed by some <i>healthcare practitioners</i> who spoke about the importance of confidence and experience in their management plan even in times of poor progress.2) <i>Negative treatment experiences and management:</i> Uncertainty, delays and exacerbation of pain flawed the patient-clinician care. Sub-themes of inappropriate pain relief, inappropriate exercise prescription and uncertainty impacted their care. Some <i>healthcare practitioners</i> acknowledged knowledge gaps led to uncertainty especially when choosing the next step of care and were quick to escalate care to deflect this uncertainty.</p><p><strong>Conclusions: </strong>The findings suggest discordance exists between the patient's experiences and expectations when the delivery of care was by less experienced and confident healthcare practitioners in the management of this condition. This highlights the need for improved education and support for healthcare practitioners.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"824-836"},"PeriodicalIF":3.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11059833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139989544","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":"Effects of linear periodized and non-periodized combined training on body image perception of adults with obesity: A randomized clinical trial","authors":"Anne Ribeiro Streb, Carolina Graef Vieira, Larissa dos Santos Leonel, Cecília Bertuol, Willen Remon Tozetto, Jucemar Benedet, Giovani Firpo Del Duca","doi":"10.1177/02692155241249670","DOIUrl":"https://doi.org/10.1177/02692155241249670","url":null,"abstract":"ObjectiveVerify the effect of non-periodized and linear periodized combined training on body image perception and body dissatisfaction in adults with obesity.DesignA randomized clinical trial on the effect of two types of combined training periodization was carried out on people with grade I and II obesity.SettingParticipants were allocated into three groups: non-periodized periodization group, linear periodization group, and control group, with 23 participants in each.SubjectsAdults with obesity, with a body mass index between 30 kg/m² and 40 kg/m².InterventionsThe intervention lasted 16 weeks (separated into three mesocycles of 4 weeks and 1 week of familiarization), in 3 weekly sessions of 1 hour each, composed of aerobic (30 min) and muscle strength exercises (six exercises) in the same session. The group with non-periodized model maintained uniform intensity, volume, and workload throughout the mesocycles. The group with the linear periodization model started with low initial intensity, subsequently introducing a gradual increase of intensity in the mesocycles.Main measuresBody image perception (current and ideal silhouette) and body dissatisfaction were assessed using the Stunkard silhouette scale.ResultsThe perception of the current silhouette increased only in the control group (Δ = 1.16; p = 0.04). There was a significant reduction in the ideal silhouette over time ( p = 0.001), especially in non-periodized group (Δ = −1.26). Body dissatisfaction increased significantly only over time ( p = 0.001), especially for control group (Δ = 1.47).ConclusionsRegardless of periodization, combined training effectively maintained the perception of the current silhouette and reduced the ideal silhouette in adults with obesity.Trial registrationBrazilian Registry of Clinical Trials (RBR-3c7rt3).","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":"43 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140830872","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":"Clinical validation of automated depth camera-based measurement of the Fugl-Meyer assessment for upper extremity","authors":"Zhaoyang Wang, Tao Zhang, Jingyuan Fan, Fanbin Gu, Qiuhua Yu, Honggang Wang, Jiantao Yang, Qingtang Zhu","doi":"10.1177/02692155241251434","DOIUrl":"https://doi.org/10.1177/02692155241251434","url":null,"abstract":"ObjectiveDepth camera-based measurement has demonstrated efficacy in automated assessment of upper limb Fugl-Meyer Assessment for paralysis rehabilitation. However, there is a lack of adequately sized studies to provide clinical support. Thus, we developed an automated system utilizing depth camera and machine learning, and assessed its feasibility and validity in a clinical setting.DesignValidation and feasibility study of a measurement instrument based on single cross-sectional data.SettingRehabilitation unit in a general hospitalParticipantsNinety-five patients with hemiparesis admitted for inpatient rehabilitation unit (2021–2023).Main measuresScores for each item, excluding those related to reflexes, were computed utilizing machine learning models trained on participant videos and readouts from force test devices, while the remaining reflex scores were derived through regression algorithms. Concurrent criterion validity was evaluated using sensitivity, specificity, percent agreement and Cohen's Kappa coefficient for ordinal scores of individual items, as well as correlations and intraclass correlation coefficients for total scores. Video-based manual assessment was also conducted and compared to the automated tools.ResultThe majority of patients completed the assessment without therapist intervention. The automated scoring models demonstrated superior validity compared to video-based manual assessment across most items. The total scores derived from the automated assessment exhibited a high coefficient of 0.960. However, the validity of force test items utilizing force sensing resistors was relatively low.ConclusionThe integration of depth camera technology and machine learning models for automated Fugl-Meyer Assessment demonstrated acceptable validity and feasibility, suggesting its potential as a valuable tool in rehabilitation assessment.","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":"45 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140830803","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}