Clinical Rehabilitation最新文献

{"title":"Social media as a bridge between science and practice? Physiotherapists' perceptions from a qualitative study.","authors":"Myllena Mg Fernandes, Emilly R Mello, Maurício S Fanfa, Ada Cm Silveira, Mirella Lk Peixoto, Anna Carolina P Melchior, Vinicius Af Correa, Vitor F de Oliveira, Gabriela B Aliano, Anna Julia M Dangui, Bruna Wageck, Guilherme S Nunes","doi":"10.1177/02692155251413198","DOIUrl":"10.1177/02692155251413198","url":null,"abstract":"<p><p>ObjectiveTo explore physiotherapists' perceptions of integrating scientific knowledge into clinical practice and the role of social media in supporting evidence-based rehabilitation.DesignQualitative exploratory study.SettingOnline interviews.ParticipantsTwenty-eight physiotherapists representing a range of clinical specialities.MethodsSemi-structured interviews were conducted via Google Meet, lasting on average 25 minutes. Sessions were recorded, transcribed verbatim and analysed using Braun and Clarke's thematic analysis. Coding was performed independently by two researchers, with triangulation to ensure trustworthiness. Data collection continued until thematic saturation was reached.ResultsTwo overarching themes were identified, comprising 10 sub-themes. (1) Application of scientific knowledge in clinical practice: participants recognised the importance of research evidence but reported barriers such as limited time, complex academic language and lack of institutional support. Strategies to overcome these challenges included targeted reading, continuing professional development and peer exchange. (2) Social media as a source of scientific information: platforms such as Instagram and YouTube were valued for accessibility, brevity and opportunities to share knowledge, but concerns were raised regarding superficiality, misinformation and commercial interests.ConclusionPhysiotherapists value scientific knowledge in clinical decision making but face persistent obstacles to its systematic use. Social media was perceived as a complementary resource for professional development, provided it is approached critically. Enhancing scientific and media literacy may improve the safe integration of digital content into evidence-based practice.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"935-945"},"PeriodicalIF":2.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145958676","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":"Tracking bimanual recovery after stroke: Grasp function and stroke severity predict 1-year performance.","authors":"Annick Van Gils, Yue Zou, Sarah Meyer, Marc Michielsen, Christophe Lafosse, Hilde Beyens, Fabienne Schillebeeckx, Daphne Kos, Geert Verheyden","doi":"10.1177/02692155251391669","DOIUrl":"10.1177/02692155251391669","url":null,"abstract":"<p><p>ObjectiveTo characterize the trajectory and identify early predictors of bimanual performance at 6 and 12 months post-stroke.DesignProspective longitudinal study with assessments at admission, 6, and 12 months post-stroke.SettingInpatient rehabilitation centre.ParticipantsFirst-ever stroke survivors with unilateral upper limb motor impairment.Main MeasuresBimanual performance was assessed using the Adult Assisting Hand Assessment Stroke. Potential predictors were collected at admission through comprehensive clinical and functional assessments. We used multivariate linear regression to identify key predictors and a Chi-square Automatic Interaction Detection analysis to derive a clinical decision tree.ResultsNinety-two participants (mean age 67 ± 12 years; 22 ± 8 days post-stroke) participated. Bimanual performance improved over time (<i>p</i> < 0.001), with median scores increasing from 8 (interquartile range 0-52) at admission to 48 (8-70) at 6 months, and 48 (8-75) at 12 months. At 6 months, admission grasp function and stroke severity (64% and 9%) jointly explained 73% of the variance in bimanual performance scores. At 12 months, admission stroke severity, grasp function, and Barthel Index (66%, 10%, and 2%) accounted for 78% of the variance. Decision tree analysis confirmed stroke severity and grasp function as the primary predictors and generated a clinically interpretable model.ConclusionBimanual performance improves most within the first 6 months post-stroke. Grasp function and stroke severity at admission strongly predict long-term bimanual outcomes. The decision tree derived from the Chi-square Automatic Interaction Detection analysis may support stratified rehabilitation and realistic goal-setting for daily bimanual use.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"985-998"},"PeriodicalIF":2.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145421313","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":"Stakeholder perspectives on a return-to-work cognitive intervention after stroke.","authors":"Nicole Yun Ching Chen, Andrea Chee, Yanhong Dong","doi":"10.1177/02692155251414362","DOIUrl":"10.1177/02692155251414362","url":null,"abstract":"<p><p>ObjectiveTo investigate stakeholder experiences on return-to-work after stroke and preferences to co-design a return-to-work cognitive intervention, addressing a gap in post-stroke rehabilitation.DesignIn-depth semi-structured interviews were conducted and reflexive thematic analysis guided by Braun and Clarke's six-phase approach was employed to analyse transcribed data, with iterative coding to identify themes until thematic saturation was achieved.SettingCommunity, work, and healthcare settings.ParticipantsTwenty purposively sampled participants across four stakeholder groups: stroke survivors (<i>n</i> = 7), caregivers (<i>n</i> = 4), healthcare professionals (<i>n</i> = 5), and employers (<i>n</i> = 4).Main measuresStakeholder perspectives on (i) the return-to-work process after stroke and (ii) preferences for the design and delivery of a return-to-work cognitive intervention after stroke.ResultsThree core themes emerged: (i) barriers to return-to-work, (ii) intervention content, and (iii) intervention delivery. Each theme comprised several subthemes and dimensions that offered deeper insight into participants' perspectives. Barriers to return-to-work encompassed lack of awareness of resources, ineligibility of support schemes, and lack of understanding from workplace. Intervention content comprised subthemes of awareness, acceptance and adjustment, goal setting, strategies for self-management, and navigating the return-to-work journey. Intervention delivery included programme structure, social support, format and accessibility. While there was broad agreement, stakeholders also expressed divergent priorities shaped by their roles and experiences.ConclusionsThis study synthesises lived experiences, clinical expertise, and employer insights from stakeholders to inform the co-design of a return-to-work cognitive intervention. This work advances a paradigm shift towards a patient-centred and ecological approach to improve post-stroke workforce reintegration.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"946-958"},"PeriodicalIF":2.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145997669","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 high-intensity interval training on cardiorespiratory fitness and metabolic outcomes in type 2 diabetes: A systematic review and meta-analysis.","authors":"João Paulo Bc Vieira, Vitor Oliveira Carvalho, Luan Ac Aguiar, Neil A Smart, Camila Nascimento Monteiro, Mayra Heloise Weege, Rafaella Pg da Silva, Bruno N Rangel, Mansueto Gomes-Neto","doi":"10.1177/02692155261416862","DOIUrl":"10.1177/02692155261416862","url":null,"abstract":"<p><p>ObjectiveThis study aimed to investigate the effects of high-intensity interval training (HIIT) versus different types of exercise or no exercise on peak oxygen consumption, muscle strength, health-related quality of life, and cardiometabolic risk factors in people with type 2 diabetes mellitus.Data SourcesWe searched in EMBASE, PubMed, Cochrane Central, Physiotherapy Evidence Database (PEDro), and SciELO for randomized controlled trials assessing the impact of HIIT in people with type 2 diabetes mellitus.Review MethodsStudy quality was evaluated using the PEDro scale, and certainty of evidence. We calculated mean differences, standardized mean difference and 95% confidence intervals.ResultsSixty-two studies (2204 participants) were included. Compared to control, HIIT increased peak oxygen consumption by 4.56 mL·kg^-¹·min^-¹ (95% confidence interval 3.54 to 5.58) and reduced glycosylated hemoglobin by 0.70% (95% confidence interval -0.88 to -0.51). Improvements were also observed in insulin resistance, systolic and diastolic blood pressure, lipid profile, body mass index, and fat mass. When compared with moderate-intensity continuous training, HIIT improved peak oxygen consumption (1.30 mL·kg^-¹·min^-¹; 95% confidence interval 0.28 to 2.43) and glycosylated hemoglobin (-0.12%; 95% confidence interval -0.24 to -0.01).ConclusionsHigh-intensity interval training improves peak oxygen consumption, glycosylated hemoglobin, insulin resistance, and various cardiometabolic risk factors in people with type 2 diabetes mellitus.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"871-892"},"PeriodicalIF":2.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146225789","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":"Prioritising fall prevention strategies in Parkinson's disease: A multi-method evaluation.","authors":"Fatemeh Bahramian, Ali Bahramian, Seyed Abolfazl Mousavi, Bahareh Ahmadinejad, Alireza Jalali","doi":"10.1177/02692155261464597","DOIUrl":"https://doi.org/10.1177/02692155261464597","url":null,"abstract":"<p><p>ObjectiveFalls are a serious complication of Parkinson's disease, leading to functional decline, psychological distress, and substantial economic burden. Although multiple interventions have been proposed, structured quantitative guidance on prioritising fall-prevention strategies for clinical implementation in Parkinson's disease remains limited.DesignA multi-method study integrating a structured narrative review, expert consensus via a two-round Delphi process with 15 multidisciplinary Parkinson's disease experts, and multi-criteria decision-making using the Best-Worst Method to identify and quantitatively prioritise fall-prevention strategies for people with Parkinson's disease.SettingExpert-based consensus and decision-analysis study.ParticipantsFifteen multidisciplinary experts with clinical and research expertise in Parkinson's disease and neurorehabilitation.InterventionFall-prevention interventions identified through a structured narrative review and refined through a two-round Delphi process, followed by prioritisation using the Best-Worst Method.Main measuresRelative priority weights of intervention categories and sub-criteria derived using the Best-Worst Method based on expert judgements.ResultsThe Delphi process yielded three main criteria (exercise, dance-based interventions, and neuroscience-based interventions) and 14 sub-criteria. Best-Worst Method weighting showed that exercise had the highest priority (weight=0.49), followed by dance-based interventions (weight=0.32) and neuroscience-based interventions (weight=0.19). Within exercise, balance training and resistance strength training received the greatest weights, whereas Tai Chi and transcranial direct current stimulation received the highest expert-derived priority weights within the dance-based and neuroscience-based categories, respectively.ConclusionThis integrative framework provides an evidence-informed hierarchy of expert-derived priorities for fall-prevention interventions and may support clinical decision-making and programme design, while highlighting the need for further effectiveness and implementation research.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261464597"},"PeriodicalIF":2.9,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148351139","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":"Determinants of out-of-home activity in older adults with cognitive impairment following inpatient rehabilitation: A secondary cross-sectional analysis of a randomised controlled trial using location-based and accelerometer-derived measures.","authors":"Phoebe Ullrich, Theresa Buchner, Martin Bongartz, Tobias Eckert, Carl-Philipp Jansen, Jürgen M Bauer, Christian Werner, Klaus Hauer","doi":"10.1177/02692155261462457","DOIUrl":"https://doi.org/10.1177/02692155261462457","url":null,"abstract":"<p><p>ObjectiveTo examine physical activity and its spatial context after geriatric rehabilitation and to identify determinants of out-of-home activity in older adults with cognitive impairment.DesignCross-sectional observational study.SettingCommunity, following discharge from geriatric rehabilitation.Participants113 geriatric patients (mean age 82.1 ± 6.0 years; 76.1% female) with cognitive impairment following geriatric rehabilitation.Main MeasuresPhysical activity was assessed over 48 h using a body-worn accelerometer (PamSys^®) and location-based tracking derived from the Global Positioning System (Qstarz BT-Q1000XT). Group differences between participants with and without out-of-home activity were analysed. Multivariable logistic regression identified predictors across physical, psycho-social, cognitive, environmental, financial, and personal domains.ResultsOnly 36 (31.9%) of the 113 participants (82.1 ± 6.0 years; 76.1% female) left their homes. Those with out-of-home activity accumulated significantly more daily steps, walking episodes, active time, and less sedentary time than those staying in-home (all <i>p < .</i>01). Receiver operating characteristic analyses identified thresholds of 2140 steps/day (area under the curve 0.81) and 29.6 s mean walking episode duration (area under the curve 0.73) for discriminating between participants with and without out-of-home activity. Physical capacity (OR: 1.30, 95% CI: 1.02-1.65) and cognitive function (OR: 1.29, 95% CI: 1.02-1.62) were independent predictors of out-of-home activity.ConclusionOut-of-home activity is infrequent after rehabilitation in older adults with cognitive impairment and closely reflects overall physical activity. It may serve as a practical marker of mobility and highlights the need for targeted interventions to support community mobility during this vulnerable phase.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261462457"},"PeriodicalIF":2.9,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315784","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":"Implementation and evaluation of a stroke sexual health practice profile for rehabilitation in Ontario, Canada.","authors":"Calogero Giurleo, Amanda McIntyre, Anna Kras-Dupuis, Deena Lala, Dalton Wolfe","doi":"10.1177/02692155261459619","DOIUrl":"https://doi.org/10.1177/02692155261459619","url":null,"abstract":"<p><p>ObjectiveThis study aimed to implement and evaluate a structured, team-based approach to integrating sexual health into stroke rehabilitation using the Permission-Limited Information-Specific Suggestions-Intensive Therapy model, operationalized through the Stroke Sexual Health Practice Profile.DesignQuality Improvement Initiative.SettingOntario, Canada.ParticipantsPatients attending inpatient or outpatient stroke rehabilitation.InterventionThe Stroke Sexual Health Practice Profile was developed collaboratively by an interprofessional team and implemented within a stroke rehabilitation program. It outlined standardized practices across the Permission-Limited Information-Specific Suggestions-Intensive Therapy framework, including scripts, educational materials, and documentation protocols.Main measuresOutcomes included staff knowledge, comfort, and approaches to addressing sexual health, participation in educational activities, patient awareness and comfort discussing sexual health, and documentation of sexual health practices in clinical charts.ResultsPreimplementation surveys identified gaps in patients' awareness of poststroke sexual health and providers' confidence in addressing it. Among eligible staff, 86.3% completed online modules and 62.1% attended workshops, which were associated with significant improvements in knowledge and comfort. These gains were partially sustained at 6 months. Postimplementation patient surveys demonstrated improved awareness and comfort discussing sexual health. Chart audits showed increased documentation of sexual health discussions over time.ConclusionsThe Stroke Sexual Health Practice Profile supported integration of sexual health into stroke rehabilitation by improving clinician knowledge and confidence and increasing documentation of care. Sustained improvements may require ongoing reinforcement and system-level supports.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261459619"},"PeriodicalIF":2.9,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301289","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":"Sex and gender differences in technology-based rehabilitation for people with stroke: A scoping review.","authors":"Romina Rahmaniharedasht, Martina Andò, Alex Lando, Nicola Ferri, Valentin Konika, Maria Rosaria Leo, Roberto Piperno, Andrea Turolla, Paolo Pillastrini, Marco Tramontano","doi":"10.1177/02692155261462424","DOIUrl":"https://doi.org/10.1177/02692155261462424","url":null,"abstract":"<p><p>ObjectivesThis scoping review maps evidence on sex and gender differences in technology-assisted stroke rehabilitation and identifies gaps to inform equitable approaches.Data sourcesSearches were conducted in two rounds (up to March 2025 and April 2025-March 2026) on MEDLINE, CINAHL, Scopus, Web of Science, Cochrane Library, and Google Scholar.Review methodsFollowing PRISMA-ScR guidelines, we included primary studies reporting sex and gender outcomes in adults with stroke receiving technological interventions, guided by the PCC framework.ResultsFrom 7071 records, 11 studies (1626 stroke survivors, 39.9% female) met inclusion criteria. Interventions included robotic exoskeletons, soft robotic gloves, virtual reality, exergaming, functional electrical stimulation, and biofeedback. Five studies found no significant sex differences. However, others reported female advantages in robotic gait training (<i>p</i> = 0.007), functional electrical stimulation (OR = 3.92), soft robotic glove hand function (3.43-fold greater improvement), and Virtual Reality-based balance recovery (<i>p</i> = 0.03). Younger women (<62 years) outperformed men in fine motor tasks, a pattern reversing with age.ConclusionGender and sex disparities in rehabilitation outcomes vary by technology type, underscoring the need for inclusive device designs and improved female representation in trials. Future research must integrate biological and sociocultural perspectives and standardize outcome measures to optimize tailored rehabilitation for all stroke survivors.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261462424"},"PeriodicalIF":2.9,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148276520","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":"Effect of oral nutritional supplements on mortality and hospital admissions in older hip fracture patients at nutritional risk: secondary analysis of a randomised controlled trial.","authors":"Alberte Jensen, Elna Dalsgaard Ninh, Anne Wilkens Knudsen, Tina Munk, Anne Marie Beck","doi":"10.1177/02692155261459227","DOIUrl":"https://doi.org/10.1177/02692155261459227","url":null,"abstract":"<p><p>ObjectiveTo examine the association between increased energy and protein intake through oral nutritional supplements and mortality and hospital admissions in older hip fracture patients at nutritional risk, using a preplanned secondary analysis of a randomised controlled trial.SettingDepartment of Orthopaedic Surgery, Copenhagen University Hospital - Herlev and Gentofte, Herlev, Denmark.ParticipantsHip fracture patients aged ≥65 at nutritional risk.InterventionParticipants were randomised to receive two cans daily of high-energy, high-protein oral nutritional supplements enriched with vitamin D and omega-3 fatty acids for 12 weeks after discharge or standard care.Main MeasuresAll-cause mortality and hospital admissions during a pre-planned 38-week follow-up after discharge, including time to first admission and length of hospital stay.ResultsAll-cause mortality was low, with no difference between intervention and control groups 2 (3%) versus 3 (5%). During follow-up, 31% (<i>n</i> = 19) of intervention participants was admitted to hospital compared with 47% (<i>n</i> = 29) in the control group. The difference approached significance in the intention-to-treat analysis (Risk ratio 0.72, 95% CI 0.51-1.03, <i>p</i> = 0.075) and was statistically significant in the per-protocol analysis (18% vs. 44%; Risk ratio 0.69, 95% CI 0.52-0.92, <i>p</i> = 0.019). No significant differences were observed in admissions frequency, length of hospital stay, or time to first admission.ConclusionPost-discharge oral nutritional supplementation was associated with a trend towards fewer hospital admission, with the strongest effect among adherent participants. No significant effects were observed in mortality, admission frequency, length of hospital stay or time to admission.ClinicalTrials.gov: NCT05556876. Date of registration: 2022-09-23.URL: https://clinicaltrials.gov/study/NCT05556876.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261459227"},"PeriodicalIF":2.9,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148257565","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":"Trajectories of physical fitness following paediatric burn injury: A two-year longitudinal and predictive analysis.","authors":"Maged A Basha, Ragab K Elnaggar, Saleh M Aloraini, Feras Alsultan, Amal Alharbi, Ashwaq Alqahtani, Mohamed Maher El-Keblawy, Alshimaa R Azab, FatmaAlzahraa H Kamel","doi":"10.1177/02692155261459618","DOIUrl":"https://doi.org/10.1177/02692155261459618","url":null,"abstract":"<p><p>ObjectiveTo analyse physical fitness trajectories in paediatric burn survivors from discharge to 2 years post-injury, compare them with an age- and gender-matched control group, and identify baseline demographic and clinical determinants.DesignProspective and longitudinal cohort study.ParticipantsThe study included participants with burn injuries (burn group, n = 45), aged 10-17 years, with burns involving ≥25% of total body surface area, and an age- and gender-matched group of healthy children (control group, n = 45).Main measuresParticipants underwent standardised fitness assessments at discharge and 24 months later. Health-related physical fitness was quantitatively assessed using the validated EUROFIT physical fitness test battery.ResultsLongitudinal analysis revealed significant improvements in seven of nine fitness domains for participants with burn injuries over two years (pFDR < 0.001). Despite these gains, these participants exhibited persistent fitness deficits compared to healthy controls across all domains at follow-up (all p < 0.001). Among those with burn injuries, greater total body surface area (β = -0.007, p = 0.03) and third-degree burn percentage (β = -0.57, p < 0.001) predicted lower overall fitness, while longer rehabilitation predicted higher fitness (β = 0.50, p < 0.001). No baseline clinical factors significantly predicted the rate of fitness change over time (all interaction p > 0.05).ConclusionPaediatric burn survivors demonstrated significant improvements in physical fitness over 2 years but failed to close the performance gap with their healthy peers. Injury severity and rehabilitation duration were strong determinants of fitness level, but they did not predict the rate of improvement.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"2692155261459618"},"PeriodicalIF":2.9,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148257640","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}