Clinical Rehabilitation最新文献

{"title":"Validation of the Amputee Single Item Mobility Measure (AMPSIMM) and the abbreviated AMPSIMM-4 for amputee mobility.","authors":"Daniel C Norvell, David C Morgenroth, Joseph M Czerniecki, Elizabeth G Halsne, Aaron P Turner, Rhonda M Williams, Alison W Henderson","doi":"10.1177/02692155251327344","DOIUrl":"10.1177/02692155251327344","url":null,"abstract":"<p><p>ObjectiveTo evaluate the criterion and construct validity of the 7-category Amputee Single Item Mobility Measure (AMPSIMM) in a large contemporary dysvascular lower limb amputation population and propose an abbreviated 4-category version (AMPSIMM-4) whose mobility categories parallel the Medicare Functional Classification Levels (K-levels).DesignCohort study retrospectively identifying persons with their first lower limb amputation then prospectively collecting their self-reported mobility.SettingNational cohort identified through a large Veterans' Administration dataset.ParticipantsSix hundred and ninety-two participants aged 30 years and older, undergoing their first diabetes and/or peripheral artery disease-related amputation at the transmetatarsal, transtibial, or transfemoral level, with a subset of 60 consecutive participants with a self-reported K-level.Main measuresAMPSIMM, Locomotor Capability Index-5 (LCI-5), K-levels, and PROMIS Global-10 Physical (PROMIS-P), at one year post amputation.ResultsThe strength of the correlation between AMPSIMM and LCI-5 scores was large (Spearman's rho = .88; <i>p</i> < .0001). The correlation with PROMIS-P scores was 0.67 (<i>p</i> < .0001). The strength of the correlation between the AMPSIMM-4 and self-reported K-levels was large (Spearman's rho = .82; <i>p</i> < .0001).ConclusionsThe AMPSIMM is a clinician-friendly single-item patient-reported measure that can capture a broad range of lower limb amputation mobility, from wheelchair to advanced community ambulation, with or without a prosthesis, and with or without ambulation aids. It demonstrates strong criterion and construct validity. The AMPSIMM-4 can be generated directly from the AMPSIMM with descriptors that are very similar to and are highly correlated with self-reported K-levels.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"646-658"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699634","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":"Facilitators and barriers to physical activity in patients in an acute care hospital setting from an interprofessional perspective: A qualitative study.","authors":"Gesche Gertz, Gesche Ketels, Susanne Gr Klotz","doi":"10.1177/02692155251325614","DOIUrl":"10.1177/02692155251325614","url":null,"abstract":"<p><p>ObjectivePhysical activity levels of patients in hospital are low. The aim of this study was to explore the perceptions of physiotherapists, nurses, and physicians about physical activity of hospitalized patients.DesignQualitative focus group study using phenomenology.SettingUniversity hospital.ParticipantsThirty healthcare professionals (physiotherapists, nurses, and physicians) participated in six focus groups.Main measuresSemi-structured focus groups following an interview guide were conducted. Besides identification of influencing factors and development of ideas for associated interventions, participants should reflect on the roles of different professions. Content analysis of the transcriptions was performed in iterative cycles involving three researchers using inductive coding and redefining based on the literature. Consensus was reached through discussions in the research team.ResultsThree themes of influencing factors on physical activity of patients in hospital with seven codes emerged. In the theme \"patient\" physical and psychosocial factors were mentioned. The theme \"organization\" pooled all factors regarding facilities and processes. The third theme \"health literacy\" has an impact on the two other themes. In this theme self-efficacy, handling of health literacy/knowledge, and communication and cooperation became apparent as codes.ConclusionsHealth literacy plays an important role in the physical activity of patients in hospital. The developed model of influencing factors on physical activity highlights the importance of health literacy for all stakeholders, including patients, staff, and the organization and illustrates the connections to other influencing factors. This model can be helpful in conceptualizing interventions to promote physical activity.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"668-678"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12099017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143604230","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":"Exploring the experience of people with shoulder osteoarthritis and their perceptions of non-surgical management: A qualitative study.","authors":"Stacey Lalande, Maria Moffatt, Toby Smith, Chris Littlewood","doi":"10.1177/02692155251325613","DOIUrl":"10.1177/02692155251325613","url":null,"abstract":"<p><p>ObjectiveTo investigate the experience of people with shoulder osteoarthritis and their perception of non-surgical management in the U.K. National Health Service (NHS).DesignQualitative design, using semi-structured telephone interviews. Two authors (SL and MM) performed coding and theme development following principles of reflexive thematic analysis.SettingPhysiotherapy services within three NHS trusts in England. Individual interviews were conducted with patients with a diagnosis of shoulder osteoarthritis.ParticipantsTen participants were recruited (age range 57-86 years; six females; five with bilateral shoulder osteoarthritis).ResultsParticipants reported significant pain, functional limitations, and emotional distress. Non-surgical management experiences varied, with some finding relief from steroid injections, analgesia, and physiotherapy, while others reported limited perceived effectiveness. All participants expressed a desire for more information and support. There were divergent views on the need for surgery.ConclusionThis is the first study to explore the experiences of people with symptomatic shoulder osteoarthritis who have received care within an NHS setting. It highlights the significant impact of shoulder osteoarthritis on daily life and the challenges faced in accessing appropriate care. Findings emphasise the need for patient-centred care, including education, support, information provision and consideration of psychosocial factors. Future research is required to develop an evidence-based guideline for non-surgical management of shoulder osteoarthritis.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"659-667"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656284","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":"Immediate effect of extracorporeal shockwave therapy in patients with chronic nonspecific low back pain: A randomized placebo-controlled triple-blind trial.","authors":"Cláudio Gregório Nuernberg Back, Rafaela Peron, Camilla Vitória Rios Lopes, João Victor Estevam de Souza, Richard Eloin Liebano","doi":"10.1177/02692155251333532","DOIUrl":"10.1177/02692155251333532","url":null,"abstract":"","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"701-702"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143961441","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":"Non-surgical interventions for arthrofibrosis following knee joint replacement: A systematic review.","authors":"Michelle C Hall, Benjamin Smith, Katie J Sheehan, Stefanny Guerra, Bushra Abdunour, Melanie Narayanasamy, Joanne Stocks, Fiona Moffatt, Catherine Sackley","doi":"10.1177/02692155251325624","DOIUrl":"10.1177/02692155251325624","url":null,"abstract":"<p><p>ObjectiveTo evaluate the effectiveness of non-surgical interventions for knee stiffness or arthrofibrosis following knee replacement surgery.Data sourcesOvid MEDLINE, Ovid Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and Cumulative Index to Nursing and Allied Health Literature (CINAHL)were searched from database inception to October 2024.Review methodsAll studies of non-surgical interventions (versus any/no comparator) for adults who developed knee stiffness or a diagnosis of arthrofibrosis following knee replacement were included. Selection, quality appraisal and extraction were completed in duplicate. Results were synthesised narratively. The risk of bias was assessed, and GRADE criteria were used to evaluate evidence quality.ResultsSixteen studies were included, comprising two randomised-controlled trials (n = 76), one non-randomised controlled trial (n = 35), seven cohort studies (n = 352) and six case studies (n = seven). Interventions varied widely including exercise, manual therapy, mechanical devices, and education. Improvements in knee range of movement were reported with some demonstrating functional gains >110° of knee flexion, but the evidence was of low quality. Limited reporting of intervention descriptions, patient-relevant outcomes including function and pain, and longer-term follow-up hindered comprehensive evaluation.ConclusionThe review highlights the heterogeneity of interventions, emphasising the need for standardised reporting. While some studies showed promise, the lack of control groups, small sample sizes, and varied follow-up durations limit conclusive findings. There is insufficient evidence to support any specific non-surgical interventions for arthrofibrosis post-arthroplasty. Further research should be a priority.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"580-599"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669292","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":"Letter to the editor: In radial extracorporeal shock wave therapy, energy matters.","authors":"Christoph Schmitz, Javier Crupnik, Daniel Morgan, Nicola Maffulli, Antoni Morral","doi":"10.1177/02692155251321013","DOIUrl":"10.1177/02692155251321013","url":null,"abstract":"","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"561-562"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467276","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 effect of brief, repetitive balance training on balance and fall risk in older people with stroke: A randomized controlled trial.","authors":"Almudena Medina-Rincón, Laura M Pérez, Caritat Bagur-Calafat, Ana M Barrios-Franquesa, Marta Amor-Barbosa, Víctor Doménech-García, Pablo Bellosta-López, Almudena Buesa-Estéllez, Montserrat Girabent-Farrés","doi":"10.1177/02692155241312067","DOIUrl":"10.1177/02692155241312067","url":null,"abstract":"<p><p>ObjectiveTo evaluate the effect of integrating a specific balance-training program focused on static balance to the conventional rehabilitation program on dynamic balance, risk of falls, and activities of daily living (ADLs) in older adults post-stroke.DesignA single-blinded randomized controlled trial.SettingInstitutional Intermediate Care Hospital.SubjectsPost-stroke older adults in a subacute phase without cognitive impairment, aged 65 years and older, exhibiting trunk control in a seated position for 30 seconds without supporting the arms.InterventionThe control group underwent the usual treatment, consisting of 60-minute physiotherapy sessions, 5 days per week, for 30 days. The experimental group integrated into the usual treatment 15 minutes of the balance-training program (45 min + 15 min).Main measuresBalance impairment (Mini-BESTest and Berg Balance Scale (BBS), risk of falls (BBS), and independence for ADLs (Barthel Index)) were assessed at baseline, 15 and 30 days after the start of interventions.ResultsSeventy-one post-stroke patients (77.7 ± 9.0 years, 49.2% women) were randomized into the experimental (<i>n</i> = 35) or control (<i>n</i> = 36) groups. The experimental group showed improved dynamic balance at day 15 (Mini-BESTest: 2.90 [1.05-4.77], <i>p</i> = 0.003; BBS: 4.31 [1.41-7.23], <i>p</i> = 0.004) and day 30 (Mini-BESTest: 6.06 [2.85-9.27], <i>p</i> < 0.001; BBS: 8.24 [2.96-13.53], <i>p</i> = 0.003), as well as greater independence levels (11 [2.75-19.23], <i>p</i> = 0.010) compared to the control group. The control group showed higher risk of falls on day 15 (<i>p</i> = 0.035) and day 30 (<i>p</i> = 0.003) than the experimental group.ConclusionsA simple, easily reproducible approach designed by and for the older adult to rehabilitate post-stroke impairments effectively improved balance, functional gait, risk of falls, and ADLs.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"447-459"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001366","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 9-item Tampa Scale for Kinesiophobia (TSK-9) has adequate measurement properties in patients with chronic low back pain.","authors":"Daniel Nunes Morais, André Pontes-Silva, Felipe Souza Barreto, Jocassia Silva Pinheiro, Leonardo Antônio Santos de Oliveira, Daniela Bassi-Dibai, Cid André Fidelis-de-Paula-Gomes, Mariana Arias Avila, Almir Vieira Dibai-Filho","doi":"10.1177/02692155251315060","DOIUrl":"10.1177/02692155251315060","url":null,"abstract":"<p><p>ObjectiveTo assess the test-retest reliability, internal consistency, and construct validity of the 9-item Tampa Scale for Kinesiophobia in patients with chronic low back pain.DesignQuestionnaire validation study.SettingStudy was conducted in an online environment.ParticipantsWe included people aged 18 to 50 years with self-reported low back pain lasting > three months and assessed the Pain-Related Catastrophizing Thoughts Scale and the 9-item Tampa Scale for Kinesiophobia.Main measuresWe used intraclass correlation coefficient, standard error of measurement, minimum detectable change, and Cronbach's alpha to assess the reliability and internal consistency of the 9-item Tampa Scale for Kinesiophobia. We tested correlations between the domains of the 9-item Tampa Scale for Kinesiophobia and the other variables to assess construct validity.ResultsA total of 174 participants with chronic low back pain were included in the analysis. No ceiling or floor effect was found. In terms of construct validity, there was a positive correlation between the domains of the 9-item Tampa Scale for Kinesiophobia and the other variables. In the reliability analysis, there was adequate test-retest reliability of the two domains of the 9-item Tampa Scale for Kinesiophobia: intraclass correlation coefficient = 0.99, standard error of measurement = 3.4%, and minimum detectable change = 9.6% for the activity avoidance domain; and intraclass correlation coefficient = 0.99, standard error of measurement = 3.5%, and minimum detectable change = 9.9% for the somatic focus domain. There was acceptable internal consistency (Cronbach's alpha ≥ 0.68) for both domains.ConclusionThe 9-item Tampa Scale for Kinesiophobia has adequate measurement properties in patients with chronic low back pain.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"486-492"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143051833","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":"Physiotherapy of the Trunk Related to Sitting Function After Stroke: A Delphi Study.","authors":"Elizabeth Bell, Kathy Briffa, James McLoughlin, Robyn Fary","doi":"10.1177/02692155251322263","DOIUrl":"10.1177/02692155251322263","url":null,"abstract":"<p><p>ObjectiveTo develop consensus statements from a Delphi panel about physiotherapy of the trunk related to sitting function for people with subacute stroke, with the express aim of facilitating treatment choices by novice physiotherapists.DesignA four-round e-Delphi study using free-text responses and 5-point Likert scales for agreement.ParticipantsTwenty-six panel members with expertise in clinical and/or research in neurological rehabilitation.Main measuresRound 1 consisted of 5 free-text questions. Subsequent rounds ascertained agreement and consensus on statements formulated from Round 1 responses. Consensus was defined a priori as ≥70% agreement. Round 3 presented an additional two clinical observation queries related to the statements for comment.ResultsTwenty participants completed all four rounds. Nineteen of 26 participants (73%) thought physiotherapy of the trunk was important through all stages of recovery after stroke. Different interpretations about what constitutes physiotherapy of the trunk following stroke were identified. Fourteen statements of agreement regarding physiotherapy of the trunk were formulated. The majority of statements involved different activities in sitting such as control of movement over the base of support and reaching with the unaffected arm. In addition to the statements of agreement clinical observations for implementation of the statements were developed.ConclusionsIn the absence of detail in clinical guidelines and a wide range of interventions in systematic reviews, this study provides clear and specific options for novice physiotherapists of treatment of the trunk related to functional task practice in sitting and as preparation for sit to stand.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"524-535"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522767","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":"A scoping review on motor imagery-based rehabilitation: Potential working mechanisms and clinical application for cognitive function and depression.","authors":"Yule Hu, Yan Li, Angela Yee Man Leung, Jiaying Li, Xiaoxiao Mei, Jed Montayre, Ran Tao, Janelle Yorke","doi":"10.1177/02692155241313174","DOIUrl":"10.1177/02692155241313174","url":null,"abstract":"<p><p>ObjectiveTo map evidence on the characteristics, effectiveness, and potential mechanisms of motor imagery interventions targeting cognitive function and depression in adults with neurological disorders and/or mobility impairments.Data SourcesSix English databases (The Cochrane Library, PubMed, Embase, Scopus, Web of Sciences, and PsycINFO), two Chinese databases (CNKI and WanFang), and a gray literature database were searched from inception to December 2024.Review MethodsThis scoping review followed the Joanna Briggs Institute Scoping Review methodology. Interventional studies that evaluated motor imagery for cognitive function and/or depression in adults with neurological disorders and/or mobility impairments were included.ResultsA total of 24 studies, primarily involving adults with cerebrovascular diseases, multiple sclerosis, and Parkinson's disease, were identified. Motor imagery was typically conducted at home/clinic, occurring 2 to 3 sessions per week for approximately 2 months, with each session lasting 20 to 30 minutes. The 62.5% of studies (n = 10) reported significant improvements in cognitive function, exhibiting moderate-to-large effect sizes (Cohen's <i>d </i>= 0.48-3.41), especially in memory, attention, and executive function, while 53.3% (n = 8) indicated alleviation in depression with moderate-to-large effect sizes (Cohen's <i>d </i>= -0.72- -2.56). Motor imagery interventions could relieve pain perception and promote beneficial neurological changes in brains by facilitating neurotrophic factor expression and activating neural circuits related to motor, emotional, and cognitive functions.ConclusionMotor imagery could feasibly be conducted at home, with promising effects on cognitive function and depression. More high-quality randomized controlled trials and neuroimaging techniques are needed to investigate the effects of motor imagery on neuroplasticity and brain functional reorganization, thereby aiding in the development of mechanism-driven interventions.</p>","PeriodicalId":10441,"journal":{"name":"Clinical Rehabilitation","volume":" ","pages":"504-523"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143001323","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}