European journal of physical and rehabilitation medicine最新文献

{"title":"Availability, diffusion and application of the outcome measures in the outpatient rehabilitation setting: a literature analysis based on an Italian survey.","authors":"Daniele Coraci, Letizia Pezzi, Maria C Maccarone, Andrea Bernetti, Carmine Attanasi, Davide Dalla Costa, Giancarlo Graziani, Stefano Masiero, Teresa Palucci","doi":"10.23736/S1973-9087.25.08639-3","DOIUrl":"https://doi.org/10.23736/S1973-9087.25.08639-3","url":null,"abstract":"","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729553","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":"Catastrophizing and fear avoidance beliefs in chronic low back pain: a cross-sectional study.","authors":"Julio Doménech-Fernández, Aida Ezzeddine Angulo, Lourdes Peñalver-Barrios, Eva Del Rio-González, Rocio Herrero, Azucena García-Palacios, Monica Martinez-Diaz, Iago Garreta-Catalá, Máximo A Diez-Ulloa, Rosa M Baños-Rivera","doi":"10.23736/S1973-9087.25.08419-9","DOIUrl":"https://doi.org/10.23736/S1973-9087.25.08419-9","url":null,"abstract":"<p><strong>Background: </strong>Chronic low back pain continues to be a challenge in everyday rehabilitation services as improvement keeps being unpredictable.</p><p><strong>Aim: </strong>To evaluate the role of pain coping strategies, fear-avoidance beliefs, anxiety and depression in pain and disability in patients with chronic low back pain.</p><p><strong>Population: </strong>Overall, 276 patients (200 women) with nonspecific low back pain according COST-B13 guidelines and lasting more than 6 months.</p><p><strong>Setting: </strong>Rehabilitation and Orthopedic departments in four tertiary hospitals in Spain.</p><p><strong>Design: </strong>A cross sectional study.</p><p><strong>Methods: </strong>Pain, disability, coping strategies, catastrophizing, anxiety, depression and fear-avoidance beliefs were evaluated with validated questionnaires. Predictive associations of disability and pain were analyzed by Pearson's test and by multivariate regression.</p><p><strong>Results: </strong>Catastrophizing is the pain coping strategy with the highest association with disability (r=0.52, P<0.01). Low back pain and disability showed little correlation in between (r=0.40, P<0.01). The correlation between fear-avoidance ideas and pain and disability was slight (r=0.20, P<0.01). No association was found between anxiety and depression with low back pain and disability. In the regression model, catastrophizing, kinesiophobia and gender explained 35% of the variance in disability. In the subanalysis of patients with surgical indication the influence of catastrophizing was maintained. However, correlation between pain and disability is lower than in patients without surgical indication.</p><p><strong>Conclusions: </strong>The limited correlation between pain and disability suggests that pain alone cannot explain the variability of disability. Catastrophizing and kinesiophobia are predictors of the degree of disability in chronic low back pain and are cognitions potentially modifiable.</p><p><strong>Clinical rehabilitation impact: </strong>These results support the biopsychosocial model in the pathogenesis of chronic low back pain and support the use of cognitive behavioral therapy to modify maladaptive beliefs and attitudes as part of medical or surgical treatment in low back pain.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624052","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":"Validation of the French version of the Fremantle Back Awareness Questionnaire in patients with chronic low back pain.","authors":"Alexis F Homs, Anaïs Ragon, Thibault Mura, Guillaume Terribile, Sandrine Alonso, Arnaud F Dupeyron","doi":"10.23736/S1973-9087.24.08412-0","DOIUrl":"https://doi.org/10.23736/S1973-9087.24.08412-0","url":null,"abstract":"<p><strong>Background: </strong>Impaired body perception could contribute to the pain experience and be a possible treatment target. The Fremantle Back Awareness Questionnaire (FreBAQ) is the only self-report questionnaire to assess back-specific self-perception.</p><p><strong>Aim: </strong>The aim of this study was to develop a French version of the FreBAQ (FreBAQ-FR) and to evaluate its psychometric properties.</p><p><strong>Design: </strong>Observational study.</p><p><strong>Setting: </strong>Department of Physical Medicine and Rehabilitation at University Hospital.</p><p><strong>Population: </strong>One hundred eighteen patients with chronic low back pain (cLBP) and 30 healthy participants were included.</p><p><strong>Methods: </strong>A forward-backward method was used to translate the FreBAQ into French. Unidimensionality was assessed by exploratory factor analysis, and internal consistency was quantified by Cronbach's alpha coefficient. Known-groups validity was assessed by comparing results between cLBP patients and healthy participants. Temporal stability was assessed in participants who completed the FreBAQ-FR 7 days later using the intraclass correlation coefficient (ICC). Patients' FreBAQ-FR scores were correlated with functional questionnaires and two-point discrimination thresholds (TPD) for tactile acuity.</p><p><strong>Results: </strong>The FreBAQ-FR showed good internal consistency with a Cronbach's alpha coefficient of 0.78 and can be considered unidimensional. The cLBP group scored significantly higher than the control group (11 [6 ; 17] vs. 0.5 [0 ; 5], P<0.0001). The temporal stability of the FreBAQ-FR was acceptable, with an ICC of 0.84 (95% CI: 0.77 to 0.89) and an estimated bias of -0.71±4.2 (95% CI: -1.61 to 0.18, P=0.12). In the cLBP group, FreBAQ-FR total scores correlated moderately with the Oswestry Disability Index (r=0.53, 95% CI: 0.39 to 0.65) and the Pain Catastrophizing Scale total score (r=0.53, 95% CI: 0.38 to 0.65). TPD results did not correlate with FreBAQ-FR scores (r=0.06, 95% CI: -0.12 to 0.24).</p><p><strong>Conclusions: </strong>The FreBAQ-FR showed acceptable psychometric properties and is suitable to assess back-specific body perception in the French-speaking population with cLBP.</p><p><strong>Clinical rehabilitation impact: </strong>This questionnaire may help researchers and clinicians to assess disrupted self-perception of the back, improve our understanding of the multifaceted experience of cLBP, and potentially offer better tailored treatment to patients.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596407","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":"Minimal important change for the aphasia quotient of the Chinese Western Aphasia Battery.","authors":"Yuqian Zhang, Changhui Sun, Shan Xie, Zhefan Wu, Jing Li, Chan Chen, Yulong Bai","doi":"10.23736/S1973-9087.25.08657-5","DOIUrl":"https://doi.org/10.23736/S1973-9087.25.08657-5","url":null,"abstract":"<p><strong>Background: </strong>There is limited research on the Minimal Important Change (MIC) of the Chinese Western Aphasia Battery (WAB). Since an MIC for Chinese WAB has yet to be established, the clinical implications of data using the Chinese WAB remain unclear.</p><p><strong>Aim: </strong>This study was to establish the MIC of the Aphasia Quotient (AQ) of the Chinese WAB.</p><p><strong>Design: </strong>The study is a prospective, longitudinal study.</p><p><strong>Setting: </strong>The rehabilitation department of a Class A tertiary hospital.</p><p><strong>Population: </strong>One hundred six patients with aphasia after stroke were included and analyzed in the study.</p><p><strong>Methods: </strong>Patients were evaluated by a speech and language therapist using the Chinese version of WAB before and after the 2 week intervention. Patients and their primary therapist and caregiver provided a global rating of changes in patients' oral communication ability using the 7-point Likert Scale after the speech and language therapy. Three anchor-based methods were used to examine the MIC: the ROC-based method (MIC<inf>ROC</inf>), the predictive modeling method (MIC<inf>pred</inf>), and the MIC<inf>pred</inf>-based method adjusted for the proportion of improvement (MIC<inf>adj</inf>).</p><p><strong>Result: </strong>MIC<inf>adj</inf> was the best parameter in this study. The participant, caregiver, and therapist anchor-based MIC<inf>adj</inf> estimated in the present study was 6.98, 6.73, and 6.00, respectively.</p><p><strong>Conclusions: </strong>Our data provide the first estimate of MIC value for the Chinese WAB-AQ. Future studies with larger sample sizes are needed to refine the estimated value.</p><p><strong>Clinical rehabilitation impact: </strong>The current study has advanced the research on the properties of Chinese WAB.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596316","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":"Screen-based sedentary behavior, physical activity, and the risk of chronic spinal pain: a cross-sectional and cohort study.","authors":"Xue Jiang, Yiwen Bai, Huihuan Luo, Xia Bi, Renjie Chen, Xueqiang Wang","doi":"10.23736/S1973-9087.25.08670-8","DOIUrl":"https://doi.org/10.23736/S1973-9087.25.08670-8","url":null,"abstract":"<p><strong>Background: </strong>Sedentary behavior (SB) is associated with chronic musculoskeletal pain, but limited evidence exists about its impact on chronic spinal pain (CSP).</p><p><strong>Aim: </strong>This study aims to explore the relationship between SB, physical activity, and the risk of CSP.</p><p><strong>Design: </strong>Cross-sectional and cohort study design.</p><p><strong>Setting: </strong>United Kingdom (UK).</p><p><strong>Population: </strong>We included 481872 data collected between 2006 and 2010 for cross-sectional analysis and 45,096 data with the longest follow-up up to 2019 for longitudinal analysis of data from the UK.</p><p><strong>Methods: </strong>Screen-based SB was defined as self-reported television (TV) viewing time, computer usage time, and total screen time. CSP was characterized as self-reported neck/shoulder or back pain for more than 3 months.</p><p><strong>Results: </strong>Cross-sectional analyses suggested that screen-based SB is associated with a high risk of chronic neck/shoulder (OR [95%CI]=1.43 [1.31 to 1.57]) and back pain (OR [95%CI]=1.39 [1.28 to 1.52]). The longitudinal analysis showed that an increase of 1 h in daily screen-based SB was correlated with chronic back pain risk (RR [95% CI]=1.05 [1.03 to 1.07]). Replacing an equivalent amount of TV viewing time with 1 h of walking per day exhibited a connection with a lower potential for chronic neck/shoulder pain (4.82% reduction) and chronic back pain (5.26% reduction). Even replacing 10 min of TV viewing time with 10 min of physical activity demonstrated a similar trend.</p><p><strong>Conclusions: </strong>Daily screen-based SB is associated with CSP, but a causal relationship cannot be established. Replacing sedentary TV time with 10 minutes of physical activity per day shows potential benefits for CSP.</p><p><strong>Clinical rehabilitation impact: </strong>The public should be encouraged to reduce screen-based sedentary behavior and increase physical activity to mitigate the risk of chronic spinal pain.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596353","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 REAsmash serious game for the post-stroke diagnosis of distractor inhibition: contrast between immersive and non-immersive virtual reality test versions.","authors":"Gregorio Sorrentino, Khawla Ajana, Gauthier Everard, Florence Vanhoof, Thierry Lejeune, Martin G Edwards","doi":"10.23736/S1973-9087.25.08680-0","DOIUrl":"https://doi.org/10.23736/S1973-9087.25.08680-0","url":null,"abstract":"<p><strong>Background: </strong>Virtual reality (VR) Serious Games (SG) offer greater sensitivity and specificity than traditional diagnostics. The playfulness of the SG reduces stress, enhancing motivation and reliability. We developed immersive (iVR) and non-immersive (niVR) versions of REAsmash, a SG based on Feature Integration Theory (FIT) to assess distractor inhibition attention.</p><p><strong>Aim: </strong>The aim of this study was to verify the transfer of the REAsmash FIT diagnostic properties across VR devices with different degrees of immersion.</p><p><strong>Design: </strong>Cross-sectional clinical study.</p><p><strong>Setting: </strong>Inpatient, outpatient and healthy controls.</p><p><strong>Population: </strong>Post-stroke and healthy individuals.</p><p><strong>Methods: </strong>The REAsmash involves searching for a (target) mole with a red miner's helmet. The target is either presented alone (baseline), or presented with distractors (11, 17 or 23) that contrast the target by high or low saliency (moles with blue miner's and horned helmets vs blue miner's and red horned helmets). Stimuli appeared randomly from a 24-molehill grid. Participants (15 with and history of cortical-subcortical stroke and 15 age matched controls) hit the target with their response hand in niVR and with a virtual hammer in iVR. Post-stroke participants used their less impaired hand, controls their dominant hand. ANOVA tested VR type (niVR vs iVR), group (post-stroke vs healthy), saliency (high vs low) and distractor number (11, 17, 23), with the interaction between saliency and distractor number defining FIT. The dependent variable was relative mean response time, calculated by subtracting the mean baseline response time from each response to targets presented with distractors, for each participant. This variable exemplifies the costs to response time cause by the manipulation of independent variables.</p><p><strong>Results: </strong>We found significant main effects and an interaction for saliency and distractor number, confirming FIT. Group and VR type main effects were significant, with slower responses for post-strokes and for iVR, but with no interactions.</p><p><strong>Conclusions: </strong>To evaluate performance across acute to chronic post-stroke phases, diagnostic measures must be transferable between test devices, ensuring compatibility from hospital to outpatient settings.</p><p><strong>Clinical rehabilitation impact: </strong>Our results demonstrated that the REAsmash diagnostic properties were consistent across immersive and non-immersive VR, as well as within both groups of participants.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566017","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 cerebellar non-invasive brain stimulation on balance and gait performance in individuals with stroke: a systematic review and meta-analysis.","authors":"Jiaxin Jiang, Yawen Chen, Florence S Fan, Qiang Gao, Brenton Hordacre, Margaret K Mak, Meizhen Huang","doi":"10.23736/S1973-9087.24.08692-1","DOIUrl":"https://doi.org/10.23736/S1973-9087.24.08692-1","url":null,"abstract":"<p><strong>Introduction: </strong>Non-invasive brain stimulation (NIBS) is widely used for motor recovery after stroke. Recent studies have investigated the efficacy of cerebellar NIBS (cNIBS) in enhancing lower limb functional recovery in individuals with stroke. Thus, this study aims to investigate the effect of cNIBS on balance and gait recovery in individuals with stroke.</p><p><strong>Evidence acquisition: </strong>A systematic literature search was conducted in CINAHL, Cochrane Library, MEDLINE, Physiotherapy Evidence Database, PsyclNFO, PubMed, and Scopus from inception to April 29, 2024. Randomized controlled trials (RCTs) that investigated the effects of cNIBS on gait or balance performance in individuals with stroke were included. Studies involving participants with cerebellar or brainstem stroke were excluded. Two researchers independently conducted study selection and data extraction and examined the methodological quality of the included RCTs and the certainty of evidence. A random-effects meta-analysis was performed to estimate the between-group mean difference (MD) or standardized MD (SMD) based on pre-post changes along with the 95% confidence interval (CI).</p><p><strong>Evidence synthesis: </strong>Fourteen RCTs involving 382 participants were included. The methodological quality of the included studies ranged from fair to excellent. Compared with sham conditions, cNIBS significantly improved balance, as measured using the Berg Balance Scale (MD=4.17, 95% CI=2.28-6.05, P<0.01, low certainty of evidence); walking speed, as assessed using the 10-m walk test and 25-Feet Walk Test (SMD=-0.36, 95% CI=-0.68 to -0.03, P=0.03, moderate certainty of evidence); and functional mobility, as measured using the Timed Up and Go test (MD: -3.34, 95% CI=-5.14 to -1.54, P<0.01, low certainty of evidence).</p><p><strong>Conclusions: </strong>With low-to-moderate certainty, the evidence indicates that cNIBS, including tDCS and TMS, can improve balance in individuals with stroke. cNIBS is also a promising approach to facilitate gait and functional mobility in stroke survivors. Future studies should determine optimal stimulation protocols and elucidate the mechanisms underlying the treatment effects.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565975","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 impact of VR technology based on swallowing auditory and visual stimulation on swallowing function and satisfaction in stroke patients with swallowing disorders.","authors":"Jian-Lin Chen, Jin-Feng Zhang, Jie Yu, Yu-Da Zhou, Fang-Hui Qiu","doi":"10.23736/S1973-9087.25.08703-9","DOIUrl":"https://doi.org/10.23736/S1973-9087.25.08703-9","url":null,"abstract":"","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440336","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":"Improved health-related quality of life after rehabilitation in patients with brain tumors is not affected by tumor type.","authors":"Takahiro Watanabe, Shinichi Noto, Manabu Natsumeda, Shinji Kimura, Fumie Ikarashi, Satoshi Tabata, Mayuko Takano, Yoshihiro Tsukamoto, Makoto Oishi","doi":"10.23736/S1973-9087.25.08573-9","DOIUrl":"https://doi.org/10.23736/S1973-9087.25.08573-9","url":null,"abstract":"<p><strong>Background: </strong>The effect of rehabilitation therapy on health-related quality of life (HRQOL) among patients with brain tumors has not been fully investigated.</p><p><strong>Aim: </strong>This study aimed to evaluate the effect of rehabilitation therapy on HRQOL among patients with brain tumors using the HRQOL index. We also examined factors that influenced changes in HRQOL, including differences in brain tumor type.</p><p><strong>Design: </strong>Prospective cohort study.</p><p><strong>Setting: </strong>University Medical and Dental Hospital.</p><p><strong>Population: </strong>Patients with brain tumors aged 20 years or older undergoing rehabilitation therapy were included. Patients with cognitive decline, aphasia, or poor general condition who had difficulty answering HRQOL questions were excluded.</p><p><strong>Methods: </strong>The EuroQol-5 Dimension 5-Level (EQ-5D-5L), EORTC Quality of Life Questionnaire Core 30 (QLQ-C30), and EORTC Quality of Life Questionnaire Brain Cancer Module (BN20) were used to assess HRQOL before and after rehabilitation treatment. Brain tumor type was classified into five groups: World Health Organization (WHO) grade 1, WHO grade 2/3, WHO grade 4, primary central nervous system lymphoma, and metastatic brain tumor. We compared EQ-5D-5L index scores and QLQ-C30 and BN20 scores before and at the end of rehabilitation. Multiple regression analysis was used to examine factors affecting changes in EQ-5D-5L index score (EQ-5D-5L gain).</p><p><strong>Results: </strong>In total, 112 patients participated in this study. The median EQ-5D-5L index score significantly improved from 0.698 before rehabilitation to 0.772 at the end of rehabilitation (P<0.001, r=0.46). QLQ-C30 and BN20 scores showed significant improvement in physical functioning, global health status, pain, and motor dysfunction (P<0.001, r>0.3). Multiple regression analysis revealed that recurrence (β=-0.191, P=0.037) and baseline EQ-5D-5L index score (β=-0.595, P<0.001) affected EQ-5D-5L gain, whereas differences in brain tumor type did not.</p><p><strong>Conclusions: </strong>HRQOL among patients with brain tumors improved at the end of rehabilitation therapy compared with before therapy. Furthermore, the EQ-5D-5L index score gain was not affected by brain tumor type.</p><p><strong>Clinical rehabilitation impact: </strong>These results suggest rehabilitation therapy may contribute to improved HRQOL irrespective of brain tumor type.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440334","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":"Unveiling the benefits of stretch-shortening cycle exercise for children with obstetric brachial plexus injury: a clinical trial assessing muscle strength, bone mineral density, and functional capacity.","authors":"Ragab K Elnaggar, Nadia L Radwan, Ahmed S Alhowimel, Mohammed F Elbanna, Ahmed M Aboeleneen, Mohamed S Abdrabo, Fahad A Qissi, Walaa E Morsy","doi":"10.23736/S1973-9087.24.08548-4","DOIUrl":"10.23736/S1973-9087.24.08548-4","url":null,"abstract":"<p><strong>Background: </strong>Obstetric brachial plexus injury (OBPI) is associated with several temporary or permanent impairments including muscle weakness/atrophy and retarded bone accrual, which negatively affect upper extremity functionality. Thus, to remedy these impairments, improved and unequivocally effective intervention strategies are required.</p><p><strong>Aim: </strong>To evaluate the effectiveness of a 12-week stretch-shortening cycle exercise (SSC-Ex) program on muscle strength, bone mineral density, and upper extremity function in a convenience sample of children with OBPI.</p><p><strong>Design: </strong>A prospective, dual-group randomized controlled trial with the outcome assessor being blinded to the treatment allocation.</p><p><strong>Population: </strong>Fifty-six children with a confirmed diagnosis of the upper-arm type of OBPI (i.e. categorized as level I [C5/C6 injury] or II [C5/C6/C7 injury] per Narakas classification system) and aged between 10 and 16 years were randomly allocated to either the SSC-Ex group (N.=28) or the control group (N.=28).</p><p><strong>Methods: </strong>The SSC-Ex group participants underwent a supervised SSC-Ex regimen for ~35 minutes, twice/week (with 2-day recovery intervals at minimum) over 12 consecutive weeks (totaling 24 sessions), while the control received the standard exercises (equated for the training volume, frequency, and duration). The primary outcomes included an assessment of muscle strength - specifically, shoulder flexors, abductors, external rotators, elbow flexors, and extensors - as well as the bone mineralization of the humerus, radius, and ulna. Functional performance was considered as a secondary outcome. These measures were undertaken both pre- and post-intervention.</p><p><strong>Results: </strong>The SSC-Ex group exhibited favorable pre-to-post improvement in muscle strength measures (P<0.05; η²<inf>partial</inf> ranged between 0.11 and 0.17), bone mineralization variables (P<0.05; η²<inf>partial</inf> ranged between 0.13 and 0.21), and functional performance (P=0.006; η²<inf>partial</inf>=0.13) when compared with the control group.</p><p><strong>Conclusions: </strong>The SSC-Ex showed promise in enhancing strength, bone mineralization, and functional capacity in children with OBPI.</p><p><strong>Clinical rehabilitation impact: </strong>The SSC-Ex can be a beneficial component of the rehabilitation program for children with OBPI. Physical rehabilitation specialists might opt for such a training paradigm to improve several aspects of motor functions, bone mineral properties, and upper extremity function based on empirical evidence.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"61-71"},"PeriodicalIF":3.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11919458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142715747","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}