European journal of physical and rehabilitation medicine最新文献

{"title":"Effectiveness of telehealth pelvic-abdominal mechanics training rehabilitation program for pelvic floor rehabilitation in puerperal women: a randomized controlled study.","authors":"Ran Zhang, Yu Guo, Jiahua Zhang, Jing Zhang, Rui Zhuang, Chunli Liao, Haixin Bo","doi":"10.23736/S1973-9087.25.08971-3","DOIUrl":"https://doi.org/10.23736/S1973-9087.25.08971-3","url":null,"abstract":"<p><strong>Background: </strong>There are still numerous barriers to the implementation of pelvic floor muscle training (PFMT), though it has been the first-line treatment for pelvic floor dysfunction (PFD) in puerperal women. The construction of telehealth pelvic floor rehabilitation program that is both fun and accessible is necessary.</p><p><strong>Aim: </strong>To assess the efficacy of telehealth pelvic-abdominal mechanics rehabilitation training program for pelvic floor rehabilitation in puerperal women.</p><p><strong>Design: </strong>A randomized controlled trial.</p><p><strong>Setting: </strong>Home-based exercise program.</p><p><strong>Population: </strong>Singleton, cephalic primiparous women.</p><p><strong>Methods: </strong>The 60 participants recruited were randomly assigned to either the intervention or control group. The intervention group received a telehealth pelvic-abdominal mechanics training rehabilitation program for 6 weeks, while the control group remained on the routine care. The degree of distress of PFD in puerperal women was assessed at one week postpartum (T1) and 42 days postpartum (T2). The level of knowledge, attitudes and self-efficacy towards PFMT were assessed at 2 days postpartum (T0), T1and T2. The degree of inter-recti distance (IRD) was assessed at T0 and T2. Pelvic floor muscle strength was assessed at T2, including modified Oxford muscle strength (MOS) classification and dynamic maximal vaginal pressure values. Statistical analysis methods were chosen based on the type of statistical data, mainly including t-test and two-factor repeated measures ANOVA.</p><p><strong>Results: </strong>No adverse outcomes occurred in all participants. After a 6-week intervention, the intervention group had a significantly lower PFDI-20 score than the control group at T2 and exhibited a lesser degree of IRD. At T1 and T2, the simple effect of group was significant, with the intervention group demonstrating higher levels of knowledge and attitude towards PFMT compared to the control group (F=4.427, P=0.040, partial η<sup>2</sup>=0.071; F=5.266, P=0.025, partial η<sup>2</sup>=0.083). At T2, the simple effect of group was significant, with the intervention group demonstrating higher level of self-efficacy towards PFMT compared to the control group (F=37.908, P<0.001, partial η<sup>2</sup>=0.395). There was no statistically significant difference between the two groups in terms of Oxford muscle strength classification, dynamic maximal vaginal pressure values, muscle fiber strength of type I and type II at T2.</p><p><strong>Conclusions: </strong>This study provided evidence that telehealth pelvic-abdominal mechanics training rehabilitation program can significantly improve the rehabilitation effect of puerperal women.</p><p><strong>Clinical rehabilitation impact: </strong>A pelvic-abdominal mechanics training rehabilitation program during the puerperium is safe and effective. Telemedicine is an extremely recommended means of pelvic ","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145085595","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":"Virtual reality-based interventions enhance functional status, balance and muscle strength in patients with ankle instability: a systematic review with meta-analysis of randomized controlled trials.","authors":"Manuel García-Sánchez, Esteban Obrero-Gaitán, M Carmen López-Ruiz, Ángeles Díaz-Fernández, M Catalina Osuna-Pérez, Irene Cortés-Pérez","doi":"10.23736/S1973-9087.25.08869-0","DOIUrl":"10.23736/S1973-9087.25.08869-0","url":null,"abstract":"<p><strong>Introduction: </strong>Ankle instability reduces functional status in athletes and overall population after orthopedic ankle injuries. Complementary to physical therapy approaches, virtual reality-based interventions (VRBI) that promote exercises in ludic and gamified environments, are being used in reducing ankle instability during ankle rehabilitation. The aim of this systematic review with meta-analysis was to assess the effectiveness of VRBI in improving ankle function status, postural balance and muscle strength in patients with ankle instability.</p><p><strong>Evidence acquisition: </strong>A systematic review with meta-analysis, previously registered in PROSPERO (CRD42023460797) was conducted aligned with the PRISMA guidelines. Literature search was performed in PubMed Medline, SCOPUS, WOS, CINAHL and PEDro without year of publication and language restrictions up to November 2024. Randomized controlled trials (RCTs) including patients with ankle instability which assessed the effectiveness of VRBI, compared to others, on ankle function status, postural balance, muscle strength, were included. Methodological quality and risk of bias were assessed using the PEDro Scale. Pooled effect was calculated with the Cohen's standardized mean difference (SMD) and its 95% confidence interval (95% CI) in random-effects models, or mean difference (MD) if studies used the same measure. All methodological phases of this meta-analysis were conducted by peers.</p><p><strong>Evidence synthesis: </strong>Twelve RCTs, providing data from 555 participants with ankle instability (89% males with a mean age of 21.8±6.2 years), were included. The mean methodological quality of the studies included was moderate (5.8±1.3 in the PEDro scale). Our meta-analysis showed that VRBI is largely effective in increasing ankle function status (SMD=0.86; 95% CI 0.24 to 1.49; P=0.007), static (SMD=1.6; 95% CI 0.74 to 2.4; P<0.001) and dynamic balance (SMD=0.81; 95% CI 0.36 to 1.25; P<0.001), and strength of muscles involved in plantar flexion (MD=5.76; 95% CI 0.22 to 11.3; P=0.042) and eversion movements (MD=1.7; 95% CI 0.5 to 2.9; P=0.005).</p><p><strong>Conclusions: </strong>VRBI is a safe and effective therapy for improving ankle function status, static and dynamic balance and strength of the muscles involved in plantar flexion eversion movements in patients with ankle instability.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":"61 3","pages":"551-563"},"PeriodicalIF":3.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12410587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144947789","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":"Repetitive peripheral magnetic stimulation for pain, disability, and kinesiophobia in patients with chronic musculoskeletal pain: a systematic review and meta-analysis.","authors":"Jiaxin Pan, Yanbing Jia, Kuicheng Li, Xiaoyan Liu, Zhichao Liu, Zhenyang Cui, Linrong Liao, Yingxiu Diao, Hao Liu","doi":"10.23736/S1973-9087.25.08442-4","DOIUrl":"10.23736/S1973-9087.25.08442-4","url":null,"abstract":"<p><strong>Introduction: </strong>Repetitive peripheral magnetic stimulation (rPMS) is a non-invasive and painless approach developed for therapeutic intervention in clinical rehabilitation. Chronic musculoskeletal pain (CMP) originates from the musculoskeletal system and leads to disability and fear of pain. It may be an option for CMP treatment, but its effectiveness is still unclear.</p><p><strong>Evidence acquisition: </strong>PubMed, PEDro, the Cochrane Library, Web of Science, and Embase were searched for relevant literatures according to strict inclusion and exclusion criteria on May 26^th, 2023.</p><p><strong>Evidence synthesis: </strong>The methodology quality of the included studies was assessed using the Cochrane Collaboration's Risk of Bias tool (ROB 2.0) and the GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) system. The cumulative effects of available data were processed for a meta-analysis using RevMan software. Eight RCTs with 177 participants were included. All studies were assessed as having some concerns regarding the risk of bias. rPMS significantly reduced pain intensity compared with the control, with a standardized mean difference (SMD) across visual analogue scales (VAS) and numerical rating scales (NRS) was -1.16 (95% CI: -1.56 to -0.76, I²=21%, very low-quality evidence), indicating effective pain relief. For subgroup analysis of patients with chronic low back pain (CLBP), the meta-analysis revealed a remarkable pain relief (SMD=-0.92, 95% CI: -1.67 to -0.17, I²=45%, very low-quality evidence). In addition, rPMS exhibited significant cumulative effects on disability improvement (Oswestry disability index: MD=-6.55, 95% CI: -10.27 to -2.82, I²=0%, very low-quality evidence) but not on kinesiophobia (Tampa scale for kinesiophobia: MD=-1.81, 95% CI: -7.60 to 3.98, I²=0%, low quality-evidence).</p><p><strong>Conclusions: </strong>This meta-analysis demonstrated that rPMS is an effective method for relieving pain and improving disability in the treatment of CMP, especially for patients with CLBP.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"572-582"},"PeriodicalIF":3.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274445","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":"Psychometric properties of the Chinese version of 21-item Fall Risk Index for community-dwelling older adults with stroke.","authors":"Peiming Chen, Shamay S Ng, K Cheng, Y Hui, C Law, H Leung, T Cheung, Billy C So, Richard H Xu, Chun L Hsu, Kim J Li, Cynthia Y Lai, Mimi M Tse","doi":"10.23736/S1973-9087.25.08919-1","DOIUrl":"10.23736/S1973-9087.25.08919-1","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The 21-item Fall Risk Index questionnaire (FRI-21) was developed to screen for fall risk in older adults. It showed great potential in assessing the fall risk in stroke population. However, no previous study investigated its reliability and validity in people with stroke in Hong Kong.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;This study aimed to translate FRI-21 to Chinese and investigate: 1) the FRI-21 scores between people with stroke and healthy older adults; 2) the test-retest reliability of the FRI-21 in people with stroke; 3) the convergent validity by correlated of the FRI-21 with Berg Balance Scale (BBS); 4) the predictive ability of FRI-21 on the fall occurrence in the 2 years follow-up; 5) the optimal FRI-21 cut-off score that distinguishes faller and non-faller among people with stroke in the 2 years follow-up; and 6) the ceiling and floor effects of the Chinese version of the FRI-21.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;Cross-sectional study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Setting: &lt;/strong&gt;University-based rehabilitation laboratory.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Population: &lt;/strong&gt;In total, 57 people with stroke and 31 healthy older adults.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The FRI-21 test was assessed in people with stroke on Day1 and Day 2 (7 days after Day 1), and assessed in healthy older adults on Day 1 only. The BBS was also assessed in Day 1.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The mean FRI-21 scores in subjects with stroke was 7.37. The FRI-21 demonstrated good inter-rater reliability (intraclass correlation [ICC] 0.74) and good test-retest reliability (ICC=0.798) in people with stroke. The FRI-21 scores demonstrated significant negative correlations with the BBS (r=-0.308). The FRI-21 score was found to be a significant predictor (OR 1.40 [95% CI 1.06-1.85], P=0.018) of fall in the 2 years of follow-up. The receiver operating characteristic curve analysis identified an optimal FRI-21 cutoff score of 7.5, showing an acceptable diagnostic power in distinguishing faller and non-faller among people with stroke (area under curve = 0.723, P=0.002), with moderate sensitivity (80.0%) and specificity (60.5%). Ceiling and floor effects are negligible.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This study reflects the reliability and validity of the FRI-21 as self-administered tool for assessing fall risk in individuals aged 50 and over with stroke, and without cognitive impairments. A cut-off score of 7.5 was identified to distinguish faller and non-faller in people with stroke. The FRI-21 score was a significant predictor of fall in people with stroke. It effectively differentiates fall risk between people with stroke and healthy older adults. Future research should increase the sample size to enhance the generalizability of the findings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Clinical rehabilitation impact: &lt;/strong&gt;Clinicians can use this tool to efficiently identify high-risk individuals among stroke survivors and implement targeted early interventions. This early fall risk screening to","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":"61 3","pages":"376-383"},"PeriodicalIF":3.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144947794","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":"Psychometric validation of ICF Rehabilitation Set-17 through item response theory and network analysis: implications for standardized functioning assessment in Chinese inpatient rehabilitation.","authors":"Chun Feng, Cong-Zhi Tang, Feng Lin, Shou-Guo Liu","doi":"10.23736/S1973-9087.25.08759-3","DOIUrl":"10.23736/S1973-9087.25.08759-3","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The International Classification of Functioning, Disability and Health (ICF) offers a comprehensive biopsychosocial model widely used to capture functioning and disability status. The development of the national assessment standard regarding the ICF-Rehabilitation Set (ICF-RS)-17 represents the first step in implementing value-based healthcare (VBHC) in China. However, studies relating the ICF to managing goal setting and guiding VBHC are scarce.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;This study aims to investigate the psychometric properties of the ICF-17 and further tailor goal settings in inpatient rehabilitation settings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;A multi-centered, cross-sectional study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Setting: &lt;/strong&gt;Three general hospitals and two rehabilitation hospitals in Jiangsu Province, China.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Population: &lt;/strong&gt;Patients received inpatient rehabilitation treatment.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We administrated ICF-RS-17 and Barthel index to assess inpatient patients' function, and quality of life with the Short Form-12 (SF-12). We performed a non-parametric and parametric Item response modeling (IRM) pipeline as a psychometric measurement. We further constructed graphical modeling (GM) to visualize the network structure of functional categories and calculate the treatment benefit index (TBI).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The 2-parametric logistic model (2PLM) emerged as the optimal model generating a unidimensional scale with 17 ICF items (9 'd - Activities and Participation', 8 'b - Body Functions'). The final scale presented strong reliability with a latent class reliability coefficient=0.963, indicating great internal reliability. The estimated individual functional competence by the 2PLM model was moderately related to the index score of the PCS (p = 8.68 × 10&lt;sup&gt;-114&lt;/sup&gt;, ȓPearson = 0.52) and MCS (p = 7.41 × 10&lt;sup&gt;-45&lt;/sup&gt;, ȓPearson = 0.34), as well as a strong positive correlation with the BI (p = 7.41 × 10&lt;sup&gt;-45&lt;/sup&gt;, ȓPearson = 0.81). The findings also demonstrated measurement equivalence of the final model for individuals with different gender and across age groups as well as different measurement points (e.g. admission and discharge). Moreover, the GM indicates \"d510 Washing oneself\" possesses the most potent alleviating effect in the functional network (perturbance power=1.019).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The IRM-verified ICF-RS-17 tool has good construct validity and internal consistency for assessing the inpatient functional level. Moreover, enhancing \"d510 Washing oneself\" ability demonstrates the highest benefit for overall functional performance.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Clinical rehabilitation impact: &lt;/strong&gt;The IRM might be helpful in facilitating person ability-matched goal setting by comparing person abilities and item difficulties along the same logit scale. GM visualizes the spread and perturbance power of functional limitations within the network model, wh","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"384-400"},"PeriodicalIF":3.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144332699","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":"Association between trunk aesthetics and underling scoliosis severity and curve type in adolescents: evaluation of traditional clinical scores and novel automated indices from rasterstereographic imaging.","authors":"Tito Bassani, Alessandra Negrini, Marco Rampi, Maria Parzini, Stefano Negrini","doi":"10.23736/S1973-9087.25.08978-6","DOIUrl":"10.23736/S1973-9087.25.08978-6","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Trunk aesthetics is an important aim in treating adolescent idiopathic scoliosis (AIS). While subjective measures like the Scoliosis Research Society-22 questionnaire are commonly used, objective methods, such as the Trunk Aesthetic Clinical Evaluation (TRACE) index, are less explored. Non-invasive imaging techniques like rasterstereography (RST) have been studied to reduce radiographic exposure in AIS, though their correlation with Cobb angles remains weak. Notwithstanding, RST provides detailed trunk shape information that could enhance aesthetic evaluations.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To evaluate the correlation between aesthetic indices (TRACE and novel automated RST-based) and radiographic characteristics.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;Cross-sectional observational controlled diagnostic study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Setting: &lt;/strong&gt;Outpatient rehabilitation center for conservative treatment of spinal deformities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Population: &lt;/strong&gt;675 AIS subjects (age 13±2 years; Cobb angles 10-45°) with trunk photographs, RST scans, and standing radiographs within three months.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Two automated RST aesthetic evaluations (l_match and l_dist) were developed based on TRACE principles, providing total and sub-scores for shoulders, scapulae, hemithorax, and waist. TRACE assessments on RST images and photographs were conducted by two raters, with intra- and inter-rater reliability tested in a subset of 28 participants. Correlations among TRACE (photographic and RST), automated RST evaluations, scoliosis severity, and curve type were analyzed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;TRACE confirmed strong intra-rater (0.73-0.96) and moderate inter-rater (0.61-0.74) reliability. Correlations between aesthetic measures were weak: RST and photographic TRACE (0.3 overall, 0.02-0.4 sub-scores), and RST TRACE with automated evaluations (0.27-0.28 overall, 0.06-0.29 sub-scores). Correlations between Cobb angles and aesthetic evaluations ranged from weak to moderate: RST TRACE (0.35-0.42), photographic TRACE (0.13-0.53), l_match (-0.05 to -0.44), and l_dist (0.03-0.49). Waist sub-scores showed strongest correlations in thoracic and thoracolumbar curves, with thoracic curves yielding best results for automated RST evaluations.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The new automated RST-based aesthetic evaluation did not show clear superiority on TRACE. In the current absence of a gold standard, choices should prioritize reliability, validity, and clinical utility. Aesthetic and radiographic evaluations were weakly correlated but showed consistent patterns across trunk areas and curve types, highlighting the multifactorial nature of scoliosis-related aesthetics warranting further exploration.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Clinical rehabilitation impact: &lt;/strong&gt;While the development of robust tools to assess aesthetics beyond radiography is ongoing, TRACE remains a reliable and cost-effective instrument for routine clinical u","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":"61 3","pages":"532-542"},"PeriodicalIF":3.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144947861","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 connectome-based functional magnetic resonance imaging study of visuospatial analogical reasoning in stroke.","authors":"Takamichi Tohyama, Masaki Fukunaga, Yohei Otaka","doi":"10.23736/S1973-9087.25.08872-0","DOIUrl":"10.23736/S1973-9087.25.08872-0","url":null,"abstract":"<p><strong>Background: </strong>Visuospatial function is a core domain of functional cognition in stroke. Post-stroke cognitive impairment disrupts rehabilitation practice, highlighting the importance of characterizing patients with higher-order visuospatial dysfunction to inform personalized rehabilitation strategies. Although neuroimaging offers insights into disease-related mechanisms, its clinical application remains limited.</p><p><strong>Aim: </strong>The aim of this paper was to investigate whether the residual resting-state functional connectivity supports higher-order visuospatial function after stroke and whether changes in connectivity can characterize patients with visuospatial dysfunction.</p><p><strong>Design: </strong>Observational study.</p><p><strong>Setting: </strong>Inpatient rehabilitation ward at Fujita Health University Hospital in Japan.</p><p><strong>Population: </strong>Fifty-eight patients with stroke.</p><p><strong>Methods: </strong>Visuospatial analogical reasoning was assessed using Raven's Colored Progressive Matrices (RCPM). Resting-state functional connectivity was evaluated using functional magnetic resonance imaging (fMRI). Empirical covariance matrices and group-sparse inverse covariance (GSIC) matrices were computed from the fMRI data, with the latter negated to estimate partial correlations representing direct connectivity. Correlations between connectivity measures and RCPM scores were analyzed, alongside data-driven clustering to stratify patients.</p><p><strong>Results: </strong>No significant correlation was found between empirical covariance connectivity and RCPM scores. However, GSIC-based analysis revealed a significant inverse correlation between connectivity of the posteromedial and the left inferior parietal cortex and RCPM scores. Higher parietal connectivity was associated with lower RCPM performance. Patients in the highest connectivity cluster exhibited severe impairments in visuospatial analogical reasoning, particularly in tasks requiring the integration of discrete figures into spatially related wholes. The lesions in these patients were predominantly localized in the left subcortex.</p><p><strong>Conclusions: </strong>Medio-lateral parietal connectivity may underlie visuospatial analogical reasoning after stroke.</p><p><strong>Clinical rehabilitation impact: </strong>Clustering analysis highlighted a distinct pattern of low scores in patients with increased parietal connectivity, suggesting that parietal connectivity changes have the potential for characterizing patients with severe dysfunction.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":"61 3","pages":"462-471"},"PeriodicalIF":3.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144947851","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 therapeutic potential of transcranial direct current stimulation for chronic low back pain: a scoping review.","authors":"Aminu A Ibrahim, Katayan Klahan, Kanphajee Sornkaew, Jarugool Tretriluxana, Sheri P Silfies, Peemongkon Wattananon","doi":"10.23736/S1973-9087.25.08870-7","DOIUrl":"10.23736/S1973-9087.25.08870-7","url":null,"abstract":"<p><strong>Introduction: </strong>Chronic low back pain (CLBP) is a common disabling condition, inflicting a substantial socioeconomic burden. Given its association with neuroplastic changes, as evidenced by central and peripheral sensitization, neuromodulatory techniques such as transcranial direct current stimulation (tDCS) have emerged as potential treatments. This scoping review aimed to identify and map the existing literature on tDCS studies for CLBP to provide insight into how these studies are conducted, and to address their potential gaps in knowledge.</p><p><strong>Evidence acquisition: </strong>PubMed, Embase, Web of Science, and Cochrane Library were searched for relevant studies from inception to 23 March 2025. Eligible studies included were those examining tDCS alone or with other interventions in adults with CLBP, regardless of the outcome evaluated and included adults with CLBP. The review was conducted using Arksey and O'Malley's six-stage framework and was guided by the PRISMA for scoping review framework.</p><p><strong>Evidence synthesis: </strong>Of 134 screened records, 26 studies were included: 23 randomized controlled trials and 3 quasi-experimental studies. Half of the studies (50%) had a low risk of bias while one-third (34.6%) showed a high or serious risk of bias. Outcomes evaluated varied and included clinical, biophysical, biomechanical, and psychosocial measures. There was considerable variability in tDCS treatment protocols across studies. The effectiveness of tDCS was inconsistent, particularly for clinical outcomes, with some studies indicating positive effects while others reported no significant effects.</p><p><strong>Conclusions: </strong>Overall, this review reveals inconsistent results for tDCS effectiveness in CLBP, likely due to variability in study designs, sample characteristics, treatment protocols, and outcome measures. Future well-designed trials are needed to clarify the therapeutic potential of tDCS for CLBP, particularly in combination with other interventions.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"520-531"},"PeriodicalIF":3.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144324831","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":"Psychometric assessment of the translated and culturally adapted Chinese (Cantonese) of the brief memory and executive test in people with stroke.","authors":"Longjun Ren, Thomson Wong, Cynthia Lai, Shamay Ng","doi":"10.23736/S1973-9087.25.08873-2","DOIUrl":"10.23736/S1973-9087.25.08873-2","url":null,"abstract":"<p><strong>Background: </strong>Stroke is a leading cause of death and disability, with up to half of people with stroke developing persistent cognitive deficits. The brief memory and executive test (BMET) was developed to provide a comprehensive cognitive assessment, with a focus on executive function and processing speed. However, the psychometric properties of the BMET have not yet been studied in people with stroke.</p><p><strong>Aim: </strong>This study aimed to: 1) translate and culturally adapt the BMET into Chinese (Cantonese) (C-BMET); 2) compare the C-BMET scores of people with stroke with those of healthy old adults; 3) examine the internal consistency, test-retest reliability, minimal detectable change (MDC), and standard error of measurement (SEM) of the C-BMET in people with stroke; 4) investigate correlations between C-BMET scores and other cognitive and functional outcomes; and 5) determine the C-BMET cut-off score of C-BMET to differentiate the cognitive functions in people with stroke from that of healthy old adults.</p><p><strong>Design: </strong>Cross-sectional.</p><p><strong>Setting: </strong>Research lab in the Hong Kong Polytechnic University.</p><p><strong>Population: </strong>People with stroke over 12 months.</p><p><strong>Methods: </strong>Sixty people with stroke and 27 healthy old adults underwent C-BMET and other cognitive and functional outcomes. To examine the test-retest reliability of the C-BMET, it was re-administered to the stroke group after 7 days.</p><p><strong>Results: </strong>People with stroke had significantly lower C-BMET subtotal and total scores compared to healthy old adults. The internal consistency, as indicated by Cronbach's α of 0.652, and the test-retest reliability, reflected by an intra-class correlation coefficient of 0.604, were observed, with an MDC of 4.13 and a SEM of 1.49. The C-BMET scores were significantly correlated with other cognitive outcomes but not with functional outcomes. The optimal cut-off score of C-BMET to differentiate the cognitive functions in people with stroke from that of the and healthy old adults was 12.5 (area under the receiver operating characteristic curve = 0.728).</p><p><strong>Conclusions: </strong>The C-BMET scores were significantly lower in people with stroke compared with healthy old adults. The internal consistency and test-retest reliability of C-BMET scores were investigated. The C-BMET scores were significantly correlated with cognitive outcomes. The optimal C-BMET cut-off score of 12.5 was identified.</p><p><strong>Clinical rehabilitation impact: </strong>The C-BMET may be considered for assessing the cognitive function, especially executive function and processing speed, of people with stroke.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"401-410"},"PeriodicalIF":3.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12405949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143958046","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":"Psychometric validation of comprehensive coordination scale to assess the advanced coordination ability in people with stroke.","authors":"Peiming Chen, Shamay S Ng, Cynthia Y Lai, Samantha M Chan, C Lau, H Wong, Jacqueline H Liang, Christy S Tam, J Li, Tai-Wa Liu, Thomson W Wong, Billy C So, Richard H Xu, Mimi M Tse","doi":"10.23736/S1973-9087.25.08784-2","DOIUrl":"10.23736/S1973-9087.25.08784-2","url":null,"abstract":"<p><strong>Background and aim: </strong>The aims of this study were to investigate the psychometric property of the Comprehensive Coordination Scale (CCS) in people with stroke.</p><p><strong>Design: </strong>Cross-sectional design.</p><p><strong>Setting: </strong>University based neurorehabilitation laboratory.</p><p><strong>Population: </strong>Sixty-two people with stroke (33 men; mean ages=67.1±6.4 years; 8.8±4.9 years) and 31 healthy older adults (10 men, mean ages=65.9±4.2 years).</p><p><strong>Methods: </strong>CCS was conducted on the subjects, followed with ARAT, BBS, LOS, MoCA, and SF-12muscle strength test, Fugl-Meyer Assessment of Lower Extremity (FMA-LE) and Upper Extremity (FMA-UE), muscle strength, Montreal Cognitive Assessment (MoCA), Action Research Arm Test (ARAT), Berg Balance Scale (BBS), Limit of Stability (LOS) test and 12-Item Short Form Survey (SF12).</p><p><strong>Results: </strong>There was a significant difference (P<0.001) of CCS score between people with stroke (mean difference=48.0±13.5) and healthy older adults (mean difference=62.9±12.1). CCS showed excellent test-retest reliability (intraclass correlation coefficient (ICC)=0.953). The CCS-Total Score showed a significant positive correlation with the average muscle strength of affected side (dorsiflexors, plantarflexors, elbow flexor, and elbow extensor), FMA-UE score, FMA-LE Score, BBS Score, ARAT Score, and LOS (EE and ME) (r=0.387-0.857, P<0.007) in this study. The CCS-total score of 62.5 (sensitivity 83.9%; specificity of 83.9%; AUC=0.892, P<0.001) was shown to distinguish the walking performance between people with stroke and healthy older adults.</p><p><strong>Conclusions: </strong>The CCS is a reliable, valid and objective assessment tool for evaluating the motor coordination in people with stroke. The CCS exhibited good diagnostic power for distinguishing the coordination ability of individuals with stroke from that of healthy older adults.</p><p><strong>Clinical rehabilitation impact: </strong>Therefore, the CCS is recommended for use in clinical settings to provide a detailed and comprehensive assessment of motor coordination impairment in stroke survivors.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"411-424"},"PeriodicalIF":3.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12405944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144625661","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}