European journal of physical and rehabilitation medicine最新文献

{"title":"Evidence-based position paper on Physical and Rehabilitation Medicine (PRM) professional practice on telerehabilitation. The European PRM position (UEMS PRM Section).","authors":"Mauro Zampolini, Aydan Oral, Nikolaos Barotsis, Catarina Aguiar Branco, Helena Burger, Paolo Capodaglio, Fitnat Dincer, Alessandro Giustini, Xiaolei Hu, Ingebjorg Irgens, Stefano Negrini, Piotr Tederko, Iuly Treger, Carlotte Kiekens","doi":"10.23736/S1973-9087.24.08396-5","DOIUrl":"10.23736/S1973-9087.24.08396-5","url":null,"abstract":"<p><strong>Introduction: </strong>The evidence on the utility and effectiveness of rehabilitation interventions delivered via telerehabilitation is growing rapidly. Telerehabilitation is expected to have a key role in rehabilitation in the future.</p><p><strong>Aim: </strong>The aim of this evidence-based position paper (EBPP) is to improve PRM physicians' professional practice in telerehabilitation to be delivered to improve functioning and to reduce activity limitations and/or participation restrictions in individuals with a variety of disabling health conditions.</p><p><strong>Methods: </strong>To produce recommendations for PRM physicians on telerehabilitation, a systematic review of the literature and a consensus procedure by means of a Delphi process have been performed involving the delegates of all European countries represented in the UEMS PRM Section.</p><p><strong>Results: </strong>The systematic literature review is reported together with the 32 recommendations resulting from the Delphi procedure.</p><p><strong>Conclusions: </strong>It is recommended that PRM physicians deliver rehabilitation services remotely, via digital means or using communication technologies to eligible individuals, whenever required and feasible in a variety of health conditions in favor of the patient and his/her family, based on evidence of effectiveness and in compliance with relevant regulations. This EBPP represents the official position of the European Union through the UEMS PRM Section and designates the professional role of PRM physicians in telerehabilitation.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11135123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140109668","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":"Diabetes is associated with longitudinal declined physical performance measures in persons with or at risk of knee osteoarthritis: data from the osteoarthritis initiative.","authors":"A. Alenazi, B. Alqahtani","doi":"10.23736/s1973-9087.24.08034-1","DOIUrl":"https://doi.org/10.23736/s1973-9087.24.08034-1","url":null,"abstract":"BACKGROUND\u0000The primary aim of this study was to longitudinally examine the impact of DM on physical performance measures including Gait Speed and Chair Stand tests over 8 years of follow up in people with or at risk of knee osteoarthritis (OA).\u0000\u0000\u0000DESIGN\u0000A prospective longitudinal study.\u0000\u0000\u0000SETTING\u0000Multisite community based.\u0000\u0000\u0000POPULATION\u0000This study included participants with or at risk of knee OA aged from 45 to 79 years from the Osteoarthritis Initiative from baseline to 96 months follow-up.\u0000\u0000\u0000METHODS\u0000The participants performed physical performance measures using a 20 m Walk Test for Gait Speed and 5 Times Sit To Stand for repeated chair stand test time at baseline and during follow up visits. Participants were asked about the presence of diabetes mellitus (DM) at baseline and categorized into with or without DM. Generalized estimating equations were utilized with 2 models, one for DM and Gait Speed and the other for DM and Repeated Chair Stand Test after controlling for covariates including age, sex, education, Body Mass Index (BMI), depressive symptoms, physical activity level, baseline number of comorbidities, and baseline Kellgren and Lawrence grades for OA grading for each knee.\u0000\u0000\u0000RESULTS\u0000A total of 4796 participants were included and categorized into those with DM (N.=362) and without DM (N.=4311) at baseline. Participants with DM at baseline showed significantly declined gait speed (B=-0.048, 95% Confidence Interval [95% CI]: [-0.07, -0.02], P<0.001) and significantly an increased time for repeated chair stand test (B=0.49, 95% CI: [0.08, 0.89], P=0.018) over time when compared to those without DM at baseline, after controlling for covariates.\u0000\u0000\u0000CONCLUSIONS\u0000DM was associated with negative impact on Gait Speed and Repeated Chair Stand Test time in individuals with or at risk of knee OA. Individuals with knee OA and diabetes who exhibit declining physical performance measures are at risk of functional dependence, reduced quality of life, and complex rehabilitation requirements.","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140775226","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":"Mirror visual feedback as therapeutic modality in unilateral upper extremity complex regional pain syndrome type I: randomized controlled trial.","authors":"Stanislav Machač, Ludmila Chasáková, Soroush Kakawand, Jiří Kozák, Lubomír Štěpánek, Jan Vejvalka, Pavel Kolář, Rudolf Černý","doi":"10.23736/S1973-9087.23.07625-6","DOIUrl":"10.23736/S1973-9087.23.07625-6","url":null,"abstract":"<p><strong>Background: </strong>There is growing evidence for the effectiveness of mirror therapy (MT) on pain reduction in patients with type I complex regional pain syndrome (CRPS I).</p><p><strong>Aim: </strong>To evaluate the efficacy of MT on pain reduction and hand function in subjects with unilateral upper extremity CRPS I.</p><p><strong>Design: </strong>Randomized controlled trial with control group cross-over (half cross-over design).</p><p><strong>Setting: </strong>Subjects with CRPS I were outpatients of a university hospital and cooperating centers. All patients carried out the daily exercise at home.</p><p><strong>Population: </strong>Subjects with unilateral upper extremity CRPS I meeting the Budapest diagnostic criteria.</p><p><strong>Methods: </strong>Subjects were randomly divided into two groups. Group A (N.=13) carried out a ten-minute MT exercise daily, for a total duration of six weeks. Group B (N.=14) acted as a control group for six weeks followed by six weeks of MT with the same characteristics as Group A. Upper extremity active range of motion, strength, dexterity, limb volume, affected-to-unaffected hand temperature difference, and health-related quality of life were evaluated before and after each period. Daily records on the visual analogue scale were used for pain evaluation. Effectiveness was calculated using mixed-effects modelling for between-group comparisons and within-group variability, and identification of significant predictors.</p><p><strong>Results: </strong>Twenty-three females and four males with an average age of 56.1±9.6 years completed the study. Except for the affected-to-unaffected hand temperature difference, both groups consistently demonstrated significant or near-significant improvements in measured parameters after MT period. The improvements were evident upon an intergroup comparison of Group A and the control period of Group B as well as longitudinally within Group B. No significant improvement was found during the control period.</p><p><strong>Conclusions: </strong>Principles focused on mirror visual feedback to the central nervous system can sustain promising therapeutic potential as part of the treatment for pain reduction and hand function in CRPS I patients.</p><p><strong>Clinical rehabilitation impact: </strong>MT can be considered as part of the therapeutic regimen employed for the treatment of CRPS I.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11112506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139402499","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":"Safety of dry needling in stroke patients: a scoping review.","authors":"Iris Malfait, Sabien Gijsbers, Annemie Smeets, Britta Hanssen, Anton Pick, Koen Peers, Fabienne Schillebeeckx","doi":"10.23736/S1973-9087.24.08224-8","DOIUrl":"10.23736/S1973-9087.24.08224-8","url":null,"abstract":"<p><strong>Introduction: </strong>Spasticity is a common problem in stroke patients. Treatments of spasticity often have side effects or are insufficiently effective. Dry needling (DN) has been proposed as a potential additional option to consider in the multimodal treatment of post-stroke spasticity, although questions about its safety remain. The goal of this study is to assess the safety of DN in stroke patients.</p><p><strong>Evidence acquisition: </strong>A systematic search in Medline, Embase, The Cochrane Library, Web of Science, CIHNAL and PEDro was conducted in June 2023. Two reviewers independently screened abstracts according to the eligibility criteria.</p><p><strong>Evidence synthesis: </strong>Twenty-five articles were included in this review. Only six studies reported adverse events, all of which were considered minor. None of the included studies reported any serious adverse events. In four of the included studies anticoagulants were regarded as contra-indicative for DN. Anticoagulants were not mentioned in the other included studies.</p><p><strong>Conclusions: </strong>There is a paucity of literature concerning the safety of DN in stroke patients. This review is the first to investigate the safety of DN in stroke patients and based on the results there is insufficient evidence regarding the safety of DN in stroke patients.</p><p><strong>Clinical rehabilitation impact: </strong>Although DN could be a promising treatment in post-stroke spasticity, further research is indicated to investigate its mechanism of action and its effect on outcome. However, before conducting large clinical trials to assess outcome parameters, the safety of DN in stroke patients must be further investigated.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11114159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179512","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":"Exercise-based cardiac rehabilitation for patients with coronary heart disease: a systematic review and evidence mapping study.","authors":"Zijun Li, Ke Guo, Yongqi Yang, Yuxi Shuai, Rui Fan, Yanfei Li, Jiawei DU, Junqiang Niu, Kehu Yang","doi":"10.23736/S1973-9087.23.08165-0","DOIUrl":"10.23736/S1973-9087.23.08165-0","url":null,"abstract":"<p><strong>Introduction: </strong>Exercise-based cardiac rehabilitation (CR) plays a critical role in coronary heart disease (CHD) management. There is a heritage in the effect of exercise-based CR with different exercise programs or intervention settings. This study developed an evidence matrix that systematically assesses, organizes, and presents the available evidence regarding exercise-based CR in CHD management.</p><p><strong>Evidence acquisition: </strong>A comprehensive literature search was conducted across six databases. Two reviewers screened the identified literature, extracted relevant data, and assessed the quality of the studies. An evidence-mapping framework was established to present the findings in a structured manner. Bubble charts were used to represent the included systematic reviews (SRs). The charts incorporated information, exercise prescriptions, outcome indicators, associated P values, research quality, and the number of original studies. A descriptive analysis summarized the types of CR, intervention settings, influential factors, and adverse events.</p><p><strong>Evidence synthesis: </strong>Sixty-two SRs were included in this analysis, focusing on six exercise types in addition to assessing major adverse cardiovascular events (MACE), cost and rehabilitation outcomes. The most commonly studied exercise types were unspecified (28 studies, 45.2%) and aerobic (11 studies, 17.7%) exercises. All-cause mortality was the most frequently reported MACE outcome (22 studies). Rehabilitation outcomes primarily centered around changes in cardiac function (135 outcomes from 39 SRs). Only 8 (12.9%) studies were rated as \"high quality.\" No significant adverse events were observed in the intervention group. Despite some variations among the included studies, most SRs demonstrated the benefits of exercise in improving one or more MACE or rehabilitation outcomes among CHD patients.</p><p><strong>Conclusions: </strong>The proportion of high-quality evidence remains relatively low. Limited evidence is available regarding the effectiveness of specific exercise types and specific populations, necessitating further evaluation.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11112512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139722188","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":"Physiotherapeutic Scoliosis-Specific Exercises (PSSE-Schroth) can reduce the risk for progression during early growth in curves below 25°: prospective control study.","authors":"Nikos Karavidas, Paris Iakovidis, Ioanna Chatziprodromidou, Dimitrios Lytras, Konstantinos Kasimis, Athanasios Kyrkousis, Thomas Apostolou","doi":"10.23736/S1973-9087.24.08177-2","DOIUrl":"10.23736/S1973-9087.24.08177-2","url":null,"abstract":"<p><strong>Background: </strong>The main treatment aim in mild scoliosis is to prevent progression and if possible, to avoid bracing. Physiotherapeutic Scoliosis Specific Exercises (PSSE) are curve pattern specific exercises, based on 3D self-correction and activities of daily living training.</p><p><strong>Aim: </strong>The objective of this study was to evaluate the efficacy of PSSE - Schroth, as an exclusive treatment, during the riskiest period of rapid growth.</p><p><strong>Design: </strong>Prospective control study.</p><p><strong>Setting: </strong>Outpatient treatment.</p><p><strong>Population: </strong>Adolescents with scoliosis.</p><p><strong>Methods: </strong>One hundred and sixty-three patients (148 girls,15 boys; mean age 12.6 years, Risser sign 1.1, thoracic (Th) Cobb angle 20.8° and lumbar/thoracolumbar (L/TL) Cobb angle 20.7°) performed PSSE - Schroth exercises in our clinic. They were asked to regularly attend supervised sessions and to follow a home-program at least 5 times per week. Our inclusion criteria were Cobb angle 15°-25°, Risser 0-2 and angle trunk rotation (ATR) >5°, measured by scoliometer. The outcome parameters were the Cobb angle before and after the intervention (improvement or progression were defined as angle difference more than 5°) and the number of patients that finally needed a brace. Average follow-up time was 29.4 months. Control group was consisted of 58 patients (54 girls, 4 boys; mean age 13.1 years, Risser sign 0-2, Th Cobb 19.4°, L/TL Cobb 19.2°), that were retrospectively analyzed and performed general or no exercises. Compliance was self-reported. Statistical analysis was performed by paired t-test.</p><p><strong>Results: </strong>For PSSE - Schroth group, 103 patients (63.2%) remained stable, 39 (23.9%) improved and 21 (12.9%) worsened. The success rate (87.1%) was significantly higher compared to Control group (P=0.002), where 15 subjects (25.9%) were stable and 43 (74.1%) worsened. Similarly, 16 patients (9.8%) from PSSE - Schroth group finally needed a brace, while 39 (67.2%) from control group (P=0.01).</p><p><strong>Conclusions: </strong>PSSE - Schroth reduced the risk of progression in Adolescent Idiopathic Scoliosis (AIS) patients, during early growth. Our results are in accordance with the recently published literature, showing the effectiveness of PSSE and their superiority compared to general exercises or natural history.</p><p><strong>Clinical rehabilitation impact: </strong>Scoliosis specific exercises can be the first step of scoliosis treatment in mild curves, to avoid progression and bracing.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11112511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140179511","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":"Can cerebellar theta-burst stimulation improve balance function and gait in stroke patients? A randomized controlled trial.","authors":"Ping-An Zhu, Zhi-Liang Li, Qi-Qi Lu, Ying-Ying Nie, Howe Liu, Erica Kiernan, Jia Yuan, Lin-Jian Zhang, X. Bao","doi":"10.23736/S1973-9087.24.08307-2","DOIUrl":"https://doi.org/10.23736/S1973-9087.24.08307-2","url":null,"abstract":"BACKGROUND\u0000The cerebellum is a key structure involved in balance and motor control, and has become a new stimulation target in brain regulation technology. Interference theta-burst simulation (iTBS) is a novel simulation mode of repetitive transcranial magnetic simulation. However, the impact of cerebellar iTBS on balance function and gait in stroke patients is still unknown.\u0000\u0000\u0000AIM\u0000The aim of this study was to determine whether cerebellar iTBS can improve function, particularly balance and gait, in patients with post-stroke hemiplegia.\u0000\u0000\u0000DESIGN\u0000This study is a randomized, double-blind, sham controlled clinical trial.\u0000\u0000\u0000SETTING\u0000The study was carried out at the Department of Rehabilitation Medicine in a general hospital.\u0000\u0000\u0000POPULATION\u0000Patients with stroke with first unilateral lesions were enrolled in the study.\u0000\u0000\u0000METHODS\u0000Thirty-six patients were randomly assigned to the cerebellar iTBS group or sham stimulation group. The cerebellar iTBS or pseudo stimulation site is the ipsilateral cerebellum on the paralyzed side, which is completed just before daily physical therapy. The study was conducted five times a week for two consecutive weeks. All patients were assessed before the intervention (T0) and at the end of 2 weeks of treatment (T1), respectively. The primary outcome was the Berg Balance Scale (BBS), while secondary outcome measures included the Fugl Meyer Lower Limb Assessment Scale (FMA-LE), timed up and go (TUG), Barthel Index (BI), and gait analysis.\u0000\u0000\u0000RESULTS\u0000After 2 weeks of intervention, the BBS, FMA-LE, TUG, and BI score in both the iTBS group and the sham group were significantly improved compared to the baseline (all P<0.05). Also, there was a significant gait parameter improvement including the cadence, stride length, velocity, step length compared to the baseline (P<0.05) in the iTBS group, but only significant improvement in cadence was identified in the sham group (P<0.05). Intergroup comparison showed that the BBS (P<0.001), FMA-LE (P<0.001), and BI (P=0.002) in the iTBS group were significantly higher than those in the sham group, and the TUG in the iTBS was significantly lower than that in the sham group (P=0.002). In addition, there were significant differences in cadence (P=0.029), strip length (P=0.046), gain velocity (P=0.002), and step length of affected lower limb (P=0.024) between the iTBS group and the sham iTBS group.\u0000\u0000\u0000CONCLUSIONS\u0000Physical therapy is able to improve the functional recovery in hemiplegic patients after stroke, but the cerebellar iTBS can facilitate and accelerate the recovery, particularly the balance function and gait. Cerebellar iTBS could be an efficient and facilitative treatment for patients with stroke.\u0000\u0000\u0000CLINICAL REHABILITATION IMPACT\u0000Cerebellar iTBS provides a convenient and efficient treatment modality for functional recovery of patients with stroke, especially balance function and gait.","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140769665","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":"Effectiveness of the online-based comprehensive cognitive training application, Smart Brain, for community-dwelling older adults with dementia: a randomized controlled trial.","authors":"Hee-Jae Chae, Seon-Heui Lee","doi":"10.23736/s1973-9087.24.08043-2","DOIUrl":"https://doi.org/10.23736/s1973-9087.24.08043-2","url":null,"abstract":"BACKGROUND\u0000The fourth industrial revolution has brought about developments in information and communication technologies for interventions in older adults with dementia. Currently, most interventions focus on single interventions. However, community-dwelling older adults with dementia require comprehensive cognitive interventions, and clinical studies analyzing the effects of comprehensive interventions based on randomized controlled trials are lacking.\u0000\u0000\u0000AIM\u0000The aim of the study was to examine the effects of an information and communication technology-based comprehensive cognitive training program, Smart Brain, on multi-domain function among community-dwelling older adults with dementia.\u0000\u0000\u0000DESIGN\u0000This was a two-group, randomized, controlled trial.\u0000\u0000\u0000SETTING\u0000This study was conducted at participant's home.\u0000\u0000\u0000POPULATION\u0000We analyzed older adults with dementia.\u0000\u0000\u0000METHODS\u0000Participants were randomly allocated to either the intervention group (N.=30) or the control group (N.=30). Older adults with dementia in the intervention group received 8 weeks of Smart Brain comprehensive cognitive training using a tablet, whereas the control group received a similar tablet but without the training. We measured the outcomes at baseline, and at 4 and 8 weeks. Cognitive function, depression, quality of life, balance confidence, physical ability, nutrition, and caregiver burden were compared between groups.\u0000\u0000\u0000RESULTS\u0000In the intervention group, cognitive function statistically increased from baseline to both week 4 (2.03; 95% CI 1.26 to 2.81) and week 8 (2.70; 95% CI 1.76 to 3.64). Depression was statistically different from week 0 to week 8 (-1.67, 95% CI -2.85 to -0.48). Physical ability statistically increased from baseline to both week 4 (-0.85; 95% CI 1.49 to -0.20) and week 8 (-1.44; 95% CI -2.29 to -0.59). Nutrition statistically increased from baseline to both week 4 (0.67; 95% CI 0.05 to 1.28) and week 8 (1.10; 95% CI 0.36 to 1.84).\u0000\u0000\u0000CONCLUSIONS\u0000Smart Brain significantly improved cognitive function, reduced depression, and enhanced physical and nutritional status in older adults with dementia. This demonstrates its potential as an effective non-pharmacological intervention in community-based dementia care.\u0000\u0000\u0000CLINICAL REHABILITATION IMPACT\u0000Smart Brain's personalized approach, which integrates user-specific preferences and expert guidance, enhances engagement and goal achievement in dementia care. This enhances self-esteem and clinical outcomes, demonstrates the application's potential to innovate rehabilitation practices.","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140781803","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":"Cognitive-motor dual-task training improves dynamic stability during straight and curved gait in patients with multiple sclerosis: a randomized controlled trial.","authors":"Marco Tramontano, Ornella Argento, Amaranta S Orejel Bustos, Sara DE Angelis, Rebecca Montemurro, Michela Bossa, Valeria Belluscio, Elena Bergamini, Giuseppe Vannozzi, Ugo Nocentini","doi":"10.23736/S1973-9087.23.08156-X","DOIUrl":"10.23736/S1973-9087.23.08156-X","url":null,"abstract":"<p><strong>Background: </strong>Multiple Sclerosis (MS) is a chronic inflammatory, demyelinating, degenerative disease of the central nervous system and the second most frequent cause of permanent disability in young adults. One of the most common issues concerns the ability to perform postural and gait tasks while simultaneously completing a cognitive task (namely, dual-task DT).</p><p><strong>Aim: </strong>Assessing cognitive-motor dual-task training effectiveness in patients with Multiple Sclerosis (PwMS) for dynamic gait quality when walking on straight, curved, and blindfolded paths.</p><p><strong>Design: </strong>Two-arm single-blind randomized controlled trial. Follow-up at 8 weeks.</p><p><strong>Setting: </strong>Neurorehabilitation Hospital.</p><p><strong>Population: </strong>A sample of 42 PwMS aged 28-71, with a score of 4.00±1.52 on the Expanded Disability Status Scale were recruited.</p><p><strong>Methods: </strong>Participants were randomized in conventional (CTg) neurorehabilitation and dual-task training (DTg) groups and received 12 sessions, 3 days/week/4 weeks. They were assessed at baseline (T0), after the treatment (T1), and 8 weeks after the end of the treatment (T2) through Mini-BESTest, Tinetti Performance Oriented Mobility Assessment, Modified Barthel Index, and a set of spatiotemporal parameters and gait quality indices related to stability, symmetry, and smoothness of gait extracted from initial measurement units (IMUs) data during the execution of the 10-meter Walk Test (10mWT), the Figure-of-8 Walk Test (Fo8WT) and the Fukuda Stepping Test (FST).</p><p><strong>Results: </strong>Thirty-one PwMS completed the trial at T2. Significant improvement within subjects was found in Mini-BESTest scores for DTg from T0 to T1. The IMU-based assessment indicated significant differences in stability (P<0.01) and smoothness (P<0.05) measures between CTg and DTg during 10mWT and Fo8WT. Substantial improvements (P<0.017) were also found in the inter-session comparison, primarily for DTg, particularly for stability, symmetry, and smoothness measures.</p><p><strong>Conclusions: </strong>This study supports the effectiveness of DT in promoting dynamic motor abilities in PwMS.</p><p><strong>Clinical rehabilitation impact: </strong>Cognitive-motor DT implemented into the neurorehabilitation conventional program could be a useful strategy for gait and balance rehabilitation.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10932486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138298796","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":"Effect of maximal-intensity and high-intensity interval training on exercise capacity and quality of life in patients with acute myocardial infarction: a randomized controlled trial.","authors":"Hoon Nam, Hyeong-Eun Jeon, Won-Hyoung Kim, Kyung-Lim Joa, Haneul Lee","doi":"10.23736/S1973-9087.23.08094-2","DOIUrl":"10.23736/S1973-9087.23.08094-2","url":null,"abstract":"<p><strong>Background: </strong>An increase in V̇O<inf>2max</inf> is important for acute myocardial infarction morbidity, and recurrence rate and intensity have been suggested as important factors in improving V̇O<inf>2max</inf>.</p><p><strong>Aim: </strong>The aim of this study was to compare the effects of maximal-intensity interval training (MIIT) and high-intensity interval training (HIIT) on exercise capacity and health-related Quality of Life (HRQoL) in patients with acute myocardial infarction (MI) at low and moderate cardiac risk in cardiac rehabilitation (CR). This study secondarily aimed to compare the effects of hospital-based phase II CR and usual care.</p><p><strong>Design: </strong>This study is a randomized controlled trial.</p><p><strong>Setting: </strong>Outpatient Rehabilitation Setting.</p><p><strong>Population: </strong>Fifty-nine patients with acute MI were randomly assigned to the MIIT (N.=30) or HIIT (N.=29) group, and 32 to the usual care group.</p><p><strong>Methods: </strong>Twice a week, an intervention was conducted for nine weeks in all groups. The maximum oxygen intake (V̇O<inf>2max</inf>) and MacNew Heart Disease HRQoL were evaluated before and after intervention.</p><p><strong>Results: </strong>A significant interaction was observed between time and group for V̇O<inf>2max</inf> (P<0.001). The MIIT group showed greater improvement than those exhibited by the HIIT and usual care groups (P<0.05). Similarly, a significant time and group interaction was observed on the MacNew Global, Physical, and Emotional scales (P<0.05), but not on the social scale (P>0.05).</p><p><strong>Conclusions: </strong>Compared to HIIT and usual care, MIIT significantly increased the V̇O<inf>2max</inf> and was as safe as HIIT in patients with acute MI with low and moderate cardiac risk in CR. Additionally, MIIT and HIIT were superior to usual care in terms of improving the HRQoL.</p><p><strong>Clinical rehabilitation impact: </strong>Our results suggest that increased intensity in phase II CR could result in better outcomes in terms of V̇O<inf>2max</inf> increment in patients with acute MI and low and moderate cardiac risk in CR.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10938035/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71411238","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}