European journal of physical and rehabilitation medicine最新文献

{"title":"Effects of pulsed electromagnetic fields on bone fractures: a systematic review update.","authors":"Alessandro Picelli, Rita DI Censo, Sofia Tomasello, Dalila Scaturro, Giulia Letizia Mauro, Nicola Smania, Mirko Filippetti","doi":"10.23736/S1973-9087.24.08226-1","DOIUrl":"10.23736/S1973-9087.24.08226-1","url":null,"abstract":"<p><strong>Introduction: </strong>Fractures are common bone injuries, which have a great burden on global health. Fracture healing is a long-term process that may be influenced by a number of factors. The 10-15% of all bone fractures may be complicated by an impaired healing (i.e. delayed union or non-union). The application of weak electromagnetic fields has been proposed to have different effects on bones such as enhancing proliferation - orientation - migration of osteoblast-like cells and supporting osteogenic differentiation in bone marrow-derived mesenchymal stem cells. Despite the amount of evidence on cellular and histological effects, to date the application of pulsed electromagnetic fields has not achieved univocal consensus in daily practice. The purpose of this systematic review update is to research, select, analyze and summarize the most recent scientific evidence regarding the effects of pulsed electromagnetic fields in the treatment of acute bone fractures.</p><p><strong>Evidence acquisition: </strong>A systematic review using the following MeSH terms (Magnetic Field Therapy; Electromagnetic Fields; Bone and Bones; Fractures, Bone; Fractures Healing) and strings {(\"Magnetic Field Therapy [mh]\" OR \"Electromagnetic Fields [mh]) OR \"magnetotherapy\" OR \"pulsed electromagnetic field\") and (\"Fractures, bone [mh]\" OR \"Bone and Bones [mh]\") and (\"Fractures Healing [mh]\")} was conducted on PubMed, Cochrane Library, Epistemonikos and Scopus electronic databases. Only full articles published in English between January 2014 and December 2022 were considered. Eligibility criteria were defined according to the Population, Intervention, Comparison, Outcomes, and Study (PICOS) design framework. Case reports, case series, uncontrolled studies and expert opinions were excluded. All articles were checked for quality and risk of bias.</p><p><strong>Evidence synthesis: </strong>Three randomized controlled trials were included (197 patients in total). None of the studies found significant effects of pulsed electromagnetic fields on the acute bone healing process. Contradictory results about pain relief emerged. Only one study showed a transitory positive effect of pulsed electromagnetic fields on strength and range of motion recovery in patients with acute bone fracture.</p><p><strong>Conclusions: </strong>This systematic review update does not support the use of pulsed electromagnetic fields for improving the bone healing process in patients with acute fractures. Controversial evidence was found about the effects of pulsed electromagnetic fields on pain and functional recovery. Considering the scant and heterogenous literature published to date, which represents a limit for our conclusion, further studies with rigorous and high-quality methodology are needed.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"989-994"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect and mechanism of motor imagery based on action observation treatment on dysphagia in Wallenberg Syndrome: a randomized controlled trial.","authors":"Le Wang, Yi Li, Ruyao Liu, Heping Li, Liugen Wang, Yongkang Yuan, Wenjian Li, Yunyun Song, Xi Zeng","doi":"10.23736/S1973-9087.24.08471-5","DOIUrl":"10.23736/S1973-9087.24.08471-5","url":null,"abstract":"<p><strong>Background: </strong>The effect of motor imagery applied to dysphagia patients with Wallenberg syndrome has not yet been reported.</p><p><strong>Aim: </strong>This trial aimed to investigate the effect and mechanism of motor imagery based on action observation treatment in the rehabilitation of patients with dysphagia in Wallenberg syndrome.</p><p><strong>Design: </strong>A randomized controlled trial.</p><p><strong>Setting: </strong>The setting was in-patient.</p><p><strong>Population: </strong>Thirty patients with dysphagia of Wallenberg syndrome.</p><p><strong>Methods: </strong>The patients were divided into the experimental group and the control group. Both groups received conventional dysphagia treatment, and the experimental group underwent the addition of motor imagery based on action observation treatment to the control group once a day for 14 days. Overall swallowing function was assessed with specific scales before and after intervention. Meanwhile, the functional near infrared spectroscopy was used to detect changes in cerebral hemodynamics during the execution of volitional swallowing task and swallowing motor imagery.</p><p><strong>Results: </strong>The standardized swallowing assessment score (P=0.030), Murray secretion scale score (P=0.044) and swallowing quality of life score (P=0.011) of the experimental group improved better than those of the control group. In addition, multiple brain regions of the cortical presented extensive activation (P<0.05) during the execution of swallowing motor imagery. Moreover, there were significant differences (P<0.05) in brain regions pre-motor and supplementary motor cortex, right primary motor cortex, and right primary somatosensory cortex of the experimental group before and after treatment.</p><p><strong>Conclusions: </strong>The present study indicated that motor imagery based on action observation treatment could improve swallowing function for patients with dysphagia of Wallenberg syndrome as an add-on training. As a top-down rehabilitation training, the mechanism of this therapy may be related to the selective activation of mirror neuron system.</p><p><strong>Clinical rehabilitation impact: </strong>Motor imagery based on action observation treatment can be implemented as part of the therapeutic for dysphagia of Wallenberg syndrome.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"938-948"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142380372","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":"What can I do for my low back pain? The Work In Progress questionnaire!","authors":"Marco Monticone, Federico Arippa, Roberto Garri, Andrea Pibiri, Maicol Formentelli, Barbara Rocca","doi":"10.23736/S1973-9087.24.08572-1","DOIUrl":"10.23736/S1973-9087.24.08572-1","url":null,"abstract":"<p><strong>Background: </strong>There is growing evidence on Commitment Therapy for people with low back pain (LBP). A self-reported questionnaire is lacking which evaluates commitment by relying on the most recommended actions, the most important core outcome domains, and the most evidenced treatment options.</p><p><strong>Aim: </strong>To describe the development and psychometric validation of the Work In Progress (WIP) questionnaire.</p><p><strong>Design: </strong>Development and psychometric validation of the WIP questionnaire in the context of people with LBP, as a means to evaluate Commitment.</p><p><strong>Setting: </strong>Outpatient facilities.</p><p><strong>Population: </strong>People with LBP.</p><p><strong>Methods: </strong>The new instrument was created by item generation and selection. Face validity, appropriateness, acceptability and feasibility were investigated. Psychometric testing was carried out in a cross-sectional study and included: 1) exploratory factor analysis; 2) reliability by internal consistency (Cronbach's alpha) and test-retest measurement (Intra-class Correlation Coefficient, ICC<inf>2.1</inf>); and 3) construct validity by hypothesis testing the correlation of the WIP questionnaire with the Pain Catastrophizing Scale (PCS), the Oswestry Disability Index (ODI), and a pain intensity Numerical Rating Scale (NRS) (Pearson's r correlations).</p><p><strong>Results: </strong>The WIP questionnaire was successfully developed based on international guidelines and the testing of face validity, appropriateness, acceptability and feasibility were satisfactory. The instrument was administered to 102 people with LBP (39 females, mean age of 49.7±14.6 years [range 20-80], pain median duration of 42.1 weeks [range 3-360]). Factor analysis revealed a two-factor 10-item solution (57% of explained variance). The internal consistency was good (α=0.70-85) and test-retest assessment was excellent (ICC<inf>2.1</inf>=0.91-94). Construct validity was good, as ≥75% of hypotheses were confirmed.</p><p><strong>Conclusions: </strong>The WIP questionnaire is a self-reported tool to evaluate commitment in persons with LBP showing satisfactory psychometric properties. It can be recommended for clinical and research purposes.</p><p><strong>Clinical rehabilitation impact: </strong>This study adds original new data to the existing knowledge in the field of Commitment within the bio-psychosocial paradigm for disabled people. It is expected to contribute to the evaluative, clinical and rehabilitative approach of individuals with low back pain.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"1019-1026"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344242","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":"Development of core sets for deafblindness using the International Classification of Functioning, Disability, and Health: the perspectives of individuals with lived experience.","authors":"Walter Wittich, Shirley Dumassais, Meredith Prain, Tosin O Ogedengbe, Carolin Gravel, Atul Jaiswal, Renu Minhas, Ricard Lopez, Sarah Granberg","doi":"10.23736/S1973-9087.24.08500-9","DOIUrl":"10.23736/S1973-9087.24.08500-9","url":null,"abstract":"<p><strong>Background: </strong>The needs of people with deafblindness remain poorly understood and addressed globally. This study is part of a larger body of work to develop Core Sets for deafblindness using the International Classification of Functioning, Disability, and Health (ICF).</p><p><strong>Aim: </strong>To determine the perspectives on functioning of individuals with lived experience of deafblindness as they relate to the ICF.</p><p><strong>Design: </strong>Cross-sectional interview study.</p><p><strong>Setting: </strong>Global, representing all six regions of the World Health Organization.</p><p><strong>Population: </strong>A diverse cohort of 72 individuals living with deafblindness or as close family members, ranging across the spectrum of severity.</p><p><strong>Methods: </strong>Qualitative interviews and focus groups were used to explore six open-ended questions about perceived barriers and facilitators to functioning of body functions and structures, activities and participation, and environmental and personal factors. Data were synthesized using content analysis, and the resulting topics were linked to the ICF codes using established linking methodology prescribed by the World Health Organization's ICF Research Branch. Descriptive statistics summarized all demographic data.</p><p><strong>Results: </strong>The analyses of the transcripts uncovered 2534 meaning units, leading to the identification of 492 corresponding distinct codes from the ICF framework, and spanning across 93.33% of coding categories available. Sensory (b2) and Mental Functions (b1) emerged as the most frequent Body Functions (b) codes. Most categories referred to Activities & Participation, with Mobility (d4) being the most frequently mentioned topic. Services, Systems and Policies (e5) was the most frequently used Environmental factor.</p><p><strong>Conclusions: </strong>Over 93% of the ICF classification categories were accessed to code the data provided by participants, demonstrating the complexity of functioning with deafblindness. This study provides valuable information to shape policy and research by providing representation of lived experience towards the consensus conference for the comprehensive and abbreviated Core Sets for deafblindness.</p><p><strong>Clinical rehabilitation impact: </strong>The inclusion of lived experience provides a holistic understanding of the daily challenges faced by individuals living with deafblindness. By being part of this process, they have a voice in shaping the classification system that will be used to describe their experiences, fostering a sense of ownership and empowerment.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"1060-1069"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461231","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":"Designing studies and reviews to produce informative, trustworthy evidence about complex interventions in rehabilitation: a narrative review and commentary.","authors":"William M Levack, Douglas P Gross, Rachelle A Martin, Susanna Every-Palmer, Carlotte Kiekens, Claudio Cordani, Stefano Negrini","doi":"10.23736/S1973-9087.24.08459-4","DOIUrl":"10.23736/S1973-9087.24.08459-4","url":null,"abstract":"<p><p>According to Cochrane Rehabilitation's recently published definition for research purposes, rehabilitation is inherently complex. Rehabilitation teams frequently implement multiple strategies concurrently, draw on input from a range of different health professionals, target multiple outcomes, and personalize therapeutic plans. The success of rehabilitation lies not only in the specific therapies employed, but also in how they are delivered, when they are delivered, and the capability and willingness of patients to engage in them. In 2021, the UK Medical Research Council (MRC) and the National Institute of Health Research (NIHR) released the second major update of its framework for developing and evaluating complex interventions. This framework has direct relevance to the development and implementation of evidence-based practice in the field of rehabilitation. While previous iterations of this framework positioned complex interventions as anything that involved multiple components, multiple people, multiple settings, multiple targets of effect, and behavior change, this latest framework expanded on this concept of complexity to also include the characteristics and influence of the context in which interventions occur. The revised MRC-NIHR framework presents complex intervention research as comprising the following four inter-related and overlapping phases: 1) development or identification of the intervention; 2) feasibility; 3) evaluation; and 4) implementation, with different methods and tools required to address each of these phases. This paper provides an overview of the MRC-NIHR framework and its application to rehabilitation, with examples from past research. Rehabilitation researchers are encouraged to learn about the MRC-NIHR framework and its application. Funders of rehabilitation research are also encouraged to place greater emphasis on supporting studies that involve the right design to address key uncertainties in rehabilitation clinical practice. This will require investment into a broader range of types of research than simply individual-level randomized controlled trials. Rehabilitation research can both learn from and contribute to future iterations of the MRC-NIHR framework as it is an excellent environment for exploring complexity in clinical practice.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"1088-1099"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141450232","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":"Bridging the gap: integrating neurodivergence into rehabilitation plans for adults.","authors":"Giorgio Ferriero, Irene Ferrario, Francesco Negrini","doi":"10.23736/S1973-9087.24.08864-6","DOIUrl":"https://doi.org/10.23736/S1973-9087.24.08864-6","url":null,"abstract":"","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":"60 6","pages":"917-918"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817545","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":"Digital technologies for pediatric rehabilitation: current access and use in the European Rehatech4child survey.","authors":"Johanne Mensah-Gourmel, Saranda Bekteshi, Sylvain Brochard, Elegast Monbaliu, Anca I Grigoriu, Christopher J Newman, Marco Konings, Javier DE LA Cruz, Christelle Pons","doi":"10.23736/S1973-9087.24.08559-9","DOIUrl":"10.23736/S1973-9087.24.08559-9","url":null,"abstract":"<p><strong>Background: </strong>Digital technologies such as robotics and treadmill-systems (RobTS), virtual-reality and active video-gaming (VR-AVG), and telehealth and apps (T&Apps) used within pediatric motor rehabilitation may promote recovery and improve function. However, digital technology uptake may be limited in clinical practice.</p><p><strong>Aim: </strong>To explore access to and use of digital technologies for pediatric motor rehabilitation (DT4R) in Europe as a function of individual and environmental factors, as well as potential barriers to their use.</p><p><strong>Design: </strong>This observational study was based on RehaTech4child, a cross-sectional survey (2022), supported by the European Academy of Childhood Disability.</p><p><strong>Setting: </strong>Online survey available in 20 European languages.</p><p><strong>Population: </strong>The survey was disseminated through convenience and snowball sampling to pediatric motor rehabilitation professionals in Europe.</p><p><strong>Methods: </strong>The survey included items on outcomes (access, use, purposes of use and intention to use for the three categories of DT4R, i.e. RobTS, VR-AVG and T&Apps), determinants (socio-demographics, rehabilitation practice) and barriers. The association between access and use, and individual and environmental determinants was assessed using logistic regression adjusted for age, gender and profession.</p><p><strong>Results: </strong>Of the 1397 responses received, 635 were included. Respectively 67.7% and 74.3% of respondents reported using and having access to at least one of the three categories of DT4R. T&Apps and VR-AVG were used by 50.8% and 45.5% of respondents, respectively, and RobTS by 36.6% (P<0.001). Ease of access was the main determinant of use and frequency of use. Individual (e.g. age) and environmental (e.g. healthcare facility, patients' age) factors were access determinants. At least 70% of professionals intended to use a DT4R if available. Lack of financial resources and training were the most frequently reported severe barriers.</p><p><strong>Conclusions: </strong>This study found that DT4R were already used in clinical practice by around two-thirds of respondents and that they generally wished to use them even more. Access was the main determinant of use and frequency of use.</p><p><strong>Clinical rehabilitation impact: </strong>To facilitate access and use of DT4R, infrastructure and financial resources should be outlined, and training opportunities provided for professionals. Practice guidance should be developed and adapted for specific age groups and rehabilitation goals.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"970-979"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461232","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":"Proposed categories for reporting of service organization in rehabilitation in clinical trials: a discussion paper.","authors":"Cecilie Røe, Christoph Gutenbrunner, Andrea Bökel, Marit Kirkevold, Boya Nugraha, Nada Andelic, Juan Lu, Erik Bautz-Holter, Paul B Perrin, Audny Anke, Reidun Jahnsen, Grethe Månum, Emilie Howe, Line Kildal Bragstad, Helene L Soberg","doi":"10.23736/S1973-9087.24.08494-6","DOIUrl":"10.23736/S1973-9087.24.08494-6","url":null,"abstract":"<p><strong>Background: </strong>The lack of standardized reporting for crucial organizational factors in rehabilitation poses a significant barrier to understanding their impact on patient outcomes in clinical trials and meta-analyses.</p><p><strong>Aim: </strong>Based on the categories in the International Classification of Service Organization in Rehabilitation (ICSO-R 2.0), we aimed to develop reporting standards specifically for organizational factors in clinical trials.</p><p><strong>Methods: </strong>A comprehensive two-step process was conducted. In Step 1, important categories were identified. The identification was based on previous results from a Delphi survey with international stakeholder participation, two systematic literature reviews and results from focus groups with users in Germany, Indonesia and Norway. Step 2 involved the necessary reduction of categories and the proposal of reporting specifications, achieved through two voting rounds among key researchers, stakeholders and users.</p><p><strong>Results: </strong>The suggested minimum reporting set comprises Context and Setting as well as Quality assurance and management. The Context and Setting is proposed to include whether the intervention is delivered by Hospital, Community or Other service providers. The Mode of delivery is proposed to be specified as Inpatient, Outpatient, In-home, or Tele-rehabilitation. Furthermore, the Level of specialization (Primary/Secondary) and the Phase of service delivery Acute, Subacute or Long-term rehabilitation services should be reported. The Quality assurance and management should be reported as Yes or No, with the option Yes requiring description of the quality assurance applied in the methods section.</p><p><strong>Conclusions: </strong>This study proposed a compulsory and standardized reporting of organizational factors in clinical trials to facilitate the generation of scientific evidence regarding effective service provision and delivery in rehabilitation medicine. Authors are encouraged to consider the proposed reporting set to testing, criticism, and modification to enhance its applicability and robustness.</p>","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":"1070-1077"},"PeriodicalIF":3.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142380371","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":"https://doi.org/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":""},"PeriodicalIF":3.3,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing the gap: stroke-related sarcopenia in Brazil.","authors":"Marta Imamura, Ernani F Sanchez, Gabrielle T Sigaki, Pedro T Souza, Linamara R Battistella, Levent Özçakar","doi":"10.23736/S1973-9087.24.08740-9","DOIUrl":"10.23736/S1973-9087.24.08740-9","url":null,"abstract":"","PeriodicalId":12044,"journal":{"name":"European journal of physical and rehabilitation medicine","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142667113","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}