International Journal of Rehabilitation Research最新文献

A clinical examination of OPTIMAL theory application in people with multiple sclerosis: a proof-of-concept study and implications for rehabilitation practice.

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-12-18 DOI: 10.1097/MRR.0000000000000653

Zahra Khalaji, Hamid Salehi, Maryam Nezakat Alhosseini, Rebecca Lewthwaite, Gabriele Wulf

{"title":"A clinical examination of OPTIMAL theory application in people with multiple sclerosis: a proof-of-concept study and implications for rehabilitation practice.","authors":"Zahra Khalaji, Hamid Salehi, Maryam Nezakat Alhosseini, Rebecca Lewthwaite, Gabriele Wulf","doi":"10.1097/MRR.0000000000000653","DOIUrl":"10.1097/MRR.0000000000000653","url":null,"abstract":"We investigated the potential to improve motor learning and performance in people with multiple sclerosis (PwMS) with OPTIMAL theory conditions. OPTIMAL theory predicts that three main factors [i.e. autonomy support (AS), enhanced expectancies (EE), and external focus (EF)] facilitate performance and learning. We examined whether the implementation of all three combined in a consecutive manner during practice would be beneficial for the motor learning and performance in a clinical population facing physical, cognitive, and emotional challenges. Thirty PwMS with mild-to-moderate disability (Expanded Disability Status Scale = 2.0-5.0) were randomly assigned to one of two groups (optimized and control) and practiced a novel motor-cognitive task involving rapid square-stepping to memorized patterns. Following a pretest (no group difference), optimized group participants practiced under each of three factors across practice phase (EE: feedback after good trials; AS: choice of mat color; and EF: external focus to the mat). Control group participants practiced under neutral conditions. The optimized group had significantly shorter movement times than the control group in the practice phase [174.7 (27.4) s vs. 236.8 (35.8) s, P < 0.0001], on the 24-h retention test [69.3 (9.3) s vs. 159.7 (15.5) s, P < 0.0001], and the 24-h transfer test [146.1 (14.9) s vs. 223.1 (38.9) s, P < 0.0001]. Thus, optimized practice combining AS, EF, and EE enhanced motor skill learning. Key factors in the OPTIMAL theory can be used to improve patients' motor learning. Further studies are warranted to extend these proof-of-concept observations for potential clinical applications.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142836612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationship between characteristics of segmental phase angles and walking ability in patients with hemiplegia after stroke and traumatic brain injury in a convalescent rehabilitation ward.

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-12-13 DOI: 10.1097/MRR.0000000000000651

Ryo Tsujinaka, Takahiro Yoshitani, Hikari Suzuki, Ryo Tanaka, Yumi Izutani, Kaede Morimoto

{"title":"Relationship between characteristics of segmental phase angles and walking ability in patients with hemiplegia after stroke and traumatic brain injury in a convalescent rehabilitation ward.","authors":"Ryo Tsujinaka, Takahiro Yoshitani, Hikari Suzuki, Ryo Tanaka, Yumi Izutani, Kaede Morimoto","doi":"10.1097/MRR.0000000000000651","DOIUrl":"10.1097/MRR.0000000000000651","url":null,"abstract":"This study determined the characteristics of the phase angles (PhAs) of the trunk, affected limb, and unaffected limb at admission and their relationship with walking ability at discharge in patients with stroke and traumatic brain injury in a convalescent rehabilitation ward. Stroke and traumatic brain injury survivors with hemiplegia admitted to a convalescent rehabilitation ward were divided into independent- and dependent-walking groups. The trunk, affected limb, and unaffected limb PhAs were evaluated using bioelectrical impedance analysis and compared between the independent- and dependent-walking groups. Friedman's test was performed to analyze differences in the trunk, affected limb, and unaffected limb PhAs within each group. Multiple regression was performed to examine the association between walking ability and segmental PhAs. We enrolled 47 patients (independent-walking group: n = 12; dependent-walking group: n = 35). The dependent-walking group had a significantly lower trunk, affected limb, and unaffected limb PhAs. The segmental PhA was higher in the trunk than in the affected and unaffected limbs in the independent-walking group and lower in the affected limb than in the trunk and unaffected limb in the dependent-walking group. Only the trunk PhA at admission was significantly associated with walking ability at discharge ( β = 0.367; P = 0.002). The trunk PhA at admission may be related to walking ability at discharge in patients undergoing stroke and traumatic brain injury rehabilitation.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142768750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improvements in activities of daily living among patients with brain tumors are associated with age, baseline physical function, duration of rehabilitation, and tumor recurrence but not type. 脑肿瘤患者日常生活活动能力的提高与年龄、基线身体功能、康复持续时间和肿瘤复发有关，但与类型无关。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-12-01 Epub Date: 2024-08-28 DOI: 10.1097/MRR.0000000000000641

Takahiro Watanabe, Shinichi Noto, Manabu Natsumeda, Shinji Kimura, Fumie Ikarashi, Satoshi Tabata, Mayuko Takano, Yoshihiro Tsukamoto, Makoto Oishi

{"title":"Improvements in activities of daily living among patients with brain tumors are associated with age, baseline physical function, duration of rehabilitation, and tumor recurrence but not type.","authors":"Takahiro Watanabe, Shinichi Noto, Manabu Natsumeda, Shinji Kimura, Fumie Ikarashi, Satoshi Tabata, Mayuko Takano, Yoshihiro Tsukamoto, Makoto Oishi","doi":"10.1097/MRR.0000000000000641","DOIUrl":"10.1097/MRR.0000000000000641","url":null,"abstract":"Genetic testing has improved the accuracy of diagnosis of brain tumors, and treatment is now tailored to the type of brain tumor. In contrast, the factors that influence the improvement in independence in activities of daily living (ADLs) following rehabilitation have not been clarified, particularly the role of tumor type. In this retrospective cohort study of 358 participants, we analyzed changes in the Functional Independence Measure (FIM) from pre-rehabilitation to post-rehabilitation provided in an acute care hospital. Multiple regression was used to determine whether FIM gain is associated with age, gender, preadmission Karnofsky Performance Status (KPS), number of rehabilitation days, average duration of daily therapy (min/day), and tumor recurrence and type (WHO grade 1, 2, 3, and 4 gliomas; primary central nervous system lymphomas; and metastatic brain tumors). The results showed that older age ( β -0.183), tumor recurrence ( β -0.137), preadmission KPS < 80 ( β -0.180), and higher baseline total FIM score ( β -0.470) were associated with lower FIM gain whereas the average duration of daily therapy ( β 0.153) was associated with higher FIM gain. Brain tumor type was not associated with FIM gain. Improved independence in ADLs is more influenced by demographic, functional status, and treatment factors than differences in brain tumor type.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"231-237"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142072793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The mediating role of kinesiophobia in pain intensity, physical function, and physical activity level in inflammatory arthritis.

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-12-01 Epub Date: 2024-10-22 DOI: 10.1097/MRR.0000000000000650

Larissa Nakahata Medrado, Silvio Assis de Oliveira-Junior, Paula Felippe Martinez

{"title":"The mediating role of kinesiophobia in pain intensity, physical function, and physical activity level in inflammatory arthritis.","authors":"Larissa Nakahata Medrado, Silvio Assis de Oliveira-Junior, Paula Felippe Martinez","doi":"10.1097/MRR.0000000000000650","DOIUrl":"10.1097/MRR.0000000000000650","url":null,"abstract":"Pain is the main symptom of inflammatory arthritis and it can impair physical functional performance and physical activity level. Some individuals can develop kinesiophobia and experience a vicious circle of worsening health. This study aimed to investigate the association between pain and physical functional performance/physical activity and determine whether kinesiophobia mediates this association. This was a cross-sectional study with individuals diagnosed with inflammatory arthritis (rheumatoid arthritis or spondyloarthritis) treated at a Rheumatology Outpatient Clinic. We assessed pain (Visual Analogue Scale), physical activity (International Physical Activity Questionnaire - long form), kinesiophobia (Tampa Scale for Kinesiophobia), and physical functional performance (Handgrip Strength Dynamometry, 30-second Sit-to-Stand test, Static Muscular Endurance test, and Timed Up and Go test). The mediating effect of kinesiophobia on the relationship between pain intensity and physical functional performance/physical activity was analyzed, and the significance of the mediating effect (kinesiophobia) was tested through a bootstrap approach. Thirty-three individuals with inflammatory arthritis (mean age: 48 ± 12 years) participated in the study. Kinesiophobia mediates the relationship between pain intensity and physical functional performance analyzed by the 30-second Sit-to-Stand test [indirect effect (IE)overall = -0.343, bootstrap 95% confidence interval (CI): -0.698 to -0.002] and by knee flexion at 90º of the dominant limb (IEoverall = -1.55, bootstrap 95% CI: -3.43 to -0.237). In conclusion, pain intensity can affect physical functional performance through kinesiophobia in individuals with inflammatory arthritis.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"47 4","pages":"252-259"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Responsiveness of the Australian Spasticity Assessment Scale to botulinum neurotoxin injection into spastic wrist flexors after acquired brain injury. 澳大利亚痉挛评估量表对后天性脑损伤后痉挛性腕屈肌注射肉毒杆菌神经毒素的反应。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-12-01 Epub Date: 2024-09-27 DOI: 10.1097/MRR.0000000000000644

Korhan Bariş Bayram, İlker Şengül, Nazrin Aghazada, Ayhan Aşkin, Ferhan Elmali

{"title":"Responsiveness of the Australian Spasticity Assessment Scale to botulinum neurotoxin injection into spastic wrist flexors after acquired brain injury.","authors":"Korhan Bariş Bayram, İlker Şengül, Nazrin Aghazada, Ayhan Aşkin, Ferhan Elmali","doi":"10.1097/MRR.0000000000000644","DOIUrl":"10.1097/MRR.0000000000000644","url":null,"abstract":"The Australian Spasticity Assessment Scale (ASAS) is a relatively new scale used to rate the severity of spasticity. Although the reliability of the ASAS has been investigated, its ability to detect a clinically important change (responsiveness) has not. The objective of this study was to investigate the responsiveness of the ASAS in adult patients with acquired brain injury-related wrist flexor spasticity treated with botulinum neurotoxin A. The responsiveness of the ASAS was assessed by the standardized response mean at the group level. At the individual level, responsiveness was assessed by the percentage of responders and nonresponders. Those who had at least a 1 grade reduction in spasticity severity were considered responders. In addition, the magnitude of the goniometric change in R1 (angle of catch response) across the responders and nonresponders was studied as a distribution of frequency. Significant improvements in R1 and ASAS were achieved with the treatment. The standardized response mean based on the ASAS grades was 1.50 with a 95% confidence interval of 1.16-1.89. At the individual level, 40 of all cases (78.4%) were responders, and 11 (21.6%) were nonresponders. Three of the 11 nonresponders (27.3%) improved R1 beyond the 10 ° margin of error (20, 50, and 50 °). In contrast, the percentage of responders who had a change within the margin of error was 27.5% (11 out of 40). Although ASAS can reveal a decrease in wrist flexor spasticity, it has some shortcomings in detecting the potentially clinically important response at the individual level.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"238-245"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of continuous passive motion compared to physiotherapy in rehabilitation after total knee replacement: a prospective randomized controlled non-inferiority trial. 持续被动运动与物理治疗在全膝关节置换术后康复中的疗效比较：一项前瞻性随机对照非劣效试验。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-12-01 Epub Date: 2024-10-09 DOI: 10.1097/MRR.0000000000000646

Johannes Schröter, Julian Renz, Natascha Raisig, Per Otto Schüller, Yama Afghanyar, Charlotte Arand, Michael Nienhaus, Erol Gercek

{"title":"Efficacy of continuous passive motion compared to physiotherapy in rehabilitation after total knee replacement: a prospective randomized controlled non-inferiority trial.","authors":"Johannes Schröter, Julian Renz, Natascha Raisig, Per Otto Schüller, Yama Afghanyar, Charlotte Arand, Michael Nienhaus, Erol Gercek","doi":"10.1097/MRR.0000000000000646","DOIUrl":"10.1097/MRR.0000000000000646","url":null,"abstract":"Successful total knee replacement (TKR) heavily depends on postoperative rehabilitation. This study aims to investigate the efficacy of continuous passive motion (CPM) partially replacing group physiotherapy in an inpatient rehabilitation setting in order to contribute to the lack of physiotherapists in patients' care. Adult patients after TKR were included. A prospective randomized controlled two-center trial was conducted across inpatient rehabilitation facilities in Germany. Participants were randomly assigned to CPM or group physiotherapy. In addition, all participants received the same standard rehabilitation program. Primary outcome was the Staffelstein Score, and secondary outcome measures included Oxford Knee Score, range of motion (ROM), pain, and return to work. Non-inferiority margin for Staffelstein Score was set at ±5% of maximum scores based on previous collected data. Results indicate no significant differences between CPM and physiotherapy groups in the Staffelstein Score (CPM: 94 ± 10 points; group physiotherapy: 92 ± 10 points; P > 0.05), ROM, or pain management at discharge from rehabilitation facility. This study underscores the potential of CPM as a valuable component of TKR rehabilitation, providing comparable outcomes to traditional physiotherapy. However, individualized physiotherapy remains integral to optimizing long-term success. Future research should explore extended follow-up periods and diverse patient populations to further elucidate CPM's role in TKR rehabilitation.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"246-251"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility, reliability, and validity of the two-minute step test for assessing aerobic exercise capacity and functional endurance in participants with anterior cruciate ligament reconstruction.

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-12-01 Epub Date: 2024-10-29 DOI: 10.1097/MRR.0000000000000643

Caner Kararti, Fatih Özyurt, Ömer Alperen Gürses, Hakki Çağdaş Basat, İsmail Özsoy, Sümeyye Erol, Kubra Caylan Gurses

{"title":"Feasibility, reliability, and validity of the two-minute step test for assessing aerobic exercise capacity and functional endurance in participants with anterior cruciate ligament reconstruction.","authors":"Caner Kararti, Fatih Özyurt, Ömer Alperen Gürses, Hakki Çağdaş Basat, İsmail Özsoy, Sümeyye Erol, Kubra Caylan Gurses","doi":"10.1097/MRR.0000000000000643","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000643","url":null,"abstract":"The aim of this study was to investigate the feasibility, test-retest reliability, and construct validity of the 2-min step test (2MST) in measuring aerobic exercise capacity and functional endurance in participants with anterior cruciate ligament reconstruction (ACLR). Fifty participants with quadriceps tendon autograft, bone-patellar tendon-bone graft, or hamstring autograft were included. Feasibility was assessed by the time and support required to complete the measures and the feedback from participants, including their satisfaction ratings. Test-retest reliability was assessed using the intraclass correlation coefficients (ICC2,1), a Bland-Altman plot with 95% limits of agreement (LoA), SEM, SEM%, and minimum detectable change (MDC95). The participants were assessed with the visual analogue scale (VAS), Lysholm Knee Scoring Scale, Knee Injury and Osteoarthritis Outcome Score (KOOS), stair climbing test (SCT), and 6-min walk test to assess construct validity. The test took less than 5 min to describe and perform, and participants required minimal verbal support. The satisfaction rate was notably high. The ICC2,1 was 0.98 (0.96-0.99). SEM and MDC95 were 2.96 and 8.20 (2.41-14.00), respectively. The SEM% of 2.99 was considered to be at a very good level. The Bland-Altman plot illustrates that the 2MST scores had a 95% LoA ranging from -21.52 to 2.68 steps. The SCT score and VAS rest score were found to be associated with the 2MST performance, explaining 42.5% of the variance. The 2MST is a feasible, reliable, and valid test to measure aerobic exercise capacity and functional endurance in participants with ACLR.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"47 4","pages":"260-267"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142794661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding the multidimensionality of a concern for falling in people with unilateral transtibial amputation: a cross-sectional study. 了解单侧经胫骨截肢者对跌倒担忧的多面性：一项横断面研究。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-12-01 Epub Date: 2024-10-09 DOI: 10.1097/MRR.0000000000000647

Kristin Nugent, Ricardo Viana, Michael W Payne, Janelle Unger, Susan W Hunter

{"title":"Understanding the multidimensionality of a concern for falling in people with unilateral transtibial amputation: a cross-sectional study.","authors":"Kristin Nugent, Ricardo Viana, Michael W Payne, Janelle Unger, Susan W Hunter","doi":"10.1097/MRR.0000000000000647","DOIUrl":"10.1097/MRR.0000000000000647","url":null,"abstract":"People with lower limb loss often experience psychological concerns related to falling. A concern for falling (CFF) includes four subdomains: fear of falling, self-efficacy, consequences of falling, and perceptions of falls. Limited research exists on how these subdomains are influenced by clinical factors and falls history. This cross-sectional online survey evaluated: (1) associations among CFF outcome measures; (2) relationships between falls history and outcome measures; and (3) clinical and demographic factors related with outcome measures. Inclusion criteria: ≥18 years old, unilateral transtibial amputation and ambulating with a prosthesis. Eight measures assessed CFF: visual analog scale fear of falling, Modified Survey of Activities and Fear of Falling in the Elderly (mSAFFE), Activities-specific Balance Confidence (ABC), Falls Efficacy Scale International (FES-I), Prosthetic Limb Users Survey - Mobility (PLUS-M), Locomotor Capabilities Index, Consequences of Falling Scale, and Perceived Ability to Manage Falls. Pearson bivariate correlation analysis assessed associations among outcome measures. T tests evaluated the association of falls status on outcome scores. Multiple linear regression modelled the clinical and demographic factors related to each measure. Sixty-eight adults (mean 61.8 ± 12.0) participated. Moderate statistically significant ( P < 0.001) correlations were found across most outcome measures, with the strongest between PLUS-M and mSAFFE ( r = -0.841), and ABC and FES-I ( r = -0.821). Faller status was not associated with any measure ( P > 0.05). Quality of life was associated with fear of falling, activity avoidance, self-efficacy, and certainty to managing falls ( R2 ranged from 0.27 to 0.47). CFF should be evaluated independently of falls history.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"268-275"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Technology for helping people with neuromotor, intellectual, and speech disabilities engage in leisure and communication activities: a proof-of-concept study. 帮助神经运动、智力和语言残疾人参与休闲和交流活动的技术：概念验证研究。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-12-01 Epub Date: 2024-10-18 DOI: 10.1097/MRR.0000000000000649

Giulio E Lancioni, Jorge Navarro, Antonella Mellino, Elena Bortolozzi, Nirbhay N Singh, Mark F O'Reilly, Jeff Sigafoos, Gloria Alberti

{"title":"Technology for helping people with neuromotor, intellectual, and speech disabilities engage in leisure and communication activities: a proof-of-concept study.","authors":"Giulio E Lancioni, Jorge Navarro, Antonella Mellino, Elena Bortolozzi, Nirbhay N Singh, Mark F O'Reilly, Jeff Sigafoos, Gloria Alberti","doi":"10.1097/MRR.0000000000000649","DOIUrl":"10.1097/MRR.0000000000000649","url":null,"abstract":"We extended the assessment of our recently developed technology to help people with neuromotor, intellectual, and speech disabilities access (listen to) music, communicate with distant partners, and answer questions. The technology included a tablet (1) fitted with an Internet connection, a SIM card, WhatsApp Messenger, and MacroDroid application, and (2) interfaced with different pairs of response sensors. Six participants were included in the study, which was carried out according to a nonconcurrent multiple baseline design across participants. During the baseline phase (5-8 sessions carried out over 1-2 weeks), participants were unable to access music, make video calls, or answer questions using a regular tablet. During the intervention phase (50-102 sessions carried out with the technology over 2-4 months), however, they activated means of 4.7-7.6 songs and 0.4-3.6 video calls per session. Moreover, they answered correctly a mean of 69-96% of the questions presented to them. These results suggest that our technology solution is a viable and potentially valuable resource for people with extensive disabilities.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"282-286"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11520330/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142465423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-12-01 Epub Date: 2024-10-29 DOI: 10.1097/MRR.0000000000000645

Mika Karsikas, Mikhail Saltychev, Juhani Juhola

{"title":"Age-related differences in psychometric properties of World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0): a retrospective analysis.","authors":"Mika Karsikas, Mikhail Saltychev, Juhani Juhola","doi":"10.1097/MRR.0000000000000645","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000645","url":null,"abstract":"The aim of this study was to detect a possible age-related differential item functioning (DIF) of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) among people with musculoskeletal disorders. This was a cross-sectional study of 1739 consecutive patients with chronic musculoskeletal pain at a university clinic. Difficulty and discrimination parameters were calculated for each of 12 items of the WHODAS 2.0 using item response theory. The presence of DIF was assessed both numerically and graphically. When considering differences in both difficulty and discrimination, a statistically significant DIF was observed for all the items except for the item 'washing' (P values <0.001). The DIF was mostly uniform. Items 'standing', 'household responsibilities', 'learning a new task', 'emotional affectedness', 'concentrating', 'washing' and 'dressing' showed better precision among older patients. Items 'walking', 'dealing with strangers', 'maintaining a friendship' and 'day-to-day work' were more informative among younger patients. Difficulty and discrimination parameters were alike for all 12 items. The DIF was mostly uniform. These results can be taken into account when applying the WHODAS 2.0 to people with musculoskeletal complaints, especially when the studied groups are predominated by people of certain age.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"47 4","pages":"276-281"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142794659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0