International Journal of Rehabilitation Research最新文献_第2页

Early clinical and functional predictors of functional recovery after hemorrhagic stroke: a scoping review. 出血性中风后功能恢复的早期临床和功能预测因素：范围回顾。

IF 1.4 4区医学

International Journal of Rehabilitation Research Pub Date : 2026-09-01 Epub Date: 2026-07-28 DOI: 10.1097/MRR.0000000000000711

Lorenzo Casertano, Clare C Bassile, Anjali Das, Jaqueline Montes, Ashwini K Rao

{"title":"Early clinical and functional predictors of functional recovery after hemorrhagic stroke: a scoping review.","authors":"Lorenzo Casertano, Clare C Bassile, Anjali Das, Jaqueline Montes, Ashwini K Rao","doi":"10.1097/MRR.0000000000000711","DOIUrl":"10.1097/MRR.0000000000000711","url":null,"abstract":"Individuals with hemorrhagic stroke are frequently left with disability. There are gaps in knowledge in prognostication of recovery after hemorrhagic stroke. This scoping review aims to characterize predictive value of current models examining early predictors of long-term recovery in adults after hemorrhagic stroke. Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines were followed. Four databases (PubMed, CINAHL, Web of Science, and Embase) were searched. Studies were included if greater than or equal to 60% of individuals had hemorrhagic stroke and identified early (≤30 days) predictors of long-term (≥6 months) recovery in adults after hemorrhagic stroke. Data regarding predictors and functional outcomes were extracted by at least two reviewers. Of 1155 articles, 31 were included. One study found that motor tract integrity, age, and hemorrhage volume explained 34.5% of the variance in functional outcomes. Of 31 studies, 30 did not provide overall predictive ability of the models tested but highlighted individual predictors independent of the others. Older age, worse severity, and higher comorbidities were associated with worse outcomes. Most outcome measures assessed gross function but gave little detail about specific functional performance. Only 12.9% (4/31) of studies included performance-based predictors. Functional and cognitive status were predictive of outcomes, indicating importance of more detailed functional assessments. There is a gap in the literature for prediction in hemorrhagic stroke. There is a need for further research to identify predictive value of both clinical and performance-based measures and to provide actionable models after hemorrhagic stroke to better inform rehabilitation approaches and promote more individualized care.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"157-168"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148163182","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

Intrinsic and adaptive recovery: a matter of perspective, not hierarchy. 内在和适应性恢复：一个观点问题，而不是等级问题。

IF 1.4 4区医学

International Journal of Rehabilitation Research Pub Date : 2026-09-01 Epub Date: 2026-07-28 DOI: 10.1097/MRR.0000000000000714

Luigi Tesio

引用次数: 0

Keeping the 'Medicine' in physical and rehabilitation medicine: beyond the false dichotomy between behavior and biology. 在物理和康复医学中保持“医学”：超越行为和生物学之间的错误二分法。

IF 1.4 4区医学

International Journal of Rehabilitation Research Pub Date : 2026-09-01 Epub Date: 2026-07-28 DOI: 10.1097/MRR.0000000000000715

Antonio Caronni

引用次数: 0

Hypermobility spectrum disorders and hypermobile Ehlers-Danlos syndrome: patient experiences, disability and implications for rehabilitation. 多动谱系障碍和多动Ehlers-Danlos综合征：患者经历，残疾和康复的意义。

IF 1.4 4区医学

International Journal of Rehabilitation Research Pub Date : 2026-09-01 Epub Date: 2026-07-28 DOI: 10.1097/MRR.0000000000000713

Lindsay Brandt, Melodie Kondratek, Limmy Kim, Hailey Ohanian, Kiley Schneck, Corinne Vukasovich, Abigail Wozny, Christina Ziskey

{"title":"Hypermobility spectrum disorders and hypermobile Ehlers-Danlos syndrome: patient experiences, disability and implications for rehabilitation.","authors":"Lindsay Brandt, Melodie Kondratek, Limmy Kim, Hailey Ohanian, Kiley Schneck, Corinne Vukasovich, Abigail Wozny, Christina Ziskey","doi":"10.1097/MRR.0000000000000713","DOIUrl":"10.1097/MRR.0000000000000713","url":null,"abstract":"The diagnosis and management of hypermobility spectrum disorders and hypermobile Ehlers-Danlos syndrome (HSD/hEDS) are a healthcare challenge because of the wide array of symptoms, lack of diagnostic biomarkers, and evolving management guidelines. This study aimed to describe patient experiences, disability, and self-perceived success managing HSD/hEDS, with or without comorbid postural orthostatic tachycardia syndrome, mast cell activation syndrome, or hip dysplasia. This anonymous online survey explored symptoms, impact on life/function, healthcare experiences, and symptom management status of individuals in the US aged greater than or equal to 13 years with HSD/hEDS. Frequencies and central tendencies were calculated for multiple-choice items. Free-response items were categorized using WHO domains of disability. Seventy-two survey responses were analyzed. The most frequent symptoms were joint hypermobility, joint pain, and subluxations. Disabilities were reported in all six WHO life domains, with life activities being the most common. Most participants (58%) reported symptoms were not well-managed and were more likely to report financial barriers to care and more health conditions compared with other participants. This sample of individuals with HSD/hEDS experiences complex, multifactorial challenges with disability and symptom management. These challenges may be related to comorbidities and financial barriers. Interdisciplinary care models and targeted rehabilitation approaches may improve participation and outcomes, particularly when combined with strategies to reduce logistical and economic barriers.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"222-228"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148258237","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

Wearable ankle activity monitor overestimates energy expenditure during ecological walking tasks in individuals with stroke and healthy adults. 可穿戴踝关节活动监测仪高估了中风患者和健康成人在生态步行任务中的能量消耗。

IF 1.4 4区医学

International Journal of Rehabilitation Research Pub Date : 2026-09-01 Epub Date: 2026-07-28 DOI: 10.1097/MRR.0000000000000708

Amine Guediri, Maxence Compagnat, Mathilde Baillargeat, Lucas Firmin, Jean-Christophe Daviet, Stéphane Mandigout

{"title":"Wearable ankle activity monitor overestimates energy expenditure during ecological walking tasks in individuals with stroke and healthy adults.","authors":"Amine Guediri, Maxence Compagnat, Mathilde Baillargeat, Lucas Firmin, Jean-Christophe Daviet, Stéphane Mandigout","doi":"10.1097/MRR.0000000000000708","DOIUrl":"10.1097/MRR.0000000000000708","url":null,"abstract":"Assessment of physical activity intensity is essential for guiding rehabilitation after stroke. Wearable activity monitors are used to estimate energy expenditure during walking; however, their validity in stroke populations under real-life walking conditions remains uncertain. This study aimed to evaluate the validity of an ActiGraph GT3X for estimating energy expenditure during walking tasks in stroke survivors using indirect calorimetry as the reference method. Thirty stroke survivors and 30 healthy controls performed indoor and outdoor walking tasks, including overground walking, stair ascent and descent, irregular terrain walking, and uphill and downhill walking. Energy expenditure expressed in metabolic equivalents was measured using the ActiGraph GT3X worn at the ankle and a portable gas exchange analyzer. Agreement between methods was assessed using Bland-Altman analyses and linear regression models. The ActiGraph GT3X overestimated energy expenditure across most walking tasks in both groups, with percentage differences ranging from 25.7 to 112% in stroke survivors and from 18.1 to 149.1% in healthy controls. In stroke survivors, walking speed was significantly associated with the difference in energy expenditure (ActiGraph GT3X - indirect calorimetry) across most tasks, with higher speeds leading to greater overestimation (e.g. β = 9.01, P < 0.001, R2 = 0.41 for stair descent). In healthy controls, this association was observed only for selected tasks, including overground walking and stair descent. These findings indicate that the ActiGraph GT3X has limited validity for energy expenditure estimation during ecological walking tasks. Although the device may provide relative indicators of effort, its outputs should be interpreted with caution.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"197-205"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147868244","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

Activity and participation after transient ischemic attack: a scoping review. 短暂性脑缺血发作后的活动和参与：范围综述。

IF 1.4 4区医学

International Journal of Rehabilitation Research Pub Date : 2026-08-27 DOI: 10.1097/MRR.0000000000000717

Thea B Ransby, Sara J S Hermansen, Stina Meyer Larsen, Louise M Nielsen

{"title":"Activity and participation after transient ischemic attack: a scoping review.","authors":"Thea B Ransby, Sara J S Hermansen, Stina Meyer Larsen, Louise M Nielsen","doi":"10.1097/MRR.0000000000000717","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000717","url":null,"abstract":"Transient ischemic attack (TIA) is traditionally regarded as a condition with full recovery. However, emerging evidence suggests that some individuals experience residual symptoms, limiting their activity and participation in everyday life. The objective was to systematically map and synthesize existing evidence on activity limitations and participation restrictions following TIA. A scoping review was conducted following the framework proposed by Arksey and O'Malley and further outlined by Levac et al. A comprehensive search was conducted across four electronic databases. Additional gray literature and references were screened. Studies reporting TIA-specific findings related to activity or participation were included. Data were charted and synthesized descriptively and thematically. Sixteen studies published between 1997 and 2026 were included, comprising quantitative, qualitative, and mixed-methods studies. Evidence indicated that some patients experience activity limitations and participation restrictions from months to several years after TIA. While most individuals remained independent in self-care activities, challenges were frequently reported in productive activities and leisure activities. Considerable heterogeneity in outcomes and assessment approaches was observed, with wide variation in measurement instruments and follow-up periods. Despite its transient definition, TIA may be associated with lasting limitations in activity and participation for some individuals. The findings suggest that the impact of TIA is insufficiently captured in current research and highlight the need for further research.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148828501","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

Nonparetic forearm fracture and early upper-limb manual function outcomes after stroke rehabilitation. 卒中康复后非麻痹性前臂骨折和早期上肢手功能预后。

IF 1.4 4区医学

International Journal of Rehabilitation Research Pub Date : 2026-08-07 DOI: 10.1097/MRR.0000000000000716

Seongmin Choi, Eo Jin Park

{"title":"Nonparetic forearm fracture and early upper-limb manual function outcomes after stroke rehabilitation.","authors":"Seongmin Choi, Eo Jin Park","doi":"10.1097/MRR.0000000000000716","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000716","url":null,"abstract":"Upper-limb recovery after stroke may be affected by conditions that restrict the use of the nonparetic limb during early rehabilitation. We evaluated whether nonparetic forearm fracture was associated with early manual function outcomes after inpatient stroke rehabilitation. This retrospective 1 : 3 matched cohort study included adults with ischemic or hemorrhagic stroke admitted between January 2018 and November 2025. Patients with imaging-confirmed nonparetic forearm fracture treated with conservative immobilization were matched 1 : 3 to patients without forearm fracture. The primary outcome was the 4-week manual function test score. Manual function test scores at rehabilitation admission, 4 weeks, and 4-week change were summarized descriptively. The primary analysis used matched-set fixed-effects regression with cluster-robust standard errors. The matched cohort included 244 patients, comprising 61 with fracture and 183 without fracture. At 4 weeks, the fracture group had lower scores than the no-fracture group (18.6 ± 5.2 vs. 22.5 ± 6.0; P < 0.001). In matched-set fixed-effects analysis, fracture status was associated with a lower 4-week manual function test score (β = -3.72, 95% confidence interval: -4.75 to -2.69; P < 0.001). Nonparetic forearm fracture was associated with worse early manual function after inpatient stroke rehabilitation.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148684461","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

Rehabilitation professionals' perspectives on the selection and adaptation of applications for cognitive impairment following acquired brain injury. 康复专业人士对获得性脑损伤后认知功能障碍应用选择与适应的看法。

IF 1.4 4区医学

International Journal of Rehabilitation Research Pub Date : 2026-06-01 Epub Date: 2026-02-17 DOI: 10.1097/MRR.0000000000000696

Megumi Kawasaki, Momoka Hirai, Kazuyuki Itoh, Jun Suzurikawa

{"title":"Rehabilitation professionals' perspectives on the selection and adaptation of applications for cognitive impairment following acquired brain injury.","authors":"Megumi Kawasaki, Momoka Hirai, Kazuyuki Itoh, Jun Suzurikawa","doi":"10.1097/MRR.0000000000000696","DOIUrl":"10.1097/MRR.0000000000000696","url":null,"abstract":"Applications for smartphones and tablets have been shown to support memory, attention, and executive function in individuals with cognitive impairments, promoting independence in daily living and employment. However, the rapid advancement and diversification of such applications have made selecting and adapting appropriate applications to individual user characteristics increasingly complex. This study aimed to clarify professionals' perspectives on the selection and adaptation of applications for individuals with cognitive impairments following acquired brain injury. Semi-structured interviews were conducted with 12 rehabilitation professionals involved in providing assistive technology devices. Commonly used applications included those for schedule management, route guidance, lifestyle management, and communication support. Suitability was judged based on pre-injury device use and cognitive characteristics, particularly language, memory, attention, and visuospatial functions. Usability challenges, such as excessive functionality, deep hierarchical structures, and poor visibility, highlighted the importance of simple and customizable design. Environmental factors, including professionals' knowledge, ongoing support, and accessibility, were also reported to affect long-term implementation. These findings suggest the relevance of a multidimensional evaluation integrating user characteristics, application functions, and environmental contexts. Strengthening evidence on application efficacy, clarifying adaptation criteria, promoting user-centered design, and developing structured training and support systems for both users and professionals may be important for effective and sustainable implementation of mobile technologies.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"115-121"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146206953","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

Age better discriminates early dysphagia than cough function, respiratory muscle strength, or trunk control after mild stroke. 年龄比咳嗽功能、呼吸肌力量或轻度中风后躯干控制更能区分早期吞咽困难。

IF 1.4 4区医学

International Journal of Rehabilitation Research Pub Date : 2026-06-01 Epub Date: 2026-03-23 DOI: 10.1097/MRR.0000000000000703

Monique Messaggi-Sartor, Anna Guillén-Solà, David Blanco, Ester Marco

{"title":"Age better discriminates early dysphagia than cough function, respiratory muscle strength, or trunk control after mild stroke.","authors":"Monique Messaggi-Sartor, Anna Guillén-Solà, David Blanco, Ester Marco","doi":"10.1097/MRR.0000000000000703","DOIUrl":"10.1097/MRR.0000000000000703","url":null,"abstract":"This retrospective study aimed to identify factors that best discriminate the presence of early dysphagia after mild stroke. We performed a retrospective analysis of prospectively collected routine-care data from consecutive first-ever subacute stroke patients. We included 140 first-ever subacute stroke patients greater than 18 years or older, within 3 weeks of stroke onset, with hemiparesis and a Mini-Mental State Examination score greater than 24, recruited from an inpatient rehabilitation unit. Dysphagia was assessed using the Volume-Viscosity Swallow Test and videofluoroscopy, with swallowing function evaluated by the Penetration-Aspiration Scale. The outcome measures included maximal inspiratory and expiratory muscle pressures (MIP and MEP) for respiratory muscle strength, peak expiratory cough flow (PECF) for cough function, and the Trunk Control Test for trunk control. We found respiratory muscle weakness and impaired cough function (MIP 55.5 ± 23.4; MEP 84.5 ± 33.9 cmH 2 O; PECF 244.9 ± 87.5 L/min); however, no deficits in trunk control were observed. Dysphagia was present in 30 patients (26.3%), who were older and had lower PECF (215.0 ± 85.8 vs. 255.6 ± 90.3 L/min; P = 0.02). In multivariable analysis, only age predicted dysphagia [odds ratio 1.09, 95% confidence interval (CI): 1.03-1.16; P = 0.03]; receiver operating characteristic area under the curve was 0.717 (95% CI: 0.613-0.821; P < 0.001) with a cutoff of 64.5 years. In early poststroke patients, dysphagia was primarily associated with older age, whereas respiratory muscle strength, cough function, and trunk control - although frequently impaired - were not independent predictors. An age threshold of ~65 years best discriminated between patients with and without dysphagia.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"108-114"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13124261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147499023","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

Introducing Perspective: a new voice in IJRR. 视角：IJRR的新声音。

IF 1.3 4区医学

International Journal of Rehabilitation Research Pub Date : 2026-06-01 Epub Date: 2026-04-27 DOI: 10.1097/MRR.0000000000000706

Dobrivoje S Stokic

引用次数: 0