International Journal of Rehabilitation Research最新文献_第3页

Comments on gait training with a safety suspension device accelerates the achievement of supervision level walking in subacute stroke: a randomized controlled trial. 一项随机对照试验：使用安全悬挂装置进行步态训练可加速亚急性中风患者达到监督水平的行走。

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.0000000000000642

Hina Vaish, Digvijay Sharma

引用次数: 0

The mediating role of kinesiophobia in pain intensity, physical function, and physical activity level in inflammatory arthritis. 运动恐惧在炎症性关节炎的疼痛强度、身体功能和运动水平中的中介作用。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub 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":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142500486","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

Identifying discriminant factors between phantom limb pain, residual limb pain, and both in people with lower limb amputations: a cross-sectional study. 识别下肢截肢者幻肢痛、残肢痛及两者的判别因素：一项横断面研究。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-09-01 Epub Date: 2024-07-15 DOI: 10.1097/MRR.0000000000000634

Sanaz Pournajaf, Carlo Damiani, Francesco Agostini, Giovanni Morone, Stefania Proietti, Roberto Casale, Marco Franceschini, Michela Goffredo

{"title":"Identifying discriminant factors between phantom limb pain, residual limb pain, and both in people with lower limb amputations: a cross-sectional study.","authors":"Sanaz Pournajaf, Carlo Damiani, Francesco Agostini, Giovanni Morone, Stefania Proietti, Roberto Casale, Marco Franceschini, Michela Goffredo","doi":"10.1097/MRR.0000000000000634","DOIUrl":"10.1097/MRR.0000000000000634","url":null,"abstract":"Postamputation pain is a common condition in patients with lower limb amputation (LLA), which compromises amputees' rehabilitation, use of the prosthesis, and quality of life. The aim of our study was to investigate the prevalence of phantom limb pain (PLP), residual limb pain (RLP), or both types of pain among individuals with LLA, and to identify the factors associated with the presence of one type of pain versus the other. Patients who underwent amputation for traumatic or vascular reasons and who reported on RLP or PLP were analyzed and divided into three groups: PLP, RLP, or a group of subjects that presented both pains. We searched for factors that affect the occurrence of limb pain using univariate analyses, followed by multinomial logistic regression. Among the 282 participants with transtibial and transfemoral amputations, 192 participants (150 male and 42 female) presented PLP, RLP, or both types of pain, while 90 participants declared to perceive no pain. The estimated prevalence of any type of pain after transfemoral and transtibial amputation was therefore 68% (27% PLP, 10% RLP, and 31% both). Among the studied characteristics, only amputation level was associated with the type of pain ( P = 0.001). Multinomial logistic regression identified transfemoral amputation as the only statistically significant predictor for PLP (odds ratio = 2.8; P = 0.002). Hence, it was estimated that individuals with transfemoral amputation have nearly three times higher odds of experiencing PLP compared with those with transtibial amputation.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"214-220"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11424063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141590315","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

Usefulness of the Kansas University Standing Balance Scale in inpatient rehabilitation: a retrospective validation study. 堪萨斯大学站立平衡量表在住院康复中的实用性：一项回顾性验证研究。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-09-01 Epub Date: 2024-07-09 DOI: 10.1097/MRR.0000000000000635

Asall Kim, Younji Kim, Myungki Ji, Jae-Young Lim

{"title":"Usefulness of the Kansas University Standing Balance Scale in inpatient rehabilitation: a retrospective validation study.","authors":"Asall Kim, Younji Kim, Myungki Ji, Jae-Young Lim","doi":"10.1097/MRR.0000000000000635","DOIUrl":"10.1097/MRR.0000000000000635","url":null,"abstract":"Adequate balance assessment is essential for designing rehabilitation programs and preventing falls. This study aimed to report the cross-cultural adaptation of the Korean version of the Kansas University Standing Balance Scale (KUSBS), investigate its concurrent and predictive validities, and examine aging-related differences. The adaptation was performed using a standard protocol. In this retrospective study, 1179 patients were included and classified into adult, young-old, old-old, and oldest-old groups. Furthermore, we compared the concurrent, discriminant, and predictive validities of the KUSBS and Berg Balance Scale (BBS). Nonparametric analysis was also conducted. The Spearman rho test revealed strong correlation coefficients between the KUSBS and BBS (r s > 0.7; P < 0.001). At admission, the relationship was strong in the adult, young-old, and old-old groups (r s = 0.931, 0.913, and 0.914, respectively; P < 0.001) but not the oldest-old group (r s = 0.790; P < 0.001). At discharge, the correlation coefficients were above 0.9 in all groups. Additionally, the relationship between the changes in both scales was moderate-to-strong (r s > 0.68; P < 0.001). The predictive validity for independent walking of the KUSBS was strong (r s = 0.791; P < 0.001) and significantly lower than that of the BBS (r s = 0.833; P < 0.001; Z = -3.001; P = 0.003). Furthermore, the cutoff value of the KUSBS at admission to predict independent ambulatory walkers at discharge was 3.5 in ordinal ranking in all age groups. The KUSBS is a reliable and effective tool for measuring balance in patients in inpatient rehabilitation.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"221-228"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491858","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

Effects of proprioceptive neuromuscular facilitation combined with threshold inspiratory muscle training on respiratory function in neurocritical patients with weaning failure: a randomized controlled trial. 本体感觉神经肌肉促进联合阈值吸气肌训练对断奶失败的神经重症患者呼吸功能的影响：随机对照试验。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-09-01 Epub Date: 2024-04-19 DOI: 10.1097/MRR.0000000000000627

Qian Zhou, Yuanyuan Zhang, Wei Yao, Sijie Liang, Hui Feng, Huaping Pan

{"title":"Effects of proprioceptive neuromuscular facilitation combined with threshold inspiratory muscle training on respiratory function in neurocritical patients with weaning failure: a randomized controlled trial.","authors":"Qian Zhou, Yuanyuan Zhang, Wei Yao, Sijie Liang, Hui Feng, Huaping Pan","doi":"10.1097/MRR.0000000000000627","DOIUrl":"10.1097/MRR.0000000000000627","url":null,"abstract":"The purpose of this study was to determine the effects of combining proprioceptive neuromuscular facilitation (PNF) with threshold inspiratory muscle training (TIMT), compared with TIMT alone, on respiratory function in neurocritical patients who experienced a weaning failure. Forty-seven participants (mostly after a stroke), were randomly divided into the experimental group ( n = 24) and the control group ( n = 23). The control group received usual care and TIMT, whereas the experimental group, in addition, underwent four 90-s periods of manual PNF. Both groups performed training in the ICU twice a day for 5 consecutive days. The main outcome measures included maximum inspiratory pressure, diaphragmatic excursions, diaphragm thickening fraction, oxygenation index, and forced expiratory volume in 1 s/forced vital capacity. The results showed a significant group-by-time interaction effect for maximum inspiratory pressure [ F (1, 45) = 17.84, η2 = 0.328, P < 0.001] and oxygenation index [ F [1, 45) = 5.58, η2 = 0.11, P = 0.023]. When compared with the control group, the experimental group showed overall significantly higher maximum inspiratory pressure [mean difference = 4.37 cm H 2 O, 95% confidence interval (CI) 0.25-8.50, P = 0.038]. No other significant group differences were found. Combining PNF with TIMT may improve respiratory function in neurocritical patients with weaning failure. This combination approach may increase the likelihood of survival of neurocritical patients in the ICU.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"164-168"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11288388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863868","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

Physical activity as mediator between back pain and disability. 体育活动是腰痛与残疾之间的中介。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-09-01 Epub Date: 2024-07-22 DOI: 10.1097/MRR.0000000000000638

Aleksandra E Karklins, Katri I Pernaa, Mikhail Saltychev, Juhani E Juhola, Jari P A Arokoski

引用次数: 0

Effects of combining a high-intensity interval training programme with a standard programme on mobility and function in lower limb amputees. 高强度间歇训练计划与标准计划相结合对下肢截肢者活动能力和功能的影响。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-09-01 Epub Date: 2024-06-17 DOI: 10.1097/MRR.0000000000000631

Nicolás Bevacqua, Gabriela Dell Elce, Leonardo Intelangelo

{"title":"Effects of combining a high-intensity interval training programme with a standard programme on mobility and function in lower limb amputees.","authors":"Nicolás Bevacqua, Gabriela Dell Elce, Leonardo Intelangelo","doi":"10.1097/MRR.0000000000000631","DOIUrl":"10.1097/MRR.0000000000000631","url":null,"abstract":"High-energy expenditure during walking is one of the most important limiting factors for lower limb amputees. Although several physical training methods have been proposed to reduce energy expenditure, little is known about the effects of high-intensity interval training in lower limb amputees. This study aimed to test the effects of a 6-week high-intensity interval training protocol in subjects with lower limb amputation on walking distance, physiological cost of walking, and functional mobility. A quasi-experimental pre and post-study included 13 subjects with lower limb amputation. They performed 12 sessions of a high-intensity interval training protocol with a frequency of 2 days/week for 6 weeks. Walking distance, physiological cost of walking, and functional mobility before and after the training protocol were assessed. Walking distance increased from 204.48 to 229.09 m ( P = 0.003), physiological cost of walking decreased from 0.66 to 0.31 beats/m ( P = 0.001), and functional mobility improved from 30.38 to 33.61 points ( P = 0.001). High-intensity interval training improved walking distance, physiological cost of walking, and functional mobility in subjects with lower limb amputation.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"158-163"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141330857","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

Factors associated with depression in patients undergoing rehabilitation for chronic pain: a cross-sectional analytical study at a referral hospital in Peru. 接受慢性疼痛康复治疗的患者抑郁的相关因素：秘鲁一家转诊医院的横断面分析研究。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-09-01 Epub Date: 2024-05-20 DOI: 10.1097/MRR.0000000000000630

Roger De la Cerna-Luna, Daniel Fernandez-Guzman, Ines Machicado-Chipana, Vanessa Martinez-Zapata, Paola Serna-Chavez, Katherine Paz-Cuellar

{"title":"Factors associated with depression in patients undergoing rehabilitation for chronic pain: a cross-sectional analytical study at a referral hospital in Peru.","authors":"Roger De la Cerna-Luna, Daniel Fernandez-Guzman, Ines Machicado-Chipana, Vanessa Martinez-Zapata, Paola Serna-Chavez, Katherine Paz-Cuellar","doi":"10.1097/MRR.0000000000000630","DOIUrl":"10.1097/MRR.0000000000000630","url":null,"abstract":"Despite the well-known impact of depression on patients with chronic pain and its association, few studies have evaluated its related factors in Physical Medicine and Rehabilitation settings. The objective of the present study was to assess the factors associated with depression in adult patients undergoing rehabilitation for chronic pain at Hospital Rebagliati (HNERM) in Peru. A cross-sectional analytical study was conducted between June and August 2023, involving 212 adult patients with chronic pain undergoing rehabilitation at HNERM. Data were collected through a survey, including sociodemographic information, pain characteristics, and depression assessment using the Patient Health Questionnaire-9 (PHQ-9). Statistical analysis included descriptive statistics and generalized linear models to identify factors associated with depression. Among 212 participants, 17.9% had a depression diagnosis based on the PHQ-9 (cutoff score: 10 points). Factors associated with a higher frequency of depression included a time since pain diagnosis of 3-6 months [adjusted prevalence ratios (aPR): 1.15, 95% confidence interval (CI): 1.04-1.27], severe pain (aPR: 1.17, 95% CI: 1.04-1.32), comorbidities (for 1: aPR: 1.21, 95% CI: 1.08-1.35; for 2: aPR: 1.17, 95% CI: 1.06-1.29; for ≥3: aPR: 1.27, 95% CI: 1.10-1.47), use of ≥2 medications for pain management (aPR: 1.27, 95% CI: 1.13-1.42), and receipt of psychological therapy (aPR: 1.26, 95% CI: 1.09-1.46). Nonpharmacological interventions did not show an association with an increased prevalence of depression. These findings underscore the significance of adopting a comprehensive approach to chronic pain management, including the screening, assessment, and treatment of associated depression.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"199-205"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141064753","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

Life satisfaction and athletic identity among Olympic para-alpine skiers: a survey: Erratum. 奥林匹克准高山滑雪运动员的生活满意度和运动认同感：一项调查：勘误。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-09-01 Epub Date: 2024-07-30 DOI: 10.1097/MRR.0000000000000640

引用次数: 0

Cutoff values of motor and cognitive measures for predicting and discriminating levels of activities of daily living after stroke: a scoping review. 预测和区分中风后日常生活活动水平的运动和认知测量临界值：范围综述。

IF 1.5 4区医学

International Journal of Rehabilitation Research Pub Date : 2024-09-01 Epub Date: 2024-06-24 DOI: 10.1097/MRR.0000000000000633

Takaaki Fujita, Ryuichi Kasahara, Kenji Tsuchiya, Kazuaki Iokawa

{"title":"Cutoff values of motor and cognitive measures for predicting and discriminating levels of activities of daily living after stroke: a scoping review.","authors":"Takaaki Fujita, Ryuichi Kasahara, Kenji Tsuchiya, Kazuaki Iokawa","doi":"10.1097/MRR.0000000000000633","DOIUrl":"10.1097/MRR.0000000000000633","url":null,"abstract":"The various assessments performed by rehabilitation professionals not only indicate the patient's current functional status but can also help determine the future status (prediction) or the ability to perform untested tasks (discrimination). In particular, the cutoff values are the simplest predictive and discriminative tool that can be widely used in clinical practice. The purpose of this scoping review was to summarize the current literature on cutoff values of motor and cognitive function for predicting or discriminating levels of activities of daily living after stroke. A literature search was conducted using the PubMed, CINAHL, and Scopus databases. The creation of the search criteria, primary screening of titles and abstract, and secondary screening by full-text review were performed by two rehabilitation professionals. A total of 54 articles were included. The summary of the cutoff values for prediction based on longitudinal studies revealed that an NIHSS score ≤8 and mRMI score ≥19 at acute hospitalization can predict good functional independence and walking independence, respectively, indicating reliable cutoff values. Cutoff values for predicting specific ADLs, such as toilet use or dressing, were not reported, which was a potential research gap identified in this review. Alternatively, the summary of the cutoff values for discrimination based on cross-sectional studies revealed that 288-367.5 m on the 6-min walk test and 25.5-27.6 points on the FMA-LL can discriminate community and noncommunity walkers. Considering the difference between prediction and discrimination, the reliable predicted cutoff values revealed in this review are useful for planning an intervention based on early prediction. Conversely, cutoff values for discrimination can estimate different performances with simpler test, or use as target values during rehabilitation.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"147-157"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141442598","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