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

Methods for assessing coactivation in the lower limb muscles during overground walking poststroke: a systematic review. 评估中风后地上行走时下肢肌肉共激活的方法：一项系统综述。

IF 1.4 4区医学

International Journal of Rehabilitation Research Pub Date : 2026-06-01 Epub Date: 2026-04-27 DOI: 10.1097/MRR.0000000000000704

Clément Doumenc, Antoine Frasie, Camille Cormier, Stéphane Mandigout, Jean-Christophe Daviet, Maxence Compagnat

{"title":"Methods for assessing coactivation in the lower limb muscles during overground walking poststroke: a systematic review.","authors":"Clément Doumenc, Antoine Frasie, Camille Cormier, Stéphane Mandigout, Jean-Christophe Daviet, Maxence Compagnat","doi":"10.1097/MRR.0000000000000704","DOIUrl":"10.1097/MRR.0000000000000704","url":null,"abstract":"Recovering an independent and efficient gait is essential for social participation and quality of life after a stroke. However, muscle coactivation (MCo) is considered a major limiting factor. This study aimed to systematically review the methods used to assess lower limb MCo during overground walking in stroke survivors. Major scientific databases were searched, and 19 articles were ultimately included. Data extraction focused on gait cycle detection, surface electromyograph (sEMG) acquisition settings, signal processing, and MCo calculation, specifically the coactivation index (CoI) and coactivation duration (CoD). Results revealed variability in methodological choices across all stages required to assess MCo. Regarding acquisition and processing approaches, several commonalities were identified, such as the use of Surface ElectroMyoGraphy for the Non-Invasive Assessment of Muscles guidelines for electrode placement and the application of a single threshold for muscle activation detection. Conversely, significant variability was found in the selection of gait cycle phases and signal filtering techniques. Furthermore, this heterogeneity was particularly pronounced in the final MCo calculation stage. Specifically, CoI represents the most diverse approach, with seven distinct formulas, which prevents the proposal of a common method. Conversely, CoD measurement shared a unique calculation formula associated with more common methodological elements, allowing for the proposal of a standardized approach. This common method was also aligned with current sEMG recommendations. Overall, although standardized methods have been established to assess the MCo, neither CoI nor CoD has yet undergone sufficient reliability testing to support routine clinical use. This review underscores the need for methodological rigour to improve the comparability of MCo assessments in stroke rehabilitation research.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"81-95"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147622887","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

Can hip extensor strength influence the knee osteoarthritis severity? A cross-sectional analysis. 髋关节伸肌强度会影响膝关节骨关节炎的严重程度吗？横断面分析。

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.0000000000000702

Babina Rani, Mehak Singla, Ashish Tyagi, Shivam Sharma, Md Salman Ahmed, Binod K Pandey, Mandeep S Dhillon

{"title":"Can hip extensor strength influence the knee osteoarthritis severity? A cross-sectional analysis.","authors":"Babina Rani, Mehak Singla, Ashish Tyagi, Shivam Sharma, Md Salman Ahmed, Binod K Pandey, Mandeep S Dhillon","doi":"10.1097/MRR.0000000000000702","DOIUrl":"10.1097/MRR.0000000000000702","url":null,"abstract":"Knee osteoarthritis (KOA) is a prevalent musculoskeletal disorder characterized by pain, functional impairment, and structural degeneration. While quadriceps and hip abductor weakness are well-established in KOA, the role of hip extensor strength remains underexplored despite its biomechanical importance in lower limb alignment and joint loading. This cross-sectional study aimed to examine whether hip extensor strength differs between asymptomatic individuals and symptomatic KOA patients, and its relationship with pain, function, and radiographic severity. Adults aged 45-70 years ( N = 112; 56 asymptomatic, 56 symptomatic for KOA) were included. Pain, function, and hip extensor strength were evaluated using Visual Analogue Scale, Western Ontario and McMaster Universities Osteoarthritis Index and modified sphygmomanometer respectively; radiographic severity was graded by Kellgren-Lawrence system. Between-group differences were analyzed using the Mann-Whitney U test, associations by Spearman's correlation, and multiple linear regression adjusted for age, gender, and BMI. Symptomatic participants demonstrated significantly lower bilateral hip extensor strength than asymptomatic subjects ( P < 0.001). Lower strength was associated with greater pain, poorer function, and higher Kellgren-Lawrence grades ( P < 0.05). Strength reductions were more pronounced in females across radiographic grades. After adjustment, age and gender were significantly associated with strength in the asymptomatic group, whereas only gender remained significant in the symptomatic group. These findings highlight hip extensor strength as a clinically relevant yet underemphasized factor associated with symptom and structural severity in KOA. Targeted strengthening warrants exploration as a rehabilitation component; however, causality cannot be inferred from this cross-sectional design, and longitudinal studies are needed to establish its effect on clinical or structural outcomes.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"129-137"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147498328","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

How deep is your recovery? Rethinking true motor recovery versus compensation in neurorehabilitation. 你的恢复有多深？重新思考真正的运动恢复与神经康复中的代偿。

IF 1.4 4区医学

International Journal of Rehabilitation Research Pub Date : 2026-06-01 Epub Date: 2026-04-27 DOI: 10.1097/MRR.0000000000000701

Antonio Caronni, Maurizio Amadei, Viviana Rota, Michela Picardi

{"title":"How deep is your recovery? Rethinking true motor recovery versus compensation in neurorehabilitation.","authors":"Antonio Caronni, Maurizio Amadei, Viviana Rota, Michela Picardi","doi":"10.1097/MRR.0000000000000701","DOIUrl":"10.1097/MRR.0000000000000701","url":null,"abstract":"Attempts to make a sharp distinction between ‘true’ recovery and compensation create ambiguity about the nature of motor improvement in neurological rehabilitation. This paper proposes a new framework to resolve this dichotomy: a stratified model where recovery is not a binary concept but is instead defined by its depth across the motor system’s multiple layers, from neurons to task performance. Our model frames the motor system as a hierarchy of causally linked strata, ranging from inner physiological layers (e.g. synaptic plasticity) to outer behavioural ones (e.g. task accomplishment). This framework allows motor improvement to be defined as a phenomenon that can occur at different layers, manifesting as a compensation–recovery gradient that propagates from inner-to-outer strata. The model’s central thesis is that the key question is not whether recovery is ‘true’, but how deep it is. We posit that a deeper recovery – one in which improvements in behavioural performance are underpinned by positive changes in inner physiological strata – constitutes a more complete and desirable clinical outcome. When comparing treatments with equivalent behavioural outcomes, those that also result in recovery in deeper physiological strata are superior and should be preferred. Therefore, this model directs neurorehabilitation research and practice toward interventions that also maximise recovery depth rather than focussing solely on behavioural outcomes. Assessing and demonstrating recovery depth requires that clinical psychometrics are complemented by quantitative metrics from instrumented movement analysis and neurophysiology, which can directly probe the inner, physiological strata of the motor system.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"71-80"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13124266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147511930","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

Psychometric properties of the Turkish Community Integration Questionnaire-Revised in stroke survivors. 土耳其社区整合问卷的心理测量属性-修订中风幸存者。

IF 1.4 4区医学

International Journal of Rehabilitation Research Pub Date : 2026-06-01 Epub Date: 2026-04-27 DOI: 10.1097/MRR.0000000000000700

Veysel Akduman, Emel Mete, Bahar Özgül, Gönül Acar

{"title":"Psychometric properties of the Turkish Community Integration Questionnaire-Revised in stroke survivors.","authors":"Veysel Akduman, Emel Mete, Bahar Özgül, Gönül Acar","doi":"10.1097/MRR.0000000000000700","DOIUrl":"10.1097/MRR.0000000000000700","url":null,"abstract":"There is a need for a reliable and culturally appropriate Turkish instrument to evaluate community integration after stroke, as the Community Integration Questionnaire-Revised (CIQ-R) has not previously been validated in Turkish. This study aimed to translate and culturally adapt the CIQ-R and examine its validity and reliability in stroke survivors. The adaptation process followed internationally accepted guidelines. A total of 166 individuals with stroke were included, and test-retest reliability was assessed in 146 participants over a 2-week interval. Construct validity was examined using exploratory and confirmatory factor analyses, and internal consistency and test-retest reliability were evaluated. The Turkish CIQ-R demonstrated acceptable internal consistency (Cronbach's alpha = 0.775) and excellent test-retest reliability (intraclass correlation coefficient = 0.952). Exploratory factor analysis supported a 14-item, four-factor structure, which was confirmed by confirmatory factor analysis with good model fit (χ 2 /df = 1.609, Comparative Fit Index = 0.950, root mean square error of approximation = 0.060). These findings indicate that the Turkish CIQ-R is a valid and reliable instrument for assessing community integration in individuals with stroke. The availability of this tool may support clinical practice, outcome evaluation, and cross-cultural research in stroke rehabilitation.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"147-155"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147498340","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 gait variability and walking-related outcomes after stroke: a scoping review. 卒中后步态变异性与步行相关结果的关系：一项范围综述。

IF 1.4 4区医学

International Journal of Rehabilitation Research Pub Date : 2026-06-01 Epub Date: 2026-03-06 DOI: 10.1097/MRR.0000000000000697

Taishi Kikkawa, Shingo Taki, Nozomi Yonehara, Yuji Iwamoto, Tsubasa Mitsutake, Takeshi Imura, Ryo Tanaka

{"title":"Relationship between gait variability and walking-related outcomes after stroke: a scoping review.","authors":"Taishi Kikkawa, Shingo Taki, Nozomi Yonehara, Yuji Iwamoto, Tsubasa Mitsutake, Takeshi Imura, Ryo Tanaka","doi":"10.1097/MRR.0000000000000697","DOIUrl":"10.1097/MRR.0000000000000697","url":null,"abstract":"Gait variability in patients with stroke is often related to gait stability. Although it is reasonable to expect that gait variability is associated with walking-related outcomes, this relationship is unclear. This scoping review aimed to summarize existing evidence on the relationship between gait variability and walking-related outcomes after stroke and to identify knowledge gaps to guide future research. The literature was searched in PubMed, WoS, CINAHL, MEDLINE, Scopus, PEDro, and Igaku Chuo Zasshi databases. Included studies investigated the relationship between gait variability and walking speed, balance, self-efficacy, independent walking, and falls in patients with stroke. The quality of the included studies was assessed using the Newcastle-Ottawa Scale. Twenty-two observational studies were included, of which six examined walking speed, three balance, three self-efficacy, three walking independence, and eight falls. Measurement devices included pressure-sensitive mats, accelerometers, inertial measurement units, and three-dimensional motion analysis systems. Gait variability was quantified using spatiotemporal, kinematic, and center-of-pressure parameters. Most studies demonstrated a low risk of bias. Gait variability showed associations or correlations with the following outcomes: walking speed ( r = -0.586 to 0.61), the Berg Balance Scale ( r = -0.567 to -0.744), the Activities-specific Balance Confidence Scale (partial R2 = 0.11-0.24), the Functional Ambulation Category ( r = -0.586), and the fall risk (odds ratio: 0.717-5.98). Given heterogeneity in gait variability parameters and outcomes, future research should prioritize more clinically meaningful outcomes and robust study designs with larger samples to clarify how gait variability may be related to and potentially impact walking-related outcomes after stroke.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"96-107"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147365273","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

Functional recovery and rehabilitation efficiency after elective versus urgent trauma-related orthopedic surgery in older adults: a retrospective cohort study. 老年人选择性与紧急创伤相关骨科手术后的功能恢复和康复效率：一项回顾性队列研究

IF 1.4 4区医学

International Journal of Rehabilitation Research Pub Date : 2026-06-01 Epub Date: 2026-03-17 DOI: 10.1097/MRR.0000000000000698

Eduard Zalyesov, Gaseb Awawde, Yehonatan Hershkovich, Merav Ben Natan, Sarit Nissan, Inna Shugaev

{"title":"Functional recovery and rehabilitation efficiency after elective versus urgent trauma-related orthopedic surgery in older adults: a retrospective cohort study.","authors":"Eduard Zalyesov, Gaseb Awawde, Yehonatan Hershkovich, Merav Ben Natan, Sarit Nissan, Inna Shugaev","doi":"10.1097/MRR.0000000000000698","DOIUrl":"10.1097/MRR.0000000000000698","url":null,"abstract":"This retrospective cohort study compared functional recovery and rehabilitation efficiency among older adults undergoing inpatient geriatric-orthopedic rehabilitation following elective versus urgent trauma-related orthopedic surgery and examined independent predictors of total Functional Independence Measure (FIM) gain. The sample included 563 adults aged greater than or equal to 65 years (elective surgery, n = 219; urgent surgery, n = 344) admitted to a government-funded geriatric rehabilitation hospital, all of whom received standardized multidisciplinary rehabilitation. Functional status was assessed at admission and discharge using the FIM. Outcomes included total FIM gain, motor FIM gain, cognitive FIM gain, and rehabilitation efficiency (functional gain per day). Multivariable regression models adjusted for age, sex, comorbidity burden, admission FIM, and length of stay. Patients in the group were older and had significantly lower admission FIM scores ( P < 0.001). Both groups demonstrated significant improvements in total, motor, and cognitive FIM scores during rehabilitation ( P < 0.001). Although discharge FIM scores remained lower among urgent-surgery patients, total FIM gain did not differ between groups. Motor rehabilitation efficiency was higher in the elective-surgery group (0.83 versus 0.70 points/day; P = 0.025), and admission FIM emerged as the strongest independent predictor of total FIM gain. These findings suggest that older adults may achieve meaningful functional recovery during inpatient orthopedic rehabilitation regardless of surgical pathway and support consideration of equitable access to intensive post-acute rehabilitation services.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"122-128"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147473237","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

Radiolucent shrapnel injuries in war veterans: a retrospective clinical observational study from a rehabilitation medicine perspective. 退伍军人放射弹片损伤：康复医学视角的回顾性临床观察研究。

IF 1.4 4区医学

International Journal of Rehabilitation Research Pub Date : 2026-06-01 Epub Date: 2026-04-27 DOI: 10.1097/MRR.0000000000000705

Nune Ter-Margaryan, Tigran Petrosyan

{"title":"Radiolucent shrapnel injuries in war veterans: a retrospective clinical observational study from a rehabilitation medicine perspective.","authors":"Nune Ter-Margaryan, Tigran Petrosyan","doi":"10.1097/MRR.0000000000000705","DOIUrl":"10.1097/MRR.0000000000000705","url":null,"abstract":"The objective of this study was to describe clinical presentation patterns, diagnostic challenges, and rehabilitation-related implications associated with suspected radiolucent retained shrapnel injuries in war veterans undergoing post-acute rehabilitation. A retrospective clinical observational design was used. Medical records of 93 blast-exposed veterans referred for rehabilitation between 2020 and 2022 were screened. Sixty-one patients with radiographic evidence of metallic retained foreign bodies were excluded, leaving a cohort of 32 male veterans aged 19-43 years with negative plain radiographic findings for metallic fragments. Patients were evaluated 3-18 months after injury. Persistent focal pain was documented in 30 patients (94%) and was frequently reproducible on deep palpation. Reduced tolerance to therapy intensity occurred in 22 patients (69%), and delayed progression through standard rehabilitation protocols was observed in 18 patients (56%). Rehabilitation program modifications were required in 21 patients (66%), including reduction or avoidance of aggressive manual therapy, transition to symptom-guided therapy intensity, avoidance of deep tissue techniques, and extension of rehabilitation duration. By the end of the rehabilitation period, most patients demonstrated gradual functional improvement despite intermittent localized symptoms in some cases. These findings indicate that veterans undergoing rehabilitation after blast exposure may experience persistent focal symptoms and delayed functional recovery despite negative radiographic imaging. From a rehabilitation perspective, careful clinical assessment and individualized symptom-guided rehabilitation strategies are essential when diagnostic uncertainty related to suspected radiolucent retained foreign bodies affects functional recovery.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"138-146"},"PeriodicalIF":1.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147573870","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

Challenges in developing a new therapeutic exergaming system to promote mobility in ICU patients: an international survey exploring needs and success factors. 开发一种新的治疗运动系统以促进ICU患者活动的挑战：一项探索需求和成功因素的国际调查。

IF 1.4 4区医学

International Journal of Rehabilitation Research Pub Date : 2026-03-01 Epub Date: 2026-01-08 DOI: 10.1097/MRR.0000000000000691

Marleen Flim, Ingrid D van Iperen, Robert van der Stoep, Peter E Spronk

{"title":"Challenges in developing a new therapeutic exergaming system to promote mobility in ICU patients: an international survey exploring needs and success factors.","authors":"Marleen Flim, Ingrid D van Iperen, Robert van der Stoep, Peter E Spronk","doi":"10.1097/MRR.0000000000000691","DOIUrl":"10.1097/MRR.0000000000000691","url":null,"abstract":"Few digital health interventions are currently used in the rehabilitation of ICU patients, despite growing interest in innovative approaches such as exergaming. We aimed to determine the requirements for a therapeutic exergaming system for use in ICU patients. A cross-sectional survey was developed through iterative feedback from a multidisciplinary panel of ICU professionals. The survey was distributed online among ICU professionals using convenience and snowball sampling. The survey was completed by 106 ICU professionals from 16 different countries across four continents. The willingness to use a therapeutic exergaming system to increase physical activity in ICU patients was high, with a median score of 9 (interquartile range: 7-10) on a 0-10 scale. System features rated as very important or absolutely essential included ease of use (85%), patient enjoyment (85%), increasing the patients' motivation for physical activity and mobility (84%), and the ease of transportation (82%). Respondents emphasized adaptability to physical, cognitive, and sensory impairments, suitability for bedridden patients, and ease of integration within the ICU environment, including hygiene, mobility, and space constraints. Over 80% of respondents (strongly) agreed with most proposed benefits of therapeutic exergaming, including stimulation of active participation (94%), activation of patients with ICU-acquired weakness or prolonged immobilization (91%), distraction from the ICU environment (91%), and improved patient motivation to engage in rehabilitation (82%). This survey identifies key requirements for the development of therapeutic exergaming systems and supports their potential role in ICU mobilization when designed to complement existing rehabilitation practices and the intensive care context.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"41-48"},"PeriodicalIF":1.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145932814","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

Calf circumference cutoffs for detecting low muscle mass in older patients with subacute stroke: diagnostic accuracy and association with nutritional status. 用于检测老年亚急性卒中患者低肌肉质量的小腿围切断：诊断准确性和与营养状况的关联

IF 1.3 4区医学

International Journal of Rehabilitation Research Pub Date : 2026-03-01 Epub Date: 2025-11-03 DOI: 10.1097/MRR.0000000000000686

Shinnosuke Ishida, Ryota Imai, Yu Kitaji, Hiroaki Harashima, Satoshi Miyano, Yoshiyuki Kawano

{"title":"Calf circumference cutoffs for detecting low muscle mass in older patients with subacute stroke: diagnostic accuracy and association with nutritional status.","authors":"Shinnosuke Ishida, Ryota Imai, Yu Kitaji, Hiroaki Harashima, Satoshi Miyano, Yoshiyuki Kawano","doi":"10.1097/MRR.0000000000000686","DOIUrl":"10.1097/MRR.0000000000000686","url":null,"abstract":"Disease-specific cutoffs are essential for accurately assessing low muscle mass. We aimed to determine calf circumference cutoffs for identifying low muscle mass in older patients with subacute stroke and to compare their diagnostic accuracy with those used across various disease-specific criteria. This single-center, cross-sectional study included older patients with subacute stroke using consecutive sampling. Low muscle mass was defined as an appendicular skeletal muscle mass index of less than 7.0 kg/m² in men and less than 5.7 kg/m² in women. Calf circumference was measured on the nonparetic side, and the maximum value was used. We assessed the diagnostic accuracy of the derived cutoffs using sensitivity, specificity, predictive values, likelihood ratios, and Matthews correlation coefficient (MCC). The study adhered to the Standards for Reporting Diagnostic Accuracy 2015 guidelines. Among 253 participants, 188 met the inclusion criteria. The optimal cutoffs were 31 cm for men and 30 cm for women. These cutoffs yielded a sensitivity of 0.78 [95% confidence interval (CI): 0.69-0.85], specificity of 0.71 (95% CI: 0.59-0.82), positive likelihood ratio of 2.73 (95% CI: 1.86-4.00), and MCC of 0.47 (95% CI: 0.36-0.62). Compared with criteria used across-disease groups, the newly derived cutoffs yielded higher specificity, a greater positive likelihood ratio, and an improved MCC. These cutoffs provide acceptable diagnostic accuracy for identifying low muscle mass in this patient population and may offer a practical screening option in clinical settings.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"11-17"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145431461","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

Self-reported manual ability and depressive symptoms, at six months after stroke, predict health-related quality of life at 24 months after stroke. 中风后6个月自述的体力和抑郁症状可预测中风后24个月的健康相关生活质量。

IF 1.3 4区医学

International Journal of Rehabilitation Research Pub Date : 2026-03-01 Epub Date: 2025-12-04 DOI: 10.1097/MRR.0000000000000687

Aryane C Silva, Kênia K P Menezes, Carolina L A Soares, Ludmilla R Batista, Iza Faria-Fortini, Christina D C M Faria

{"title":"Self-reported manual ability and depressive symptoms, at six months after stroke, predict health-related quality of life at 24 months after stroke.","authors":"Aryane C Silva, Kênia K P Menezes, Carolina L A Soares, Ludmilla R Batista, Iza Faria-Fortini, Christina D C M Faria","doi":"10.1097/MRR.0000000000000687","DOIUrl":"10.1097/MRR.0000000000000687","url":null,"abstract":"The objective was to determine whether depressive symptoms, self-reported manual ability, self-reported locomotion ability, and functional independence, assessed at 6 months after stroke, are predictors of generic and specific health-related quality of life (HRQoL) at 24 months after stroke. This is a prospective longitudinal study with individuals with and without previous disability. The dependent variables, assessed at 24 months after stroke, were generic [short form-36 (SF-36)] and specific (stroke-specific quality of life) HRQoL. Potential predictors, assessed at 6 months after stroke, were: depressive symptoms (Geriatric Depression Scale), self-reported manual (ABILHAND) and locomotor (ABILOCO) abilities, and functional independence (Modified Barthel Index). Multiple linear regression analyses were employed to identify the potential predictors of generic (model-1) and specific (model-2) HRQoL (α = 5%). Sixty-eight individuals were evaluated at both 6 and 24 months after stroke (59 years, SD 13). The regression analysis showed that the self-reported manual ability and depressive symptoms at 6 months after stroke were significant predictors of generic ( R2 = 26.1%; F = 24.96; P = 0.001) and specific ( R2 = 26.4%; F = 25.332; P = 0.002) HRQoL at 24 months poststroke. Self-reported manual ability and depressive symptoms, at 6 months after stroke, are predictors of HRQoL at 24 months. Thus, these outcomes are important to be considered in the immediate chronic phase of the stroke since individuals with worse self-reported manual ability and presence of depressive symptoms are at risk of experiencing worse HRQoL in the late chronic phase.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":" ","pages":"18-23"},"PeriodicalIF":1.3,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145668029","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