International Journal of Rehabilitation Research最新文献_第6页

An observational, cross-sectional and monocentric study assessing psychological and cognitive features as main predictors of psychological well-being in stroke survivors. 一项观察性、横断面和单中心研究，评估心理和认知特征是中风幸存者心理健康的主要预测因素。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-12-01 Epub Date: 2023-10-31 DOI: 10.1097/MRR.0000000000000605

Chiara Curatoli, Alessia Marcassoli, Erika Guastafierro, Matilde Leonardi, Anna Bersano, Giorgio Boncoraglio, Isabella Canavero, Alberto Raggi

引用次数: 0

Association between depressive symptoms and heart rate variability in older patients admitted for rehabilitation: a cross-sectional study. 接受康复治疗的老年患者抑郁症状与心率变异性之间的关系:一项横断面研究

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-09-01 Epub Date: 2023-07-07 DOI: 10.1097/MRR.0000000000000585

Go Owari, Kenichi Kono, Daiki Kanouchi, Masayoshi Uchiyama, Yusuke Nishida

{"title":"Association between depressive symptoms and heart rate variability in older patients admitted for rehabilitation: a cross-sectional study.","authors":"Go Owari, Kenichi Kono, Daiki Kanouchi, Masayoshi Uchiyama, Yusuke Nishida","doi":"10.1097/MRR.0000000000000585","DOIUrl":"10.1097/MRR.0000000000000585","url":null,"abstract":"Heart rate variability (HRV) is associated with depressive symptoms, but this relationship in older inpatients undergoing rehabilitation remains unclear. This study investigated the relationship between HRV and depressive symptoms in older inpatients undergoing rehabilitation. Fifty patients aged ≥65 years were assessed for depressive symptoms using the Geriatric Depression Scale. HRV was assessed by frequency analysis. The relationship between depressive symptoms and HRV indices, age, sex, Short Physical Performance Battery (SPPB) score, Mini-Mental State Examination score was examined using simple linear regression. Next, the predictors from the simple linear regression analysis significant at the 0.15 level were inputted in a multiple regression model. Multiple regression analysis revealed that very low frequency HRV [ β = -2.13, 95% confidence interval (CI) -3.15 to -1.11, P < 0.05] and SPPB score ( β = -0.30, 95% CI -0.52 to -0.08, P < 0.05) were negatively associated with depressive symptoms: the lower the HRV and the more severe the mobility impairment, the higher the severity of the depressive symptoms. Very low frequency (VLF) HRV and physical performance, as measured by the SPPB score, were associated with depressive symptoms in older patients undergoing rehabilitation. VLF HRV may serve as a useful biomarker for detecting depressive symptoms in this population.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 3","pages":"248-251"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9926706","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

Characteristics and healthcare utilization of COVID-19 rehabilitation patients during the first and second waves of the pandemic in Toronto, Canada. 加拿大多伦多第一、二波疫情期间COVID-19康复患者特征及医疗保健利用

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-09-01 Epub Date: 2023-06-22 DOI: 10.1097/MRR.0000000000000592

Marina B Wasilewski, Zara Szigeti, Robert Simpson, Jacqueline Minezes, Amanda L Mayo, Lawrence R Robinson, Maria Lung, Sander L Hitzig

{"title":"Characteristics and healthcare utilization of COVID-19 rehabilitation patients during the first and second waves of the pandemic in Toronto, Canada.","authors":"Marina B Wasilewski, Zara Szigeti, Robert Simpson, Jacqueline Minezes, Amanda L Mayo, Lawrence R Robinson, Maria Lung, Sander L Hitzig","doi":"10.1097/MRR.0000000000000592","DOIUrl":"10.1097/MRR.0000000000000592","url":null,"abstract":"The objective of this study is to describe the healthcare utilization, and clinical and sociodemographic features of a cohort of 74 coronavirus disease 2019 (COVID-19) patients admitted to a tertiary rehabilitation hospital in Toronto, Canada. A retrospective chart review was performed using 74 charts from patients admitted to a COVID-19 rehabilitation unit between 11 April 2020 and 30 April 2021. Measures of central tendency, SDs, interquartile ranges, frequencies, and proportions were calculated to analyze clinical and sociodemographic data. A total of 74 patients were included in this study, including 33 males and 41 females. The mean age was 72.8 years, with Wave 1 patients being younger than Wave 2 patients. Sixty-six percent of total patients experienced hypertension. Mean functional independence measure score across both waves was 78 at admission and 100 at discharge. Mean length of stay was 14.6 days in Wave 1 and 18.8 days in Wave 2. This study represents some of the first data on the characteristics and outcomes of COVID-19 patients admitted to inpatient rehabilitation in Toronto, Canada across the initial waves of the COVID-19 pandemic.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 3","pages":"258-263"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9914602","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 core strengthening on balance in patients with hip osteoarthritis: a randomised controlled trial. 核心强化对髋骨关节炎患者平衡的影响:一项随机对照试验。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-09-01 Epub Date: 2023-04-17 DOI: 10.1097/MRR.0000000000000579

Ilona Dalmas, Anabel Sciriha, Liberato Camilleri, Tonio Agius

{"title":"Effects of core strengthening on balance in patients with hip osteoarthritis: a randomised controlled trial.","authors":"Ilona Dalmas, Anabel Sciriha, Liberato Camilleri, Tonio Agius","doi":"10.1097/MRR.0000000000000579","DOIUrl":"10.1097/MRR.0000000000000579","url":null,"abstract":"Osteoarthritis is a condition commonly present in the elderly, with many having altered balance, aggravated with weak lower limb and core musculature predisposing them to falls. Despite the knowledge about the link between balance and core stability, studies investigating the importance of core stability exercise and their impact on balance are limited. Therefore, the authors aimed to explore whether core strengthening exercises in combination with hip exercises, when compared to a hip exercise programme and a control group, led to better improvements in balance in patients with hip osteoarthritis. In order to meet these aims, this paper reports the outcomes of a randomized, three-arm parallel, assessor-blinded, controlled clinical trial. Fifty-one participants awaiting a total hip replacement were recruited into this study. All patients were randomly allocated to a control, hip exercise group and hip and core exercise group. All participants were assessed for core muscle strength using a pressure biofeedback unit and balance using the four-stage balance test. The control group had no intervention. A 12-week hip and core exercise programme did not result in improvements over and above the hip exercise group in balance scores. However an improvement in core stability was noted for the hip and core exercise group (P = 0.001). Therefore, this study concluded that both exercise groups are resulted in improved balance with the core and hip exercise group noted to have added improvements, but the difference between the groups was not statistically significant.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 3","pages":"252-257"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10280249","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

Twenty years of intrathecal baclofen therapy in Slovenia: a retrospective single-center analysis of complications. 斯洛文尼亚二十年鞘内巴氯芬治疗:并发症的回顾性单中心分析

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-09-01 Epub Date: 2023-06-22 DOI: 10.1097/MRR.0000000000000586

Mitja Benedičič, Katja Groleger Sršen, Klemen Grabljevec, Neža Majdič, Barbara Haber

{"title":"Twenty years of intrathecal baclofen therapy in Slovenia: a retrospective single-center analysis of complications.","authors":"Mitja Benedičič, Katja Groleger Sršen, Klemen Grabljevec, Neža Majdič, Barbara Haber","doi":"10.1097/MRR.0000000000000586","DOIUrl":"10.1097/MRR.0000000000000586","url":null,"abstract":"Since the first implantation in July 2001, the intrathecal baclofen (ITB) therapy for patients with generalized spasticity has been used in Slovenia for 20 years. The aim of this retrospective study was to evaluate the rates of different complications, especially if catheter-related complications were less frequent after the introduction of the coated catheter type in February 2013, and the potential correlation between higher baclofen doses and the incidence of complications. We retrospectively collected data from all patients in the registry during the period from 3 July 2001 to 31 December 2021. Among 138 patients (48 females), 120 patients had the first ITB system implanted at the University Medical Centre Ljubljana. Forty-three complications were reported in 38 patients (27%), with a total complication rate of 0.203/1000 days or 0.074/pump year. The most frequent was catheter-related (0.083/1000 days or 0.030/pump year), followed by skin-related (0.063/1000 days or 0.023/pump year) and pump-related complication (0.026/1000 days or 0.009/pump year). The incidence of catheter-related complications decreased significantly since the use of Ascenda type catheter: 14/7 complications per 88/147 implantations ( P = 0.008). Patients with complications had a statistically significantly higher dose of baclofen: median 400 µg/24h vs. median 300 µg/24h ( P = 0.016). Our retrospective analysis confirmed a significant decrease of catheter-related complications after the implementation of Ascenda type catheter in February 2013. Patients with a higher ITB dose had a statistically significantly higher incidence of complications. The total complication rate was a bit higher as previously reported in other studies, which is consistent with a long follow-up time.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 3","pages":"209-215"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9914599","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

Physical activity is associated with walking and balance ability but not fatigue, knee extension strength, or body composition in adults with cerebral palsy: a pilot cross-sectional study. 脑性瘫痪成人的身体活动与行走和平衡能力有关，但与疲劳、膝关节伸展力量或身体成分无关:一项试点横断面研究。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-09-01 Epub Date: 2023-07-07 DOI: 10.1097/MRR.0000000000000593

Yui Sato, Hideyuki Tashiro, Kanta Fukumoto, Sota Hirosaki, Megumi Toki, Naoki Kozuka

{"title":"Physical activity is associated with walking and balance ability but not fatigue, knee extension strength, or body composition in adults with cerebral palsy: a pilot cross-sectional study.","authors":"Yui Sato, Hideyuki Tashiro, Kanta Fukumoto, Sota Hirosaki, Megumi Toki, Naoki Kozuka","doi":"10.1097/MRR.0000000000000593","DOIUrl":"10.1097/MRR.0000000000000593","url":null,"abstract":"Common secondary impairments associated with aging in adults with cerebral palsy (CP) decrease physical functions, including walking and balance ability, and increase the sense of fatigue. This motor dysfunction results in decreased physical activity (PA) and could be associated with obesity and sarcopenia. This study examined the association of daily PA levels with fatigue, physical function, and body composition in 22 adults with CP (age, 37.4 ± 14.7 years; Gross Motor Function Classification System level, I: 6, II: 16). The level of daily PA was divided into percent of sedentary behavior, light PA, and moderate-to-vigorous PA (%MVPA) per day. These outcomes were examined for correlation with the Fatigue Severity Scale, knee extension strength, comfortable and maximum walking speed, Timed-Up-and-Go-Test (TUG), and body fat percentage and skeletal muscle mass using Spearman's rank correlation coefficient. An additional partial correlation analysis with sex and age adjustment was performed. The %MVPA correlated positively with comfortable walking speed (rs = 0.424, P = 0.049) and negatively with TUG (rs = -0.493, P = 0.020). The partial correlation revealed associations of %MVPA with maximum walking speed (r = 0.604, P = 0.022) and TUG (r = -0.604, P = 0.022). The results show that among adults with CP, increased PA is associated with improvements in mobility but not in perceived fatigue or body composition, regardless of sex and age. Maintaining and improving %MVPA and walking and balance ability in adults with CP have a positive impact on each other, and potentially on overall health management.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 3","pages":"277-283"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9924108","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

Changes in skeletal muscle mass index and fat mass index during rehabilitation for traumatic brain injury and stroke measured by bioelectrical impedance analysis. 用生物电阻抗分析测量创伤性脑损伤和脑卒中康复期间骨骼肌质量指数和脂肪质量指数的变化。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-09-01 Epub Date: 2023-06-16 DOI: 10.1097/MRR.0000000000000587

Babett Tóth, Zoltán Dénes, Mariann Németh, Gábor Fazekas

{"title":"Changes in skeletal muscle mass index and fat mass index during rehabilitation for traumatic brain injury and stroke measured by bioelectrical impedance analysis.","authors":"Babett Tóth, Zoltán Dénes, Mariann Németh, Gábor Fazekas","doi":"10.1097/MRR.0000000000000587","DOIUrl":"10.1097/MRR.0000000000000587","url":null,"abstract":"Although malnutrition may negatively impact the outcomes of rehabilitation and increase the cost of care, there are still no valid nutritional assessment methods appropriate for specific groups of patients undergoing rehabilitation. This study aimed to determine if a multifrequency bioelectrical impedance is suitable for monitoring the changes in body composition of brain-injured patients for whom individualized nutritional goals were set during rehabilitation. Fat mass index (FMI) and skeletal muscle mass index (SMMI) were examined by Seca mBCA515 or portable Seca mBCA525 device within 48 h of admission and before discharge in 11 traumatic brain injury (TBI) and 11 stroke patients with admission Nutritional Risk Screening 2002 scores ≥2. The changes in outcomes and plausible interactions were examined between the admission values and the values estimated for the 18th day (minimum length of stay in the sample) using a repeated measure mixed-sample analysis of covariance. In patients with low FMI at admission (mainly younger, TBI patients, with longer ICU stay), there was no change over time whereas, in those with high admission FMI (older, stroke patients, with shorter ICU stay), a decrease was observed (significant interaction F(1,19) = 9.224 P = 0.007 Part. η² = 0.327). The SMMI significantly increased over time (F(1,19) = 5.202 P = 0.034 Part. η² = 0.215) independently of gender, age, days spent in ICU and cause of brain injury. Our results suggest that bioelectrical impedance analysis is feasible and informative for monitoring the changes in body composition during rehabilitation, which also requires consideration of demographic and pre-rehabilitation characteristics.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 3","pages":"264-269"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9914598","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

Changes in physical activity in older adult patients with postoperative hip fractures in convalescent rehabilitation wards during rehabilitation time and during daily activities in the ward: a prospective cohort study. 康复期康复病房老年髋部骨折患者在康复期间和病房日常活动期间的身体活动变化:一项前瞻性队列研究

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-09-01 Epub Date: 2023-06-16 DOI: 10.1097/MRR.0000000000000589

Tomoko Shimizu, Chiaki Kanai, Yasuyoshi Asakawa

{"title":"Changes in physical activity in older adult patients with postoperative hip fractures in convalescent rehabilitation wards during rehabilitation time and during daily activities in the ward: a prospective cohort study.","authors":"Tomoko Shimizu, Chiaki Kanai, Yasuyoshi Asakawa","doi":"10.1097/MRR.0000000000000589","DOIUrl":"10.1097/MRR.0000000000000589","url":null,"abstract":"As the older adult population increases, the number of patients with hip fractures is expected to increase. Hip fractures are a major factor in bedridden patients and decreased activities of daily living. Older adults may have multiple comorbidities, and improving their physical function under comprehensive care is better to meet their needs. Convalescent rehabilitation wards provide comprehensive care and aim to improve the activities of daily living and physical activity in older adults. This study aimed to identify the time of day, including rehabilitation, when physical activities improve in inpatients with subacute postoperative hip fracture, among the many comorbidities of older adults, in comprehensive care, including rehabilitation. This prospective cohort study was conducted in a comprehensive care setting in a subacute rehabilitation ward in a Japanese hospital. Older adult inpatients with a musculoskeletal disease in a subacute rehabilitation ward were divided into the postoperative hip fracture and non-hip fracture patients to examine age, frailty, activities of daily living, and longitudinal physical activity data from objective measures at admission and discharge. Physical activity increased in older adult inpatients with postoperative hip fractures not only during personalized rehabilitation time ( P < 0.001) but also during free activity in the ward ( P < 0.001), despite their tendency to be older, frailer, and lower activities of daily living. In conclusion, postoperative hip fracture inpatients may improve their fitness after receiving comprehensive care.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 3","pages":"270-276"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9920441","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

Is mirror therapy associated with progressive muscle relaxation more effective than mirror therapy alone in reducing phantom limb pain in patients with lower limb amputation?: Erratum. 在减轻下肢截肢患者幻肢痛方面，镜像疗法联合进行性肌肉放松是否比单独镜像疗法更有效?:错误。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-09-01 Epub Date: 2023-08-01 DOI: 10.1097/MRR.0000000000000597

引用次数: 0

Visual feedback and age affect upper limb reaching accuracy and kinematics in immersive virtual reality among healthy adults. 视觉反馈和年龄影响健康成人沉浸式虚拟现实中上肢到达精度和运动学。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-09-01 Epub Date: 2023-06-16 DOI: 10.1097/MRR.0000000000000588

Gauthier J Everard, Thierry M Lejeune, Charles S Batcho

{"title":"Visual feedback and age affect upper limb reaching accuracy and kinematics in immersive virtual reality among healthy adults.","authors":"Gauthier J Everard, Thierry M Lejeune, Charles S Batcho","doi":"10.1097/MRR.0000000000000588","DOIUrl":"10.1097/MRR.0000000000000588","url":null,"abstract":"This cross-sectional study aimed to evaluate the effect of visual feedback, age and movement repetition on the upper limb (UL) accuracy and kinematics during a reaching task in immersive virtual reality (VR). Fifty-one healthy participants were asked to perform 25 trials of a reaching task in immersive VR with and without visual feedback of their hand. They were instructed to place, as accurately and as fast as possible, a controller held in their non-dominant hand in the centre of a virtual red cube of 3 cm side length. For each trial, the end-point error (distance between the tip of the controller and the centre of the cube), a coefficient of linearity (CL), the movement time (MT), and the spectral arc length of the velocity signal (SPARC), which is a movement smoothness index, were calculated. Multivariate analyses of variance were conducted to assess the influence of visual feedback, age and trial repetition on the average end-point error, SPARC, CL and MT, and their time course throughout the 25 trials. Providing visual feedback of the hand reduced average end-point error ( P < 0.001) and MT ( P = 0.044), improved SPARC ( P < 0.001) but did not affect CL ( P = 0.07). Younger participants obtained a lower mean end-point error ( P = 0.037), a higher SPARC ( P = 0.021) and CL ( P = 0.013). MT was not affected by age ( P = 0.671). Trial repetition increased SPARC ( P < 0.001) and CL ( P < 0.001), and reduced MT ( P = 0.001) but did not affect end-point error ( P = 0.608). In conclusion, the results of this study demonstrated that providing visual feedback of the hand and being younger improves UL accuracy and movement smoothness in immersive VR. UL kinematics but not accuracy can be improved with more trial repetitions. These findings could guide the future development of protocols in clinical rehabilitation and research.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 3","pages":"221-229"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9923785","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