International Journal of Rehabilitation Research最新文献_第8页

Which items of the modified Barthel Index can predict functional independence at discharge from inpatient rehabilitation? A secondary analysis retrospective cohort study. 修正Barthel指数中哪些项目可预测住院康复出院时的功能独立性?二级分析回顾性队列研究。

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.0000000000000584

Sanaz Pournajaf, Leonardo Pellicciari, Stefania Proietti, Francesco Agostini, Debora Gabbani, Michela Goffredo, Carlo Damiani, Marco Franceschini

{"title":"Which items of the modified Barthel Index can predict functional independence at discharge from inpatient rehabilitation? A secondary analysis retrospective cohort study.","authors":"Sanaz Pournajaf, Leonardo Pellicciari, Stefania Proietti, Francesco Agostini, Debora Gabbani, Michela Goffredo, Carlo Damiani, Marco Franceschini","doi":"10.1097/MRR.0000000000000584","DOIUrl":"10.1097/MRR.0000000000000584","url":null,"abstract":"The modified Barthel Index (mBI) is a well-established patient-centered outcome measure commonly administrated in rehabilitation settings to evaluate the functional status of patients at admission and discharge. This study aimed to detect which mBI items collected on admission can predict the total mBI at discharge from first inpatient rehabilitation in large cohorts of orthopedic (n = 1864) and neurological (n = 1684) patients. Demographic and clinical data (time since the acute event 11.8 ± 17.2 days) at patients' admission and mBI at discharge were collected. Univariate and multiple binary logistic regressions were performed to study the associations between independent and dependent variables for each cohort separately. In neurological patients, the shorter time between the acute event and rehabilitation admission, shorter length of stay, and being independent with feeding, personal hygiene, bladder, and transfers were independently associated with higher total mBI at discharge (R 2 = 0.636). In orthopedic patients, age, the shorter time between the acute event and rehabilitation admission, shorter length of stay, and being independent with personal hygiene, dressing, and bladder were independently associated with higher total mBI at discharge (R 2 = 0.622). Our results showed that different activities in neurological (i.e. feeding, personal hygiene, bladder, and transfer) and orthopedic sample (i.e. personal hygiene, dressing, and bladder) are positively associated with better function (measured by mBI) at the discharge. Clinicians have to take into account these predictors of functionality when they plan an appropriate rehabilitation treatment.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 3","pages":"230-237"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3e/a4/ijrr-46-230.PMC10396075.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9930783","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

Pendulum test parameters are useful for detecting knee muscle hypertonia and quantifying response to an intrathecal baclofen bolus injection. 钟摆试验参数可用于检测膝关节肌肉张力过高和量化鞘内注射巴氯芬的反应。

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.0000000000000590

John W Chow, Dobrivoje S Stokic

{"title":"Pendulum test parameters are useful for detecting knee muscle hypertonia and quantifying response to an intrathecal baclofen bolus injection.","authors":"John W Chow, Dobrivoje S Stokic","doi":"10.1097/MRR.0000000000000590","DOIUrl":"10.1097/MRR.0000000000000590","url":null,"abstract":"Our objective was to determine which pendulum test parameters are useful for detecting hypertonia in the knee muscles and assessing the group and individual responses to intrathecal baclofen (ITB) bolus injection among prospective pump recipients. We included 15 neurological patients with lower limb hypertonia (mainly spinal cord injury, n = 7) and collected data the day before (baseline), and 2.5 and 5.0 h after the 50-µg ITB bolus injection. For comparison, data were collected in 15 healthy controls. The average over six test repetitions was obtained for the number of oscillations, swing time (SwingT), amplitudes of the first flexion and extension, maximum angular velocities of the first flexion (F1V) and extension (E1V), relaxation index, and damping coefficient (DampC). Across the patient group, all pendulum parameters indicated a significant decrease in hypertonia from baseline to postinjection (analysis of variance P ≤ 0.004), except DampC. On the basis of the cutoffs from the receiver operating characteristic curve, all parameters were good or excellent discriminators of hypertonia in patients from normotonia in controls (area under the curve ≥0.85), with the highest sensitivity for SwingT and E1V (≥93%). Furthermore, all parameters except F1V revealed a significant shift from preinjection hypertonia to postinjection normotonia among patients (McNamar test P ≤ 0.002, DampC excluded due to missing data), with the greatest responsiveness for E1V and relaxation index (≥73%). The results confirm the overall usefulness of pendulum test parameters in this patient population and indicate that some parameters are better at detecting hypertonia (SwingT, E1V) whereas others (E1V, relaxation index) are more responsive to the ITB injection.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 3","pages":"238-247"},"PeriodicalIF":1.7,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9914601","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 affecting association between pain severity and physical activity among people with low back pain. 影响腰痛患者疼痛严重程度与体力活动之间关系的因素。

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.0000000000000591

Mikhail Saltychev, Henri Hellgren, Juhani Juhola

引用次数: 0

Effects of a treatment program based on constraint-induced movement therapy for the lower extremities on gait and balance in chronic stroke: a 6-month follow-up pilot study. 基于下肢约束诱导运动疗法的治疗方案对慢性中风患者步态和平衡的影响:一项为期6个月的随访先导研究。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-06-01 DOI: 10.1097/MRR.0000000000000578

Tomoyoshi Kobari, Takashi Murayama, Kazuhiro Matsuzawa, Katsuya Sakai

{"title":"Effects of a treatment program based on constraint-induced movement therapy for the lower extremities on gait and balance in chronic stroke: a 6-month follow-up pilot study.","authors":"Tomoyoshi Kobari, Takashi Murayama, Kazuhiro Matsuzawa, Katsuya Sakai","doi":"10.1097/MRR.0000000000000578","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000578","url":null,"abstract":"Constraint-induced movement therapy (CIMT) for the lower extremities CIMT (LE-CIMT) has been shown feasible and promising but the long-term outcomes remain uncertain. In this pilot study, we recruited eight participants with chronic stroke from our facility for persons with disabilities to determine changes in gait and balance throughout an extended treatment program based on the principles of LE-CIMT. The program consisted of a run-in phase (3 weeks), LE-CIMT phase (3 weeks), and maintenance phase (6 months). In the LE-CIMT phase (3.5 h/day, 5 days/week, 3 weeks), the participants received task-oriented training (3 h) and transfer package training (30 min). The maintenance phase (30 min/day, 2-3 times/week, 6 months) included a transfer package and conventional training. The assessments were performed in the beginning and after each phase using the Fugl-Meyer Assessment, 6-min walk test (6MWT), Berg Balance Scale (BBS), and 10-m walk test from which walking speed, cadence, and stride length were derived. Overall, 6MWT, BBS, walking speed, and cadence improved significantly over time (analysis of variance P < 0.001). When comparing the results from before to after the LE-CIMT phase, 6MWT, BBS, walking speed, and cadence improved significantly ( P = 0.002 to 0.022). At the end of the 6-month maintenance phase, further improvements relative to the after LE-CIMT phase were found for 6MWT, walking speed, and cadence ( P = 0.002 to 0.034). These pilot results suggest that an extended treatment program based on the principles of LE-CIMT can improve balance and more so walking in the chronic phase of stroke.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 2","pages":"187-192"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10281176","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

Psychosocial factors as main predictors of quality of life 5 years after stroke: a cross-sectional study from a third-level Italian center. 心理社会因素作为中风后5年生活质量的主要预测因素:来自意大利三级中心的横断面研究。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-06-01 DOI: 10.1097/MRR.0000000000000570

Alessia Marcassoli, Erika Guastafierro, Claudia Toppo, Matilde Leonardi, Anna Bersano, Giorgio Boncoraglio, Isabella Canavero, Alberto Raggi

{"title":"Psychosocial factors as main predictors of quality of life 5 years after stroke: a cross-sectional study from a third-level Italian center.","authors":"Alessia Marcassoli, Erika Guastafierro, Claudia Toppo, Matilde Leonardi, Anna Bersano, Giorgio Boncoraglio, Isabella Canavero, Alberto Raggi","doi":"10.1097/MRR.0000000000000570","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000570","url":null,"abstract":"Stroke causes a significant reduction in health-related quality of life (HRQoL), and studies addressing its predictors often rely on models with few variables. This study aimed to assess the degree to which health status, health habits, and features of the environment predict HRQoL in stroke survivors with stable clinical condition. WHO Quality of Life questionnaire for old-Age subjects (WHOQOL-AGE) was used to assess HRQoL. We ran a multivariable linear regression to predict WHOQOL-AGE variation, entering measures of health state, bad habits, healthy behaviors, physical environment features, and social support. Patients were stroke survivors with a stable clinical condition, distance from acute event of more than 6 months, and National Institutes of Health Stroke Scale (NIHSS) of 10 or less. A total of 122 participants (47 females, 97 with ischemic stroke) were enrolled, the mean age was 64.1, mean NIHSS 2.9, and mean distance from the acute event was 5.1 years. State anxiety (β = -0.202), trait anxiety (β = -0.232), depression (β = -0.255), social support (β = 0.247), and functional independence (β = -0.210) predicted WHOQOL-AGE variation (Adj. R2 = 0.549). Our results show that psychological symptoms, reduced social network, and functional dependence together have a negative impact on HRQoL. These elements, which are partly stroke-specific, should be taken into account in the recovery process to enhance patients' health outcomes.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 2","pages":"151-156"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10281065","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: 1

Effect of different constraint-induced movement therapy protocols on recovery of stroke survivors with upper extremity dysfunction: a systematic review and network meta-analysis. 不同约束诱导运动治疗方案对脑卒中上肢功能障碍患者康复的影响:系统回顾和网络荟萃分析。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-06-01 DOI: 10.1097/MRR.0000000000000577

Qian Gao, Yasu Zhang, Junzi Long, Mengyang Pan, Jing Wang, Fangjie Yang

{"title":"Effect of different constraint-induced movement therapy protocols on recovery of stroke survivors with upper extremity dysfunction: a systematic review and network meta-analysis.","authors":"Qian Gao, Yasu Zhang, Junzi Long, Mengyang Pan, Jing Wang, Fangjie Yang","doi":"10.1097/MRR.0000000000000577","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000577","url":null,"abstract":"We aimed to assess and rank comparative efficacy of different constraint-induced movement therapy (CIMT) protocols on motor function of upper extremity and activities of daily living (ADL) in stroke survivors. A comprehensive search was conducted in PubMed, EMBASE, Web of Science and Cochrane Library to identify randomized controlled trials on CIMT. Included studies were evaluated using the revised Cochrane risk of bias tool. Then a random-effects network meta-analysis was performed within a frequentist framework using Stata v16.0. Of the 1150 studies retrieved, 44 studies with 1779 participants were included. In terms of motor recovery of upper extremity, CIMT combined with trunk restraint, in which the less affected arm was constrained at least 4 h but no more than 6 h per day, ranked as the most effective intervention for the improvement of the Fugl-Meyer Assessment-Upper Extremity and the Action Research Arm Test score. In terms of ADL improvement, constraining the less affected arm for at least 4 h but no more than 6 h per day in CIMT combined with trunk restraint, was found to significantly improve the Motor Activity Log of quality of movement scale and amount of use scale score. The protocol of CIMT combined with trunk restraint, in which the less affected arm was constrained at least 4 h but no more than 6 h per day, ranked the highest in this analysis and might be considered in practice.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 2","pages":"133-150"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10282080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effectiveness of unilateral isokinetic resistance training on cross-education is independent of contraction velocity: a case of female dorsiflexors and plantar flexors. 单侧等速阻力训练在交叉训练中的有效性与收缩速度无关:女性背屈肌和足底屈肌的案例。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-06-01 DOI: 10.1097/MRR.0000000000000580

Ensar Abazović, Erol Kovačević, Josipa Nakić, Stanislav Peharec, Armin H Paravlic

{"title":"The effectiveness of unilateral isokinetic resistance training on cross-education is independent of contraction velocity: a case of female dorsiflexors and plantar flexors.","authors":"Ensar Abazović, Erol Kovačević, Josipa Nakić, Stanislav Peharec, Armin H Paravlic","doi":"10.1097/MRR.0000000000000580","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000580","url":null,"abstract":"The large body of published literature has shown that the effects of strength training can transfer from trained to untrained homologous limb muscles after unilateral training. These effects on strength have been shown to be very specific to the type and speed of training contraction. The aim of this study was to investigate the effects of a 4-week unilateral slow and fast velocity isokinetic concentric training, to compare the effects, and thus investigate whether these effects are speed-specific. Forty-four healthy female students allocated to slow training, fast training, or control performed 12 isokinetic concentric-concentric plantar/dorsal flexors training sessions (3 × 4 weeks) using their nondominant leg. Participants in the two experimental groups showed statistically significant gains in strength in both the trained (ranging from 8 to 41%) and untrained leg (5-26%), thus showing cross-education on strength effects. The present study demonstrated that 4 weeks (12 training sessions) of unilateral isokinetic resistance training in the concentric mode improved the strength of contralateral, untrained homologous muscles to the same extent, regardless of the contraction velocity used in females. Furthermore, the amount of concentric overload (50% more than during 60°/s) did not appear to affect the increase in strength gains. Therefore, practitioners are encouraged to use both training speeds when strength gains in the contralateral leg are the primary goal. If the training time is limited, however, training with a higher contraction speed is recommended.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 2","pages":"199-204"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10282084","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

Validity and reliability of the assessment of hand flexors stiffness using a new electromechanical oscillatory device in people with stroke. 用新型机电振荡装置评估脑卒中患者手屈肌刚度的效度和信度。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-06-01 DOI: 10.1097/MRR.0000000000000574

Clara Selves, Thierry Lejeune, Christine Detrembleur, Marie-Adeline Haustrate, Gaëtant Stoquart

{"title":"Validity and reliability of the assessment of hand flexors stiffness using a new electromechanical oscillatory device in people with stroke.","authors":"Clara Selves, Thierry Lejeune, Christine Detrembleur, Marie-Adeline Haustrate, Gaëtant Stoquart","doi":"10.1097/MRR.0000000000000574","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000574","url":null,"abstract":"Hyper-resistance after a central nervous system injury has been largely referred to as spasticity, which is but one of its neural components. Assessment largely relies on clinical scales (Modified Ashworth scale - MAS and Modified Tardieu scale, MTS) which are unable to distinguish between the non-neural (tissue-related) and the neural (central nervous system-related) components. This study assessed criterion validity and reliability (reproducibility) of muscle stiffness measures, namely, maximum elastic stiffness (ELmax), viscous stiffness (VI), and path length (L-path) in the hand flexor muscles among people with stroke. Measurements were obtained with a wrist-electromechanical oscillatory device (w-EOD). Twenty-four people with arm impairment after stroke were evaluated with the w-EOD and clinical assessment (MAS and MTS), twice on the same day (short-term reliability) and once 10 days later (long-term reliability). For criterion validity, a Spearman coefficient ( r ) was calculated between stiffness values and the clinical scales. For reliability, intraclass correlation coefficients (ICCs), SEM, and MDC95 were calculated. Moderate correlations were observed between EL max and MAS ( r = 0.49) and MTS (V2, r = 0.43; V3, r = 0.49) of the wrist flexors, and finger flexors (MAS, r = 0.60; MTS V2, r = 0.56; MTS V3, r = 0.55). There was a poor correlation between the clinical scales and VI and L-path. Reliability was excellent for all stiffness measurements at short term (EL max : 0.95, VI: 0.94, L-path: 0.92) and good at long term (EL max : 0.87, VI: 0.76, L-path: 0.82). In conclusion, stiffness measurements are valid and reliable to evaluate hyper-resistance in people with stroke.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 2","pages":"170-177"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10330582","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

Psychometric properties of the Obstacles and Curb tests and their discriminative ability across functional levels in ambulatory children with spastic cerebral palsy. 痉挛性脑瘫患儿障碍和抑制测试的心理测量特征及其跨功能水平的判别能力。

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-06-01 DOI: 10.1097/MRR.0000000000000575

Maha F Algabbani, Banan A Almass, Afaf A M Shaheen, Adel Alhusaini, Muneera M Almurdi, Samiah Alqabbani

{"title":"Psychometric properties of the Obstacles and Curb tests and their discriminative ability across functional levels in ambulatory children with spastic cerebral palsy.","authors":"Maha F Algabbani, Banan A Almass, Afaf A M Shaheen, Adel Alhusaini, Muneera M Almurdi, Samiah Alqabbani","doi":"10.1097/MRR.0000000000000575","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000575","url":null,"abstract":"The Obstacles and Curb tests are timed walking assessments that have emerged from the Spinal Cord Injury Functional Ambulation Profile and have been modified for children; however, their psychometric properties have not been adequately investigated. The aim of this research was to examine the psychometric properties of the Obstacles and Curb tests for children with cerebral palsy (CP). This cross-sectional study included 68 children aged 6-12 years; there were 34 children with CP and 34 age- and sex-matched typically developing children. Validity was examined by correlation with the 10-m Walk Test (10-MWT), Modified Time Up and Go test (mTUG), and Pediatric Balance Scale (PBS). Differences in the Obstacle and Curb test scores were calculated between children with CP and typically developing children and within different Gross Motor Function Classification System (GMFCS) levels. Children with CP completed the tests twice within a 30-min interval in the same session. The tests showed significant strong to very strong correlations with the 10-MWT, mTUG, and PBS. The within-session reliability was excellent, typically developing children were significantly faster than children with CP with high sensitivity and specificity, and the time differed significantly within the GMFCS level. Thus, the Obstacles and Curb tests can be considered valid, reliable, and sensitive walking tests for ambulatory children with CP.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 2","pages":"178-186"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/24/76/ijrr-46-178.PMC10155681.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10277940","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

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? 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?

IF 1.7 4区医学

International Journal of Rehabilitation Research Pub Date : 2023-06-01 DOI: 10.1097/MRR.0000000000000582

Stefano Brunelli, Lucia D'Auria, Andrea Stefani, Filippo Giglioni, Giorgio Mariani, Marcello Ciccarello, Maria Grazia Benedetti

{"title":"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?","authors":"Stefano Brunelli, Lucia D'Auria, Andrea Stefani, Filippo Giglioni, Giorgio Mariani, Marcello Ciccarello, Maria Grazia Benedetti","doi":"10.1097/MRR.0000000000000582","DOIUrl":"https://doi.org/10.1097/MRR.0000000000000582","url":null,"abstract":"Mirror therapy is a widely used treatment for phantom limb pain (PLP) relief in patients with limb loss. Less common is progressive muscle relaxation (PMR), used mostly in other medical conditions (psychological, terminal cancer pain, etc). The purpose of this study is to evaluate the efficacy of a mirror therapy preceded by PMR intervention compared to mirror therapy preceded by unguided generic relaxation-mirror therapy in patients with lower limb amputation suffering from PLP. This pilot study was a single-blind, controlled, randomized trial. Thirty lower limb amputees suffering from PLP were recruited and randomly assigned to three groups respectively undergoing a PMR-mirror therapy rehabilitative intervention, generic relaxation-mirror therapy, and conventional physiotherapy (ConvPT). Selected items from Prosthesis Evaluation Questionnaire (PEQ) and the Brief Pain Inventory (BPI) were used to test the pain features at the beginning and 1 week after 3 weeks of intervention. A decrease of about 65% was found in the rate and duration of PLP at the PEQ in PMR-mirror therapy with respect to generic relaxation-mirror therapy (about 30%) and ConvPT (about 6%). A decrease of about 90% in intensity (worst and average) of PLP in PMR-mirror therapy when compared to generic relaxation-mirror therapy (about 45%) and ConvPT (about 20%) was found at the BPI. We preliminary concluded, albeit with limitations due to the small sample of patients, that mirror therapy can improve PLP when associated with PMR. Further studies are required to confirm that PMR could be an effective technique for more successful PLP management.","PeriodicalId":14301,"journal":{"name":"International Journal of Rehabilitation Research","volume":"46 2","pages":"193-198"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10331090","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: 1