NeuroRehabilitation最新文献

What are the Effects of Ankle-Foot Orthoses on Walking in Adults with Calf Muscle Weakness Due to Neuromuscular Disorders? - A Cochrane Review Summary with Commentary. 踝足矫形器对神经肌肉疾病所致小腿肌无力的成人行走有何影响？- Cochrane综述摘要及评论。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-07-22 DOI: 10.1177/10538135251356635

Ekin Ilke Sen

{"title":"What are the Effects of Ankle-Foot Orthoses on Walking in Adults with Calf Muscle Weakness Due to Neuromuscular Disorders? - A Cochrane Review Summary with Commentary.","authors":"Ekin Ilke Sen","doi":"10.1177/10538135251356635","DOIUrl":"https://doi.org/10.1177/10538135251356635","url":null,"abstract":"BackgroundCalf muscle weakness due to neuromuscular disorders significantly impairs walking efficiency, increases energy expenditure, and limits mobility. Ankle-foot orthoses (AFOs) are commonly prescribed to improve gait biomechanics and functional mobility, but their effectiveness remains uncertain.ObjectiveTo assess the effects of AFOs on walking performance in adults with calf muscle weakness caused by slowly progressive neuromuscular disorders.MethodsA summary of the Cochrane Review by van Duijnhoven et al., with commentary from a rehabilitation perspective.ResultsThe Cochrane review included 10 studies with 186 participants. Low-certainty evidence suggests that carbon AFOs may reduce walking energy cost, increase walking speed, and enhance user satisfaction. Leather AFOs may also contribute to improved walking speed. Polypropylene and elastic AFOs appear to provide minimal to no benefit. The effects of AFOs on perceived walking effort, balance, and long-term use remain inconclusive due to very low-certainty evidence. Although adverse events were predominantly mild, conclusions regarding safety remain limited, as most studies were conducted in laboratory settings without incorporating real-life use of AFOs.ConclusionsThe evidence supporting AFO use in adults with calf muscle weakness remains of low to very low certainty. Future research should focus on individualized AFO prescription, long-term outcomes, and safety monitoring. Additionally, further investigation is needed to clarify the impact of AFO material properties on walking, mobility, and quality of life in individuals with neuromuscular disorders.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251356635"},"PeriodicalIF":1.7,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682894","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 Fall Risk within 6 Months Post-Discharge Through Balance Tasks Analysis in Inpatients with Subacute Stroke: Prospective Cohort Study. 通过平衡任务分析确定亚急性卒中住院患者出院后6个月内的跌倒风险：前瞻性队列研究

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-07-08 DOI: 10.1177/10538135251356173

Tatsuya Igarashi, Yuta Tani, Hironobu Kakima, Shota Hayashi

{"title":"Identifying Fall Risk within 6 Months Post-Discharge Through Balance Tasks Analysis in Inpatients with Subacute Stroke: Prospective Cohort Study.","authors":"Tatsuya Igarashi, Yuta Tani, Hironobu Kakima, Shota Hayashi","doi":"10.1177/10538135251356173","DOIUrl":"https://doi.org/10.1177/10538135251356173","url":null,"abstract":"BackgroundBalance impairments, stemming from disruptions in motor, and cognitive systems, are key contributors to fall risk.ObjectiveThis study aimed to identify balance tasks associated with fall risk within 6 months of discharge in inpatients with subacute stroke.MethodsThis prospective cohort study included patients with subacute stroke who completed the Mini-Balance Evaluation Systems Test (Mini-BESTest), Fugl-Meyer Assessment for the Lower Extremities, and Mini-Mental State Examination before discharge. Falls were self-reported via telephone survey six months post-discharge. Logistic regression was used to identify significant predictors, with sensitivity analyses to evaluate robustness.ResultsAmong 50 patients, 30% experienced falls within six months. Regression analysis identified stand on one leg (OR = 4.70, 95% CI 1.31-16.85, p = 0.018), compensatory stepping correction of backward (OR = 3.48, 95% CI 1.36-8.92, p = 0.009) and lateral (OR = 3.00, 95% CI 1.02-8.84, p = 0.046) as significant balance tasks associated with fall risk. Forward compensatory stepping corrections were associated with increasing age, whereas standing with eyes closed and walking with head turned horizontally were associated with fall risk in interaction with motor paresis and cognitive integration.ConclusionsOne leg standing and compensatory stepping correction of backward and lateral were significant balance tasks related to fall risk.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251356173"},"PeriodicalIF":1.7,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584488","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

Moving and Doing: The Use of Vicon^® Motion Capture as a Convergent Measure of Change in the Functional Performance of Children with Cerebral Palsy. 运动和做：使用Vicon®运动捕捉作为脑瘫儿童功能表现变化的收敛测量。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-07-08 DOI: 10.1177/10538135251348361

K Bain, S Davis Bombria, S Treacy, C Chapparo, M Donelly, R Heard, D Felsberg

{"title":"Moving and Doing: The Use of Vicon® Motion Capture as a Convergent Measure of Change in the Functional Performance of Children with Cerebral Palsy.","authors":"K Bain, S Davis Bombria, S Treacy, C Chapparo, M Donelly, R Heard, D Felsberg","doi":"10.1177/10538135251348361","DOIUrl":"https://doi.org/10.1177/10538135251348361","url":null,"abstract":"BackgroundThis study investigates the use of Vicon® motion capture as a convergent measure of goal attainment in children with cerebral palsy (CP) undergoing Contemporary Neuro-Developmental Treatment (NDT).ObjectivesUsing Goal Attainment Scaling (GAS) as the primary outcome measure, the study examines how motion capture data can quantify biomechanical changes related to individualized therapy goals.MethodsThis descriptive study used data from eight children aged 2-15 years with varying classifications of CP. The intervention group underwent six days of intensive NDT, while the control group participated in structured activities before crossing over to receive NDT. Vicon motion capture quantified kinematic parameters for each participant's goals, providing objective data to complement GAS outcomes.AssessmentResults demonstrated that motion capture could effectively identify and measure functional changes, aligning with GAS goals. Of the eight subjects, six children had GAS scores indicating progress toward or beyond their targeted goalsConclusionThese findings highlight the potential of motion capture to enhance the precision of functional performance assessments in pediatric rehabilitation and inform the refinement of goal-setting practices. Despite technical challenges and the need for advanced expertise, motion capture offers a valuable tool for capturing individualized therapy outcomes and advancing evidence-based practices in CP interventions.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251348361"},"PeriodicalIF":1.7,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584489","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

Gait Recovery in Patients with Stroke with Severe Motor Damage: The Prognostic Role of Sensory Pathway Preservation. 脑卒中伴严重运动损伤患者的步态恢复：感觉通路保存的预后作用。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-06-26 DOI: 10.1177/10538135251336921

Yeonwoo Ju, Yeun Jie Yoo, Mi-Jeong Yoon, Bo Young Hong, Jong In Lee, Seong Hoon Lim

{"title":"Gait Recovery in Patients with Stroke with Severe Motor Damage: The Prognostic Role of Sensory Pathway Preservation.","authors":"Yeonwoo Ju, Yeun Jie Yoo, Mi-Jeong Yoon, Bo Young Hong, Jong In Lee, Seong Hoon Lim","doi":"10.1177/10538135251336921","DOIUrl":"https://doi.org/10.1177/10538135251336921","url":null,"abstract":"BackgroundThe role of sensory pathways in gait recovery remains unclear. We hypothesized that preservation of the somatosensory pathway may play a key role in gait recovery in patients with stroke and severe motor pathway impairment.ObjectiveThis study aimed to investigate the impact of preserving the somatosensory pathway, spinothalamic tract (STT), and superior thalamic radiation (STR) on gait recovery in patients with chronic stroke and severe damage to motor pathways.MethodsThis retrospective cross-sectional study included 85 patients and investigated the association between functional ambulation categories and the integrity of sensory pathways, as represented by fractional anisotropy values. Diffusion tensor imaging was performed to assess the integrity of the corticospinal tract (CST), cortico-ponto-cerebellar tract, STT, and STR 6 months after stroke.ResultsMultivariable logistic regression analysis revealed that severe damage to the CST with the STT preserved yielded an odds ratio of 8.49 (p = 0.030) for functional gait, compared to when both tracts were damaged.ConclusionsSomatosensory pathways may play a critical role in gait recovery for patients with chronic stroke and severe motor tract damage. Preserving the somatosensory pathway could facilitate gait recovery in patients with severe motor pathway damage, offering valuable insights for future stroke rehabilitation strategies.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251336921"},"PeriodicalIF":1.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497588","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

Effectivity of neuromuscular electrical stimulation and oral sensorimotor stimulation as therapeutic interventions for pediatric dysphagia: A comparative study of swallowing outcomes. 神经肌肉电刺激和口腔感觉运动刺激作为儿童吞咽困难的治疗干预措施的有效性：吞咽结果的比较研究。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-06-17 DOI: 10.1177/10538135251336048

Rizky Kusuma Wardhani, Luh Karunia Wahyuni, Budiati Laksmitasari, Mohamad Yanuar Amal, Chika Carnation Tandri, You Gyoung Yi

{"title":"Effectivity of neuromuscular electrical stimulation and oral sensorimotor stimulation as therapeutic interventions for pediatric dysphagia: A comparative study of swallowing outcomes.","authors":"Rizky Kusuma Wardhani, Luh Karunia Wahyuni, Budiati Laksmitasari, Mohamad Yanuar Amal, Chika Carnation Tandri, You Gyoung Yi","doi":"10.1177/10538135251336048","DOIUrl":"https://doi.org/10.1177/10538135251336048","url":null,"abstract":"BackgroundPediatric dysphagia poses risks to feeding safety, nutrition, and overall health, especially in those with developmental or neurological disorders. While various treatments exist, including therapeutic, medical, and surgical options, oral sensorimotor stimulation (OSMS) and neuromuscular electrical stimulation (NMES) are commonly used non-invasive interventions. However, their relative effectiveness remains uncertain, with limited evidence on their advantages in managing specific types of dysphagia.ObjectiveThis prospective cohort study aimed to compare the effectiveness of NMES and OSMS in managing pediatric dysphagia.MethodsThis study recruited pediatric dysphagia patients for a two-month rehabilitation program, with either NMES or OSMS with pre- and post-intervention evaluations using video-fluoroscopic swallow studies, Modified Barium Swallow Impairment Profile (MBSImP) scores, and the 8-point Penetration-Aspiration Scale (PAS).ResultsA total of 26 children participated in the study. NMES significantly reduced MBSImP scores in both oral and pharyngeal impairments, and PAS. OSMS showed significant improvement in MBSImP scores, particularly in oral impairment.ConclusionsThe study suggests NMES benefits oropharyngeal dysphagia and reduces penetration and aspiration, while OSMS is effective for improving oral dysphagia.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251336048"},"PeriodicalIF":1.7,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317575","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

Community-Based Exercise Programming for Individuals with Parkinson's Disease: A Qualitative Study. 帕金森病患者社区运动规划：一项定性研究

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-06-09 DOI: 10.1177/10538135251348365

Aiza Khan, C Allyson Jones, Marguerite Wieler, Victor E Ezeugwu

{"title":"Community-Based Exercise Programming for Individuals with Parkinson's Disease: A Qualitative Study.","authors":"Aiza Khan, C Allyson Jones, Marguerite Wieler, Victor E Ezeugwu","doi":"10.1177/10538135251348365","DOIUrl":"https://doi.org/10.1177/10538135251348365","url":null,"abstract":"BackgroundParkinson's disease (PD) is a neurological disorder that significantly impacts individuals, their families, and the healthcare system. Alongside drug therapies and surgical interventions, exercise has shown potential in improving motor and non-motor symptoms. This study explored perspectives of individuals with PD, care partners, and program providers regarding a community-based exercise program for PD.MethodsIndividuals with PD (Hoehn & Yahr stages I-III), on a stable medication regime, who participated in a PD-specific community-based exercise program twice weekly for at least 12 weeks, along with care partners and program providers were recruited. In-depth interviews were conducted with individuals with PD (n = 17), care partners (n = 7), and program providers (n = 3) from January to May 2024. Data were analyzed using an interpretative phenomenology analysis and mapped onto a behavior-change model. Two patient advisors and care partners assisted in data analysis and interpretation.ResultsParticipants highlighted the PD-specific nature of the program and group exercise benefits as key motivators. Pre-program challenges included difficulties obtaining a diagnosis, adapting to non-motor symptoms, medication side effects, and finding motivation. Post-program outcomes included symptom improvement, mutual motivation, community support, and reduced self-consciousness, prompting the recommendation of greater community awareness. Barriers to participation included transportation difficulties and cost. These findings suggest addressing barriers is essential to enhance accessibility and program benefits.ConclusionsThe PD-specific exercise program was perceived as beneficial to overall health and wellness, providing physical, emotional, and social benefits. A lack of awareness about the significance of exercise in PD remains a critical challenge.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251348365"},"PeriodicalIF":1.7,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249050","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

A Quality Improvement Initiative to Optimize Early Mobilization in Acute Intracerebral Hemorrhage: A Pre-Post Intervention Study. 优化急性脑出血早期动员的质量改进倡议：干预前后研究。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-06-09 DOI: 10.1177/10538135251344930

Hsiao-Ching Yen, Yun-Chen Tsai, Guan-Shuo Pan

{"title":"A Quality Improvement Initiative to Optimize Early Mobilization in Acute Intracerebral Hemorrhage: A Pre-Post Intervention Study.","authors":"Hsiao-Ching Yen, Yun-Chen Tsai, Guan-Shuo Pan","doi":"10.1177/10538135251344930","DOIUrl":"https://doi.org/10.1177/10538135251344930","url":null,"abstract":"BackgroundPrimary intracerebral hemorrhage (ICH) carries high mortality and disability risks. Although early mobilization is beneficial, concerns about physiological instability often delay mobilization.ObjectiveTo evaluate whether a structured early mobilization protocol improves functional mobility and reduces adverse events in critically ill ICH patients.MethodThis retrospective pre-post study included 192 patients with ICH (ICH score 0-4) admitted to a dedicated stroke center. In the pre-implementation phase in 2022, patients received standard care. In the post-implementation phase in 2023, a standardized mobility protocol, incorporating time-based stratification, neurological thresholds, and safety criteria to guide activity progression, was introduced. Primary outcomes included the Modified ICU Mobility Scale (MIMS) score at intensive care unit (ICU) discharge and the occurrence of adverse events.ResultsThe post-implementation group (99 patients) showed higher MIMS scores at ICU discharge, with a greater proportion achieving out-of-bed sitting during their ICU stay compared to the pre-implementation group (93 patients). Non-serious adverse events in the former decreased significantly; ICU and hospital lengths of stay were shorter but not statistically significant.ConclusionThe structured pathway enabled safer, earlier mobilization and improved ICU functional outcomes. While mobility benefits were observed, caution is warranted in interpreting non-significant trends in length of stay.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251344930"},"PeriodicalIF":1.7,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249049","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

Effectiveness of VR Intervention Coupled with Treadmill Training on Gait Function for Stroke Patients: A Systematic Review. VR干预结合跑步机训练对脑卒中患者步态功能的影响：一项系统综述。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-06-09 DOI: 10.1177/10538135251335127

Minjoon Kim, Chirathip Thawisuk, Fuminari Kaneko, Hyeong-Dong Kim

{"title":"Effectiveness of VR Intervention Coupled with Treadmill Training on Gait Function for Stroke Patients: A Systematic Review.","authors":"Minjoon Kim, Chirathip Thawisuk, Fuminari Kaneko, Hyeong-Dong Kim","doi":"10.1177/10538135251335127","DOIUrl":"https://doi.org/10.1177/10538135251335127","url":null,"abstract":"BackgroundCurrent gait rehabilitation strategies for stroke survivors have limitations. Virtual reality-integrated treadmill training shows promise by enhancing neuroplasticity and motor learning, but its comparative efficacy remains unclear.ObjectivesThis review evaluates the effectiveness of VR-integrated treadmill training on gait performance, balance, and functional outcomes in stroke survivors, addressing benefits and limitations.MethodsFollowing PRISMA guidelines, randomized controlled trials comparing Virtual reality-treadmill and conventional rehabilitation were analyzed. Outcomes included gait speed, balance, and participation. Methodological quality was assessed using the RoB 2 tool.ResultsTen RCTs involving 266 participants were included. Virtual reality interventions significantly improved gait speed, stride length, and balance compared to conventional training. Interactive Virtual reality systems demonstrated superior benefits by incorporating task-specific and feedback-driven elements. However, improvements in quality of life and participation were inconsistent. Most studies spanned 4-8 weeks, limiting long-term conclusions.ConclusionVirtual reality-treadmill training improves gait and neuroplastic recovery but shows inconclusive effects on quality of life and participation. Future research should focus on longer interventions and translating gains to real-world activities, supporting Virtual reality as a complement to traditional rehabilitation.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251335127"},"PeriodicalIF":1.7,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249051","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

Pain and Fatigue in Parkinson's Disease: Exploring Their Interrelation and Mediating Variables. 帕金森病的疼痛和疲劳：探讨其相互关系和中介变量。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-06-01 Epub Date: 2025-03-20 DOI: 10.1177/10538135251325761

Alfonso Hurtado-Martínez, Yeray González-Zamorano, Marcos Moreno-Verdú, Francisco José Sánchez-Cuesta, Josué Fernandez Carnero, Juan Pablo Romero

{"title":"Pain and Fatigue in Parkinson's Disease: Exploring Their Interrelation and Mediating Variables.","authors":"Alfonso Hurtado-Martínez, Yeray González-Zamorano, Marcos Moreno-Verdú, Francisco José Sánchez-Cuesta, Josué Fernandez Carnero, Juan Pablo Romero","doi":"10.1177/10538135251325761","DOIUrl":"10.1177/10538135251325761","url":null,"abstract":"BackgroundPain is a non-motor symptom (NMS) of Parkinson's disease (PD) present in up to 85% of patients. Fatigue is another highly prevalent NMS. Presence of both is detrimental for the individual's well-being, but their association remains largely unexplored.ObjectivesTo assess the relationship between pain, fatigue, and mediating variables in PD.MethodsFifty-three PD patients with pain participated in a cross-sectional study. Correlation analyses were performed between clinical, self-reported measures of pain (Spanish-King's-Parkinson-Pain-Scale (S-KPPS) and Brief-Pain-Inventory (BPI) and fatigue (Fatigue-Severity-Scale (FSS), Daily-Fatigue-Impact-Scale (DFIS)). Partial correlations were performed considering these confounders: Levodopa-equivalent daily dose (LEDD), years from PD diagnosis, UPDRS-III score, anxiety, depression and kinesiophobia.ResultsFatigue severity (FSS) was positively and moderately correlated with pain interference (BPI; ρ = 0.351, p = 0.045) and symptomatic burden (S-KPPS; ρ = 0.367, p = 0.042), but not intensity (BPI; ρ = 0.122, p = 0.446). DFIS did not correlate with any dimension of pain (p > 0.05). Motor symptoms, anxiety, depression and kinesiophobia changed correlation significance, but LEDD and disease duration didn't.ConclusionA moderate correlation was found between fatigue severity and both pain interference and symptomatic burden, influenced by other non-motor symptoms (NMS) like anxiety and depression. Although anxiety and depression have previously been associated with fatigue, this study adds pain to a tetrad of interrelated NMS prevalent in PD.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":"56 4","pages":"549-559"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333688","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 Treatment of Cervicogenic Headache with Transcranial Direct Current Stimulation and Exercise Therapy: A Randomized Control Trial Evaluating Functional Outcomes. 经颅直流电刺激和运动疗法治疗颈源性头痛：一项评估功能结局的随机对照试验。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-06-01 Epub Date: 2025-04-27 DOI: 10.1177/10538135251325384

Kaiden Jobin, Ashley Smith, Christina Campbell, Siobhan Schabrun, Jean-Michel Galarneau, Kathryn J Schneider, Chantel T Debert

{"title":"The Treatment of Cervicogenic Headache with Transcranial Direct Current Stimulation and Exercise Therapy: A Randomized Control Trial Evaluating Functional Outcomes.","authors":"Kaiden Jobin, Ashley Smith, Christina Campbell, Siobhan Schabrun, Jean-Michel Galarneau, Kathryn J Schneider, Chantel T Debert","doi":"10.1177/10538135251325384","DOIUrl":"10.1177/10538135251325384","url":null,"abstract":"ObjectiveThe objectives of this study were to evaluate functional outcomes of cervical motor control, strength and endurance following active transcranial direct current stimulation (tDCS) with exercise therapy (ET) compared to sham tDCS/+ET in patient with cervicogenic headache (CGH),DesignThis was a pilot sham-controlled, participant and assessor blinded, randomized controlled trial.MethodsThirty-two participants with CGH were randomized to active tDCS/+ET or sham tDCS/+ET. Participants completed 6-weeks of daily ET concurrently combined with 3 sessions per week of tDCS. Assessments included: craniocervical flexion test (mmHg), cervical isometric strength (N), cervical flexor and extensor endurance (seconds), and range of motion (degrees) pre-treatment, post-treatment, 6-weeks and 12-weeks post treatment. Linear mixed effect models evaluated group-time interactions at each follow-up while accounting for exercise program adherence and sex.ResultsThere were significant group-time interactions for activation scores on the craniocervical flexion test from pre-treatment to post-treatment (β = 1.571; 95%CI[0.155, 2.988]; p = 0.030), 6-weeks (β = 1.571; 95%CI[0.155, 2.988]; p = 0.030), and 12-weeks (β = 1.954; 95%CI[0.465, 3.443]; p = 0.011) favoring the active tDCS/+ET group.ConclusionsActive tDCS/+ET demonstrated significant benefits in deep cervical flexor motor control compared to sham tDCS/+ET that remained improved up to 12 weeks post-treatment. This suggests tDCS/+ET may improve of functional outcomes for patients with CGH.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"511-524"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998728","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