NeuroRehabilitation最新文献

Effectiveness of the Combined Use of Motor Imagery and Action Observation Therapies in Improving Functionality: A Systematic Review and Meta-Analysis. 运动想象和动作观察疗法联合使用在改善功能方面的有效性：一项系统回顾和荟萃分析。

IF 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-10-07 DOI: 10.1177/10538135251382909

María Pilar Arnal-Vallés, Paula Escalada-Hernández, Ana Beatriz Bays-Moneo, Gustavo Adolfo Pimentel-Parra, Cristina García-Vivar, Leticia San Martín-Rodríguez, Nelia Soto-Ruiz

{"title":"Effectiveness of the Combined Use of Motor Imagery and Action Observation Therapies in Improving Functionality: A Systematic Review and Meta-Analysis.","authors":"María Pilar Arnal-Vallés, Paula Escalada-Hernández, Ana Beatriz Bays-Moneo, Gustavo Adolfo Pimentel-Parra, Cristina García-Vivar, Leticia San Martín-Rodríguez, Nelia Soto-Ruiz","doi":"10.1177/10538135251382909","DOIUrl":"https://doi.org/10.1177/10538135251382909","url":null,"abstract":"ObjectiveThe aim of this study was to evaluate the combined effect of motor imagery and action observation in context of functional rehabilitation and analyse their impact on different functional parameters.Data SourcesA systematic review and meta-analysis were conducted by means of bibliographic searches in the PubMed, Cochrane, Web of Science, Scopus, CINAHL, and PEDro databases until May 2025.Review MethodsRandomized clinical studies with participants older than 18 years with functional problems or limitations and combining action observation and motor imagery therapies were included. The Cochrane Risk of Bias (RoB) 2.0 tool, Covidence and R platform v4.4.2 were used to assess the quality of the included articles, selection of studies and data analysis, and meta-analysis. The protocol was registered in PROSPERO (No. CRD42024552072).ResultsNine articles were ultimately selected. The health conditions addressed included neurological and ageing-related disorders, as well as trauma. Compared with each therapy alone or with conventional therapies, the combination of motor imagery and action observation demonstrated benefits in lower and upper limb functionality, mobility, gait speed and fear of movement. Treatment protocols used varied in dosage (time and repetitions) and frequency (number of sessions per week).ConclusionsCombination of motor imagery and action observation therapies is beneficial for improving functionality, suggesting its potential value as an effective tool in the treatment of acute and chronic symptoms associated with various pathologies. However, clear standards regarding the dosages of these combined therapies are lacking.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251382909"},"PeriodicalIF":1.8,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244942","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

Commentary on "Efficacy of the Conventional Rehabilitation Robot and bio-Signal Feedback-Based Rehabilitation Robot on Upper-Limb Function in Patients with Stroke: A Systematic Review and Network Meta-Analysis". 《传统康复机器人与基于生物信号反馈的康复机器人对脑卒中患者上肢功能的疗效：系统综述与网络meta分析》评论。

IF 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-10-07 DOI: 10.1177/10538135251384325

James R Burmeister, Ismail Zazay

引用次数: 0

The Effects of Pilates Exercise on Balance Control, Muscle Strength and Walking Ability in Patients with Stroke: A Randomized Controlled Trial. 普拉提运动对脑卒中患者平衡控制、肌肉力量和行走能力的影响：一项随机对照试验。

IF 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-10-01 DOI: 10.1177/10538135251382908

Donlaya Promkeaw, Ampha Pumpho, Weethima Nanbancha, Pichsinee Kaewsitthidech, Nongnapas Khempromma, Phithakbunrot Kamphimai, Nursaheeda Luebaesa, Theerasak Boonwang

{"title":"The Effects of Pilates Exercise on Balance Control, Muscle Strength and Walking Ability in Patients with Stroke: A Randomized Controlled Trial.","authors":"Donlaya Promkeaw, Ampha Pumpho, Weethima Nanbancha, Pichsinee Kaewsitthidech, Nongnapas Khempromma, Phithakbunrot Kamphimai, Nursaheeda Luebaesa, Theerasak Boonwang","doi":"10.1177/10538135251382908","DOIUrl":"https://doi.org/10.1177/10538135251382908","url":null,"abstract":"BackgroundStroke induced neuromuscular deficits, especially in core muscle strength, impair balance and gait, whereas Pilates exercises known to improve strength and postural control remain insufficiently studied in neurological stroke populations.ObjectiveEvaluated the effects of a 3-week Pilates program on balance control, muscle strength, and walking ability in patients with chronic stroke.MethodsSingle-blind, randomized controlled trial included 20 participants with chronic stroke who aged 45-65 years. Participants were randomly assigned into the experimental or the control groups receiving standard physical therapy. The experimental group, Pilates exercise program, comprised warm-up, 15 mat-based poses emphasizing controlled breathing and muscle engagement, followed by cool-down stretches and walking training, supervised by a physiotherapist for 60 min per day, 3 days per week, for 3 weeks. Time up and go test (TUGT), five time sit to stand (FTSST), and 10-meter walk test (10MWT) were conducted at baseline and after 3 weeks.ResultsAll participants in the Pilates exercise program were able to perform all exercise positions safely and statistically significant improved in balance, muscular strength, and walking ability compared to the control group (P < 0.001). Particularly, the TUGT showed a mean difference of 2.23 s (P < 0.001). In addition, improving in FTSST and 10MWT with a mean difference of 1.72 s and 0.15 m/s (P < 0.001) respectively.ConclusionsThe integration of Pilates methodologies within stroke rehabilitation protocols may functional ability as a safe, efficacious, and readily available complement to conventional therapeutic approaches, thereby facilitating functional rehabilitation.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251382908"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207267","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

Response by Author to Reader's Comment "Hand Functions Following Prone-weight Bearing on Upper Limb with Active Elbow Extension versus Modified Constraint-Induced Movement Therapy in Children with Unilateral Cerebral Palsy: A Randomized Clinical Trial" by Narayan et al. (2025). 作者对Narayan等人（2025）的读者评论“单侧脑瘫儿童上肢负重活动与改良约束诱导运动治疗的手部功能：一项随机临床试验”的回应。

IF 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-09-12 DOI: 10.1177/10538135251367202

Amitesh Narayan

引用次数: 0

Comment on "Hand Functions Following Prone-weight Bearing on Upper Limb with Active Elbow Extension Versus Modified Constraint-Induced Movement Therapy in Children with Unilateral Cerebral Palsy: A Randomized Clinical Trial" by Narayan et al. (2025). 评论Narayan等人（2025）的“单侧脑瘫儿童主动肘部伸展后上肢倾向负重后的手功能与改良的约束诱导运动疗法：一项随机临床试验”。

IF 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-09-04 DOI: 10.1177/10538135251363326

Hafsa Tariq, Tayba Arab Farooqi

引用次数: 0

Commentary on "Hand functions following prone-Weight bearing on upper limb with active elbow extension versus modified constraint induced Movement therapy in children with unilateral cerebral palsy - a randomised clinical trial". 对“单侧脑瘫儿童主动肘部伸展和改良约束诱导运动治疗上肢倾向负重后的手功能-一项随机临床试验”的评论。

IF 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-09-04 DOI: 10.1177/10538135251363329

Jyoti James, Antar Das, Sidharth Bansal

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 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-09-01 Epub 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":"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":"254-263"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","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

Analysis of Warm Acupuncture Combined with Rehabilitation Training for Lower Limb Motor Dysfunction in Cerebral Infarction Patients. 温针结合康复训练治疗脑梗死患者下肢运动功能障碍的疗效分析。

IF 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-09-01 Epub Date: 2025-05-14 DOI: 10.1177/10538135251339348

Man Li, Nan Su

{"title":"Analysis of Warm Acupuncture Combined with Rehabilitation Training for Lower Limb Motor Dysfunction in Cerebral Infarction Patients.","authors":"Man Li, Nan Su","doi":"10.1177/10538135251339348","DOIUrl":"10.1177/10538135251339348","url":null,"abstract":"ObjectiveTo evaluate the efficacy of warm acupuncture combined with rehabilitation training on lower-limb motor dysfunction in cerebral infarction (CI) patients.MethodsSixty CI patients with lower-limb motor dysfunction (Feb 2019 to Apr 2021) were enrolled. The control group received rehabilitation training, while the study group received warm acupuncture plus rehabilitation. The outcomes, including Functional Independence Measure (FIM), 10-meter maximum walking speed (MWS), Berg-balance scale (BBS), Barthel index, and Holden walking ability rating scale, were compared.ResultsThe study group showed significantly better results than the control group. After treatment, the study group's FIM and BBS scores were higher at 1-, 4-, and 6-week follow-ups. MWS scores of the study group improved significantly, while the control group showed less improvement. The Holden walking ability rating scale was also more favorable for the study group.ConclusionWarm acupuncture combined with rehabilitation training significantly improves lower-limb motor dysfunction in CI patients, demonstrating superior outcomes compared to rehabilitation alone.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"275-286"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079408","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 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-09-01 Epub 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":"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":"287-296"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","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

Are Virtual Reality Interventions Effective in Improving Outcomes in People with Multiple Sclerosis? A Cochrane Review Summary with Commentary. 虚拟现实干预能有效改善多发性硬化症患者的预后吗？Cochrane综述综述及评论。

IF 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-09-01 Epub Date: 2025-09-04 DOI: 10.1177/10538135251372057

Bhasker Amatya, Fary Khan

{"title":"Are Virtual Reality Interventions Effective in Improving Outcomes in People with Multiple Sclerosis? A Cochrane Review Summary with Commentary.","authors":"Bhasker Amatya, Fary Khan","doi":"10.1177/10538135251372057","DOIUrl":"10.1177/10538135251372057","url":null,"abstract":"BackgroundA wide range of virtual reality (VR) applications are currently used in rehabilitation to support people with multiple sclerosis (pwMS) in improving limb function, balance, postural control, gait training, and cognitive abilities. Despite its widespread use, there is a lack of systematic evaluation for the effectiveness of VR in the rehabilitation.ObjectiveCommentary on the systematic review by De Keersmaecker et al. (2025) which assessed the effects of VR interventions on lower limb and gait function, and balance and postural control in pwMS.MethodsThis review conducted a comprehensive search of the health science databases for (quasi-) randomized controlled trials (RCTs) that assessed virtual reality (VR) interventions in adult pwMS.ResultsThe review included 33 RCTs with a total of 1,294 participants. VR interventions varied across studies, including immersive and non-immersive approaches targeting motor and cognitive rehabilitation. Compared to no intervention, VR demonstrated a moderate positive effect on upper limb function and quality of life, suggesting that it could be a viable rehabilitation tool for improving motor performance and patient well-being. Compared with conventional therapy, VR interventions were more effective in improving balance and postural control. However, for other rehabilitation outcomes, such as gait function, cognitive function, and fatigue management, VR did not show significant differences compared to conventional therapy.ConclusionsVR can be a useful adjunct to traditional rehabilitation, but it may not be superior in all aspects of MS rehabilitation, unambiguous evidence regarding the effect of virtual reality training in multiple sclerosis is still missing. The authors emphasized the need for further research, particularly high-quality, large-scale RCTs, to strengthen the evidence base for VR in MS rehabilitation.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"319-321"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993067","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