NeuroRehabilitation最新文献

From Concept to Practice: Integrating Contextual Factors into Neurorehabilitation Among Physical Therapists. 从概念到实践：将环境因素融入物理治疗师的神经康复。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-05-28 DOI: 10.1177/10538135251344927

Maha Almarwani, Emtenan Alsadhan

{"title":"From Concept to Practice: Integrating Contextual Factors into Neurorehabilitation Among Physical Therapists.","authors":"Maha Almarwani, Emtenan Alsadhan","doi":"10.1177/10538135251344927","DOIUrl":"https://doi.org/10.1177/10538135251344927","url":null,"abstract":"BackgroundNeurological disorders are the leading cause of global disability. To enhance neurorehabilitation effectiveness, it is essential to consider contextual factors that influence patient outcomes and the overall experience.ObjectiveThis study aimed to examine the integration of contextual factors into neurorehabilitation practice among physical therapists, focusing on their frequency of use, associated beliefs, ethical considerations, and communication strategies.MethodsA cross-sectional web-based survey was disseminated to a convenience sample of physical therapy professionals via various online platforms. The survey collected demographic data and information regarding the integration of contextual factors into neurorehabilitation practice.ResultsA total of 369 physical therapists completed the survey. Respondents reported moderate use of contextual factors (43%), with verbal communication (85%), positive attitude (82%), and physical contact (75%) the most frequently employed factors. The strongest beliefs about the influence of contextual factors on therapeutic outcomes were linked to verbal communication and optimistic behavior. No significant correlations were found between respondents' characteristics and the use of contextual factors.ConclusionPhysical therapists recognize the importance of contextual factors such as verbal communication, positive attitudes, and a professional approach in neurorehabilitation. Enhanced training is recommended to further integrate these factors into neurorehabilitation practice and optimize patient outcomes.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251344927"},"PeriodicalIF":1.7,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144160800","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

Spasticity Management with Botulinum Toxin in Post-stroke and Multiple Sclerosis Patients: A Retrospective, 'Real-world', Multicenter Study. 中风后和多发性硬化症患者的肉毒杆菌毒素痉挛管理：一项回顾性，“真实世界”，多中心研究。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-05-28 DOI: 10.1177/10538135251329322

Calogera Butera, Marcello Esposito, Trinchillo Assunta, Morena Giovannelli, Anna Rivaroli, Mario Pata, Mathieu Beneteau, Massimo Filippi, Patrizia M Caglioni, Ubaldo Del Carro

{"title":"Spasticity Management with Botulinum Toxin in Post-stroke and Multiple Sclerosis Patients: A Retrospective, 'Real-world', Multicenter Study.","authors":"Calogera Butera, Marcello Esposito, Trinchillo Assunta, Morena Giovannelli, Anna Rivaroli, Mario Pata, Mathieu Beneteau, Massimo Filippi, Patrizia M Caglioni, Ubaldo Del Carro","doi":"10.1177/10538135251329322","DOIUrl":"https://doi.org/10.1177/10538135251329322","url":null,"abstract":"BackgroundWhile there is strong evidence for botulinum toxin-A (BoNT-A) in post-stroke spasticity, there is a paucity of data in multiple sclerosis and other conditions in real-world settings.ObjectiveDocument the use of BoNT-A in the management of spasticity, with focus on the treatment of spasticity due to stroke and multiple sclerosis.MethodsThis noninterventional, retrospective study included all adults treated for upper and/or lower limb spasticity (any etiology) at three centers in Italy who received ≥3 BoNT-A injection cycles between 2008 and 2018.ResultsInjection data from 149 patients were analyzed (n = 67 post-stroke, n = 47 MS, n = 35 other etiologies). The median treatment duration was 54.9 months in the post-stroke population and 41.9 months in the MS population. Total doses for the commercially available BoNT-A formulations were typically lower than approved for use in spasticity; we also observed clinically relevant differences in the muscle patterns treated between the MS and post-stroke indications. Regardless of etiology, most patients were satisfied with treatment.ConclusionsThis retrospective study provides a snapshot of spasticity management for patients referred for BoNT-A treatment. Most patients were satisfied with their treatment over several cycles and the data support the effectiveness of BoNT-A for focal spasticity regardless of etiology.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251329322"},"PeriodicalIF":1.7,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144160831","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

Developing an mHealth App-based Telerehabilitation Programme for Stroke Survivors: A Feasibility and Usability Study. 开发基于移动健康应用程序的中风幸存者远程康复计划：可行性和可用性研究。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-05-28 DOI: 10.1177/10538135251344925

Mathilde Van Durme, Thierry Lejeune, Gaetan Stoquart, Stephanie Dehem

{"title":"Developing an mHealth App-based Telerehabilitation Programme for Stroke Survivors: A Feasibility and Usability Study.","authors":"Mathilde Van Durme, Thierry Lejeune, Gaetan Stoquart, Stephanie Dehem","doi":"10.1177/10538135251344925","DOIUrl":"https://doi.org/10.1177/10538135251344925","url":null,"abstract":"Telerehabilitation, especially through mobile health applications, offers a promising approach to prolong and intensify stroke rehabilitation at a distance. This feasibility study aims to evaluate the usability, adherence and satisfaction of a telerehabilitation application called TeleRe-app for post-stroke individuals. The TeleRe-app uses the REApad platform. It includes self-rehabilitation exercises presented via video and serious games, and therapeutic education. Subjects were asked to use TeleRe-app for 4 weeks, 5 times/week, 30 min/session. Weekly remote monitoring was organised through the TeleRe-app teleconferencing module. Usability and satisfaction were measured using Likert scales and the System Usability Scale (SUS), while adherence was tracked by frequency and duration of use of TeleRe-app. 28 post-stroke individuals participated in the study. The usability of TeleRe-app was excellent (SUS 85%). Satisfaction was high (averaged 8/10). These results were better for outpatients than for inpatients. On average, participants performed telerehabilitation 4 times/week for 16 min/session. Adherence was thus lower than expected, but participants engaged in additional exercise by an average of 70 min/week. TeleRe-app is a valuable adjunct to conventional rehabilitation and warrants further evaluation in clinical trials.ClinicalTrials Registration : NCT06016374.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251344925"},"PeriodicalIF":1.7,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144160751","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

Emotional Training after Facial Nerve Palsy: Let's Smile Again! 面神经麻痹后的情绪训练：让我们再次微笑！

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-05-28 DOI: 10.1177/10538135251335123

Fabrizio Gervasoni, Antonella LoMauro, Vincenzo Ricci, Arnaldo Andreoli, Silvia Cupello, Andrea Bernetti, Massimiliano Mangone, Teresa Paolucci, Francesco Agostini, Rossella Pagani, Antonino Michele Previtera

{"title":"Emotional Training after Facial Nerve Palsy: Let's Smile Again!","authors":"Fabrizio Gervasoni, Antonella LoMauro, Vincenzo Ricci, Arnaldo Andreoli, Silvia Cupello, Andrea Bernetti, Massimiliano Mangone, Teresa Paolucci, Francesco Agostini, Rossella Pagani, Antonino Michele Previtera","doi":"10.1177/10538135251335123","DOIUrl":"https://doi.org/10.1177/10538135251335123","url":null,"abstract":"BackgroundWe aimed to propose Emotional training (ET) as a neurocognitive approach, based on motor imagery by stimulating the patient's perception through different stimuli on the face to treat peripheral paralysis of the facial nerve.MethodsRetrospective, observational, double-centres cohort study of 50 patients diagnosed with peripheral facial nerve palsy. Facial function was assessed through the House-Brackmann scale (HBS, the primary outcome), the Sunnybrook Facial Grading System (FGS, secondary outcome) and the Italian validated version of the Facial Disability Index (It-FDI, secondary outcome) at the beginning and the end of the rehabilitation protocol. An author blinded to the protocols did the data analysis.ResultsAll patients showed improvement at the end of ET (HBS: 2 (p < 0.001); FGS: 57 (p < 0.001); It-FDI: 80 (p = 0.002)), by achieving a slight dysfunction or even normal function compared to baseline (HBS: 4; FGS: 21; It-FDI: 76). A second group of 8 surgical patients treated with an already published protocol served as control. HSB and FGC did not differ between the two groups at baseline and after 20 rehabilitative sections, with similar improvements.ConclusionET provided significant improvements in the symmetry of the face at rest and during voluntary movements, in social function and subjectively perceived well-being. ET is an effective therapeutic proposal for patients suffering from idiopathic or iatrogenic facial nerve palsy.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251335123"},"PeriodicalIF":1.7,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144160768","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

Validation of the Arabic Version of Multiple Sclerosis Quality of Life-29 (MSCOL-29-Ar): Cross-cultural Adaptation and Psychometric Analysis. 阿拉伯版多发性硬化症生活质量量表29 （MSCOL-29-Ar）的验证：跨文化适应和心理测量分析。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-05-27 DOI: 10.1177/10538135251344929

Afaf Am Shaheen As, Jude A Alsharafi, Mishel M Aldaihan, Asma S Alrushud, Asma A Aldera, Mai A Alder, Saad Alhammad, Ahmed Farrag, Walaa Elsayed, Muneera Almurdi, Maha Algabbani

{"title":"Validation of the Arabic Version of Multiple Sclerosis Quality of Life-29 (MSCOL-29-Ar): Cross-cultural Adaptation and Psychometric Analysis.","authors":"Afaf Am Shaheen As, Jude A Alsharafi, Mishel M Aldaihan, Asma S Alrushud, Asma A Aldera, Mai A Alder, Saad Alhammad, Ahmed Farrag, Walaa Elsayed, Muneera Almurdi, Maha Algabbani","doi":"10.1177/10538135251344929","DOIUrl":"https://doi.org/10.1177/10538135251344929","url":null,"abstract":"Background and objectivesTo translate and adapt the Multiple Sclerosis Quality of Life-29 into Arabic (MSQOL-29-Ar) and assess its psychometric properties in people with multiple sclerosis (MS).MethodsGenerally, 101 Arabic-speaking adults with MS aged 21 to 60 were recruited. Construct validity was tested by correlating MSQOL-29-Ar with the Arabic Functional Assessment of Multiple Sclerosis (FAMS-AR) and Multiple Sclerosis International Quality of Life (MusiQOL). Known-group validity was assessed by correlating the scale's Physical Health Composite (PHC) and Mental Health Composite (MHC) scores with the demographic and clinical data. Test-retest reliability, internal consistency, standard error of measurement (SEM), minimal detectable change (MDC95), limit of agreement (LOA), responsiveness, and floor/ceiling effects were also investigated.ResultsPHC and MHC scores correlated strongly with FAMS-ARA (r = 0.76 and 0.70, respectively).PHC scores were associated with age, employment, and MS chronicity, while MHC scores correlated with the Expanded Disability Status Scale. Internal consistency was acceptable (PHC α = 0.80; MHC α = 0.90), with excellent test-retest reliability (PHC r = 0.76; MHC r = 0.90). SEM (1.4-1.6) and MDC95 (4.3-3) were low. Responsiveness analysis indicated moderate accuracy (AUC = 0.70-0.75) with on-floor/ceiling effects.ConclusionMSQOL-29-Ar is valid and reliable for assessing HQOL in people with MS, making it suitable for clinical and rehabilitation settings.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251344929"},"PeriodicalIF":1.7,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151374","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 Associated with Physical Activity Among People with Multiple Sclerosis in Jordan: Which Clinical Characteristics are Important? 约旦多发性硬化症患者体力活动的相关因素：哪些临床特征是重要的？

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-05-15 DOI: 10.1177/10538135251336067

Hanan Khalil, Lina Jallad, Alham Al-Shorman, Shada Khazaaleh, Khalid El-Salem, Laila Elkhoty, Lolwa AlBaker, Marya Saeed, Mozza Almusallam, Suhaila Abdalllah, Jennifer Allen, Mariem Latrous, Saddam F Kannan

{"title":"Factors Associated with Physical Activity Among People with Multiple Sclerosis in Jordan: Which Clinical Characteristics are Important?","authors":"Hanan Khalil, Lina Jallad, Alham Al-Shorman, Shada Khazaaleh, Khalid El-Salem, Laila Elkhoty, Lolwa AlBaker, Marya Saeed, Mozza Almusallam, Suhaila Abdalllah, Jennifer Allen, Mariem Latrous, Saddam F Kannan","doi":"10.1177/10538135251336067","DOIUrl":"https://doi.org/10.1177/10538135251336067","url":null,"abstract":"BackgroundPhysical activity (PA) enhances mental and physical functioning of people with multiple sclerosis (PwMS). Yet, PwMS often do not engage in sufficient PA in the Middle East region.ObjectiveTo explore PA-associated factors according to The International Classification of Functioning, Disability and Health (ICF) framework among PwMS in Jordan.MethodsA cross-sectional study was conducted on 97 PwMS. PA levels were measured using The International Physical Activity Questionnaire (IPAQ). Potential associated factors with PA were determined using the ICF framework. Multiple linear regression was used to identify the factors that explain IPAQ's total score.ResultsThe Mean age of the participants was 36.09 years (SD = 10.9), 71.7% females. IPAQ was negatively associated with disease severity, history of falling, fatigue, family social support, and participation in social activities (P < 0.05). Anxiety levels and participation in instrumental activities of daily living were positively associated with IPAQ (P < 0.05).ConclusionsThe study suggests that factors contributing to PA levels in PwMS in the Middle East are multifactorial. A comprehensive rehabilitation plan that addresses those factors is essential to enhance PA levels in this population. Further research is needed to understand the clinical, personal, and cultural factors associated with PA among PwMS in the Middle East.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251336067"},"PeriodicalIF":1.7,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078229","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

Regression-Based Normative Data for the Perri Spanish Auditory Verbal Learning and Memory Test In Early-To-Midlife Mexican Adults. 墨西哥中青年成人Perri西班牙语听觉语言学习和记忆测试的回归基础规范数据。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-05-15 DOI: 10.1177/10538135251339359

Teresita J Villaseñor-Cabrera, Karen A Sanchez-Jacuinde, Miriam E Jiménez-Maldonado, Alejandra Morlett-Paredes, Enrique López, Genoveva Rizo-Rodriguez, Jose A Navarro-Rincon, Fabiola Gonzalez-Ponce, Mario A Mireles-Ramírez, Miguel Ángel Macías-Islas, Jazmin Marquez-Pedroza, Martha Rocio Hernandez-Preciado, Edgar R Valdivia-Tangarife

{"title":"Regression-Based Normative Data for the Perri Spanish Auditory Verbal Learning and Memory Test In Early-To-Midlife Mexican Adults.","authors":"Teresita J Villaseñor-Cabrera, Karen A Sanchez-Jacuinde, Miriam E Jiménez-Maldonado, Alejandra Morlett-Paredes, Enrique López, Genoveva Rizo-Rodriguez, Jose A Navarro-Rincon, Fabiola Gonzalez-Ponce, Mario A Mireles-Ramírez, Miguel Ángel Macías-Islas, Jazmin Marquez-Pedroza, Martha Rocio Hernandez-Preciado, Edgar R Valdivia-Tangarife","doi":"10.1177/10538135251339359","DOIUrl":"https://doi.org/10.1177/10538135251339359","url":null,"abstract":"BackgroundThe Perri Auditory Verbal Learning Test (Perri-AVLT) is a cognitive tool that is used to assess verbal learning and memory. To date, demographically adjusted norms for Perri-AVLT have not been identified for Mexican adults.ObjectivesThis study aimed to 1) estimate the means, standard deviations, and ranges for Perri-AVLT raw scores, 2) develop regression-based norms from healthy participants to enable demographic adjustments for clinical interpretation, and 3) assess test-retest reliability.MethodsThe sample included 430 participants (380 cognitively normal individuals and 50 clinical cases) aged 18-59 years from Mexico (Jalisco, Guanajuato and Mexico City). The participants completed the Perri-AVLT. A multivariate regression-based norming approach was used to evaluate the effects of age, sex, and years of education on test performance.ResultsHealthy participants aged <math><mo>≤</mo></math> 39 years performed significantly better than those aged <math><mo>≥</mo></math> 40 years did in all the Perri-AVLT trials. Age and years of education were significant predictors of performance, with older age associated with lower scores and more years of education associated with greater word recall on the Perri-AVLT.ConclusionWe provided normative data for the Perri-AVLT after performing regression analyses adjusted for sociodemographic factors. These norms can be used to evaluate verbal learning and memory in early-to-midlife Mexican adults. This information can support neuropsychologists in the context of cognitive assessment, rehabilitation and research.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251339359"},"PeriodicalIF":1.7,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078710","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

Exploring the relationship between prefrontal cortex activation, standing balance, and fatigue in people post-stroke: A fNIRS study. 脑卒中后人前额皮质激活、站立平衡和疲劳之间的关系：一项近红外光谱研究。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-05-15 DOI: 10.1177/10538135251341124

Sarthak Kohli, Laura K Fitzgibbon-Collins, Siying Luan, Nathan Durand, Laura Brunton, Jamie Fleet, Anita Christie, Ricardo Viana, Robert Teasell, Sue Peters

{"title":"Exploring the relationship between prefrontal cortex activation, standing balance, and fatigue in people post-stroke: A fNIRS study.","authors":"Sarthak Kohli, Laura K Fitzgibbon-Collins, Siying Luan, Nathan Durand, Laura Brunton, Jamie Fleet, Anita Christie, Ricardo Viana, Robert Teasell, Sue Peters","doi":"10.1177/10538135251341124","DOIUrl":"https://doi.org/10.1177/10538135251341124","url":null,"abstract":"BackgroundBalance impairments and fatigue are common after stroke and impact physical therapy assessments and treatments. Reasons are multifactorial and include motor dysfunction and changes to cortical activation poststroke. The prefrontal cortex (PFC) is involved in motor control; yet, limited research has explored cortical activation during common physical therapy balance tasks or the link with fatigue.ObjectivesDuring standing balance tasks, the objective was to determine whether PFC activation levels: (1) change between tasks, (2) are asymmetric, and (3) are associated with fatigue.MethodsPatients with hemiparesis were recruited from an inpatient stroke unit and functional near-infrared spectroscopy was applied bilaterally over the PFC to measure cortical activation during balance tasks. Fatigue was assessed using the Fatigue Severity Scale (FSS).ResultsNine participants were included. PFC activation during semi-tandem stance showed greater amplitude than during double-leg stance, indicating more cortical activation. Bilateral PFC activation was observed during both tasks. Participants with greater fatigue (higher FSS score) showed more activation in the ipsilesional PFC than the contralesional PFC.ConclusionPFC activation may occur when performing more challenging balance postures, potentially indicating compensatory activation, and may be linked with greater fatigue.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251341124"},"PeriodicalIF":1.7,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079411","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

Hand Edema and Venous Return after Stroke: A Preliminary Study. 脑卒中后手部水肿和静脉回流：初步研究。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-05-14 DOI: 10.1177/10538135251336060

Hiroyuki Hayashi, Ayana Kato, Naoki Tomiyama, Hibiki Ogihara

{"title":"Hand Edema and Venous Return after Stroke: A Preliminary Study.","authors":"Hiroyuki Hayashi, Ayana Kato, Naoki Tomiyama, Hibiki Ogihara","doi":"10.1177/10538135251336060","DOIUrl":"https://doi.org/10.1177/10538135251336060","url":null,"abstract":"BackgroundVenous congestion is hypothesized to contribute to hand edema in patients with stroke; however, no studies have specifically investigated decreased venous return in the paretic hand.ObjectiveThis preliminary study explores this relationship by objectively measuring hand edema and venous return.MethodsThis cross-sectional study included patients who had experienced a first-ever stroke and presented with hand edema. Hand edema was measured bilaterally using a volumeter, and venous flow volume in the axillary vein was evaluated bilaterally using an ultrasound device. Hand edema and venous flow volumes were compared between the paretic and non-paretic limbs using a paired t-test.ResultsThirteen male patients with stroke with hand edema were screened. Their median age was 69.3 years, and the median time since stroke onset was 117.5 days. Flow volume in the axillary vein was significantly lower on the paretic side (64.7 [95% confidence interval (CI): 41.8, 87.7] mL/min) than on the non-paretic side (115.9 [95% CI: 74.6, 157.2] mL/min).ConclusionThe findings of this study suggest that venous return may be reduced in patients with stroke with hand edema. Future research should investigate the mechanisms underlying venous return impairment and other potential causes of hand edema.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251336060"},"PeriodicalIF":1.7,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078725","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 Validity, Responsiveness, and Interpretability of the Activities-specific Balance Confidence Scale in Patients with Subacute Stroke: A Preliminary Investigation. 亚急性脑卒中患者活动特异性平衡置信度量表的有效性、反应性和可解释性：初步研究。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-05-14 DOI: 10.1177/10538135251336059

Sota Kobayashi, Kazuhiro Miyata, Shuntaro Tamura, Satoshi Hasegawa, Kosuke Shioura, Shigeru Usuda

{"title":"The Validity, Responsiveness, and Interpretability of the Activities-specific Balance Confidence Scale in Patients with Subacute Stroke: A Preliminary Investigation.","authors":"Sota Kobayashi, Kazuhiro Miyata, Shuntaro Tamura, Satoshi Hasegawa, Kosuke Shioura, Shigeru Usuda","doi":"10.1177/10538135251336059","DOIUrl":"https://doi.org/10.1177/10538135251336059","url":null,"abstract":"BackgroundThe Activities-specific Balance Confidence (ABC) scale lacks sufficient psychometric evidence for use in patients with subacute stroke.ObjectiveTo investigate the floor and ceiling effects, construct validity, responsiveness, and the minimal important change (MIC) of the ABC scale in patients with subacute stroke.MethodsThe cases of patients with subacute stroke (n = 62) were analyzed for floor/ceiling effects and construct validity at baseline; those of 39 of the patients were analyzed for responsiveness and MIC at baseline and after 4 weeks. Outcome measures included the ABC scale, Mini-Balance Evaluation Systems Test (Mini-BESTest), Timed Up and Go test (TUG), comfortable walking speed (CWS), and maximal walking speed (MWS) measured at both baseline and 4-week follow-up. The MIC was calculated using a ≥ 4-point improvement on the Mini-BESTest as the anchor.ResultsThe ABC scale's total score did not exhibit any floor or ceiling effects. The ABC scale was correlated with the Mini-BESTest (ρ = 0.74), TUG (ρ = -0.56), CWS (ρ = 0.60), and MWS (ρ = 0.64). The correlation of change score between the ABC scale and Mini-BESTest was ρ = 0.39. The MIC for the ABC scale was 15.6% (95%CI: 10.4%-21.1%).ConclusionsThe ABC scale may help assess self-efficacy in patients with subacute stroke.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251336059"},"PeriodicalIF":1.7,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078817","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