NeuroRehabilitation最新文献_第2页

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 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-09-01 Epub 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":"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":"224-238"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","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

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 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-09-01 Epub 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":"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":"306-318"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","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

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 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-09-01 Epub 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":"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":"181-189"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","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

Functional Performance Tests to Predict Limited Community Ambulation in Stroke Survivors with Supervised Indoor Walking: Discriminative and Predictive Validity. 功能表现测试预测有监督室内行走的中风幸存者有限的社区活动：判别效度和预测效度。

IF 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-09-01 DOI: 10.1177/10538135251366659

Jun Min Lee, Eun Joo Kim, Seung Heun An

{"title":"Functional Performance Tests to Predict Limited Community Ambulation in Stroke Survivors with Supervised Indoor Walking: Discriminative and Predictive Validity.","authors":"Jun Min Lee, Eun Joo Kim, Seung Heun An","doi":"10.1177/10538135251366659","DOIUrl":"10.1177/10538135251366659","url":null,"abstract":"BackgroundAchieving community ambulation is a critical milestone in post-stroke rehabilitation, particularly for patients who can ambulate indoors with supervision (Functional Ambulation Category [FAC] 3). However, objective criteria to predict the transition to limited community ambulation (FAC 4) during the subacute phase remain inadequately defined.ObjectiveTo examine the discriminative and predictive validity of selected functional performance tests for identifying the potential to achieve limited community ambulation in stroke patients with supervised indoor walking ability.MethodsThis retrospective study included 52 subacute stroke patients with FAC 3-level ambulation. Participants completed a battery of functional assessments categorized into gait speed, endurance, balance, and activities of daily living (ADL)- including the 10-Meter Walk Test (10mWT), 6-Minute Walk Test (6MWT), Berg Balance Scale (BBS), Four Square Step Test (FSST), Activities-specific Balance Confidence Scale (ABC), Modified Barthel Index (MBI), among others. Receiver operating characteristic (ROC) curve analysis and logistic regression were employed to determine optimal cutoff values and significant predictors for achieving FAC 4.ResultsThe 6MWT (cutoff: 99.35 m; AUC = 0.980) and 10mWT (cutoff: 0.315 m/s; AUC = 0.953) demonstrated the highest predictive accuracy. Logistic regression identified 6MWT (OR = 1.156, p = .029) and FSST (OR = 0.838, p = .040) as significant predictors. BBS, ABC, and MBI showed moderate discriminative power.ConclusionThe 6MWT and 10mWT are valid and clinically useful tools for predicting limited community ambulation in subacute stroke patients. Early incorporation of endurance and dynamic balance measures may support individualized rehabilitation planning.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"297-305"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144963995","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 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-09-01 Epub 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":"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":"264-274"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","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

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 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-09-01 Epub 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":"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":"190-204"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","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

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影响：系统综述与网络meta分析

IF 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-09-01 Epub Date: 2025-09-04 DOI: 10.1177/10538135251366668

Lixue Zhou, Bohan Zhang, Ruifu Kang, Yanling Wang, Jing Qin, Qian Xiao, Vivian Hui

{"title":"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.","authors":"Lixue Zhou, Bohan Zhang, Ruifu Kang, Yanling Wang, Jing Qin, Qian Xiao, Vivian Hui","doi":"10.1177/10538135251366668","DOIUrl":"10.1177/10538135251366668","url":null,"abstract":"BackgroundWith the development of modern biomedical engineering, bio-signal feedback-based robots, such as electromyography (EMG)-based and brain-computer interface (BCI)-based rehabilitation robot, have emerged beyond conventional designs. However, their comparative effectiveness for improving upper limb function in stroke patients remains unassessed.ObjectiveTo evaluate the comparative effectiveness and ranking of the conventional rehabilitation robot and bio-signal feedback-based rehabilitation robot in improving upper limb function in stroke patients.MethodsPubMed, EMBASE, Cochrane Library, CINAHL, PEDro, EI, IEEEXplore, ClinicalTrials.gov, ICTRP, and ISRCTN Registry were searched for randomized controlled trials (RCTs) from their inception to December 25, 2024. The risk of bias was assessed using the Cochrane Risk of Bias tool (RoB 2.0) and evidence certainty with the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach. Network meta-analyses were performed using a random-effects model within a frequentist framework.Results59 RCTs with 3,387 participants were included. Based on the surface under the cumulative ranking curve (SUCRA), the BCI-based rehabilitation robot demonstrated the highest overall effects (SUCRA: 99.9%), short-term effects (SUCRA: 99.4%), and long-term effects (SUCRA: 85.1%), though its long-term effects were not significant (mean difference: 2.21; 95% confidence interval: -0.79, 5.21). The EMG-based rehabilitation robot outperformed the conventional rehabilitation robot in short-term interventions (SUCRA: 59.8% vs. 40.3%), but it did not have the same advantage in long-term interventions (SUCRA: 27.1% vs. 66.8%).ConclusionsThe BCI-based rehabilitation robot might be the best choice for improving upper limb function in stroke patients. Future studies should focus on the intervention time for the EMG-based rehabilitation robot.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"169-180"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993125","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

Effect of Adding Scapulothoracic Stabilization Exercises to Dorsal Scapular Nerve Blockade in Patients with Nerve Entrapment Syndrome: A Single Blinded randomized Controlled Trial. 神经夹持综合征患者在肩胛骨背神经阻滞的基础上加入肩胛骨胸椎稳定训练的效果：一项单盲随机对照试验。

IF 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-09-01 Epub Date: 2025-05-14 DOI: 10.1177/10538135251336920

Bassam A El-Nassag, Nessren M Abd El-Rady, Marwa Mahmoud Abdelrady, Amina Awad, Nehad A Abo-Zaid, Shymaa Salem

{"title":"Effect of Adding Scapulothoracic Stabilization Exercises to Dorsal Scapular Nerve Blockade in Patients with Nerve Entrapment Syndrome: A Single Blinded randomized Controlled Trial.","authors":"Bassam A El-Nassag, Nessren M Abd El-Rady, Marwa Mahmoud Abdelrady, Amina Awad, Nehad A Abo-Zaid, Shymaa Salem","doi":"10.1177/10538135251336920","DOIUrl":"10.1177/10538135251336920","url":null,"abstract":"BackgroundDorsal scapular nerve (DSN) entrapment commonly causes an inconvenient pain in the peri-scapular area and arm.ObjectiveTo assess the efficacy of adding scapulothoracic stabilization exercises (StSE) to DSN blockade on pain intensity, upper extremity disability, DSN conductivity and fatigue severity in people with DSN entrapment.MethodsIn this randomized controlled trial, 60 patients with chronic DSN entrapment, were assigned to control (n = 30) and intervention (n = 30) groups. Both groups received DSN blockade injection and only the intervention group received an additional StSE for six successive weeks. The primary outcome measures included the Numeric Pain Rating Scale (NPRS) and the Disability of Arm, Shoulder and Hand Questionnaire (DASH), while the secondary measures were the motor distal latency (MDL) of DSN and the Fatigue Assessment scale (FAS), which were all tested pre-and post-treatment.ResultsPost-treatment, both groups showed significant changes in all measures. On comparing groups, the results revealed a significant difference in favor to the intervention group observed in the NPRS, DASH and FAS (p < 0.001).ConclusionAdding the StSE alongside DSN blockade could reduce patient's scapular pain, decrease the upper extremity's disability and fatigue severity in people with DSN entrapment.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"239-253"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079409","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

Effect of Combining Inspiratory Muscle Training with Deep Diaphragmatic Breathing Exercises on Diaphragm Excursion in Subjects with Multiple Sclerosis. 吸气肌训练与深膈呼吸训练相结合对多发性硬化症患者膈肌漂移的影响。

IF 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-09-01 Epub Date: 2025-05-14 DOI: 10.1177/10538135251339346

Ahmad Mahdi Ahmad, Reham Ali Mohamed Ali Ahmed, Mai Helmy Hassan, Heba Mohammed Ali

{"title":"Effect of Combining Inspiratory Muscle Training with Deep Diaphragmatic Breathing Exercises on Diaphragm Excursion in Subjects with Multiple Sclerosis.","authors":"Ahmad Mahdi Ahmad, Reham Ali Mohamed Ali Ahmed, Mai Helmy Hassan, Heba Mohammed Ali","doi":"10.1177/10538135251339346","DOIUrl":"10.1177/10538135251339346","url":null,"abstract":"ObjectiveMultiple sclerosis (MS) involves respiratory muscle weakness that can lead to critical complications. Inspiratory muscle training (IMT) is a therapeutic intervention that effectively strengthens the respiratory muscles. This study aimed to investigate the effectiveness of IMT combined with deep diaphragmatic breathing exercises with respect to diaphragm excursion, respiratory muscle strength, and fatigue in subjects with MS.MethodsThirty-six subjects with MS, aged 25-45 years, with mild to moderate disability, were assigned equally to a study and an active control group. The study group (i.e., the IMT group) received IMT combined with deep diaphragm breathing exercises, while the control group received only deep diaphragm breathing exercises. The interventions were provided for 15 min, three days per week, and 8 weeks. The primary outcome measure was diaphragm excursion, and the secondary outcome measures were maximal inspiratory pressure (Pimax), fatigue severity scale (FSS), and pulmonary dysfunction index (PDI).ResultsThe IMT group showed significantly more improvements in diaphragm excursion (p < 0.001), Pimax (p = 0.002), FSS (p < 0.001), and PDI (p < 0.001) than the control group.ConclusionIMT combined with deep diaphragmatic breathing exercises could lead to better improvements in diaphragm excursion, inspiratory muscle strength, fatigue symptoms, and PDI than deep diaphragmatic breathing exercises alone in subjects with MS and mild to moderate disability.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"216-223"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079410","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

Non-Invasive Brain Stimulation Effectiveness on Gait, Balance, and Motor Functions in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis. 无创脑刺激对脑瘫儿童步态、平衡和运动功能的影响：系统回顾和荟萃分析。

IF 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-09-01 Epub Date: 2025-05-14 DOI: 10.1177/10538135251336924

Hikmat Hadoush, Abdallah Al Hassoun, Mohammad Al-Wardat, Nihad A Almasri, Mohammad Etoom

{"title":"Non-Invasive Brain Stimulation Effectiveness on Gait, Balance, and Motor Functions in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis.","authors":"Hikmat Hadoush, Abdallah Al Hassoun, Mohammad Al-Wardat, Nihad A Almasri, Mohammad Etoom","doi":"10.1177/10538135251336924","DOIUrl":"10.1177/10538135251336924","url":null,"abstract":"BackgroundStudies on non-invasive brain stimulation (NIBS) for children with cerebral palsy (CP) have yielded inconsistent findings regarding motor skills. This research will evaluate its efficacy through a systematic review.MethodA thorough search was conducted on the PubMed, Cochrane, and ScienceDirect databases, encompassing all trials that examined the impact of NIBS on balance, gait, and motor skills in children with CP. The analysis adhered to PRISMA guidelines.ResultsThe review included 17 trials, 13 assessing NIBS protocols, involving 385 children in the meta-analysis. Pooled analysis showed significant therapeutic effects on gait spatiotemporal outcomes in terms of walking speed (post-transcranial direct current stimulation (tDCS) and repetitive transcranial magnetic stimulation (rTMS) multi-session treatment) and gait cadence (post-tDCS multi-session). In addition, tDCS multi-session showed significant therapeutic effects on standing abilities and mobility functions. However, no significant effect of tDCS on balance, step length, stride length, walking endurance, and GMFM-walking functions.ConclusionThis review highlighted the potential benefits of NIBS, particularly tDCS, in improving various motor functions in children with CP, such as walking speed, cadence, and mobility. However, its impact on balance and other gait factors remains inconclusive, indicating the need for further research to optimize NIBS protocols based on updated brain mapping findings.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"147-168"},"PeriodicalIF":1.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144078688","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