NeuroRehabilitation最新文献

{"title":"Association Between Admission Serum Albumin and Short-Term Functional Improvement During Inpatient Rehabilitation After Cervical Traumatic Spinal Cord Injury: A Retrospective Cohort Study.","authors":"Fang Li, Yue Tang, Jie Hu, Xinyi Li","doi":"10.1177/10538135261490941","DOIUrl":"https://doi.org/10.1177/10538135261490941","url":null,"abstract":"<p><p>ObjectiveTo determine whether serum albumin measured at rehabilitation admission is associated with short-term improvement in activities of daily living (ADL) among patients with cervical traumatic spinal cord injury (TSCI).MethodsThis single-center retrospective cohort study included 106 patients with cervical TSCI admitted for rehabilitation between 2015 and 2021. Serum albumin was measured within 24 h of rehabilitation admission. Functional change was assessed with the 100-point Barthel Index (BI). The primary outcome was ΔBI ≥5; supportive analyses used ΔBI ≥10 and continuous ΔBI. The prespecified core model adjusted for admission BI, time from injury to rehabilitation admission, length of stay, and cervical injury level.ResultsSixty-nine patients (65.1%) achieved ΔBI ≥5 and 53 (50.0%) achieved ΔBI ≥10. Mean admission serum albumin was higher among patients with ΔBI ≥5 than among those without improvement (37.2 ± 4.7 vs 34.4 ± 5.3 g/L; P = 0.008). Albumin was associated with ΔBI ≥5 in the core model (adjusted odds ratio [aOR] per 1-g/L increase, 1.23; 95% confidence interval [CI], 1.08-1.41; P = 0.002) and after additional adjustment for age, sex, and hemoglobin (aOR, 1.19; 95% CI, 1.03-1.37; P = 0.015). Directionally consistent associations were observed for ΔBI ≥10 and continuous ΔBI.ConclusionsHigher serum albumin at rehabilitation admission was associated with greater short-term functional improvement in basic ADL after cervical TSCI. Its consistent association across complementary outcome definitions supports further evaluation of albumin as an accessible component of multivariable prognostic assessment.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135261490941"},"PeriodicalIF":2.0,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081407","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}

{"title":"Effects of Somatosensory Interventions on Sensory, Motor, and Balance Functions in Individuals with Stroke: A Systematic Review and Meta-Analysis.","authors":"Hanaan Hafeeq, Sulfikar Ali A, Alison Warren","doi":"10.1177/10538135261489812","DOIUrl":"https://doi.org/10.1177/10538135261489812","url":null,"abstract":"<p><p>BackgroundSomatosensory interventions are increasingly used in stroke rehabilitation, but their effectiveness remains uncertain because of heterogeneity in intervention protocols and study quality.ObjectiveTo evaluate the immediate and long-term effects of somatosensory interventions in improving sensory, motor, and balance functions compared to conventional therapy in individuals with stroke.MethodsThis systematic review was reported in accordance with PRISMA-2020. Seven electronic databases were searched. Methodological quality was assessed using the Cochrane RoB-2 tool. Meta-analysis using a random-effects model was performed where at least two studies reported comparable outcomes; remaining outcomes were narratively synthesized following SWiM guidance.ResultsNine randomized controlled trials, comprising 330 participants, fulfilled the eligibility criteria. Meta-analysis demonstrated a significant improvement in Berg Balance Scale scores following somatosensory interventions compared with conventional therapy, whereas no significant pooled effects were observed for the Fugl-Meyer Assessment-Upper Extremity or the Action Research Arm Test. Narrative synthesis suggested that proprioceptive training improved upper limb sensory function and lower limb sensory, motor, and balance function. Combined proprioceptive and exteroceptive stimulation or thermotherapy was associated with improvements in upper limb motor function and balance, while focal vibration demonstrated beneficial effects on upper limb motor function. Risk of bias ranged from some concerns to high. Only two studies assessed the long-term effects of somatosensory intervention, with insufficient data to determine the effects.ConclusionCurrent evidence suggests that somatosensory interventions may improve sensory, motor, and balance outcomes after stroke. However, substantial heterogeneity and limited long-term follow-up preclude definitive conclusions, highlighting the need for robust trials with standardized intervention protocols and long-term follow-up.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135261489812"},"PeriodicalIF":2.0,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149081580","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}

{"title":"Trunk and Pelvic Control in the Acute Phase After Stroke: A Clinical Movement Analysis Case Study Using the Ottawa Sitting Scale.","authors":"Alisha Kalthe, Shruti Patil","doi":"10.1177/10538135261488429","DOIUrl":"https://doi.org/10.1177/10538135261488429","url":null,"abstract":"<p><p>Trunk and pelvic control are frequently impaired after stroke, leading to limitations in activities of daily living and increased fall risk. Early rehabilitation and bedside clinical movement analysis may improve understanding of recovery in the acute phase.ObjectiveTo describe trunk and pelvic control after acute stroke using clinical movement analysis and to examine the bedside feasibility of the Ottawa Sitting Scale (OSS).MethodsThis single-case study was conducted in an acute care hospital in a 77-year-old man with first-ever ischemic stroke and right hemiparesis, assessed within the first week after onset. The OSS, was administered once daily for six consecutive days at bedside by the same therapist. Item-wise scores were tabulated and graphed to track change over time.ResultsOn day 1, the participant maintained static sitting for < 60 s, showed difficulty with longer reaches and trunk rotation, and required compensatory strategies for scooting. From day 2 to day 6, static sitting improved to midline maintenance for > 60 s, and performance in 5-inch and 10-inch reaching tasks improved, particularly during lateral reaching. Trunk rotation improved from eye turning only to shoulder rotation. Scooting remained unchanged and continued to rely on compensatory trunk and upper-limb strategies. The OSS was feasible to administer at bedside, required minimal equipment, took approximately 10-15 min, and was tolerated by the participant.ConclusionIn this acute stroke case, the OSS provided a structured description of trunk and pelvic control in sitting and captured early change while highlighting persistent limitations in scooting.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135261488429"},"PeriodicalIF":2.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149075703","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}

{"title":"Specialised Acquired Brain Injury Community Outreach Provision - a Service Evaluation Cohort to Enable Practice Development and Improvement.","authors":"Stephen Ashford, Heather Williams, Hilary Rose, Aideen Steed, Jessie Alfonso","doi":"10.1177/10538135261479741","DOIUrl":"https://doi.org/10.1177/10538135261479741","url":null,"abstract":"<p><p>BackgroundAccess to regional specialist services to support complex management needs (including spasticity) in the community is often variable in the UK and internationally. There are barriers to service access due to condition severity, resulting in inequity of provision.MethodsService data covering a six-year period were extracted from a clinical database (2019-2025) from a regional service offering specialised community outreach (London and surrounding counties, UK). Yearly caseload, clinical activity and activity time were all calculated for the cohort. Method of delivery: face-to-face, telephone or virtual and type of assessment or review per year were counted and classified.ResultsActivity doubled during the 6-year period (<i>n</i> = 360 (2019-20), <i>n</i> = 728 (2024-25). The primary reasons for referral were spasticity management (<i>n</i> = 2821), and/or complex physical management (<i>n</i> = 2393). Other issues addressed were splinting or orthotics, re-assessment of Prolonged Disorders of Consciousness, management of pressure sores, communication and swallowing, wheelchairs and postural management.ConclusionsThere is expanding utilisation to support and manage severe and complex disability for those with stroke and other acquired brain injury in the community, particularly for spasticity and contracture management. Service delivery partnership between specialised services and local rehabilitation services or teams, is likely to be key to providing more seamless care.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135261479741"},"PeriodicalIF":2.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991014","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}

{"title":"Short-Term Effects of Radial Extracorporeal Shock Wave Therapy in Addition to Physiotherapy on Spasticity, Walking Performance, and Quality of Life in Chronic Stroke: A Sham-Controlled Randomized Trial.","authors":"Mustafa Zeren, Mehmet Salih Tan","doi":"10.1177/10538135261486875","DOIUrl":"https://doi.org/10.1177/10538135261486875","url":null,"abstract":"<p><p>IntroductionThis study evaluated the short-term effects of adding a 4-week radial extracorporeal shock wave therapy (rESWT) program to standardized physiotherapy on spasticity, walking performance, lower-extremity motor function, and health-related quality of life in chronic stroke patients with plantar flexor spasticity.MethodsIn this prospective, single-blind, sham-controlled trial, 85 chronic stroke survivors were randomized to active rESWT (n = 43; 0.10-0.20 mJ/mm², 4000-6000 pulses/session, 3 sessions/week) plus physiotherapy or sham rESWT plus physiotherapy for 4 weeks. Outcomes were assessed at baseline and Week 4. The primary outcome was the Modified Ashworth Scale (MAS). Secondary outcomes included the 10-Meter Walk Test (10MWT), Timed Up and Go (TUG) test, 6-Minute Walk Test (6MWT), Fugl-Meyer Assessment-Lower Extremity (FMA-LE), and Stroke-Specific Quality of Life (SS-QOL) scale. Between-group treatment effects were estimated with baseline-adjusted analysis of covariance and are reported with 95% confidence intervals.ResultsAdjusted mean differences favored the rESWT group for MAS (-0.56; 95% CI -0.77 to -0.35), 10MWT (-1.41 s; -1.87 to -0.96), TUG (-2.46 s; -3.19 to -1.74), FMA-LE (4.42; 3.62 to 5.23), and SS-QOL (11.73; 9.15 to 14.31), all p < 0.001. Median MAS decreased from 2 to 1 in the rESWT group versus no change in controls. The 6MWT did not differ significantly between groups (-6.26 m; -15.27 to 2.74). No adverse events occurred.ConclusionsAdding rESWT to physiotherapy produced short-term improvements in spasticity, walking, functional mobility, motor function, and quality of life. Long-term efficacy and safety require further study.<b>Trial Registration:</b> ClinicalTrials.gov Identifier: \"This field has been blinded\".</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135261486875"},"PeriodicalIF":2.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148990978","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}

{"title":"Artificial Intelligence in Extended Reality and Digital Rehabilitation Technologies for Fall Prevention in Older Adults: A Rapid Review of the Evidence.","authors":"Muhammad Haris, Barbara Augusta Martins, Bowen Cai, Bonnie Dueck, Brittany Elliott, Jesse Gibbons, Mina Park, Mê-Linh Lê, Ke Peng, Zahra Moussavi, Hamdoni Pangandaman, Mirella Veras","doi":"10.1177/10538135261488430","DOIUrl":"https://doi.org/10.1177/10538135261488430","url":null,"abstract":"<p><p>BackgroundFall-related injuries in older adults remain a major health concern, contributing to functional dependence and healthcare losses. Traditional prevention programs, while effective, remain underutilized due to poor adherence and participation. Extended reality (XR) technologies, combined with artificial intelligence (AI), are emerging as promising solutions to mitigate fall-related outcomes.ObjectiveTo evaluate existing literature on extended (XR) and virtual reality (VR) based interventions and the role of AI in improving balance, mobility and fall outcomes among older adults.MethodologyA rapid review was conducted using Cochrane Rapid Review methods and conducted in Ovid MEDLINE, Scopus, and IEEE Xplore. Studies meeting eligibility criteria were screened and extracted using Covidence. Data on study design, participant characteristics, intervention components, outcome measures, and key findings were extracted and synthesized, narratively with attention to AI use within XR interventions.ResultsAfter dual screening, four studies met the inclusion criteria. XR and VR interventions showed improvements in mobility, movement quality and muscular strength. Two studies used AI primarily for movement classification and postural control analysis. One exergame study without AI showed mixed results. Participant engagement was generally high, with low dropout rates. Most full-text exclusions were due to absence of AI methods, highlighting the limited AI-specific evidence base. No study measured fall incidence directly.ConclusionThis rapid review highlights the effectiveness of XR interventions in enhancing mobility and participant adherence. However, evidence is limited as the available publications remain preliminary and do not demonstrate fall reduction and the added benefits of AI. Larger, well-designed studies are needed to establish the clinical value of these technologies.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135261488430"},"PeriodicalIF":2.0,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148990956","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}

{"title":"A Multitask Fall Prevention Program for People with Parkinson's Disease: Feasibility and Effects on Static and Dynamic Postural Control: A Preliminary Study.","authors":"Marcio Dos Santos, Gabriel Somarriba, Miguel Garcia, Christian Garcia","doi":"10.1177/10538135261481535","DOIUrl":"https://doi.org/10.1177/10538135261481535","url":null,"abstract":"<p><p>BackgroundPostural instability contributes to falls and reduced mobility in people with Parkinson's disease (PD). The Nijmegen Falls Prevention Program (NFPP) has improved balance and reduced falls in other populations, but has not been evaluated in PD.ObjectiveTo assess the feasibility of the NFPP in people with PD and explore its effects on static and dynamic postural control.MethodsFifteen participants with PD completed 10 NFPP sessions delivered twice weekly over 5 weeks. Feasibility was assessed through adherence and a Likert-scale questionnaire. Static balance, anticipatory and compensatory postural adjustments (APAs and CPAs), and center of pressure (COP) displacement were evaluated before and after the intervention. Nine matched healthy participants provided normative reference data.ResultsNFPP was feasible, with 100% adherence and no adverse events. Strongly agree responses were 67% for satisfaction and 73% for load appropriateness. Sway Area decreased during the EOFO (<i>p</i> = .02, r = 0.59) and ECFO (<i>p</i>< .01, d = 0.84) conditions. CPA activity decreased in the tibialis anterior (UU; <i>p</i> = .01, r = 0.58), rectus femoris (UU; <i>p</i> = .03, d = 0.61), and biceps femoris (PU; <i>p</i> = .03, d = 0.60). Backward COP displacement decreased in the PS (<i>p</i> = .01, d = 0.74), US (<i>p</i> = .01, d = 0.73), and UU (<i>p</i> = .01, d = 0.70) conditions.ConclusionsNFPP was feasible for people with PD and produced preliminary changes in static and dynamic biomechanical measures consistent with improved postural control. These findings support larger controlled studies of NFPP in people with PD<b>Trial registration:</b> ClinicalTrials.gov (NCT05771818).</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135261481535"},"PeriodicalIF":2.0,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148912030","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}

{"title":"Factors Explaining Limited Daily Hand-use in Individuals with Fair-Good Motor Ability Post-Stroke.","authors":"Yishai Bachar Kirshenboim, Hala Knshiboun Sadran, Jennifer Haddad, Amitai S Oberman, Debbie Rand","doi":"10.1177/10538135261468788","DOIUrl":"10.1177/10538135261468788","url":null,"abstract":"<p><p>BackgroundDespite fair-to-good motor ability of their affected upper extremity, individuals post-stroke often exhibit limited daily hand-use, possibly due to factors beyond the motor impairment.ObjectiveTo identify the factors that best explain the variance in daily hand-use, beyond the motor impairment.MethodsA cross-sectional study included individuals post-stroke with fair-to-good upper extremity motor ability (Fugl-Meyer Assessment>30/66). Hand-use was assessed using the Rating of Everyday Arm-Use in the Community and Home (REACH), which is a self-report questionnaire. We assessed the following factors (tools); proprioception (Thumb Localization Test), executive functions (Color Trails Test; upper extremity dual-task capacity), self-efficacy (Confidence in Arm and Hand Movement scale), and depressive symptoms (Geriatric Depression Scale). Ordinal logistic regression evaluated the contribution of these factors to daily hand-use.ResultsFifty-nine individuals post-stroke (41.7% women, aged 25-88). Despite high motor ability [median (IQR), FMA: 57 (51-63)], daily hand-use was limited, most participants scoring REACH levels 2-3 out of 5. Dual-task capacity and upper-extremity self-efficacy were significant predictors, explaining 45.9% of the variance in hand-use. Each unit increase in dual-task capacity and self-efficacy raised REACH levels by 5.8% and 4.2%, respectively. Proprioceptive deficits and depressive symptoms were not significant predictors.ConclusionsLimited hand-use was explained by reduced dual-task capacity and lower self-efficacy among individuals with fair-good upper-extremity motor ability post-stroke. These factors may represent promising targets for future rehabilitation interventions and should be considered during clinical assessment.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"331-340"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148562564","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}

{"title":"Improved Flexor Spasticity in Patients with Chronic Stroke Using a Dynamic Wrist-Hand Stretching Device: A Pilot Randomized Controlled Trial.","authors":"Jacob Kim, Justin Kim, Philbert Chen, Phillip Siwoo Kim, Gun Seo Jung, Hyeon-Taek Hong, Kyoung Tae Kim","doi":"10.1177/10538135261465903","DOIUrl":"10.1177/10538135261465903","url":null,"abstract":"<p><p>BackgroundHand and wrist spasticity is a common post-stroke complication that compromises quality of life and functional independence. Because conventional stretching is time-intensive, devices that enable consistent, minimally supervised stretching may improve long-term management. This study evaluated the efficacy of Hand Stretcher^®, a novel dynamic stretching device, for reducing spasticity and improving hand function in patients with chronic stroke.MethodsThirty chronic stroke patients (>12 months post-stroke) with mild upper limb motor weakness (Manual Muscle Testing (MMT) grade3-4) and mild-to-moderate spasticity (Modified Ashworth Scale (MAS) < 3) were enrolled. Participants were randomized to an intervention group (n = 15), which used the dynamic passive stretching device 4 times daily for 15-20 min per session, 7 days a week, over 2 months, and a control group (n = 15). Both groups also received conventional rehabilitation. Outcomes included MAS, MMT, Manual Functional Test, and Brunnstrom stage, assessed at baseline (T0), 1 month (T1), and end of the 2-month intervention period (T2).ResultsOnly the intervention group showed significant reductions in wrist and finger flexor spasticity with no serious adverse events. Manual Functional Test and Brunnstrom stage also improved at T2. No significant changes in wrist or finger extensor strength (MMT) were observed in either group.ConclusionTwo months of intensive use of the Hand Stretcher^® significantly reduced wrist and finger flexor spasticity without concurrent gains in extensor strength in patients with chronic stroke. These preliminary findings support the device's potential as a safe, practical adjunct to conventional rehabilitation in post-stroke recovery.Clinical Trial Registration NumberThe study was registered with the Clinical Research Information Service (CRIS) (KCT 0010204).</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"302-311"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148376436","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}

{"title":"Feasibility of Integrating Music Therapy into Routine Speech-Language Rehabilitation for Post-Stroke Aphasia: A Real-World Outpatient Study.","authors":"Nattapat Taarmat, Benjamas Prathanee, Pornpan Kaenampornpan, Natthasart Unasri, Nichapatr Phutthikhamin","doi":"10.1177/10538135261465902","DOIUrl":"10.1177/10538135261465902","url":null,"abstract":"<p><p>BackgroundEvidence on the feasibility of integrating music therapy into routine post-stroke aphasia rehabilitation in real-world settings remains limited.ObjectiveTo examine the feasibility of integrating a structured music therapy protocol into conventional speech-language therapy for post-stroke aphasia and explore preliminary outcomes.MethodsThis quasi-experimental study was conducted in an outpatient speech-language clinic in Thailand. Participants received standard speech-language therapy or therapy combined with a manualised music therapy protocol. The intervention represents a dose-augmented feasibility design, as the experimental group received increased overall therapeutic contact time. Language performance was assessed using the Thai Adaptation of the Western Aphasia Battery, and anxiety using the State-Trait Anxiety Inventory, Form Y-2. Pre-post changes were examined using descriptive statistics and exploratory analyses, including paired tests for within-group comparisons and independent tests for between-group differences.ResultsThe intervention was feasible, with complete delivery and assessment. Within-group improvements in language performance were observed in both groups, with greater gains in the music therapy-augmented group; however, between-group differences were not statistically significant. Anxiety scores decreased in both groups, with no significant differences. Interpretation of anxiety outcomes is limited by the use of a trait-based measure, which may reflect the limited sensitivity of trait-based measure to short-term changes.ConclusionsIntegrating music therapy into routine speech-language rehabilitation for post-stroke aphasia is feasible in a real-world outpatient setting. Findings should be interpreted as exploratory and reflective of increased therapeutic exposure rather than modality-specific effectiveness. These results inform the design of future dose-matched and methodologically rigorous trials.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"291-301"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148405441","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}