NeuroRehabilitation最新文献

{"title":"Incomplete Cognitive Assessment in Post-Acute Stroke Rehabilitation: Recovering Clinically Interpretable Relationships from Routine Neuropsychological Data.","authors":"Alejandro García-Rudolph, Rocío Sánchez-Carrión, Katryna Cisek, Thi Nguyet Que Nguyen, Claudia Teixido-Font, Eloy Opisso, Rory O'Connor, Gelu Onose, Gunnar Cedersund","doi":"10.1177/10538135261464181","DOIUrl":"10.1177/10538135261464181","url":null,"abstract":"<p><p>BackgroundIn post-acute stroke rehabilitation, cognitive assessment is clinically important but frequently incomplete. Complete-case analysis excludes much of the sample, reducing representativeness.ObjectivesTo determine whether incomplete routine post-stroke cognitive assessments can still yield clinically interpretable relationships among cognitive, clinical, and contextual variables, and support group-level stratification using a reduced feasible cognitive set.MethodsRetrospective cohort study of adults admitted to post-acute stroke neuro-rehabilitation between 2007 and 2026 with at least one neuropsychological assessment. The baseline cohort included 2654 patients, with 5417 assessments within 6 months available for confirmatory analysis. The 24-subtest baseline battery showed 37.5% to 88.4% missingness. Five representative cognitive measures were selected based on data availability, domain coverage, and within-domain Spearman correlations. Bayesian networks were fitted in the baseline cohort, their stability was assessed by bootstrapping, key dependencies were examined across all available assessments.ResultsStable, bootstrap-supported dependency patterns were recovered and broadly replicated in the confirmatory analysis. Replicated associations linked age and time since injury to verbal learning and naming; stroke subtype to verbal learning, timed orientation/performance, and phonemic fluency. Verbal learning occupied a central position, with additional replicated links to naming, timed orientation/performance, and attentional span. Among the contextual variables, economic status was the only one showing a direct link to a cognitive measure (attentional span). Group-level stratification of verbal learning showed moderate performance (R² = 0.42).ConclusionsIncomplete routine cognitive assessments need not rely on complete-case restriction or score imputation; they can still support clinically meaningful interpretation and group-level stratification in post-acute stroke rehabilitation.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"268-278"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148412551","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 Pilot Table Tennis-Based Neurorehabilitation Program to Improve Parkinson's Disease Symptoms.","authors":"Antonio Barbera, Matthew Woodward, Isabelle Buard, Stefan Sillau, Ramon Ortega Montes, Jeanne Feuerstein","doi":"10.1177/10538135261468787","DOIUrl":"10.1177/10538135261468787","url":null,"abstract":"<p><p>BackgroundExercise is the only established disease-modifying intervention in Parkinson's disease (PD), and continued exploration of innovative and engaging exercise modalities may further enhance outcomes for individuals living with PD. Table tennis (TT) is a cognitively engaging, task-specific activity integrating visuospatial processing, anticipatory motor planning, and dynamic postural control.ObjectiveTo examine the feasibility, including attendance, retention, and safety, and effects of a 12 week TT-based program, NeuroPong^TM, on motor and non-motor symptoms in individuals with PD.MethodsIn this single-arm pilot study, 30 participants were enrolled and 26 completed 12 weeks of twice-weekly, 2-h TT sessions. The primary outcome was the Movement Disorders Society-Unified Parkinson's Disease Rating Scale Part III (MDS-UPDRS III). Secondary outcomes included the Berg Balance Scale (BBS), Timed Up and Go (TUG), Six-Minute Walk Test (6MWT), Montreal Cognitive Assessment (MoCA) and several patient-reported outcomes. Pre-post comparisons were conducted using paired T-tests.ResultsImprovements were observed in the MDS-UPDRS Part III (mean change -5.73, 95% CI -9.02 to -2.44, p = 0.0014), BBS (mean change +3.08, 95% CI 1.987 to 4.17, p < 0.0001), TUG (mean change -1.04, 95% CI <b>-</b>1.69 to -0.38, p = 0.0032), and 6MWT (mean change 66.77, 95% CI 49.82 to 83.71, p < 0.0001). Self-reported depression decreased (Hospital Anxiety and Depression Scale, HADS-D mean change -1.12, 95% CI -1.97 to -0.26, p = 0.0129). Attendance averaged approximately 90%, and no adverse events were reported. No significant changes were observed in other outcomes.ConclusionsA 12-week TT-based program, NeuroPong™, was feasible and associated with improvement in motor function, balance, walking endurance and self-reported depression in PD. The multidimensional motor and cognitive demands of table tennis may contribute to these observed benefits. Larger randomized controlled trials are warranted.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"241-248"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148448494","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":"Quantifying Physical Activity Through Step Count Estimation Across Multiple Wearable Sensor Configurations: A Validation Study in Post-Stroke and Healthy Adults.","authors":"Louise Macq, Stéphanie Dehem, Thierry Lejeune, Virginie Otlet","doi":"10.1177/10538135261463255","DOIUrl":"10.1177/10538135261463255","url":null,"abstract":"<p><p>ObjectiveThe study aimed to identify the most accurate protocol for measuring stride-count in post-stroke and healthy individuals, by comparing different wearable-sensors, their placement and data processing against a gold-standard instrumented treadmill.MethodsEighteen post-stroke and 18 healthy adults walked at multiple speeds on an instrumented treadmill equipped with force plates. Participants wore six ActiGraph accelerometers (wrists, hips, ankles), and pressure insoles. Stride counts from each sensor configuration were estimated using a custom raw-acceleration peak-detection algorithm and the manufacturer's algorithm (ActiLife^®). Accuracy and agreement with the gold standard were assessed across walking speeds and sensor locations using the concordance correlation coefficient (CCC) and linear mixed-effects model.ResultsStride count accuracy was influenced by walking speed across all wearable configurations, improving with gait velocity. Pressure-sensing insoles demonstrated the highest accuracy and agreement with the gold standard in both groups across speeds (CCC = 0.999 for healthy subjects; 0.996 for post-stroke). The custom peak-detection algorithm applied to ankle-worn accelerometers provided accurate and robust stride estimates across speeds (CCC = 0.986 in healthy subjects; 0.990 post-stroke). In contrast, the manufacturer's algorithm consistently misestimated stride counts in both groups. No side-to-side differences were observed for any sensor placement.ConclusionPressure insoles and our custom raw-acceleration algorithm applied to ankle-worn accelerometers yielded the highest stride-count accuracy across walking speeds in both populations.Trial registry name and URLClinicalTrails.gov (Registration ID: NCT06943014).</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"249-267"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148405439","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":"Immediate Effects of Exercise and Manual Therapy on Cervico-Mandibular Mobility and Postural Alignment in Children with Spastic Cerebral Palsy: A Randomized Crossover Trial.","authors":"Özge Baykan Çopuroğlu, Baki Umut Tuğay, Muhammet Furkan Vatan","doi":"10.1177/10538135261463254","DOIUrl":"10.1177/10538135261463254","url":null,"abstract":"<p><p>BackgroundSpastic cerebral palsy (CP) commonly impairs cervico-mandibular mobility and motor coordination due to increased muscle tone and altered postural control, potentially affecting head stability and orofacial function.ObjectiveTo compare the immediate effects of exercise- and manual therapy-based interventions on temporomandibular and cervical mobility in children with spastic CP, contrasting active versus passive rehabilitation strategies.MethodsThis single-blind, randomized crossover trial included 52 children with spastic CP (mean age 10.8 ± 2.4 years; GMFCS levels I-IV). Each received one exercise and one manual therapy session in randomized order with a one-week interval. Owing to missed second-week appointments, 44 children completed the exercise session and 48 completed the manual therapy session, resulting in partial crossover completion. Mandibular range of motion (maximal opening, lateral deviation, protrusion), cervical range of motion (flexion, extension, rotation), and craniovertebral angle were assessed immediately before and after each intervention.ResultsBoth interventions produced significant immediate improvements in mandibular and cervical mobility (p < 0.001). Exercise resulted in greater gains in selected active mandibular movements, whereas manual therapy elicited larger improvements in cervical mobility. Craniovertebral angle increased following both interventions, with no significant between-intervention difference, indicating comparable effects on head posture. Effect sizes were moderate to large, and no carryover effects were detected.ConclusionExercise and manual therapy induce modality-specific immediate neuromechanical responses in the cervico-mandibular system in children with spastic CP. These findings reflect short-term rather than long-term effects and suggest both approaches may be considered in individualized pediatric neurorehabilitation planning.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"218-227"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148361953","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":"Cough Assistance Techniques in Adolescents and Young Adults with Neuromuscular Diseases Using Home Noninvasive Ventilatory Support: A Preliminary Cross-Sectional Physiological Study.","authors":"Roberto Vera-Uribe, Edna Karla Ferreira Laurentino, Rodrigo Torres-Castro, Luis Vasconcello-Castillo, Marisol Barros-Poblete, Matías Otto-Yáñez, Javiera Rosales-Fuentes, Jaime Ahumada, Rebeca Paiva Reinero, Guilherme Augusto De Freitas Fregonezi, Jordi Vilaró","doi":"10.1177/10538135261468009","DOIUrl":"10.1177/10538135261468009","url":null,"abstract":"<p><p>BackgroundProgressive respiratory muscle weakness in neuromuscular diseases (NMD) impairs cough effectiveness and increases respiratory morbidity. We compared peak cough flow (PCF) and vital capacity (VC) across airway clearance/cough augmentation techniques in adolescents and young adults using home noninvasive ventilation (NIV).MethodsIn this cross-sectional physiological study, adolescents and young adults with NMD receiving home NIV were evaluated at home. PCF and VC were measured at baseline and immediately after manual assisted cough (MAC), NIV at usual settings, NIV at inspiratory positive airway pressure of 30 cmH2O, air stacking (AS), glossopharyngeal breathing (GPB), and mechanical insufflation-exsufflation (MI-E). Techniques were tested alone and in combination with MAC; the sequence was randomized within participants.ResultsTwenty-four participants (70.8% male; age 17.5 ± 2.4 years) were included. Baseline PCF was 211.2 ± 89.4 L/min. Compared with baseline, PCF increased with MAC, AS, NIV at usual settings, NIV at 30 cmH2O, and MI-E (all p < 0.05), whereas GPB showed no significant change. When combined with MAC, all techniques further increased PCF (e.g., AS + MAC, 306.7 ± 98.4; NIV-30 + MAC, 297.1 ± 94.0 L/min; all p < 0.001), with no between-technique differences. VC increased after AS, MI-E, and NIV (all p < 0.005), but not after GPB.ConclusionsIn adolescents and young adults with NMD using home NIV, AS, NIV, and MI-E improved cough effectiveness and lung volume, and adding MAC produced additional PCF gains.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"228-240"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148497858","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":"Stroke-specific Movement Patterns During Passage Through a Narrow-Opening: A Cross-Sectional Study.","authors":"Daisuke Muroi, Hiroshi Matsui, Takayuki Tomono, Juntaro Sakazaki, Yutaro Saito, Aki Nakazawa, Kentaro Kodama, Takahiro Higuchi","doi":"10.1177/10538135261464177","DOIUrl":"10.1177/10538135261464177","url":null,"abstract":"<p><p>PurposeIndividuals with stroke have difficulty rotating their trunk and adjusting their supporting foot when negotiating spatial constraints. This study aimed to classify movement patterns used when passing through narrow openings and to identify factors associated with stroke-specific patterns.MethodsTwenty-three individuals with stroke (age: 60.7 ± 10.1 years, time after stroke: 15.2 ± 21.1 months, subacute and chronic, independently ambulatory), 23 age-matched community-dwelling adults (61.0 ± 9.7 years), and 12 young adults (25.4 ± 2.5 years) were recruited. Participants walked through openings of various widths. Movement patterns were independently classified by three trained physical therapists, and inter-rater agreement was assessed. Generalized linear mixed models with participants as a random effect were used to examine associations between pattern selection and clinical/environmental factors.ResultsFive passing patterns were identified: (A) pivot, (B-1) early pivot, (B-2) early pivot with reverse trunk rotation, (C) multiple steps, and (D) no-rotation. Inter-rater agreement was substantial (Cohen's <i>κ</i> = .76). Stroke-specific patterns were patterns B-2 and C. The mixed-model analysis showed that B-2 and C were more likely with narrower openings (odds ratio [OR]: .52, 95% confidence interval [CI]: .39-.70; and OR: .18, 95% CI: .11-.32, respectively; both <i>p</i> < .001). TUG performance was not significantly associated with pattern C (OR: 1.22, 95% CI: .99-1.49, <i>p</i> = .056).ConclusionOpening width was associated with stroke-specific pattern selection. Multi-step strategies may reflect increased stability demands, whereas pivot-like strategies may be associated with better mobility. These findings may help clinicians assess movement behaviors in constrained environments.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"279-290"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148369416","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":"The Association of Depression, Anxiety, and Quality of Life with Sexual Function in Young-to-Middle-Aged Stroke Patients: A Case-Control Study.","authors":"A Ozakgul, Z Tulek, K Kılıçaslan, S Erden Melikoğlu, H Kaya","doi":"10.1177/10538135261468010","DOIUrl":"10.1177/10538135261468010","url":null,"abstract":"<p><p>BackgroundDespite its impact, sexual health remains a neglected component of rehabilitation for younger stroke patients.AimTo evaluate sexual dysfunction prevelance in stroke patients and examine its association with health-related quality of life and psychological distress.MethodsThis case-control study included 30 stroke patients and 30 matched controls. Data were collected using the Arizona Sexual Experience Scale (ASEX), Stroke-Specific Quality of Life Scale (SSQOL), and Hospital Anxiety and Depression Scale (HADS).ResultsPatients had significantly higher total ASEX scores (19.3 ± 6.6 vs. 13.0 ± 3.1, <i>p</i> < 0.001), and a higher prevalence of dysfunction than controls (<i>p</i> = 0.004), reporting a significant decline in sexual satisfaction (7.5 to 4.1, <i>p</i> < 0.001). Sexual function was significantly associated with the SSQOL Energy, Thinking, and Language domains (<i>p</i> < 0.05), and HADS-Depression (<i>r</i> = 0.450, <i>p</i> = 0.013), but not with functional state.Strengths and LimitationsStrengths include a matched control group. Limitations include a small sample and cross-sectional design, potential selection bias from a high refusal rate, and restricted psychological variance due to clinical exclusions.ConclusionSexual dysfunction represents a multifaceted challenge for young-to-middle-aged stroke patients, appearing more closely linked to perceived quality of life domains (cognitive, energy, emotional well-being) than to motor deficits. Sexual health may be affected even in patients with low physical disability.Clinical ImplicationsRehabilitation should address holistic needs. Healthcare professionals could benefit from incorporating sexual health screenings into routine care, considering the management of fatigue and depressive symptoms to support long-term well-being.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"321-330"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13507502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148579555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhanced Gait Variability Index in Neurological and Geriatric Rehabilitation: A Scoping Review.","authors":"Mengdi Wang, Priya Karakkattil","doi":"10.1177/10538135261465012","DOIUrl":"10.1177/10538135261465012","url":null,"abstract":"<p><p>BackgroundGait variability is a sensitive marker of neuromotor function and a clinically relevant indicator of fall risk and mobility impairment in neurological and geriatric populations. The Enhanced Gait Variability Index (eGVI) has emerged as a promising composite measure that captures multidimensional gait irregularity in a single interpretable score, offering a practical advantage over single-parameter approaches. Despite growing clinical interest, the evidence base supporting its standardized implementation has not been mapped.ObjectivesTo characterize populations and clinical contexts where the eGVI has been applied, map assessment protocol heterogeneity, and identify methodological gaps limiting precision medicine-aligned implementation in neurological and geriatric rehabilitation.MethodsA scoping review following PRISMA-ScR guidelines was conducted using PubMed, CINAHL, Scopus, Emcare, and Web of Science. Peer-reviewed studies reporting eGVI outcomes were included. Data were extracted on participant characteristics, gait assessment protocols, and outcomes, with attention to factors influencing clinical interpretation.ResultsEighteen studies involving 1,915 participants were included, predominantly examining Parkinson's disease (39%) and older adult populations (22%). The eGVI demonstrated preliminary sensitivity to neuromotor impairment, age-related gait changes, and increased task complexity during dual-task walking; findings were most consistent in Parkinson's disease, based on limited number of studies (n = 7). Substantial heterogeneity in walkway systems, walking conditions, assistive device use, and reference populations limited comparability.ConclusionWhile the eGVI shows promise as a clinical outcome measure, protocol variability and reliance on a single unvalidated normative reference limit its clinical use. Population-specific protocols and normative data consistent with a precision medicine approach, are essential for reliable adoption.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"200-217"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13507503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148405386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PRISM-MX for Post-Stroke Spasticity: Cross-Cultural Adaptation and Preliminary Psychometric Evaluation in a Mexican Sample.","authors":"Roberto C Pech-Argüelles, Axel V Ortiz-Chávez, Ana R Abreo-Hernández, Shilia L Vargas-Echeverría, Rajiv Reebye","doi":"10.1177/10538135261462949","DOIUrl":"10.1177/10538135261462949","url":null,"abstract":"<p><p>ObjectiveTo perform the cross-cultural adaptation of the Patient-Reported Impact of Spasticity Measure (PRISM) into Mexican Spanish and to examine the internal consistency and preliminary convergent validity of the PRISM-MX in adults with post-stroke spasticity.MethodsThis cross-sectional pilot study included 30 adults with ischemic or hemorrhagic stroke and clinically confirmed spasticity attending an outpatient rehabilitation clinic in Merida, Mexico. Cross-cultural adaptation followed standard procedures, including forward translation, synthesis, back-translation, expert committee review, and cognitive debriefing. Preliminary psychometric evaluation included descriptive item-level analysis, internal consistency of the original 41-item PRISM-MX version, and exploratory correlations with disability, motor performance, and quality-of-life measures.ResultsThe Mexican Spanish version was considered understandable, culturally relevant, and acceptable by participants during cognitive debriefing. The original 41-item PRISM-MX version was retained, and no item deletion was performed based on the present pilot sample. No missing PRISM-MX item responses were observed. Internal consistency was high for the total score (Cronbach's alpha = .956). Higher PRISM-MX scores were significantly associated with greater disability and poorer quality of life, with correlation coefficients ranging from <i>ρ</i> = -.46 to <i>ρ</i> = .61, supporting preliminary convergent validity.ConclusionsPRISM-MX was successfully cross-culturally adapted and showed preliminary evidence of acceptability, high internal consistency, and clinically plausible associations with disability and quality-of-life indicators. Definitive psychometric validation, including structural validity, test-retest reliability, responsiveness, measurement error, and measurement invariance, remains pending.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"312-320"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148369438","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":"Applications of ICF-Based Assessments and Interventions in Post-Stroke Rehabilitation: A Narrative Review.","authors":"Mabel N K Wong, Chetwyn Che Hin Chan","doi":"10.1177/10538135261464191","DOIUrl":"10.1177/10538135261464191","url":null,"abstract":"<p><p>BackgroundThe International Classification of Functioning, Disability and Health (ICF) is widely used as a framework for post-stroke rehabilitation, but its clinical application requires further synthesis.ObjectiveThis narrative review examined the current applications of ICF in post-stroke rehabilitation, benchmarked against the United Kingdom Stroke Guideline (UK Guideline).MethodsThe review followed the Scale for the Assessment of Narrative Review Articles. ICF-based assessments and interventions described by the original study authors from selected studies were extracted.ResultsA total of 546 assessments were mapped to the ICF across 166 studies, overlapping with more than 80% of the UK Guideline topics. These assessments appeared to be primarily Body Function-based (40.7%) and Activity-based (27.1%). For ICF-based interventions, 247 interventions were identified across 66 studies and covered fewer than half of the UK Guideline topics. Mapping based on intervention content covered 36% of the combined Activity and Participation component. Both assessment and intervention mapping allocated less attention to the Participation component and Contextual Factors (CF), indicating limited specificity to community reintegration after stroke.ConclusionsTo promote the holistic ICF framework in post-stroke rehabilitation, more work is needed to address the assessment-intervention mismatch in current practice, particularly for Participation and CF. Resources, such as clinician training and service-level support, should also be mobilized to support the routine clinical application of the ICF.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"185-199"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13507500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148448594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}