NeuroRehabilitation最新文献

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What are the Effects of Ankle-Foot Orthoses on Walking in Adults with Calf Muscle Weakness Due to Neuromuscular Disorders? - A Cochrane Review Summary with Commentary. 踝足矫形器对神经肌肉疾病所致小腿肌无力的成人行走有何影响?- Cochrane综述摘要及评论。
IF 1.8 4区 医学
NeuroRehabilitation Pub Date : 2025-08-01 Epub Date: 2025-07-22 DOI: 10.1177/10538135251356635
Ekin Ilke Sen
{"title":"What are the Effects of Ankle-Foot Orthoses on Walking in Adults with Calf Muscle Weakness Due to Neuromuscular Disorders? - A Cochrane Review Summary with Commentary.","authors":"Ekin Ilke Sen","doi":"10.1177/10538135251356635","DOIUrl":"10.1177/10538135251356635","url":null,"abstract":"<p><p>BackgroundCalf muscle weakness due to neuromuscular disorders significantly impairs walking efficiency, increases energy expenditure, and limits mobility. Ankle-foot orthoses (AFOs) are commonly prescribed to improve gait biomechanics and functional mobility, but their effectiveness remains uncertain.ObjectiveTo assess the effects of AFOs on walking performance in adults with calf muscle weakness caused by slowly progressive neuromuscular disorders.MethodsA summary of the Cochrane Review by van Duijnhoven et al., with commentary from a rehabilitation perspective.ResultsThe Cochrane review included 10 studies with 186 participants. Low-certainty evidence suggests that carbon AFOs may reduce walking energy cost, increase walking speed, and enhance user satisfaction. Leather AFOs may also contribute to improved walking speed. Polypropylene and elastic AFOs appear to provide minimal to no benefit. The effects of AFOs on perceived walking effort, balance, and long-term use remain inconclusive due to very low-certainty evidence. Although adverse events were predominantly mild, conclusions regarding safety remain limited, as most studies were conducted in laboratory settings without incorporating real-life use of AFOs.ConclusionsThe evidence supporting AFO use in adults with calf muscle weakness remains of low to very low certainty. Future research should focus on individualized AFO prescription, long-term outcomes, and safety monitoring. Additionally, further investigation is needed to clarify the impact of AFO material properties on walking, mobility, and quality of life in individuals with neuromuscular disorders.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"141-143"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144682894","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 Plyometric Exercises Versus Wii Training on Upper Extremity Function in Children with Unilateral Cerebral Palsy: A Comparative Study. 增强训练与Wii训练对单侧脑瘫儿童上肢功能的影响:一项比较研究。
IF 1.8 4区 医学
NeuroRehabilitation Pub Date : 2025-08-01 Epub Date: 2025-04-04 DOI: 10.1177/10538135251329220
Sara S Saad-Eldien, Shamekh Mohamed El-Shamy, Asmaa O Sayed, Ahmed Abdelmoniem Ibrahim, Amira M Abd-Elmonem, Walaa A Abd El-Nabie, Heba H Abd-Elwahab, Faten Mohamed Hassan, Hanaa Mohsen Abd-Elfattah
{"title":"Efficacy of Plyometric Exercises Versus Wii Training on Upper Extremity Function in Children with Unilateral Cerebral Palsy: A Comparative Study.","authors":"Sara S Saad-Eldien, Shamekh Mohamed El-Shamy, Asmaa O Sayed, Ahmed Abdelmoniem Ibrahim, Amira M Abd-Elmonem, Walaa A Abd El-Nabie, Heba H Abd-Elwahab, Faten Mohamed Hassan, Hanaa Mohsen Abd-Elfattah","doi":"10.1177/10538135251329220","DOIUrl":"10.1177/10538135251329220","url":null,"abstract":"<p><p>ObjectivesTo compare between the effects of plyometric exercises versus Wii on upper extremity functions in children with unilateral cerebral palsy (UCP).MethodForty-two children with UCP, ranging in age from 8 to 12 years were allocated to receive plyometric exercises (PLYO -group) or Wii training (Wii-group) for 45 min. both groups received selected occupational therapy programs for 30 min twice a week over 3-month. The intervention was delivered on non-consecutive days. The quality of upper extremity skills test (QUEST), Test of arm selective control (TASC) and pneumatic squeeze bulb dynamometer were used to assess upper extremity function, SMC and HGS, respectively.ResultsOverall, 42 children (21 in the PLYO-group, 21 in the Wii-group) completed data collection and treatment. With-in group comparison showed significant improvement in both groups while post-treatment comparisons revealed a significant difference from mean difference in upper extremity function is 9.55 (8.71:10.39), SMC is 2.05 (1.47: 2.63) and HGS is 2.86 (2.20: 3.53) (<i>p </i>< 0.05; 95% Confidence interval) in favor of the PLYO-group.ConclusionsPlyometric exercises are significantly more effective than Wii training in improving upper extremity function and strength in children with UCP.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"28-37"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780289","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 1.8 4区 医学
NeuroRehabilitation Pub Date : 2025-08-01 Epub 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":"10.1177/10538135251329322","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"48-57"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","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
Enhancing Functional Recovery in Subacute Stroke Patients: The Impact of Vestibular Rehabilitation on Trunk Control and Gait Performance. 增强亚急性脑卒中患者的功能恢复:前庭康复对躯干控制和步态表现的影响。
IF 1.8 4区 医学
NeuroRehabilitation Pub Date : 2025-08-01 Epub Date: 2025-07-28 DOI: 10.1177/10538135251333353
Ju-Eun Sohn, Gi-Hoon Tak, Yun-Hee Sung
{"title":"Enhancing Functional Recovery in Subacute Stroke Patients: The Impact of Vestibular Rehabilitation on Trunk Control and Gait Performance.","authors":"Ju-Eun Sohn, Gi-Hoon Tak, Yun-Hee Sung","doi":"10.1177/10538135251333353","DOIUrl":"10.1177/10538135251333353","url":null,"abstract":"<p><p>BackgroundThe vestibular system is crucial for maintaining the body's orientation and postural control, as well as for coordinating movements.ObjectiveThis study investigated the effects of vestibular rehabilitation (VR) in sitting position on trunk control, balance, and gait in subacute stroke patients.MethodsPatients were divided into an experimental group (VR, n = 11) and a control group (neurodevelopmental rehabilitation, n = 12). The trunk impairment scale (TIS) measured trunk control, while the modified functional reaching test (mFRT) assessed dynamic balance using Balancia software. The BTS G-Walk was used to measure gait and pelvic movement.ResultsIn the experimental group, significant increases were observed in TIS total score, sitting balance, and coordination (p < 0.05). The mFRT and the maximum distance of the center of gravity increased on the affected and unaffected side, as well as forward (p < 0.05). Additionally, cadence, velocity, and gait symmetry significantly improved during gait (p < 0.05).ConclusionThe VR in the sitting position effectively improved trunk control, balance, and gait quality in patients with subacute stroke. Therefore, this suggests that VR should be incorporated into rehabilitation protocols to enhance functional outcomes and recovery in these patients.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"80-87"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732567","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
Effectiveness of VR Intervention Coupled with Treadmill Training on Gait Function for Stroke Patients: A Systematic Review. VR干预结合跑步机训练对脑卒中患者步态功能的影响:一项系统综述。
IF 1.8 4区 医学
NeuroRehabilitation Pub Date : 2025-08-01 Epub Date: 2025-06-09 DOI: 10.1177/10538135251335127
Minjoon Kim, Chirathip Thawisuk, Fuminari Kaneko, Hyeong-Dong Kim
{"title":"Effectiveness of VR Intervention Coupled with Treadmill Training on Gait Function for Stroke Patients: A Systematic Review.","authors":"Minjoon Kim, Chirathip Thawisuk, Fuminari Kaneko, Hyeong-Dong Kim","doi":"10.1177/10538135251335127","DOIUrl":"10.1177/10538135251335127","url":null,"abstract":"<p><p>BackgroundCurrent gait rehabilitation strategies for stroke survivors have limitations. Virtual reality-integrated treadmill training shows promise by enhancing neuroplasticity and motor learning, but its comparative efficacy remains unclear.ObjectivesThis review evaluates the effectiveness of VR-integrated treadmill training on gait performance, balance, and functional outcomes in stroke survivors, addressing benefits and limitations.MethodsFollowing PRISMA guidelines, randomized controlled trials comparing Virtual reality-treadmill and conventional rehabilitation were analyzed. Outcomes included gait speed, balance, and participation. Methodological quality was assessed using the RoB 2 tool.ResultsTen RCTs involving 266 participants were included. Virtual reality interventions significantly improved gait speed, stride length, and balance compared to conventional training. Interactive Virtual reality systems demonstrated superior benefits by incorporating task-specific and feedback-driven elements. However, improvements in quality of life and participation were inconsistent. Most studies spanned 4-8 weeks, limiting long-term conclusions.ConclusionVirtual reality-treadmill training improves gait and neuroplastic recovery but shows inconclusive effects on quality of life and participation. Future research should focus on longer interventions and translating gains to real-world activities, supporting Virtual reality as a complement to traditional rehabilitation.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"3-13"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249051","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 1.8 4区 医学
NeuroRehabilitation Pub Date : 2025-08-01 Epub 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":"10.1177/10538135251335123","url":null,"abstract":"<p><p>BackgroundWe aimed to propose <i>Emotional training</i> (<i>ET</i>) 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 <i>ET</i> (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.Conclusion<i>ET</i> provided significant improvements in the symmetry of the face at rest and during voluntary movements, in social function and subjectively perceived well-being. <i>ET</i> is an effective therapeutic proposal for patients suffering from idiopathic or iatrogenic facial nerve palsy.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"111-121"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","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
Neurologic Music Therapy for Fine Motor Recovery in Huntington's Disease: A Proof-of-Concept Magnetoencephalography Evaluation. 亨廷顿舞蹈病精细运动恢复的神经音乐疗法:概念验证脑磁图评估。
IF 1.8 4区 医学
NeuroRehabilitation Pub Date : 2025-08-01 Epub Date: 2025-05-11 DOI: 10.1177/10538135251330979
Emily Forbes, Lucas Lattanzio, Karrie Hardin, Leah Quiller, Amy W Amara, Lauren C Seeberger, Isabelle Buard
{"title":"Neurologic Music Therapy for Fine Motor Recovery in Huntington's Disease: A Proof-of-Concept Magnetoencephalography Evaluation.","authors":"Emily Forbes, Lucas Lattanzio, Karrie Hardin, Leah Quiller, Amy W Amara, Lauren C Seeberger, Isabelle Buard","doi":"10.1177/10538135251330979","DOIUrl":"10.1177/10538135251330979","url":null,"abstract":"<p><p>BackgroundFine motor impairment is common in Huntington's disease (HD). Neurologic Music Therapy (NMT) is the therapeutic application of music for neurorehabilitation. Measured by magnetoencephalography (MEG), the modulation of motor-related oscillations via NMT is associated with restorative motor training. In HD, the impact of NMT on fine motor function and associated neurophysiology have yet to be explored.ObjectiveConduct a proof-of-concept study to determine the feasibility of NMT and MEG evaluation in people with HD.MethodsThree participants with HD and impaired fine motor skills underwent a five-week NMT intervention. Pre- and post-intervention assessments included the Unified HD Rating Scale, the Grooved Pegboard Test, and MEG recording during a cued finger-tapping task.ResultsThere was 100% adherence to the pre and post visit assessments and MEG, and 93% adherence to the NMT intervention. A visual increase in evoked beta/gamma power at cue onset along with an earlier evoked beta response at 500-800 msec post cue were observed in the neuromagnetic data after NMT.ConclusionNMT-based fine motor rehabilitation, and its evaluation with neurophysiological studies, are feasible in HD. More work is needed to determine if this intervention holds potential to influence functional change or spectral patterns of motor cortical activity.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"135-140"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034562","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 1.8 4区 医学
NeuroRehabilitation Pub Date : 2025-08-01 Epub 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":"10.1177/10538135251344925","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"103-110"},"PeriodicalIF":1.8,"publicationDate":"2025-08-01","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
An Animal-Assisted Physiotherapy Intervention with a Rehabilitation Dog for Walking and Balance Training: A Case Series of Children Living with Cerebral Palsy. 动物辅助物理治疗干预与康复犬行走和平衡训练:脑瘫儿童病例系列。
IF 1.8 4区 医学
NeuroRehabilitation Pub Date : 2025-07-28 DOI: 10.1177/10538135251353467
Valerie Caron, Alison Oates, Romany Pinto, Joel L Lanovaz, Colleen A Dell, Sarah Oosman, Sarah J Donkers
{"title":"An Animal-Assisted Physiotherapy Intervention with a Rehabilitation Dog for Walking and Balance Training: A Case Series of Children Living with Cerebral Palsy.","authors":"Valerie Caron, Alison Oates, Romany Pinto, Joel L Lanovaz, Colleen A Dell, Sarah Oosman, Sarah J Donkers","doi":"10.1177/10538135251353467","DOIUrl":"10.1177/10538135251353467","url":null,"abstract":"<p><p>PurposePhysiotherapy (PT) is an essential part of care for improving function and increasing community participation in children with cerebral palsy (CP). Combining animal-assisted intervention (AAI) with PT (AA-PT) offers a unique approach, potentially boosting motivation and participation in ambulatory children with CP. This case series piloted AA-PT integrating a rehabilitation dog for children with CP, to enhance walking and balance training.MethodsFour ambulatory children with CP (7-16 y.o.a, GMFCS I-II, 3 girls, 1 boy) participated in an 8-week individualized AA-PT intervention. Assessments at baseline (0 weeks), pre-intervention (8 weeks), post-intervention (16 weeks), and follow-up (24 weeks) included Kids Mini BESTest, timed up and go (TUG), dual task cost (DTC), and spatiotemporal parameters. The AA-PT included weekly 60-min sessions integrating a rehabilitation dog in walking and balance training. Visual analog scales (VAS) assessed perceived comfort, safety, enjoyment, and confidence while walking with and without the rehabilitation dog.ResultsIndividual-responder analysis showed improvements in Kids Mini BESTest scores, reduced DTC, and increased walking speed for all. Children reported higher enjoyment, confidence, safety, and comfort when walking with the rehabilitation dog.ConclusionAA-PT integrating a rehabilitation dog may enhance balance, dual-task cost, walking speed, and confidence in ambulatory children with CP.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251353467"},"PeriodicalIF":1.8,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732566","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
Community-Based Exercise Programming for Individuals with Parkinson's Disease: A Qualitative Study. 帕金森病患者社区运动规划:一项定性研究
IF 1.7 4区 医学
NeuroRehabilitation Pub Date : 2025-06-09 DOI: 10.1177/10538135251348365
Aiza Khan, C Allyson Jones, Marguerite Wieler, Victor E Ezeugwu
{"title":"Community-Based Exercise Programming for Individuals with Parkinson's Disease: A Qualitative Study.","authors":"Aiza Khan, C Allyson Jones, Marguerite Wieler, Victor E Ezeugwu","doi":"10.1177/10538135251348365","DOIUrl":"https://doi.org/10.1177/10538135251348365","url":null,"abstract":"<p><p>BackgroundParkinson's disease (PD) is a neurological disorder that significantly impacts individuals, their families, and the healthcare system. Alongside drug therapies and surgical interventions, exercise has shown potential in improving motor and non-motor symptoms. This study explored perspectives of individuals with PD, care partners, and program providers regarding a community-based exercise program for PD.MethodsIndividuals with PD (Hoehn & Yahr stages I-III), on a stable medication regime, who participated in a PD-specific community-based exercise program twice weekly for at least 12 weeks, along with care partners and program providers were recruited. In-depth interviews were conducted with individuals with PD (n = 17), care partners (n = 7), and program providers (n = 3) from January to May 2024. Data were analyzed using an interpretative phenomenology analysis and mapped onto a behavior-change model. Two patient advisors and care partners assisted in data analysis and interpretation.ResultsParticipants highlighted the PD-specific nature of the program and group exercise benefits as key motivators. Pre-program challenges included difficulties obtaining a diagnosis, adapting to non-motor symptoms, medication side effects, and finding motivation. Post-program outcomes included symptom improvement, mutual motivation, community support, and reduced self-consciousness, prompting the recommendation of greater community awareness. Barriers to participation included transportation difficulties and cost. These findings suggest addressing barriers is essential to enhance accessibility and program benefits.ConclusionsThe PD-specific exercise program was perceived as beneficial to overall health and wellness, providing physical, emotional, and social benefits. A lack of awareness about the significance of exercise in PD remains a critical challenge.</p>","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"10538135251348365"},"PeriodicalIF":1.7,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249050","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
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