NeuroRehabilitation最新文献_第7页

Barriers and Facilitators of Physical Therapy Homecare Services for Patients with Stroke in Saudi Arabia. 沙特阿拉伯中风患者物理治疗家庭护理服务的障碍和促进因素。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-05-01 Epub Date: 2025-02-20 DOI: 10.1177/10538135241311186

Alaa M Albishi, Al-Shaima M Howis, Adel A Alhusaini

{"title":"Barriers and Facilitators of Physical Therapy Homecare Services for Patients with Stroke in Saudi Arabia.","authors":"Alaa M Albishi, Al-Shaima M Howis, Adel A Alhusaini","doi":"10.1177/10538135241311186","DOIUrl":"https://doi.org/10.1177/10538135241311186","url":null,"abstract":"BackgroundExtensive rehabilitation following a stroke is crucial. It could be provided as home health care (HHC) and is critical in aiding patients' recovery at home and promoting independence. Home-based rehabilitation has proven effective for patients with stroke and enhances their quality of life. Further research is necessary to support recovery at home for patients with stroke in Saudi Arabia.ObjectiveThe study aims to explore the barriers and facilitators of physical therapy homecare services for patients with stroke in Saudi Arabia.MethodsA cross-sectional study using a self-administered questionnaire was distributed among 150 licensed physical therapists. Descriptive and inferential statistics were used to describe the participants' characteristics, barriers, and facilitators.ResultsThe physical therapists showed high confidence in stroke rehabilitation, with a mean score (16.49 + 2.37). Most of our respondents reported that patients' refusal of service was considered the most common barrier to homecare, with a mean score of (2.78 + 0.43). The barrier scores were significantly associated with the workplace region (p = 0.04). On a positive note, (84%) identified effective communication as a facilitator, with a mean score of (2.82 + 0.43). A significant association was found among specialists working in the homecare department compared to those working at usual rehabilitation clinics (p = 0.02).ConclusionsThe primary challenges were patients refusing services and inadequate communication. Overcoming these barriers is crucial. Effective communication and involving a family member in the treatment program were critical factors for facilitating home care and ensuring a high level of service.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":"56 3","pages":"370-383"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036422","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

Effects of Reformer-based Trunk Stability Exercise on Trunk Control, Balance, and Gait Parameters in Patients with Chronic Stroke. 基于改良器的躯干稳定性训练对慢性脑卒中患者躯干控制、平衡和步态参数的影响。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-05-01 Epub Date: 2025-01-28 DOI: 10.1177/10538135241308782

Sangyong Han, Donghwan Park

{"title":"Effects of Reformer-based Trunk Stability Exercise on Trunk Control, Balance, and Gait Parameters in Patients with Chronic Stroke.","authors":"Sangyong Han, Donghwan Park","doi":"10.1177/10538135241308782","DOIUrl":"10.1177/10538135241308782","url":null,"abstract":"BackgroundStroke patients experienced a decline in balance and gait abilities due to impaired trunk control. Previous studies showed that Reformer exercises were effective in improving trunk control.ObjectiveThis study aimed to investigate the effects of Reformer-based trunk stability exercises on trunk control, balance, and gait abilities in patients with chronic stroke.MethodsThis study utilized a randomized controlled trial design. Participants were randomly assigned to an experimental group (Reformer-based trunk stability exercises, n = 12) or a control group (conventional trunk stability exercises, n = 12). The intervention consisted of 20-min sessions conducted five times a week for four weeks. Trunk control, balance, and gait parameters were evaluated before and after the intervention, and the data were analyzed using a two-way repeated measures ANOVA.ResultsStatistical analysis demonstrated a significant interaction effect between group and time for most variables, with within-group comparisons showing significant differences before and after the intervention for the majority of variables in both groups. Additionally, effect size analysis indicated large effect sizes (Cohen's d > 0.8) for most variables.ConclusionsReformer-based trunk stability exercises showed positive effects on trunk control, balance, and gait parameters in patients with chronic stroke.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":"56 3","pages":"360-369"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010715","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 Combined with Exercise on Gait in Patients with Parkinson's Disease: A Systematic Review and Meta-Analysis. 无创脑刺激联合运动对帕金森病患者步态的影响：系统回顾和荟萃分析

IF 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-05-01 Epub Date: 2025-03-18 DOI: 10.1177/10538135251320263

Sijia Xia, Feng Chen, Wenju Wang, Rui Li, Xi Xie, Tao Jiang, Mengquan Tan, Jingfang Zhu, Lei Yang, Minguang Yang, Qing Xiang, Weilin Liu

{"title":"Non-invasive Brain Stimulation Combined with Exercise on Gait in Patients with Parkinson's Disease: A Systematic Review and Meta-Analysis.","authors":"Sijia Xia, Feng Chen, Wenju Wang, Rui Li, Xi Xie, Tao Jiang, Mengquan Tan, Jingfang Zhu, Lei Yang, Minguang Yang, Qing Xiang, Weilin Liu","doi":"10.1177/10538135251320263","DOIUrl":"10.1177/10538135251320263","url":null,"abstract":"BackgroundEffects of Non-invasive brain stimulation (NIBS) combined with exercise on gait in patients with Parkinson's disease (PD) have been highly inconsistent.ObjectiveTo assess the clinical effects of NIBS combined with exercise on gait in PD and analyze the specifics of the intervention protocols related to the outcomes.MethodsPubMed, Web of Science, Embase, and Cochrane Library were searched up to July 2023. Included were randomized controlled trials that investigated how NIBS combined with exercise affected gait in PD.ResultsWe examined nine studies, comprising 242 patients, for our meta-analysis. According to our findings, NIBS combined with exercise improved TUGT time (MD -0.83; 95% CI, -1.48 to -0.17) and gait parameters including stride length (MD 19.93; 95% CI, 3.06 to 36.81). In subgroup analyses of different intervention types, UPDRS-III scores were significantly reduced by repetitive transcranial magnetic stimulation (rTMS) combined with exercise (MD -5.63; 95% CI, -9.31 to -1.95) and NIBS combined with treadmill training (MD -5.95; 95% CI, -10.12 to -1.79). TUGT time (MD -1.07; 95% CI, -1.94 to -0.20) and cadence (MD -6.06; 95% CI, -10.24 to -1.87) were significantly affected by transcranial direct current stimulation (tDCS) combined with exercise. NIBS combined with physical therapy produced a notable improvement in TUGT time (MD -1.31; 95% CI, -2.37 to -0.26).ConclusionsNIBS combined with exercise may have synergistic effects on gait performance in PD. To achieve the greatest benefits for individuals with PD, future research should concentrate on identifying the most appropriate stimulation parameters and intervention features.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":"56 3","pages":"259-273"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993429","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

Speech and Language Therapy Plus Electroacupuncture or Non-Invasive Brain Stimulation for Post-Stroke Aphasia: A Systematic Review and Network Meta-Analysis. 言语和语言治疗加电针或无创脑刺激治疗脑卒中后失语症：系统回顾和网络荟萃分析。

IF 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-05-01 Epub Date: 2025-02-20 DOI: 10.1177/10538135241312600

Lanlan Zhang, Bingbing Lin, Yunshi Huang, Mengxue Wang, Jinglei Ni, Jian Song, Jia Huang

{"title":"Speech and Language Therapy Plus Electroacupuncture or Non-Invasive Brain Stimulation for Post-Stroke Aphasia: A Systematic Review and Network Meta-Analysis.","authors":"Lanlan Zhang, Bingbing Lin, Yunshi Huang, Mengxue Wang, Jinglei Ni, Jian Song, Jia Huang","doi":"10.1177/10538135241312600","DOIUrl":"10.1177/10538135241312600","url":null,"abstract":"BackgroundThe combination of speech and language therapy (SLT) with acupuncture, electroacupuncture, and non-invasive brain stimulation is commonly used in clinical practice and scientific research for post-stroke aphasia (PSA).ObjectiveThis study assesses the therapeutic effectiveness of SLT-based combination therapies in improving language function in patients with PSA.MethodsPubMed, CBM, Embase, Web of Science, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wan Fang Data and Chinese Scientific Journals Database (VIP) were searched through 2 December, 2024. This study included randomized controlled trials (RCTs) that compared the influence of SLT-based combination treatments and controls on language function in patients with PSA. The meta-analysis was conducted using random effects NMA.ResultsA total of 66 studies were included. The NMA assessing the effectiveness of various interventions for improving speech, repetition, and listening comprehension skills following SLT revealed that combined therapies generally outperformed SLT alone. For speaking skills, SLT + Electroacupuncture demonstrated the highest likelihood of improvement (SUCRA = 84.6). For repetition scores, SLT + Electroacupuncture was effective (SUCRA = 92.0). In listening comprehension, SLT + tDCS showed the greatest potential for improvement (SUCRA = 89.8).ConclusionsThe results revealed that any type of SLT-based combination intervention was more effective than SLT alone.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":" ","pages":"302-314"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143764479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Effect of Residential Distance from Inpatient Setting on Outcomes of Rehabilitation Following Acquired Brain Injury. 居住距离对获得性脑损伤后康复预后的影响。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-05-01 Epub Date: 2025-02-12 DOI: 10.1177/10538135241308790

Lloyd Bradley

{"title":"The Effect of Residential Distance from Inpatient Setting on Outcomes of Rehabilitation Following Acquired Brain Injury.","authors":"Lloyd Bradley","doi":"10.1177/10538135241308790","DOIUrl":"https://doi.org/10.1177/10538135241308790","url":null,"abstract":"BackgoundInpatient rehabilitation may be required after an acquired brain injury. This can be located a long way from someone's usual residence. Outcomes for those living further away from the inpatient setting could be impacted by the complexities of discharge planning and limited access to family and friends.ObjectiveTo determine the relationship between distance of usual residence from the location of inpatient rehabilitation and subsequent rehabilitation outcomes.MethodsA retrospective cohort analysis of patients admitted between 2014 and 2022 to a neurorehabilitation unit comparing admission complexity, diagnostic category, wait for admission, length of stay, change in functional status and care needs between patients usually resident near (< 20 miles) and distant (>=20 miles) from the unit.ResultsFor the 849 patients admitted there were no differences between the groups in the time since initial injury (p = .99), baseline complexity (p = .51), functional status (p = .31), care needs (p = .78) nor in the different diagnostic categories. There were no differences in their length of stay (p = .20), change in their functional status (p = .69) or care needs (p = .68).ConclusionsThe provision of appropriate facilities is more important to patient outcomes than geographical proximity for inpatient rehabilitation following acquired brain injury.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":"56 3","pages":"414-417"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024541","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

Reporting of Adverse Events in Studies Involving Treadmill Gait Training After Stroke: A Systematic Review. 卒中后跑步机步态训练的不良事件报告：系统回顾。

IF 1.8 4区医学

NeuroRehabilitation Pub Date : 2025-05-01 Epub Date: 2025-02-06 DOI: 10.1177/10538135241308805

Jesimiel Missias de Souza, Daiane Carla Rodrigues Cardoso, Stephano Tomaz da Silva, Josicleide Araújo de Azevedo, Samara Katiane Rolim de Oliveira, Lorenna Raquel Dantas de Macedo Borges, Larissa Araújo Gomes, Maria Amanda Ferreira Quirino, Tatiana Souza Ribeiro

{"title":"Reporting of Adverse Events in Studies Involving Treadmill Gait Training After Stroke: A Systematic Review.","authors":"Jesimiel Missias de Souza, Daiane Carla Rodrigues Cardoso, Stephano Tomaz da Silva, Josicleide Araújo de Azevedo, Samara Katiane Rolim de Oliveira, Lorenna Raquel Dantas de Macedo Borges, Larissa Araújo Gomes, Maria Amanda Ferreira Quirino, Tatiana Souza Ribeiro","doi":"10.1177/10538135241308805","DOIUrl":"10.1177/10538135241308805","url":null,"abstract":"BackgroundTreadmill gait training has been widely employed in post-Stroke Rehabilitation. This form of training is not exempt from complications. As with any healthcare intervention, reports of adverse events must be adequately documented.ObjectiveTo assess the reporting of adverse events in clinical trials utilizing treadmill training in individuals with Stroke.MethodsSearches were carried out in seven databases, spanning from October to November 2019, with updates in May and June 2021, as well as in November and December 2022. Studies mentioning adverse events and having full-text available in English, Portuguese, or Spanish were considered. Outcome measures were occurrence, assessment, type, and severity of adverse events.ResultsFifty-one studies were included with 1,571 participants. The most frequent adverse events reported were pain (6 studies), new strokes (6 studies), and medical complications (4 studies) were the most commonly observed. Studies whose groups underwent treadmill training reported a higher number of adverse events compared to groups that did not receive this intervention.ConclusionsThe reporting of adverse events in studies involving treadmill training post-stroke is inconsistent and non-systematic. There appears to be an association between treadmill training and the occurrence of adverse events in this population.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":"56 3","pages":"274-288"},"PeriodicalIF":1.8,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040876","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

Are Assistive Technologies Effective in the Management of Contractures in People with Stroke? - A Cochrane Review Summary with Commentary. 辅助技术对中风患者挛缩的治疗有效吗？- Cochrane综述摘要及评论。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-05-01 Epub Date: 2025-05-03 DOI: 10.1177/10538135251323968

Alex Todhunter-Brown

{"title":"Are Assistive Technologies Effective in the Management of Contractures in People with Stroke? - A Cochrane Review Summary with Commentary.","authors":"Alex Todhunter-Brown","doi":"10.1177/10538135251323968","DOIUrl":"10.1177/10538135251323968","url":null,"abstract":"BackgroundPatients who have had a stroke are at risk of contractures, a shortening of muscles and other soft tissues. Muscle stretching, manually or delivered by other means, is a common strategy to manage contractures following stroke. A Cochrane Review by Mohammed Meeran et al. has investigated the effectiveness of assistive technology defined as a mechanical, electrical, or electromechanical device used to stretch or lengthen a muscle statically, dynamically, or cyclically for preventing or reducing contractures.ObjectiveTo summarize the Cochrane Review by Mohammed Meeran et al. and comment on it from a rehabilitation perspective.MethodsThe Cochrane Review authors identified randomised controlled studies (RCTs) which investigated the use of electrical, mechanical, or electromechanical devices to manage contractures in adults with stroke. RCTs had to compare these assistive technologies with no treatment, routine therapy, or another assistive technology. Passive range of motion (PROM) was the primary outcome.ResultsSeven studies (294 participants) were included. Data from five studies (252 participants) comparing assistive technologies with routine care were meta-analyzed. The evidence was very uncertain about the effect of assistive technology on PROM, adverse events and other outcomes.ConclusionsThere is insufficient evidence to support clinical decisions about the effectiveness of assistive technology in the management of contractures in people with stroke. Rehabilitation professionals should select strategies for management of contractures in patients with stroke based on an expert assessment of a patient's individual needs and preferences, and ensure regular re-assessment. High quality research is necessary in this field.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":"56 3","pages":"418-420"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993425","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}

引用次数: 0

Effects of Physical Therapy on Ankle Proprioception and Postural Control in People with Parkinson's: A Semi-experimental Clinical Trial. 物理治疗对帕金森病患者踝关节本体感觉和姿势控制的影响：一项半实验性临床试验。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-05-01 Epub Date: 2025-02-20 DOI: 10.1177/10538135251317418

Mahrokh Taheri, Mohammed N Ashtiani

{"title":"Effects of Physical Therapy on Ankle Proprioception and Postural Control in People with Parkinson's: A Semi-experimental Clinical Trial.","authors":"Mahrokh Taheri, Mohammed N Ashtiani","doi":"10.1177/10538135251317418","DOIUrl":"10.1177/10538135251317418","url":null,"abstract":"BackgroundProprioceptive sensory integration is impaired in people with Parkinson's (PwP), affecting control of the posture.ObjectiveThe goal of this study was to examine the effects of proprioceptive exercises on improvement of the ankle proprioception acuity, functional mobility, postural control, and quality of life of PwP.MethodsSixteen PwP participated in this semi-experimental clinical trial to receive proprioceptive exercises over 10 weeks. Ankle kinesthesia and repositioning acuity, four square step test, center of pressure-related balance metrics, and PDQ-39 questionnaire were measured.ResultsAnkle kinesthesia in plantarflexion is improved after the exercises (p = 0.033). Four square step test time was significantly decreased (∼780 ms) after proprioceptive exercises (p = 0.008). Significant decreases in closed eyes postural metrics of the center of pressure's maximum excursion (p = 0.008), maximum velocity (p = 0.035), total mean velocity (p = 0.004), range (p = 0.002), and variability (p = 0.002) indicated reduced instabilities. Significant correlations between the proprioception and postural metrics in closed eyes standing before the exercises were vanished to corroborate the role of improved proprioception in boosted postural control. PDQ-39 scores was also significantly decreased after the exercises (p = 0.021).ConclusionsProprioceptive exercises over 10 weeks improved proprioception in people with Parkinson's that caused reduced postural instabilities and consequently increased their quality of life.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":"56 3","pages":"406-413"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039244","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

Predictors of participation over the 10 years after TBI in black individuals. 预测黑人脑外伤后10年的参与情况。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-05-01 Epub Date: 2025-02-18 DOI: 10.1177/10538135251315372

Chimdindu Ohayagha, Bridget Xia, Shawn Ct Jones, Daniel W Klyce, Juan Carlos Arango-Lasprilla, Paul B Perrin

{"title":"Predictors of participation over the 10 years after TBI in black individuals.","authors":"Chimdindu Ohayagha, Bridget Xia, Shawn Ct Jones, Daniel W Klyce, Juan Carlos Arango-Lasprilla, Paul B Perrin","doi":"10.1177/10538135251315372","DOIUrl":"https://doi.org/10.1177/10538135251315372","url":null,"abstract":"BackgroundTraumatic brain injury (TBI) is a serious public health problem and is associated with an increased number of health comorbidities.ObjectiveThis study examined: (a) longitudinal trajectories of participation over the 10 years after TBI in a group of Black individuals, and (b) demographic and injury-related predictors of those trajectories.MethodThis study included 1,989 Black individuals in the national TBI Model Systems (TBIMS) Database, who had at least one of each Participation Assessment with Recombined Tools-Objective (PART-O) subscale scores at one or more follow-up time points (1, 2, 5, and 10 years after TBI).ResultsLower PART-O Productivity trajectories were observed among participants who were male (b = -.26, p = .001), were older at the time of injury (b = -.02, p < .001), had a lower education level (b = .06, p < .001), had public insurance coverage (b = .17, p = .009), and had longer posttraumatic amnesia (PTA) duration (b = -.28, p < .001). Lower PART-O Social trajectories emerged among participants who were older at the time of injury (b = -.02, p < .001), did not have a partner at the time of injury (b = .66, p < .001), had public insurance coverage (b = .19, p = .009), and had longer PTA duration (b = -.19, p = .001). Lower PART-O Out and About trajectories emerged among participants who were older at the time of injury (b = -.01, p = .018) and had a lower education level (b = .05, p < .001).ConclusionThe findings highlight the importance of understanding the strengths, risk factors, and unmet needs of this group, many of whom experience decreased community and social engagement after TBI.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":"56 3","pages":"325-339"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040873","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 Independence and Elbow Strength in Tetraplegia: Analysis of Tendon Transfers. 四肢瘫痪患者的功能独立性和肘关节力量：肌腱转移的分析。

IF 1.7 4区医学

NeuroRehabilitation Pub Date : 2025-05-01 Epub Date: 2025-01-22 DOI: 10.1177/10538135241308803

Alejandro García-Rudolph, José Manuel Mendez, Lidia Ledesma, Mark Andrew Wright, Alejandro Del Arco, Frederic Dachs

{"title":"Functional Independence and Elbow Strength in Tetraplegia: Analysis of Tendon Transfers.","authors":"Alejandro García-Rudolph, José Manuel Mendez, Lidia Ledesma, Mark Andrew Wright, Alejandro Del Arco, Frederic Dachs","doi":"10.1177/10538135241308803","DOIUrl":"https://doi.org/10.1177/10538135241308803","url":null,"abstract":"BackgroundOver half of spinal cord injuries result in tetraplegia, profoundly impairing daily activities (ADLs).ObjectiveTo evaluate biceps-to-triceps (B-T) and deltoids-to-triceps (D-T) tendon transfers, comparing their impacts on elbow extension strength and ADL independence.MethodsRetrospective review of tendon transfers performed between 2003 and 2023 at a neurorehabilitation center. Post-surgery muscle strength was assessed using the Medical Research Council (MRC) scale and ADL independence with the motor Functional Independence Measure (mFIM). We used ANOVA to identify post-surgery associations between MRC achieved scores and performance in ADLs.ResultsA total of 34 individuals (42 arms) underwent B-T or D-T surgeries, predominantly at C5 level (66.7%) with 69.0% classified as AIS A. Post-surgery, 81% of B-T and 76.2% of D-T achieved antigravity elbow extension (MRC 3-4), with mean MRC scores of 3.2 for both groups. The B-T group, older at surgery (39.9 vs. 27.8 years) and with shorter time since injury to surgery (2.3 vs. 5.0 years), showed significant post-surgery improvements in Self-care, Transfers, Locomotion, and total mFIM. In contrast, significant associations between MRC scores and mFIM outcomes in D-T transfers involved Self-care, Sphincter control, Transfers, and total mFIM.ConclusionsMRC scores and ADLs were positively impacted by rehabilitation tendon transfers.","PeriodicalId":19717,"journal":{"name":"NeuroRehabilitation","volume":"56 3","pages":"348-359"},"PeriodicalIF":1.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030683","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