Topics in Stroke Rehabilitation最新文献

{"title":"The effect of education based on the seven-step (7E) learning cycle on the quality of life of stroke patients and the care burden of their caregivers: a randomized clinical trial.","authors":"Sogand Sarmadi, Neda Sanaie, Fereshteh Javaheri Tehrani, Malihe Nasiri, Esmail Shariati","doi":"10.1080/10749357.2025.2496917","DOIUrl":"https://doi.org/10.1080/10749357.2025.2496917","url":null,"abstract":"<p><strong>Introduction: </strong>Education deficiency increases caregiver burden, worsening patient's Quality of Life (QoL). The Seven-Step (7E) model enhances critical thinking and problem-solving skills using previous experiences. This study aimed at evaluating the influence of education using 7E model on the stroke patients' QoL and the caregivers' burden.</p><p><strong>Methods: </strong>Following a single-blind parallel-group randomized controlled trial, 110 patient-caregiver dyads were included in the present study from 10 July 2024 to 15 November 2024. The study was conducted in two hospitals and one clinic affiliated with the Shahid Beheshti University of Medical Sciences. They were randomly divided into two groups: 7E model (<i>n</i> = 55) and routine education (<i>n</i> = 55). Data was collected with the Stroke-Specific Quality of Life Scale and Caregiver Burden Inventory (CBI). In the experimental group, training was conducted based on the 7E model. The questionnaires were completed at the pre-test stage and eight weeks later as post-tests.</p><p><strong>Results: </strong>Before the intervention, the two groups did not have a statistically significant difference in demographic information and the total score of QoL and CBI (<i>p</i> > 0.05). After intervention, the analysis showed that the mean scores were significantly higher in all dimensions except mobility and self-care in the experimental group compared to the control group (<i>p</i> < 0.05). Also, regarding caregiver burden, after removing the effect of age, results showed that the CBI in all dimensions' scores in the experimental group were significantly lower compared to the control group (<i>p</i> = 0.004).</p><p><strong>Conclusion: </strong>Compared to conventional educational approaches, 7E model demonstrated greater efficacy in improving patients' quality of life and reducing caregiver burden.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-16"},"PeriodicalIF":2.2,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987853","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":"Evaluation of an adaptation to the Oxford Cognitive Screen for reduced visual acuity: a cohort study.","authors":"L R Hepworth, N Demeyere, B Helliwell, L Ashall-Lee, M Liptrot, E McCullough, L Wright","doi":"10.1080/10749357.2025.2501005","DOIUrl":"https://doi.org/10.1080/10749357.2025.2501005","url":null,"abstract":"<p><strong>Background: </strong>The Oxford Cognitive Screen (OCS) was specifically designed for acute stroke survivors and to be inclusive of aphasia, neglect, motor impairments. However, reduced visual acuity (VA), including lack of access to required reading glasses, can impact completion rates and performance. The aim of the study was to evaluate contrast enhanced OCS-tasks for completion rates and equivalence to the original version.</p><p><strong>Methods: </strong>Adult stroke survivors were asked to complete two versions (standard and adapted) of two tasks (broken hearts cancellation and trails) in a randomized order, to determine relative completion rates and equivalency. A bedside vision assessment, completed by an orthoptist was collected, including near and distance VA with required refractive correction if available. Two groups were created based on near VA; normal near VA (≥0.2LogMAR) and reduced near VA (<0.2LogMAR).</p><p><strong>Results: </strong>Five hundred participants were recruited, 56.8% male, mean age 70.62 years. Mean near VA was 0.278 (SD0.277) LogMAR. The broken hearts and trails tasks were completed by 2.2% (<i>p</i>=0.041) and 0.4% (<i>p</i>=0.791) more participants respectively with the adapted version. Participants completing both versions with good near VA were used to analyze equivalence. All the lower and upper bounds of the two one-sided test of equivalence fell within the range of 0.5SD for all scores, indicating that the means are equivalent. Analysis of impairment detection revealed fair to good agreement.</p><p><strong>Conclusion: </strong>The adapted version is suitable for stroke survivors with reduced near VA to complete the assessment. In the presence of good VA, the tasks were deemed to be equivalent.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-7"},"PeriodicalIF":2.2,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143983143","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":"Differences in factors associated with stair-climbing ability at discharge based on the severity of lower limb paralysis in patients with stroke.","authors":"Kento Muto, Daijo Shiratsuchi, Masataka Nagai, Masafumi Kubota","doi":"10.1080/10749357.2025.2496920","DOIUrl":"https://doi.org/10.1080/10749357.2025.2496920","url":null,"abstract":"<p><strong>Background: </strong>Obtaining stair-climbing ability at discharge is crucial, and identifying the predictors of independent stair-climbing ability is important for making rehabilitation more effective.</p><p><strong>Objectives: </strong>This study aimed to clarify the factors associated with stair climbing at discharge in patients with stroke classified according to the severity of lower limb paralysis.</p><p><strong>Method: </strong>This study is a multi-institutional retrospective observational study included patients with acute ischemic stroke and intracerebral hemorrhage. Patients were classified into the severe group and the mild groups based on the severity of their lower limb function. Multiple logistic regression analysis was performed for all included patients and each severity group to investigate factors associated with stair-climbing ability at discharge.</p><p><strong>Results: </strong>We included 2,097 patients (41.5 % female) with a median age (interquartile range) of 75 (66-83) years in the present analysis. Overall, 105 (19.6 %) patients in the severe group were able to stair climbing independently and 1,069 (68.5 %) in the mild group were able to climb stairs independently. Predictors independently associated with stair-climbing ability in the severe group included age, paralyzed side, sitting ability, acute length of stay (acute LOS), and functional independence measure (FIM) motor items. Predictors in mild group were age, stroke type, upper limb function, sitting ability, acute LOS, FIM motor, FIM cognitive.</p><p><strong>Conclusions: </strong>The predictors of stair-climbing ability differed according to the severity of lower limb paralysis. The results of this study can be used to predict the prognosis of stair-climbing ability to support goal setting and decision-making in rehabilitation treatment.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"1-8"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996186","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":"Validation of tele-assessment of disability and health after stroke using WHODAS 2.0 through video call in a middle-income country.","authors":"Ariadne Cardoso da Silva, Léia Cordeiro de Oliveira, Heyriane Martins Dos Santos, Bibiana Caldeira Monteiro, Gabriela Santos Pereira, Shamyr Sulyvan de Castro, Soraia Micaela Silva","doi":"10.1080/10749357.2024.2403811","DOIUrl":"10.1080/10749357.2024.2403811","url":null,"abstract":"<p><strong>Background: </strong>The validity, reliability, and accuracy of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) for face-to-face assessment in the stroke population are well established. However, the validity and reliability of WHODAS 2.0 through tele-assessment remain uncertain. OBJECTIVE: To assess the reliability, agreement, internal consistency, criterion and discriminant validity of WHODAS 2.0 when administered through video calls.</p><p><strong>Methods: </strong>A longitudinal methodological study included fifty individuals with chronic stroke. Both in-person and video call assessments were conducted, and their sequence was randomized. The reliability was determined using the Intraclass Correlation Coefficient (ICC2,1). Measurement errors were assessed using the standard error of measurement (SEM) and smallest detectable change (SDC). Internal consistency was assessed using Cronbach's α. Criterion validity was determined by conducting Pearson's correlation coefficient analysis between in-person and video call assessments. Discriminant validity was examined using the Receiver Operating Characteristic (ROC) curve to distinguish disability levels, with the Modified Rankin Scale as the reference standard.</p><p><strong>Results: </strong>The participants had a mean age of 56.10 ± 10.8 years, with an equal distribution of genders. Adequate reliability was observed between the two methods (ICC2,1 = 0.88; 95% CI = 0.79-0.93; <i>p</i> < 0.001), and internal consistency was also adequate (Cronbach's α = 0.88). The criterion validity revealed a strong correlation (<i>r</i> = 0.78; <i>p</i> < 0.001). Discriminant validity demonstrated satisfactory accuracy in distinguishing disability levels via video call (AUC = 0.67; <i>p</i> = 0.04).</p><p><strong>Discussion: </strong>This study offers evidence supporting the validity and reliability of the WHODAS 2.0 assessment through video call. Teleassessment using WHODAS 2.0 proves suitable for individuals who have had a stroke, enabling remote evaluation and care.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"428-437"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142296177","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":"Do facilitators and barriers to community ambulation differ among stroke survivors in low resource settings? A cross-sectional study in Nigeria.","authors":"Marufat O Odetunde, Olumide A Olaoye, Halimat O Ogwogho, Ayodele Teslim Onigbinde","doi":"10.1080/10749357.2024.2411876","DOIUrl":"10.1080/10749357.2024.2411876","url":null,"abstract":"<p><strong>Purpose: </strong>Stroke survivors (SSV) in many low- and middle-income countries experience frustrating participation restriction in community ambulation (CA), which impedes community life. This study assessed facilitators and barriers to CA among community-dwelling SSV in a southwest state of Nigeria.</p><p><strong>Methods: </strong>This cross-sectional study involved 66 community-dwelling ambulating SSV, purposively recruited from physiotherapy out-patient clinics of selected hospitals in southwest Nigeria. Semi-structured questionnaire containing physical and social environment elements of the ICF domains was administered on respondents. Mobility status at home and community, socio-demographic and clinical data of SSV were also obtained. Responses from open-ended questions were triangulated with appropriate close ended options. Data were analyzed using descriptive statistics and logistic regression at <i>p</i> < 0.05 Alpha value.</p><p><strong>Results: </strong>Majority of the SSV were independent in their homes (59.1%), used mobility aids (87.9%) and assisted in CA (66.7%). They identified limited physical accessibility by crowds 25 (37.9%), lack of inclined surfaces 40 (95.2%), uneven floors 36 (87.8%), public seating arrangements 33 (78.6%), rain (73.8%) and inability to use services, systems and policies (77.3%) as barriers to CA. Built physical environment was a significant predictor of home (OR = 0.754, <i>p</i> = 0.001) and community mobility (OR = 0.850; <i>p</i> = 0.018), while post-stroke depression was a significant predictor of community mobility (OR = 1.038; <i>p</i> = 0.014).</p><p><strong>Conclusion: </strong>Mobility aids, social attitudes and general support were identified as facilitators, whereas barriers to CA included built physical environment, services and policies, products and technology. Facilitators and barriers to CA are similar to some HIC contexts, perceived difficulties and experiences differ for infrastructural and social reasons among others.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"349-361"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142393622","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":"Correction.","authors":"","doi":"10.1080/10749357.2024.2404732","DOIUrl":"10.1080/10749357.2024.2404732","url":null,"abstract":"","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"458"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142296175","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 and prediction model associated with resumption of social outings in stroke survivors 6 months after onset: a multicenter prospective study.","authors":"Takaaki Fujita, Toshimasa Sone, Akihiko Asao, Kazuaki Iokawa","doi":"10.1080/10749357.2024.2408998","DOIUrl":"10.1080/10749357.2024.2408998","url":null,"abstract":"<p><strong>Objectives: </strong>To identify factors associated with the resumption of social outings 6 months after stroke onset and develop a simple clinically practical prediction model.</p><p><strong>Materials and methods: </strong>Participants were recruited from first-ever stroke survivors admitted to three rehabilitation wards, and resumption of social outings 6 months after stroke onset was assessed using the Japanese version of the Frenchay Activities Index. The association of physical and cognitive functions with activities of daily living at admission to the rehabilitation ward and resumption of social outings 6 months after stroke onset was examined using logistic regression and decision trees.</p><p><strong>Results: </strong>Notably, 63.2% of the 57 stroke survivors who participated in this study had lower Frenchay Activities Index scores for social outings 6 months after stroke onset than before. Logistic regression analysis revealed that attention deficit and grooming on the Functional Independence Measure (FIM^TM) were significantly associated with decreased social outing scores 6 months after stroke onset. A decision tree model was created to predict the resumption of social outings using the presence or absence of attention disorders and FIM^TM grooming score (>2 or ≤ 2).</p><p><strong>Conclusions: </strong>The results of this study suggest that attention deficit and beyond a certain level of independence in grooming (FIM^TM >2) at admission to the rehabilitation ward are associated with recovery to the pre-stroke level of social outings 6 months after stroke onset. The decision tree created in this study holds promise as a simple model to predict the resumption of social outings among stroke survivors.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"382-391"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142354437","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 Lycra arm sleeve for treatment of glenohumeral subluxation in people with sub-acute stroke: a randomized controlled (RC) feasibility study.","authors":"Robert Jones, Paul White, Rosemary Greenwood, Praveen Kumar","doi":"10.1080/10749357.2024.2403808","DOIUrl":"10.1080/10749357.2024.2403808","url":null,"abstract":"<p><strong>Background: </strong>A Lycra arm sleeve has the potential to reduce glenohumeral subluxation (GHS) in people with stroke (PwS). Aims were (1) to provide feasibility data to inform a future fully powered randomized controlled trial, (2) to understand whether patients would be willing to be randomized, (3) to measure changes in GHS at 3 months after wearing the sleeve when compared to not wearing the sleeve.</p><p><strong>Method: </strong>PwS ≥18 years with ≤3/5 shoulder abduction strength and able to give informed consent were recruited. The feasibility data on recruitment, screening, and retention rate at 12 weeks were collected. Participants were asked if they would be happy to be randomized into one of the two groups. The immediate group received the Lycra sleeve on recruitment and wore for up to 10 hours/day for 3 months. The delayed group received the sleeve after follow-up assessment at 3 months. GHS was assessed using diagnostic ultrasound method.</p><p><strong>Results: </strong>Over one year, 257 patients were screened, 34 patients were eligible, and 31 (91%) were recruited. Retention at 3 months was 27 (87%). Of those eligible, all found randomization to be acceptable. In the immediate group, GHS showed reduction from 2.6 ± 0.7 cm (95% CI 2.0-3.1 cm) at baseline to 2.2 ± 0.4 cm (CI 2.0-2.5 cm) at 12 weeks. In the delayed group, mean GHS remained unchanged over 3 months period (2.3 ± 0.5 cm, CI 1.9-2.7 cm).</p><p><strong>Conclusion: </strong>Recruitment was harder than anticipated, but there was high retention demonstrating feasible methodology. There is some indication of a clinical effect of Lycra sleeve on GHS early after stroke.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"419-427"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142296176","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 end-effector robotic arm reach training with functional electrical stimulation for chronic stroke survivors.","authors":"Ki Hun Cho, Mi Ran Hong, Won-Kyung Song","doi":"10.1080/10749357.2024.2409595","DOIUrl":"10.1080/10749357.2024.2409595","url":null,"abstract":"<p><strong>Background: </strong>Upper-extremity dysfunction significantly affects dependence in the daily lives of stroke survivors, limiting their participation in the social environment and reducing their quality of life.</p><p><strong>Objectives: </strong>This study aimed to investigate the effect of end-effector robotic arm reach training (RAT) with functional electrical stimulation (FES) on upper-limb motor recovery in chronic stroke survivors.</p><p><strong>Methods: </strong>In this single-blinded randomized controlled trial, 28 chronic stroke survivors were randomized to receive RAT-with-FES and RAT-without-FES for 40 min/day, three times per week over a 4-week period, and the data of 26 participants were used in the final analysis. Upper-limb motor recovery was measured using the Fugl-Meyer assessment (FMA), and kinematics (movement time, speed, and distance) during reaching movements toward targets placed in three directions (ipsilateral, median, and contralateral sides) were measured using a robotic arm.</p><p><strong>Results: </strong>The upper-limb motor recovery (FMA and kinematics) improvement for the within-group comparisons tended to be greater in the RAT-with-FES group than in the RAT-without-FES group. However, in the between-group comparison, no significant differences were found in FMA, and significant differences were observed only for 2 distance parameters of kinematic factors: total (23.0% vs. 1.7%) and straight total (25.5% vs. 2.6%) distance on the ipsilateral side (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>This study was unable to clearly reveal the positive effects of electrical stimulation combined with robotic arm training. However, we believe that it provides basic data that furthers our understanding of the role of hybrid neuroprostheses in stroke rehabilitation and the factors determining successful treatment.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"337-348"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372948","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":"What do employers need when supporting stroke survivors to return to work?: a mixed-methods study.","authors":"Kristelle Craven, Jade Kettlewell, Blanca De Dios Pérez, Katie Powers, Jain Holmes, Kathryn A Radford","doi":"10.1080/10749357.2024.2409005","DOIUrl":"10.1080/10749357.2024.2409005","url":null,"abstract":"<p><strong>Background: </strong>Employers are key in supporting stroke survivors to return to work (RTW) but do not always have knowledge/skills or guidance to do so.</p><p><strong>Objectives: </strong>To explore employers' needs for provision of post-stroke RTW support.</p><p><strong>Methods: </strong>Mixed-methods study. Participants recruited through voluntary response/purposive sampling. Survey of employers investigated stroke knowledge (maximum score: 7), RTW process knowledge (maximum score: 8), and perceived competency for actions supporting RTW (maximum score: 100%). Regression analyses explored relationships between employers' demographic/contextual characteristics and knowledge and perceived competency scores. Interviews with employers explored factors influencing their post-stroke RTW support. Interview data were analyzed using a framework analysis. Survey/interview findings were synthesized with those from a qualitative systematic review.</p><p><strong>Results: </strong>Across the survey (<i>n</i> = 50), interviews (<i>n</i> = 7), and review (25 studies), employers' support was influenced by stroke survivors' decisions to disclose stroke-related limitations, employers' knowledge regarding roles/responsibilities, employers' communication skills, and information provided by healthcare. Regression analyses: Human resources/occupational health support was positively associated with stroke knowledge (ß = 2.30, 95% CI 0.36-4.41, <i>p</i> = 0.013) and RTW process knowledge (ß = 5.12, 95% CI 1.80-6.87, <i>p</i> = 0.001). Post-stroke RTW experience was positively associated with stroke knowledge (ß = 1.36, 95% CI 0.46-2.26, <i>p</i> = 0.004) and perceived competency (ß = 31.13, 95% CI 18.40-44.76, <i>p</i> = 0.001). Organization size (i.e. working in a larger organization) was positively associated with RTW process knowledge (ß = 2.96, 95% CI 1.52-4.36, <i>p</i> = <.001).</p><p><strong>Conclusions: </strong>Employers' RTW support was influenced by personal and environmental factors; they may benefit from education and guidance on stroke and their roles/responsibilities during the RTW process.</p>","PeriodicalId":23164,"journal":{"name":"Topics in Stroke Rehabilitation","volume":" ","pages":"392-404"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142372849","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}