Journal of Rehabilitation Medicine最新文献

{"title":"Ambulation recovery prediction after hip fracture surgery using the Hip Fracture Short-Term Ambulation Prediction tool.","authors":"Nath Adulkasem, Pojchong Chotiyarnwong, Ekasame Vanitcharoenkul, Aasis Unnanuntana","doi":"10.2340/jrm.v56.40780","DOIUrl":"10.2340/jrm.v56.40780","url":null,"abstract":"<p><strong>Objective: </strong>To develop models for predicting postoperative ambulation recovery at 3 months following fragility hip fracture surgery.</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Subjects: </strong>Fragility hip fracture patients aged ≥ 50 years who underwent operative treatment and completed a 3-month follow-up.</p><p><strong>Methods: </strong>Potential predictors were collected from eligible patients, while ambulation at 3 months after injury was assessed using the modified functional ambulation classification. These factors were used to develop the Hip Fracture Short-Term Ambulation Prediction, consisting of 2 models: Model 1 for postoperative ambulation and Model 2 for preinjury status recovery.</p><p><strong>Results: </strong>Among the 275 patients, 55 (20.0%) achieved good ambulation, and 59 (21.5%) returned to their preinjury status at 3 months. Age, preinjury ambulatory status, and discharge ambulatory status were identified as significant predictors of 3-month postoperative ambulation. The tool presented (Models 1 and 2) showed strong performance (area under the curve of 0.86 and 0.85, respectively) and good internal validity.</p><p><strong>Conclusions: </strong>Age, preinjury ambulatory status, and discharge ambulatory status significantly predict postoperative ambulation and preinjury status recovery at 3 months after fragility hip fracture surgery. The tool presented may aid clinicians in identifying patients who could benefit from targeted rehabilitation interventions during this crucial period.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11541808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559477","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":"Screening cutoff values to identify the risk of falls after stroke: A scoping review.","authors":"Daisuke Matsumoto, Takaaki Fujita, Ryuichi Kasahara, Kenji Tsuchiya, Kazuaki Iokawa","doi":"10.2340/jrm.v56.40560","DOIUrl":"10.2340/jrm.v56.40560","url":null,"abstract":"<p><strong>Objective: </strong>The present scoping review aimed to summarize and determine the accuracy of the variables and cutoff values reported to date for identifying fall risk in patients with stroke and identify the commonalities, limitations, and clinical implications.</p><p><strong>Methods: </strong>Articles published by the end of 2023 were searched using PubMed, Cumulative Index of Nursing and Allied Health Literature, and Scopus electronic databases. Two reviewers created a search formula, searched the databases, and conducted primary and secondary screenings.</p><p><strong>Results: </strong>This review included 21 articles. The most commonly used individual indicator for identifying fall risk after stroke was the Berg Balance Scale; the cutoff values were relatively consistent, ranging between 46.5 and 50.5 points (area under the curve: 0.72-0.81). For the Timed Up and Go test and Falls Efficacy Scale-International, the cutoff values were in the range of 15-19 s and 27-29 points, respectively, and were relatively consistent across the articles. However, the area under the curve values were low (0.66-0.70 and 0.68-0.71, respectively).</p><p><strong>Conclusion: </strong>Among various assessments, the Berg Balance Scale is the most extensively studied tool, with established cutoff values associated with falls risk. It serves as a reliable indicator for detecting fall risk, especially in community-dwelling individuals with chronic stroke.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11520422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513072","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":"Risk-taking behaviour and executive functions, a major component of the risk of fall factors after recent stroke.","authors":"Alain P Yelnik, Ines Dekimèche, Emna Jelili, Ioannis Bargiotas, Marylène Jousse, Johann Beaudreuil, Alexis Schnitzler","doi":"10.2340/jrm.v56.40153","DOIUrl":"10.2340/jrm.v56.40153","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the weight of different cognitive disorders on patient behaviour influencing the risk of falls after recent stroke.</p><p><strong>Design: </strong>Survey and retrospective monocentric study.</p><p><strong>Subjects/patients: </strong>74 professionals/108 patients.</p><p><strong>Methods: </strong>Survey of professionals to ask for their thoughts concerning the weight of different cognitive disorders on the risk of falls and a retrospective study of patients post-stroke to determine whether these cognitive deficits could distinguish fallers from non-fallers. Univariate and multivariate logistic regression analyses were conducted.</p><p><strong>Results: </strong>In part 1, major cognitive disorders identified were anosognosia, confusion, inattention, precipitation, and unilateral spatial neglect. In part 2, 25 patients (23%) were fallers. After adjustment for length of rehabilitation stay and disease severity, on multivariate analysis, the cognitive disorders significantly associated with risk of falls were anosognosia (odds ratio 16), precipitation (13.3), inattention (8.3), and perseveration (4.9). Unilateral spatial neglect was not independently associated. Aphasia did not play a role.</p><p><strong>Conclusion: </strong>Some cognitive disorders, easily identified before any neuropsychological assessment, strongly modify patient behaviour in terms of risk of falls. It is proposed that these disorders should not be considered as an additional factor along with physical and general factors but rather as a multiplying factor applied to the others.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11519672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513071","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":"The effects of rehabilitation potential on activities of daily living in patients with stroke in Taiwan: a prospective longitudinal study.","authors":"Ying-Tzu Tseng, Der-Sheng Han, Jerry Cheng-Yen Lai, Chien-Hui Wang, Tyng-Guey Wang, Hung-Hui Chen","doi":"10.2340/jrm.v56.27028","DOIUrl":"10.2340/jrm.v56.27028","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore the effect of three-dimensional rehabilitation potential on the activity of daily living (ADL) among patients with stroke in rehabilitation wards.</p><p><strong>Design: </strong>Prospective longitudinal study.</p><p><strong>Setting: </strong>Two rehabilitation wards situated within a nationally recognized referral centre in Northern Taiwan, followed by subsequent discharge.</p><p><strong>Participants: </strong>A total of 101 participants were admitted due to either a primary or recurring incident of infarction or haemorrhagic stroke, subsequently being transferred to the rehabilitation ward of a medical centre.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>Rehabilitation potential included biological (swallowing ability, muscle power, and urinary incontinence), psychological (rehabilitation motivation and cognitive function), and social (social support) dimensions. The rehabilitation treatment outcome was activities of daily living measured using the Barthel Index. Time-variant variables, including swallowing ability, rehabilitation motivation, social support, and ADL, were collected at the time of transfer to the rehabilitation ward, 1-3 days before discharge, and 1 month after discharge.</p><p><strong>Results: </strong>The results of the generalized estimating equations model revealed that poor swallowing ability, lower muscle power, and urinary incontinence in the biological dimension, along with lower rehabilitation motivation and moderate cognitive impairment in the psychological dimension, are significant indicators of rehabilitation potential among stroke patients. When the different dimensional rehabilitation potential was considered overall, both biological and psychological indicators can still predict ADL outcomes during and after inpatient rehabilitation therapy. Of these indicators, swallowing ability and rehabilitation motivation were positively correlated with ADL over time. Further, increased rehabilitation motivation enhanced the protective effect of swallowing ability on ADL.</p><p><strong>Conclusion: </strong>Important indicators of rehabilitation potential, which can predict ADL outcomes, were identified for stroke patients in the rehabilitation ward. Policymakers can design appropriate intervention plans to enhance the rehabilitation potential and improve the effectiveness of inpatient rehabilitation treatment for stroke patients.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11519673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513181","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":"Improved functional oral intake and exercise training attenuate decline in aerobic capacity following chemoradiotherapy in patients with esophageal cancer.","authors":"Shu-Chun Huang, Lan-Yan Yang, Yin-Kai Chao, Wei-Yang Chang, Ya-Tzu Tsao, Chuan-Yi Chou, Ching-Chung Hsiao, Chien-Hung Chiu","doi":"10.2340/jrm.v56.25906","DOIUrl":"10.2340/jrm.v56.25906","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the impact of chemoradiotherapy on the physical fitness of patients with oesophageal cancer, and the clinical factors influencing it.</p><p><strong>Method: </strong>A total of 67 participants successfully completed the study, with 18 of them engaging in supervised, in-hospital aerobic training at moderate intensity for a minimum of 20 sessions. Cardiopulmonary exercise testing, hand grip strength, body composition assessed via bioelectrical impedance analysis, patient-generated subjective global assessment, albumin, and the Functional Oral Intake Scale (FOIS) were evaluated before chemoradiotherapy and 6-8 weeks after its completion.</p><p><strong>Result: </strong>Among the participants, cardiopulmonary fitness, hand grip strength, and phase angle of BC-BIA declined during chemoradiotherapy. Before and after chemoradiotherapy, V̇O2peak was 19.6 ± 4.4 and 17.4 ± 3.9 mL/min/kg respectively. The improvement in FOIS during chemoradiotherapy showed a positive correlation with changes in aerobic capacity. Additionally, exercise training was associated with attenuating the decline in aerobic capacity.</p><p><strong>Conclusion: </strong>Physical fitness deteriorated in patients with oesophageal cancer following chemoradiotherapy. Improvement in dysphagia helps maintain aerobic capacity. Additionally, exercise training has the potential to mitigate the decline. This discovery can serve as a reference for enhancing holistic care for patients with oesophageal cancer.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11497629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481175","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":"Early mobilization in patients with aneurysmal subarachnoid haemorrhage may im-prove functional status and reduce cerebral vasospasm rate: a systematic review with meta-analysis.","authors":"Adéla Foudhaili, Brice Leclere, Florence Martinache, Anthony Chauvin, Damien Vitiello, Benjamin Chousterman","doi":"10.2340/jrm.v56.41225","DOIUrl":"10.2340/jrm.v56.41225","url":null,"abstract":"<p><strong>Objective: </strong>The primary aim of this study was to evaluate the safety and efficacy of early mobilization in patients with aneurysmal subarachnoid haemorrhage.</p><p><strong>Design: </strong>Systematic review with meta-analysis of randomized controlled studies and observational studies.</p><p><strong>Patients: </strong>Patients with aneurysmal subarachnoid haemorrhage.</p><p><strong>Methods: </strong>PubMed, Embase, CINAHL, Web of Science, Pedro, and the Cochrane Library databases were searched. A systematic review and meta-analysis were performed. Screening and data extraction were performed by 2 independent reviewers.</p><p><strong>Results: </strong>Sixteen studies involving 1,757 patients were included. Meta-analysis of the data estimated that early mobilization improved mRS score at discharge (mean difference -1.39, 95% CI -2.51 to -0.28, I2 = 86%) and at 3 months (mean difference -1.10, 95% CI -1.54 to -0.66, I2 = 7%). Early mobilization was associated with a reduction in cerebral vasospasm rate, both radiological (OR 0.66, 95% CI 0.45 to 0.96, I2 = 7%) and clinical (OR 0.44, 95% CI 0.27 to 0.72, I2 = 8%); 6% of mobilization sessions involved adverse events, mostly haemodynamic changes.</p><p><strong>Conclusion: </strong>This review found moderate-quality evidence supporting the safety and effectiveness of early mobilization in patients with SAH. Further randomized controlled trials are needed to identify the appropriate mobilization strategy and confirm these results.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11497628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481174","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":"Self-reported fatigue in people with post COVID-19: impact on functioning in daily life, and associated factors - a cross-sectional study.","authors":"Christina Brogårdh, Elisabeth Ekstrand, Agneta Malmgren Fänge, Iben Axen, Kerstin Stigmar, Eva Ekvall Hansson","doi":"10.2340/jrm.v56.40811","DOIUrl":"10.2340/jrm.v56.40811","url":null,"abstract":"<p><strong>Objective: </strong>To assess (i) the impact of self-reported fatigue on functioning in daily life, and (ii) the association with sociodemographics, physical capacity, and work ability among people with post-COVID-19.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Subjects: </strong>Adults reporting post-COVID-19 symptoms for at least 2 months.</p><p><strong>Methods: </strong>Participants were recruited through social media and responded to an online survey between October 2021 and February 2022 regarding sociodemographics, COVID-19 symptoms, comorbidities, physical and mental fatigue, aerobic capacity, and work ability. Descriptive statistics and logistic regression analyses were used.</p><p><strong>Results: </strong>A total of 614 participants (88% women, mean age 47 years, on average 13 months of symptoms) were included. A majority (≥ 84%) reported both physical fatigue and mental fatigue, according to the Fatigue Severity Scale and Mental Fatigue Scale. The fatigue impacted motivation, physical functioning, work, family, or social life, and increased sensitivity to stress and concentration difficulties. Among the factors, work ability had the strongest association with both physical fatigue and mental fatigue; odds ratio: 0.650 and 0.473, p < 0.001, respectively.</p><p><strong>Conclusion: </strong>This study found that self-reported fatigue is common among people with post-COVID-19, and negatively impacts functioning in daily life. To achieve a sustainable life and work situation, support and targeted rehabilitation interventions may be important.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11492507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481201","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":"The standard posture is a myth: a scoping review.","authors":"Martin E Barra-López","doi":"10.2340/jrm.v56.41899","DOIUrl":"10.2340/jrm.v56.41899","url":null,"abstract":"<p><strong>Background: </strong>The standard posture described in Kendall's manual is commonly used for postural assessment. However, no bibliographic reference was provided to support its use.</p><p><strong>Objective: </strong>To identify the original source and the procedure followed for the design of that posture and to compare it with current literature on the subject.</p><p><strong>Methods: </strong>In accordance with the PRISMA Extension for Scoping Reviews recommendations, PubMed and Scopus were searched using the terms \"standing posture\", \"plum line,\" and \"gravity line\". Publications in English, French, German, or Spanish that referred to posture in adults without pathology were included.</p><p><strong>Results: </strong>Six articles and 3 books were included in the final analysis. An identical posture to that described in Kendall's manual was identified in an early 19th-century work carried out with the unrealistic objective of maintaining static bipedal standing without muscular support, and including several anatomical misconceptions. Furthermore, the \"ideal alignment\" described in Kendall's manual does not correspond to the actual line of gravity, the comfortable posture, or natural postural compensations due to age, gender, or race.</p><p><strong>Conclusion: </strong>The utilization of this standard to ascertain postural deficiencies is not supported by current evidence and may result in numerous false positives, particularly in the elderly.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11492508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481202","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":"Commentary on: Comparison of motion sensor and heart rate monitor for assessment of physical activity intensity in stroke outpatient rehabilitation sessions: an observational study.","authors":"Felicianus Anthony Pereira, Asfa Waheed, Javeria Rao, Muhammad Umair","doi":"10.2340/jrm.v56.41967","DOIUrl":"10.2340/jrm.v56.41967","url":null,"abstract":"","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11481306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395392","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":"A reliable and valid assessment of upper limb movement quality after stroke: the observational Drinking Task Assessment.","authors":"Minnu Jose, Maria Munoz-Novoa, Margit Alt Murphy","doi":"10.2340/jrm.v56.40362","DOIUrl":"10.2340/jrm.v56.40362","url":null,"abstract":"<p><strong>Objective: </strong>To develop and evaluate the reliability and validity of a new observational Drinking Task Assessment (DTA) designed to assess quality of movement in task performance after stroke.</p><p><strong>Design: </strong>Reliability and validity.</p><p><strong>Methods: </strong>The DTA measures movement time and movement quality (smoothness, trunk, shoulder, elbow, and grasp movements) on a 4-level ordinal scale. Thirty participants with chronic stroke were assessed independently by 2 therapists. Intra-class correlation (ICC), standard error of measurement (SEM) and minimal real difference (MRD), weighted kappa, percentage of agreement, and Svensson method were used for reliability assessment. Motion capture-based kinematics and established clinical scales were used to evaluate validity.</p><p><strong>Results: </strong>The absolute SEM and MRD for movement time were 0.4 and 1 s (11%), respectively. The ICC (≥ 0.93) and weighted kappa (0.71-1.0) showed good to excellent agreement for intra- and inter-rater reliability. DTA showed strong correlations with Fugl-Meyer Assessment (0.74), Action Research Arm Test (0.93), and kinematic measures of smoothness (0.93), trunk displacement (0.91), elbow extension (0.73), and shoulder movements (0.56), indicating good construct validity.</p><p><strong>Conclusions: </strong>The new DTA proved to be a reliable and valid tool for assessment of movement quality during task performance after stroke.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11481465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395391","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}