Journal of Rehabilitation Medicine最新文献

Reconceptualizing rehabilitation research via an enactive framework and a radically interdisciplinary cross-analysis: a study protocol on fatigue in post COVID-19 condition (PCC).

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-04-06 DOI: 10.2340/jrm.v57.42254

Richard Levi, Ulrika Birberg Thornberg, Ida Blystad, Anestis Divanoglou, David Engblom, Felipe Leon, Sofia Morberg Jämterud, Kristin Zeiler

{"title":"Reconceptualizing rehabilitation research via an enactive framework and a radically interdisciplinary cross-analysis: a study protocol on fatigue in post COVID-19 condition (PCC).","authors":"Richard Levi, Ulrika Birberg Thornberg, Ida Blystad, Anestis Divanoglou, David Engblom, Felipe Leon, Sofia Morberg Jämterud, Kristin Zeiler","doi":"10.2340/jrm.v57.42254","DOIUrl":"https://doi.org/10.2340/jrm.v57.42254","url":null,"abstract":"Objective: To present a radically interdisciplinary research approach to ill-defined symptoms, with a focus on fatigue as a major symptom of post COVID-19 condition, where multiple and, to date, rarely combined approaches may yield a fuller understanding of these symptoms.Design: Protocol for a mixed-methods study comprising an interdisciplinary cross-analysis.Patients: 35 persons with post COVID-19 condition and severe fatigue were included, and 35 age-, sex-, and educationally matched controls who recovered from COVID-19 without post COVID-19 condition.Methods: Participants were assessed by a multidisciplinary research team as follows: physician assessment; blood and urinalysis; spirometry and physical performance tests; neuropsychological tests; structural and functional magnetic resonance imaging; extended immunological tests (cytokines); and qualitative phenomenological analysis of interviews. Data will be analysed in accordance with established methods in each of these research fields and by a cross-analysis methodology developed from within an enactive framework. This framework encompasses a focus on neuroscientific, physiological, and experiential aspects of the person as a living being in their sociocultural world.Conclusion: The biopsychosocial model needs to be implemented in research according to methods that allow radically different research paradigms, typically seen as incommensurable, to inform each other in a non-reductionist manner. One application of such an approach is therefore described.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42254"},"PeriodicalIF":2.5,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143797079","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

Interventions in subacute paediatric inpatient neurorehabilitation: an umbrella review.

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-04-02 DOI: 10.2340/jrm.v57.42328

Ivan Robertson, Denise Taylor, Jimmy Chong

{"title":"Interventions in subacute paediatric inpatient neurorehabilitation: an umbrella review.","authors":"Ivan Robertson, Denise Taylor, Jimmy Chong","doi":"10.2340/jrm.v57.42328","DOIUrl":"https://doi.org/10.2340/jrm.v57.42328","url":null,"abstract":"Background: Rehabilitation is vital for optimizing recovery following neurological injuries. However, much of what is done for the paediatric population relies heavily on the adult literature or is based on expert opinion. No previous attempt has been made to collate high-quality evidence pertaining to the subacute period.Objectives: To summarize and appraise the evidence from systematic reviews regarding the efficacy of inpatient neurorehabilitation interventions for paediatric patients in the 6 months immediately following neurological injury.Method: A systematic search was conducted of PubMed, Ovid Medline, Cumulative Index to Nursing and Allied Health Literature, Embase, and Cochrane databases, as well as using Google Scholar. Selection required an appraisal of efficacy of an inpatient rehabilitation intervention delivered within 6 months of injury.Results: 1,250 papers were found. Titles and abstracts were compared against the selection criteria, with 52 papers being selected for full-text review. None of these met the selection criteria. Exclusions were often due to setting and chronicity.Conclusions: This review reveals a critical lack of systematically reviewed evidence within the scope investigated. There is a pressing need for evaluation of current interventions. In the future, alternative approaches to identifying and appraising different forms of available evidence could be considered.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42328"},"PeriodicalIF":2.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765978","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

Impact of sarcopenia on gait independence in older orthopaedic patients: a comparison of 2 diagnostic algorithms.

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-03-28 DOI: 10.2340/jrm.v57.42051

Taiki Ikemoto, Mitsunori Tokuda, Yuki Morikawa, Kotoha Kuroda, Naoki Nakayama, Naho Terada, Misuzu Niina, Daisuke Matsumoto

{"title":"Impact of sarcopenia on gait independence in older orthopaedic patients: a comparison of 2 diagnostic algorithms.","authors":"Taiki Ikemoto, Mitsunori Tokuda, Yuki Morikawa, Kotoha Kuroda, Naoki Nakayama, Naho Terada, Misuzu Niina, Daisuke Matsumoto","doi":"10.2340/jrm.v57.42051","DOIUrl":"10.2340/jrm.v57.42051","url":null,"abstract":"Objective: This study aimed to compare the impact of sarcopenia on gait recovery using the Sarcopenia Special Interest Group of the International Society of Physical and Rehabilitation Medicine (ISarcoPRM) and the Asian Working Group for Sarcopenia 2019 (AWGS2019) algorithms in older orthopaedic patients.Design: A prospective observational study.Patients: A total of 153 orthopaedic patients (78.4% women; average age 79.3 ± 6.7 years) were included during hospitalization.Methods: Sarcopenia was defined using the ISarcoPRM and AWGS2019 algorithms on admission. Functional ambulation categories assessed gait independence before admission and on discharge. The impact of sarcopenia on worsened gait independence on discharge was evaluated using multivariate logistic regression analysis.Results: Sarcopenia based on the ISarcoPRM algorithm (prevalence=56.2%) was significantly associated with worsened gait independence (odds ratio: 3.94, 95% confidence interval: 1.51-10.25, p = 0.005), unlike sarcopenia based on AWGS2019 (prevalence=36.6%).Conclusion: Sarcopenia assessed using the ISarcoPRM algorithm was associated with worsened gait independence on discharge in older orthopaedic patients.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42051"},"PeriodicalIF":2.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733231","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

Comprehensive rehabilitation of a serviceman with triple limb amputation following combat polytrauma: a case study from Ukraine's wartime context.

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-03-27 DOI: 10.2340/jrm.v57.42950

Serhii Kolisnyk, Oleh Muryn, Olha Svyst

{"title":"Comprehensive rehabilitation of a serviceman with triple limb amputation following combat polytrauma: a case study from Ukraine's wartime context.","authors":"Serhii Kolisnyk, Oleh Muryn, Olha Svyst","doi":"10.2340/jrm.v57.42950","DOIUrl":"10.2340/jrm.v57.42950","url":null,"abstract":"The ongoing war in Ukraine has led to a significant rise in combat-related polytrauma injuries, including high-level multiple amputations, delayed evacuations, infectious complications, and limited access to rehabilitation services. This clinical case demonstrates a comprehensive, patient-centred approach to the rehabilitation of a 25-year-old serviceman with triple amputations caused by a mine-blast injury. The patient progressed through pre-prosthetic and prosthetic rehabilitation stages, achieved independent mobility with prosthetics, transitioned to the K3 functional level, and adapted to his independent life. The success of this case underscores the importance of a multidisciplinary approach, modern technologies, and adherence to evidence-based rehabilitation practices. The leading role of the physical and rehabilitation medicine physician was pivotal in coordinating and adjusting the rehabilitation process, ensuring the optimal use of available resources, and aligning the patient's care with clinical goals. Challenges such as delays in rehabilitation initiation and limited resources highlight the need to expand inpatient rehabilitation capacity and standardize protocols. A coordinated bio-psycho-social rehabilitation model must be the framework for increasing the effectiveness of rehabilitation services and optimizing functioning and quality of life after severe injuries. Implementing multidisciplinary approaches tailored to wartime settings is crucial for combatants' effective recovery and reintegration.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42950"},"PeriodicalIF":2.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722667","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

Subphenotypic classification of COVID-19 survivors and response to telerehabilitation: a latent class analysis.

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-03-27 DOI: 10.2340/jrm.v57.42726

Yide Wang, Qianqian Xue, Zheng Li, Fengsen Li

{"title":"Subphenotypic classification of COVID-19 survivors and response to telerehabilitation: a latent class analysis.","authors":"Yide Wang, Qianqian Xue, Zheng Li, Fengsen Li","doi":"10.2340/jrm.v57.42726","DOIUrl":"10.2340/jrm.v57.42726","url":null,"abstract":"Objective: Investigating the role of telerehabilitation in aiding recovery and societal reintegration for COVID-19 survivors, this study aims to identify distinct subphenotypes among survivors and assess their responsiveness to telerehabilitation.Design: A secondary analysis of a multicentre, parallel-group randomized controlled trial from April 2020 through to follow-up in 2021.Subjects/patients: The study included 377 COVID-19 survivors (47.1% male), with a mean age of 56.4 years.Methods: Data from the Telerehabilitation Programme for COVID-19 (TERECO) were analysed using Latent Class Analysis to identify subphenotypes based on baseline characteristics. Clinical outcomes were compared between subphenotypes and treatment groups.Results: Latent Class Analysis identified 2 phenotypes: Phenotype 1 (52.9%) characterized by impaired lung function and Phenotype 2 (47.1%) with better lung function. Among those receiving corticosteroids, only Phenotype 1 showed significant benefits from the TERECO intervention. Discrimination accuracy using forced expiratory volume in 1 s (FEV1) and peak expiratory flow was high (AUC = 0.936).Conclusion: Two distinct phenotypes were identified in COVID-19 survivors, suggesting potential improvements in clinical trial design and personalized treatment strategies based on initial pulmonary function. This insight can guide more targeted rehabilitation approaches, enhancing recovery outcomes for specific survivor groups.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42726"},"PeriodicalIF":2.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722668","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

Supervised exercise after minor stroke: an evaluation from the perspective of patients and healthcare professionals.

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-03-24 DOI: 10.2340/jrm.v57.42881

Rikke Steen Krawcyk, Katrine Vollbrecht Amdi, Christina Kruuse, Thordis Thomsen

{"title":"Supervised exercise after minor stroke: an evaluation from the perspective of patients and healthcare professionals.","authors":"Rikke Steen Krawcyk, Katrine Vollbrecht Amdi, Christina Kruuse, Thordis Thomsen","doi":"10.2340/jrm.v57.42881","DOIUrl":"10.2340/jrm.v57.42881","url":null,"abstract":"Objective: Maintaining long-term physical activity after a stroke is challenging. \"The Stroke School\", a standardized physical exercise programme, was developed and patients' and healthcare professionals' experiences of participating were explored.Design: Qualitative study.Methods: Eight patients with minor stroke or transient ischaemic attack (TIA) completed a feasibility study on The Stroke School intervention in conjunction with their supervising municipal physiotherapists (n = 5). All informants were invited for semi-structured focus-group interviews, during which they were asked to reflect on their experience attending The Stroke School. Audio recordings from 3 focus-group interviews lasting 90 min each were transcribed to text verbatim and analysed with qualitative content analysis.Results: Thirteen informants attended 3 focus-group interviews. Five categories were identified (i-iii representing the patients' perspective and iv-v the physiotherapists' perspectives): (i) window of opportunity, (ii) benefits of participating in the study, (iii) strengths and pitfalls of transitioning from the hospital to the municipalities, (iv) effective communication across sectors, and (v) empowering patients to continue exercising independently.Conclusion: The Stroke School intervention was feasible, provided patient safety throughout the study, and resulted in effective communication and collaboration across sectors. However, identifying factors that facilitate life-long exercise behaviour changes is still warranted.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42881"},"PeriodicalIF":2.5,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694666","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

Short-term effect of prism adaptation treatment on severity of unilateral spatial neglect following right hemispheric stroke: a systematic review and meta-analysis.

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-03-24 DOI: 10.2340/jrm.v57.42542

Yumene Naito, Yuta Koshino, Hisaaki Ota, Marianne Piano, Akihiro Watanabe, Yuji Inagaki, Yukina Tokikuni, Daisuke Sawamura

{"title":"Short-term effect of prism adaptation treatment on severity of unilateral spatial neglect following right hemispheric stroke: a systematic review and meta-analysis.","authors":"Yumene Naito, Yuta Koshino, Hisaaki Ota, Marianne Piano, Akihiro Watanabe, Yuji Inagaki, Yukina Tokikuni, Daisuke Sawamura","doi":"10.2340/jrm.v57.42542","DOIUrl":"10.2340/jrm.v57.42542","url":null,"abstract":"Objective: This work aimed to investigate the effects of prism adaptation on unilateral spatial neglect following right hemispheric stroke.Design: Systematic review and meta-analysis of randomized controlled trials (RCTs).Patients: Patients with unilateral spatial neglect following right hemispheric stroke.Methods: RCTs comparing prism adaptation with placebo therapy were systematically searched across 4 databases (PubMed, Web of Science, CINAHL, and Cochrane Library). Screening, data extraction, and quality assessment were performed by 2 independent reviewers.Results: A total of 7 RCTs, involving 227 participants, satisfied the eligibility criteria. The results showed significant short-term effects of prism adaptation on neglect outcomes (SMD: 0.49 [95% CI: 0.07 to 0.92], p = 0.02) but not on the Catherine Bergego Scale (CBS) (SMD: -0.38 [95% CI: -1.27 to 0.51], p = 0.40). Subgroup analyses revealed that larger prism angles (exceeding 10°) had greater prism adaptation effects on both neglect outcomes and CBS (SMD: 0.71 [95% CI: 0.30 to 1.12], p = 0.0007 and SMD: -0.77 [95% CI: -1.51 to -0.02], p = 0.04, respectively).Conclusion: This study demonstrated that larger prism angle with greater than 10° was identified as a crucial factor in eliciting prism adaptation effects. These findings support the use of prism adaptation with angles exceeding 10° as a therapeutic approach for unilateral spatial neglect.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42542"},"PeriodicalIF":2.5,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694665","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

Would integrating monochromatic infrared energy into the physical rehabilitation of adolescents with patellofemoral pain syndrome have any advantageous effects? A randomized controlled trial.

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-03-24 DOI: 10.2340/jrm.v57.42169

Saud M Alrawaili, Alshimaa R Azab, Ragab K Elnaggar, Norah A Alhwoaimel, Nourah Basalem, Aram A ALaseem, FatmaAlzahraa H Kamel, Maged A Basha, Saleh M Aloraini, Walaa E Morsy

{"title":"Would integrating monochromatic infrared energy into the physical rehabilitation of adolescents with patellofemoral pain syndrome have any advantageous effects? A randomized controlled trial.","authors":"Saud M Alrawaili, Alshimaa R Azab, Ragab K Elnaggar, Norah A Alhwoaimel, Nourah Basalem, Aram A ALaseem, FatmaAlzahraa H Kamel, Maged A Basha, Saleh M Aloraini, Walaa E Morsy","doi":"10.2340/jrm.v57.42169","DOIUrl":"10.2340/jrm.v57.42169","url":null,"abstract":"Objective: This study aimed to assess and compare changes in pain, balance, functional status, and health-related quality of life between adolescents with patellofemoral pain syndrome undergoing 12 weeks of monochromatic infrared energy application as an adjuvant to physical rehabilitation and those receiving physical rehabilitation alone.Design: Randomized controlled trial.Patients: Adolescents aged 15-18.Methods: 46 adolescents were randomly assigned to receive either a standard physical therapy programme or monochromatic infrared energy plus the standard programme. Pain intensity, dynamic postural control, functional status, and health-related quality of life were evaluated pre- and post-intervention.Results: The study group showed a greater reduction in pain intensity (p < 0.001; η2 = 0.36), improvement in dynamic postural control, towards the anterior (p = 0.002; η2 = 0.20), posteromedial (p = 0.009; η2 = 0.14), posterolateral (p = 0.018; η2 = 0.12) directions, and composite postural control (p = 0.001; η2 = 0.24), and enhancement of functional status (p = 0.013; η2 = 0.13) from the pre- to post-treatment occasion than the control group. Moreover, the study group reported better quality of life: physical health (p = 0.035; η2 = 0.10), psychosocial health (p = 0.005; η2 = 0.17), and overall (p = 0.001; η2 = 0.21).Conclusion: Monochromatic infrared energy is likely beneficial in adolescents with patellofemoral pain syndrome.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42169"},"PeriodicalIF":2.5,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694680","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

How do clinicians use, experience, and value applications of outcome information in daily care? A mixed-methods study.

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-03-19 DOI: 10.2340/jrm.v57.42610

Yara Van Kooij, Nina Loos, Grada Arends, Kasia Tabeau, Harm Slijper, Joris Veltkamp, Ruud Selles, Robbert Wouters

{"title":"How do clinicians use, experience, and value applications of outcome information in daily care? A mixed-methods study.","authors":"Yara Van Kooij, Nina Loos, Grada Arends, Kasia Tabeau, Harm Slijper, Joris Veltkamp, Ruud Selles, Robbert Wouters","doi":"10.2340/jrm.v57.42610","DOIUrl":"https://doi.org/10.2340/jrm.v57.42610","url":null,"abstract":"Objective: To support data-driven healthcare, digital applications of patient and outcome information bundled in dashboards can be used in daily care. This study investigated the usage, user-friendliness, and added value of patient and outcome information applications from a clinician's perspective.Design: We used a mixed-methods design, including surveys (n = 56 clinicians), interviews (n = 16 clinicians), and eye-tracking experiments (n = 8 clinicians) across 3 different settings: a specialized clinic, a rehabilitation centre, and a general hospital. The applications, bundled in dashboards, include visual representations of patient information, individual treatment goals, screening tools for mental health, pain, and physical function, individual predictions of recovery and treatment effect, visuals of treatment outcome information, and identification of extreme values that fall outside the expected values.Results: Applications were used for managing patient expectations, treatment selection, goal setting, and treatment evaluation. While usage frequency varied between applications and clinicians generally reported positive experiences with outcome information, a complex interaction of factors influenced use in clinical practice. The value of each application depends on its clinical actionability and clinicians' confidence.Conclusion: From clinicians' perspectives, the applications provide meaningful conversation starters, can lead to a more targeted conversation, and allow for better patient-clinician connection.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42610"},"PeriodicalIF":2.5,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659647","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

Perceived barriers to and facilitators of behavioural change towards a more active lifestyle in people with neuromuscular diseases: a qualitative study.

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-03-19 DOI: 10.2340/jrm.v57.42577

Eric L Voorn, Sander Oorschot, Roos Ritmeester, Lois De Zeeuw, Sandra De Morée, Fieke S Koopman, Annerieke C Van Groenestijn, Judith G M Jelsma

{"title":"Perceived barriers to and facilitators of behavioural change towards a more active lifestyle in people with neuromuscular diseases: a qualitative study.","authors":"Eric L Voorn, Sander Oorschot, Roos Ritmeester, Lois De Zeeuw, Sandra De Morée, Fieke S Koopman, Annerieke C Van Groenestijn, Judith G M Jelsma","doi":"10.2340/jrm.v57.42577","DOIUrl":"10.2340/jrm.v57.42577","url":null,"abstract":"Objective: To explore perceived barriers to and facilitators of behaviour change towards a more active lifestyle in people with neuromuscular diseases.Design: A qualitative study.Subjects: Nineteen subjects (63% females, age range 28-73 years), representing 4 different neuromuscular diseases.Methods: Data from a randomized controlled trial were used. Subjects followed a physical activity programme including coaching sessions using motivational interviewing techniques. All sessions were audio-recorded, and thematic analyses were conducted on a random selection of 29 audio recordings, using the International Classification of Functioning, Disability and Health as a framework.Results: Barriers and facilitators were identified in the following domains: body functions and structures (i.e., neuromusculoskeletal, sensory and mental functions), activities and participation (i.e., undertaking multiple tasks and complex interpersonal interactions), environmental factors (i.e., products and technology for personal use in daily living, design/construction of buildings for public and private use, financial assets, climate, natural events, support and relationships) and personal factors (i.e., satisfaction with life, attitude toward health and disease, attitude toward intervention, exercise habits and methodical skills).Conclusion: Identified barriers and facilitators could guide healthcare professionals to facilitate the discussion of physical activity behaviour and to address them in a personalized way during neuromuscular rehabilitation treatment.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42577"},"PeriodicalIF":2.5,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659649","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