Journal of Rehabilitation Medicine最新文献

{"title":"Long-term functional and clinical outcome of combined targeted muscle reinnervation and osseointegration for functional bionic reconstruction in transhumeral amputees: a case series.","authors":"Agnes Sturma, Anna Boesendorfer, Clemens Gstoettner, Benedikt Baumgartner, Stefan Salminger, Dario Farina, Rickard Brånemark, Ivan Vujaklija, Gerhard Hobusch, Oskar Aszmann","doi":"10.2340/jrm.v56.34141","DOIUrl":"10.2340/jrm.v56.34141","url":null,"abstract":"<p><strong>Objective: </strong>To describe and evaluate the combination of osseointegration and nerve transfers in 3 transhumeral amputees.</p><p><strong>Design: </strong>Case series.</p><p><strong>Patients: </strong>Three male patients with a unilateral traumatic transhumeral amputation.</p><p><strong>Methods: </strong>Patients received a combination of osseointegration and targeted muscle reinnervation surgery. Rehabilitation included graded weight training, range of motion exercises, biofeedback, table-top prosthesis training, and controlling the actual device. The impairment in daily life, health-related quality of life, and pain before and after the intervention was evaluated in these patients. Their shoulder range of motion, prosthesis embodiment, and function were documented at a 2- to 5-year follow-up.</p><p><strong>Results: </strong>All 3 patients attended rehabilitation and used their myoelectric prosthesis on a daily basis. Two patients had full shoulder range of motion with the prosthesis, while the other patient had 55° of abduction and 45° of anteversion. They became more independent in their daily life activities after the intervention and incorporated their prosthesis into their body scheme to a high extent.</p><p><strong>Conclusion: </strong>These results indicate that patients can benefit from the combined procedure. However, the patients' perspective, risks of the surgical procedures, and the relatively long rehabilitation procedure need to be incorporated in the decision-making.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"56 ","pages":"jrm34141"},"PeriodicalIF":2.5,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11135336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141069639","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":"Assessment of visual problems after acquired brain injury: a survey of current practice in Danish hospitals.","authors":"Trine Schow, Eike Ines Wehling, Helle K Falkenberg, Anne Norup, Karin Spangsberg Kristensen","doi":"10.2340/jrm.v56.28793","DOIUrl":"10.2340/jrm.v56.28793","url":null,"abstract":"<p><strong>Objectives: </strong>To explore current hospital practice in relation to the assessment of vision problems in patients with acquired brain injury.</p><p><strong>Design: </strong>A survey study.</p><p><strong>Subjects: </strong>A total of 143 respondents from hospital settings, with background in occupational therapy and physical therapy, participated in the survey.</p><p><strong>Methods: </strong>The survey questionnaire, developed collaboratively by Danish and Norwegian research groups, encompassed 22 items categorically covering \"Background information\", \"Clinical experience and current practice\", \"Vision assessment tools and protocols\", and \"Assessment barriers\". It was sent out online, to 29 different hospital departments and 18 separate units for occupational therapists and physiotherapists treating patients with acquired brain injury.</p><p><strong>Results: </strong>Most respondents worked in acute or subacute hospital settings. Few departments had an interdisciplinary vision team, and very few therapists had formal education in visual problems after acquired brain injury. Visual assessment practices varied, and there was limited use of standardized tests. Barriers to identifying visual problems included patient-related challenges, knowledge gaps, and resource limitations.</p><p><strong>Conclusion: </strong>The study emphasized the need for enhanced interdisciplinary collaboration, formal education, and standardized assessments to address visual problems after acquired brain injury. Overcoming these challenges may improve identification and management, ultimately contributing to better patient care and outcomes in the future.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"56 ","pages":"jrm28793"},"PeriodicalIF":3.5,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11107834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923742","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":"Preliminary effectiveness and production time and costs of three-dimensional printed orthoses in chronic hand conditions: an interventional feasibility study.","authors":"Tanja Oud, Johannes A Bogaards, Frans Nollet, Merel-Anne Brehm","doi":"10.2340/jrm.v56.39946","DOIUrl":"10.2340/jrm.v56.39946","url":null,"abstract":"<p><strong>Objective: </strong>To assess the preliminary effectiveness of three-dimensional printed orthoses compared with conventionally custom-fabricated orthoses in persons with chronic hand conditions on performance of daily activities, hand function, quality of life, satisfaction, and production time and costs.</p><p><strong>Design: </strong>Interventional feasibility study.</p><p><strong>Subjects: </strong>Chronic hand orthotic users (n = 21).</p><p><strong>Methods: </strong>Participants received a new three-dimensional printed orthosis according to the same type as their current orthosis, which served as the control condition. Primary outcome was performance of daily activities (Patient-Reported Outcomes Measurement Information System-Upper Extremity; Michigan Hand Questionnaire). Secondary outcomes were hand function, quality of life, and satisfaction. Furthermore, production time and costs were recorded.</p><p><strong>Results: </strong>At 4 months' follow-up, no significant differences were found between three-dimensional printed orthoses and participants' existing conventional orthoses on activity performance, hand function, and quality of life. Satisfaction with the three-dimensional printed orthosis was significantly higher and the production time and costs for three-dimensional printed orthoses were significantly lower compared with conventional orthoses. The three-dimensional printed orthosis was preferred by 79% of the participants.</p><p><strong>Conclusions: </strong>This feasibility study in chronic hand conditions suggests that three-dimensional printed orthoses are similar to conventional orthoses in terms of activity performance, hand function, and quality of life. Satisfaction, and production time and costs favoured the three-dimensional printed hand orthoses.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"56 ","pages":"jrm39946"},"PeriodicalIF":3.5,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11107831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923754","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 functional factors for predicting outcome of independence in daily living after stroke: a decision tree analysis.","authors":"Heegoo Kim, Chanmi Lee, Nayeong Kim, Eunhye Chung, HyeongMin Jeon, Seyoung Shin, MinYoung Kim","doi":"10.2340/jrm.v56.35095","DOIUrl":"10.2340/jrm.v56.35095","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the predictive functional factors influencing the acquisition of basic activities of daily living performance abilities during the early stages of stroke rehabilitation using classification and regression analysis trees.</p><p><strong>Methods: </strong>The clinical data of 289 stroke patients who underwent rehabilitation during hospitalization (164 males; mean age: 62.2 ± 13.9 years) were retrospectively collected and analysed. The follow-up period between admission and discharge was approximately 6 weeks. Medical records, including demographic characteristics and various functional assessments with item scores, were extracted. The modified Barthel Index on discharge served as the target outcome for analysis. A \"good outcome\" was defined as a modified Barthel Index score ≥ 75 on discharge, while a modified Barthel Index score < 75 was classified as a \"poor outcome.\"</p><p><strong>Results: </strong>Two classification and regression analysis tree models were developed. The first model, predicting activities of daily living outcomes based on early motor functions, achieved an accuracy of 92.4%. Among patients with a \"good outcome\", 70.9% exhibited (i) ≥ 4 points in the \"sitting-to-standing\" category in the motor assessment scale and (ii) 32 points on the Berg Balance Scale score. The second model, predicting activities of daily living outcome based on early cognitive functions, achieved an accuracy of 82.7%. Within the \"poor outcome\" group, 52.2% had (i) ≤ 21 points in the \"visuomotor organization\" category of Lowenstein Occupational Therapy Cognitive Assessment, (ii) ≤ 1 point in the \"time orientation\" category of the Mini Mental State Examination.</p><p><strong>Conclusion: </strong>The ability to perform \"sitting-to-standing\" and visuomotor organization functions at the beginning of rehabilitation emerged as the most significant predictors for achieving successful basic activities of daily living on discharge after stroke.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"56 ","pages":"jrm35095"},"PeriodicalIF":3.5,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11093115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872050","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":"Psychometric properties of the Danish version of the Caregiver Burden Scale: Investigating predictors and severity of burden after stroke, spinal cord injury, or traumatic brain injury.","authors":"Anne Norup, Pernille Langer Soendergaard, Mia Moth Wolffbrandt, Fin Biering-Sørensen, Juan Carlos Arango-Lasprilla, Frederik Lehman Dornonville de la Cour","doi":"10.2340/jrm.v56.34732","DOIUrl":"https://doi.org/10.2340/jrm.v56.34732","url":null,"abstract":"To investigate (i) psychometric properties of the Danish version of the Caregiver Burden Scale, (ii) predictors of burden in caregivers of persons with stroke, spinal cord injury, or traumatic brain injury, and (iii) severity of caregiver burden, and compare level of severity of burden in caregivers of persons with stroke, spinal cord injury, or traumatic brain injury.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"31 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140830769","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":"Effectiveness of a classification-based approach to low back pain in primary care - a benchmarking controlled trial.","authors":"Anna Sofia Simula, Antti Malmivaara, Neill Booth, Jaro Karppinen","doi":"10.2340/jrm.v56.28321","DOIUrl":"https://doi.org/10.2340/jrm.v56.28321","url":null,"abstract":"The aim of this study was to assess the effectiveness of classification-based approach for low back pain care in Finnish primary care.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"1 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140628478","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":"Gait speed at the acute phase predicted health-related quality of life at 3 and 12 months after stroke: a prospective cohort study.","authors":"Yishuang Zhao, Xiaoling Liao, Hongqiu Gu, Yong Jiang, Yingyu Jiang, Yongjun Wang, Yumei Zhang","doi":"10.2340/jrm.v56.24102","DOIUrl":"https://doi.org/10.2340/jrm.v56.24102","url":null,"abstract":"To investigate the association between acute-phase gait speed and health-related quality of life (HRQoL) at 3 and 12 months post-stroke.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"38 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140573372","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":"Italian translation and cultural adaptation of the Agitated Behavior Scale (ABS-I) in patients with acquired brain injuries.","authors":"Chiara-Camilla Derchi, Pietro Arcuri, Angela Comanducci, Antonio Caronni, Chiara Pagliari, Alessandro Viganò, Eleonora Volpato, Jorge Navarro, Pietro Davide Trimarchi","doi":"10.2340/jrm.v56.11663","DOIUrl":"https://doi.org/10.2340/jrm.v56.11663","url":null,"abstract":"The objective of this study was to produce a cross-cultural adaptation in Italian of the Agitated Behavior Scale (ABS), originally developed in English, as the first of two stages that also include cross-cultural validation and allow a clinical scale to be used in the proper setting such as rehabilitation units.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"27 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140573381","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":"Occupational performance one to five years after aneurysmal subarachnoid haemorrhage: a cohort study.","authors":"Marcus Kessner, Jan Mehrholz, Svein Harald Mørkve, Tina Taule","doi":"10.2340/jrm.v56.24187","DOIUrl":"10.2340/jrm.v56.24187","url":null,"abstract":"<p><strong>Objective: </strong>To report on the self-perceived occupational performance of patients with aneurysmal subarachnoid haemorrhage and examine the associations between aneurysmal subarachnoid haemorrhage characteristics, socio-demographic factors and self-perceived problems.</p><p><strong>Design: </strong>A single-centre cohort study design was combined with a cross-sectional analysis.</p><p><strong>Subjects/patients: </strong>All patients with aneurysmal subarachnoid haemorrhage who were capable of performing activities of daily living before discharge from hospital were included.</p><p><strong>Methods: </strong>The assessment of the patient's occupational performance followed a patient-reported outcome measure 1 to 5 years after the subarachnoid haemorrhage. Secondary outcomes comprised scores from the Glasgow Outcome Scale, modified Rankin Scale, Fisher Scale, World Federation of Neurological Societies grading system, vasospasm, and hydrocephalus.</p><p><strong>Results: </strong>Of the 62 patients included in the study (66% female, mean age 55 years), 79% reported experiencing issues with occupational performance, most frequently with regard to leisure and productivity. The problems reported were significantly associated with vasospasm (p  =  0.021) and the Glasgow Outcome Scale score (p = 0.045).</p><p><strong>Conclusion: </strong>Even patients who have had aneurysmal subarachnoid haemorrhage with a favourable outcome may encounter occupational performance difficulties for several years. It is vital to use patient-reported outcome measures to identify these issues. This research enhances our comprehension of aneurysmal subarachnoid haemorrhage patients' self-perceived occupational performance and the factors that affect their performance.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"56 ","pages":"jrm24187"},"PeriodicalIF":3.5,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177792","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":"Trajectories of fatigue and related outcomes following mild acquired brain injury: a multivariate latent class growth analysis.","authors":"Tom Smejka, Daan Verberne, Jan Schepers, Claire Wolfs, Vera Schepers, Rudolf Ponds, Caroline Van Heugten","doi":"10.2340/jrm.v56.32394","DOIUrl":"10.2340/jrm.v56.32394","url":null,"abstract":"<p><strong>Objective: </strong>Fatigue is a common symptom following acquired brain injury although the severity and course differs for many individuals. This longitudinal study aimed to identify latent trajectory classes of fatigue and associated outcomes following mild brain injury.</p><p><strong>Methods: </strong>204 adults with mild traumatic brain injury (159; 78%) or minor stroke (45; 22%) were assessed 4 times over 1 year. Subjective measures of fatigue, anxiety, depression, cognitive complaints and societal participation were collected. Multivariate Latent Class Growth Analysis identified classes of participants with similar longitudinal patterns. Demographic and injury characteristics were used to predict class membership.</p><p><strong>Results: </strong>Analysis revealed four classes. Class 1 (53%) had mild, decreasing fatigue with no other problems. Class 2 (29%) experienced high persistent fatigue, moderate cognitive complaints and societal participation problems. Class 3 (11%) had high persistent fatigue with anxiety, depression, cognitive complaints and participation problems. Class 4 (7%) experienced decreasing fatigue with anxiety and depression but no cognitive or participation problems. Women and older individuals were more likely to be in class 2.</p><p><strong>Conclusion: </strong>Half the participants had a favourable outcome while the remaining classes were characterised by persistent fatigue with cognitive complaints (class 2), decreasing fatigue with mood problems (class 4) or fatigue with both cognitive and mood problems (class 3). Fatigue treatment should target combinations of problems in such individual trajectories after mild brain injury.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"56 ","pages":"jrm32394"},"PeriodicalIF":3.5,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177793","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}