Journal of Rehabilitation Medicine最新文献_第3页

The comprehensive 360° model of research: its foundations and exemplary application in spinal cord injury.

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-02-12 DOI: 10.2340/jrm.v57.42019

Sara Rubinelli, Jerome Bickenbach, James W Middleton, Ian D Cameron, Carla Sabariego, Gerold Stucki

{"title":"The comprehensive 360° model of research: its foundations and exemplary application in spinal cord injury.","authors":"Sara Rubinelli, Jerome Bickenbach, James W Middleton, Ian D Cameron, Carla Sabariego, Gerold Stucki","doi":"10.2340/jrm.v57.42019","DOIUrl":"10.2340/jrm.v57.42019","url":null,"abstract":"Objective: This paper introduces the \"360° Model of Research\", a novel framework designed to prioritize functioning as a primary health indicator, particularly for individuals living with health conditions. The goal is to promote this model as a comprehensive, person-centred, and interdisciplinary approach to health research, moving beyond the traditional siloed and disease-based methodologies.Methods: The paper is conceptual, integrating existing scientific literature and theoretical frameworks to build the 360° Model. It draws on interdisciplinary perspectives from rehabilitation, social sciences, health services research, and ethics, among others, to create a unified health science focused on optimizing functioning.Results: The 360° Model emphasizes functioning as a key health indicator, combining biological health with lived experience. The Model provides a reference framework for data collection, but does not presume any particular explanatory theory about how lived experience is created or interpreted by the individual. It has been successfully applied in the Swiss Spinal Cord Injury Cohort Study (SwiSCI), demonstrating its value in addressing the comprehensive needs of individuals with spinal cord injury through interdisciplinary collaboration and a learning health system theory.Conclusion: The 360° Model offers a transformative approach, highlighting the importance of functioning in health research. It provides a robust foundation for a new interdisciplinary field of Human Functioning Sciences, aimed at optimizing health and well-being across diverse populations.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42019"},"PeriodicalIF":2.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11848945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400716","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

Game-based visual feedback-guided dynamic balance training versus conventional training in patients with hemiplegia: a pilot randomized controlled trial.

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-02-12 DOI: 10.2340/jrm.v57.41277

Yan Xu, Jiadong Ni, Yajing Yang, Jiajia Yao, Lianhui Fu, Cong Xu

{"title":"Game-based visual feedback-guided dynamic balance training versus conventional training in patients with hemiplegia: a pilot randomized controlled trial.","authors":"Yan Xu, Jiadong Ni, Yajing Yang, Jiajia Yao, Lianhui Fu, Cong Xu","doi":"10.2340/jrm.v57.41277","DOIUrl":"10.2340/jrm.v57.41277","url":null,"abstract":"Objective: This study aimed to compare the efficacy of game-based visual feedback-guided dynamic balance training with conventional training in patients with hemiplegia.Design: Single-blind, pilot randomized controlled trial.Patients: Fifty-three patients with hemiplegia exhibiting balance dysfunction at ≥ 1 month were enrolled.Methods: The experimental group (n = 25) trained with the Physio Space™ system that uses a 3-axis balancing platform and touchscreen monitor to provide visual feedback during 9 game modules at varying challenge levels for 20 min per day, 5 days per week, for 3 weeks. The control group (n = 28) received traditional training for the same duration. To evaluate the efficacy of the training, a 2-way repeated-measures analysis of variance (ANOVA) was used. The study protocol was registered on the Chinese Clinical Trial Registry (ChiCTR2300067275, https://www.chictr.org.cn).Results: Eighteen participants in each group completed the training programme, with no baseline between-group differences. The post-training assessment revealed significant improvements (Berg Balance Scale, Functional Reaching Test, Timed \"Up-and-Go\" Test scores and 10-metre fast walking speed) in outcome measures in the full sample. After training, no between-group differences were observed in the tests.Conclusion: Our results indicate that game-based visual feedback with dynamic balance training has effects comparable to those of conventional balance training in patients with hemiplegia.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm41277"},"PeriodicalIF":2.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400713","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

Muscle selection and dosing in patients undergoing treatment with abobotulinumtoxinA for lower limb spasticity in real-world practice.

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-02-07 DOI: 10.2340/jrm.v57.42605

Richard D Zorowitz, Jorge Jacinto, Stephen Ashford, Mathieu Beneteau, Pascal Maisonobe, Christian Hannes, Alberto Esquenazi

{"title":"Muscle selection and dosing in patients undergoing treatment with abobotulinumtoxinA for lower limb spasticity in real-world practice.","authors":"Richard D Zorowitz, Jorge Jacinto, Stephen Ashford, Mathieu Beneteau, Pascal Maisonobe, Christian Hannes, Alberto Esquenazi","doi":"10.2340/jrm.v57.42605","DOIUrl":"10.2340/jrm.v57.42605","url":null,"abstract":"Objective: Describe abobotulinumtoxinA (aboBoNT-A) dosing parameters in the real-world management of lower limb spasticity (LLS).Methods: Prospective, observational study (NCT04050527) following ambulatory adults with unilateral LLS treated with aboBoNT-A.Results: The effectiveness population included 384 adults with LLS. Across the study, total lower limb doses were higher in patients who received only lower limb injections (n = 131, median 771U) than those who also received ≥ 1 upper limb injection (n = 253, 567U). Total doses increased over subsequent cycles in both subgroups. Six muscles (gastrocnemius medial and lateral heads, soleus muscle, tibialis posterior, flexor digitorum longus, and flexor hallucis longus) were identified as the main targets for the treatment of LLS; other lower limb muscles were injected in fewer than 15% of patients. The most frequent therapy interventions (mean ± SD of 1.8 ± 1.3h/week with a qualified therapist and 5.3 ± 5.9h/week self-rehabilitation in Cycle 1) were task-specific practice, passive stretch, strength training, and positioning.Conclusions: This study demonstrates how a diversity of muscle patterns are currently treated in routine practice where the primary goal was related to the lower limb and highlights important issues for further debate, such as potential underdosing and the need to balance upper and lower limb priorities when devising a treatment plan.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42605"},"PeriodicalIF":2.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836465/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effects of kinesio taping in patients undergoing knee or hip arthroplasty: a systematic review and meta-analysis of randomized controlled trials. 膝关节或髋关节置换术患者使用肌动贴的效果：随机对照试验的系统回顾和荟萃分析。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-02-05 DOI: 10.2340/jrm.v57.40784

Ting Mei, Yuli Shuai, Dandong Wu, Heping Yu

{"title":"Effects of kinesio taping in patients undergoing knee or hip arthroplasty: a systematic review and meta-analysis of randomized controlled trials.","authors":"Ting Mei, Yuli Shuai, Dandong Wu, Heping Yu","doi":"10.2340/jrm.v57.40784","DOIUrl":"10.2340/jrm.v57.40784","url":null,"abstract":"Objective: To assess the effects of kinesio taping on pain, oedema, range of motion, and joint function following knee or hip arthroplasty.Methods: Eight databases were searched up to 9 January 2024. Patients undergoing rehabilitation after knee or hip arthroplasty were included. The intervention group received kinesio taping with postoperative rehabilitation, while the control group received postoperative rehabilitation alone. Outcomes for knee arthroplasty patients, included pain, oedema, range of motion, and the Hospital for Special Surgery knee score. For hip arthroplasty, the outcome focused on pain.Results: Eleven randomized controlled trials involving 774 participants met the inclusion criteria. In knee arthroplasty patients, kinesio taping significantly reduced pain (standardized mean difference [SMD] = -0.53, 95% CI -0.91 to -0.14, p = 0.007), and relieved thigh (SMD = -0.38, 95% CI -0.65 to -0.12, p = 0.005) and ankle circumferences (SMD = -0.53, 95% CI -0.95 to -0.12, p = 0.01). It improved the total range of motion (SMD = 1.26, 95% CI 0.93 to 1.60, p < 0.00001) and Hospital for Special Surgery knee score (SMD = 2.17, 95% CI 1.70 to 2.65, p < 0.00001). No significant pain intensity reduction was observed in hip arthroplasty patients (p = 0.25).Conclusion: Kinesio taping combined with postoperative rehabilitation effectively reduces oedema and pain, and improves joint function in knee arthroplasty patients, but does not alleviate pain in patients following hip arthroplasty.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm40784"},"PeriodicalIF":2.5,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191450","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

Collaborative capacity building for strengthening rehabilitation services in Sabah, Malaysia: a partnership between university hospital and state health department. 马来西亚沙巴州加强康复服务的合作能力建设：大学医院与州卫生局之间的伙伴关系。

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-02-05 DOI: 10.2340/jrm.v57.40166

Fatimah Ahmedy, Khin Nyein Yin, Syahiskandar Sybil Shah, Sukhbheer Kaur Darsin Singh, Nurul Afiqah Fattin Amat, Frisca Aziah Francis, Yusof Ibrahim, Helen Lasimbang, Rosalam Sarbatly, Kasim Mansur, Candace Goh, Md Feroz Kabir

{"title":"Collaborative capacity building for strengthening rehabilitation services in Sabah, Malaysia: a partnership between university hospital and state health department.","authors":"Fatimah Ahmedy, Khin Nyein Yin, Syahiskandar Sybil Shah, Sukhbheer Kaur Darsin Singh, Nurul Afiqah Fattin Amat, Frisca Aziah Francis, Yusof Ibrahim, Helen Lasimbang, Rosalam Sarbatly, Kasim Mansur, Candace Goh, Md Feroz Kabir","doi":"10.2340/jrm.v57.40166","DOIUrl":"10.2340/jrm.v57.40166","url":null,"abstract":"Objective: This paper aims to outline the foundational framework for strengthening rehabilitation services in Sabah, Malaysia, through a collaborative capacity-building initiative between Hospital Universiti Malaysia Sabah (HUMS) and the Sabah State Health Department (JKNS). By focusing on academic, research, and service capacity-building, this partnership seeks to address the rehabilitation needs of the local population, particularly for individuals with functional limitations.Methods: The collaboration integrates HUMS's academic and clinical strengths with JKNS's existing rehabilitation services. Key components include developing postgraduate training for rehabilitation medicine, expanding community-based rehabilitation outreach services, and establishing a referral network between hospitals and community healthcare providers.Results: The partnership has resulted in the implementation of a comprehensive framework that enhances academic capacity, fosters research collaboration, and improves rehabilitation service delivery across Sabah. This approach is aligned with the WHO's Rehabilitation 2030 initiative, advocating for stronger integration of rehabilitation into healthcare systems.Conclusion: The collaborative efforts between HUMS and JKNS demonstrate the critical role of partnerships between academic institutions and public health departments in strengthening rehabilitation services. This model offers a replicable strategy for influencing policy development and ensuring resource allocation to meet the growing rehabilitation needs in underserved regions.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm40166"},"PeriodicalIF":2.5,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11812271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191449","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

Effectiveness and adverse effects of immersive technologies used for rehabilitation of patients with non-specific neck pain: a systematic review.

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-01-31 DOI: 10.2340/jrm.v57.42108

Joanna S Kostka, Agnieszka Zawadzka-Fabijan, Dariusz Działa, Bogumiła Bruc, Magdalena Pruszyńska, Gabriela Figas, Rory J O'Connor, Antti Malmivaara, Jolanta E Kujawa

{"title":"Effectiveness and adverse effects of immersive technologies used for rehabilitation of patients with non-specific neck pain: a systematic review.","authors":"Joanna S Kostka, Agnieszka Zawadzka-Fabijan, Dariusz Działa, Bogumiła Bruc, Magdalena Pruszyńska, Gabriela Figas, Rory J O'Connor, Antti Malmivaara, Jolanta E Kujawa","doi":"10.2340/jrm.v57.42108","DOIUrl":"10.2340/jrm.v57.42108","url":null,"abstract":"Objective: The aim of this study is to evaluate the effectiveness of immersive technologies in the rehabilitation of patients with non-specific neck pain and identify any potential side effects associated with their use.Design: Systematic review.Subjects/patients: Individuals with non-specific neck pain.Methods: A systematic literature search of randomized controlled trials was conducted using Medline (PubMed), Embase (Ovid), Scopus, Cochrane Database of Systematic Reviews, WHO, Pedro, and ClinicalTrials.gov. Risk of bias was assessed with Cochrane Risk of Bias tool.Results: Five studies with a total of 203 participants (129 women, 74 men) were included in the review. In most studies, both the virtual reality (VR) and control groups demonstrated improvement in pain, functioning related to neck pain, and range of motion. Two cases found the virtual reality group to demonstrate greater improvements in pain and range of motion (for some movements), but not in function. The studies analysed lack much information regarding the applicability of VR therapy.Conclusion: The data are promising and suggest that VR therapy may have benefits in the rehabilitation of patients with non-specific neck pain. Data on the safety of therapy and adverse events are insufficient to draw any conclusions.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42108"},"PeriodicalIF":2.5,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069796","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

The impact of mobilization training time during the first postoperative week on the length of hospital stay in postoperative patients admitted to an intensive care unit.

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-01-31 DOI: 10.2340/jrm.v57.41015

Yusuke Ozaki, Yuji Kono, Ayato Shinohara, Tomoyuki Nakamura, Takuma Ishihara, Osamu Nishida, Yohei Otaka

{"title":"The impact of mobilization training time during the first postoperative week on the length of hospital stay in postoperative patients admitted to an intensive care unit.","authors":"Yusuke Ozaki, Yuji Kono, Ayato Shinohara, Tomoyuki Nakamura, Takuma Ishihara, Osamu Nishida, Yohei Otaka","doi":"10.2340/jrm.v57.41015","DOIUrl":"10.2340/jrm.v57.41015","url":null,"abstract":"Objective: To determine the impact of mobilization training time during the first postoperative week on the length of hospital stay for postoperative patients admitted to an intensive care unit.Design: A retrospective cohort study.Patients: Consecutive patients who underwent elective surgery and stayed in the intensive care unit of a university hospital for more than 48 h between July 2017 and August 2020 were enrolled.Methods: The total duration of mobilization training during the first postoperative week and clinical variables, including demographic information, were collected from medical records. Multivariable regression analysis was used to investigate the impact of mobilization training time on the length of hospital stay, adjusting for potentially confounding variables.Results: In total, 773 patients (504 males; median age, 70 years) were enrolled. Multivariable regression analysis showed that an increase in mobilization training time during the first postoperative week was associated with a shorter length of hospital stay (β = -0.067, 95% confidence interval: -0.120, -0.017, p = 0.010), with each 1-h increase in training time associated with a 4.02-day reduction in the length of hospital stay.Conclusion: Increased mobilization training during the first postoperative week significantly reduced the length of hospital stay in postoperative patients.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm41015"},"PeriodicalIF":2.5,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069798","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

Outcome measures in muscular dystrophy rehabilitation: an ICF content comparison approach to the most commonly used MD scales.

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-01-31 DOI: 10.2340/jrm.v57.40327

Mihaela Taranu, Raquel Sebio-García, José C Milisenda, Aida Alejaldre, Xavier Pastor, Sarah Laxe

{"title":"Outcome measures in muscular dystrophy rehabilitation: an ICF content comparison approach to the most commonly used MD scales.","authors":"Mihaela Taranu, Raquel Sebio-García, José C Milisenda, Aida Alejaldre, Xavier Pastor, Sarah Laxe","doi":"10.2340/jrm.v57.40327","DOIUrl":"10.2340/jrm.v57.40327","url":null,"abstract":"Introduction: Functioning is the reason to be of rehabilitation as it is essential to the lives of people who suffer from a disease. The International Classification of Functioning, Disability and Health (ICF) can help in designing a functioning profile of a patient, identifying needs for rehabilitation plans and measuring the results of an intervention.Objective: To identify the outcome measurement instruments reported in clinical studies in muscular dystrophies (MDs) and provide an ICF content analysis.Method: A systematic literature review was conducted until October 2022, using Medline, PubMed, and Scopus databases. Papers assessing outcomes related to functioning in patients with MDs were included.Results: A total of 116 papers were included and all identified outcome measures were linked to the ICF. Inter-researcher agreement for the linking process was 0.82. The analysed instruments focused mainly on aspects of body functions, followed by activities and participation. General scales were more comprehensive than specific.Conclusions: The application of ICF in this research enhances the understanding of functioning of patients with MDs and the need to develop more specific but comprehensive scales tailored to the needs of MD patients, and can guide clinicians in a assessing patients through a biopsychosocial perspective.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm40327"},"PeriodicalIF":2.5,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11811532/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069797","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

Secondary amputation: a qualitative study of quality of life in patients after primary limb salvage surgery and after later ablative sarcoma treatment.

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-01-28 DOI: 10.2340/jrm.v57.34888

Veronika Vetchy, Carmen Trost, Reinhard Windhager, Gerhard Hobusch

{"title":"Secondary amputation: a qualitative study of quality of life in patients after primary limb salvage surgery and after later ablative sarcoma treatment.","authors":"Veronika Vetchy, Carmen Trost, Reinhard Windhager, Gerhard Hobusch","doi":"10.2340/jrm.v57.34888","DOIUrl":"10.2340/jrm.v57.34888","url":null,"abstract":"Objective: This study focuses on how patients experience the time following amputation after primary limb salvage surgery due to musculoskeletal malignancies. Limb salvage is state of the art in the treatment of musculoskeletal tumours. Nonetheless, in some cases, limb salvage can become problematic over time, resulting in poorer limb function and septic outcomes. This raises the question of whether amputation is indicated sooner rather than later. Patients who have undergone secondary amputation might retrospectively prefer a different approach.Design: Interview study.Subjects/patients: Patients who underwent primary limb salvage surgery followed by later ablative sarcoma treatment.Methods: Semi-structured interviews and the standardized \"Prosthetic Limb Users Survey of Mobility\" questionnaire were conducted. Interviews were analysed according to Mayring content analysis method.Results: Amputation is perceived as an improvement after a long course of illness with little quality of life. By enhancing the amputation environment and providing detailed information regarding quality of life afterwards, emotional pressure could be reduced and patient satisfaction improved.Conclusion: Surgical options for ablation should be openly communicated earlier when consulting patients experiencing recurrent complications that might eventually lead to amputation. Supporting factors that subsequently may help to improve quality of life after amputation were further identified.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm34888"},"PeriodicalIF":2.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11795125/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054234","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

Effect of baseline values on inpatient rehabilitation outcomes after total knee arthroplasty: a retrospective observational study.

IF 2.5 4区医学

Journal of Rehabilitation Medicine Pub Date : 2025-01-24 DOI: 10.2340/jrm.v57.40443

Martin Missmann, Michael J Fischer

{"title":"Effect of baseline values on inpatient rehabilitation outcomes after total knee arthroplasty: a retrospective observational study.","authors":"Martin Missmann, Michael J Fischer","doi":"10.2340/jrm.v57.40443","DOIUrl":"10.2340/jrm.v57.40443","url":null,"abstract":"Objective: To compare inpatient rehabilitation outcomes after total knee arthroplasty (TKA) between groups with different baseline scores.Design: A retrospective observational study.Subjects: Patients with knee osteoarthritis who have previously undergone unilateral TKA.Methods: Patients participated in 3-week inpatient rehabilitation following TKA and were assessed for patient-reported outcome measures (PROMs), which included the Numeric Pain Rating Scale (NPRS), the Health Assessment Questionnaire (HAQ), the European Quality of Life 5 Dimensions 5 Level Version (EQ-5D-5L), and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Furthermore, mobility scores for the range of motion (ROM) and the Timed Up and Go (TUG) test were recorded at the beginning and the end of rehabilitation. Patients were divided into quartile groups based on their initial examination scores.Results: 329 patients were enrolled in the study. The study population consisted mostly of female patients (63.8% vs 36.2%) with a mean age of 68.25 (SD 9.24) years. The personalized 21-day in rehabilitation programme was safe for all patients and had no dropouts. Patients with better PROMs scores at T1 did not have the same potential for improvement in PROMs but showed effective improvement in mobility (η² = 0.103 for changes in the WOMAC vs η²=0.502 for changes in the TUG test).Conclusion: Regardless of the baseline scores, all patients presented significant improvements in both subjective and objective measures. Age and baseline PROMs or mobility scores did not have a significant effect on score development.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm40443"},"PeriodicalIF":2.5,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030102","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