Journal of Rehabilitation Medicine最新文献

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Assisted cycling in non-ambulant adults with cerebral palsy: exploratory effects and feasibility in residential care. 辅助骑自行车对不能走动的脑瘫成人的影响:探索性效果和可行性。
IF 2.3 4区 医学
Journal of Rehabilitation Medicine Pub Date : 2026-09-22 DOI: 10.2340/jrm.v58.45792
Nanna S Poulsen, Sara Falkenberg, Noémie Receveur, Sophia V Frølich, Helle Hüche Larsen, John Vissing
{"title":"Assisted cycling in non-ambulant adults with cerebral palsy: exploratory effects and feasibility in residential care.","authors":"Nanna S Poulsen, Sara Falkenberg, Noémie Receveur, Sophia V Frølich, Helle Hüche Larsen, John Vissing","doi":"10.2340/jrm.v58.45792","DOIUrl":"10.2340/jrm.v58.45792","url":null,"abstract":"<p><strong>Objective: </strong>Adults with cerebral palsy (Gross Motor Function Classification System, GMFCS, levels III-V) have severely impaired motor function, causing fatigue, pain, constipation, and sleep disturbance, reducing life quality. Whether standard exercise is feasible or beneficial in this population is unknown, as spasticity, low muscle mass, and cognitive challenges may limit participation. Unable to engage in conventional exercise, they require tailored modalities. This study investigated whether assisted cycling is feasible and could improve key symptoms.</p><p><strong>Methods: </strong>14 adults with cerebral palsy (GMFCS III-V) completed a 10-week control period and 10 weeks of supervised, assisted cycling (3 x 20 min/week). Assessments at baseline, post-control, and post-exercise included key symptoms, feasibility, Gross Motor Function Measure-88, and a timed 1-km cycle test (time, power output, cadence).</p><p><strong>Results: </strong>Median attendance was 24/30 sessions. Heart rate increased during exercise (median 25.5 bpm). No significant group-level changes were observed, but individual improvements in pain, constipation, and power output were observed in some. Two participants experienced moderate adverse events affecting daily living.</p><p><strong>Conclusion: </strong>Assisted cycling is feasible and generally well tolerated in non-ambulant adults with cerebral palsy. While no group-level effects were detected, exploratory individual improvements in symptoms and cycling performance were observed in some, supporting further research on tailored exercise.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45792"},"PeriodicalIF":2.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13613323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018807","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 cost of imbalance: how balance problems drive energy cost of walking in persons with multiple sclerosis. 失衡的代价:平衡问题如何驱动多发性硬化症患者行走的能量消耗。
IF 2.3 4区 医学
Journal of Rehabilitation Medicine Pub Date : 2026-09-18 DOI: 10.2340/jrm.v58.45814
Sjoerd T Timmermans, Arianne S Gravesteijn, Koen Wishaupt, Heleen Beckerman, Marjolein M Van der Krogt, Vincent De Groot
{"title":"The cost of imbalance: how balance problems drive energy cost of walking in persons with multiple sclerosis.","authors":"Sjoerd T Timmermans, Arianne S Gravesteijn, Koen Wishaupt, Heleen Beckerman, Marjolein M Van der Krogt, Vincent De Groot","doi":"10.2340/jrm.v58.45814","DOIUrl":"10.2340/jrm.v58.45814","url":null,"abstract":"<p><strong>Introduction: </strong>People with multiple sclerosis have difficulties walking and show a high energy cost of walking. Balance problems may contribute.</p><p><strong>Aim: </strong>To investigate the relationship between dynamic balance and energy cost of walking in people with multiple sclerosis, and whether walking speed affects this relationship.</p><p><strong>Methods: </strong>In a cross-sectional cohort, 20 people with multiple sclerosis walked on an instrumented treadmill at a comfortable and fast walking speed. The energy cost of walking was derived from oxygen consumption. Dynamic balance was approximated as the medio-lateral margin of stability and using balance board testing. Linear mixed models were used, with walking speed as effect modifier.</p><p><strong>Results: </strong>The mean energy cost of walking was 4.99 J/kg/m at a comfortable and 4.84 J/kg/m at a fast walking speed. The medio-lateral margin of stability was significantly associated with energy cost of walking, with walking speed a significant effect modifier (β = -27.07, 95% CI: -49.32; -4.83). At lower speeds this association was stronger, attenuating at higher speeds.</p><p><strong>Discussion: </strong>Poorer dynamic balance was associated with higher energy cost of walking, predominantly at lower walking speeds. Jointly improving walking speed and dynamic balance may reduce the energetic burden of walking in this population.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45814"},"PeriodicalIF":2.3,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13596029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992631","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
Associations between interpreter dependency and rehabilitation outcomes and care processes following acquired brain injury: a Swedish registry-based cohort study. 在获得性脑损伤后,翻译依赖与康复结果和护理过程之间的关系:瑞典基于登记的队列研究。
IF 2.3 4区 医学
Journal of Rehabilitation Medicine Pub Date : 2026-09-14 DOI: 10.2340/jrm.v58.45146
Ellen Grut, Monica Blom Johansson, Monika Löfgren
{"title":"Associations between interpreter dependency and rehabilitation outcomes and care processes following acquired brain injury: a Swedish registry-based cohort study.","authors":"Ellen Grut, Monica Blom Johansson, Monika Löfgren","doi":"10.2340/jrm.v58.45146","DOIUrl":"10.2340/jrm.v58.45146","url":null,"abstract":"<p><strong>Objective: </strong>To explore interpreter dependency in relation to rehabilitation outcomes and rehabilitation process measures for patients with acquired brain injury.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Subjects: </strong>Data from 13,900 inpatients, with acquired brain injury as main diagnosis, included in a Swedish quality registry (2008-2020). Of these, 391 patients were interpreter-dependent whereas 13,509 were not.</p><p><strong>Method: </strong>Outcomes were functional independence, health-related quality of life, self-perceived health, occurrence of complications, and length of stay. Process measures consisted of establishment of an individualized rehabilitation plan and collection of patient-reported experience measures.</p><p><strong>Results: </strong>On admission as well as discharge, interpreter dependency was related to lower scores regarding functional independence, health-related quality of life, and self-perceived health, while showing no association with the degree of improvement in these outcomes between the 2 time points. Interpreter-dependent patients were less likely to have had patient-reported experience measures administered. The results regarding functional independence and patient-reported experience measures persisted after adjusting for confounding variables. Length of stay, occurrence of complications, and establishment of an individualized rehabilitation plan were not related to interpreter dependency.</p><p><strong>Conclusion: </strong>Disparities on admission and discharge were evident regarding functionality as well as health-related quality of life and self-perceived health. It is possible that acquired brain injury severity or disparities earlier in the care continuum may underlie the results.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45146"},"PeriodicalIF":2.3,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13583992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148964000","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
Inpatient rehabilitation after acute injury or illness for patients with and without mental health disorders: service utilization, functional improvement, and pain. 有或无精神健康障碍患者急性损伤或疾病后的住院康复:服务利用、功能改善和疼痛
IF 2.3 4区 医学
Journal of Rehabilitation Medicine Pub Date : 2026-09-07 DOI: 10.2340/jrm.v58.45007
Anja S Sundet, Solveig L Hauger, Ingrid A Havnes, Nada Andelic, Caroline Ustvedt, Grethe Månum, Jeanette Kleven, Catrine Brunborg, Charles H Bombardier, Jennie Ponsford, Marianne Løvstad
{"title":"Inpatient rehabilitation after acute injury or illness for patients with and without mental health disorders: service utilization, functional improvement, and pain.","authors":"Anja S Sundet, Solveig L Hauger, Ingrid A Havnes, Nada Andelic, Caroline Ustvedt, Grethe Månum, Jeanette Kleven, Catrine Brunborg, Charles H Bombardier, Jennie Ponsford, Marianne Løvstad","doi":"10.2340/jrm.v58.45007","DOIUrl":"10.2340/jrm.v58.45007","url":null,"abstract":"<p><strong>Objective: </strong>Compare rehabilitation process and outcomes between patients with and without mental health disorders.</p><p><strong>Design: </strong>Observational cohort study.</p><p><strong>Subjects: </strong>130 patients receiving post-acute inpatient rehabilitation after acute injury or illness.</p><p><strong>Methods: </strong>Mental health disorders were assessed with diagnostic interviews. Adjusted regression analysis examined associations between mental health disorders and rehabilitation processes, func-tional improvement, pain, and patient satisfaction.</p><p><strong>Results: </strong>Patients with mental health disorders had more psychologist sessions (B = 5.87, 95% CI 3.87-7.87), more cancelled physiotherapy sessions (B = 1.15, 95% CI 0.38-1.93), multiprofessional team members collaborated more with external partners (B = 6.10, 95% CI 2.88-9.32), and nurses and team coordinators found their roles more demanding (OR = 5.47, 95% CI 1.38-21.76; OR = 7.43, 95% CI 2.21-24.94). Mental health disorders were associated with higher pain intensity and pain interference (B = 1.25, 95% CI 0.38-2.12; OR = 6.81, 95% CI 1.39-33.30). Opioid use was comparable on admission, but the mental health disorder group used more on discharge (OR = 4.5, 95% CI 1.75-11.55). Change in functional independence and patient satisfaction was comparable.</p><p><strong>Conclusion: </strong>Comorbid mental health disorders were associated with several aspects of the post-acute rehabilitation process, including resource use and pain management. These findings may inform the planning and organization of rehabilitation services for patients with mental health challenges.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45007"},"PeriodicalIF":2.3,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13560470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901637","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
Validation of heart rate measurements from the polar verity sense during the submaximal Ekblom-Bak test in adult individuals with obesity. 在成人肥胖患者的次极大Ekblom-Bak测试中,从极性真实感测量心率的验证。
IF 2.3 4区 医学
Journal of Rehabilitation Medicine Pub Date : 2026-09-07 DOI: 10.2340/jrm.v58.44975
Grete Rudi Onstad, Fredrik Klæboe Lohne, Marius Steiro Fimland
{"title":"Validation of heart rate measurements from the polar verity sense during the submaximal Ekblom-Bak test in adult individuals with obesity.","authors":"Grete Rudi Onstad, Fredrik Klæboe Lohne, Marius Steiro Fimland","doi":"10.2340/jrm.v58.44975","DOIUrl":"10.2340/jrm.v58.44975","url":null,"abstract":"<p><strong>Objective: </strong>To assess the validity of Polar Verity Sense, an arm-worn heart rate (HR) monitor, for measuring HR in individuals with obesity during the submaximal ergometer cycle Ekblom-Bak test.</p><p><strong>Subjects/patients: </strong>Adults in an inpatient rehabilitation programme for individuals with obesity.</p><p><strong>Methods: </strong>Participants completed the Ekblom-Bak test wearing the Polar H10 chest strap and 2 Verity Sense devices on the forearm and upper arm. Statistical analyses included intraclass correlation coefficient (ICC), Lin's concordance correlation coefficient (CCC), Bland-Altman analyses with 95% limits of agreement (LoA), and mean absolute percentage error (MAPE). Feasibility was assessed with a post-test questionnaire.</p><p><strong>Results: </strong>49 participants were included in the analyses of estimated maximal oxygen consumption (VO2max), while 48 were included in analyses of HR data. ICC and CCC values ranged from 0.998-0.999 between the H10 chest strap and Verity Sense measures. Small differences were observed in Bland-Altman plots. MAPE ranged from 0.46% to 0.51%. Feasibility responses from the questionnaire showed that participants preferred the Verity Sense to the H10.</p><p><strong>Conclusion: </strong>Polar Verity Sense accurately measures HR and estimates VO2max in adults with obesity during the Ekblom-Bak test. Individuals with obesity may freely opt for either device without sacrificing accuracy during steady-state activities at low and moderate intensities. This choice may eliminate a barrier in assessing their cardiorespiratory fitness.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm44975"},"PeriodicalIF":2.3,"publicationDate":"2026-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13559670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148901607","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
Relative fat mass predicts symptomatic knee osteoarthritis in older adults with metabolic syndrome: a longitudinal cohort study. 相对脂肪量预测代谢综合征老年人的症状性膝骨关节炎:一项纵向队列研究。
IF 2.3 4区 医学
Journal of Rehabilitation Medicine Pub Date : 2026-09-04 DOI: 10.2340/jrm.v58.45354
Lei Huang, Yuhui Wang, Yuhao Chen, Weilong Yao, Xianxu Zhang, Shicheng Li, Yong Sun, Changlin Zhou, Bin Qian, Zhiqiang Luo, Pandeng Wei
{"title":"Relative fat mass predicts symptomatic knee osteoarthritis in older adults with metabolic syndrome: a longitudinal cohort study.","authors":"Lei Huang, Yuhui Wang, Yuhao Chen, Weilong Yao, Xianxu Zhang, Shicheng Li, Yong Sun, Changlin Zhou, Bin Qian, Zhiqiang Luo, Pandeng Wei","doi":"10.2340/jrm.v58.45354","DOIUrl":"10.2340/jrm.v58.45354","url":null,"abstract":"<p><strong>Background: </strong>Relative fat mass is a novel anthropometric indicator that outperforms body mass index in assessing obesity. Although obesity is a known risk factor for knee osteoarthritis, the prospective association between relative fat mass and symptomatic knee osteoarthritis in middle-aged and older adults with metabolic syndrome remains unclear.</p><p><strong>Methods: </strong>This prospective cohort study used CHARLS data, including 3,301 middle-aged and older metabolic syndrome patients free of knee osteoarthritis at baseline. Participants were grouped into relative fat mass quartiles. Incident symptomatic knee osteoarthritis was the primary outcome. Multivariable Cox models, restricted cubic spline analyses, subgroup analyses, and receiver operating characteristic curves were used to assess associations and predictive performance.</p><p><strong>Results: </strong>Knee osteoarthritis incidence increased across relative fat mass quartiles (Q1: 21%; Q4: 37%). In fully adjusted models, those in the highest relative fat mass quartile had a 50% higher knee osteoarthritis risk compared with the lowest quartile (HR = 1.50, 95% CI: 1.18-1.90), with a significant dose-response trend. Restricted cubic spline analysis indicated a non-linear association. The relationship was stronger among rural residents. Relative fat mass demonstrated better predictive ability than body mass index (AUC: 0.587 vs 0.532).</p><p><strong>Conclusions: </strong>Among Chinese middle-aged and older adults with metabolic syndrome, higher relative fat mass was independently and non-linearly associated with an increased risk of incident symptomatic knee osteoarthritis. Relative fat mass outperformed body mass index as a predictive measure, supporting its use as a simple and effective tool to identify high-risk individuals and guide targeted prevention strategies.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45354"},"PeriodicalIF":2.3,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13548746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889481","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
Home-based digital exercise versus hospital physiotherapy for plantar fasciitis: a propensity-score-matched retrospective cohort study with dual-perspective cost-utility evaluation. 基于家庭的数字锻炼与医院物理治疗足底筋膜炎:一项具有双重视角成本-效用评估的倾向-评分匹配的回顾性队列研究
IF 2.3 4区 医学
Journal of Rehabilitation Medicine Pub Date : 2026-09-02 DOI: 10.2340/jrm.v58.45974
Wenbo Xu, Lufeng Yao, Haigang Wang, Chenqin Xu, Pinpin He, Yi Zhang, Jiasong Pan, Shengdi Lu, Lei Huang
{"title":"Home-based digital exercise versus hospital physiotherapy for plantar fasciitis: a propensity-score-matched retrospective cohort study with dual-perspective cost-utility evaluation.","authors":"Wenbo Xu, Lufeng Yao, Haigang Wang, Chenqin Xu, Pinpin He, Yi Zhang, Jiasong Pan, Shengdi Lu, Lei Huang","doi":"10.2340/jrm.v58.45974","DOIUrl":"10.2340/jrm.v58.45974","url":null,"abstract":"<p><strong>Objective: </strong>To compare the clinical effectiveness and cost-effectiveness of a 12-week home-based digital exercise programme with 12-week hospital-supervised physiotherapy for plantar fasciitis in routine Chinese tertiary-hospital care.</p><p><strong>Design: </strong>Single-centre retrospective cohort study with 1:2 propensity-score matching on 13 baseline covariates.</p><p><strong>Subjects/patients: </strong>587 adults with a clinician-confirmed diagnosis of plantar fasciitis treated in 2022-2024 were matched.</p><p><strong>Methods: </strong>The primary outcome was first-step morning pain at 3 months on a 0-10 numeric rating scale (non-inferiority margin 1.3 points; sensitivity margins 0.9 and 1.9). A 12-month cost-utility analysis took payer and societal perspectives.</p><p><strong>Results: </strong>The adjusted mean difference was -0.63 points (95% confidence interval -0.92 to -0.35; p < 0.001), non-inferior against all 3 margins (E-value 2.84). Incremental payer cost was -¥4,920 (-US$684), incremental societal cost -¥7,008 (-US$974), and incremental quality-adjusted life-years +0.011, with dominance in 96.7% of bootstrap replications.</p><p><strong>Conclusion: </strong>Home-based digital exercise was non-inferior for 3-month first-step pain and less costly from both perspectives. Matching left 12 of 13 covariates imbalanced and only 6.3% of screened patients were eligible, so residual confounding and selection bias are likely. These observational findings are provisional and require confirmation in a pragmatic multicentre randomized controlled trial before informing reimbursement.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45974"},"PeriodicalIF":2.3,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13548366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876753","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
Rehabilitation in Gaza: a call to the rehabilitation community and to the European Union of Medical Specialists (UEMS). 加沙的康复:对康复界和欧洲医学专家联盟的呼吁。
IF 2.3 4区 医学
Journal of Rehabilitation Medicine Pub Date : 2026-09-02 DOI: 10.2340/jrm.v58.46725
Paul Carroll, Fahim Anwar, Christoph Gutenbrunner, Karol Hornáček, Ingebjørg Irgens, Carlotte Kiekens, Jorge Lains, Thierry Lejeune, Stefano Negrini, Eirik Vikane, Maria Gabriella Ceravolo
{"title":"Rehabilitation in Gaza: a call to the rehabilitation community and to the European Union of Medical Specialists (UEMS).","authors":"Paul Carroll, Fahim Anwar, Christoph Gutenbrunner, Karol Hornáček, Ingebjørg Irgens, Carlotte Kiekens, Jorge Lains, Thierry Lejeune, Stefano Negrini, Eirik Vikane, Maria Gabriella Ceravolo","doi":"10.2340/jrm.v58.46725","DOIUrl":"10.2340/jrm.v58.46725","url":null,"abstract":"","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm46725"},"PeriodicalIF":2.3,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13548745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876775","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
Identifying classes with different disability profiles amongst patients with persistent neck pain. 在持续性颈痛患者中确定不同残疾概况的类别。
IF 2.3 4区 医学
Journal of Rehabilitation Medicine Pub Date : 2026-09-02 DOI: 10.2340/jrm.v58.46022
Konsta Koivunen, Mikhail Saltychev, Juhani Juhola
{"title":"Identifying classes with different disability profiles amongst patients with persistent neck pain.","authors":"Konsta Koivunen, Mikhail Saltychev, Juhani Juhola","doi":"10.2340/jrm.v58.46022","DOIUrl":"10.2340/jrm.v58.46022","url":null,"abstract":"<p><strong>Objective: </strong>To identify latent classes with distinct disability profiles among patients with persistent neck pain using item-level responses from the Neck Disability Index, and to examine demographic, clinical, and lifestyle factors associated with class membership.</p><p><strong>Design: </strong>Cross-sectional survey-based study.</p><p><strong>Patients: </strong>962 patients with persistent neck pain.</p><p><strong>Methods: </strong>This survey-based study included 962 patients with persistent neck pain. Latent class analysis was performed using the 10 dichotomized items of the Neck Disability Index (NDI) as indicator variables. Demographic, clinical, and lifestyle characteristics were subsequently examined across the identified latent classes.</p><p><strong>Results: </strong>The mean age was 50 (SD 32.5) years and 647 (67%) were women. Three distinct classes were identified: class with no or mild disability (47% of the sample); class with moderate disability in reading, driving, and lifting but not in personal care and concentration (15% of the sample); and class with overall severe disability (37% of the sample). Lower educational level, obesity, physical inactivity, worse pain, and lower occupational status were associated with a higher probability of belonging to the severe disability class.</p><p><strong>Conclusion: </strong>Patients with persistent neck pain appear to exhibit distinct disability profiles rather than a single uniform pattern of functional limitation. Identifying these profiles may improve the characterization of patient heterogeneity and provide a basis for future research evaluating their clinical and prognostic relevance. Further studies are needed to determine whether these profiles are reproducible in other populations and whether they have implications for treatment planning and outcomes.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm46022"},"PeriodicalIF":2.3,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13548747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876785","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
Explaining rehabilitation as an intervention to students, patients, and the public: the "rehabilitation chocolate cake". 向学生、病人和公众解释康复是一种干预:“康复巧克力蛋糕”。
IF 2.3 4区 医学
Journal of Rehabilitation Medicine Pub Date : 2026-08-24 DOI: 10.2340/jrm.v58.46458
Stefano Negrini, Carlotte Kiekens
{"title":"Explaining rehabilitation as an intervention to students, patients, and the public: the \"rehabilitation chocolate cake\".","authors":"Stefano Negrini, Carlotte Kiekens","doi":"10.2340/jrm.v58.46458","DOIUrl":"10.2340/jrm.v58.46458","url":null,"abstract":"","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm46458"},"PeriodicalIF":2.3,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13508151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809379","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
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