Journal of Rehabilitation Medicine最新文献

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Subphenotypic classification of COVID-19 survivors and response to telerehabilitation: a latent class analysis. COVID-19幸存者的亚表型分类和对远程康复的反应:一项潜在分类分析
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":"<p><strong>Objective: </strong>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.</p><p><strong>Design: </strong>A secondary analysis of a multicentre, parallel-group randomized controlled trial from April 2020 through to follow-up in 2021.</p><p><strong>Subjects/patients: </strong>The study included 377 COVID-19 survivors (47.1% male), with a mean age of 56.4 years.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>","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. 轻度中风后的监督运动:从患者和医疗保健专业人员的角度进行评估。
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":"<p><strong>Objective: </strong>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.</p><p><strong>Design: </strong>Qualitative study.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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. 棱镜适应治疗对右半脑卒中后单侧空间忽视严重程度的短期影响:系统回顾和荟萃分析。
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":"<p><strong>Objective: </strong>This work aimed to investigate the effects of prism adaptation on unilateral spatial neglect following right hemispheric stroke.</p><p><strong>Design: </strong>Systematic review and meta-analysis of randomized controlled trials (RCTs).</p><p><strong>Patients: </strong>Patients with unilateral spatial neglect following right hemispheric stroke.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>","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. 将单色红外能量整合到青少年髌骨痛综合征的物理康复中会有什么有利的效果吗?一项随机对照试验。
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":"<p><strong>Objective: </strong>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.</p><p><strong>Design: </strong>Randomized controlled trial.</p><p><strong>Patients: </strong>Adolescents aged 15-18.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>Monochromatic infrared energy is likely beneficial in adolescents with patellofemoral pain syndrome.</p>","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. 临床医生如何在日常护理中使用、体验和重视结果信息的应用?混合方法研究。
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":"10.2340/jrm.v57.42610","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Design: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>From clinicians' perspectives, the applications provide meaningful conversation starters, can lead to a more targeted conversation, and allow for better patient-clinician connection.</p>","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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11980948/pdf/","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":"OA","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. 神经肌肉疾病患者行为改变的障碍和促进因素:一项定性研究。
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":"<p><strong>Objective: </strong>To explore perceived barriers to and facilitators of behaviour change towards a more active lifestyle in people with neuromuscular diseases.</p><p><strong>Design: </strong>A qualitative study.</p><p><strong>Subjects: </strong>Nineteen subjects (63% females, age range 28-73 years), representing 4 different neuromuscular diseases.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>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.</p>","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
Trends in spasticity-reducing surgery and botulinum toxin treatment for post-stroke spasticity: a register study on 6,258 patients in Sweden, 2010-2021. 减少痉挛手术和肉毒杆菌毒素治疗中风后痉挛的趋势:2010-2021年瑞典6258例患者的登记研究
IF 2.5 4区 医学
Journal of Rehabilitation Medicine Pub Date : 2025-03-18 DOI: 10.2340/jrm.v57.42684
Marcus Sagerfors, Izabela Blaszczyk, Anette Chemnitz, Helena Johansson, Joakim Strömberg
{"title":"Trends in spasticity-reducing surgery and botulinum toxin treatment for post-stroke spasticity: a register study on 6,258 patients in Sweden, 2010-2021.","authors":"Marcus Sagerfors, Izabela Blaszczyk, Anette Chemnitz, Helena Johansson, Joakim Strömberg","doi":"10.2340/jrm.v57.42684","DOIUrl":"10.2340/jrm.v57.42684","url":null,"abstract":"<p><p>Spasticity is characterized by increased muscle tone, which can result in pain, contractures, impaired hygiene, and deformities. Stroke is a leading cause of paresis, and nearly 40% of stroke patients will develop spasticity.</p><p><strong>Objective: </strong>To assess trends in upper and lower extremity spasticity-reducing surgery and botulinum toxin A (BoNT-A) treatment.</p><p><strong>Design: </strong>A national cohort register study.</p><p><strong>Methods: </strong>Upper and lower extremity spasticity-reducing surgery and BoNT-A treatment in Swedish stroke patients over a 12-year period was assessed using the National Patient Register.</p><p><strong>Results: </strong>A total of 6,258 patients were treated during this period; their mean age was 58, and the majority were male. In both upper and lower extremities, tenotomy was the most common surgical procedure, followed by tendon lengthening. The need for BoNT-A injections was significantly reduced after surgery compared with before surgery. The total number of BoNT-A treatments increased during the study period, and ultrasound guidance of injections became more common.</p><p><strong>Conclusion: </strong>The frequency of BoNT-A treatments was significantly reduced in patients who underwent surgery. Even though no causative association can be established due to the nature of these registry data, this may indicate that surgery reduces the need for further BoNT-A treatments.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42684"},"PeriodicalIF":2.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659659","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
Investigation of independence in the tasks involving the use of public transportation in patients with subacute stroke. 亚急性脑卒中患者使用公共交通工具任务独立性的调查。
IF 2.5 4区 医学
Journal of Rehabilitation Medicine Pub Date : 2025-03-12 DOI: 10.2340/jrm.v57.42025
Shin Kitamura, Yohei Otaka, Kazuki Ushizawa, Seigo Inoue, Sachiko Sakata, Kunitsugu Kondo
{"title":"Investigation of independence in the tasks involving the use of public transportation in patients with subacute stroke.","authors":"Shin Kitamura, Yohei Otaka, Kazuki Ushizawa, Seigo Inoue, Sachiko Sakata, Kunitsugu Kondo","doi":"10.2340/jrm.v57.42025","DOIUrl":"10.2340/jrm.v57.42025","url":null,"abstract":"<p><strong>Objective: </strong>To clarify the percentage of stroke patients who are independent in performing tasks involved in public transportation use and problems faced while doing so.</p><p><strong>Design: </strong>Single-institution retrospective study.</p><p><strong>Patients: </strong>A total of 237 post-stroke patients utilized public transportation during their hospitalization in subacute rehabilitation wards.</p><p><strong>Methods: </strong>Participants' actual performance in 14 tasks involving public transportation use was assessed using the Public Transportation Use Assessment Form. For each task, the percentage of participants who could perform the task independently was calculated and identified performance problems were categorized.</p><p><strong>Results: </strong>The task with the lowest percentage of independent participants was \"Walking in crowds\", with 146 of 236 (61.9%) participants performing this independently, followed by \"Selecting departure time and platform\" (149 of 229, 65.1%), and \"Getting on and off trains\" (162 of 230, 70.4%). Problems faced when \"Walking in crowds\" included the \"Risk of colliding with others\" (n = 34), \"Stopping abruptly\" (n = 16), \"Lack of attention to surroundings\" (n = 14), and \"Unable to walk with the flow of people\" (n = 11).</p><p><strong>Conclusion: </strong>A significant number of patients could not perform tasks independently and faced various performance problems. These issues should be addressed during rehabilitation to enable patients to use public transportation.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42025"},"PeriodicalIF":2.5,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607161","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
Emergency department utilization by spina bifida patients in Florida 2016-2020. 2016-2020 年佛罗里达州脊柱裂患者使用急诊科的情况。
IF 2.5 4区 医学
Journal of Rehabilitation Medicine Pub Date : 2025-03-09 DOI: 10.2340/jrm.v57.41412
Sarah Whitteker, Dhyey Desai, Hannah Baker, Sudarshan Srirangapatanam, Lucas R Wiegand, Hubert S Swana
{"title":"Emergency department utilization by spina bifida patients in Florida 2016-2020.","authors":"Sarah Whitteker, Dhyey Desai, Hannah Baker, Sudarshan Srirangapatanam, Lucas R Wiegand, Hubert S Swana","doi":"10.2340/jrm.v57.41412","DOIUrl":"10.2340/jrm.v57.41412","url":null,"abstract":"<p><strong>Objective: </strong>To investigate emergency department use of spina bifida patients in Florida and identify presenting diagnoses across all age groups.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Subjects/patients: </strong>Individuals with a diagnosis of spina bifida who presented to the emergency department between 2016 and 2020 in Florida.</p><p><strong>Methods: </strong>The State Emergency Department Databases of Florida from the Healthcare Cost and Utilization Project were utilized. Principal diagnosis codes were queried, and patients were classified into paediatric (ages 0-19), transitional (ages 20-29), adults (ages 30-59), and geriatric (ages 60 or greater). To analyse patient-level factors and observed case numbers, χ2 testing was used. The transitional period was further evaluated by pair-wise tests of proportions with Bonferroni adjustment.</p><p><strong>Results: </strong>The transitional age group (20-29) patients had the highest number of emergency department encounters (24.1%). The most common presenting diagnoses were infections (23.1%) followed by epilepsy and seizure (17.3%). Transitional groups were responsible for the most emergency department encounters across all categories (p < 0.001).</p><p><strong>Conclusion: </strong>Transitional ages patients (20-29) were responsible for the majority of encounters, suggesting the significance and the need for continued multidisciplinary coordinated care during the transitional of care between paediatric and adult settings for patients with spina bifida.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm41412"},"PeriodicalIF":2.5,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588246","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
Predictive factors for functional and motor recovery following spontaneous intracerebral haemorrhage. 自发性脑出血后功能和运动恢复的预测因素。
IF 2.5 4区 医学
Journal of Rehabilitation Medicine Pub Date : 2025-03-06 DOI: 10.2340/jrm.v57.42159
Shu-Mei Yang, Yen-Heng Lin, Ting-Ju Lai, You-Lin Lu, Hsing-Yu Chen, Hsiao-Ting Tsai, Chueh-Hung Wu, Kuo-Chuan Wang, Meng Ting Lin
{"title":"Predictive factors for functional and motor recovery following spontaneous intracerebral haemorrhage.","authors":"Shu-Mei Yang, Yen-Heng Lin, Ting-Ju Lai, You-Lin Lu, Hsing-Yu Chen, Hsiao-Ting Tsai, Chueh-Hung Wu, Kuo-Chuan Wang, Meng Ting Lin","doi":"10.2340/jrm.v57.42159","DOIUrl":"10.2340/jrm.v57.42159","url":null,"abstract":"<p><strong>Objective: </strong>Intracerebral haemorrhage significantly impacts patients' functional and motor recovery. Identifying predictive factors is crucial for enhancing post-intracerebral haemorrhage rehabilitation strategies. This study explores the predictors of functional improvement and motor recovery in intracerebral haemorrhage survivors.</p><p><strong>Design: </strong>This retrospective cohort study was conducted at a tertiary referral hospital, encompassing patients diagnosed with acute spontaneous intracerebral haemorrhage from 1 June 2019, to 30 June 2023.</p><p><strong>Methods: </strong>Data on clinical characteristics, activity-based indicators like the initial ability to sit independently without physical assistance and the ability to sit independently for 2 minutes, and haematoma location were analysed to determine their association with functional and motor recovery outcomes, assessed by the modified Rankin Scale, Barthel Index, and Brunnstrom stages.</p><p><strong>Results: </strong>Among 310 patients, significant predictors for functional outcomes included hypertension, the initial ability to sit independently without physical assistance, the initial ability to sit independently for 2 min, length of hospitalization, and initial National Institute of Health Stroke Scale (NIHSS). For motor recovery, the initial ability to sit independently with-out physical assistance, the initial ability to sit independently for 2 min, 24-h NIHSS, and length of hospitalization were identified as strong predictors for Brunnstrom stage recovery of upper and lower limbs.</p><p><strong>Conclusion: </strong>Predictive factors including hypertension, early NIHSS, the initial ability to sit independently without physical assistance, the initial ability to sit independently for 2 min, and length of hospitalization play a crucial role in predicting functional and motor recovery after intracerebral haemorrhage.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"57 ","pages":"jrm42159"},"PeriodicalIF":2.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11898305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568332","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}
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