Journal of Rehabilitation Medicine最新文献_第6页

Theories, models, and frameworks in implementation science in the context of rehabilitation research: a scoping review. 康复研究背景下实施科学的理论、模型和框架：范围综述。

IF 2.3 4区医学

Journal of Rehabilitation Medicine Pub Date : 2026-07-17 DOI: 10.2340/jrm.v58.46016

Maarit Karhula, Hennariikka Heinijoki, Riitta Seppänen-Järvelä

{"title":"Theories, models, and frameworks in implementation science in the context of rehabilitation research: a scoping review.","authors":"Maarit Karhula, Hennariikka Heinijoki, Riitta Seppänen-Järvelä","doi":"10.2340/jrm.v58.46016","DOIUrl":"10.2340/jrm.v58.46016","url":null,"abstract":"Objective: This review explores the use of implementation science theories, models, and frameworks in rehabilitation research by describing study characteristics and assessing how the applied theories, models, and frameworks align with study purposes.Methods: In the scoping review, peer-reviewed articles published in English between January 2010 and October 2023 were identified from 5 datbases. Eligible studies applied or were informed by implementation science theories, models, and frameworks in any rehabilitation cotext. Data extraction covered publication characteristics, target populations, setings, study designs, used theories, models, and frameworks, and study purposes. Descriptive statistics and deductive analysis were used to synthesize findings.Results: Of 2,277 citations, 121 articles met the inclusion criteria. Most of the articles focused on neurological and paediatric rehabilitation, with qualitative and mixed-methods designs predominating. A total of 34 theories, models, and frameworks were identified, mainly determinant frameworks and process models. Theories, models, and frameworks were primarily used to identify barriers and facilitators, evaluate implementation outcomes, and describe implementation processes. However, theories, models, and frameworks selection did not always align with the study purpose.Conclusion: The use of theories, models, and frameworks in rehabilitation research is increasing but remains limited. Their systematic and purposeful application is needed to enhance the usability and transferability of research findings, thereby bridging the research-practice gap, sustaining evidence-based interventions, and informing policy.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm46016"},"PeriodicalIF":2.3,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13389747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474408","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

Commentary on: "Effect of inspiratory muscle training on inspiratory muscle strength in adults with post-COVID-19 condition and inspiratory muscle weakness: a randomized controlled trial". 评论：“吸气肌训练对covid -19后成人吸气肌力量和吸气肌无力的影响：一项随机对照试验”。

IF 2.3 4区医学

Journal of Rehabilitation Medicine Pub Date : 2026-07-09 DOI: 10.2340/jrm.v58.46254

Raju Kumar, Palakdeep Kaur, Urvashi Chauhan

引用次数: 0

Commentary on "Effects of incentive spirometer added to standard rehabilitation in previously hospitalized adults with Post-COVID-19 condition: a randomized controlled trial". 《在新冠肺炎后住院成人患者标准康复中加入激励性肺活量计的效果：一项随机对照试验》评论

IF 2.3 4区医学

Journal of Rehabilitation Medicine Pub Date : 2026-07-09 DOI: 10.2340/jrm.v58.46243

Etika Rana

引用次数: 0

Participation restrictions in isolated cervical dystonia: a convergent mixed-methods study. 孤立性宫颈肌张力障碍的参与限制：一项融合混合方法研究。

IF 2.3 4区医学

Journal of Rehabilitation Medicine Pub Date : 2026-07-09 DOI: 10.2340/jrm.v58.46205

Søren Bruno Elmgreen

{"title":"Participation restrictions in isolated cervical dystonia: a convergent mixed-methods study.","authors":"Søren Bruno Elmgreen","doi":"10.2340/jrm.v58.46205","DOIUrl":"10.2340/jrm.v58.46205","url":null,"abstract":"Objective: To describe participation in adults with isolated cervical dystonia and to explore how restrictions are experienced in everyday life.Design: Convergent mixed-methods study with case- and theme-level integration through joint displays.Subjects/patients: Adults with a self-reported specialist diagnosis of cervical dystonia.Methods: Respondents completed an online survey including the Utrecht Scale for Evaluation of Rehabilitation-Participation. A purposive subsample completed semi-structured interviews, analysed using reflexive thematic analysis. Quantitative data were summarized with 95% confidence intervals.Results: 108 respondents (73% women; mean age 51.6 [SD 14.1] years; mean disease duration 11.6 [SD 12.8] years) completed the survey. Mean scores indicated low frequency (36.6, 95% CI 34.3-38.8), moderate restrictions (67.6, 64.8-70.3), and low satisfaction (43.3, 40.5-46.1); the productivity domain was the most affected (31.6, 28.7-34.5), with leisure (51.3, 48.4-54.2) and social participation (51.5, 49.4-53.6) less restricted but still constrained. Ten participants were interviewed. Three themes were generated: living with unpredictability; invisibility and contested recognition; and a symptom-focused system in a participation-focused life.Conclusion: Participation was restricted across everyday domains and shaped by fluctuating symptoms, social recognition, and the structure of available care. Patient-reported participation may be a useful complementary outcome alongside impairment-focused assessment.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm46205"},"PeriodicalIF":2.3,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13358788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413805","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

Subtype-specific optimal cut-off values of the Berg Balance Scale for predicting independent walking in inpatient stroke rehabilitation: a multicentre cohort study. 预测住院脑卒中康复患者独立行走的Berg平衡量表的亚型特异性最佳临界值：一项多中心队列研究

IF 2.3 4区医学

Journal of Rehabilitation Medicine Pub Date : 2026-07-08 DOI: 10.2340/jrm.v58.45663

Jeong-Soo Kim, In-Geon Hwang, Eu-Jeong Ko

{"title":"Subtype-specific optimal cut-off values of the Berg Balance Scale for predicting independent walking in inpatient stroke rehabilitation: a multicentre cohort study.","authors":"Jeong-Soo Kim, In-Geon Hwang, Eu-Jeong Ko","doi":"10.2340/jrm.v58.45663","DOIUrl":"10.2340/jrm.v58.45663","url":null,"abstract":"Objective: To determine whether admission Berg Balance Scale score independently predicts independent walking on discharge after adjustment for major confounders, and to derive subtype-specific optimal cut-off values for ischaemic and haemorrhagic stroke.Design: Multicentre retrospective cohort study.Subjects/patients: A total of 565 stroke patients (316 ischaemic, 249 haemorrhagic) admitted to 3 inpatient rehabilitation centres in the Republic of Korea.Methods: Multivariable logistic regression was used to evaluate the independent predictive value of the Berg Balance Scale. Optimal cut-off values were derived using receiver operating characteristic curve analysis and the Youden index. Bootstrap internal validation, calibration analysis, and decision curve analysis were performed.Results: Admission Berg Balance Scale was a significant independent predictor of independent walking (adjusted odds ratio 1.053, 95% confidence interval 1.030-1.076). The difference in discriminative ability between the Berg Balance Scale only and multivariable models was not statistically significant (p = 0.097). The overall optimal cut-off was 24 points; subtype-specific cut-offs were 33 for ischaemic and 12 for haemorrhagic stroke.Conclusion: The Berg Balance Scale has different optimal cut-off values by stroke subtype and, as a standalone assessment, maintains discriminative ability equivalent to a multivariable model, providing clinical evidence for subtype-specific precision rehabilitation strategies.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45663"},"PeriodicalIF":2.3,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13355283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406865","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 persistent post-concussion symptoms and exercise intolerance on patient-specific functioning after mild traumatic brain injury: a biopsychosocial perspective. 持续性脑震荡后症状和运动不耐受对轻度创伤性脑损伤后患者特异性功能的影响：生物心理社会视角

IF 2.3 4区医学

Journal of Rehabilitation Medicine Pub Date : 2026-07-08 DOI: 10.2340/jrm.v58.45811

Ingerid Kleffelgård, Lars-Johan Viddal Valaas, Helene Lundgaard Søberg, Nada Andelic, Cecilie Røe, Sophie Steenstrup, Johanna Myhrstuen, Tone Marigård, Lars Nysether, Mari Storli Rasmussen

{"title":"The impact of persistent post-concussion symptoms and exercise intolerance on patient-specific functioning after mild traumatic brain injury: a biopsychosocial perspective.","authors":"Ingerid Kleffelgård, Lars-Johan Viddal Valaas, Helene Lundgaard Søberg, Nada Andelic, Cecilie Røe, Sophie Steenstrup, Johanna Myhrstuen, Tone Marigård, Lars Nysether, Mari Storli Rasmussen","doi":"10.2340/jrm.v58.45811","DOIUrl":"10.2340/jrm.v58.45811","url":null,"abstract":"Objective: To explore activity limitations in a biopsychosocial context in a randomized controlled trial studying sub-symptom threshold aerobic exercise after mild traumatic brain injury.Design: Qualitative and quantitative approaches.Patients: Eighty-one participants (58% female; median age 32.3) with persistent post-concussion symptoms and exercise intolerance.Methods: Activity limitations assessed with the Patient Specific Functional Scale were categorized into main and subcategories using thematic analyses. Subcategories were linked to the International Classification of Functioning, Disability and Health. Group differences and changes over time were examined using linear mixed-effects models.Results: Of 390 activities, 6 main categories and 24 subcategories were identified: physical activity and exercise (31%), work/education (16%), activities of daily living (15%), social activities (15%), cognition/energy (14%), and sensory-demanding environments (9%). Most subcategories (86%) were linked to the activity and participation domain. There were no group differences in activity limitations at 3 (p = 0.60) and 6 (p = 0.48) months. However, all patients improved from 3.3 (2.9-3.7) at baseline to 5.4 (5.0-5.9, p < 0.001) at 3 months, and 6.2 (5.8-6.7, p < 0.001) at 6 months.Conclusion: Limitations in daily activities were reported across multiple domains. While no differences were found between groups, patient‑reported limitations showed significant improvement over time and may inform individualized rehabilitation strategies.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45811"},"PeriodicalIF":2.3,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13355155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406817","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

Identification of spastic muscles involved in abnormal joint posture in patients with upper motor neuron syndrome: a narrative review. 识别痉挛肌肉参与异常关节姿势的患者上运动神经元综合征：叙述性回顾。

IF 2.3 4区医学

Journal of Rehabilitation Medicine Pub Date : 2026-07-02 DOI: 10.2340/jrm.v58.45077

Francois Genêt, Vincent Carpentier, Guillaume Chambinaud, Alberto Esquenazzi, Marjorie Salga

{"title":"Identification of spastic muscles involved in abnormal joint posture in patients with upper motor neuron syndrome: a narrative review.","authors":"Francois Genêt, Vincent Carpentier, Guillaume Chambinaud, Alberto Esquenazzi, Marjorie Salga","doi":"10.2340/jrm.v58.45077","DOIUrl":"10.2340/jrm.v58.45077","url":null,"abstract":"Few studies have specifically investigated which muscles are involved in abnormal joint posture (AJP) due to muscle spasticity and should therefore be targeted for botulinum toxin injections. This gap has significant implications for treatment efficiency, safety, health economics, and sustainable healthcare. A 2000 to 2025 (July) PubMed search identified 3,488 articles, but only 7 articles met the criteria for providing a method to determine the muscles involved in AJP due to muscle spasticity. Of these, just 2 have proposed how to measure each muscle contribution and only 1 focused on identifying the muscle actually responsible for the observed AJP. There are many strategies for determining the muscles involved in spasticity-related AJP, but they are primarily based on inference. They draw on clinical skills, which incorporate descriptive and functional anatomy, knowledge of different muscle and joint structures, simple rules of biomechanics, determination of the exact phase of the movement involved, consideration of compensatory AJP in these motor control deficient patterns, and, of course, the patient's goals. Achieving the authors' proposed objective would enable the standardization of clinical practices, confirm the effectiveness of treatments for spasticity, particularly botulinum toxin, and ensure that the correct dose is injected in the right muscle.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45077"},"PeriodicalIF":2.3,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13334833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370956","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

Exertional compartment syndrome and median nerve compression caused by a reversed palmaris longus. 反向掌长肌引起的肌室综合征和正中神经压迫。

IF 2.3 4区医学

Journal of Rehabilitation Medicine Pub Date : 2026-07-02 DOI: 10.2340/jrm.v58.46187

Diogo Ferreira, João Gomes, Hugo Amorim

引用次数: 0

Preoperative physiotherapy and one-year patient-reported outcomes after primary total knee arthroplasty: a registry-based cohort study of 1,688 patients. 术前物理治疗和初次全膝关节置换术后一年患者报告的结果：一项基于登记的队列研究，1,688例患者。

IF 2.3 4区医学

Journal of Rehabilitation Medicine Pub Date : 2026-07-02 DOI: 10.2340/jrm.v58.44853

Siri B Winther, Mani Izadi, Vigdis K S Husby, Otto S Husby, Mathias F Brobakken, Frank-David Øhrn, Jomar Klaksvik, Eivind Wang, Ole Kristian Berg

{"title":"Preoperative physiotherapy and one-year patient-reported outcomes after primary total knee arthroplasty: a registry-based cohort study of 1,688 patients.","authors":"Siri B Winther, Mani Izadi, Vigdis K S Husby, Otto S Husby, Mathias F Brobakken, Frank-David Øhrn, Jomar Klaksvik, Eivind Wang, Ole Kristian Berg","doi":"10.2340/jrm.v58.44853","DOIUrl":"10.2340/jrm.v58.44853","url":null,"abstract":"Objective: Preoperative physiotherapy in patients receiving primary total knee arthroplasty (TKA) aims to relieve pain, delay surgery, and improve postoperative recovery. This study investigates the change in PROMs and pain after primary TKA between patients who received preoperative physiotherapy (P) and those who did not (NP).Design: Registry-based cohort study with data from an institutional registry.Patients: 1,688 patients followed a standardized fast-track clinical pathway between August 2017 and January 2024 and were grouped in P or NP.Methods: Primary outcome was KOOS-PS at 2 months and 1 year postoperatively. Secondary outcomes included pain, the Forgotten Joint Score, and EQ-5d-5L. Two anchor questions related to self-perceived knee function and willingness to have the surgery again at 12 months' follow-up were also evaluated.Results: The model estimate demonstrated no significant between-group difference in KOOS-PS at 2 months (1.12 points; p = 0.079) or 1-year follow-up (1.25 points; p = 0.097). Visual inspection of descriptive plots showed that NP patients had higher KOOS-PS, less pain, and better joint score and quality of life at all time points. At 12 months' follow-up, both groups had similar responses to the anchor questions.Conclusion: After adjustment for baseline differences, no between-group differences in postoperative self-reported physical function were observed; consistently lower scores in the physiotherapy group may reflect systematic preoperative differences between groups.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm44853"},"PeriodicalIF":2.3,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13334783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370946","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

NASA lean test detects postural orthostatic tachycardia in chronic post-COVID. NASA精益测试检测慢性covid后体位性心动过速。

IF 2.3 4区医学

Journal of Rehabilitation Medicine Pub Date : 2026-07-02 DOI: 10.2340/jrm.v58.45865

Mario Siebler, Andrea Maier, Stephan Theiss, Sarah Bergé, Anna Bittner, Grit Schiefelbein, Jürgen Wagner, Dominik Raab

引用次数: 0