Journal of Rehabilitation Medicine最新文献

{"title":"Preliminary effectiveness and production time and costs of three-dimensional printed orthoses in chronic hand conditions: an interventional feasibility study.","authors":"Tanja Oud, Johannes A Bogaards, Frans Nollet, Merel-Anne Brehm","doi":"10.2340/jrm.v56.39946","DOIUrl":"10.2340/jrm.v56.39946","url":null,"abstract":"<p><strong>Objective: </strong>To assess the preliminary effectiveness of three-dimensional printed orthoses compared with conventionally custom-fabricated orthoses in persons with chronic hand conditions on performance of daily activities, hand function, quality of life, satisfaction, and production time and costs.</p><p><strong>Design: </strong>Interventional feasibility study.</p><p><strong>Subjects: </strong>Chronic hand orthotic users (n = 21).</p><p><strong>Methods: </strong>Participants received a new three-dimensional printed orthosis according to the same type as their current orthosis, which served as the control condition. Primary outcome was performance of daily activities (Patient-Reported Outcomes Measurement Information System-Upper Extremity; Michigan Hand Questionnaire). Secondary outcomes were hand function, quality of life, and satisfaction. Furthermore, production time and costs were recorded.</p><p><strong>Results: </strong>At 4 months' follow-up, no significant differences were found between three-dimensional printed orthoses and participants' existing conventional orthoses on activity performance, hand function, and quality of life. Satisfaction with the three-dimensional printed orthosis was significantly higher and the production time and costs for three-dimensional printed orthoses were significantly lower compared with conventional orthoses. The three-dimensional printed orthosis was preferred by 79% of the participants.</p><p><strong>Conclusions: </strong>This feasibility study in chronic hand conditions suggests that three-dimensional printed orthoses are similar to conventional orthoses in terms of activity performance, hand function, and quality of life. Satisfaction, and production time and costs favoured the three-dimensional printed hand orthoses.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11107831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early functional factors for predicting outcome of independence in daily living after stroke: a decision tree analysis.","authors":"Heegoo Kim, Chanmi Lee, Nayeong Kim, Eunhye Chung, HyeongMin Jeon, Seyoung Shin, MinYoung Kim","doi":"10.2340/jrm.v56.35095","DOIUrl":"10.2340/jrm.v56.35095","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the predictive functional factors influencing the acquisition of basic activities of daily living performance abilities during the early stages of stroke rehabilitation using classification and regression analysis trees.</p><p><strong>Methods: </strong>The clinical data of 289 stroke patients who underwent rehabilitation during hospitalization (164 males; mean age: 62.2 ± 13.9 years) were retrospectively collected and analysed. The follow-up period between admission and discharge was approximately 6 weeks. Medical records, including demographic characteristics and various functional assessments with item scores, were extracted. The modified Barthel Index on discharge served as the target outcome for analysis. A \"good outcome\" was defined as a modified Barthel Index score ≥ 75 on discharge, while a modified Barthel Index score < 75 was classified as a \"poor outcome.\"</p><p><strong>Results: </strong>Two classification and regression analysis tree models were developed. The first model, predicting activities of daily living outcomes based on early motor functions, achieved an accuracy of 92.4%. Among patients with a \"good outcome\", 70.9% exhibited (i) ≥ 4 points in the \"sitting-to-standing\" category in the motor assessment scale and (ii) 32 points on the Berg Balance Scale score. The second model, predicting activities of daily living outcome based on early cognitive functions, achieved an accuracy of 82.7%. Within the \"poor outcome\" group, 52.2% had (i) ≤ 21 points in the \"visuomotor organization\" category of Lowenstein Occupational Therapy Cognitive Assessment, (ii) ≤ 1 point in the \"time orientation\" category of the Mini Mental State Examination.</p><p><strong>Conclusion: </strong>The ability to perform \"sitting-to-standing\" and visuomotor organization functions at the beginning of rehabilitation emerged as the most significant predictors for achieving successful basic activities of daily living on discharge after stroke.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11093115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric properties of the Danish version of the Caregiver Burden Scale: Investigating predictors and severity of burden after stroke, spinal cord injury, or traumatic brain injury.","authors":"Anne Norup, Pernille Langer Soendergaard, Mia Moth Wolffbrandt, Fin Biering-Sørensen, Juan Carlos Arango-Lasprilla, Frederik Lehman Dornonville de la Cour","doi":"10.2340/jrm.v56.34732","DOIUrl":"https://doi.org/10.2340/jrm.v56.34732","url":null,"abstract":"To investigate (i) psychometric properties of the Danish version of the Caregiver Burden Scale, (ii) predictors of burden in caregivers of persons with stroke, spinal cord injury, or traumatic brain injury, and (iii) severity of caregiver burden, and compare level of severity of burden in caregivers of persons with stroke, spinal cord injury, or traumatic brain injury.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140830769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community integration and its predictors in people with stroke: a multicenter longitudinal study.","authors":"Jiang-Li Zhao, Lian-Dong Ma, Xiang Xiao, Li-Jun Lin, Hao Xie, Shamay S M Ng, P. Chen","doi":"10.2340/jrm.v56.21372","DOIUrl":"https://doi.org/10.2340/jrm.v56.21372","url":null,"abstract":"OBJECTIVE\u0000To investigate the community integration of patients following stroke and determine the predictors of their level of community integration at 1-year follow-up.\u0000\u0000\u0000DESIGN\u0000A multicenter, longitudinal, and observational study.\u0000\u0000\u0000SUBJECTS\u0000Sixty-five inpatients (41 men) with a mean age of 56.9 (standard deviation = 17.0) years, who had their first stroke at least 1 month prior to this study were recruited from 4 rehabilitation inpatient wards in China.\u0000\u0000\u0000METHODS\u0000In the initial assessment, the participants were evaluated using the Community Integration Questionnaire, the Fugl-Meyer Assessment, the Berg Balance Scale, the Modified Barthel Index, the Mini Mental State Examination, and the Modified Ashworth Scale. In the follow-up assessments, which were conducted via telephone no less than 1 year after discharge, the participants were evaluated using the Community Integration Questionnaire and also assessed for other disease-related conditions.\u0000\u0000\u0000RESULTS\u0000The participants' scores on the Community Integration Questionnaire in the follow-up assessment were significantly greater than those at the initial assessment (p < 0.05). In addition, the participants' Community Integration Questionnaire scores in the follow-up assessment were significantly correlated with their ages, numbers of years of education, and Modified Barthel Index, Berg Balance Scale, Mini Mental State Examination scores in the initial assessment (p < 0.05), and marginally significantly correlated with their scores on Fugl-Meyer Assessment in the initial assessment (p = 0.058). The participants' ages, numbers of years of education, and Modified Barthel Index, Berg Balance Scale, Mini Mental State Examination, Fugl-Meyer Assessment of the lower extremity, and Fugl-Meyer Assessment scores in the initial assessment were predictive of their Community Integration Questionnaire scores at follow-up, with coefficients of determination ranging from 0.254 to 0.056 (p < 0.05).\u0000\u0000\u0000CONCLUSIONS\u0000The level of community integration of the participants was generally low, but it was greater at 1-year follow-up than it was initially. Balance function and daily living ability may be key predictors of community integration of patients following stroke.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140658292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of a classification-based approach to low back pain in primary care - a benchmarking controlled trial.","authors":"Anna Sofia Simula, Antti Malmivaara, Neill Booth, Jaro Karppinen","doi":"10.2340/jrm.v56.28321","DOIUrl":"https://doi.org/10.2340/jrm.v56.28321","url":null,"abstract":"The aim of this study was to assess the effectiveness of classification-based approach for low back pain care in Finnish primary care.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140628478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gait speed at the acute phase predicted health-related quality of life at 3 and 12 months after stroke: a prospective cohort study.","authors":"Yishuang Zhao, Xiaoling Liao, Hongqiu Gu, Yong Jiang, Yingyu Jiang, Yongjun Wang, Yumei Zhang","doi":"10.2340/jrm.v56.24102","DOIUrl":"https://doi.org/10.2340/jrm.v56.24102","url":null,"abstract":"To investigate the association between acute-phase gait speed and health-related quality of life (HRQoL) at 3 and 12 months post-stroke.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140573372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Italian translation and cultural adaptation of the Agitated Behavior Scale (ABS-I) in patients with acquired brain injuries.","authors":"Chiara-Camilla Derchi, Pietro Arcuri, Angela Comanducci, Antonio Caronni, Chiara Pagliari, Alessandro Viganò, Eleonora Volpato, Jorge Navarro, Pietro Davide Trimarchi","doi":"10.2340/jrm.v56.11663","DOIUrl":"https://doi.org/10.2340/jrm.v56.11663","url":null,"abstract":"The objective of this study was to produce a cross-cultural adaptation in Italian of the Agitated Behavior Scale (ABS), originally developed in English, as the first of two stages that also include cross-cultural validation and allow a clinical scale to be used in the proper setting such as rehabilitation units.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140573381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional outcomes following surgery for spastic hip adductor muscles in ambulatory and non-ambulatory adults","authors":"Daphnée Brun, Olivier Hamel, E. Montané, Marino Scandella, E. Castel-Lacanal, X. de Boissezon, Marque Philippe, Gasq David, Camille Cormier","doi":"10.2340/jrm.v56.18356","DOIUrl":"https://doi.org/10.2340/jrm.v56.18356","url":null,"abstract":"Objective: To evaluate functional outcomes of surgery of spastic hip adductor muscles (obturator neurotomy with or without adductor longus tenotomy) in ambulatory and non-ambulatory patients, using preoperatively defined personalized goals.\u0000Design: Retrospective observational descriptive study.\u0000Patients: Twenty-three patients with adductor spasticity who underwent obturator neurotomy between May 2016 and May 2021 at the Clinique des Cèdres, Cornebarrieu, France, were included.\u0000Methods: Postoperative functional results were evaluated in accordance with the Goal Attainment Scaling method. Patients were considered “responders” if their score was ≥ 0. Secondary outcomes included spasticity, strength, hip range of motion and change in ambulatory capacity. When data were available, a comparison of pre- and postoperative 3-dimensional instrumented gait analysis was also performed.\u0000Results: Among the 23 patients only 3 were non-walkers. Seventeen/22 patients achieved their main goal and 14/23 patients achieved all their goals. Results were broadly similar for both walking goals (inter-knee contact, inter-feet contact, fluidity, walking perimeter, toe drag) and non-walking goals (intimacy, transfer, pain, posture, dressing).\u0000Conclusion: Surgery of spastic hip adductor muscles results in functional improvement in ambulation, hygiene, dressing and posture and can be offered to patients with troublesome adductor overactivity. The use of a motor nerve block is recommended to define relevant goals before the surgery.","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140218758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational performance one to five years after aneurysmal subarachnoid haemorrhage: a cohort study.","authors":"Marcus Kessner, Jan Mehrholz, Svein Harald Mørkve, Tina Taule","doi":"10.2340/jrm.v56.24187","DOIUrl":"10.2340/jrm.v56.24187","url":null,"abstract":"<p><strong>Objective: </strong>To report on the self-perceived occupational performance of patients with aneurysmal subarachnoid haemorrhage and examine the associations between aneurysmal subarachnoid haemorrhage characteristics, socio-demographic factors and self-perceived problems.</p><p><strong>Design: </strong>A single-centre cohort study design was combined with a cross-sectional analysis.</p><p><strong>Subjects/patients: </strong>All patients with aneurysmal subarachnoid haemorrhage who were capable of performing activities of daily living before discharge from hospital were included.</p><p><strong>Methods: </strong>The assessment of the patient's occupational performance followed a patient-reported outcome measure 1 to 5 years after the subarachnoid haemorrhage. Secondary outcomes comprised scores from the Glasgow Outcome Scale, modified Rankin Scale, Fisher Scale, World Federation of Neurological Societies grading system, vasospasm, and hydrocephalus.</p><p><strong>Results: </strong>Of the 62 patients included in the study (66% female, mean age 55 years), 79% reported experiencing issues with occupational performance, most frequently with regard to leisure and productivity. The problems reported were significantly associated with vasospasm (p  =  0.021) and the Glasgow Outcome Scale score (p = 0.045).</p><p><strong>Conclusion: </strong>Even patients who have had aneurysmal subarachnoid haemorrhage with a favourable outcome may encounter occupational performance difficulties for several years. It is vital to use patient-reported outcome measures to identify these issues. This research enhances our comprehension of aneurysmal subarachnoid haemorrhage patients' self-perceived occupational performance and the factors that affect their performance.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trajectories of fatigue and related outcomes following mild acquired brain injury: a multivariate latent class growth analysis.","authors":"Tom Smejka, Daan Verberne, Jan Schepers, Claire Wolfs, Vera Schepers, Rudolf Ponds, Caroline Van Heugten","doi":"10.2340/jrm.v56.32394","DOIUrl":"10.2340/jrm.v56.32394","url":null,"abstract":"<p><strong>Objective: </strong>Fatigue is a common symptom following acquired brain injury although the severity and course differs for many individuals. This longitudinal study aimed to identify latent trajectory classes of fatigue and associated outcomes following mild brain injury.</p><p><strong>Methods: </strong>204 adults with mild traumatic brain injury (159; 78%) or minor stroke (45; 22%) were assessed 4 times over 1 year. Subjective measures of fatigue, anxiety, depression, cognitive complaints and societal participation were collected. Multivariate Latent Class Growth Analysis identified classes of participants with similar longitudinal patterns. Demographic and injury characteristics were used to predict class membership.</p><p><strong>Results: </strong>Analysis revealed four classes. Class 1 (53%) had mild, decreasing fatigue with no other problems. Class 2 (29%) experienced high persistent fatigue, moderate cognitive complaints and societal participation problems. Class 3 (11%) had high persistent fatigue with anxiety, depression, cognitive complaints and participation problems. Class 4 (7%) experienced decreasing fatigue with anxiety and depression but no cognitive or participation problems. Women and older individuals were more likely to be in class 2.</p><p><strong>Conclusion: </strong>Half the participants had a favourable outcome while the remaining classes were characterised by persistent fatigue with cognitive complaints (class 2), decreasing fatigue with mood problems (class 4) or fatigue with both cognitive and mood problems (class 3). Fatigue treatment should target combinations of problems in such individual trajectories after mild brain injury.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10985494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}