Journal of Rehabilitation Medicine最新文献

{"title":"Medical complications in children with central nervous system injuries during inpatient rehabilitation.","authors":"Kristine Marie M Vege, Grethe Månum, Katharina S Sunnerhagen, Frank Becker","doi":"10.2340/jrm.v58.44907","DOIUrl":"10.2340/jrm.v58.44907","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the occurrence and consequences of medical complications during inpatient rehabilitation of children with central nervous system (CNS) injury.</p><p><strong>Design: </strong>A prospective observational study conducted at a tertiary rehabilitation centre.</p><p><strong>Subjects: </strong>Participants aged 2 to 17 years with acquired CNS injury requiring multidisciplinary inpatient rehabilitation.</p><p><strong>Methods: </strong>Data were collected from medical charts and questionnaires on admission and discharge, assessing predefined complications and associated impacts on the rehabilitation process.</p><p><strong>Results: </strong>Of the 64 participants, 59 experienced a total of 183 instances of medical complications, comprising 19 distinct complication types. Most common were sleep disturbances, pain, -constipation, anaemia, infections, spasticity, and malnutrition. No significant correlation was observed between the occurrence of complications and age, gender, or diagnosis group. In total, 74% of the complications were found to have no impact on the rehabilitation process; however, malnutrition, infections, and spasticity could notably lead to interrupted or prolonged stays, altered rehabilitation goals, and worsened functional prognoses.</p><p><strong>Conclusion: </strong>Medical complications frequently occur during inpatient rehabilitation. While many have no significant consequences, malnutrition, infections, and spasticity in particular warrant further attention clinically and in future research.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm44907"},"PeriodicalIF":2.3,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13273623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254540","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":"Suprapubic catheter insertion in people with multiple sclerosis: long-term complications and survival in a retrospective cohort study.","authors":"Lisa Grandidge, Amin Mohamed Abu Baker, Steven Kennish, Krishnan Padmakumari Sivaraman Nair","doi":"10.2340/jrm.v58.45600","DOIUrl":"10.2340/jrm.v58.45600","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate complications and survival following radiologically guided suprapubic catheter insertion in people with multiple sclerosis.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Subjects/patients: </strong>All patients with multiple sclerosis who underwent radiologically guided suprapubic catheter insertion at a tertiary regional multiple sclerosis centre in the United Kingdom between 2014 and 2020.</p><p><strong>Methods: </strong>Clinical and demographic data were obtained from medical records. Immediate complications occurring within 30 days and delayed complications occurring after 30 days were recorded. Kaplan-Meier and Cox regression analyses were performed to assess survival predictors.</p><p><strong>Results: </strong>Fifty-five patients underwent suprapubic catheter insertion. At the time of insertion, mean age was 62 years (standard deviation 11) and median duration of multiple sclerosis was 17.5 years (1st quartile = 12.0; 3rd quartile = 25.8). Immediate and delayed complication rates were 16% (9) and 27% (15), respectively. Five-year survival was 73%. Older age, higher disability scores, longer disease duration, and discharge to residential care were associated with poorer survival. Complications, sex, and mobility status were not associated with mortality.</p><p><strong>Conclusion: </strong>Radiologically guided suprapubic catheter insertion was associated with moderate complication rates and long-term survival in people with multiple sclerosis. These findings may allow better understanding of the potential complications of suprapubic catheterization in advanced multiple sclerosis.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45600"},"PeriodicalIF":2.3,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13244244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159140","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":"Commentary on \"Does aerobic exercise affect memory, attention, working memory, and fatigue after acquired brain injury? A single-blinded randomized controlled pilot study\".","authors":"Palakdeep Kaur, Raju Kumar, Nitin Kumar Indora","doi":"10.2340/jrm.v58.45973","DOIUrl":"10.2340/jrm.v58.45973","url":null,"abstract":"","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45973"},"PeriodicalIF":2.3,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13244242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159123","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":"Effect of home-based rehabilitation in frail older adults after cardiac surgery: a prospective feasibility study.","authors":"Ambre Komonski, Killian Jouanneau, Anne Sophie Boureau, Jeremie Huet","doi":"10.2340/jrm.v58.45667","DOIUrl":"10.2340/jrm.v58.45667","url":null,"abstract":"<p><strong>Introduction: </strong>Frail older adults undergoing cardiac surgery are vulnerable to postoperative complications and functional decline. Vivifrail is a structured, multicomponent exercise programme designed to enhance physical performance. This study evaluated its feasibility in the postoperative period.</p><p><strong>Methods: </strong>A non-interventional, prospective, single-centre, study was conducted at Nantes University Hospital between March and December 2024. Patients aged ≥ 75 years, with a baseline Short Physical Performance Battery test (SPPB) score < 9 were included. SPPB, Timed Up and Go (TUG), and handgrip tests were performed at baseline (D0) and 6 weeks (W6). The primary outcome was to assess feasibility based on recruitment, retention rate, and physical performance at W6.</p><p><strong>Results: </strong>Among 45 eligible patients, 38 accepted the programme; 29 returned for assessment at W6. Mean programme completion rate was 54%. All functional assessments improved meaningfully over time, but adherence did not significantly modify these trajectories. However, adherent participants showed lower frailty at W6.</p><p><strong>Conclusion: </strong>Home-based rehabilitation using Vivifrail proved to be feasible for frail older adults during postoperative recovery. Clinically meaningful improvements were observed in physical performance during the first 6 weeks of the programme. Future research should confirm this trend and consider Vivifrail for patients who cannot access specialized rehabilitation centres.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45667"},"PeriodicalIF":2.3,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13248081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159102","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":"Occupational performance priorities and outcomes in long-term transitional rehabilitation for young adults with acquired brain injury.","authors":"Charlotte Heurlin, Marie-Louise Schult, Aniko Barfai, Annelie Rosén, Jan Ekholm, Monika Löfgren","doi":"10.2340/jrm.v58.45144","DOIUrl":"10.2340/jrm.v58.45144","url":null,"abstract":"<p><strong>Background: </strong>In a new long-term transitional rehabilitation service following acquired brain injury, occupational performance problems are analysed.</p><p><strong>Aim: </strong>The objective was to describe these problems and the participants' prioritization, and also to describe the changes between admission and discharge. Another objective was to describe changes in assessed independence-related disability.</p><p><strong>Design: </strong>Observational clinical study.</p><p><strong>Patients: </strong>Young adults (18-25 years), (n = 46), who had earlier undergone traditional medical rehabilitation following acquired brain injury.</p><p><strong>Methods: </strong>The Canadian Occupational Performance Measure (COPM) was used on both admission and discharge. Independence-related general disability was assessed using the Glasgow Outcome Scale-Extended (GOSE).</p><p><strong>Results: </strong>Patients identified 122 occupational performance problems as important. Most problems were in socialization (3/7), community activities (1/3), and finding paid or unpaid work (1/4). Self-rated levels of performance and satisfaction in COPM were significantly higher on discharge compared with admission. The range of GOSE scores increased from 4-6 to 4-8 between admission and discharge.</p><p><strong>Conclusion: </strong>Young adults with acquired brain injury tend to prioritize rehabilitation goals to reduce difficulties in establishing relationships and/or in professional life. On discharge, ratings of implementation and satisfaction of performance were distinctly elevated, while assessed global disability was decreased.</p><p><strong>Clinical rehabilitation impact: </strong>The results highlight the need for transitional rehabilitation for patient-centred remediating measures.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45144"},"PeriodicalIF":2.3,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13244243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159143","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":"Commentary on \"Factors associated with long-term functional outcomes and participation in patients with colorectal cancers\".","authors":"Mahesh Alias Vibhav Sanzgiri, Saumya Dixit","doi":"10.2340/jrm.v58.45830","DOIUrl":"10.2340/jrm.v58.45830","url":null,"abstract":"","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45830"},"PeriodicalIF":2.3,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13213409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018929","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":"The effect of combined motor and cognitive rehabilitation on motor performance in Parkinson's disease: a systematic review and meta-analysis.","authors":"Luisa Cacciante, Alex Lando, Emine Gulden Ozcan, Daniela D'Imperio, Roberto Meroni, Agnieszka Guzik, Mariusz Drużbicki, Błażej Cieślik, Paweł Kiper","doi":"10.2340/jrm.v58.45360","DOIUrl":"10.2340/jrm.v58.45360","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effectiveness of sequential and simultaneous motor and cognitive treatment on motor functions, activities of daily living, and quality of life in people with Parkinson's disease.</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Subjects/patients: </strong>Patients with Parkinson's disease.</p><p><strong>Methods: </strong>A search was conducted in PubMed, Embase, Scopus, Web of Science, and Cochrane Library. Functional mobility was assessed as the main outcome, and balance, gait, activities of daily living, and quality of life as secondary outcomes. Meta-analyses were conducted using mean difference or standardized mean difference with 95% confidence intervals and fixed or random effect models. Heterogeneity was explored, setting a cut-off value of I2 = 50%.</p><p><strong>Results: </strong>Sixteen studies were included, with 8 -eligible for meta-analysis. Results showed that sequential combined treatment offered no clear advantage over motor rehabilitation alone for functional mobility, although a significant benefit was found for activities of daily living. Results on simultaneous combined treatment suggested improvements in quality of life, but no significant differences between treatments for functional mobility.</p><p><strong>Conclusion: </strong>Motor-cognitive approaches may enhance prefrontal cortex efficiency, supporting complex motor tasks and reducing the risk of falls. Future research should elucidate neural mechanisms and compare simultaneous and sequential strategies to develop personalized, multidisciplinary rehabilitation protocols.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm45360"},"PeriodicalIF":2.3,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13213410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018880","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":"Prognostic profiles for discharge destination identified during intensive care unit admission: a decision tree analysis.","authors":"Sho Otsubo, Daisuke Kawakami, Shota Okuno, Kenta Kawamitsu, Shumpei Yoshino","doi":"10.2340/jrm.v58.44237","DOIUrl":"10.2340/jrm.v58.44237","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to develop a decision tree-based model to identify prognostic patient profiles associated with discharge destination during intensive care unit admission.</p><p><strong>Design: </strong>Historical cohort study using decision tree analysis.</p><p><strong>Subjects/patients: </strong>300 critically ill patients selected from 857 intensive care unit admissions after applying exclusion criteria.</p><p><strong>Methods: </strong>The primary outcome was discharge destination (home vs non-home). Candidate variables included demographics, frailty, illness severity scores, delirium, ventilator duration, intensive care unit length of stay, and physical function on intensive care unit discharge. Terminal nodes were interpreted as prognostic profiles.</p><p><strong>Results: </strong>Decision tree analysis identified profiles based on Acute Physiology and Chronic Health Evaluation II score, intensive care unit length of stay, Functional Status Score for the Intensive Care Unit, and age. A profile with lower initial severity and prolonged stay was associated with non-home discharge (area under the curve 0.76). Conversely, a profile with higher initial severity, preserved functional mobility (Functional Status Score for the Intensive Care Unit ≥ 5), and age < 80 years was associated with home discharge (area under the curve 0.77).</p><p><strong>Conclusion: </strong>Combinations of illness severity, length of stay, functional status, and age-defined prognostic profiles were associated with discharge destination during intensive care unit admission.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm44237"},"PeriodicalIF":2.3,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13196278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147977392","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":"Non-inferiority of digitally assisted outpatient rehabilitation in patients with back pain: 12-month follow-up of a randomized controlled trial.","authors":"Richard Albers, Stella Lemke, David Fauser, Franziska Schäffer, Sebastian Knapp, Gert Krischak, Matthias Bethge","doi":"10.2340/jrm.v58.44366","DOIUrl":"10.2340/jrm.v58.44366","url":null,"abstract":"<p><strong>Objective: </strong>To examine the non-inferiority of digitally assisted, multimodal rehabilitation that utilizes a digital version of a standardized back school (intervention group) compared with a rehabilitation program applying the back school conventionally in person (control group).</p><p><strong>Design: </strong>Nonblinded, randomized, controlled, non-inferiority trial with 12-month follow-up after the end of rehabilitation.</p><p><strong>Subjects/patients: </strong>Adults aged 18-65 years with back pain.</p><p><strong>Methods: </strong>The back school was part of a 3-week rehabilitation program along with other treatments in accordance with the therapy standards. Eight outpatient rehabilitation centers conducted the rehabilitation program. Self-reported pain self-efficacy (10-60 points) was the primary outcome. Non-inferiority was established if the lower limit of the one-sided 95% confidence interval was greater than -4 points for pain self-efficacy.</p><p><strong>Results: </strong>A total of 157 participants (55.3%) completed the 12-month follow-up. Multiple imputation of missing data allowed for inclusion of 270 participants in the analysis (intervention group: n = 127, control group: n = 143). Our primary adjusted intention- to-treat analysis demonstrated that digitally assisted rehabilitation was non-inferior to conventional rehabilitation at the 12-month follow-up (b = 0.48; 95% CI = -3.09 to ∞).</p><p><strong>Conclusion: </strong>This study supports the hypothesis that digitally assisted rehabilitation is a viable alternative to in-person rehabilitation for patients with back pain.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm44366"},"PeriodicalIF":2.3,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13196279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147977327","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":"Efficacy of ultrasound-guided intra-articular hyaluronic acid injection in the management of adhesive capsulitis: a randomized controlled trial.","authors":"Chih-Ya Chang, Ching-Ting Chen, Yung-Hsiang Lin, Chi-Fu Chiang, Yi-Wen Mao, Li-Wei Chou","doi":"10.2340/jrm.v58.44901","DOIUrl":"10.2340/jrm.v58.44901","url":null,"abstract":"<p><strong>Objective: </strong>To compare the efficacy and safety of ultrasound-guided intra-articular hyaluronic acid injection versus supervised rehabilitation in patients with frozen-phase adhesive capsulitis.</p><p><strong>Design: </strong>Single-center, parallel-group, randomized controlled trial with 26-week follow-up.</p><p><strong>Subjects/patients: </strong>Forty-six adults aged 40-70 years with clinically and radiologically confirmed frozen-phase adhesive capsulitis.</p><p><strong>Methods: </strong>Participants were randomly assigned to receive either three weekly ultrasound-guided intra-articular hyaluronic acid injections or supervised physical therapy twice weekly for six weeks. Outcomes assessed at baseline and at weeks 4, 6, 8, and 26 included the Shoulder Pain and Disability Index (SPADI) and shoulder range of motion.</p><p><strong>Results: </strong>Both groups achieved significant within-group improvements in SPADI and range of motion over 26 weeks (all p < 0.01 vs. baseline). No statistically significant between-group differences were observed in total SPADI or its pain and disability subscales at any follow-up time point (all p > 0.05). At week 26, the hyaluronic acid group's mean total SPADI decreased from 43.0 ± 17.7 to 16.1 ± 12.8 (p < 0.01), while the rehabilitation group improved from 52.0 ± 18.4 to 23.2 ± 21.8 (p < 0.01). Pain subscores were reduced by 64.3% (hyaluronic acid) and 56.1% (rehabilitation); function subscores decreased by 60.9% and 54.8%, respectively (all p < 0.01). Both groups showed significant gains in active and passive flexion, abduction, and external rotation, without significant between-group differences (all p > 0.05). No treatment-related adverse events were observed.</p><p><strong>Conclusion: </strong>Ultrasound-guided hyaluronic acid injection and supervised rehabilitation produced comparable and clinically meaningful improvements in pain, function, and shoulder mobility in frozen-phase adhesive capsulitis.</p>","PeriodicalId":54768,"journal":{"name":"Journal of Rehabilitation Medicine","volume":"58 ","pages":"jrm44901"},"PeriodicalIF":2.3,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13184811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943699","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}