Annals of Physical and Rehabilitation Medicine最新文献

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Simulated breathing in virtual reality does not affect perceived effort during the physical rehabilitation of people with long COVID.
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2025-01-22 DOI: 10.1016/j.rehab.2024.101922
Yann Moullec, Justine Saint-Aubert, Anatole Lécuyer, Quentin Bidard, Isabelle Bonan, Mélanie Cogné
{"title":"Simulated breathing in virtual reality does not affect perceived effort during the physical rehabilitation of people with long COVID.","authors":"Yann Moullec, Justine Saint-Aubert, Anatole Lécuyer, Quentin Bidard, Isabelle Bonan, Mélanie Cogné","doi":"10.1016/j.rehab.2024.101922","DOIUrl":"https://doi.org/10.1016/j.rehab.2024.101922","url":null,"abstract":"<p><strong>Objective: </strong>To assess the effectiveness of simulated breathing in virtual reality (VR) for manipulating the level of perceived effort of people with long COVID during sessions of physical rehabilitation.</p><p><strong>Methods: </strong>We conducted a within-participants randomized prospective study during a cycling exercise in immersive VR with three counterbalanced conditions of simulated breathing: slower breathing, neutral breathing, and faster breathing compared to theirs. 37 participants with long COVID and deconditioning were included in the study, 36 of which could finish the experiment.</p><p><strong>Results: </strong>The study did not show any influence of the rate of the simulated breathing on participants' perceived effort, which was the primary judgment criterion. We did not find any effect of simulated breathing rate on perceived fatigue, cybersickness and embodiment (VR metrics), and preference. However, higher actual breathing rates were observed in the condition with faster simulated breathing.</p><p><strong>Conclusion: </strong>The study did not show the effectiveness of using simulated breathing in VR to manipulate perceived effort during the physical rehabilitation of people with long COVID. Nevertheless, our results suggest that this technique is feasible, as only one participant dropped out due to their symptoms, as most participants had a good appreciation of the system, and reported feeling rather strong embodiment and weak cybersickness.</p>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 4","pages":"101922"},"PeriodicalIF":3.9,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Intensive interdisciplinary specialized rehabilitation or regular physiotherapy for multiple sclerosis? A randomised controlled trial with economic evaluation. 强化跨学科专业康复还是常规物理治疗多发性硬化症?一项具有经济评价的随机对照试验。
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2025-01-15 DOI: 10.1016/j.rehab.2024.101898
C Bonnyaud, S Hameau, R Zory, M Sznajder, O Heinzlef, C Aymard, A Chenet, B Médée, M Jacota, P Gallien, D Bensmail
{"title":"Intensive interdisciplinary specialized rehabilitation or regular physiotherapy for multiple sclerosis? A randomised controlled trial with economic evaluation.","authors":"C Bonnyaud, S Hameau, R Zory, M Sznajder, O Heinzlef, C Aymard, A Chenet, B Médée, M Jacota, P Gallien, D Bensmail","doi":"10.1016/j.rehab.2024.101898","DOIUrl":"https://doi.org/10.1016/j.rehab.2024.101898","url":null,"abstract":"<p><strong>Background: </strong>The benefits of Interdisciplinary Rehabilitation in an Outpatient Specialised Unit (IROSU) have not been determined.</p><p><strong>Objectives: </strong>To compare the effects of IROSU and physiotherapy in the community on impairment, function and Quality Of Life (QoL) in people with Multiple Sclerosis (pwMS) and to determine the medico-economic impact.</p><p><strong>Methods: </strong>Pragmatic, multicentre, parallel, randomized (centralised computer-generated randomisation) controlled trial. 148 pwMS were analysed (73 in the IROSU group, 75 in the community group). IROSU included balance, stretching, walking, resistance and endurance training. The 6-Minute Walk Test (6MWT) was the primary outcome. Secondary outcomes were speed over 10 m, Timed Up and Go and Stair test, balance (Berg Balance Scale, posturology), knee extensor and flexor strength (isokinetic dynamometer), peak power output (cycling test), fatigue (Fatigue Severity Scale, Modified Fatigue Impact Scale), QoL (EuroQol EQ5D3 L, SEP59), anxiety and depression (Hospital Anxiety and Depression scale) and Multiple Sclerosis Impact Scale. Evaluations were performed before, after 4 weeks of training and 3 and 6 months after the start by therapists blinded to group allocation. Linear mixed effect models were used (intention-to-treat analysis). Cost-effectiveness and cost-utility ratios were analysed.</p><p><strong>Results: </strong>6MWT increased similarly in both groups from baseline to M1 (423.8 (126.7) m to 476.0 (119) m IROSU, 404.4 (99.3) m to 440.5 (112.1) m community, P < 0.001), to M3 (P < 0.001) and to M6 (P = 0.001). Knee extensor strength, power output and QoL-physical health improved significantly more in IROSU group (P < 0.05, effect size 0.25-0.61). Many improvements were maintained at the 6-month follow-up. Gain in quality adjusted life years and cost-utility ratios were in favour of IROSU.</p><p><strong>Conclusions: </strong>Walking distance improved similarly in both groups but this was underpowered. The larger improvements in secondary outcomes and quality-adjusted life years after IROSU, maintained at the 6-month follow-up, suggest pwMS should have access to this program each year.</p><p><strong>Trial registration clinical trials: </strong>NCT01871818.</p>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 2","pages":"101898"},"PeriodicalIF":3.9,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Comparative effectiveness of various exercise interventions on central sensitisation indices: A systematic review and network meta-analysis. 各种运动干预对中枢致敏指标的比较有效性:系统综述和网络荟萃分析。
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2025-01-15 DOI: 10.1016/j.rehab.2024.101894
Aya Abd Elkhabir Ibrahim, Daniel F McWilliams, Stephanie L Smith, Wendy J Chaplin, Mitra Salimian, Vasileios Georgopoulos, Afroditi Kouraki, David A Walsh
{"title":"Comparative effectiveness of various exercise interventions on central sensitisation indices: A systematic review and network meta-analysis.","authors":"Aya Abd Elkhabir Ibrahim, Daniel F McWilliams, Stephanie L Smith, Wendy J Chaplin, Mitra Salimian, Vasileios Georgopoulos, Afroditi Kouraki, David A Walsh","doi":"10.1016/j.rehab.2024.101894","DOIUrl":"https://doi.org/10.1016/j.rehab.2024.101894","url":null,"abstract":"<p><strong>Background: </strong>Central sensitisation (CS) increases musculoskeletal pain. Quantitative sensory testing (QST) or self-report questionnaires might indicate CS. Indices of CS might be suppressed by exercise, although the optimal exercise regimen remains unclear.</p><p><strong>Objectives: </strong>We conducted a systematic review and network meta-analysis (NMA) to investigate effectiveness of different exercise regimens on these CS indices in adults.</p><p><strong>Methods: </strong>We searched 6 electronic databases from inception to November 2023. Meta-analysis of randomised controlled trials (RCTs) investigated effects of exercise on all CS indices. Two independent reviewers assessed risk of bias. NMA of RCTs compared CS indices between exercise types. Sensitivity analysis using only high-quality studies was performed to verify the robustness of our results. Certainty was assessed using the GRADE approach.</p><p><strong>Results: </strong>Of the 249 eligible studies identified, 164 were RCTs, of which 89 provided data suitable for NMA. Meta-analysis revealed large improvement of post-intervention CS indices compared to baseline (SMD -0.81, 95 % CI -0.93 to -0.70). All reported categories of exercise, except stretching exercise alone, were more effective than non-exercise controls. Combined exercises that include stretching together with strengthening exercises (SMD -1.67, 95 % Credible Interval (CrI) -2.41 to -0.97), or strengthening, stretching and aerobic components (SMD -1.61, 95 % CrI -2.74 to -0.56) were most effective at reducing CS indices compared to non-exercise controls. Sensitivity analysis confirmed the robustness of our findings, particularly for combined stretching and strengthening exercise.</p><p><strong>Conclusions: </strong>Our meta-analysis suggested that various exercise interventions are effective in improving CS. Multi-component exercise tends to be the most effective, but some exercise combinations might be better than others. Combined exercise featuring strengthening and stretching components, with or without aerobic exercise, shows the greatest likelihood among other combinations of being the optimal exercise type. These findings might have utility informing future trials and personalising treatment strategies for people with CS features.</p>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 4","pages":"101894"},"PeriodicalIF":3.9,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Writing and drawing tilts after right hemisphere stroke are signs of a wrong verticality representation. 书写和绘画在右半球笔划后倾斜是错误的垂直表示的标志。
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2025-01-15 DOI: 10.1016/j.rehab.2024.101923
Rémi Lafitte, Flora Diaine, Shenhao Dai, Olivier Carré, Eve Dupierrix, Caroline Jolly, Céline Piscicelli, Dominic Pérennou
{"title":"Writing and drawing tilts after right hemisphere stroke are signs of a wrong verticality representation.","authors":"Rémi Lafitte, Flora Diaine, Shenhao Dai, Olivier Carré, Eve Dupierrix, Caroline Jolly, Céline Piscicelli, Dominic Pérennou","doi":"10.1016/j.rehab.2024.101923","DOIUrl":"https://doi.org/10.1016/j.rehab.2024.101923","url":null,"abstract":"<p><strong>Background: </strong>Many signs of spatial dysgraphia and drawing errors after right hemispheric stroke (RHS) have been attributed to spatial neglect or impaired sensory feedback. Counterclockwise (contralesional) tilts of graphomotor productions remained to be explained.</p><p><strong>Objective: </strong>To test whether graphomotor tilts stem from a tilted representation of verticality transposed to the top/bottom axis of the sheet of paper, using data from the DOBRAS cohort.</p><p><strong>Methods: </strong>Handwriting and drawing orientations were measured from the writing of 3 lines and the drawing of the Gainotti Figure (house roof lines). Verticality perception was measured with the visual (VV) and postural (PV) verticals. Severity of extra-body (EBN) and body (BN) neglect were each quantified with composite scores (battery of 8 tests).</p><p><strong>Results: </strong>We analyzed data from 133 individuals: 64 healthy individuals (median [Q1; Q3] age 63 [59; 71] years) and 69 in the subacute phase after RHS (median age 68 [62; 73] years). With respect to normal cut-offs (writing -5.4°; drawing -8.1°), 26/69 (38 %) individuals with RHS showed at least one graphomotor tilt (median [IQR] writing tilt:6.8° [-9.7; -1.7]; drawing tilt:10.9° [-17.6; -6.4]). Compared to individuals without graphomotor tilts, those with both writing and drawing tilts showed greater contralesional tilts in verticality perception (VV:1.4° [-4; 0.6] vs -7.9° [-11.5; - 7.5]; PV:1° [-2.4; 0.2] vs -8° [-9; -5.4], P-values ≤0.001) and more severe spatial neglect (EBN: 4.2 [1.8; 9.3] vs 16.6 [10.2; 20.4]; BN: 22.7 [17; 28.2] vs 37.8 [35.9; 39.7], P-values ≤0.001). Composite graphomotor z-scores for writing and drawing correlated with verticality estimates (VV+PV, r<sub>s</sub> =0.46, P < 10<sup>-4</sup>) and spatial neglect scores (EBN+BN, r<sub>s</sub> = -0.36, P < 0.01).</p><p><strong>Conclusion: </strong>Contralesional tilts of writing and drawing after RHS are primarily related to a tilted representation of verticality and secondarily to spatial neglect. They are easy to detect and could be considered a first step to perform early, before conventional tests of verticality perception.</p><p><strong>Registration: </strong>ClinicalTrials.gov: NCT03203109.</p>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 4","pages":"101923"},"PeriodicalIF":3.9,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Motor imagery does not effectively improve walking-related performance in older adults: A randomised controlled trial. 运动意象不能有效改善老年人步行相关表现:一项随机对照试验。
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2025-01-15 DOI: 10.1016/j.rehab.2024.101899
Vaughan Nicholson, Michael Steele, Peter Wilson
{"title":"Motor imagery does not effectively improve walking-related performance in older adults: A randomised controlled trial.","authors":"Vaughan Nicholson, Michael Steele, Peter Wilson","doi":"10.1016/j.rehab.2024.101899","DOIUrl":"https://doi.org/10.1016/j.rehab.2024.101899","url":null,"abstract":"<p><strong>Background: </strong>Inaccurate perception of one's physical abilities is potentially related to age-related declines in motor planning and can lead to changes in walking. Motor imagery training is effective at improving balance and walking in older adults, but most research has been conducted on older adults following surgery or in those with a history of falls. Deficits in motor imagery ability are associated with reduced executive function in older adults with cognitive impairment.</p><p><strong>Objectives: </strong>To determine whether walking-specific motor imagery training could improve walking performance (physical and imagined) in healthy older adults, and identify the relationship between actual and imagined movement, motor imagery accuracy and executive function across 5 different walking tasks in healthy older adults.</p><p><strong>Methods: </strong>A cohort of 53 community dwelling older adults took part in a 4-wk randomized controlled trial to assess the effect of motor imagery training on the physical and imagined performance of 5 walking-related tasks (3 narrow path walking tasks, Timed-up and go and step-over test), together with motor imagery clarity using the kinesthetic and visual imagery questionnaire (KVIQ-10). The association between physical performance, motor imagery accuracy and executive function were identified at baseline.</p><p><strong>Results: </strong>Four weeks of motor imagery training did not improve walking-specific performance (imagined or physical) compared to no-training. Motor imagery training did improve the visual clarity of imagined non-walking tasks. Executive function was significantly correlated with 2 out of 5 imagined walking tasks and 4 out of 5 physical walking tasks but was not associated with motor imagery accuracy.</p><p><strong>Conclusion: </strong>Four weeks of motor imagery training is not effective at improving performance in walking-related tasks in healthy older adults. This lack of improvement may be due in part to the high functional ability of the cohort. Future research should assess the relationship between motor planning and executive function with more complex walking tasks.</p><p><strong>Trial registration: </strong>ANZCTR registration (ACTRN12619001784101).</p>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 4","pages":"101899"},"PeriodicalIF":3.9,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Atrophy of posterior spinal muscles in aging women with painful idiopathic lumbar or thoracolumbar scoliosis. Case-control study analyzing camptocormia. 老年妇女疼痛性特发性腰椎或胸腰椎侧凸后脊柱肌肉萎缩。喜树病病例对照研究。
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2025-01-13 DOI: 10.1016/j.rehab.2024.101896
Nicolas Tourette, Shenhao Dai, Shahab Fardjad, Catherine Cyteval, Dominic Pérennou
{"title":"Atrophy of posterior spinal muscles in aging women with painful idiopathic lumbar or thoracolumbar scoliosis. Case-control study analyzing camptocormia.","authors":"Nicolas Tourette, Shenhao Dai, Shahab Fardjad, Catherine Cyteval, Dominic Pérennou","doi":"10.1016/j.rehab.2024.101896","DOIUrl":"https://doi.org/10.1016/j.rehab.2024.101896","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 2","pages":"101896"},"PeriodicalIF":3.9,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Cervical extensor muscle activity during neck tasks in individuals with and without neck pain: A systematic review. 颈伸肌活动在颈部任务的个人有或没有颈部疼痛:一个系统的回顾。
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2025-01-11 DOI: 10.1016/j.rehab.2024.101910
David Colman, Stéphanie Grosdent, Christophe Demoulin, Cédric Schwartz, Nancy Durieux, Pierre Pesesse, Charlotte Beaudart, Barbara Cagnie, Antoine Dewalque, Marc Vanderthommen
{"title":"Cervical extensor muscle activity during neck tasks in individuals with and without neck pain: A systematic review.","authors":"David Colman, Stéphanie Grosdent, Christophe Demoulin, Cédric Schwartz, Nancy Durieux, Pierre Pesesse, Charlotte Beaudart, Barbara Cagnie, Antoine Dewalque, Marc Vanderthommen","doi":"10.1016/j.rehab.2024.101910","DOIUrl":"https://doi.org/10.1016/j.rehab.2024.101910","url":null,"abstract":"<p><strong>Background: </strong>In the context of neck pain, neck muscle activity adapts through diverse regional coordination modifications during tasks. Although patterns of cervical flexor muscle impairment are well-documented, patterns in the cervical extensor muscles are less clear, hindering assessment and treatment. Despite studies revealing adaptations in the cervical extensor muscles, outcome measure heterogeneity complicates interpretation, particularly between superficial and deep muscles. To address this, we conducted a systematic review comparing neck extensor muscle activity between symptomatic and asymptomatic groups during tasks, aiming to inform clinical practice.</p><p><strong>Objectives: </strong>To compare the cervical extensor muscle activity during neck tasks between symptomatic and asymptomatic groups, using complementary examination tools.</p><p><strong>Methods: </strong>Up to January 2024, experimental studies assessing cervical extensor muscle activity during neck tasks in adults with idiopathic or traumatic neck pain, or cervicogenic headache compared to healthy controls were included. Study selection involved 2 blinded reviewers. Electronic databases (Medline, Scopus, and Embase), reference lists, and relevant reviews were screened. Data extraction focused on the results of the between-group motor activity comparisons. Critical appraisal used the JBI appraisal checklist for analytical cross-sectional studies.</p><p><strong>Results: </strong>Twenty-three studies met the inclusion criteria, involving 932 participants and reporting 170 comparative assessments of 8 muscle groups, encompassing 4 main motor activity outcomes: recruitment, timing, fatigue, and directional activation. Significant differences were noted for motor recruitment in 51 % of comparisons, for timing in 35 %, and fatigue in 33 %, with consistent differences in directional activation. Impaired activity in individuals with neck pain compared to those without was found in 47 % of comparisons for superficial muscles and 65 % for deep muscles.</p><p><strong>Conclusions: </strong>Motor activity adaptations during neck tasks appear to be unpredictable in individuals with neck pain, with a tendency for change in the deep cervical extensor muscles. Further high-quality studies are needed to confirm these findings, considering various contraction parameters, multiple muscle analyses, and several motor activity outcomes.</p><p><strong>Trial registration: </strong>PROSPERO International Prospective Register of Systematic Review CRD42022285864.</p>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 3","pages":"101910"},"PeriodicalIF":3.9,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Complications of intrathecal baclofen therapy for spasticity: A single-centre cohort of 170 individuals. 鞘内巴氯芬治疗痉挛的并发症:由 170 人组成的单中心队列。
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2025-01-10 DOI: 10.1016/j.rehab.2024.101919
Matthieu Gahier, Thomas Hirardot, Kévin Buffenoir, Brigitte Perrouin-Verbe, Raphaël Gross
{"title":"Complications of intrathecal baclofen therapy for spasticity: A single-centre cohort of 170 individuals.","authors":"Matthieu Gahier, Thomas Hirardot, Kévin Buffenoir, Brigitte Perrouin-Verbe, Raphaël Gross","doi":"10.1016/j.rehab.2024.101919","DOIUrl":"https://doi.org/10.1016/j.rehab.2024.101919","url":null,"abstract":"<p><strong>Background: </strong>Intrathecal baclofen (ITB) therapy effectively reduces severe spasticity but is associated with complications that can be serious. The evolution of these complications over time and their predictive factors are not well known.</p><p><strong>Objectives: </strong>The primary aim was to describe the incidence of ITB complications in adults with neurological disorders and disabling spasticity. The secondary aims were to describe the complications and the time-course of their incidence, to identify factors associated with complications, and to evaluate ITB effectiveness.</p><p><strong>Method: </strong>We conducted a retrospective, single-centre, longitudinal observational study of data from people implanted with an ITB pump between 1995 and 2023. We calculated the incidence of complications overall and per category, and their evolution over the study period. Factors associated with complications were searched among demographic, clinical, device-related, and ITB dose characteristics. Effectiveness of ITB therapy was assessed using a goal-achievement scale.</p><p><strong>Results: </strong>Data from 170 individuals were included (1577 years of ITB therapy); 198 complications were reported. Complication incidence was 0.13 events per pump-year and rate was 0.63 events per implantation. 49 % of complications were device related, 31 % procedure related and 20 % drug related. Surgical intervention was required for 63 % of complications. The main risk factors were walking capacity with odds ratio (OR) 3.12 (95 % CI 1.14 to 9.10, P = 0.030), and pre-Ascenda catheters with OR 3.36 (95 % CI 1.28 to 9.10, P = 0.014). Synchromed II pumps were associated with a higher risk of procedure-related complications: OR 3.41 (95 % CI 1.14 to 12.12, P = 0.039). Complication incidence decreased continuously during the study period, mainly because of a reduction in the number of device-related complications. Goals were partially achieved in 51 % of participants and achieved in 37 %.</p><p><strong>Conclusions: </strong>The incidence of complications associated with ITB therapy was high, and complications were mostly serious (requiring hospitalisation and/or life threatening). We recommend thorough examination of the benefits and risks of ITB therapy for each individual and systematic screening for dysfunctions at follow-up visits.</p>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 3","pages":"101919"},"PeriodicalIF":3.9,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Role of exercise on pain, functional capacity, and inflammatory biomarkers in osteoarthritis: A systematic review and meta-analysis. 运动对骨关节炎疼痛、功能能力和炎症生物标志物的作用:系统回顾和荟萃分析。
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2025-01-10 DOI: 10.1016/j.rehab.2024.101909
C Mauri, C Cerulli, E Grazioli, C Minganti, E Tranchita, A Scotto di Palumbo, A Parisi
{"title":"Role of exercise on pain, functional capacity, and inflammatory biomarkers in osteoarthritis: A systematic review and meta-analysis.","authors":"C Mauri, C Cerulli, E Grazioli, C Minganti, E Tranchita, A Scotto di Palumbo, A Parisi","doi":"10.1016/j.rehab.2024.101909","DOIUrl":"https://doi.org/10.1016/j.rehab.2024.101909","url":null,"abstract":"<p><strong>Background: </strong>Osteoarthritis (OA) is a complex disease that causes pain, stiffness and swelling, limiting function and mobility, thus interfering with daily life and affecting personal, social, and psychological aspects of life.</p><p><strong>Objective: </strong>To evidence the role of exercise on pain reduction and the effectiveness of one type of training over another in terms of pain, functional capacity, and inflammatory biomarkers in OA.</p><p><strong>Methods: </strong>Studies retrieved from Web of Science, PubMed and Scopus databases were systematically reviewed. RCTs involving physical exercise interventions in participants with OA were included. The 3 main outcomes considered in the systematic review were pain, functional capacity and inflammatory biomarkers. The effects of different types of interventions (aerobic, resistance, combined, neuromuscular and others) were analysed for each outcome. Systematic review and meta-analysis were conducted following the PRISMA Statement.</p><p><strong>Results: </strong>21 studies were included in the systematic review and 11 in the meta-analysis. The meta-analysis was conducted on pain in training intervention subgroups, showing a larger effect size for neuromuscular training -2,26 (95 % CI -4,37 to -0,14). Functional capacity and inflammatory biomarkers were analysed only with a systematic review because it was not possible to estimate the efficacy of the different training protocols with a meta-analysis.</p><p><strong>Conclusion: </strong>Neuromuscular training protocols seem to be the most effective in reducing pain in OA. Direct comparison of different training treatment options on functional capacity and inflammatory biomarkers for OA is not currently feasible in practice, due to the heterogeneity of the test and the small number of studies. High-quality physical exercise intervention studies are warranted to estimate their effectiveness more accurately on pain, functional capacity, and inflammatory status in OA.</p><p><strong>Prospero registration number: </strong>CRD42023481061.</p>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 3","pages":"101909"},"PeriodicalIF":3.9,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
A multicenter survey identifying the status of early rehabilitation in intensive care units in Korea. 一项多中心调查确定了韩国重症监护病房的早期康复状况。
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2025-01-10 DOI: 10.1016/j.rehab.2024.101908
Jungmi Yun, Yerin Baek, Rayu Yun, Woo Hyun Cho, Taehwa Kim
{"title":"A multicenter survey identifying the status of early rehabilitation in intensive care units in Korea.","authors":"Jungmi Yun, Yerin Baek, Rayu Yun, Woo Hyun Cho, Taehwa Kim","doi":"10.1016/j.rehab.2024.101908","DOIUrl":"https://doi.org/10.1016/j.rehab.2024.101908","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 2","pages":"101908"},"PeriodicalIF":3.9,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
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