Annals of Physical and Rehabilitation Medicine最新文献

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Outcomes of the My Therapy self-management program in people admitted for rehabilitation: A stepped wedge cluster randomized clinical trial 我的治疗 "自我管理计划在康复患者中的效果:阶梯式楔形群组随机临床试验。
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2024-08-21 DOI: 10.1016/j.rehab.2024.101867
Natasha K. Brusco , Christina L. Ekegren , Meg E. Morris , Keith D. Hill , Annemarie L. Lee , Lisa Somerville , Natasha A. Lannin , Rania Abdelmotaleb , Libby Callaway , Sara L. Whittaker , Nicholas F. Taylor , My Therapy Consortium
{"title":"Outcomes of the My Therapy self-management program in people admitted for rehabilitation: A stepped wedge cluster randomized clinical trial","authors":"Natasha K. Brusco ,&nbsp;Christina L. Ekegren ,&nbsp;Meg E. Morris ,&nbsp;Keith D. Hill ,&nbsp;Annemarie L. Lee ,&nbsp;Lisa Somerville ,&nbsp;Natasha A. Lannin ,&nbsp;Rania Abdelmotaleb ,&nbsp;Libby Callaway ,&nbsp;Sara L. Whittaker ,&nbsp;Nicholas F. Taylor ,&nbsp;My Therapy Consortium","doi":"10.1016/j.rehab.2024.101867","DOIUrl":"10.1016/j.rehab.2024.101867","url":null,"abstract":"<div><h3>Background</h3><p>Self-management programs can increase the time spent on prescribed therapeutic exercises and activities in rehabilitation inpatients, which has been associated with better functional outcomes and shorter hospital stays.</p></div><div><h3>Objectives</h3><p>To determine whether implementation of a self-management program (‘My Therapy’) improves functional independence relative to routine care in people admitted for physical rehabilitation.</p></div><div><h3>Methods</h3><p>This stepped wedge, cluster randomized trial was conducted over 54 weeks (9 periods of 6-week duration, April 2021 - April 2022) across 9 clusters (general rehabilitation wards) within 4 hospitals (Victoria, Australia). We included all adults (≥18 years) admitted for rehabilitation to participating wards. The intervention included routine care plus ‘My Therapy’, comprising a sub-set of exercises and activities from supervised sessions which could be performed safely, without supervision or assistance. The primary outcomes were the proportion of participants achieving a minimal clinically important difference (MCID) in the Functional Independence Measure, (FIM™) and change in total FIM™ score from admission to discharge.</p></div><div><h3>Results</h3><p>2550 participants (62 % women) were recruited (control: <em>n</em> = 1458, intervention: <em>n</em> = 1092), with mean (SD) age 77 (13) years and 37 % orthopedic diagnosis. Under intervention conditions, participants reported a mean (SD) of 29 (21) minutes/day of self-directed therapy, compared to 4 (SD 14) minutes/day, under control conditions. There was no evidence of a difference between control and intervention conditions in the odds of achieving an MCID in FIM™ (adjusted odds ratio 0.93, 95 % CI 0.65 to 1.31), or in the change in FIM™ score (adjusted mean difference: -0.27 units, 95 % CI -2.67 to 2.13).</p></div><div><h3>Conclusions</h3><p>My Therapy was delivered safely to a large, diverse sample of participants admitted for rehabilitation, with an increase in daily rehabilitation dosage. However, given the lack of difference in functional improvement with participation in My Therapy, self-management programs may need to be supplemented with other strategies to improve function in people admitted for rehabilitation.</p></div><div><h3>Trial registration</h3><p>Australian New Zealand Clinical Trials Registry (ACTRN12621000313831), <span><span>https://www.anzctr.org.au/</span><svg><path></path></svg></span></p></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"67 8","pages":"Article 101867"},"PeriodicalIF":3.9,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877065724000514/pdfft?md5=1689f75eac07299928ac1f9ebab4f478&pid=1-s2.0-S1877065724000514-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Cognitive communication disorders after brain injury: A systematic COSMIN review of measurement instruments 脑损伤后的认知交流障碍:COSMIN 对测量工具的系统回顾。
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2024-08-03 DOI: 10.1016/j.rehab.2024.101870
Carmen Verhoeks , Boudewijn Bus , Indira Tendolkar , Sophie Rijnen
{"title":"Cognitive communication disorders after brain injury: A systematic COSMIN review of measurement instruments","authors":"Carmen Verhoeks ,&nbsp;Boudewijn Bus ,&nbsp;Indira Tendolkar ,&nbsp;Sophie Rijnen","doi":"10.1016/j.rehab.2024.101870","DOIUrl":"10.1016/j.rehab.2024.101870","url":null,"abstract":"<div><h3>Background</h3><p>There is a lack of consensus on standardized measurement instruments (MIs) for the assessment of cognitive communication disorders in individuals with acquired brain injury (ABI).</p></div><div><h3>Objectives</h3><p>To identify and describe the currently available MIs for the assessment of cognitive communication disorders in individuals with ABI and to evaluate the psychometric properties of MIs.</p></div><div><h3>Methods</h3><p>A search was conducted in 6 databases on March 12, 2024 using a validated methodological search filter. We included studies that evaluated psychometric properties of MIs used to assess cognitive communication disorders in individuals with ABI. We applied the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) to evaluate the psychometric properties of the MIs.</p></div><div><h3>Results</h3><p>We included 48 records reporting on 44 MIs. Of all MIs, the La Trobe Communication Questionnaire (LCQ) and the St Andrew's-Swansea Neurobehavioural Outcome Scale (SASNOS) were studied most extensively. No MIs had undergone exhaustive methodological evaluation.</p></div><div><h3>Conclusions</h3><p>Based on the COSMIN, only 1 of 44 MIs can be recommended as its results can be trusted. Most MIs have the potential to be recommended but require further research to assess their psychometric quality. The development of new tools is not necessary but further methodological studies should be conducted on promising tools. This review may help clinicians and researchers to select an MI for the assessment of cognitive communication disorders and may facilitate diagnosis and research.</p><p><strong>Trial registration</strong>: PROSPERO database (registration number: CRD42020196861). No funding.</p></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"67 6","pages":"Article 101870"},"PeriodicalIF":3.9,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S187706572400054X/pdfft?md5=306009e03bdec4d35ebdca085fb06ef3&pid=1-s2.0-S187706572400054X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Transcranial magnetic stimulation to improve aphasia after right hemispheric stroke: A single case experimental design 经颅磁刺激改善右侧大脑半球中风后的失语症:单例实验设计
IF 4.6 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2024-06-05 DOI: 10.1016/j.rehab.2024.101858
Sophie Arheix-Parras, Mathilde du Puy de Goyne, Julie Franco, Marie Villain, Bertrand Glize , Grégoire Python
{"title":"Transcranial magnetic stimulation to improve aphasia after right hemispheric stroke: A single case experimental design","authors":"Sophie Arheix-Parras,&nbsp;Mathilde du Puy de Goyne,&nbsp;Julie Franco,&nbsp;Marie Villain,&nbsp;Bertrand Glize ,&nbsp;Grégoire Python","doi":"10.1016/j.rehab.2024.101858","DOIUrl":"https://doi.org/10.1016/j.rehab.2024.101858","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"67 6","pages":"Article 101858"},"PeriodicalIF":4.6,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141250649","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
Development and validation of a nomogram for tracheotomy decannulation in individuals in a persistent vegetative state: A multicentre study 开发和验证用于持续植物人气管切开拔管的提名图:一项多中心研究。
IF 4.6 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2024-06-02 DOI: 10.1016/j.rehab.2024.101849
Hongji Zeng , Xi Zeng , Nanxi Liu , Yu Ding , Junfa Wu , Fangquan Zhang , Nana Xiong
{"title":"Development and validation of a nomogram for tracheotomy decannulation in individuals in a persistent vegetative state: A multicentre study","authors":"Hongji Zeng ,&nbsp;Xi Zeng ,&nbsp;Nanxi Liu ,&nbsp;Yu Ding ,&nbsp;Junfa Wu ,&nbsp;Fangquan Zhang ,&nbsp;Nana Xiong","doi":"10.1016/j.rehab.2024.101849","DOIUrl":"10.1016/j.rehab.2024.101849","url":null,"abstract":"<div><h3>Background</h3><p>Decannulation for people in a persistent vegetative state (PVS) is challenging and relevant predictors of successful decannulation have yet to be identified.</p></div><div><h3>Objective</h3><p>This study aimed to explore the predictors of tracheostomy decannulation outcomes in individuals in PVS and to develop a nomogram.</p></div><div><h3>Method</h3><p>In 2022, 872 people with tracheostomy in PVS were retrospectively enrolled and their data was randomly divided into a training set and a validation set in a 7:3 ratio. Univariate and multivariate regression analyses were performed on the training set to explore the influencing factors for decannulation and nomogram development. Internal validation was performed using 5-fold cross-validation. External validation was performed using receiver operating characteristic (ROC) curves, calibration curves, and decision curve analysis (DCA) on both the training and validation sets.</p></div><div><h3>Result</h3><p>Data from 610 to 262 individuals were used for the training and validation sets, respectively. The multivariate regression analysis found that duration of tracheostomy tube placement≥30 days (Odds Ratio [OR] 0.216, 95 % CI 0.151–0.310), pulmonary infection (OR 0.528, 95 %CI 0.366–0.761), hypoproteinemia (OR 0.669, 95 % CI 0.463–0.967), no passive standing training (OR 0.372, 95 % CI 0.253–0.547), abnormal swallowing reflex (OR 0.276, 95 % CI 0.116–0.656), mechanical ventilation (OR 0.658, 95 % CI 0.461–0.940), intensive care unit (ICU) duration&gt;4 weeks (OR 0.517, 95 % CI 0.332–0.805), duration of endotracheal tube (OR 0.855, 95 % CI 0.803–0.907), older age (OR 0.981, 95 % CI 0.966–0.996) were risk factors for decannulation failure. Conversely, peroral feeding (OR 1.684, 95 % CI 1.178–2.406), passive standing training≥60 min (OR 1.687, 95 % CI 1.072–2.656), private caregiver (OR 1.944, 95 % CI 1.350–2.799) and ICU duration&lt;2 weeks (OR 1.758, 95 % CI 1.173–2.634) were protective factors conducive to successful decannulation. The 5-fold cross-validation revealed a mean area under the curve of 0.744. The ROC curve C-indexes for the training and validation sets were 0.784 and 0.768, respectively, and the model exhibited good stability and accuracy. The DCA revealed a net benefit when the risk threshold was between 0 and 0.4.</p></div><div><h3>Conclusion</h3><p>The nomogram can help adjust the treatment and reduce decannulation failure.</p></div><div><h3>Registration</h3><p>Clinical registration is not mandatory for retrospective studies.</p></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"67 6","pages":"Article 101849"},"PeriodicalIF":4.6,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238709","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
Effectiveness of a 12-week telerehabilitation training in people with long COVID: A randomized controlled trial 为期12周的远程康复训练对长期COVID患者的效果:随机对照试验。
IF 4.6 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.rehab.2024.101853
Chia-Ying Lai , Chia-Huei Lin , Ta-Chung Chao , Chueh-Ho Lin , Cheng-Chiang Chang , Chien-Yao Huang , Shang-Lin Chiang
{"title":"Effectiveness of a 12-week telerehabilitation training in people with long COVID: A randomized controlled trial","authors":"Chia-Ying Lai ,&nbsp;Chia-Huei Lin ,&nbsp;Ta-Chung Chao ,&nbsp;Chueh-Ho Lin ,&nbsp;Cheng-Chiang Chang ,&nbsp;Chien-Yao Huang ,&nbsp;Shang-Lin Chiang","doi":"10.1016/j.rehab.2024.101853","DOIUrl":"10.1016/j.rehab.2024.101853","url":null,"abstract":"<div><h3>Background</h3><p>Telerehabilitation has been developed and applied for years for cardiac and pulmonary diseases with good clinical outcomes. However, its application to participants with long COVID remains limited.</p></div><div><h3>Objectives</h3><p>To investigate the effectiveness of a 12-week telerehabilitation training program in participants with long COVID. The primary outcome was cardiorespiratory fitness (CRF), and secondary outcomes were physical activity (PA) amounts, exercise self-efficacy, sleep quality, and health-related quality of life (HRQOL).</p></div><div><h3>Methods</h3><p>A parallel-group, randomized controlled trial was conducted. Eligible participants with long COVID (<em>n</em> = 182) were randomly assigned in a 1:1 ratio to either the experimental group (EG) or the control group (CG). The EG received 12 weeks of telerehabilitation training with weekly remote monitoring for exercise maintenance and support. The CG received PA counseling only. CRF, PA amounts, exercise self-efficacy, sleep quality, and HRQOL were assessed at baseline and 12 weeks. Generalized estimating equations were used to analyze the intervention effects by examining the interaction between time and group.</p></div><div><h3>Results</h3><p>One hundred twenty-two participants (67 %) completed the study, and 182 were included in the intention-to-treat analysis. The EG had greater walking behavior (β = –763.3, <em>p</em> &lt; 0.001), total amount of PA (β= –711, <em>p</em> = 0.003), exercise self-efficacy (β = –1.19, <em>p</em> &lt; 0.001), and better sleep quality (β = 1.69, <em>p</em> = 0.012) after the 12-weeks of telerehabilitation training than the CG. However, there were no significant differences in any CRF parameters or HRQOL at 12 weeks between the EG and CG.</p></div><div><h3>Conclusion</h3><p>Telerehabilitation training offers a personalized and convenient approach that can increase exercise willingness and PA amounts and improve sleep quality. These findings underscore the potential benefits of telerehabilitation training for promoting healthier lifestyles and improving overall health outcomes.</p></div><div><h3>Clinical Trial Registration</h3><p>The study was registered at ClinicalTrials.gov (NCT05205460) on January 25, 2022.</p></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"67 5","pages":"Article 101853"},"PeriodicalIF":4.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201204","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
Percutaneous needle tenotomies: indications, procedures, efficacy and safety. A systematic review 经皮穿刺腱切开术:适应症、程序、疗效和安全性。系统综述。
IF 4.6 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.rehab.2024.101839
Hugo Bessaguet , Paul Calmels , Alexis Schnitzler , Flavia Coroian , Pascal Giraux , Florence Angioni , Ahmed Adham , Philippe Denormandie , Romain David , Etienne Ojardias
{"title":"Percutaneous needle tenotomies: indications, procedures, efficacy and safety. A systematic review","authors":"Hugo Bessaguet ,&nbsp;Paul Calmels ,&nbsp;Alexis Schnitzler ,&nbsp;Flavia Coroian ,&nbsp;Pascal Giraux ,&nbsp;Florence Angioni ,&nbsp;Ahmed Adham ,&nbsp;Philippe Denormandie ,&nbsp;Romain David ,&nbsp;Etienne Ojardias","doi":"10.1016/j.rehab.2024.101839","DOIUrl":"10.1016/j.rehab.2024.101839","url":null,"abstract":"<div><h3>Background</h3><p>Percutaneous needle tenotomies constitute a promising approach that enables direct access to tendons through minimally invasive interventions. They can be performed rapidly without need for large incisions or general anaesthesia. However, the reported procedures are heterogeneous and currently conducted without guidelines.</p></div><div><h3>Objectives</h3><p>We aimed to determine the indications for percutaneous needle tenotomies described in the current literature. Our secondary aim was to identify the different procedures reported, as well as their efficacy and their safety.</p></div><div><h3>Methods</h3><p>A systematic review following PRISMA guidelines was conducted to identify original articles that mentioned percutaneous needle tenotomy in humans and reported its application, description, effectiveness or adverse events. Non-percutaneous tendinous surgical procedures and ineligible designs were excluded. The Downs and Black checklist was used to assess the risk of bias.</p></div><div><h3>Results</h3><p>A total of 540 studies were identified from the MEDLINE, Embase, Cochrane Library, and PEDro databases. Fourteen clinical studies met the inclusion criteria and were found to have an acceptable quality (674 individuals, 1664 tenotomies). Our results indicated a wide variety of indications for percutaneous needle tenotomies in children and in adults. We highlighted 24 tendons as eligible targets in the upper and lower limbs. Tenotomies were performed with either 16- or 18-Ga needles, lasted from 1 to 30 min, and were performed using various procedures. Their efficacy was mainly assessed through clinical outcomes highlighting tendon discontinuity on palpation after the procedure. Passive range-of-motion gains after tenotomy were reported for both upper and lower limbs with an estimated 5 % complication rate.</p></div><div><h3>Conclusion</h3><p>This is the first review to systematically synthesize all the available evidence on the indications, procedures, efficacy and safety of percutaneous tenotomies exclusively performed with needles. Current evidence suggests that procedures are safe and effective for treating various deformities.</p></div><div><h3>PROSPERO registration</h3><p>CRD42022350571</p></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"67 5","pages":"Article 101839"},"PeriodicalIF":4.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S187706572400023X/pdfft?md5=9976ccc5bda6621b49faee6dff6c3cef&pid=1-s2.0-S187706572400023X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Arthro-distension with early and intensive mobilization for shoulder adhesive capsulitis: A randomized controlled trial 肩关节粘连性肩关节囊炎的关节牵张与早期强化活动治疗:随机对照试验
IF 4.6 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.rehab.2024.101852
Louis Jacob , Sandra Lasbleiz , Katherine Sanchez , Odile Morchoisne , Marie-Martine Lefèvre-Colau , Christelle Nguyen , François Rannou , Antoine Feydy , Jean-Jacques Portal , Alexis Schnitzler , Eric Vicaut , Jean-Denis Laredo , Pascal Richette , Philippe Orcel , Johann Beaudreuil
{"title":"Arthro-distension with early and intensive mobilization for shoulder adhesive capsulitis: A randomized controlled trial","authors":"Louis Jacob ,&nbsp;Sandra Lasbleiz ,&nbsp;Katherine Sanchez ,&nbsp;Odile Morchoisne ,&nbsp;Marie-Martine Lefèvre-Colau ,&nbsp;Christelle Nguyen ,&nbsp;François Rannou ,&nbsp;Antoine Feydy ,&nbsp;Jean-Jacques Portal ,&nbsp;Alexis Schnitzler ,&nbsp;Eric Vicaut ,&nbsp;Jean-Denis Laredo ,&nbsp;Pascal Richette ,&nbsp;Philippe Orcel ,&nbsp;Johann Beaudreuil","doi":"10.1016/j.rehab.2024.101852","DOIUrl":"10.1016/j.rehab.2024.101852","url":null,"abstract":"<div><h3>Background</h3><p>There are several therapeutic options for the management of shoulder adhesive capsulitis (AC). The superiority of arthro-distension over intra-articular steroid injection (ISI) for AC remains controversial.</p></div><div><h3>Objectives</h3><p>To evaluate the efficacy of a single arthro-distension procedure combined with early and intensive mobilization (ADM) and physiotherapy, versus ISI and physiotherapy, in people with AC lasting ≥3 months.</p></div><div><h3>Methods</h3><p>This was a prospective, 2 parallel-group, 2-center, observer-blind randomized controlled trial conducted in tertiary care settings. Adults with AC were randomly assigned to the treatment or control group. Efficacy was assessed using the self-administered Shoulder Pain and Disability Index (SPADI). Total, pain and disability SPADI scores 15 days, 6 weeks, and 3, 6 and 12 months after the procedure (total SPADI at 15 days: primary outcome; other outcomes were secondary) were compared between groups using analysis of covariance (ANCOVA). A post hoc analysis stratified on the initial range of passive glenohumeral abduction, which had not been pre-specified, was conducted.</p></div><div><h3>Results</h3><p>There were 33 participants in each group. Both groups improved over time. Mean (SD) total SPADI score at 15 days was 33.8 (19.6) in the treatment group and 32.8 (17.5) in the control group, <em>p</em> = 0.393. There were no significant differences for any variables in the overall sample. The post hoc analysis found ADM to be associated with a significant decrease in total SPADI score at 15 days compared with ISI (<em>p</em> = 0.049) in individuals with initial passive glenohumeral abduction &gt;45°.</p></div><div><h3>Conclusions</h3><p>The effects of ADM on pain and function were not statistically different from those of ISI. However, ADM may be useful in individuals with initial passive glenohumeral abduction &gt;45°.</p></div><div><h3>Database registration</h3><p>NCT00724113.</p></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"67 6","pages":"Article 101852"},"PeriodicalIF":4.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201274","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
Short-term outcomes of early intensive neurorehabilitation for prolonged disorders of consciousness: A prospective cohort study 针对长时间意识障碍的早期强化神经康复的短期疗效:前瞻性队列研究
IF 4.6 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.rehab.2024.101838
Danielle M.F. Driessen , Cecile M.A. Utens , Prof Gerard M. Ribbers , Willemijn S. van Erp , Majanka H. Heijenbrok-Kal
{"title":"Short-term outcomes of early intensive neurorehabilitation for prolonged disorders of consciousness: A prospective cohort study","authors":"Danielle M.F. Driessen ,&nbsp;Cecile M.A. Utens ,&nbsp;Prof Gerard M. Ribbers ,&nbsp;Willemijn S. van Erp ,&nbsp;Majanka H. Heijenbrok-Kal","doi":"10.1016/j.rehab.2024.101838","DOIUrl":"10.1016/j.rehab.2024.101838","url":null,"abstract":"<div><h3>Background</h3><p>Advances in medical care have increased survival in people with severe brain injuries and with that the number of survivors with prolonged disorders of consciousness (PDOC) has increased. In the literature, early intensive neurorehabilitation (EIN) for people with PDOC is recommended to achieve the best possible outcomes.</p></div><div><h3>Objectives</h3><p>To evaluate the frequency and extent of recovery of consciousness, mortality, complications, pain and discomfort, and medication during a nationwide EIN programme in people with PDOC after acquired brain injury. We hypothesized that level of consciousness would improve in half of people with PDOC.</p></div><div><h3>Methods</h3><p>Prospective cohort study. People with PDOC aged 16 years and older admitted to the EIN department centralized in a single rehabilitation centre in the Netherlands (Libra Rehabilitation &amp; Audiology) were included. The EIN delivers a subacute medical level of care and rehabilitation for a maximum duration of 14 weeks. The outcome measures were level of consciousness (CRS-R), mortality, number of complications, medication and pain/discomfort (NCS-R).</p></div><div><h3>Results</h3><p>Of the 104 people included, 68 % emerged to a minimal conscious state with command-following or higher during EIN and 44 % regained consciousness. Mortality during EIN was 6 %, and 50 % of deaths followed a non-treatment decision or withdrawal of life-sustaining treatment. Almost all participants had at least 1 medical complication, leading to hospital readmission for 30 %. 73 % showed no pain or discomfort. During EIN, cardiovascular medication and analgesics were reduced by 15 %.</p></div><div><h3>Conclusions</h3><p>During the EIN programme, a large percentage of people with PDOC regained at least a minimal conscious state or even consciousness. These outcomes and the frequent medical complications in these people suggest that intensive specialized care should be offered to all people with PDOC. The outcomes of this study might help health professionals to better inform the families of people with PDOC about the short-term prognosis of PDOC.</p></div><div><h3>Protocol registration number</h3><p>The Dutch Trial Register, NL 8138.</p></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"67 5","pages":"Article 101838"},"PeriodicalIF":4.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1877065724000228/pdfft?md5=de5d87e145adac27fce69b1eab0c5a99&pid=1-s2.0-S1877065724000228-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Factors associated with a prolonged time to return to safe driving following lower extremity injuries 下肢受伤后恢复安全驾驶时间延长的相关因素。
IF 4.6 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.rehab.2024.101850
Andrew L. Alejo, Alexander S. Rascoe, Chang-Yeon Kim, Bryan O. Ren, Matthew T. Hoffa, Isabella M. Heimke, Heather A. Vallier
{"title":"Factors associated with a prolonged time to return to safe driving following lower extremity injuries","authors":"Andrew L. Alejo,&nbsp;Alexander S. Rascoe,&nbsp;Chang-Yeon Kim,&nbsp;Bryan O. Ren,&nbsp;Matthew T. Hoffa,&nbsp;Isabella M. Heimke,&nbsp;Heather A. Vallier","doi":"10.1016/j.rehab.2024.101850","DOIUrl":"10.1016/j.rehab.2024.101850","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"67 6","pages":"Article 101850"},"PeriodicalIF":4.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201275","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
Knee strength symmetry and reinjury risk after primary anterior cruciate ligament reconstruction: A minimum 2-year follow-up cohort study 膝关节力量对称性与初级前交叉韧带重建术后再次受伤的风险:一项为期至少两年的队列随访研究。
IF 4.6 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.rehab.2024.101848
Joffrey Drigny, Quentin Bouchereau, Henri Guermont, Emmanuel Reboursière, Antoine Gauthier, Clémence Ferrandez, Christophe Hulet
{"title":"Knee strength symmetry and reinjury risk after primary anterior cruciate ligament reconstruction: A minimum 2-year follow-up cohort study","authors":"Joffrey Drigny,&nbsp;Quentin Bouchereau,&nbsp;Henri Guermont,&nbsp;Emmanuel Reboursière,&nbsp;Antoine Gauthier,&nbsp;Clémence Ferrandez,&nbsp;Christophe Hulet","doi":"10.1016/j.rehab.2024.101848","DOIUrl":"10.1016/j.rehab.2024.101848","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"67 6","pages":"Article 101848"},"PeriodicalIF":4.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201276","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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