Annals of Physical and Rehabilitation Medicine最新文献

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Similar overall disability but different mortality and motor impairment profiles in children compared to adults 7–8 years after severe TBI 与成人相比,严重脑外伤后7-8年儿童的总体残疾相似,但死亡率和运动损伤情况不同
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2025-03-21 DOI: 10.1016/j.rehab.2025.101961
Hugo Câmara-Costa , Philippe Azouvi , Claire Jourdan , Hanna Toure , Anne Laurent-Vannier , Philippe Meyer , Eléonore Bayen , Alexis Ruet , Claire Vallat-Azouvi , Georges Dellatolas , Mathilde Chevignard
{"title":"Similar overall disability but different mortality and motor impairment profiles in children compared to adults 7–8 years after severe TBI","authors":"Hugo Câmara-Costa ,&nbsp;Philippe Azouvi ,&nbsp;Claire Jourdan ,&nbsp;Hanna Toure ,&nbsp;Anne Laurent-Vannier ,&nbsp;Philippe Meyer ,&nbsp;Eléonore Bayen ,&nbsp;Alexis Ruet ,&nbsp;Claire Vallat-Azouvi ,&nbsp;Georges Dellatolas ,&nbsp;Mathilde Chevignard","doi":"10.1016/j.rehab.2025.101961","DOIUrl":"10.1016/j.rehab.2025.101961","url":null,"abstract":"<div><h3>Background</h3><div>Age at injury influences functional outcomes after severe traumatic brain injury (TBI), but its role remains underexplored in studies that simultaneously include children, adolescents, and adults.</div></div><div><h3>Objectives</h3><div>To investigate the effect of age at injury on mortality and overall disability 7 to 8 years post-severe TBI across diverse age groups.</div></div><div><h3>Methods</h3><div>Two prospective longitudinal cohorts assessed overall functional outcomes in 39 children/adolescents [Traumatisme Grave de l'Enfant (TGE) cohort, mean age at injury M(SD) = 7.5 years (4.6), range 0.3 to 14.7] and 86 adults [PariS-TBI cohort, M(SD) = 34.1 years (13.7), range 15.4 to 74.8], who sustained severe TBI [Glasgow Coma Scale (GCS) ≤8]. Both studies collected data on baseline demographics (age, gender, education level), initial injury severity (GCS, Injury Severity Score [ISS], length of coma), and mortality rates. Follow-up assessments included clinician-rated overall disability [Glasgow Outcome Scale-Extended (GOS-E)], clinical/neurological recovery, and self-/proxy-reported questionnaires assessing school/work situation, anxiety/depression, and caregivers’ perceived burden.</div></div><div><h3>Results</h3><div>Adults evidenced significantly higher mortality rates, longer lengths of coma, and more frequent persistent motor deficits than children/adolescents. Children/adolescents exhibited increased rates of good recovery (GOS-E) 7 to 8 years post-injury compared to adults (<em>P</em> = 0.03). In multivariate linear regression analyses, GOS-E was associated with GCS score and pre-injury education in the total sample and adults. In both age groups, overall post-injury disability was associated with the presence of school/work adaptations and motor deficits, increased anxiety/depression, and higher caregiver burden.</div></div><div><h3>Conclusion</h3><div>These findings reveal distinct age-specific patterns of recovery and disability after severe TBI among children, adolescents, and adults, highlighting the need for tailored assessments and interventions for each group. Furthermore, they underline the necessity of prolonged follow-up in children and adolescents to evaluate their transition to independent living and professional integration. Future research should confirm these results and identify modifiable factors that promote recovery and minimize long-term disability.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 5","pages":"Article 101961"},"PeriodicalIF":3.9,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143679674","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
Standardised operating procedures for recommendations in the field of physical and rehabilitation medicine 物理和康复医学领域的标准化操作程序建议
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2025-03-21 DOI: 10.1016/j.rehab.2025.101951
Christelle Nguyen , Maxence Compagnat , Jonathan Lévy , Isabelle Bonan , François Constant Boyer , Mickaël Dinomais , François Genêt , François Rannou , Patricia Ribinik , Dominic Pérennou , Arnaud Dupeyron
{"title":"Standardised operating procedures for recommendations in the field of physical and rehabilitation medicine","authors":"Christelle Nguyen ,&nbsp;Maxence Compagnat ,&nbsp;Jonathan Lévy ,&nbsp;Isabelle Bonan ,&nbsp;François Constant Boyer ,&nbsp;Mickaël Dinomais ,&nbsp;François Genêt ,&nbsp;François Rannou ,&nbsp;Patricia Ribinik ,&nbsp;Dominic Pérennou ,&nbsp;Arnaud Dupeyron","doi":"10.1016/j.rehab.2025.101951","DOIUrl":"10.1016/j.rehab.2025.101951","url":null,"abstract":"<div><h3>Background</h3><div>There is an outstanding increased demand for recommendations in the rehabilitation field. Over 600 recommendation articles have been published in the last decade, primarily by groups of authors based on unclear criteria and only a few by learned societies based on standardized methods.</div></div><div><h3>Objectives</h3><div>In 2007, the French Society of Physical and Rehabilitation Medicine (SOFMER) published a methodology to establish recommendations in physical and rehabilitation medicine (PRM). This framework, which served to publish 22 sets of management recommendations, must be reworked to meet new international methods for elaborating recommendations. Therefore, our objectives were: 1) to elaborate an updated methodology to enhance the dissemination and implementation of SOFMER-endorsed recommendations, and 2) to standardize and report in sufficient detail the successive steps from the elaboration of these recommendations to the evaluation of their impact and provide supporting tools to guide developers.</div></div><div><h3>Methods</h3><div>At the SOFMER's request, a steering committee assembled, consisting of 7 PRM senior physicians with experience in elaborating, disseminating, implementing and/or evaluating recommendations in the field of PRM. They conducted a non-systematic literature review to identify methodologies and standardized operating procedures previously published by scientific societies in France and overseas. Available information regarding strategies for elaboration, dissemination, implementation and evaluation of the recommendations, scientific valorization and business models was retrieved. Participants in previous recommendations were also interviewed regardless of their field.</div></div><div><h3>Results</h3><div>We identified 4 common key steps: preparation, elaboration, valorization and evaluation, usually scheduled according to an 18- to 24-month timetable. We divided these 4 steps into 9 sub-steps, each of which was standardized and described in detail. The steering committee also elaborated a specific editorial process for publishing recommendations.</div></div><div><h3>Conclusions</h3><div>This novel SOFMER methodology was designed to draw up high-level recommendations for the field of PRM and, more generally, for rehabilitation practices, facilitating their implementation. Standardization of operating procedures should provide guidance to authors to achieve replicable and high-quality recommendations.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 3","pages":"Article 101951"},"PeriodicalIF":3.9,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143683473","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
Biomechanical and neuromuscular outcomes during cycling help inform lower limb sensorimotor function after stroke: A systematic review 骑车期间的生物力学和神经肌肉结果有助于中风后下肢感觉运动功能:一项系统综述
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2025-03-19 DOI: 10.1016/j.rehab.2025.101955
Julie Soulard , Roua Walha , Cyril Duclos , Dahlia Kairy , Claudine Auger , Sylvie Nadeau
{"title":"Biomechanical and neuromuscular outcomes during cycling help inform lower limb sensorimotor function after stroke: A systematic review","authors":"Julie Soulard ,&nbsp;Roua Walha ,&nbsp;Cyril Duclos ,&nbsp;Dahlia Kairy ,&nbsp;Claudine Auger ,&nbsp;Sylvie Nadeau","doi":"10.1016/j.rehab.2025.101955","DOIUrl":"10.1016/j.rehab.2025.101955","url":null,"abstract":"<div><h3>Background</h3><div>Pedalling on a bicycle is an appropriate rehabilitation intervention which brings complementary information on strength, smoothness, accuracy, and coordination at the lower limbs during movement. This systematic review aims to identify how biomechanical and neuromuscular cycling outcomes inform lower limb sensorimotor function after stroke and to quantify their level of association with clinical measurements.</div></div><div><h3>Methods</h3><div>The Medline, EMBASE, and CINAHL databases were searched using keywords related to stroke, cycling, and lower limb assessment. The search included original peer-reviewed articles from inception to July 2024 involving adults after stroke for whom cycling was used to evaluate lower limb sensorimotor function. Search, article selection, and data extraction were done by 2 independent reviewers. The risk of bias was assessed with a modified Downs and Black checklist.</div></div><div><h3>Results</h3><div>Fifty-nine articles were included in the review (1290 individuals) with methodological quality ranging from very low 7 % to very high 88 %. High methodological heterogeneity among the articles was observed in cycling modalities and protocols. The articles included &gt;100 different cycling outcomes which can be grouped into kinetic, kinematic, and neuromuscular categories. Psychometric properties of the cycling outcomes were rarely documented (3 articles). Twelve articles reported moderate to very strong significant associations (correlation coefficient values &gt;0.6) of kinetic cycling outcomes with gait (<em>n</em> = 10), balance (<em>n</em> = 6), motricity (<em>n</em> = 8), of kinematic cycling outcomes with motricity (<em>n</em> = 2), and of muscular cycling outcomes with balance (<em>n</em> = 1), and motricity (<em>n</em> = 13).</div></div><div><h3>Conclusion</h3><div>The review supports that pedalling on a bicycle provides relevant cycling outcomes which could be useful to complement clinical evaluation in physical rehabilitation. Several kinetic, kinematic, and neuromuscular cycling outcomes are well correlated to lower limb sensorimotor function in individuals after stroke. However, the protocols and clinimetric properties of cycling outcomes require future work.</div></div><div><h3>Trial registration</h3><div>PROSPERO: CRD42022342113.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 5","pages":"Article 101955"},"PeriodicalIF":3.9,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643387","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
Effects of in-bed cycling in critically ill adults: A systematic review and meta-analysis of randomised clinical trials 危重成人卧床循环治疗的效果:随机临床试验的系统回顾和荟萃分析
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2025-03-18 DOI: 10.1016/j.rehab.2025.101953
Rocío Pazo-Palacios, Beatriz Brea-Gómez, Laura Pérez-Gisbert, Marta López-Muñoz, Marie Carmen Valenza, Irene Torres-Sánchez
{"title":"Effects of in-bed cycling in critically ill adults: A systematic review and meta-analysis of randomised clinical trials","authors":"Rocío Pazo-Palacios,&nbsp;Beatriz Brea-Gómez,&nbsp;Laura Pérez-Gisbert,&nbsp;Marta López-Muñoz,&nbsp;Marie Carmen Valenza,&nbsp;Irene Torres-Sánchez","doi":"10.1016/j.rehab.2025.101953","DOIUrl":"10.1016/j.rehab.2025.101953","url":null,"abstract":"<div><h3>Background</h3><div>Impairments in intensive care unit (ICU) survivors can last up to 5 years post-discharge. Finding effective treatments to palliate and prevent them is essential, and in-bed cycling is a way to palliate the effects of prolonged immobilisation.</div></div><div><h3>Objective</h3><div>To evaluate the effects of in-bed cycling in critically ill adults regarding recovery status, mortality, physical performance and quality of life.</div></div><div><h3>Methods</h3><div>We followed PRISMA 2020 guidelines. The search was conducted in Cinahl, Medline, Scopus and Web of Science from their inception to October 2024. We included randomised clinical trials with critically ill adults who performed in-bed cycling alone or with another treatment while in ICU, compared to no intervention, placebo, rehabilitation or standard care, assessing recovery status, mortality, physical performance or quality of life. Methodological quality and risk of bias were evaluated. A meta-analysis was performed.</div></div><div><h3>Results</h3><div>Thirty-two studies were included in the review, and 22 studies in the meta-analysis. A total of 3,052 participants (≥18 years old) admitted to different types of ICUs were included. Results showed significant differences regarding ICU length of stay (<em>n</em> = 1,564; MD −0.93; 95 % CI −1.64 to −0.21; <em>P</em> = 0.01) and hospital length of stay (<em>n</em> = 1,189; MD −1.78; 95 % CI −3.16 to −0.41; <em>P</em> = 0.01), mechanical ventilation duration (<em>n</em> = 1,024; MD −0.51; 95 % CI −0.92 to −0.11; <em>P</em> = 0.01) and functional status (<em>n</em> = 400; MD 44.88; 95 % CI 3.11–86.65; <em>P</em> = 0.04) favouring in-bed cycling plus rehabilitation compared to rehabilitation. However, no significant differences were found regarding mortality, muscle strength, ICU-acquired weakness or quality of life. Different programme duration did not significantly affect hospital length of stay.</div></div><div><h3>Conclusion</h3><div>In-bed cycling plus rehabilitation significantly reduced ICU and hospital length of stay, mechanical ventilation duration and improved functional status compared to rehabilitation. Further research is needed to analyse long-term effects and standardise interventions.</div></div><div><h3>Trial Registration</h3><div>PROSPERO International Prospective Register of Systematic Reviews CRD42022309311; <span><span>https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022309311</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 5","pages":"Article 101953"},"PeriodicalIF":3.9,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143641870","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
Real-life prognosis of neurological complications of botulinum toxin: A nationwide pharmacovigilance study of adverse drug reactions reported in France between 1994 and 2020 肉毒杆菌毒素神经系统并发症的现实预后:1994年至2020年法国报告的一项全国药物不良反应药物警戒研究
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2025-03-12 DOI: 10.1016/j.rehab.2024.101924
Vincent T. Carpentier , Nicolas Weiss , Joe-Elie Salem , Charles Joussain , Jonathan Levy , Louise-Laure Mariani , François Montastruc , Julien Mahé , Bénédicte Lebrun-Vignes , Djamel Bensmail , Pierre Denys , François Genêt , Kévin Bihan
{"title":"Real-life prognosis of neurological complications of botulinum toxin: A nationwide pharmacovigilance study of adverse drug reactions reported in France between 1994 and 2020","authors":"Vincent T. Carpentier ,&nbsp;Nicolas Weiss ,&nbsp;Joe-Elie Salem ,&nbsp;Charles Joussain ,&nbsp;Jonathan Levy ,&nbsp;Louise-Laure Mariani ,&nbsp;François Montastruc ,&nbsp;Julien Mahé ,&nbsp;Bénédicte Lebrun-Vignes ,&nbsp;Djamel Bensmail ,&nbsp;Pierre Denys ,&nbsp;François Genêt ,&nbsp;Kévin Bihan","doi":"10.1016/j.rehab.2024.101924","DOIUrl":"10.1016/j.rehab.2024.101924","url":null,"abstract":"<div><h3>Background</h3><div>Botulinum toxin is commonly used in the treatment of neurological disorders. Although neurological complications predominate and can lead to respiratory failure or death, no observational studies have specifically described their clinical features or prognoses.</div></div><div><h3>Objectives</h3><div>To characterise real-life clinical features and prognoses of botulinum toxin-related neurological complications.</div></div><div><h3>Methods</h3><div>Observational, retrospective, nationwide pharmacovigilance study of all neurological adverse drug reactions (ADRs) related to the use of botulinum toxin in France for neurological indications between 1994 and 2020. The characteristics of neurological complications were collected.</div></div><div><h3>Results</h3><div>In total, 141 people with systemic neurologic complications (ie, distant from the injection site) and 50 with local complications were included. Median (IQR) age was 53 (36; 66) years, and 107 (56 %) were women. The estimated incidence range (min–max) was 25 – 413 neurologic ADRs per 100 000 injection sessions for neurological indications. Except for 3 miscellaneous cases, all presented symptoms within the clinical spectrum of botulism, either as an isolated symptom (41 %) or as multiple symptoms (59 %), with a time to onset of 12 (7; 15) days after injection and a duration of 54 (28; 90) days. A total of 87 % of cases recovered spontaneously or were recovering on the date of the notification. Drug types were not different between cases with systemic or local ADRs, although the doses were higher in cases with systemic ADRs (<em>P</em> &lt; 0.001). Serious cases were more frequent for systemic ADRs (67 % versus 34 %; <em>P</em> &lt; 0.001). Three complications resulted in death, all after treatment for cervical dystonia or sialorrhea.</div></div><div><h3>Conclusion</h3><div>In this pharmacovigilance study, the outcomes of botulism spectrum symptoms occurring after a botulinum toxin injection for a neurological indication were mostly favourable, although symptoms were often initially serious.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 3","pages":"Article 101924"},"PeriodicalIF":3.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610253","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
Effect of virtual reality therapy on pain relief in sports rehabilitation for young adults: A systematic review and meta-analysis 虚拟现实治疗对青少年运动康复疼痛缓解的影响:系统回顾和荟萃分析
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2025-03-12 DOI: 10.1016/j.rehab.2025.101949
Elyn Toh , Si Qi Yoong , Olivia Win Myint , Qian Ning Leong , Ying Jiang
{"title":"Effect of virtual reality therapy on pain relief in sports rehabilitation for young adults: A systematic review and meta-analysis","authors":"Elyn Toh ,&nbsp;Si Qi Yoong ,&nbsp;Olivia Win Myint ,&nbsp;Qian Ning Leong ,&nbsp;Ying Jiang","doi":"10.1016/j.rehab.2025.101949","DOIUrl":"10.1016/j.rehab.2025.101949","url":null,"abstract":"<div><h3>Background</h3><div>Virtual reality is an emerging technology that intends to promote motor and perceptual-cognitive skills, which could benefit people with sports injuries. However, there is a lack of meta-analyses on its effectiveness in sports injury rehabilitation for young adults.</div></div><div><h3>Objective</h3><div>This systematic review and meta-analysis of randomised controlled trials evaluated the effectiveness of virtual reality therapy (VRT) on sports-related musculoskeletal rehabilitation in reducing pain and improving functional levels and balance among young adults.</div></div><div><h3>Methods</h3><div>Studies and relevant reviews were searched using PubMed, CINAHL, EMBASE, CENTRAL, Web of Science, Scopus, grey literature in Google Scholar, ProQuest Dissertation and Theses, and manual searching of reference lists. Studies published up to 19 March 2024 involving young adults aged 18–40 with sports-related injuries undergoing VRT were included. The comparator was conventional rehabilitation. Meta-analysis was done by pooling standardised mean differences (SMD) or mean differences (MD) of pain, functional levels, and balance outcomes using the random-effects model. Quality appraisal was done using the Cochrane Risk of Bias Tool and Grading of Recommendations, Assessment, Development, and Evaluations (GRADE).</div></div><div><h3>Results</h3><div>Eleven studies (<em>n</em> = 507 participants) were included. VRT seems significantly superior to conventional therapy in improving pain post-intervention (pooled SMD -5.16, 95% CI -7.36 to -2.97) and at long-term follow-up (pooled SMD -10.08, 95% CI -12.46 to -8.01). However, outcomes for functional levels and balance measured using the Star Excursion Balance Test were non-significant. Five trials had a low risk of bias, 3 were at high risk, and 3 had an unclear risk of bias. Outcomes were of very low to low certainty.</div></div><div><h3>Conclusion</h3><div>VRT seems able to significantly improve pain among young adults with sports-related musculoskeletal injuries. Therapists and clinicians can consider incorporating VRT in rehabilitation to engage participants and improve outcomes. Limited research has investigated the effect of VRT on function and balance.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 4","pages":"Article 101949"},"PeriodicalIF":3.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143610414","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
Co-administration of methylphenidate and prism adaptation would require striatal integrity to alleviate spatial neglect: A preliminary study 同时施用哌甲酯和棱镜适应将需要纹状体完整性,以减轻空间忽视:初步研究
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2025-03-12 DOI: 10.1016/j.rehab.2025.101933
Maude Beaudoin-Gobert, Faustine Benistant, Maxence de Lanversin, Jules Javouhey, Laurent Villeneuve, Sophie Jacquin-Courtois, Gilles Rode, Yves Rossetti, Jacques Luauté
{"title":"Co-administration of methylphenidate and prism adaptation would require striatal integrity to alleviate spatial neglect: A preliminary study","authors":"Maude Beaudoin-Gobert,&nbsp;Faustine Benistant,&nbsp;Maxence de Lanversin,&nbsp;Jules Javouhey,&nbsp;Laurent Villeneuve,&nbsp;Sophie Jacquin-Courtois,&nbsp;Gilles Rode,&nbsp;Yves Rossetti,&nbsp;Jacques Luauté","doi":"10.1016/j.rehab.2025.101933","DOIUrl":"10.1016/j.rehab.2025.101933","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 3","pages":"Article 101933"},"PeriodicalIF":3.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143600774","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
The effects of digital health on exercise adherence and intervention outcomes in older adults with knee diseases: A systematic review 数字健康对老年膝关节疾病患者运动依从性和干预结果的影响:系统综述
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2025-03-12 DOI: 10.1016/j.rehab.2025.101952
Lu Liu , Su Wang , Chenyan Ye , Dong Chen , Hua Dong
{"title":"The effects of digital health on exercise adherence and intervention outcomes in older adults with knee diseases: A systematic review","authors":"Lu Liu ,&nbsp;Su Wang ,&nbsp;Chenyan Ye ,&nbsp;Dong Chen ,&nbsp;Hua Dong","doi":"10.1016/j.rehab.2025.101952","DOIUrl":"10.1016/j.rehab.2025.101952","url":null,"abstract":"<div><h3>Background</h3><div>Poor adherence is commonly observed as one of the characteristics of exercise interventions and there is little consensus as to whether digital interventions promote exercise adherence in people undergoing physiotherapy, especially in older adults with knee diseases.</div></div><div><h3>Purpose</h3><div>To investigate the effects of digital health for improving the exercise adherence and intervention outcomes.</div></div><div><h3>Methods</h3><div>A systematic search was conducted on 4 databases; PRISMA reporting guidelines were followed. Journal articles in English (published till June 30, 2024) reporting digital health on exercise adherence and intervention outcomes for older adults with knee diseases were searched, and eligible articles underwent data extraction and a thematic synthesis.</div></div><div><h3>Results</h3><div>Of the 1015 potentially relevant trials, 13 studies totaling 1258 participants were eligible for inclusion. Digital health was slightly better but not significant than non-digital health on total adherence (SMD 0.29, 95 % CI ˗0.02 to 0.60; <em>P</em> = 0.07; I<sup>2</sup> = 77 %). At short-term follow-up, digital health improved adherence compared with nondigital health (SMD 0.70, 95 % CI 0.39–1.01; <em>P</em> <em>&lt;</em> 0.001; I<sup>2</sup> = 4 %), with a very low certainty of evidence. At mid- and long-term, digital health was no better than non-digital health on adherence (mid-term: SMD 0.01, 95 % CI ˗0.55 to 0.58; <em>P</em> <em>=</em> 0.97; I<sup>2</sup> = 86 %; long-term: SMD 0.09, 95 % CI ˗0.31 to 0.49, <em>P</em> = 0.66; I<sup>2</sup> = 48 %). For the intervention outcomes, digital health reduced the pain only at short-term and was no better than non-digital health on physical function, ADL or QoL at any time point.</div></div><div><h3>Conclusion</h3><div>The available evidence is insufficient to draw the conclusion that digital health technology improves exercise adherence and intervention outcomes in older people with knee disease, and there is very low to low certainty of evidence supporting improvements of adherence and pain only at short-term. Larger-scale, more reliable studies and strategies are needed to enhance mid- and long-term adherence and intervention outcomes in older adults.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 5","pages":"Article 101952"},"PeriodicalIF":3.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143611302","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
Sexual satisfaction and prognostic factors at 4 years after severe traumatic brain injury 重型创伤性脑损伤后4年的性满意度与预后因素
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2025-03-11 DOI: 10.1016/j.rehab.2025.101941
Remi Mallart, Charles Joussain, Alexis Ruet, Claire Jourdan, Philippe Azouvi
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引用次数: 0
Considerations on the terminology used to describe trunk deviations, including camptocormia and pisa syndrome 关于用于描述树干偏差的术语的考虑,包括喜树病和比萨综合征
IF 3.9 3区 医学
Annals of Physical and Rehabilitation Medicine Pub Date : 2025-03-01 DOI: 10.1016/j.rehab.2025.101962
Dominic Pérennou MD, PhD , Nicolas Tourette MD , Shenhao Dai MD, PhD
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引用次数: 0
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