Advances in rehabilitation science and practice最新文献

{"title":"Developing the Clinical Skills Training Tool: A Theory-Informed Framework to Strengthen Continuing Professional Development in Low- and Middle-Income Countries.","authors":"Martina Lukin, Shala Cunningham, Angela Patterson, Rachael Lowe","doi":"10.1177/27536351261444263","DOIUrl":"https://doi.org/10.1177/27536351261444263","url":null,"abstract":"<p><strong>Background: </strong>Continuing professional development (CPD) is essential for maintaining competency and quality in healthcare practice, yet low- and middle-income countries (LMICs) often lack practical guidance to design, implement, and sustain CPD programs. While implementation science frameworks provide theoretical structure, accessible tools to operationalize these frameworks for rehabilitation workforce development remain limited. This study describes the development and pilot testing of the Clinical Skills Training Tool (CSTT); a theory-informed, planning and evaluation tool to support contextually relevant CPD development for rehabilitation professionals.</p><p><strong>Methods: </strong>The CSTT was developed using implementation science frameworks, including the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework and the Consolidated Framework for Implementation Research (CFIR), and incorporated the Kirkpatrick model to guide CPD evaluation. The tool was piloted between 2021 and 2024 with multidisciplinary rehabilitation stakeholders in Myanmar, Ukraine, Uganda, and Pakistan. Data were collected through stakeholder workshops, structured planning activities, guided reflections, and evaluation of CPD programs developed using the tool. Qualitative framework-informed analysis was used to assess usability, feasibility, contextual adaptation, and implementation factors influencing tool use.</p><p><strong>Results: </strong>A total of 191 stakeholders participated in CSTT pilot implementation across 4 countries. The tool supported systematic identification of workforce training priorities, structured CPD program design, and development of evaluation strategies. CSTT-supported programs demonstrated improvements in stakeholder knowledge, clinical confidence, and adoption of structured evaluation practices. Stakeholders successfully adapted the tool across diverse health system contexts while maintaining fidelity to core planning processes. Iterative refinement improved usability, clarity, and sustainability guidance.</p><p><strong>Conclusions: </strong>The CSTT operationalizes implementation science frameworks into a practical, adaptable tool to support CPD planning and evaluation in LMIC rehabilitation settings. By bridging the gap between implementation theory and workforce development practice, the CSTT provides a scalable approach to strengthening rehabilitation workforce capacity and supporting sustainable CPD systems across diverse global contexts.</p>","PeriodicalId":72107,"journal":{"name":"Advances in rehabilitation science and practice","volume":"15 ","pages":"27536351261444263"},"PeriodicalIF":0.0,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110310/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Turning Manuscripts into Publications: A Roadmap for Novice Authors.","authors":"Berkay Yalçınkaya, Ahmet Furkan Çolak, Hilmi Berkan Abacıoğlu, Levent Özçakar","doi":"10.1177/27536351261437943","DOIUrl":"https://doi.org/10.1177/27536351261437943","url":null,"abstract":"<p><p>In today's era of evidence-based medicine, scholarly publishing plays a crucial role in advancing medical knowledge and academic careers. While manuscript (MS) writing has been widely addressed in previous literature, practical guidance for the subsequent submission and publishing process remains relatively underexplored. This article aims to provide a comprehensive roadmap for novice authors navigating the often complex journey of medical manuscript submission. Key steps were discussed, including assessing MS readiness, selecting the appropriate journal, adhering to submission guidelines, preparing a compelling cover letter, and managing the online submission system. The peer review process, responding to reviewer comments, handling rejections, and ensuring ethical conduct were also elaborated. Additional topics such as post-acceptance production, promoting published work, and the ethical use of artificial intelligence were underscored. Emphasis was placed on common pitfalls and actionable advice to improve the overall success and integrity of academic publishing.</p>","PeriodicalId":72107,"journal":{"name":"Advances in rehabilitation science and practice","volume":"15 ","pages":"27536351261437943"},"PeriodicalIF":0.0,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sensor-Based Quantitative Gait Improvements Following Genicular Nerve Block in Patients with Knee Osteoarthritis.","authors":"Megha Bhargava, Ravi Gaur, Nitesh Manohar Gonnade, Aradhana Shukla","doi":"10.1177/27536351261437945","DOIUrl":"https://doi.org/10.1177/27536351261437945","url":null,"abstract":"<p><strong>Background: </strong>The goals of rehabilitation in knee osteoarthritis are adequate pain relief, functional improvement, and prevention of psychological deconditioning. Gait abnormalities in osteoarthritis patients have been studied using gait analyses. Genicular nerve block (GNB) is used for knee osteoarthritis (OA) related pain, but its impact on objective gait biomechanics remains underreported.</p><p><strong>Aim: </strong>To evaluate and compare spatiotemporal gait improvements at baseline and after 6 months of ultrasound-guided GNB in patients with knee OA using wearable sensor-based assessment.</p><p><strong>Methods: </strong>Fifty-one patients with knee OA (Kellgren-Lawrence Grade II-IV) who underwent ultrasound-guided GNB in the Department of Physical Medicine & Rehabilitation, AIIMS Jodhpur were assessed for cadence, affected knee propulsion, stance phase duration, and Timed Up and Go (TUG) using the G-Walk sensor pre and 6 months post-procedure. Statistical tests included paired <i>t</i>-tests, Wilcoxon signed-rank, and Mann-Whitney <i>U</i> Test.</p><p><strong>Results: </strong>Significant improvements in spatiotemporal gait parameters were observed at 6 months post-procedure compared to baseline. Cadence improved from 94.13 ± 9 to 109.02 ± 9.38 steps/min (<i>P</i> < .0001), propulsion from 4.47 ± 1.2 to 6.11 ± 1 W/kg (<i>P</i> < .0001), and stance duration from 57.8% to 59.9% (<i>P</i> < .0001). TUG time decreased from 19.12 to 12.67 seconds (<i>P</i> < .0001). Propulsion gain was lower in patients with comorbidities (<i>P</i> = .047).</p><p><strong>Conclusion: </strong>Sensor-based gait assessment offers an objective, quantifiable means to measure the impact of pain interventions in musculoskeletal rehabilitation. Pain alleviating interventions like GNB yield measurable gait improvements in knee OA. Adequate pain relief promotes active rehabilitation, enhancing biomechanics and mobility.</p><p><strong>Self declaration: </strong>This is a secondary analysis of data previously collected as part of a published study on pain and quality of life outcomes post-genicular nerve block. The present study explores gait parameters using a novel approach not addressed earlier.</p>","PeriodicalId":72107,"journal":{"name":"Advances in rehabilitation science and practice","volume":"15 ","pages":"27536351261437945"},"PeriodicalIF":0.0,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knee Biofeedback Rehabilitation Interface for Game-based Home Therapy (KneeBRIGHT) in Patients with Knee Osteoarthritis: A Protocol for Evaluating the KneeBRIGHT System via Randomized, Controlled Clinical Trial.","authors":"Aziz Norbekov, Eileen Krepkovich, Carla Hill, David Berkoff, Nailah Adams, Devin K Kelly, Andrew Jackman, John Kane, Ashley Hanson, Joe M Hart","doi":"10.1177/27536351261435821","DOIUrl":"10.1177/27536351261435821","url":null,"abstract":"<p><strong>Background: </strong>Patients with knee osteoarthritis who seek physical therapy interventions often struggle with compliance to prescribed exercise regimens, resulting in reduced benefits of physical therapy programs. More engaging and technology-enabled interventions incorporating real-time biofeedback and gamification have shown promise in improving exercise adherence and outcomes.</p><p><strong>Objective: </strong>The subject research study aims to evaluate whether the KneeBRIGHT system, an electromyographic biofeedback-based video gaming system, improves exercise adherence and functional outcomes compared to standard physical therapy. We hypothesize that the incorporation of a real-time biofeedback and gamification system will be more engaging and fun, and in turn, will increase exercise adherence and lead to better clinical outcomes.</p><p><strong>Methods: </strong>This is a prospective, single-blinded, randomized control trial conducted at a single academic center in collaboration with 5 local physical therapy clinics. Sixty patients between 40 and 75 years old with radiographically diagnosed knee osteoarthritis will be randomized to an 8-week structured rehabilitation program that includes a combination of both clinic and home exercise sessions with or without the KneeBRIGHT system. OUTCOMES: The primary outcome measured will be pre-to-post changes in patient reported outcomes (KOOS), with secondary outcomes measured in functional performance tests, protocol adherence, and technology acceptance assessments.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov, NCT06090097. URL: https://clinicaltrials.gov/study/NCT06090097.</p>","PeriodicalId":72107,"journal":{"name":"Advances in rehabilitation science and practice","volume":"15 ","pages":"27536351261435821"},"PeriodicalIF":0.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13031734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitation Service Delivery Models to Foster Healthy Ageing in the WHO European Region: Results From a Cross-Sectional Stakeholder Consultation Involving 45 Countries.","authors":"Vanessa Seijas, Roxanne Maritz, Julia Yee, Beatriz Moreira, Clara Lussi, Andreas Limacher, Yongjie Yon, Shirin Kiani, Tomas Zapata, Carla Sabariego","doi":"10.1177/27536351261419007","DOIUrl":"10.1177/27536351261419007","url":null,"abstract":"<p><strong>Background: </strong>As populations age, rehabilitation needs are increasing sharply. Older people experience declining intrinsic capacity, multimorbidity, and environmental barriers, which intensify their reliance on rehabilitation to optimize and maintain functional ability. Despite its critical role in healthy ageing, access to rehabilitation remains limited across the WHO European Region (WHO EURO).</p><p><strong>Aim: </strong>To examine the availability, implementation, and challenges of rehabilitation service delivery for older people in WHO EURO from the perspectives of rehabilitation stakeholders.</p><p><strong>Design and methods: </strong>We conducted a secondary mixed-methods analysis of a 2023/2024 global online survey called \"Rehabilitation Service Delivery to Foster Healthy Ageing,\" initially designed to identify and validate global rehabilitation delivery models, focusing on WHO EURO data. The survey, offered in 8 languages, targeted health and care workers providing rehabilitation for people aged 60 and above. Quantitative and qualitative data were analysed descriptively, thematically, and integrated using the Health System Dynamics Framework. Reporting followed CROSS and MMR-RHS guidelines.</p><p><strong>Results: </strong>706 responses from 45 countries were analysed. Six validated rehabilitation delivery models were confirmed: outpatient, inpatient, home, telerehabilitation, community, and residential long-term care. Findings revealed disparities in the availability of these models and in the responsiveness - assessed through a self-designed responsiveness index - of rehabilitation services to ageing populations, varying by country and income level. Strengthening outpatient, home, and residential long-term rehabilitation was considered most urgently needed. Barriers and facilitators to strengthening rehabilitation were identified across all domains of the Health System Dynamics Framework and synthesized into 8 themes and 19 subthemes.</p><p><strong>Discussion: </strong>Rehabilitation models remain unevenly implemented across Europe, and inequities in provision persist. Systemic barriers span governance, financing, human resources, and service delivery, underlining the importance of integrated approaches that reflect older people's realities and priorities.</p><p><strong>Conclusion: </strong>Rehabilitation plays a key role not only after illness or injury but also in maintaining functional ability during age-related declines in intrinsic capacity. Strengthening rehabilitation for older people is essential for Healthy Ageing and requires investment, intersectoral collaboration, and implementation science to overcome systemic barriers.</p>","PeriodicalId":72107,"journal":{"name":"Advances in rehabilitation science and practice","volume":"15 ","pages":"27536351261419007"},"PeriodicalIF":0.0,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13031732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical rehabilitation sits at the heart of rehabilitation services.","authors":"Edwin C Jesudason","doi":"10.1177/27536351261431718","DOIUrl":"https://doi.org/10.1177/27536351261431718","url":null,"abstract":"","PeriodicalId":72107,"journal":{"name":"Advances in rehabilitation science and practice","volume":"15 ","pages":"27536351261431718"},"PeriodicalIF":0.0,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12982853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Hidden Hierarchy of Illness.","authors":"Tarek A Z K Gaber","doi":"10.1177/27536351261431723","DOIUrl":"https://doi.org/10.1177/27536351261431723","url":null,"abstract":"","PeriodicalId":72107,"journal":{"name":"Advances in rehabilitation science and practice","volume":"15 ","pages":"27536351261431723"},"PeriodicalIF":0.0,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12982850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medication Adherence and Its Determinants Among Adults With Heart Failure: A Study in Selected Hospitals of North Shewa Zone, Oromia, Ethiopia (2024)-A Multicenter Institutional-Based Cross-Sectional Study.","authors":"Abdurehman Seid Mohammed, Wubanchi Seid Kemal, Ali Seid Kolbay, Mustofa Hassen Yesuf, Selam Seyoum Abebe, Bisrat Solomon, Getachew Mekete Deress","doi":"10.1177/27536351251391632","DOIUrl":"https://doi.org/10.1177/27536351251391632","url":null,"abstract":"<p><strong>Background: </strong>Effective management of heart failure (HF) critically relies on adherence to evidence-based pharmacotherapy. However, adherence remains suboptimal, contributing to preventable hospital readmissions, disease progression, and increased healthcare costs. This study assessed medication adherence and associated factors among adult HF patients in selected hospitals of North Shewa Zone, Oromia, Ethiopia.</p><p><strong>Methods: </strong>An institutional-based cross-sectional study was conducted among 327 adult HF patients selected via simple random sampling. The sample size was calculated using a single population proportion formula (<i>P</i> = .738, 95% confidence interval [CI], 5% margin of error) and adjusted for a 10% non-response rate. Medication adherence was measured using the Amharic version of the Morisky Medication Adherence Scale (MMAS-8). Data were entered and analyzed using SPSS version 26. Logistic regression identified factors associated with adherence, with statistical significance set at <i>P</i> < .05.</p><p><strong>Results: </strong>Out of 327 participants, 165 (50.5%) were female, with a mean age of 43 ± 17.6 years. Good medication adherence was observed in 146 participants (44.65%). Independent predictors of adherence included higher HF knowledge (AOR = 2.03; 95% CI = 1.13-3.66; <i>P</i> = .018), access to free medications (AOR = 1.78; 95% CI = 1.04-3.03; <i>P</i> = .034), and receiving education on medication adherence (AOR = 2.20; 95% CI = 1.22-3.97; <i>P</i> = .009).</p><p><strong>Conclusion and recommendations: </strong>Less than half of HF patients demonstrated good medication adherence. Structured patient education, reliable access to medications, and improved HF knowledge were key determinants of adherence. Interventions targeting these factors are strongly recommended to enhance medication adherence and improve clinical outcomes among HF patients in North Shewa Zone.</p>","PeriodicalId":72107,"journal":{"name":"Advances in rehabilitation science and practice","volume":"15 ","pages":"27536351251391632"},"PeriodicalIF":0.0,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12976411/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The EQ-5D-5L and Minimal Important Change in Long COVID.","authors":"Adam B Smith, Darren C Greenwood, Ruairidh Milne, Mike Ormerod, Manoj Sivan","doi":"10.1177/27536351261423961","DOIUrl":"https://doi.org/10.1177/27536351261423961","url":null,"abstract":"<p><strong>Introduction: </strong>The EQ-5D-5L is the most commonly used patient-reported outcome measure in Long COVID (LC). Despite its frequent use, there have been few studies reporting LC-specific metrics to identify and interpret meaningful change. The aim of the study was therefore to determine the Minimal Clinically Important Difference (MCID) and Minimal Important Difference (MID) measures for the EQ-5D-5L in LC.</p><p><strong>Methods: </strong>Data were collected from a national study (LOCOMOTION) evaluating LC services in the UK, involving participants completing the EQ-5D-5L on at least 2 occasions. The EQ-5D domains were categorised using Paretian classification of health states, and the probability of superiority was used to determine changes in health states over time. EQ-5D-5L profile scores were converted into health utilities using the UK-specific algorithm. The MCID was derived using 0.5 standard deviation and the MID by a 0.2 effect size.</p><p><strong>Results: </strong>A total of 423 people (283 females, 67%) with LC completed the EQ-5D at 2 time points (median time interval: 196 days). Most participants reported problems in at least 1 EQ-5D domain. Only around 25% of participants noted some improvement. The MCID estimates were 0.11 for the EQ-5D-5L and 10.6 for the EQ-5D-5L VAS. The MID for the EQ-5D-5L was 0.03. Some differences in the change metrics were observed depending on baseline health states and timing of the follow-up assessment.</p><p><strong>Conclusion: </strong>Long COVID specific estimates of the MCIDs and MIDs were derived for the EQ-5D-5L and EQ-5D VAS. The MCIDs will facilitate the evaluation and interpretation of meaningful change in patient health states in LC, both at the individual level and more broadly in health economic assessments of LC management, intervention and rehabilitation programmes.</p>","PeriodicalId":72107,"journal":{"name":"Advances in rehabilitation science and practice","volume":"15 ","pages":"27536351261423961"},"PeriodicalIF":0.0,"publicationDate":"2026-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12924961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to the Letter to the Editor.","authors":"Seng Kwee Wee, Zhi Yan Ng Valerie, Min Wee Phua, Wen Li Lui","doi":"10.1177/27536351261423329","DOIUrl":"https://doi.org/10.1177/27536351261423329","url":null,"abstract":"","PeriodicalId":72107,"journal":{"name":"Advances in rehabilitation science and practice","volume":"15 ","pages":"27536351261423329"},"PeriodicalIF":0.0,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12925000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}