Advances in rehabilitation science and practice最新文献

{"title":"Getting up With Lateral Thinking.","authors":"Anita Patel, Stephen Kirker","doi":"10.1177/27536351241229952","DOIUrl":"https://doi.org/10.1177/27536351241229952","url":null,"abstract":"<p><strong>Introduction: </strong>Falls in the community can have major impacts on patient lives. There can be long lasting physical and psychological consequences of a fall and subsequent long lie. The annual burden to ambulance services responding to falls at home is high. Affordable devices to help people get up from the floor, or reduce the risk of a long lie, would be useful and widely applicable.</p><p><strong>Case report: </strong>We present the case of 2 families who successfully used an air mattress and a bath lift to get the fallen person up off the floor following a fall, when they had previously called an ambulance. This has reduced their dependence on the ambulance service and has improved their confidence following falls.</p><p><strong>Discussion/conclusion: </strong>Affordable devices such as air mattresses can help people off the floor following a fall and prevent long lies as well as reduce the number of ambulance call outs.</p>","PeriodicalId":72107,"journal":{"name":"Advances in rehabilitation science and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10858667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725172","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":"HEART Rate Variability Biofeedback for LOng COVID Dysautonomia (HEARTLOC): Results of a Feasibility Study.","authors":"Joanna Corrado, Nafi Iftekhar, Stephen Halpin, Mengyao Li, Rachel Tarrant, Jennifer Grimaldi, Alexander Simms, Rory J O'Connor, Alex Casson, Manoj Sivan","doi":"10.1177/27536351241227261","DOIUrl":"10.1177/27536351241227261","url":null,"abstract":"<p><strong>Introduction: </strong>Post-COVID-19 syndrome, or Long Covid (LC) refers to symptoms persisting 12 weeks after the COVID-19 infection. LC comprises a wide range of dysautonomia symptoms, including fatigue, breathlessness, palpitations, dizziness, pain and brain fog. This study tested the feasibility and estimated the efficacy, of a Heart Rate Variability Biofeedback (HRV-B) programme via a standardised slow diaphragmatic breathing technique in individuals with LC.</p><p><strong>Methods: </strong>LC patients underwent a 4-week HRV-B intervention for 10 minutes twice daily for 4 weeks using the Polar H10 ECG (Electrocardiogram) chest strap and Elite HRV phone application. Outcome measures C19-YRSm (Yorkshire Rehabilitation Scale modified), Composite Autonomic Symptom Score (COMPASS-31), WHO Disability Assessment Schedule (WHODAS), EQ5D-5L (EuroQol 5 Dimensions) and Root Mean Square of Successive Differences between heartbeats (RMSSD) using a Fitbit device were recorded before and after the intervention. The study was pre-registered at clinicaltrials.gov NCT05228665.</p><p><strong>Results: </strong>A total of 13 participants (54% female, 46% male) completed the study with high levels of independent use of technology, data completeness and intervention adherence. There was a statistically significant improvement in C19YRS-m (<i>P</i> = .001), COMPASS-31 (<i>P</i> = .007), RMSSD (<i>P</i> = .047), WHODAS (<i>P</i> = .02) and EQ5D Global Health Score (<i>P</i> = .009). Qualitative feedback suggested participants could use it independently, were satisfied with the intervention and reported beneficial effects from the intervention.</p><p><strong>Conclusion: </strong>HRV-B using diaphragmatic breathing is a feasible intervention for LC. The small sample size limits generalisability. HRV-B in LC warrants further exploration in a larger randomised controlled study.</p>","PeriodicalId":72107,"journal":{"name":"Advances in rehabilitation science and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10826406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139652365","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":"Variations in Health-Related Quality of Life After Stroke: Insights From a Clinical Trial on Arm Rehabilitation With a Long-Term Follow-Up.","authors":"Giada Milani, Linda Mantovani, Andrea Baroni, Nicola Lamberti, Nino Basaglia, Susanna Lavezzi, Fabio Manfredini, Sofia Straudi","doi":"10.1177/27536351231214845","DOIUrl":"10.1177/27536351231214845","url":null,"abstract":"<p><p>Despite rehabilitation, stroke patients continue to have impaired function and reduced health-related quality of life (HRQoL) even in a chronic stage. However, no clear information is available on long-term variations in HRQoL. In this study, we aimed to report the short- and long-term changes in HRQoL in a subacute stroke sample that was enrolled in a clinical trial on arm rehabilitation. Thirty-nine stroke survivors (62% male, mean age 68 years) were assessed using the Stroke Impact Scale Version 2.0 (SIS 2.0) pre and post rehabilitation and at 6 months and 6 years follow-up. Long-term changes in physical function were explored through clinically meaningful changes in the Stroke Impact Scale-16 (SIS-16). After rehabilitation (<i>P</i> < .001), an overall improvement was found in all SIS domains except the memory and thinking, emotions, and communication domains. The baseline SIS-16 score (<i>P</i> < .001), the presence of a sensory deficit, and rehabilitation setting (<i>P</i> < .05) were factors related to the SIS-16 domain scores at the end of rehabilitation and at 6 months follow-up. Patients showed the most deterioration in the mobility (<i>P</i> < .001), strength (<i>P</i> < .003), and hand function (<i>P</i> < .05) domains 6 years after stroke. Stroke severity, male gender, and age ⩾65 years are related with a long-term HRQoL reduction after stroke.</p>","PeriodicalId":72107,"journal":{"name":"Advances in rehabilitation science and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10687933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464703","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":"Importance of Health Policy and Systems Research for Strengthening Rehabilitation in Health Systems: A Call to Action to Accelerate Progress.","authors":"Walter R Frontera, Wouter DeGroote, Abdul Ghaffar","doi":"10.1177/27536351231214307","DOIUrl":"10.1177/27536351231214307","url":null,"abstract":"","PeriodicalId":72107,"journal":{"name":"Advances in rehabilitation science and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10683378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464701","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":"Study of the Responsiveness and Minimal Clinically Important Difference of the Trunk Impairment Scale in Patients With Acute Stroke.","authors":"Masahiro Ishiwatari, Tsuyoshi Takahara, Masato Hayakawa, Akihiro Ogawa, Satoshi Kido","doi":"10.1177/27536351231211718","DOIUrl":"https://doi.org/10.1177/27536351231211718","url":null,"abstract":"<p><strong>Background: </strong>Trunk function is a prerequisite for functional activity; thus, it is crucial to carry out proper assessments and interventions. However, there is no clear indicator for trunk function evaluation in patients with stroke. To understand the effects of interventions over time, it is important to adopt responsive clinical indicators.</p><p><strong>Purpose: </strong>To examine the Trunk Impairment Scale (TIS) (Fujiwara version) in terms of responsiveness and the minimal clinically important difference (MCID).</p><p><strong>Methods: </strong>In total, 55 patients who experienced an acute stroke were evaluated on the seventh day of hospitalization and the day before discharge. The responsiveness of the TIS was assessed by the effect size and standardized response mean (SRM). Additionally, an MCID study was conducted to examine the amount of change in TIS scores required to indicate a clinically meaningful change, which was determined by the presence or absence of improvement in the activities of daily living.</p><p><strong>Results: </strong>The SRM of the TIS was 1.42. Additionally, the MCID was determined to be 3 points.</p><p><strong>Conclusion: </strong>The TIS score improved over time and a 3-point improvement in the TIS score was associated with improvement in the activities of daily living. Thus, this scale's clinical sensitivity and MCID have been established in patients with stroke.</p>","PeriodicalId":72107,"journal":{"name":"Advances in rehabilitation science and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10664440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464702","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":"Going Beyond Conventional Assessment of Developmental Motor Disorders: Exploring Video Methods for Early Identification Among Children 0 to 3 Years.","authors":"Maria Lopez Coxon,&nbsp;Catherine R Hoyt,&nbsp;Alyssa E Smith,&nbsp;Mijna Hadders-Algra","doi":"10.1177/27536351231207740","DOIUrl":"https://doi.org/10.1177/27536351231207740","url":null,"abstract":"<p><p>Motor skills and movement-related functioning significantly shape how children experience and interact with the world around them. Among infants and young children, developmental motor disorders contribute to delays with motor, cognitive, and psychosocial development. Early and accurate identification of these disorders is necessary to facilitate timely access to therapeutic interventions that minimize the long-term effects of disability on everyday activities and participation. In the United States, motor assessments commonly used among children 0 to 3 years focus on completion of specific motor skills at a single point in time, which provides only a part of the greater picture that is a child's motor and movement-related functioning. Video-capture methods, like the General Movements Assessment (GMA) and the Infant Motor Profile (IMP), offer greater accuracy and predictive power to (1) identify motor deficits in young children and (2) facilitate early access to supportive, therapeutic intervention.</p>","PeriodicalId":72107,"journal":{"name":"Advances in rehabilitation science and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10621290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71489519","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":"Psychometric Properties of LUN-MS: A New Questionnaire to Identify the Unmet Needs of People With Multiple Sclerosis.","authors":"Amin Mohamed Abu Baker,&nbsp;Harriet Moore,&nbsp;Kathleen Baster,&nbsp;Esther Hobson,&nbsp;David Paling,&nbsp;Basil Sharrack,&nbsp;Krishnan Padmakumari Sivaraman Nair","doi":"10.1177/27536351231197142","DOIUrl":"https://doi.org/10.1177/27536351231197142","url":null,"abstract":"<p><strong>Background: </strong>We developed a 29-item Questionnaire, Long-term Unmet Needs in MS (LUN-MS) to identify the unmet needs of people with multiple sclerosis (pwMS).</p><p><strong>Objective: </strong>To assess acceptability, test-retest reliability, internal consistency, and validity of the LUN-MS.</p><p><strong>Methods: </strong>Participants completed the LUN-MS and MSIS-29 twice, four weeks apart. Acceptability was assessed by looking at the response rate in each time point. Reliability was calculated by comparing the response during the two time points using Cohen's weighted kappa. Using principal component analysis, the dimensionality of the questionnaire's items was reduced, to five domains and the internal consistency of each domain was assessed using Cronbach's alpha. Concurrent validity was tested by comparing the total LUN-MS score against MSIS-29 and EQ-5D-3L using Pearson's product-moment correlation coefficient.</p><p><strong>Results: </strong>Among 88 participants, rate of completion at time points-1 and 2 was 96 and 80% respectively. Test-retest reliability for individual items was between fair to near-perfect (weighted Cohen's kappa 0.39-0.81). The unmet needs could be divided into five internally consistent domains (Cronbach's alpha 0.83-0.74): neuropsychological, ambulation, physical, interpersonal relationship and informational. Concurrent validity with MSIS-29 (<i>r</i> = 0.705, <i>P</i> < .001) and EQ-5D-3L (<i>r</i> = 0.617, <i>P</i> < .001) were good.</p><p><strong>Conclusion: </strong>LUN-MS is a reliable, valid, and acceptable tool to identify the unmet needs of pwMS.</p>","PeriodicalId":72107,"journal":{"name":"Advances in rehabilitation science and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1b/5e/10.1177_27536351231197142.PMC10510363.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41160841","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 Efficacy of Virtual Reality Training in the Rehabilitation of Orthopedic Ankle Injuries: A Systematic Review and Meta-analysis.","authors":"Abd El Rahman Elaraby, Mostafa Shahien, Alhadi M Jahan, Mohammad Etoom, Amira Hassan Bekhet","doi":"10.1177/11795727231151636","DOIUrl":"10.1177/11795727231151636","url":null,"abstract":"<p><strong>Introduction: </strong>Orthopedic ankle injuries are considered among the most common musculoskeletal injuries. A wide variety of modalities and techniques have been used for the management of these injuries, and virtual reality (VR) is one modality that has been examined in ankle injuries rehabilitation.</p><p><strong>Purpose: </strong>This study aims to systemically review previous studies evaluating the effect of virtual reality in rehabilitating orthopedic ankle injuries.</p><p><strong>Methods: </strong>We searched six online databases: PubMed, Web of Science (WOS), Scopus, the Physiotherapy Evidence Database (PEDro), Virtual Health Library (VHL), and Cochrane Central Register of Controlled Trials (CENTRAL).</p><p><strong>Results: </strong>Ten randomized clinical trials met the inclusion criteria. Our results showed that VR had a significant effect on overall balance compared to conventional physiotherapy (SMD = 0.359, 0.009-0.710 <i>P</i> = 0.04), [<i>I</i> ²= 17%, <i>P</i> = 0.30]. Compared with conventional physiotherapy, VR programs significantly improved gait parameters such as speed and cadence, muscle power, and perceived ankle instability; however, no significant difference was detected in the foot and ankle ability measure (FAAM). Additionally, significant improvements in static balance and perceived ankle instability were reported after the use of VR balance and strengthening programs. Finally, only two articles were deemed to have good quality, and the other studies' quality ranged from poor to fair.</p><p><strong>Conclusion: </strong>VR rehabilitation programs can be used to rehabilitate ankle injuries, as they are regarded as safe interventions and have promising effects. However, there is a need for studies with high quality since most included studies' quality varied from poor to fair.</p>","PeriodicalId":72107,"journal":{"name":"Advances in rehabilitation science and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9933927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9451148","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":"Abstracts of the BSPRM Annual Meeting July 2023","authors":"Jackie Campbell, Prashanth H. Chalageri, H. Magimairaj, Natalie Gray, John R F Gladman, Alison Cowley, P. Logan, Vicky L Goosey-Tolfrey, Nasir Quraishi, Vicky Booth, Ahmad Saif, Annie Price, Anas Hassan, Amy Hartley, Kerrie Bingham, Edwin Eshun, Orla Burke, Florence Do, Aashik J Mohamed Jemseed, Angus Maciver, Anushka Mathur, Cassie Mayne, Levente Novak, Anna Siddique, Eve Smith, David Tapia Stocker, Andy Johnston, Alistair Stewart, Alasdair FitzGerald, Laura Edwards, Adam Gordon, Kim Fletcher, Fiona Marshall, Roshan das Nair, Lauren Milbourne, A. Khine, S. S. Swarna, S. Hirani, A. Daulatzai, V. Blackwell, C. Hillier, M. Woodley, A. Forbes, S. Wong","doi":"10.1177/27536351231196944","DOIUrl":"https://doi.org/10.1177/27536351231196944","url":null,"abstract":"A small proportion of Persons with Spinal Cord Injury (PwSCI) with lesions in cauda equina secondary to trauma or spinal dysraphisms have recurrent ischial ulcers.","PeriodicalId":72107,"journal":{"name":"Advances in rehabilitation science and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82625941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Antenatal Exercise: Knowledge, Attitudes, Practices, and Influencing Factors among Pregnant Women in Libya","authors":"Alhadi M Jahan, Salima M Anaiba","doi":"10.1177/27536351231212132","DOIUrl":"https://doi.org/10.1177/27536351231212132","url":null,"abstract":"Background: Antenatal exercise is crucial in promoting pregnant women’s health and well-being. However, no research in Libya examined the knowledge, attitudes, and practices of antenatal exercise among pregnant women. Methods: This cross-sectional study aimed to explore the knowledge, attitudes, and practices related to antenatal exercise among pregnant women in Libya. A convenience sample of pregnant women (n = 205) receiving prenatal care at Misrata Medical Center and having no contraindication for exercise participated in the study. A self-administered, previously elaborated questionnaire was used to assess participants’ awareness, knowledge, attitudes, and practice of antenatal exercise. Descriptive statistics and binary logistic regression analysis were employed using SPSS version 28. Results: The findings revealed that nearly half of the participants demonstrated good knowledge (56.1%) and a positive attitude (47.8%) regarding antenatal exercise. Less than one-third (30.2%) of participants engaged in some form of exercise during pregnancy. The logistic regression results showed that age, income, and practice of exercise before pregnancy significantly contributed to the knowledge score. The analysis indicated that the unemployment status (AOR = 2.42, 95% CI [0.78-6.38], P = .03) and practicing exercise before pregnancy (AOR = 1.97, 95% CI [0.92-4.24], P = .02) were significantly associated with a higher likelihood of engaging in antenatal exercise. The main subjective reasons for pregnant women not engaging in antenatal exercise were lack of time, poor knowledge, fatigue, and worries about harming the baby. Conclusion: This study sheds light on the current state of antenatal exercise among pregnant women in Libya and highlights the factors shaping these behaviors. The findings underscore the importance of promoting accurate knowledge, addressing misconceptions, and providing support and resources to overcome barriers and encourage safe and effective antenatal exercise practices in Libya. Future studies should consider employing qualitative or mixed methods research designs to examine antenatal exercise from different perspectives.","PeriodicalId":72107,"journal":{"name":"Advances in rehabilitation science and practice","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135705261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}