Archives of rehabilitation research and clinical translation最新文献

{"title":"Acceptance and Use of Generative AI in Clinical Rehabilitation: An Interdisciplinary Survey of US Rehabilitation Professionals","authors":"Malachy J. Clancy PhD, OTR/L, BCPR,&nbsp;Erin R. Pletcher PhD, LAT, ATC, CSCS,&nbsp;Alison Bell OTD, OTR/L,&nbsp;Travis Pollen PhD,&nbsp;Robert Dekerlegand PT, MPT, PhD, CCS","doi":"10.1016/j.arrct.2025.100571","DOIUrl":"10.1016/j.arrct.2025.100571","url":null,"abstract":"<div><h3>Objective</h3><div>To examine rehabilitation professionals’ current clinical use and practice patterns of generative artificial intelligence (GenAI) and examine differences between users and nonusers.</div></div><div><h3>Design</h3><div>Cross-sectional mixed-methods.</div></div><div><h3>Setting</h3><div>Online survey.</div></div><div><h3>Participants</h3><div>A total of 408 professionals responded, with 264 complete surveys (64.7% completion) analyzed quantitatively and 311 valid open-ended responses analyzed qualitatively. The participants included occupational therapists, physical therapists, speech language pathologists, clinical exercise physiologists, and athletic trainers in the United States.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Researcher-designed survey based on the Technology Acceptance Model and Unified Theory of Acceptance and Use of Technology.</div></div><div><h3>Results</h3><div>Responses were received from all regions of the US, and were primarily occupational therapists (n=136, 51.5%) and women (n=214, 81.1%). Most participants identified as nonusers (n=154, 58.3%), whereas 41.6% (n=101) reported using GenAI some or most of the time. ChatGPT was the most common platform identified by all participants (n=241, 91.3%). GenAI was recognized by rehabilitation professionals as a tool to support patient care and administrative tasks. Users were significantly more likely than nonusers to perceive GenAI as useful in 5 of 7 domains (<em>P</em>&lt;.001) and easy to use in 3 of 6 domains (<em>P</em>&lt;.001). Logistic regression demonstrated that peer influence was the strongest predictor of use (<em>P</em>&lt;.001, odds ratio 6.16, 95% CI, 2.94-12.93).</div></div><div><h3>Conclusions</h3><div>Perceptions of usefulness, ease of use, and the social influence of peers significantly influence rehabilitation professionals’ adoption and the use of GenAI within clinical practice.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 3","pages":"Article 100571"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961326","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":"Application of Circadian Rhythm-Based Pulmonary Rehabilitation in Patients with Severe Pneumonia—A Feasibility Study With Convenience Sampling","authors":"Li Shan BSN,&nbsp;Li Taoxingzi MSN,&nbsp;Zhang Yaqin BSN,&nbsp;Zhu Kangning MSN,&nbsp;Li Rui BSN,&nbsp;Gao YanQiu MS","doi":"10.1016/j.arrct.2026.100620","DOIUrl":"10.1016/j.arrct.2026.100620","url":null,"abstract":"<div><h3>Objective</h3><div>To develop a comprehensive pulmonary rehabilitation program based on circadian rhythm principles for critically ill patients with severe pneumonia and evaluate its efficacy.</div></div><div><h3>Design</h3><div>A feasibility study with convenience sampling.</div></div><div><h3>Setting</h3><div>A grade A tertiary hospital.</div></div><div><h3>Participants</h3><div>Ninety-three (N=93) patients with severe pneumonia. A total of 47 patients admitted from January to March 2025 were assigned to the control group, and 46 patients admitted from April to June 2025 were allocated to the intervention group.</div></div><div><h3>Interventions</h3><div>The control group received routine pulmonary rehabilitation; the intervention group was given a circadian rhythm-based comprehensive pulmonary rehabilitation program in addition to routine care.</div></div><div><h3>Main Outcome Measures</h3><div>Duration of mechanical ventilation, length of hospital stay, pulmonary rehabilitation compliance rate, pulmonary function indicators, sleep quality, and patient satisfaction with nursing care.</div></div><div><h3>Results</h3><div>Compared with the control group, the intervention group had significantly shorter durations of mechanical ventilation and hospital stay (<em>P</em>&lt;.05). Additionally, the intervention group showed a significantly higher pulmonary rehabilitation compliance rate, better pulmonary function indicators, higher sleep quality scores, and greater patient satisfaction with nursing care than the control group (all <em>P</em>&lt;.05).</div></div><div><h3>Conclusions</h3><div>The circadian rhythm-based comprehensive pulmonary rehabilitation intervention provides a rehabilitation model that aligns with the biological rhythms of critically ill patients with severe pneumonia. This approach may reduce the duration of mechanical ventilation and hospital stay, improve pulmonary function and sleep quality, and enhance patient satisfaction with nursing care.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 3","pages":"Article 100620"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961327","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":"Cryoneurolysis for Spasticity in a Pediatric Patient With Cold Urticaria Managed With Targeted Skin Warming: A Case Report","authors":"Paul Winston MD","doi":"10.1016/j.arrct.2026.100667","DOIUrl":"10.1016/j.arrct.2026.100667","url":null,"abstract":"<div><div>Spasticity affects a significant portion of individuals with cerebral palsy, often progressing to contractures and neuro-orthopedic deformities if left untreated. Cryoneurolysis is an emerging, mini-invasive ultrasound-guided technique that induces secondary axonotmesis of peripheral nerves through the formation of an ice ball, shown to result in months of improved range of motion. However, cold urticaria is listed as a contraindication for this procedure because of the risk of localized or systemic anaphylaxis. We present a case of a 10-year-old girl with ataxic cerebral palsy who successfully underwent multisite cryoneurolysis. She had test-confirmed cold urticaria, requiring an epinephrine autoinjector to be kept on hand. By employing skin warming techniques and guided nerve branch targeting to attempt to keep the dermis above her critical temperature threshold, the procedure was completed without adverse events, achieving significant improvements in tone and gait. This case suggests that cryoneurolysis can be performed safely and is an effective spasticity treatment for patients with cold urticaria when appropriate thermal prophylactic measures are taken.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 3","pages":"Article 100667"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961826","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":"Evaluating the Effectiveness and Technique Composition of Combined Motor Learning and Behavior Change Strategies for Movement Behavior in Chronic Musculoskeletal Pain: A Systematic Review","authors":"Ingrid van Duijvenbode MSc,&nbsp;Matthijs Tuijt PhD,&nbsp;Cindy Veenhof PhD,&nbsp;Bart Visser PhD,&nbsp;Daniel Bossen PhD,&nbsp;Margreet Wortman PhD","doi":"10.1016/j.arrct.2026.100618","DOIUrl":"10.1016/j.arrct.2026.100618","url":null,"abstract":"<div><h3>Objectives</h3><div>This review assessed the effectiveness of combined motor learning (ML) and behavior change (BC) strategies on movement behavior in daily life for patients with chronic musculoskeletal pain (CMP) and analyzed the applied techniques.</div></div><div><h3>Data sources</h3><div>Literature was searched in PubMed, CINAHL, and Embase databases.</div></div><div><h3>Study selection</h3><div>The following eligibility criteria were formulated: randomized controlled trials and clinical controlled trials, adults with CMP, movement interventions consisting of ML and BC strategies, and movement behavior or activities in daily life as outcome measures. We used ASReview software for screening.</div></div><div><h3>Data extraction</h3><div>Two reviewers extracted data and independently assessed the risk of bias of the studies included. A best evidence synthesis was conducted for effectiveness and technique analysis with frameworks for the applied techniques.</div></div><div><h3>Data synthesis</h3><div>Nineteen papers were selected. Moderate evidence was found in favor of the combined strategies on the quality, and insufficient evidence on the quantity of movement behavior. For activities of daily life, inconsistent evidence was found. The ML techniques reflected a more explicit learning approach. A small portion of BC techniques were applied, such as goal setting and shaping knowledge.</div></div><div><h3>Conclusions</h3><div>Evidence of the effectiveness of combined strategies is moderate for the quality of movement, insufficient for the quantity of movement, and inconsistent for activities of daily life. The studies used a limited set of ML and BC techniques. Interventions for CMP should apply a more diverse set of techniques and use movement behavior as an outcome measure.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 3","pages":"Article 100618"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961648","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":"An Exploratory Assessment on Differing Supplemental Feeding Methods and Associated Pediatric Neurorehabilitation Outcomes","authors":"Jennifer Wu MD, PhD,&nbsp;Lea C. Mason BS,&nbsp;Patricia A. Orme MD,&nbsp;Stephanie E. Cohen CPNP,&nbsp;Brian D. Wishart DO, MMS,&nbsp;Bridgid M. O’Brien CPNP,&nbsp;Lynette Holmes MS, CCC-SLP,&nbsp;Katherine Barrett MS, CCC-SLP,&nbsp;A. Kaytee Welsh MD","doi":"10.1016/j.arrct.2026.100655","DOIUrl":"10.1016/j.arrct.2026.100655","url":null,"abstract":"<div><h3>Objective</h3><div>To identify functional differences of continued nasogastric tube (NG) compared with new gastrostomy (GT) tube for enteral feeding support in pediatric neurorehabilitation patients admitted to inpatient rehabilitation (IPR).</div></div><div><h3>Design</h3><div>Retrospective cohort study.</div></div><div><h3>Setting</h3><div>Pediatric IPR facility.</div></div><div><h3>Participants</h3><div>A total of 74 children and adolescents (N=74) (47 boys/27 girls, age mean ± SD=10.7±5.1y) with new neurologic impairments because of acquired brain injury and admitted to pediatric IPR with either NG or new GT tube for supplemental feeding.</div></div><div><h3>Interventions</h3><div>Standard of care IPR treatment.</div></div><div><h3>Main Outcome Measures</h3><div>The primary outcome measure was the change in International Dysphagia Diet Standardisation Initiative Functional Diet Scale (IDDSI-FDS) score at IPR admission and discharge. Secondary outcome measures included the cognitive components of the Functional Independence Measure in Children (WeeFIM) and body mass index.</div></div><div><h3>Results</h3><div>At admission, rates of continued NG (51%) and new GT (49%) were similar. IPR treatment resulted in statistically significant improvements in eating function (IDDSI-FDS score median [interquartile range], 0 [0-2.25] to 8 [4.75-8] points; χ²=44.9; <em>P</em>&lt;.001) and cognitive function (WeeFIM Cognition subtotal score mean ± SD=12.2±6.5 to 19.4±7.9 points, <em>t</em>=9.25, <em>P</em>&lt;.001). For nil per os patients, admission with GT was associated with a higher discharge IDDSI-FDS discharge score (GT=7 [0-8] vs NG=5 [0.75-8]; χ²=11.1; <em>P</em>=.09) and a larger effect size in score change across all WeeFIM Cognition components. In contrast, NG was associated with lower body mass index at admission and lesser weight gain across IPR treatment.</div></div><div><h3>Conclusions</h3><div>Feeding tube type at IPR admission may be correlated with functional outcome at discharge home in patients with new neurologic impairments because of acquired brain injury.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 3","pages":"Article 100655"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961714","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":"Thumb Positioning Modulates Median Nerve Mobility and Morphology During Postural Changes in Carpal Tunnel Syndrome: Implications for Nerve Gliding Exercises","authors":"Yi-Wei Chang MD, MS,&nbsp;Chii‑Jen Chen PhD,&nbsp;You‑Wei Wang PhD,&nbsp;Valeria Chiu MD, MS,&nbsp;Yi-Shiung Horng MD, PhD","doi":"10.1016/j.arrct.2026.100660","DOIUrl":"10.1016/j.arrct.2026.100660","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the modulation of median nerve (MN) mobility and morphology by thumb positioning during postural changes in patients with carpal tunnel syndrome (CTS), with implications for nerve gliding exercises.</div></div><div><h3>Design</h3><div>Cross-sectional case–control study.</div></div><div><h3>Setting</h3><div>Outpatient physical medicine and rehabilitation department at a community hospital.</div></div><div><h3>Participants</h3><div>Patients aged 18 to 65 years with symptoms of CTS, confirmed using nerve conduction studies, were consecutively enrolled. Those with a history of wrist trauma or surgery were excluded.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>MN and flexor digitorum superficialis (FDS) tendon excursion and cross-sectional area (CSA) of the MN in wrist neutral/extended and thumb-resting/abducted positions.</div></div><div><h3>Results</h3><div>A total of 79 CTS hands and 88 healthy hands were enrolled. The CTS group had a significantly larger MN CSA (<em>p</em>&lt;.0001), with MN CSA decreasing when the thumb moved from rest to abduction in both wrist-neutral and wrist-extended positions (<em>p</em>=.0170 and <em>p</em>=.0007, respectively). The CTS group also had a significantly lower MN excursion (<em>p</em>&lt;.05), with MN excursion increasing as the wrist extended (<em>p</em>=.0454) but slightly decreasing as the wrist extended with thumb abducted. No between-group difference in FDS tendon excursion was observed for the wrist-neutral position (<em>p</em>=.1126); for the wrist-extended with thumb-at-rest position, the CTS group exhibited slightly greater FDS tendon excursion (<em>p</em>=.0476). Both groups exhibited larger FDS excursion during wrist extension and when the thumb moved from rest to abduction (<em>p</em>=.0026 in CTS group and <em>p</em>=.0060 in control group), indicating posture-related tendon mobility.</div></div><div><h3>Conclusions</h3><div>MN mobility and morphology are affected by thumb positioning in CTS. It is recommended to avoid overstretching the thumb in the final step of nerve gliding exercises.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 3","pages":"Article 100660"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961716","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":"Temporal Variability in Routine Mobility Documentation as an Early Signal of Functional Decline in Skilled Nursing Facilities: A Feasibility and Methods Study","authors":"Neha Sabharwal DPT","doi":"10.1016/j.arrct.2026.100662","DOIUrl":"10.1016/j.arrct.2026.100662","url":null,"abstract":"<div><h3>Objective</h3><div>To establish the feasibility of a temporal variability metric derived from routine mobility documentation in skilled nursing facilities and to examine its exploratory association with functional outcomes.</div></div><div><h3>Design</h3><div>Retrospective cohort study with methods and feasibility focus.</div></div><div><h3>Setting</h3><div>Single 120-bed skilled nursing facility in California.</div></div><div><h3>Participants</h3><div>Inclusion required a length of stay (LOS) of ≥7 days, a minimum of 2 mobility documentation entries, and no hospice or comfort-focused care designation. Among 214 screened admissions, 182 residents met inclusion criteria (mean age 79.6±8.4y; 61% female; median LOS 24d).</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>The primary outcome was the feasibility of calculating documentation variability using the coefficient of variation (CV) of weekly mobility entry counts. Secondary outcomes included functional trajectory classification (improvement, stability, and decline) and discharge disposition.</div></div><div><h3>Results</h3><div>Documentation variability was successfully calculated for all 182 eligible residents (100% calculability), exceeding the 90% feasibility threshold. Mean CV was 0.62±0.24 with no floor or ceiling effects. Functional trajectories were classified as improvement (32.4%), stability (52.7%), and decline (14.8%). Residents in the highest variability quartile showed elevated decline rates (30% vs 9%; <em>P</em>=.03), longer median LOS (31 vs 21d; <em>P</em>=.01), and lower community discharge rates (39% vs 67%; <em>P</em>=.02). A supplementary analysis of mean documentation frequency alone yielded no outcome gradient (<em>P</em>=.31), supporting temporal dispersion as the operative signal. All findings are exploratory and hypothesis-generating.</div></div><div><h3>Conclusions</h3><div>Temporal variability in routine mobility documentation can be operationalized from existing electronic health record data and shows exploratory associations with functional outcomes. The approach requires no additional assessment burden. Multisite prospective validation with multivariable adjustment is needed to establish predictive validity and actionable thresholds.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 3","pages":"Article 100662"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961684","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":"Metaverse-Related and Immersive Digital Technologies in Neurorehabilitation: A Scoping Review","authors":"MohammadHossein Sahami Gilan MSc,&nbsp;Azin Hasani PhD,&nbsp;Negar Farajzadeh Dehkordi MSc","doi":"10.1016/j.arrct.2026.100658","DOIUrl":"10.1016/j.arrct.2026.100658","url":null,"abstract":"<div><h3>Objective</h3><div>To delineate current research on the use of metaverse technologies in neurorehabilitation, pinpointing essential intervention attributes, target demographics, documented results, and evidence gaps in this nascent domain.</div></div><div><h3>Data Sources</h3><div>A comprehensive search was performed across 7 electronic databases: PubMed, Scopus, Web of Science, Cochrane Library, Embase, CINAHL, and Google Scholar, including all papers published through April 19, 2025. However, only a subset of studies that employed immersive virtual reality (VR)/augmented reality or early metaverse-related technologies were included.</div></div><div><h3>Study Selection</h3><div>Of 5681 initial records, studies were included if they investigated immersive technologies for the neurorehabilitation of human participants with neurological conditions and were published in English. Nineteen studies fulfilled the final eligibility criteria after screening.</div></div><div><h3>Data Extraction</h3><div>Two reviewers independently recorded data using a standardized form. The extracted items included study design, population characteristics, technology type, intervention specifics (duration, frequency), outcome measures, and key findings.</div></div><div><h3>Data Synthesis</h3><div>A narrative synthesis was conducted on the 19 included studies. VR was the most frequently used technology, accounting for 63% of studies. However, a subset of studies also incorporated early metaverse-related elements alongside VR for various neurological conditions. More than half of the studies (57.9%) reported significant improvements in motor, cognitive, or emotional domains. High methodological heterogeneity was observed, with only 26.3% of studies being randomized controlled trials.</div></div><div><h3>Conclusions</h3><div>Metaverse-related and immersive digital interventions show promise for improving functional outcomes in neurorehabilitation; however, the evidence base remains preliminary, heterogeneous, and limited in terms of long-term follow-up. The therapeutic effectiveness and scalability of these therapies must be established via rigorous, large-scale trials with consistent procedures and long-term follow-up.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 3","pages":"Article 100658"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961685","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":"A Systematic Review of Stair Fall Risk Assessment Instruments in Older Adults","authors":"Taychapat Makkong MS,&nbsp;David Brienza PhD","doi":"10.1016/j.arrct.2026.100668","DOIUrl":"10.1016/j.arrct.2026.100668","url":null,"abstract":"<div><h3>Objective</h3><div>To systematically identify and critically appraise stair-related fall-risk assessment instruments for older adults and summarize evidence on their measurement properties and clinical applicability.</div></div><div><h3>Data Sources</h3><div>PubMed, CINAHL, Web of Science, and Cochrane Library were searched from inception through October 2025. Reference lists of included studies and relevant reviews were also screened.</div></div><div><h3>Study Selection</h3><div>Studies were eligible if they included adults aged 60 years or older and evaluated stair-related assessment instruments with at least 1 reported psychometric property. Studies of general fall-risk tools without a stair-specific component, biomechanical studies without a structured assessment instrument, and nonoriginal publications were excluded.</div></div><div><h3>Data Extraction</h3><div>Two reviewers independently screened studies, reviewed full texts, and extracted data using a standardized form. Methodological quality and measurement property findings were evaluated using COnsensus-based Standards for the selection of health Measurement INstruments Risk of Bias standards and criteria for good measurement properties.</div></div><div><h3>Data Synthesis</h3><div>After deduplication, 855 records were screened, 60 full-text articles were assessed, and 10 studies, including 1778 participants, were included. Participants had mean ages ranging from 61.4 to 82.7 years, with reported ages from 65 to 97 years. Studies were conducted in community, clinical, outpatient rehabilitation, and research settings. Instruments were primarily performance-based stair tests, along with 1 clinician-rated observational tool and self-report measures of stair self-efficacy. Reliability and construct validity were the most frequently examined and most consistently supported measurement properties, particularly among performance-based and selected observational instruments. Evidence for predictive validity and responsiveness was limited, with relatively stronger support for stair-negotiation time–based measures. Measurement error was commonly reported but frequently judged indeterminate. No instrument demonstrated comprehensive evaluation across all major measurement properties.</div></div><div><h3>Conclusions</h3><div>Stair-related assessment instruments for older adults show uneven psychometric support. Current evidence most strongly supports selected performance-based and observational measures as complementary components of multifactorial fall-risk assessment rather than stand-alone tools for prognosis or longitudinal monitoring.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 3","pages":"Article 100668"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961686","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":"Methodological Limitations of Using Nonstandardized Exercise Stimuli to Assess Menthol’s Efficacy for Breathlessness","authors":"Masashi Kanezaki PhD,&nbsp;Satoru Ebihara MD, PhD","doi":"10.1016/j.arrct.2026.100627","DOIUrl":"10.1016/j.arrct.2026.100627","url":null,"abstract":"","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 3","pages":"Article 100627"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961739","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}