Archives of rehabilitation research and clinical translation最新文献

{"title":"Association of Step Count with Cardiorespiratory Fitness: Results from the Virtual 2-Minute Step Test.","authors":"Krisann K Oursler, Brandon C Briggs, Alicia J Lozano, Nadine M Harris, Vincent C Marconi, Alice S Ryan","doi":"10.1016/j.arrct.2024.100369","DOIUrl":"10.1016/j.arrct.2024.100369","url":null,"abstract":"<p><strong>Objective: </strong>To test the hypothesis that step count based on a virtual 2-minute step test (2MST) predicts cardiorespiratory fitness (CRF).</p><p><strong>Design: </strong>Cross-sectional study.</p><p><strong>Setting: </strong>Veteran Affairs Medical Centers participating in a randomized trial of functional exercise training delivered by videoconferencing.</p><p><strong>Participants: </strong>People with human immunodeficiency virus (HIV) (PWH) who were aged ≥50 years and clinically stable on antiretroviral therapy were eligible for the trial. Consecutive male participants who were enrolled prior to November 9, 2023 and completed a baseline 2MST and cardiopulmonary exercise test (CPET) were included in the cross-sectional study (N=74).</p><p><strong>Intervention: </strong>None.</p><p><strong>Main outcome measures: </strong>Step count was measured by a 2MST performed by live videoconferencing using the Rikli and Jones protocol. CRF was measured by peak oxygen utilization (VO₂peak) during a modified Bruce cardiopulmonary exercise testing.</p><p><strong>Results: </strong>Most participants (62.2%) were ≥60 years of age. The mean (SD) VO₂peak was 23.6 (5.7) mL/kg/min, which represented 72.4% (SD, 14.1) of expected VO₂peak. Step count correlated with VO₂peak (<i>r</i>=0.47, <i>P</i><.001). Multivariable linear regression showed that step count was significantly associated with VO₂peak independently of age and body mass index. Based on this model, the prediction of VO₂peak based on step count explained 60% of the variance in VO₂peak. A Bland-Altman plot showed good agreement between predicated and measured VO₂peak without heteroscedasticity.</p><p><strong>Conclusions: </strong>The virtual 2MST predicted VO₂peak independently of age and body mass index in men with well-controlled HIV. In ambulatory populations with known impaired cardiorespiratory fitness, the virtual 2MST may be a feasible and valid estimate of VO₂peak that can be used in the telerehabilitation setting. Future work is required in more demographically diverse individuals with various chronic conditions.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100369"},"PeriodicalIF":1.9,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017271","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":"Robotic Rigor: Validity of the Kinarm End-Point Robot Visually Guided Reaching Test in Multiple Sclerosis.","authors":"Nick W Bray, Syed Z Raza, Joselyn Romero Avila, Caitlin J Newell, Michelle Ploughman","doi":"10.1016/j.arrct.2024.100382","DOIUrl":"10.1016/j.arrct.2024.100382","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether robotic metrics: (1) correlate with the Nine-Hole Peg Test (9HPT; good convergent validity); and (2) differentiate between those self-reporting \"some hand problems\" versus \"no hand problems\" (good criterion validity).</p><p><strong>Design: </strong>Cross-sectional validation analyses.</p><p><strong>Setting: </strong>Rehabilitation research laboratory located within a hospital.</p><p><strong>Participants: </strong>People with multiple sclerosis self-reporting \"some\" (n=21; mean age, 52.52±10.69 y; females, n=16; disease duration, 18.81±10.38 y) versus \"no\" (n=21; age, 51.24±12.73 y; females, n=14; disease duration, 17.71±10.16 y) hand problems.</p><p><strong>Main outcome measures: </strong>We assessed hand function using the criterion standard 9HPT and robotic testing. Robotic outcomes included an overall task score, as well as 2 movement planning (ie, reaction time and initial direction angle) and 2 movement correction (ie, movement time and path length ratio) spatiotemporal values. We identified participants reporting \"some\" versus \"no\" hand problems via the Multiple Sclerosis Impact Scale-29. We analyzed our nonparametric data using a Mann-Whitney <i>U</i> test and Spearman rank-order correlation.</p><p><strong>Results: </strong>Those reporting \"some hand problems\" included more right-handed individuals (<i>P</i>=.038); otherwise, the 2 groups were characteristically similar. Visually guided reaching task score and movement planning but not movement correction spatiotemporal values demonstrated moderate correlations with 9HPT for both the dominant (reaction time: <i>r</i>=0.489, <i>P</i>=.001; initial direction angle: <i>r</i>=0.429, <i>P</i>=.005) and nondominant (reaction time: <i>r</i>=0.521, <i>P</i><.001; initial direction angle: <i>r</i>=0.321, <i>P</i>=.038) side. Further, reaction time, but not 9HPT or any other robotic outcome, differentiated between the 2 groups (<i>P</i>=.036); those reporting \"no hand problems\" moved faster (ie, dominant side: 0.2810 [0.2605-0.3215] vs 0.3400 [0.2735-0.3725] s).</p><p><strong>Conclusions: </strong>Robotic test metrics demonstrated modest criterion and convergent validity in multiple sclerosis, with reaction time being the most compelling. When looking beyond the task score, spatiotemporal robotic measures may help discern subtle multiple sclerosis-related hand problems. Movement planning spatiotemporal values appear more meaningful than movement correction and could prove fruitful as the target for future intervention strategies.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100382"},"PeriodicalIF":1.9,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016334","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":"Psychometrics of Wearable Devices Measuring Physical Activity in Ambulant Children With Gait Abnormalities: A Systematic Review and Meta-analysis.","authors":"Huib van Moorsel, Barbara Engels, Jacek Buczny, Jan Willem Gorter, Kelly Arbour-Nicitopoulos, Tim Takken, Raoul H H Engelbert, Manon A T Bloemen","doi":"10.1016/j.arrct.2024.100384","DOIUrl":"10.1016/j.arrct.2024.100384","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate psychometrics of wearable devices measuring physical activity (PA) in ambulant children with gait abnormalities due to neuromuscular conditions.</p><p><strong>Data sources: </strong>We searched PubMed, Embase, PsycINFO, CINAHL, and SPORTDiscus in March 2023.</p><p><strong>Study selection: </strong>We included studies if (1) participants were ambulatory children (2-19y) with gait abnormalities, (2) reliability and validity were analyzed, and (3) peer-reviewed studies in the English language and full-text were available. We excluded studies of children with primarily visual conditions, behavioral diagnoses, or primarily cognitive disability. We performed independent screening and inclusion, data extraction, assessment of the data, and grading of results with 2 researchers.</p><p><strong>Data extraction: </strong>Our report follows Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We assessed methodological quality with Consensus-based Standards for the selection of health measurement instruments. We extracted data on reported reliability, measurement error, and validity. We performed meta-analyses for reliability and validity coefficient values.</p><p><strong>Data synthesis: </strong>Of 6911 studies, we included 26 with 1064 participants for meta-analysis. Results showed that wearables measuring PA in children with abnormal gait have high to very high reliability (intraclass correlation coefficient [ICC]_{+, test-retest reliability}=0.81; 95% confidence interval [CI], 0.74-0.89; <i>I</i> ²=88.57%; ICC_{+, interdevice reliability}=0.99; 95% CI, 0.98-0.99; <i>I</i> ²=71.01%) and moderate to high validity in a standardized setting (<i>r</i> _{+, construct validity}=0.63; 95% CI, 0.36-0.89; <i>I</i> ²=99.97%; <i>r</i> _{+, criterion validity}=0.68; 95% CI, 0.57-0.79; <i>I</i> ²=98.70%; <i>r</i> _{+, criterion validity cutoff} _{point based}=0.69; 95% CI, 0.58-0.80; <i>I</i> ²=87.02%). The methodological quality of all studies included in the meta-analysis was moderate.</p><p><strong>Conclusions: </strong>There was high to very high reliability and moderate to high validity for wearables measuring PA in children with abnormal gait, primarily due to neurological conditions. Clinicians should be aware that several moderating factors can influence an assessment.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100384"},"PeriodicalIF":1.9,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015746","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 Impact of Executive Function on Retention and Compliance in Physical Therapy in Veterans.","authors":"Elisa F Ogawa, Rebekah Harris, Rachel E Ward, Mary-Kate Palleschi, William Milberg, David R Gagnon, Ildiko Halasz, Jonathan F Bean","doi":"10.1016/j.arrct.2024.100383","DOIUrl":"10.1016/j.arrct.2024.100383","url":null,"abstract":"<p><strong>Objective: </strong>To examine retention and compliance to a novel physical therapy (PT) treatment among Veterans with and without executive function deficits (EFD+/EFD-).</p><p><strong>Design: </strong>This study was a preplanned secondary analysis of an ongoing randomized controlled trial.</p><p><strong>Setting: </strong>Outpatient PT at VA Boston Healthcare System.</p><p><strong>Participants: </strong>Seventy-two community-dwelling middle-aged and older Veterans (mean age, 72 years [range 51-91]; 87% male) with gait speed between 0.5 and 1.0 m/second were recruited from primary care practices.</p><p><strong>Interventions: </strong>Eight-week moderate-to-vigorous intensity PT program.</p><p><strong>Main outcome measure: </strong>Veterans' baseline mobility, retention (dropouts), and treatment compliance and posttreatment exercise compliance to 8-week PT treatment were evaluated based on their baseline EFD status.</p><p><strong>Results: </strong>Of the 72 participants, 22% (n=16) were EFD+. Veterans with EFD+ at baseline had worse mobility performance (Short Physical Performance Battery [SPPB], 7.7 vs 9.5, <i>P</i><.001) and patient-reported mobility (Activity Measure for Post-Acute Care [AM-PAC], 57.6 vs 62.2, <i>P</i><.01) after adjusting for age, gender, number of comorbidities, depressive symptoms, and pain interference. Dropout rates for EFD+ and EFD- were 44% and 25%, respectively (<i>P</i>>.05). In multivariable logistic regression modeling, pain interference, depressive symptoms, mobility, and living alone but not EFD status were associated with dropping out. Among study completers, there was no evidence of significant differences in treatment compliance or posttreatment exercise compliance, measured by the number of attended sessions and the number of posttreatment exercise days by EFD status.</p><p><strong>Conclusion: </strong>EFD+ was associated with poor baseline mobility. Although the dropout rate was higher among Veterans with EFD+, we were unable to conclude whether EFD status impacts retention or compliance due to the small sample size. Further investigation is needed to determine whether EFD status may identify individuals who need additional support during and/or after rehabilitation treatment.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100383"},"PeriodicalIF":1.9,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017192","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":"Assessing the Effect of Fatigue on Swallowing Function in Adults with Acute Stroke. A Pilot Study.","authors":"Hope E Baylow","doi":"10.1016/j.arrct.2024.100381","DOIUrl":"10.1016/j.arrct.2024.100381","url":null,"abstract":"<p><strong>Objective: </strong>To determine if fatigue systematically effects the timing of swallowing events and to discuss underlying causes of fatigue other than peripheral neuromuscular fatigue.</p><p><strong>Design: </strong>Pre-post within-subject repeated-measures design.</p><p><strong>Setting: </strong>General acute care hospital and designated stroke center.</p><p><strong>Participants: </strong>Thirteen patients (10 males and 3 females) aged 52-80 years (mean 64.84±9.58 y) with acute stroke and clinically suspected dysphagia.</p><p><strong>Interventions: </strong>Under videofluoroscopy, each participant swallowed a pre- and post-study 1-mL liquid barium bolus and, in an attempt to fatigue the system, 30-45 additional bolus trials of varying amounts (ie, 5 mL, 10 mL, and bite-sized) and consistencies (ie, International Dysphagia Diet Standardisation Initiative Level 0-7).</p><p><strong>Main outcome measures: </strong>Six temporal sequences (ie, oral, pharyngeal, and pharyngeal delay transit times and durations of laryngeal vestibule closure, cricopharyngeal opening, and laryngeal elevation) for 1-mL liquid boluses were measured pre- and postvideofluoroscopic swallowing study and compared.</p><p><strong>Results: </strong>Findings indicated that only 2 of the 6 temporal factors yielded significant differences pre- to post fatigue. The postvideofluoroscopic 1-mL liquid swallow took longer than the pre-videofluoroscopic 1-mL liquid swallow in terms of pharyngeal transit (_1,11=5.362, <i>P</i>=.046) and pharyngeal delay time (<i>F</i> _1,11=5.228, <i>P</i>=.048).</p><p><strong>Conclusions: </strong>These findings indicate that peripheral neuromuscular fatigue is unlikely to be the primary cause of the observed changes, as only 2 of the 6 temporal measures-pharyngeal transit time and pharyngeal delay time-were affected. In cases of peripheral neuromuscular fatigue, one would expect increases across all 6 timing measures due to the integrated nature of the swallowing process. Instead, the results suggest that the inconsistencies may stem from a delayed excitatory response of neurons or a delay in synaptic transmission within the nucleus tractus solitarius, potentially associated with stroke. This delay likely contributes to the prolongation of both pharyngeal transit and pharyngeal delay times. Thus, a model focused solely on peripheral neuromuscular fatigue does not fully account for the findings, highlighting the importance of considering central neural mechanisms in the clinical evaluation of swallowing disorders.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100381"},"PeriodicalIF":1.9,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017230","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":"Perceived Barriers to Leisure-Time Physical Activity Among Physically Active Individuals With Spinal Cord Injury.","authors":"Paul K Watson, Laura Stendell, Camila Quel De Oliveira, James W Middleton, Mohit Arora, Glen M Davis","doi":"10.1016/j.arrct.2024.100380","DOIUrl":"10.1016/j.arrct.2024.100380","url":null,"abstract":"<p><strong>Objective: </strong>To investigate barriers to leisure-time physical activity (LTPA) for physically active people with spinal cord injury (SCI).</p><p><strong>Design: </strong>Prospective cross-sectional.</p><p><strong>Setting: </strong>General community.</p><p><strong>Participants: </strong>One hundred and five physically active individuals with SCI.</p><p><strong>Interventions: </strong>Semi-structured interviews and surveys.</p><p><strong>Main outcome measure: </strong>Participants were surveyed and interviewed to determine barriers and determinants of LTPA participation. SCI-specific physical activity (PA) guideline adherence was documented. Barriers were categorized using the capability, opportunity, motivation, and behavior model, and regression statistics were used to determine relationships between LTPA volume and barriers.</p><p><strong>Results: </strong>Health problems, costs of equipment and programs, pain, and a lack of energy were the most common capability barriers, and a lack of accessible facilities, confidence in the knowledge and skill of a health professional, and a lack of time were common opportunity barriers. Motivation barriers pertained to self-consciousness in a fitness center and a lack of interest. Believing LTPA to be too difficult, uninteresting, and unable to improve health emerged as significant barriers to SCI-specific PA guideline adherence.</p><p><strong>Conclusion: </strong>SCI-specific PA guideline adherence was below 50% in physically active individuals. There are still numerous capability and opportunity barriers that physically active people with SCI must overcome when engaging in LTPA. Motivational barriers such as feeling self-conscious in a fitness center significantly influence PA guideline compliance in this population. Service providers should emphasize the benefit of LTPA to people with SCI while providing LTPA options that facilitate enjoyment, interest, and inclusivity, particularly for those who do not meet PA guideline recommendations.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100380"},"PeriodicalIF":1.9,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015743","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":"Overview of Effects of Motor Learning Strategies in Neurologic and Geriatric Populations: A Systematic Mapping Review.","authors":"Li-Juan Jie, Melanie Kleynen, Guus Rothuizen, Elmar Kal, Andreas Rothgangel, Susy Braun","doi":"10.1016/j.arrct.2024.100379","DOIUrl":"10.1016/j.arrct.2024.100379","url":null,"abstract":"<p><strong>Objective: </strong>To provide a broad overview of the current state of research regarding the effects of 7 commonly used motor learning strategies to improve functional tasks within older neurologic and geriatric populations.</p><p><strong>Data sources: </strong>PubMed, CINAHL, and Embase were searched.</p><p><strong>Study selection: </strong>A systematic mapping review of randomized controlled trials was conducted regarding the effectiveness of 7 motor learning strategies-errorless learning, analogy learning, observational learning, trial-and-error learning, dual-task learning, discovery learning, and movement imagery-within the geriatric and neurologic population.</p><p><strong>Data extraction: </strong>Two thousand and ninety-nine articles were identified. After screening, 87 articles were included for further analysis. Two reviewers extracted descriptive data regarding the population, type of motor learning strategy/intervention, frequency and total duration intervention, task trained, movement performance measures, assessment time points, and between-group effects of the included studies. The risk of bias 2 tool was used to assess bias; additionally, papers underwent screening for sample size justification.</p><p><strong>Data synthesis: </strong>Identified articles regarding the effects of the targeted motor learning strategies started around the year 2000 and mainly emerged in 2010. Eight populations were included, for example, Parkinson's and stroke. Included studies were not equally balanced: analogy learning (n=2), errorless learning and trial-and-error learning (n=5), mental practice (n=19), observational learning (n=11), discovery learning (n=0), and dual-tasking (n=50). Overall studies showed a moderate-to-high risk of bias. Four studies were deemed sufficiently reliable to interpret effects. Positive trends regarding the effects were observed for dual-tasking, observational learning, and movement imagery.</p><p><strong>Conclusions: </strong>Findings show a skewed distribution of studies across motor learning interventions, especially toward dual-tasking. Methodological shortcomings make it difficult to draw firm conclusions regarding the effectiveness of motor learning strategies to improve functional studies. Future researchers are strongly advised to follow guidelines that aid in maintaining methodological quality. Moreover, alternative designs fitting the complex practice situation should be considered.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100379"},"PeriodicalIF":1.9,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017253","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":"Cognitive Training Using Virtual Reality: An Assessment of Usability and Adverse Effects.","authors":"Myeonghwan Bang, Min A Kim, Sung Shin Kim, Hyoung Seop Kim","doi":"10.1016/j.arrct.2024.100378","DOIUrl":"10.1016/j.arrct.2024.100378","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the usability and adverse effects associated with virtual reality (VR) cognitive training and identify factors influencing them.</p><p><strong>Design: </strong>Survey-based observational study.</p><p><strong>Setting: </strong>Department of Rehabilitation Medicine in the hospital.</p><p><strong>Participants: </strong>Twenty rehabilitation professionals (mean [standard deviation] age; 30.0[4.8] years, men 8[40%], and women 12[60%]) and 10 patients with stroke (mean [SD] age; 64.1[13.6] years, men 2[20%] and women 8[80%]).</p><p><strong>Interventions: </strong>The participants wore a head-mounted display (Meta Quest2) and consecutively underwent 5 custom-designed cognitive training.</p><p><strong>Main outcome measures: </strong>After the training, participants completed 3 questionnaires: the systemic usability scale, user experience questionnaire (UEQ), and cybersickness in VR questionnaire.</p><p><strong>Results: </strong>The mean systemic usability scale score was 55.1 and 52.3 for rehabilitation professionals and patients, respectively. For the UEQ, the mean score for each item, including attractiveness, perspicuity, efficiency, dependability, stimulation, and novelty, were 0.9/0.2, 0.6/0.2, 0.5/-0.5, 1.2/0.8, 0.9/0.4, and 0.6/0.8 for rehabilitation professionals/patients, respectively. Rehabilitation professionals had slightly higher scores in most UEQ items. The mean cybersickness in VR questionnaire scores were 18.6 and 19.0 for rehabilitation professionals and patients, respectively.</p><p><strong>Conclusions: </strong>Participants reported moderate usability and a generally below-average user experience, with mild-to-moderate VR sickness during VR cognitive training. The rehabilitation professionals rated usability higher than the patient group, while patients experienced more severe VR sickness. These findings may serve as a significant insight for developing VR cognitive training for application to patients in the future.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100378"},"PeriodicalIF":1.9,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017273","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":"Enhancing Sensory Experiences for Infants Born Preterm: A Quality Improvement Project.","authors":"Kate N de Castro Mehrkens, Elena V Donoso Brown","doi":"10.1016/j.arrct.2024.100377","DOIUrl":"10.1016/j.arrct.2024.100377","url":null,"abstract":"<p><strong>Objective: </strong>To enhance neonatal sensory experiences in infants born preterm: a quality improvement project.</p><p><strong>Design: </strong>This was a time-interruption quality improvement project. The time-interruption lasted 4 weeks with an 8-week data collection period before and after. Baseline data were collected on current program use for 8 weeks prior to the time interruption. The neonatal intensive care unit (NICU) occupational therapist provided staff education, training, and modeling of the Supporting and Enhancing NICU Sensory Experiences (SENSE) program during the time interruption. Data were collected for 8 weeks after the time interruption to track improvements.</p><p><strong>Participants: </strong>Twenty infants and their families participated, as well as NICU nurses who provided positive sensory experiences and completed surveys.</p><p><strong>Main outcome measures: </strong>Data related to delivery of, education on, and adherence to SENSE were collected before, during, and after the time interruption. Staff surveys were completed pre- and posteducation, training, and modeling to gather perspectives on program usage.</p><p><strong>Results: </strong>On average, parents delivered 43.88 minutes of positive sensory input per day before and increased to 92.7 minutes per day after the time interruption. Positive tactile recommendations were met, on average, 19% of the time before and 47% of the time after the time interruption. After education, training and modeling, nursing staff unanimously supported the program according to surveys.</p><p><strong>Conclusions: </strong>Although a higher percentage of infants received the recommended dosage of positive tactile input after intervention, opportunities still exist to improve and expand implementation.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100377"},"PeriodicalIF":1.9,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017282","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":"Estimating Recent US Limb Loss Prevalence and Updating Future Projections.","authors":"Julio A Rivera, Kara Churovich, Ashley B Anderson, Benjamin K Potter","doi":"10.1016/j.arrct.2024.100376","DOIUrl":"10.1016/j.arrct.2024.100376","url":null,"abstract":"<p><strong>Objective: </strong>To estimate limb loss prevalence in the United States (US) by etiology and anatomical position and the trends of limb loss over 40 years.</p><p><strong>Design: </strong>We used the National Inpatient Sample, Healthcare Cost and Utilization Project to estimate current and future limb loss prevalence in the US and by anatomical location. Prevalence estimates were based on the incidence and duration of the disease. Lastly, we use a linear regression to estimate future projections of limb loss prevalence.</p><p><strong>Setting: </strong>Open-sourced data from the National Inpatient Sample, Healthcare Cost and Utilization Project.</p><p><strong>Participants: </strong>Persons who have undergone an amputation at a community hospital participating in the National Inpatient Sample database. We define community hospitals as all nonfederal, short-term, general, and other specialty hospitals, excluding hospital units of institutions.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>The current prevalence of limb loss.</p><p><strong>Results: </strong>The total estimated number of people living with limb loss in the US was 2,309,000. In total, ∼91% of persons underwent lower extremity amputation, while only 9.2% underwent upper extremity amputations. By 2060, we projected a 145% increase in people living with limb loss in the US. Most of these are caused by vascular disease and diabetes which are projected to increase by 36% and 67%, respectively, by 2060. The number of people living with limb loss will double by 2050, while the number of people with diabetes will double by 2040.</p><p><strong>Conclusions: </strong>Our updated estimate for the prevalence of limb loss in 2019 was comparable to previous projections for 2020; however, our projected estimates are markedly increased relative to those of other studies. Our increased values are caused by the increased prevalence of diabetes and peripheral vascular diseases resulting in amputation. These results highlight the importance of research directed at both limb preservation and amputation optimization and the allocation of health care resources.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100376"},"PeriodicalIF":1.9,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017286","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}