Archives of rehabilitation research and clinical translation最新文献

{"title":"Qualitative Exploration of a Tele-exercise Program to Inform the Design of Adaptive Intervention Strategies for Adults With Multiple Sclerosis","authors":"Yumi Kim PhD ,&nbsp;Elizabeth A. Barstow PhD ,&nbsp;Byron Lai PhD ,&nbsp;Dorothy W. Pekmezi PhD ,&nbsp;Hui-Ju Young PhD ,&nbsp;Jereme Wilroy PhD ,&nbsp;Soumya J. Niranjan PhD ,&nbsp;James H. Rimmer PhD ,&nbsp;Tapan Mehta PhD","doi":"10.1016/j.arrct.2024.100423","DOIUrl":"10.1016/j.arrct.2024.100423","url":null,"abstract":"<div><h3>Objective</h3><div>(1) To examine the experiences and perceptions of people with multiple sclerosis (MS) who previously completed a 3-month tele-exercise program; (2) to identify modifiable factors regarding the program components and implementation procedures that could be used to develop an adaptive tele-exercise intervention.</div></div><div><h3>Design</h3><div>A qualitative study using a semistructured interview guide.</div></div><div><h3>Setting</h3><div>An extension of a comparative effectiveness trial delivered for 761 people with MS between 2016 and 2021. Interviews were conducted over Zoom or phone.</div></div><div><h3>Participants</h3><div>Twenty-two adults with MS who completed the 3-month program (age range, 24-67y, 86% women, 73% Caucasian, 68% relapsing-remitting MS). Participants presented a wide range of mobility disabilities, ranging from no mobility limitation to wheelchair or scooter (n=22).</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Thematic analysis of the transcribed interview led to the identification of desirable components and delivery mechanisms of the tele-exercise program.</div></div><div><h3>Results</h3><div>Our analysis indicated the importance of individualized and ongoing modification of exercise program content to accommodate changes in participants’ functional abilities and health status. Participants reported an ideal timepoint of human support, preferably every 3 weeks, via phone or videoconference calls to capture the intervention modification needs (eg, exercise position, intensity, and clarification of exercise instruction). We further identified desirable components for behavioral modifications, such as inclusion of an exercise companion and self-monitoring tool and postintervention resources for sustaining exercise participation during follow-up periods.</div></div><div><h3>Conclusions</h3><div>The findings of this study offer insights into tailoring future adaptive tele-exercise intervention designs aimed at promoting engaging and sustainable exercise participation in people with MS.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100423"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563333","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 Effect of Occupational Therapy Services on Functional Mobility for Patients with Cancer in Acute Care Settings","authors":"Christine C. McNichols PhD, OTR/L ,&nbsp;Alicia K. Peterson PhD ,&nbsp;Stacey Reynolds PhD, OTR/L, FAOTA","doi":"10.1016/j.arrct.2024.100422","DOIUrl":"10.1016/j.arrct.2024.100422","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the effect of occupational therapy (OT) services on functional mobility status for patients with cancer in an acute care setting.</div></div><div><h3>Design</h3><div>Secondary data were used in a retrospective, observational study.</div></div><div><h3>Setting</h3><div>The setting was a National Cancer Institute (NCI) hospital in Richmond, Virginia.</div></div><div><h3>Participants</h3><div>Patients aged 18-93 years of age (51.6% female and 48.4% identifying as male) with 6 cancer diagnoses (breast, blood/hematologic, colorectal/gastrointestinal, gynecologic, lung/respiratory, and prostate/genitourinary) admitted to an NCI over 5 years were included for analysis. There were 1949 patients included for analysis in a paired <em>t</em> test, and 448 patients analyzed in an adjusted linear regression based upon complete case analysis.</div></div><div><h3>Intervention</h3><div>The study analyzed the receipt and intensity of OT services.</div></div><div><h3>Main Outcome Measure</h3><div>Activity Measure for Post-Acute Care (AM-PAC) 6-Clicks Basic Mobility scores were analyzed at the time of admission to therapy services and prior to discharge.</div></div><div><h3>Results</h3><div>The patients’ final recorded AM-PAC 6-Clicks Basic Mobility score was statistically significantly higher than the first session's AM-PAC 6-Clicks Basic Mobility score as determined by a paired <em>t</em> test analysis. In a multiple linear regression model adjusted for patient social and demographic factors, we found that for every additional OT service provided, there was an increase in the AM-PAC 6-Clicks Basic Mobility change score; the difference, however, was not statistically significant.</div></div><div><h3>Conclusions</h3><div>There was a statistically significant increase in functional mobility independence for patients with cancer who received OT services in an unadjusted analysis and a non-significant increase in an adjusted analysis of patients’ functional mobility. Findings suggest OT services for patients with cancer may influence functional mobility independence.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100422"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563397","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":"Characterizing Concerns and Stressors During Subacute Spinal Cord Injury: A Thematic Analysis of Psychotherapy Session Notes","authors":"Elizabeth C. Pasipanodya PhD ,&nbsp;Ramya Gopalan MS ,&nbsp;Phuoc Thien Truong BS ,&nbsp;Cria-May Khong BS ,&nbsp;Benjamin Dirlikov MA ,&nbsp;Mark Held PhD ,&nbsp;Janelle Myhre PhD ,&nbsp;Kazuko Shem MD","doi":"10.1016/j.arrct.2024.100410","DOIUrl":"10.1016/j.arrct.2024.100410","url":null,"abstract":"<div><h3>Objective</h3><div>To describe and enumerate the prevalence of concerns and stressors experienced by individuals with spinal cord injury (SCI) during subacute injury.</div></div><div><h3>Design</h3><div>A within-arm (intervention only) qualitative analysis of psychotherapy notes obtained during the 12-week active phase of a randomized controlled trial of tele-cognitive behavioral therapy (tele-CBT). Therapy sessions were conducted between January 2019 and February 2023.</div></div><div><h3>Setting</h3><div>Community setting.</div></div><div><h3>Participants</h3><div>Twenty-two individuals (men: n=14; women: n=8) were included in the analyses; the average age was 44.8 years (SD=18.1) and the mean injury duration was 103.14 days (SD=78.3).</div></div><div><h3>Interventions</h3><div>Participants engaged in 10 (45-60min) CBT sessions with a licensed psychologist; CBT sessions were administered via Apple FaceTime weekly for 8 weeks and then biweekly for 4 weeks, for a total of 10 sessions over 12 weeks.</div></div><div><h3>Main Outcome Measures</h3><div>The analyses presented here differ from the main planned analyses to gauge the efficacy of intervention in the study. Psychotherapy notes were qualitatively coded to identify participant endorsements of negative life events, general and SCI-related complaints, and stressors; these inventoried concerns were hierarchically organized into larger subthemes and themes, following Bronfenbrenner's and McLeroy's socioecological framework.</div></div><div><h3>Results</h3><div>Thematically, concerns articulated by individuals with SCI were intrapersonal (cognitive/emotional, somatic, and behavioral), interpersonal (relationships with significant others, with friends and family, with paid caregivers, and with medical providers as well as pet-related concerns), and environmental (access to health care and insurance, accessibility of public spaces, supportive housing, and stigma and discrimination). Compared with research that has enumerated domains of importance among individuals living with SCI, concerns around loss of independence and care burden were more frequently endorsed while bladder/bowel dysfunction and sexual/reproductive concerns were articulated only by a minority of participants. Indeed, across all participants, the most frequently endorsed concerns included pain (n=16; 72.7%), loss of independence (n=12; 54.6%), poor sleep (n=11; 50.0%), and self-perceived care burden (n=11; 50.0%).</div></div><div><h3>Conclusions</h3><div>Individuals with SCI experience a broad range of concerns across multiple ecological levels, some of which are anticipatory (eg, worry about fulfilling duties, once returned to work) and are not SCI-specific (eg, improving health behaviors, managing grief after bereavement). Multimodal and multidisciplinary approaches are needed to provide effective interventions to improve the quality of life.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100410"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563398","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":"Test-Retest Reliability and Minimal Detectable Change of Body Function Impairment and Activity Limitation Outcomes Using a Mechatronic Evaluation Designed for Inpatient Stroke Research","authors":"Jane E. Gyarmaty DPT ,&nbsp;Francesca S. Abiusi DPT ,&nbsp;Natalie B. Hoffman DPT ,&nbsp;Reem E. Ibrahim BA ,&nbsp;Emily R. Linne DPT ,&nbsp;Sanjana Matta DPT ,&nbsp;Carli R. Nissen DPT ,&nbsp;Maya A. Sankaran DPT ,&nbsp;Alexandrea M. Smith DPT ,&nbsp;Ana Maria Acosta PhD ,&nbsp;Michael D. Ellis DPT","doi":"10.1016/j.arrct.2024.100385","DOIUrl":"10.1016/j.arrct.2024.100385","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the test-retest reliability and minimal detectable change (MDC) scores for 7 precision measures examining upper extremity strength, reaching ability, and the expression of flexion synergy after stroke. The measurements relied on a mechatronic evaluation designed for time efficiency facilitating implementation in inpatient translational research.</div></div><div><h3>Design</h3><div>Observational, analytical, cross-sectional study.</div></div><div><h3>Setting</h3><div>University research laboratory.</div></div><div><h3>Participants</h3><div>Twenty-five participants (N=25) &gt;6 months poststroke with persistent upper extremity body function impairment and activity limitation were recruited using convenience sampling.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Shoulder abduction and elbow extension strength measured as a unit of torque (Nm); normalized reaching distance with the arm under 3 conditions: supported, against gravity, and against 50% of shoulder abduction strength; flexion synergy takeover; and emergence thresholds.</div></div><div><h3>Results</h3><div>Twelve male and 13 female participants aged 56.4 ± 17.8 years with a mean time poststroke of 5.37 ± 7.55 years completed the study. The intraclass correlation coefficients for the outcome measures were as follows: shoulder abduction strength (0.963), elbow extension strength (0.983), supported reaching (0.982), reaching against gravity (0.968), reaching against 50% abduction strength (0.974), flexion synergy takeover (0.919), and flexion synergy emergence (0.949) thresholds. The MDC, overall mean, and standard deviation were calculated as follows: shoulder abduction strength (5.69 Nm, 24.44±10.67 Nm), elbow extension strength (5.66 Nm, 18.53±15.66 Nm), supported reaching (0.07, 0.91±0.20), reaching against gravity (0.15, 0.73±0.30), reaching against 50% abduction strength (0.13, 0.69±0.29), flexion synergy takeover (0.14, 0.91±0.17), and flexion synergy emergence (0.17, 0.56±0.27) thresholds.</div></div><div><h3>Conclusions</h3><div>The mechatronic evaluation, although streamlined from more labor-intensive laboratory evaluations, demonstrates excellent (&gt;0.90) test-retest reliability and MDC scores for 7 precision measures of upper extremity body function impairment (weakness and synergy) and activity limitation (reaching).</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100385"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563248","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":"Efficacy of Robot-assisted Training on Upper Limb Motor Function After Stroke: A Systematic Review and Network Meta-analysis","authors":"He Wang MD ,&nbsp;Xiaoxu Wu BD ,&nbsp;Yaning Li MD ,&nbsp;Shaohong Yu DD","doi":"10.1016/j.arrct.2024.100387","DOIUrl":"10.1016/j.arrct.2024.100387","url":null,"abstract":"<div><h3>Objective</h3><div>To systematically evaluate the efficacy of robot-assisted training (RAT) in the treatment of upper limb motor function in patients with stroke, and to compare the efficacy of different types of RAT.</div></div><div><h3>Data Sources</h3><div>We searched 5 English database (PubMed, Web of Science, Embase, Cochrane Library, and Scopus) and 4 Chinese databases (China National Knowledge Infrastructure [CNKI], SinoMed [CBM], VIP, and Wanfang Data) from inception to May 2024.</div></div><div><h3>Study Selection</h3><div>Randomized controlled trials (RCTs) of RAT combined with conventional rehabilitation therapy (CRT) on patients with upper extremity motor dysfunction after stroke. Two independent researches screened 3461 records, resulting in 31 eligible RCTs.</div></div><div><h3>Data Extraction</h3><div>Two independent researches extracted data into a preformed table, including first author, year of publication, baseline characteristics of the literature (including sample size, age, disease duration, interventions, outcome indicators, and adverse reactions) and quality evaluation information.</div></div><div><h3>Data Synthesis</h3><div>Traditional meta-analysis and network meta-analysis were performed using RevMan 5.4 software and Stata 14.0 software, respectively. A total of 31 RCTs were included, involving 1537 patients. The results of traditional meta-analysis showed that in terms of upper limb function, RAT combined with RCT could effectively reduce the elbow flexion Modified Asworth Score (mean difference [MD] −0.63, 95% confidence interval (95% CI) −0.75 to −0.51), improve the Fugl-Meyer Assessment-upper extremity score (MD 5.92, 95% CI 3.52-8.32) and elbow extension angle (MD 16.14, 95% CI 14.56-17.73) in patients with stroke. In terms of activities of daily living, RAT combined with RCT could effectively improve the Modified Barthel Index score (MD 8.03, 95% CI 5.54-10.52) and Functional Independence Measure score (standardized MD 0.95, 95% CI 0.32-1.59) in patients with stroke. The results of network meta-analysis showed that the best probability of improving upper limb motor function was end-effector robot-assisted therapy (EE-RAT)&gt;exoskeleton robot-assisted therapy (Exo-RAT)&gt;CRT, and the best probability of improving daily living ability was Exo-RAT&gt;EE-RAT&gt;CRT.</div></div><div><h3>Conclusions</h3><div>The current evidence showed that RAT combined with routine rehabilitation therapy can effectively improve the upper limb motor function and activities of daily life of patients with stroke. Among them, the EE-RAT had the best effect in improving the upper limb motor function of patients with stroke, and the Exo-RAT had the best effect in improving the ability of daily life of patients with stroke.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100387"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563335","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":"Living Successfully With Chronic Aphasia: Outcomes and Program Improvement After 5 Years of Operations","authors":"Michelle Armour MS, CCC-SLP ,&nbsp;Susan Brady DHEd, MS, CCC-SLP, BCS-S","doi":"10.1016/j.arrct.2025.100429","DOIUrl":"10.1016/j.arrct.2025.100429","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the durability of quality-of-life outcomes after 5-years of participation in an Aphasia Center program using Life Participation Approach to Aphasia (LPAA) values.</div></div><div><h3>Design</h3><div>Evidence-based practice quality improvement project.</div></div><div><h3>Setting</h3><div>Ambulatory care Aphasia Center part of a larger health care system.</div></div><div><h3>Participants</h3><div>Participants included 10 clients with aphasia; 2 women and 8 men with a mean age of 66.5 years. All participants had consistent participation in LPAA aphasia center services over a 5-year period (n=10).</div></div><div><h3>Interventions</h3><div>Group programming was provided using the LPAA as the service delivery model.</div></div><div><h3>Main Outcome Measures</h3><div>Client reported outcome measures were used. The Stroke and Aphasia Quality of Life Scale (SAQOL-39) was administered at 3 time periods: T1, baseline; T2, 1-year participation; and T3, 5-year participation. Program evaluation data were collected via a custom generated, self-reported electronic survey at the 5-year mark.</div></div><div><h3>Results</h3><div>Outcomes indicated significant differences in self-reported quality-of-life scores from T1 to T2 and T1 to T3. No differences were observed between T2 to T3 for the mean score, physical domain, and communication domain of the SAQOL-39.</div></div><div><h3>Conclusions</h3><div>The project provided further support for the use of LPAA values with clients experiencing chronic aphasia.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100429"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563244","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":"Percutaneous Cryoneurolysis as a Dynamic Treatment for Spasticity: A Case Series","authors":"Clay C. Guynn DO","doi":"10.1016/j.arrct.2025.100426","DOIUrl":"10.1016/j.arrct.2025.100426","url":null,"abstract":"<div><div>Spasticity, whether from stroke or spinal cord injury or other causes, remains challenging to treat effectively. Common spasticity treatments such as stretching, physical therapy, injection therapy, and even surgery may not result in optimal or the desired outcomes or be appropriate for all patients. Cryoneurolysis is another potential treatment option for spasticity that may have benefits over traditional spasticity treatments. In this case series, 10 patients received cryoneurolysis of specific nerves to treat either lower or upper-extremity pain, weakness, and spasticity, or a neuropathic gait in an outpatient clinic. All 10 patients experienced immediate improvements that were sustained for 1-12 months after treatment. Cryoneurolysis is a safe and effective treatment for spasticity and can allow for easy access to involved nerves.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100426"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563246","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":"Sensorimotor Stabilization Exercises With and Without Behavioral Treatment in Low Back Pain: Feasibility and Effects of a Multicenter Randomized Controlled Trial","authors":"Tilman Engel PhD ,&nbsp;Daniel Niederer PhD ,&nbsp;Adamantios Arampatzis PhD ,&nbsp;Winfried Banzer MD ,&nbsp;Heidrun Beck MD ,&nbsp;Philipp Floessel MA ,&nbsp;Thore Haag PhD ,&nbsp;Steffen Mueller PhD ,&nbsp;Marcus Schiltenwolf MD ,&nbsp;Hendrik Schmidt PhD ,&nbsp;Christian Schneider MD ,&nbsp;Dirk Stengel MD ,&nbsp;Josefine Stoll PhD ,&nbsp;Pia-Maria Wippert PhD ,&nbsp;Frank Mayer MD","doi":"10.1016/j.arrct.2025.100430","DOIUrl":"10.1016/j.arrct.2025.100430","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the feasibility and effects of a sensorimotor stabilization exercise intervention with and without behavioral treatment in nonspecific low back pain.</div></div><div><h3>Design</h3><div>A three-armed multicenter randomized controlled trial.</div></div><div><h3>Setting</h3><div>Five study sites across Germany (3 orthopedic university outpatient clinics, 1 university sports medicine department, and 1 clinical institution).</div></div><div><h3>Participants</h3><div>Six hundred and sixty-two volunteers (N=662) (59% females, age 39±13y) with low back pain.</div></div><div><h3>Interventions</h3><div>Sensorimotor training (SMT), sensorimotor training with behavioral therapy (SMT+BT), and usual care group (UCG; continuation of the already ongoing individual treatment regime). Intervention groups performed a 12-week (3wk center-based, 9wk home-based) program.</div></div><div><h3>Main Outcome Measures</h3><div>Adherence, dropout rates, adverse events, and intervention effects on pain intensity, disability, and trunk torque (gain scores, repeated measures analysis of variance, α-level&lt;0.05).</div></div><div><h3>Results</h3><div>In total, 220 participants received SMT, 222 received SMT+BT, and 170 were analyzed as UCG. Dropout rates were 10% for SMT and SMT+BT at week 3, 31% and 30% at week 4, and 49% and 50% at week 12. Adherence rates above 80% were reached in both interventions; 134 adverse events occurred. Intervention effects compared to UCG were found for pain intensity (SMT, <em>P</em>=.011, effect size d=0.41), disability (SMT+BT, <em>P</em>=.020, d=0.41), and peak torque (SMT, <em>P</em>=.045, d=0.38; SMT+BT, <em>P</em>=.019, d=0.44), with overall small effect sizes.</div></div><div><h3>Conclusions</h3><div>Participants were highly adherent to the sensorimotor exercise, but showed increased dropout rates, particularly during home-based training. Both interventions proved to be feasible, and although only SMT showed an increased effect on pain intensity compared to UCG, the SMT+BT showed positive effects on disability. Both interventions led to increases in strength, indicative of a neuromuscular adaptation.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100430"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563334","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":"Comparison Between a State-of-the-Art Mechanical 3D Scoliosis Correction Protocol and the Schroth Exercise on Spinal Flexibility of Patients With Adolescent Idiopathic Scoliosis: A Randomized Controlled Trial","authors":"Yi Jie MSc ,&nbsp;Mengyao Li MSc ,&nbsp;Anqin Dong PhD ,&nbsp;Yu-Yan Luo MSc ,&nbsp;Chang-Liang Luo MSc ,&nbsp;Qian Zheng MSc ,&nbsp;Shixin Wang BSc ,&nbsp;Man-Sang Wong PhD ,&nbsp;Christina Zong-Hao Ma PhD ,&nbsp;Ming Zhang PhD","doi":"10.1016/j.arrct.2025.100428","DOIUrl":"10.1016/j.arrct.2025.100428","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the effects of a novel mechanical 3-dimensional (3D) scoliosis correction protocol and the Schroth exercise on the spinal flexibility of patients with adolescent idiopathic scoliosis (AIS).</div></div><div><h3>Design</h3><div>Randomized controlled trial.</div></div><div><h3>Setting</h3><div>At the affiliated teaching hospital of a university.</div></div><div><h3>Participants</h3><div>Forty participants with AIS (aged 14.7±2.1y, 10 males and 30 females) received 1 intervention session.</div></div><div><h3>Interventions</h3><div>Participants were randomly allocated to the intervention group (IG) (n=20) receiving a single 30-minute mechanical 3D scoliosis correction session and the exercise group (EG) (n=20) receiving a single 30-minute Schroth exercise session. A newly developed scoliosis correction system that could generate spinal longitudinal traction (based on the standard mechanical spinal traction protocol for managing low back pain) and lateral forces (based on the 3-point pressure system) was applied to the participants of the IG.</div></div><div><h3>Main Outcome Measures</h3><div>Spinal flexibility and body height were evaluated before and after each intervention.</div></div><div><h3>Results</h3><div>Significant improvements in spinal flexibility were found in the forward bending and trunk rotation tests for both groups (<em>P≤.</em>028). The participants of the IG further demonstrated significantly improved spinal flexibility as assessed by the lateral bending tests and body height (<em>P≤.</em>012). The increase in body height in the IG was also significantly larger than that of the EG (<em>P&lt;.</em>05).</div></div><div><h3>Conclusions</h3><div>This pilot study preliminarily demonstrated that the developed novel 30-minute mechanical 3D scoliosis correction protocol could effectively improve the side-bending spinal flexibility and body height of the participants. Such positive effects tend to be better than those generated by the Schroth best practice exercises. A long-term study with more participants should be warranted.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100428"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563332","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":"Demographics, Clinical Characteristics, and Outcomes of a Post-Coronavirus-19 Sample After Cognitive Rehabilitation: A Case Series","authors":"Ellen Farr MD ,&nbsp;Dmitry Esterov DO ,&nbsp;Blake A. Kassmeyer MS ,&nbsp;Ryan J. Lennon MS ,&nbsp;Thomas F. Bergquist PhD, LP","doi":"10.1016/j.arrct.2024.100409","DOIUrl":"10.1016/j.arrct.2024.100409","url":null,"abstract":"<div><div>The Coronavirus-19 pandemic has infected millions of people, resulting in ongoing symptoms now described as post-acute sequelae of SARS-COV2 infection (PASC). Persistent neurologic and behavioral sequelae including fatigue, depression, anxiety, sleep disorders, headache, memory loss, and cognitive complaints are common. Although there is increasing evidence related to treatment of physical symptoms such as fatigue through physical rehabilitation practices, to date there is very limited evidence about the efficacy of various treatment regimens directed at nonphysical symptoms such as cognitive concerns and behavioral sequelae. This case series discusses a series of 13 patients with PASC who underwent individualized multidisciplinary outpatient cognitive rehabilitation at a quaternary medical center. In this patient population, the median age was 46 years (Q1, Q3: 41, 50), 77% were women, and 85% were White. The median time from infection to treatment was 229 days (Q1, Q3: 117, 367) and median length of stay in the program was 4.9 months (Q1, Q3: 3.1, 6.3). A history of depression and anxiety was found in 38% and 46% of this population, respectively. On admission and at discharge, the Mayo-Portland Adaptability Inventory-4 Participation Index, the Satisfaction with Life Scale, the Patient Health Questionnaire-9, and the Neurobehavioral Symptom Inventory-22 were completed. After individualized outpatient cognitive therapy, no clear benefit was seen in any of the outcome measures. The ongoing investigation is important to better understand which approaches will benefit these patients.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100409"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563245","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}