Archives of rehabilitation research and clinical translation最新文献

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An Initial Assessment of the Correlation Between Virtual Reality and Paper and Pencil Line Bisection Test Results 虚拟现实与纸笔线段切割测试结果相关性的初步评估
Archives of rehabilitation research and clinical translation Pub Date : 2024-03-01 DOI: 10.1016/j.arrct.2024.100322
Takuma Miyaguchi PT , Masayuki Tazawa MD, PhD , Takafumi Kanaya MD , Yoko Ibe MD, PhD , Hironori Arii MD , Kenji Yajima MD , Yumiko Nakao MD, PhD , Naoki Wada MD, PhD
{"title":"An Initial Assessment of the Correlation Between Virtual Reality and Paper and Pencil Line Bisection Test Results","authors":"Takuma Miyaguchi PT ,&nbsp;Masayuki Tazawa MD, PhD ,&nbsp;Takafumi Kanaya MD ,&nbsp;Yoko Ibe MD, PhD ,&nbsp;Hironori Arii MD ,&nbsp;Kenji Yajima MD ,&nbsp;Yumiko Nakao MD, PhD ,&nbsp;Naoki Wada MD, PhD","doi":"10.1016/j.arrct.2024.100322","DOIUrl":"10.1016/j.arrct.2024.100322","url":null,"abstract":"<div><h3>Objective</h3><p>To make an initial assessment of the correlation between immersive virtual reality–based (ILBT) line bisection testing and paper-and-pencil–based line bisection (PLBT) testing in healthy subjects.</p></div><div><h3>Design</h3><p>Diagnostic study.</p></div><div><h3>Setting</h3><p>Research laboratory.</p></div><div><h3>Participants</h3><p>Twenty healthy adults (51.5 [11.0] years old, 55% women; N=20).</p></div><div><h3>Interventions</h3><p>Participants underwent an ILBT and a conventional PLBT in near space (NS) and more distant space (MDS). Correlations between the ILBT and PLBT, deviation rates in the NS and MDS, horizontal gaze distribution, and presence of virtual reality sickness (VRS) were evaluated.</p></div><div><h3>Main Outcome Measures</h3><p>Correlation between the deviation rates of the PLBT and ILBT.</p></div><div><h3>Results</h3><p>There was no significant correlation between the ILBT and PLBT for evaluating the deviation rate of the line bisection test (LBT). There was no significant difference in the deviation rate of the LBTs between the NS and MDS, but there was a significant difference in the horizontal line-of-sight distribution. VRS was not observed as an adverse event.</p></div><div><h3>Conclusions</h3><p>In healthy adult subjects, our results suggested that there was no significant correlation between the deviation rates of the ILBT and PLBT. We also found that the ILBT is a useful and safe method for evaluating the horizontal line-of-sight distribution and percentage deviation of line segments from the center in the NS and MDS without inducing VRS.</p></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 1","pages":"Article 100322"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590109524000053/pdfft?md5=ae786c648011b139ab7271e20f8fd0d4&pid=1-s2.0-S2590109524000053-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139539089","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}
引用次数: 0
Five Functional Classes Identified Among Patients Hospitalized for Pneumonia Characterized by Activity Limitations With Mobility and Self-Care Tasks 在因肺炎住院的患者中确定了五个功能分级,其特点是活动能力和自理能力受限
Archives of rehabilitation research and clinical translation Pub Date : 2024-03-01 DOI: 10.1016/j.arrct.2024.100323
Jessica Edelstein PhD, OTR , Adam R. Kinney PhD, OTR/L , Amanda Hoffman MS, OTR/L, BCPR , James E. Graham PhD , Matthew P. Malcolm PhD, OTR
{"title":"Five Functional Classes Identified Among Patients Hospitalized for Pneumonia Characterized by Activity Limitations With Mobility and Self-Care Tasks","authors":"Jessica Edelstein PhD, OTR ,&nbsp;Adam R. Kinney PhD, OTR/L ,&nbsp;Amanda Hoffman MS, OTR/L, BCPR ,&nbsp;James E. Graham PhD ,&nbsp;Matthew P. Malcolm PhD, OTR","doi":"10.1016/j.arrct.2024.100323","DOIUrl":"10.1016/j.arrct.2024.100323","url":null,"abstract":"<div><h3>Objective</h3><p>Latent class analysis was used to identify functional classes among patients hospitalized for pneumonia. Then, we determined predictors of class membership and examined variation in distal outcomes among the functional classes.</p></div><div><h3>Design</h3><p>An observational, cross-sectional study design was used with retrospectively collected data between 2014 and 2018.</p></div><div><h3>Setting</h3><p>The study setting was a single health system including 5 acute care hospitals.</p></div><div><h3>Participants</h3><p>A total of 969 individuals hospitalized with the primary diagnosis of pneumonia and receipt of an occupational and/or physical therapy evaluation were included in the study.</p></div><div><h3>Interventions</h3><p>Not applicable.</p></div><div><h3>Main Outcomes</h3><p>The following 5 distal outcomes were examined: (1) occupational therapy treatment use, (2) physical therapy treatment use, (3) discharge to home with no services, (4) discharge to home with home health, and (5) institutional discharge.</p></div><div><h3>Results</h3><p>Five functional classes were identified and labeled as follows: <em>Globally impaired, Independent with low-level self-care, Independent low-level mobility, Independent self-care,</em> and <em>Independent</em>. Probability of occupational therapy treatment use (χ<sup>2</sup>[4]=50.26, <em>P</em>&lt;.001) and physical therapy treatment use (χ<sup>2</sup>[4]=50.86, <em>P</em>&lt;.001) varied significantly across classes. The <em>Independent with low-level self-care</em> class had the greatest probability of occupational therapy treatment use and physical therapy treatment use. Probability of discharging to home without services (yes/no; χ<sup>2</sup>[4]=88.861, <em>P</em>&lt;.001), home with home health (yes/no; χ<sup>2</sup>[4]=15.895, <em>P</em>=.003), and an institution (yes/no; χ<sup>2</sup>[4]=102.013, <em>P</em>&lt;.001) varied significantly across the 5 classes. The <em>Independent</em> class had the greatest probability of discharging to home without services.</p></div><div><h3>Conclusions</h3><p>Five functional classes were identified among individuals hospitalized for pneumonia. Functional classes could be used by the multidisciplinary team in the hospital as a framework to organize the heterogeneity of functional deficits after pneumonia, improve efficiency of care processes, and help deliver targeted rehabilitation treatment.</p></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 1","pages":"Article 100323"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590109524000065/pdfft?md5=dd741263fb560adce5b18e623a6ab111&pid=1-s2.0-S2590109524000065-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139632026","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}
引用次数: 0
Financial Capability and Financial Well-Being Challenges and Vulnerabilities of Adults Living With Acquired Brain Injury: A Pilot Survey 后天性脑损伤成人的财务能力和财务福祉挑战与脆弱性:试点调查
Archives of rehabilitation research and clinical translation Pub Date : 2024-03-01 DOI: 10.1016/j.arrct.2024.100324
Lisa Engel PhD , Roheema Ewesesan MPH , Ibiyemi Arowolo PhD , Celine Latulipe PhD , Jane Karpa PhD , Mohammad N. Khan PhD
{"title":"Financial Capability and Financial Well-Being Challenges and Vulnerabilities of Adults Living With Acquired Brain Injury: A Pilot Survey","authors":"Lisa Engel PhD ,&nbsp;Roheema Ewesesan MPH ,&nbsp;Ibiyemi Arowolo PhD ,&nbsp;Celine Latulipe PhD ,&nbsp;Jane Karpa PhD ,&nbsp;Mohammad N. Khan PhD","doi":"10.1016/j.arrct.2024.100324","DOIUrl":"10.1016/j.arrct.2024.100324","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the financial capability (FC) and financial well-being (FWB) of adults living with acquired brain injury (ABI) from a lived experience perspective.</p></div><div><h3>Design</h3><p>People living with ABI completed a 32-item and close others a 22-item anonymous survey using either online or print/mail-in options.</p></div><div><h3>Setting</h3><p>Responses were collected from adults in the province of Manitoba (Canada) during August-October 2021.</p></div><div><h3>Participants</h3><p>Respondents were adults (18+) living with ABI (n=38) or close others of ABI survivors (n=19). Adults living with ABI experienced traumatic brain injury (n=22; 58%), stroke (n=8; 21%), or other ABI mechanisms (n=8; 21%). Nineteen (50%) respondents with ABI were men, 17 (45%) were women, and 1 (2.5%) was nonbinary; 95% were more than 1-year post-ABI. Close others were spouses/partners, parents, other family, and paid caregivers. Three of the 19 close others self-reported as men and 16 as women.</p></div><div><h3>Interventions</h3><p>n/a.</p></div><div><h3>Main Outcome Measure(s)</h3><p>n/a.</p></div><div><h3>Results</h3><p>For key FC indicators, 13 (34%) people living with ABI felt their current knowledge and skills were insufficient, and 26 (70%) felt that ABI had affected their ability to make financial decisions or complete financial activities. Fourteen of the 19 close others have worried about the finance-related choices, skills, or behaviors of the person living with ABI, and 17 felt that ABI symptoms had affected the FC of the person living with ABI. For key FWB indicators, 22 (58%) adults living with ABI felt stressed or anxious about finances at least some of the time. Seventeen (45%) of the adults living with ABI reported having trouble making ends meet at least some of the time.</p></div><div><h3>Conclusions</h3><p>Respondents reported FC limitations and FWB challenges for people living with ABI, which can be indicative of financial vulnerabilities and unmet needs. Future research should explore optimal ways to address these financial-related challenges after ABI.</p></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 1","pages":"Article 100324"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590109524000077/pdfft?md5=4cfafdb532b697a8e2367dfa3a865cda&pid=1-s2.0-S2590109524000077-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139891636","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}
引用次数: 0
External Validation of a Dynamic Prediction Model for Upper Limb Function After Stroke 中风后上肢功能动态预测模型的外部验证
Archives of rehabilitation research and clinical translation Pub Date : 2024-03-01 DOI: 10.1016/j.arrct.2023.100315
Iris C. Brunner PhD , Eleni-Rosalina Andrinopoulou PhD , Ruud Selles PhD , Camilla Biering Lundquist PhD , Asger Roer Pedersen PhD
{"title":"External Validation of a Dynamic Prediction Model for Upper Limb Function After Stroke","authors":"Iris C. Brunner PhD ,&nbsp;Eleni-Rosalina Andrinopoulou PhD ,&nbsp;Ruud Selles PhD ,&nbsp;Camilla Biering Lundquist PhD ,&nbsp;Asger Roer Pedersen PhD","doi":"10.1016/j.arrct.2023.100315","DOIUrl":"10.1016/j.arrct.2023.100315","url":null,"abstract":"<div><h3>Objective</h3><p>To externally validate the dynamic prediction model for prediction of upper limb (UL) function 6 months after stroke. The dynamic prediction model has been developed and cross-validated on data from 4 Dutch studies.</p></div><div><h3>Design</h3><p>Data from a prospective Danish cohort study were used to assess prediction accuracy.</p></div><div><h3>Setting</h3><p>A Danish neurorehabilitation hospital.</p></div><div><h3>Participants</h3><p>In this external validation study, follow-up data for 80 patients in the subacute phase after stroke (N=80), mean age 64 (SD11), 43% women, could be obtained. They were assessed at 2 weeks, 3 months, and 6 months after stroke with the Action Research Arm Test (ARAT), Fugl-Meyer Motor Assessment upper limb (FMA), and Shoulder Abduction (SA) Finger Extension (FE), (SAFE) test.</p></div><div><h3>Intervention</h3><p>Not applicable.</p></div><div><h3>Main Outcome Measures</h3><p>Prediction accuracy at 6 months was examined for 3 categories of ARAT (0-57 points): mild (48-57), moderate (23-47), and severe (0-22). Two individual predictions of ARAT scores at ±6 months post-stroke were computed based on, respectively, baseline (2 weeks) and 3 months ARAT, FE, SA values. The absolute individual differences between observed and predicted ARAT scores were summarized.</p></div><div><h3>Results</h3><p>The prediction model performed best for patients with relatively good UL motor function, with an absolute error median (IQR) of 3 (2-9), and worst for patients with severe UL impairment, with a median (IQR) of 30 (3-39) at baseline. In general, prediction accuracy substantially improved when data obtained 3 months after stroke was included compared with baseline at 2 weeks after stroke.</p></div><div><h3>Conclusion</h3><p>We found limited clinical usability due to the lack of prediction accuracy 2 weeks after stroke and for patients with severe UL impairments. The dynamic prediction model could probably be refined with data from biomarkers.</p></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 1","pages":"Article 100315"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590109523000824/pdfft?md5=a74868c5cfa728d6c18c02302d8b188d&pid=1-s2.0-S2590109523000824-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138985882","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}
引用次数: 0
Individuals With Multiple Sclerosis Exhibit More Regular Center of Mass Accelerations After Physical Therapy 物理治疗后,多发性硬化症患者的质心加速度更加规律
Archives of rehabilitation research and clinical translation Pub Date : 2024-03-01 DOI: 10.1016/j.arrct.2024.100318
Brenda L. Davies PhD , Rashelle M. Hoffman PhD , Heidi Reelfs MPT , Kathleen G. Volkman PT , Max J. Kurz PhD
{"title":"Individuals With Multiple Sclerosis Exhibit More Regular Center of Mass Accelerations After Physical Therapy","authors":"Brenda L. Davies PhD ,&nbsp;Rashelle M. Hoffman PhD ,&nbsp;Heidi Reelfs MPT ,&nbsp;Kathleen G. Volkman PT ,&nbsp;Max J. Kurz PhD","doi":"10.1016/j.arrct.2024.100318","DOIUrl":"10.1016/j.arrct.2024.100318","url":null,"abstract":"<div><h3>Objective</h3><p>The purpose of this investigation was to explore if a physical therapy program involving strength, flexibility, balance, and walking can improve the uncharacteristic gait variability and overall mobility of persons living with multiple sclerosis (pwMS).</p></div><div><h3>Design</h3><p>Pre-post design to evaluate the mobility improvements after undergoing 6 weeks of a gait and balance physical therapy intervention.</p></div><div><h3>Setting</h3><p>The initial 2 weeks were conducted at a medical center under close supervision of a physical therapist. The remaining 4 weeks were performed by the patient at their home and monitored via teleconferences.</p></div><div><h3>Participants</h3><p>Fifteen pwMS with relapsing-remitting (N=11) or secondary progressive multiple sclerosis (N=4) were enrolled in this study (7 women; mean age: 54.8±9 years; Kurtzke Expanded Disability Status Score range: 3.0-6.5). A group of healthy age-matched controls (N=15) were used for comparisons.</p></div><div><h3>Interventions</h3><p>The 6-week physical therapy intervention included exercises that targeted strength, flexibility, balance, and walking. The initial 2 weeks of the intervention were performed on-site with the remaining 4 weeks home-based. The therapy was performed twice-a-day for 5 consecutive days each week. Each session was 45 minutes in length.</p></div><div><h3>Main Outcome Measures</h3><p>Preferred walking speed, spatiotemporal gait kinematics, and a 6-minute walk test were completed before and after therapy. The standard deviation (SD) and sample entropy were used to evaluate the amount of variability and the regularity of the time-dependent variations in the center of mass (COM) accelerations during the 6-minute walk test.</p></div><div><h3>Results</h3><p>Before the intervention, the SD of the COM was reduced, and the time-dependent variations were less regular in the pwMS than the control group. After therapy, the SD was 12% larger, and the time-dependent variations were more 7% regular in the pwMS. The effect size for these changes were large (0.91 and 0.94, respectively), suggesting these changes were meaningful. The changes in the regularity of the COM were related to the mobility improvements in the preferred walking velocity and 6-minute walk test.</p></div><div><h3>Conclusions</h3><p>The results suggest that pwMS have altered COM variability during gait, which can be improved with a similar physical therapy program. These changes appear to be linked with the extent of the mobility improvements.</p></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 1","pages":"Article 100318"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590109524000016/pdfft?md5=eeacd0498be8cfb6ee53daaa6be626bf&pid=1-s2.0-S2590109524000016-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139394473","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}
引用次数: 0
A Preliminary Comparison of the Katrak Hand Movement Scale With the Upper Extremity Fugl Meyer Assessment Shows a Strong Correlation After Stroke 卡特拉克手部运动量表与上肢 Fugl Meyer 评估的初步比较显示,两者在中风后有很强的相关性。
Archives of rehabilitation research and clinical translation Pub Date : 2024-03-01 DOI: 10.1016/j.arrct.2023.100317
Ann Winkler MBBS (FAFRM) , Paul Sunderland PhD , Brendan Major PhD , Natasha A. Lannin PhD
{"title":"A Preliminary Comparison of the Katrak Hand Movement Scale With the Upper Extremity Fugl Meyer Assessment Shows a Strong Correlation After Stroke","authors":"Ann Winkler MBBS (FAFRM) ,&nbsp;Paul Sunderland PhD ,&nbsp;Brendan Major PhD ,&nbsp;Natasha A. Lannin PhD","doi":"10.1016/j.arrct.2023.100317","DOIUrl":"10.1016/j.arrct.2023.100317","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the concurrent validity of the KHMS with the FMA-UE.</p></div><div><h3>Design</h3><p>The FMA-UE and the KHMS were administered to 50 adults with stroke to evaluate their concurrent validity.</p></div><div><h3>Setting</h3><p>Three tertiary rehabilitation hospitals.</p></div><div><h3>Participants</h3><p>Participants were aged ≥18 years, receiving stroke or rehabilitation services from a participating hospital, and had a confirmed diagnosis of stroke (ischemic or hemorrhagic) with upper limb involvement. Fifty patients were recruited to the study (20 women, 30 men, N=50) with a mean age of 71 (SD 13.4, range 35-90) years. Time since stroke varied from 2 days to 187 months, with a median of 0.8 months.</p></div><div><h3>Interventions</h3><p>Not applicable.</p></div><div><h3>Main Outcome Measures</h3><p>Concurrent validity of the KHMS with the FMA-UE.</p></div><div><h3>Results</h3><p>A correlation of <em>r</em>=0.948 was found between the 2 scales (<em>P</em>=.0001). Moderate floor effects were noted in our sample (16%); however, significant ceiling effects were recorded (44%).</p></div><div><h3>Conclusion</h3><p>The KHMS demonstrated a statistically strong correlation with the FMA-UE and holds promise for use, particularly in the clinical setting, to evaluate upper limb motor impairment after stroke.</p></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 1","pages":"Article 100317"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590109523000848/pdfft?md5=9a588aa8fe67eeba872c5e5e5959d02d&pid=1-s2.0-S2590109523000848-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139195424","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}
引用次数: 0
Cryoneurolysis of the Femoral Nerve for Focal Spasticity in an Ambulatory Patient 股神经冷冻神经溶解术治疗一名行动不便患者的局灶性痉挛
Archives of rehabilitation research and clinical translation Pub Date : 2024-03-01 DOI: 10.1016/j.arrct.2024.100319
Ève Boissonnault MD , Fraser MacRae BSc , Mahdis Hashemi MD , Andrei Bursuc MD , Paul Winston MD
{"title":"Cryoneurolysis of the Femoral Nerve for Focal Spasticity in an Ambulatory Patient","authors":"Ève Boissonnault MD ,&nbsp;Fraser MacRae BSc ,&nbsp;Mahdis Hashemi MD ,&nbsp;Andrei Bursuc MD ,&nbsp;Paul Winston MD","doi":"10.1016/j.arrct.2024.100319","DOIUrl":"10.1016/j.arrct.2024.100319","url":null,"abstract":"<div><h3>Introduction</h3><p>Spasticity of the knee extensors is a common presentation among patients with multiple sclerosis. The resulting stiff leg gait can result in increased risk of falls, heightened energy expenditure during gait, lowered gait speed, and compensatory gait mechanisms that increase wear on the hips. Cryoneurolysis is a novel percutaneous, minimally invasive treatment for focal spasticity.</p></div><div><h3>Methods</h3><p>A single patient with multiple sclerosis was treated with cryoneurolysis of the femoral nerve branch to rectus femoris. The patient was followed for 15 months. Spasticity severity, gait speed, and patient reported outcomes were collected at each follow-up.</p></div><div><h3>Results</h3><p>Spasticity severity as per the Modified Ashworth Scale was reduced at 1 month, with change persisting up to 15 months post-procedure. Range of motion as per the Modified Tardieu Scale showed gradual improvement over the 15-month period. Gait speed increased after the procedure from 21.15 seconds to 12.49 seconds for the 10 m walk test 1 month post-procedure, then slowed to baseline after 15 months. The patient's confidence in their gait improved and their independence was maintained throughout the follow-up period. Because of the regression in the 10 m walk test, the patient elected to have the procedure repeated after 15 months. Immediately after the procedure, the 10 m test time improved to 16.20 seconds.</p></div><div><h3>Conclusion</h3><p>Cryoneurolysis of the femoral nerve may be an effective, long-lasting treatment for spasticity causing stiff knee gait in patients with multiple sclerosis.</p></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 1","pages":"Article 100319"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590109524000028/pdfft?md5=34e837f42bd23ed3aafd803d2fdfa350&pid=1-s2.0-S2590109524000028-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139394382","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}
引用次数: 0
Association of Baseline Skeletal Muscle Mass Index With Adverse Events and Rehabilitation Outcomes in Patients Admitted for Rehabilitation 接受康复治疗的患者基线骨骼肌质量指数与不良事件和康复效果的关系
Archives of rehabilitation research and clinical translation Pub Date : 2024-03-01 DOI: 10.1016/j.arrct.2023.100314
Hideki Arai MD , Syuya Okada PT , Tatsuyuki Fukuoka SLP, PhD , Masafumi Nozoe PT, PhD , Kuniyasu Kamiya PT, PhD , Satoru Matsumoto MD , Takeshi Morimoto MD, PhD MPH
{"title":"Association of Baseline Skeletal Muscle Mass Index With Adverse Events and Rehabilitation Outcomes in Patients Admitted for Rehabilitation","authors":"Hideki Arai MD ,&nbsp;Syuya Okada PT ,&nbsp;Tatsuyuki Fukuoka SLP, PhD ,&nbsp;Masafumi Nozoe PT, PhD ,&nbsp;Kuniyasu Kamiya PT, PhD ,&nbsp;Satoru Matsumoto MD ,&nbsp;Takeshi Morimoto MD, PhD MPH","doi":"10.1016/j.arrct.2023.100314","DOIUrl":"10.1016/j.arrct.2023.100314","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the associations of baseline skeletal muscle mass index (SMI) with adverse events and rehabilitation outcomes in patients admitted for rehabilitation.</p></div><div><h3>Design</h3><p>A retrospective cohort study.</p></div><div><h3>Participants</h3><p>The subjects were 409 patients (mean age, 79 years; men, 167 [41%]) undergoing rehabilitation because of neurologic disease, musculoskeletal disorders, or hospital-associated deconditioning. Patients were divided into 2 groups according to the definition of sarcopenia by the Asian Working Group for Sarcopenia: those with low SMI (&lt;7.0 kg/m<sup>2</sup> in men and &lt;5.7 kg/m<sup>2</sup> in women) and those with high SMI (≥7.0 kg/m<sup>2</sup> in men and ≥5.7 kg/m<sup>2</sup> in women).</p></div><div><h3>Interventions</h3><p>Not applicable.</p></div><div><h3>Main Outcome Measures</h3><p>The primary outcomes were adverse events including death and acute illness requiring transfer to other hospitals for specialized treatments. The secondary outcomes were rehabilitation outcomes including the efficiency scores (changes in functional independence measure [FIM] score divided by length of stay) of FIM for motor function (FIM-M) and FIM for cognitive function (FIM-C).</p></div><div><h3>Results</h3><p>Of the 409 patients, 299 (73%) had a low SMI. The adjusted hazard ratio (95% confidence interval) of the low SMI group relative to the high SMI group for adverse events was 2.79 (1.06-7.34). There were no significant differences between the 2 groups in FIM-M efficiency scores [mean ± SD, low SMI group: 0.4 (0.58) vs high SMI group: 0.47 (0.54), <em>P</em>=.3] and FIM-C efficiency scores [mean ± SD, 0.05 (0.14) vs 0.06 (0.2), <em>P</em>=.4]. Multiple linear regression models did not show significant associations between the low SMI group and FIM-M efficiency or FIM-C efficiency scores (β=0.064, <em>P</em>=.3; β=−0.05, <em>P</em>=.4, respectively).</p></div><div><h3>Conclusion</h3><p>Low baseline SMI was significantly associated with adverse events but not with rehabilitation outcomes in patients undergoing rehabilitation.</p></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 1","pages":"Article 100314"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590109523000812/pdfft?md5=988096583e1173b04c964aaa4aa11244&pid=1-s2.0-S2590109523000812-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138611363","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}
引用次数: 0
Shoulder Pain in Persons With Tetraplegia and the Association With Force Application During Manual Wheelchair Propulsion 四肢瘫痪者的肩部疼痛及其与手动轮椅推进过程中用力的关系
Archives of rehabilitation research and clinical translation Pub Date : 2024-03-01 DOI: 10.1016/j.arrct.2023.100310
Ursina Arnet PhD , Fransiska M. Bossuyt PhD , Benjamin J.H. Beirens MSc , Wiebe H.K. de Vries PhD
{"title":"Shoulder Pain in Persons With Tetraplegia and the Association With Force Application During Manual Wheelchair Propulsion","authors":"Ursina Arnet PhD ,&nbsp;Fransiska M. Bossuyt PhD ,&nbsp;Benjamin J.H. Beirens MSc ,&nbsp;Wiebe H.K. de Vries PhD","doi":"10.1016/j.arrct.2023.100310","DOIUrl":"https://doi.org/10.1016/j.arrct.2023.100310","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the association between propulsion biomechanics, including force application and spatio-temporal characteristics, and shoulder pain in persons with tetraplegia.</p></div><div><h3>Design</h3><p>Cross-sectional, observational study.</p></div><div><h3>Setting</h3><p>Non-university research institution.</p></div><div><h3>Participants</h3><p>16 community dwelling, wheelchair dependent persons with a chronic tetraplegia between C4 and C7, with and without shoulder pain (age, 49.1±11.7 years; 94% men, 23.4±9.5 years past injury).</p></div><div><h3>Interventions</h3><p>Not applicable.</p></div><div><h3>Main Outcome Measures</h3><p>Force application and spatio-temporal characteristics of wheelchair propulsion on a treadmill (0.56 m/s, 10W and 0.83 m/s, 15W). Participants were stratified in groups with low, moderate, and high pain based on their Wheelchair User Shoulder Pain Index (WUSPI) score on the day of measurement.</p></div><div><h3>Results</h3><p>The mixed-effect multilevel analysis showed that wheelchair users with high levels of shoulder pain applied propulsion force more effectively (and with a lower medial component) and over a longer push angle, thus shortening the recovery time as compared with persons with low or moderate levels of shoulder pain.</p></div><div><h3>Conclusions</h3><p>In contrast with previous results from persons with a paraplegia, persons with tetraplegia and high levels of shoulder pain propel their wheelchair more optimal with regard to risk factors for shoulder pain. Our results therefore affirm that there is a different interaction of shoulder pain and propulsion biomechanics in persons with a tetraplegia which should be considered when further analyzing risk factors for shoulder pain in wheelchair users or applying literature results to different patient populations.</p></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 1","pages":"Article 100310"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590109523000721/pdfft?md5=ee61899426717f3a2bea20ec810a3087&pid=1-s2.0-S2590109523000721-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139999098","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}
引用次数: 0
A Prospective Intervention Study With 6 Months Follow-up of the Effect of Reablement in Home Dwelling Elderly: Patient-reported and Observed Outcomes 对居家老人进行为期六个月的前瞻性干预研究。患者报告和观察结果。
Archives of rehabilitation research and clinical translation Pub Date : 2024-03-01 DOI: 10.1016/j.arrct.2023.100311
Jeanette Kjernsholen MD , Inger Schou-Bredal PhD, RN, OUS , Rolf Kaaresen MD, PhD, OUS , Helene Lundgaard Soberg PhD , Aase Sagen PhD
{"title":"A Prospective Intervention Study With 6 Months Follow-up of the Effect of Reablement in Home Dwelling Elderly: Patient-reported and Observed Outcomes","authors":"Jeanette Kjernsholen MD ,&nbsp;Inger Schou-Bredal PhD, RN, OUS ,&nbsp;Rolf Kaaresen MD, PhD, OUS ,&nbsp;Helene Lundgaard Soberg PhD ,&nbsp;Aase Sagen PhD","doi":"10.1016/j.arrct.2023.100311","DOIUrl":"10.1016/j.arrct.2023.100311","url":null,"abstract":"<div><h3>Objectives</h3><p>To investigate the effect of a reablement intervention (a person-centered, interdisciplinary rehabilitation approach) compared with usual care services in home-dwelling elderly experiencing functional declines in activities of daily living.</p></div><div><h3>Design</h3><p>A non-randomized controlled trial comparing a reablement intervention with usual care; outcomes were measured at baseline, after intervention, and at a 6-month from baseline in both groups.</p></div><div><h3>Setting</h3><p>Municipal public health service.</p></div><div><h3>Participants</h3><p>Sixty-five home-dwelling elderly with functional decline were assigned by the participants home care service zone to a reablement group (n=35), or a usual care group (n=30). The mean participant age was 80±11 years in the reablement group and 78±12 in the usual care group.</p></div><div><h3>Intervention</h3><p>The reablement group received a person-centered and tailored reablement program provided by an interdisciplinary team, consisting of a physiotherapist, an occupational therapist, and a nurse. The usual care group received standard home care services.</p></div><div><h3>Main Outcome Measures</h3><p>The dimension “Your health today” from the European Quality of Life-Visual Analog Scale (HRQOL), the patient-specific functional scale for goals in ADL (PSFS), the short physical performance battery (SPPB), and home care services in hours per week.</p></div><div><h3>Results</h3><p>There were significant differences over time in favor of the reablement group with between-group effect sizes of Cohen h<sup>2</sup>=0.36 (<em>P</em>=.001) for HRQOL, h<sup>2</sup>=0.60 (<em>P</em>=.001) for PSFS, h<sup>2</sup>=0.30 (<em>P</em>=.001) for SPPB, and h<sup>2</sup>=0.10 (<em>P=</em>.013) for hours of home care services per week. The within-group effect size for PSFS was h<sup>2</sup>=0.15 (<em>P=</em>.010) in favor of the reablement group. The mean number of hours of home care services per week was mean 0.38±1.07 (<em>P</em>=.001) in the reablement group and mean 30.38±64.13 (<em>P</em>=.023) in the usual care group.</p></div><div><h3>Conclusions</h3><p>The participants in the reablement group achieved and maintained better physical function, a higher HRQOL and needed considerably less home care services than the usual care group participants. Thus, reablement appears to be a more beneficial and sustainable approach than the usual care services for the home-dwelling elderly with functional decline.</p></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 1","pages":"Article 100311"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590109523000733/pdfft?md5=f307fb070aae2676db1f261e9d5ca0e2&pid=1-s2.0-S2590109523000733-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139305205","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}
引用次数: 0
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