Archives of rehabilitation research and clinical translation最新文献

{"title":"Craniectomy and Cranioplasty Effects on Balance and Gait in Rehabilitation: A Retrospective Study.","authors":"Leandra A Stuckey, Elizabeth E Holland, Miranda G Gurra, David Aaby, Jennifer H Kahn","doi":"10.1016/j.arrct.2024.100375","DOIUrl":"10.1016/j.arrct.2024.100375","url":null,"abstract":"<p><strong>Objective: </strong>To analyze changes in balance and gait in patients undergoing rehabilitation postcraniectomy and postcranioplasty, including comparison of outcomes across time periods, rate of change, and among diagnoses.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>Inpatient rehabilitation.</p><p><strong>Participants: </strong>Fifty-three patients (mean age 52.3±16.9y; 62% male) with stroke, traumatic, or nontraumatic brain injury postcraniectomy or postcranioplasty.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>Berg Balance Scale (BBS), Functional Gait Assessment (FGA), 6-minute walk test (6MWT), and 10-meter walk test (10MWT) were collected at baseline, first discharge, readmission, and final discharge.</p><p><strong>Results: </strong>Across the full rehabilitation course, all 4 outcomes improved: BBS, 17.9 points (95% confidence interval [CI], 12.7-23.2); FGA, 7.8 points (95% CI, 0.6-15.0); 6MWT, 141.0 m (95% CI, 89.0-192.0); and 10MWT, 0.381 m/s (95% CI, 0.188-0.575). All outcomes improved at postcraniectomy admission: BBS, 13.0 points (95% CI, 8.4-17.5); FGA, 4.0 points (95% CI. -1.65 to 9.65); 6MWT, 100.0 m (95% CI, 58.2-142.0); and 10MWT, 0.160 m/s (95% CI, 0.004-0.316). During leave of absence from rehabilitation, BBS decreased 6.3 points (95% CI, -11.8 to -0.8); FGA decreased 6.6 points (95% CI, -13.8 to 0.6); 6MWT decreased 19.2 m (95% CI, -73.5 to 35.2); and 10MWT increased 0.089 m/s (95% CI, -0.097 to 0.276). All outcomes improved at postcranioplasty admission: BBS, 11.3 points (95% CI, 6.6-16.0); FGA, 10.4 points (95% CI, 4.8-16.1); 6MWT, 59.4 m (95% CI, 14.1-105.0); and 10MWT, 0.132 m/s (95% CI, -0.039 to 0.303). Diagnosis was not associated with changes in outcomes.</p><p><strong>Conclusions: </strong>Gait and balance outcomes improved during postcraniectomy and postcranioplasty rehabilitation admissions but not immediately post cranioplasty.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100375"},"PeriodicalIF":1.9,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cryoneurolysis and Quadriplegia: A Case Report on Pain and Severe Spasticity Management.","authors":"Laura Schatz, Samuel Herzog, Mahdis Hashemi, Paul Winston","doi":"10.1016/j.arrct.2024.100374","DOIUrl":"10.1016/j.arrct.2024.100374","url":null,"abstract":"<p><p>Spasticity, a common symptom after spinal cord injury, often leads to pain, muscle contracture, and compromised daily activities. Cryoneurolysis, a minimally invasive, drug-free procedure for the treatment of pain, is now gaining recognition for treating spasticity. It involves using an ultrasound-guided probe to freeze and destroy overactive target nerves. The objective of this case study was to assess the effect of cryoneurolysis on joint range of motion (ROM) by reducing spasticity and pain in a person with quadriparesis spinal cord injury. A 52-year-old male with C4 incomplete quadriplegia presented with severe right hip osteoarthritis, causing a severe hip flexion deformity with hip flexor spasms, as well as spasticity in the upper limbs. Previous attempts with exceeding maximum-dose botulinum toxin injections for the lower limb proved insufficient to improve ROM. Percutaneous cryoneurolysis was performed on multiple nerves, contributing to spasticity in the upper and lower limbs. Immediately after each procedure, the patient experienced an increased ROM in the upper and lower limb targeted regions. During the patient's follow-up, he also reported improvements in performing daily activities, such as independent showering, no falls, and a significant decrease in muscle tone. Results were primarily maintained up to 9 months postprocedure when cryoneurolysis was repeated for the lower limbs only. On repeat cryoneurolysis, results were re-established. Cryoneurolysis is a nonsurgical, percutaneous procedure that could be considered for pain and spasticity management in patients with quadriplegia. It can provide an option for improved quality of life and independence for patients.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100374"},"PeriodicalIF":1.9,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017276","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":"Current Trends in Virtual Exercise Interventions Among People With Disabilities: A Scoping Review.","authors":"Madison Mintz, James Rimmer, Jereme Wilroy, Robert Oster, Leigh Bray, Robin Lanzi, Byron Lai","doi":"10.1016/j.arrct.2024.100373","DOIUrl":"10.1016/j.arrct.2024.100373","url":null,"abstract":"<p><strong>Objective: </strong>To analyze existing literature on virtual exercise interventions delivered to people with disabilities to assess effectiveness, efficiency, usability, satisfaction, and feasibility, and describe current trends that aimed to improve health outcomes among people with disabilities.</p><p><strong>Data sources: </strong>CINAHL, MEDLINE, and PsycINFO were searched.</p><p><strong>Study selection: </strong>Articles were included if they were (1) incorporated a virtual exercise intervention including people with physical disabilities and mobility limitations aged 18 years and older and (2) published between the years of 2009-August 14, 2024 with free access to full-text, peer-reviewed papers; and (3) published in English. Exclusion criteria: (1) unrelated to disability; (2) non-peer-reviewed articles; (3) protocol or review papers; (4) study focused on virtual exercise through perspective other than that of the participant; (5) study's primary objectives were not related to physical functioning and/or rehabilitation; and (6) study used only qualitative methods.</p><p><strong>Data extraction: </strong>A single search was conducted from January 2023 and ceased on August 14, 2023. Duplicate records were pulled from the article search within each database; article abstracts were assessed; and finally, full-text articles were retained upon meeting inclusion criteria. The primary researcher conducted the initial search, while 2 independent reviewers, J.R. and J.W., assisted with and confirmed article extraction.</p><p><strong>Data synthesis: </strong>Thirty-seven articles were included. Trends were explained by recapitulating statistically significant results per study among each disability group and virtual exercise delivery mode, exercise type, and intervention synchronicity.</p><p><strong>Conclusions: </strong>More facilitators, satisfaction, usability, and perceived benefits were reported when compared to reported barriers among people with physical disabilities and mobility limitations who participated in virtual exercise interventions.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100373"},"PeriodicalIF":1.9,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017279","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":"Neuro and Psychomotor Therapist of Developmental Age Professional in Italy: An Anomaly or an Opportunity?","authors":"Giulia Purpura, Giorgia Coratti","doi":"10.1016/j.arrct.2024.100372","DOIUrl":"10.1016/j.arrct.2024.100372","url":null,"abstract":"<p><p>The aim of this work is to explore the distinct role of the Neuro and Psychomotor Therapist of Developmental Age (TNPEE) within the Italian health care system, examining challenges in recognizing and comparing this profession with international counterparts, particularly physiotherapists and occupational therapists. The historical evolution and educational framework, integrated into the Italian university model, provide a foundation for TNPEE's competencies in rehabilitation and habilitation. The TNPEE operates within the bio-psycho-social model, addressing the developmental age range with a holistic approach. Despite its unique contributions, TNPEE faces challenges internationally because of its exclusive presence in Italy. Unlike other health care professions, TNPEE lacks a standardized international equivalent, complicating professional comparisons and mobility. This anomaly hinders the global recognition and integration of TNPEE professionals, posing a challenge to the academic medicine community in terms of standardizing and promoting interdisciplinary collaboration. This communication concludes by proposing mechanisms to facilitate TNPEE's recognition and integration into international health care frameworks. By addressing these challenges, the work contributes to the broader discourse on the cultural context in shaping effective therapeutic interventions, highlighting the need for an inclusive approach to health care education and practice worldwide.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100372"},"PeriodicalIF":1.9,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017294","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":"Association of Rate of Functional Recovery With Therapy Time and Content Among Adults With Acquired Brain Injuries in Inpatient Rehabilitation.","authors":"Alison M Cogan, Pamela Roberts, Trudy Mallinson","doi":"10.1016/j.arrct.2024.100370","DOIUrl":"10.1016/j.arrct.2024.100370","url":null,"abstract":"<p><strong>Objective: </strong>To examine associations among the time and content of rehabilitation treatment with self-care and mobility functional gain rate for adults with acquired brain injury.</p><p><strong>Design: </strong>Retrospective cohort study using electronic health record and administrative billing data.</p><p><strong>Setting: </strong>Inpatient rehabilitation unit at a large, academic medical center.</p><p><strong>Participants: </strong>Adults with primary diagnosis of stroke, traumatic brain injury, or nontraumatic brain injury admitted to the inpatient rehabilitation unit between 2012 and 2017 (N=799).</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>Gain rate in self-care and mobility function, using the Functional Independence Measure. Hierarchical regression models were used to identify the contributions of baseline characteristics, units, and content of occupational therapy, physical therapy, and speech-language pathology treatment to functional gain rates.</p><p><strong>Results: </strong>Median length of rehabilitation stay was 10 days (interquartile range, 8-13d). Patients received an mean of 10.62 units of therapy (SD, 2.05) daily. For self-care care gain rate, the best-fitting model accounted for 32% of the variance. Occupational therapy activities of daily living units were positively associated with gain rate. For mobility gain rate, the best-fitting model accounted for 37% of the variance. Higher amounts of physical therapy bed mobility training were inversely associated with mobility gain rate.</p><p><strong>Conclusions: </strong>More activities of daily living in occupational therapy is associated with faster improvement on self-care function for adults with acquired brain injury, whereas more bed mobility in physical therapy was associated with slower improvement. A potential challenge with value-based payments is the alignment between clinically appropriate therapy activities and the metrics by which patient improvement are evaluated. There is a risk that therapists and facilities will prioritize activities that drive improvement on metrics and deemphasize other patient-centered goals.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100370"},"PeriodicalIF":1.9,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017270","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":"Neurovisual Training With Acoustic Feedback: An Innovative Approach for Nystagmus Rehabilitation.","authors":"Damiano Antognetti, Luca Maggiani, Elena Gabbrielli, Luca Allegrini, Stefania Dalise, Carmelo Chisari","doi":"10.1016/j.arrct.2024.100371","DOIUrl":"10.1016/j.arrct.2024.100371","url":null,"abstract":"<p><p>Nystagmus has various clinical manifestations, including downbeat, upbeat, and torsional types, each associated with distinct neurologic features. Current rehabilitative interventions focusing on fixation training and optical correction often fail to achieve complete resolution. When nystagmus coexists with fragile X-associated tremor/ataxia syndrome (FXTAS), functional impairments worsen, particularly affecting balance. Recognizing these limitations, the authors propose an innovative approach using audiovisual stimulation to complement visual pursuit training and optical compensation, potentially improving rehabilitation outcomes. This study describes the case of a 60-year-old woman with worsening nystagmus and cerebellar ataxia suggestive of FXTAS who underwent a customized rehabilitation program. The program included 30 sessions involving audiovisual training and physical exercises. Visual performance assessments were conducted using AV-Desk and Nidek MP-1 microperimeters, with functional assessments including the Barthel Modified Index, 10-meter walking test, timed Up and Go, and Berg Balance Scale. After treatment, visual performance improved with reduced response times and higher success rates, especially without drugs. Fixation stability improved consistently using the bivariate contour ellipse area method. Functional assessments showed enhanced mobility and balance, with benefits sustained at the 6-month follow-up. The combined approach of audiovisual training, proprioceptive training, and targeted muscle strengthening has proven effective. Notable improvements in overall physical performance, especially in balance and gait, and a reduction in nystagmus severity were observed. Integrating audiovisual stimulation into rehabilitation protocols shows promising results in managing nystagmus and ataxia, significantly enhancing patients' quality of life. Further studies are needed to validate these findings and expand upon this approach.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100371"},"PeriodicalIF":1.9,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017297","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":"Integrating Fitness Training in Oncologic Care: Lessons Learned from a Large Telemedicine Trial.","authors":"Karen S Schaepe, Jeffrey R Basford, Andrea L Cheville","doi":"10.1016/j.arrct.2024.100367","DOIUrl":"10.1016/j.arrct.2024.100367","url":null,"abstract":"<p><strong>Objective: </strong>To provide insights from patients and clinicians regarding the benefits and barriers of the introduction of a telerehabilitation fitness program into the oncologic care of people with late-stage cancer.</p><p><strong>Design: </strong>This study is a qualitative assessment of the COllaborative Care to Preserve PErformance in Cancer trial, which involved the insertion of a telerehabilitation fitness program into the oncologic care of patients with late-stage cancer.</p><p><strong>Setting: </strong>A large midwestern medical center.</p><p><strong>Participants: </strong>Thirty-one patients who matched the overall demographics of the study participants as well as 3 oncologists, 2 physical therapist fitness care managers (FCMs), nurse pain care manager, and 2 supervisory physicians involved in the study.</p><p><strong>Interventions: </strong>Five hundred sixteen patients with late-stage (IIIC or IV) cancer were randomly assigned to 1 of 3 arms: a control group that received usual oncologic care and 2 intervention groups. The members of the latter continued with their usual care but also received either 6 months of a fitness program, with or without the addition of pain management assistance. All components were delivered via telemedicine with the fitness program consisting of progressive resistance and walking components.</p><p><strong>Main outcome measures: </strong>Perceived benefits and shortcomings of the intervention were obtained via written narratives from the patients and as well as through interviews with the oncologists, FCMs, nurse pain care manager, and supervisory physicians involved in the study.</p><p><strong>Results: </strong>Thematic analysis revealed 87% (27/31) of the participants found the program helpful. Regular contact with someone who understood their situation, helped improve their function, and encouraged active engagement in their care was perceived as particularly beneficial. The FCMs who worked remotely with participants to coordinate their exercise programs agreed that regular interactions with the patient facilitated engagement, education, and meaningful goal setting. The oncologists were supportive of the intervention but had concerns about patient suitability. The supervisory physicians noted a number of institutional barriers such as oncology workflows and the need for better sharing of information across disciplines.</p><p><strong>Conclusions: </strong>A fitness program delivered via telemedicine was perceived as beneficial by the patients, the FCMs, and the supervising physicians. Success hinged on the quality of the interaction between patients and the FCMs. Institutional barriers to implementation seem similar to those encountered by many new programs that need to be inserted into the workflows of busy clinics and practices.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100367"},"PeriodicalIF":1.9,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017290","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":"Baseline Nutritional Status and Rehabilitation Progress in Individuals Requiring Inpatient Rehabilitation: A Retrospective Cohort Study","authors":"Hideki Arai MD, PhD ,&nbsp;Syuya Okada PT ,&nbsp;Tatsuyuki Fukuoka SLP, PhD ,&nbsp;Masafumi Nozoe PT, PhD ,&nbsp;Kuniyasu Kamiya PT, PhD ,&nbsp;Satoru Matsumoto MD","doi":"10.1016/j.arrct.2024.100362","DOIUrl":"10.1016/j.arrct.2024.100362","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the relationships between baseline nutritional status, medical events (MEs), and rehabilitation outcomes in individuals undergoing inpatient rehabilitation (IR).</p></div><div><h3>Design</h3><p>A retrospective single center cohort study.</p></div><div><h3>Setting</h3><p>An IR ward.</p></div><div><h3>Participants</h3><p>This study included 409 patients (mean age, 80 years; men, 170 [42%]) undergoing IR for hospital-associated deconditioning, neurologic disorders, or musculoskeletal diseases. Participants were grouped according to the Controlling Nutritional Status score at admission: normal nutrition (NN): 0 to 1, mild malnutrition (MM): 2 to 4, and moderate/severe malnutrition (M/SM): 5 to 12.</p></div><div><h3>Interventions</h3><p>None.</p></div><div><h3>Main Outcome Measures</h3><p>The primary outcomes included MEs leading to death or acute illness requiring transfer to other hospitals for specialized treatments. The secondary outcomes were the rehabilitation efficiency scores (changes in Functional Independence Measure [FIM] score divided by length of stay) for motor function (FIM-M) and cognitive function (FIM-C).</p></div><div><h3>Results</h3><p>Among the 409 participants, 300 (73%) were malnourished at admission. The adjusted hazard ratios (95% confidence interval) for MEs in the MM and M/SM groups relative to the NN group were 1.48 (0.67-3.27) and 0.98 (0.34-2.81), respectively. No significant differences were observed among the 3 groups in FIM-M efficiency scores (mean ± SD, NN: 0.49±0.51 vs MM: 0.41±0.57 vs M/SM: 0.44±1.06, <em>P</em>=.7) or FIM-C efficiency scores (0.04±0.06 vs 0.04±0.06 vs 0.08±0.4, <em>P</em>=0.1). Analysis of covariance showed no significant association between MM or M/SM group and FIM-M efficiency score (beta coefficient = -0.038, <em>P</em>=.6; beta coefficient = 0.15, <em>P</em>=.1, respectively) or FIM-C efficiency score (<em>beta coefficient</em> = 0.004, <em>P</em>=.8; <em>beta coefficient</em> = 0.047, <em>P</em>=.08, respectively).</p></div><div><h3>Conclusion</h3><p>No significant associations were observed between the baseline nutritional status and MEs, FIM-M efficiency score, or FIM-C efficiency score in individuals undergoing IR.</p></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 3","pages":"Article 100362"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590109524000600/pdfft?md5=127a5be27861074f2c6a02c49b209b50&pid=1-s2.0-S2590109524000600-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142240590","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":"Effects of Pilates on Body Posture: A Systematic Review","authors":"","doi":"10.1016/j.arrct.2024.100345","DOIUrl":"10.1016/j.arrct.2024.100345","url":null,"abstract":"<div><h3>Objective</h3><p>To perform a systematic review of the effects of Pilates on common body postures.</p></div><div><h3>Data sources</h3><p>Web of Science, PubMed, Scopus, Science Direct, Springer Link, and CNKI. The search year is set from January 1, 2019, to November 15, 2023.</p></div><div><h3>Study Selection</h3><p>Quasi-experimental studies, randomized controlled trials, randomized clinical trials, and nonrandomized controlled trials investigating the effects of Pilates on body posture.</p></div><div><h3>Data Extraction</h3><p>The Physiotherapy Evidence Database scale was used to evaluate the quality of studies that met the inclusion requirements. Studies were independently assessed by 2 reviewers who read through the full text and labeled as “low quality,” “moderate quality,” “good quality,” and “excellence quality.” Disagreements were resolved by the third reviewer. The Cochrane Risk of Bias (RoB 2.0) tool was used to assess the risk of bias for each study.</p></div><div><h3>Data Synthesis</h3><p>Of the 492 studies screened, 13 met the inclusion criteria involving a total of 783 trial participants. Six studies (46%) were of high quality or above, with main limitation related to the internal validity of the study design. The research outcomes focused primarily on effects of Pilates on body posture; cervical, thoracic, and lumbar spine; and followed by quality of life and pain.</p></div><div><h3>Conclusions</h3><p>The findings of this systematic review provided valuable evidence for the role of Pilates in improving body posture problems. Pilates is a boon to patients suffering from postural disorders, and it is suggested that Pilates can be widely used as a complementary therapy. Nonetheless, more detailed studies are necessary in the future.</p></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 3","pages":"Article 100345"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590109524000351/pdfft?md5=ec68c1b94ecce7f978344ed7157a8dd1&pid=1-s2.0-S2590109524000351-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141145161","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":"Exploring the Effect of Preamputation Employment and Income on Ambulation in Dysvascular Lower Extremity Amputees After Amputee Rehabilitation: A Retrospective Cohort Study","authors":"Jessica Murphy PhD ,&nbsp;Emiliyan Staykov BSc ,&nbsp;Amber Monteiro BEng ,&nbsp;Sandra Monteiro PhD ,&nbsp;Celina Lin MD","doi":"10.1016/j.arrct.2024.100359","DOIUrl":"10.1016/j.arrct.2024.100359","url":null,"abstract":"<div><h3>Objective</h3><p>To assess the relationship between 2-minute walk test (2MWT) distance, employment status, and median household income in adult dysvascular amputee patients after a 6-week rehabilitation program.</p></div><div><h3>Design</h3><p>Retrospective cohort study.</p></div><div><h3>Setting</h3><p>Amputation rehabilitation program.</p></div><div><h3>Participants</h3><p>In total, 505 patients were included in the analysis. Most (71.1%) were men and had below-knee amputations (78.3%); the average age was 65.3±11.6 years.</p></div><div><h3>Interventions</h3><p>Not applicable.</p></div><div><h3>Main Outcome Measures</h3><p>2MWT distance at discharge.</p></div><div><h3>Results</h3><p>Men <em>(</em>68.3±32.6m) and below-knee amputation amputees (70.9±32.0m) walked significantly further than women <em>(</em>58.8±30.0m; <em>P</em>=.003) and above-knee amputees <em>(</em>47.2±25.7m; <em>P</em>&lt;.001), respectively. A significant negative correlation was found between 2MWT distance and age (<em>r</em>=−.32; <em>P</em>&lt;.001) as well as time from consultation to admission (<em>r</em>=−.23; <em>P</em>&lt;.001). An unadjusted general linear model (GLM) revealed that employment status (F_2,446=17.47; <em>P</em>&lt;.001) but not income (F_4,446=.714; <em>P</em>=.58) was statistically significantly associated with 2MWT distance. An adjusted (age, sex, time from consult to admission, and amputation level) GLM revealed employment status remained significant (F_2,434=5.59; <em>P</em>=.004) and income remained insignificant (F_4,434=.43; <em>P</em>=.784). Differences in 2MWT distance between employment and income groups did not meet clinical significance.</p></div><div><h3>Conclusions</h3><p>Preamputation employment appears to be associated with postrehabilitation outcomes.</p></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 3","pages":"Article 100359"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590109524000570/pdfft?md5=2a6754f955226bc5e15fbba0bdd96e08&pid=1-s2.0-S2590109524000570-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141853407","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}