Archives of rehabilitation research and clinical translation最新文献

{"title":"Disorders of Consciousness in Acute Care: Application of the CRS-R and Respiratory, Swallowing, and Discharge Outcomes at a Level 1 Trauma Hospital","authors":"Sara Penrod MS, CCC-SLP, BCS-S,&nbsp;Zoe Samson RN, PhD,&nbsp;Stephanie C. Chan MD, FAAPMR","doi":"10.1016/j.arrct.2026.100669","DOIUrl":"10.1016/j.arrct.2026.100669","url":null,"abstract":"<div><h3>Objective</h3><div>To exemplify the use of the Coma Recovery Scale-Revised (CRS-R) during critical acute care and to characterize associated functional and rehabilitative trajectories of patients with disorders of consciousness (DoC). Although most research emphasizes postacute assessment and recovery, early rehabilitation in the initial days and weeks after injury remains unexplored.</div></div><div><h3>Design</h3><div>Retrospective, observational cohort study</div></div><div><h3>Setting</h3><div>Level 1 Trauma and Certified Stroke Center acute care hospital</div></div><div><h3>Participants</h3><div>A total of 68 adults admitted with a severe brain injury with an initial Glasgow Coma Scale score of ≤8.</div></div><div><h3>Main Outcome Measures</h3><div>Outcomes were assessed across 3 domains: (1) consciousness, via the CRS-R; (2) respiratory function, including cough categorization, tracheostomy status, and decannulation readiness trials (speaking valve or capping); and (3) swallowing/eating, measured by the Functional Oral Intake Scale (FOIS) and engagement in evaluations for oral diet advancement.</div></div><div><h3>Results</h3><div>Initial CRS-R assessments showed 2.9% (n=2) in coma, 52.9% (n=36) in unresponsive wakefulness syndrome (UWS), 27.9% (n=19) in minimally conscious state minus (MCS−), 13.2% (n=9) in MCS plus (MCS+), and 2.9% (n=2) emerged. By discharge, no patients remained in coma; 2.9% (n=2) were in UWS, 17.7% (n=12) MCS−, 13.2% (n=9) MCS+, and 41.2% (n=28) emerged. Among those emerging, 53.6% did so within 30 days. Tracheostomy was required in 73.5% (n=50); most participated in capping (72%, n=36/50) and speaking valve trials (88%, n=44/50) while cannulated, and 68% (n=34/50) were decannulated. Instrumental swallowing evaluations were completed in 42.6% (n=29), with 39.7% (n=27) discharged on oral diets. Overall, under half (39.7%, n=27) were discharged to specialized or rehabilitative settings.</div></div><div><h3>Conclusion</h3><div>Patients with DoC make demonstrable improvements in consciousness, respiratory function, and swallowing during acute care, challenging prevailing assumptions that rehabilitation potential begins later in the recovery trajectory. These findings underscore the importance of initiating structured assessments and interventions early to optimize outcomes and inform discharge planning. Future research should focus on the development and evaluation of standardized screening protocols for identifying DoC in acute care, as well as examining national screening, assessment, and treatment practices.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 3","pages":"Article 100669"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961745","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 Incremental Vestibular Ocular Reflex Adaptation Training on Gait, Balance, and Quality of Life in Individuals With Chronic Peripheral Vestibular Hypofunction: A Randomized Controlled Trial","authors":"Jennifer L. Millar MSPT,&nbsp;Americo A. Migliaccio PhD,&nbsp;Colin Grove DPT, PhD,&nbsp;Amrita Mukunda BS,&nbsp;Jamie Perin PhD,&nbsp;Hamadou Coulibaly MS,&nbsp;Ann Ervin PhD,&nbsp;Allison Nogi DPT,&nbsp;Isaac B. Thorman BS,&nbsp;Michael C. Schubert PT, PhD","doi":"10.1016/j.arrct.2026.100622","DOIUrl":"10.1016/j.arrct.2026.100622","url":null,"abstract":"<div><h3>Objective</h3><div>To compare gait, balance, and subjective measures of dizziness outcomes in patients with vestibular hypofunction completing either a novel, incremental vestibular ocular reflex (VOR) adaptation program or traditional vestibular rehabilitation.</div></div><div><h3>Design</h3><div>Randomized, double-blinded, crossover-controlled trial including a 6-month follow-up.</div></div><div><h3>Setting</h3><div>Tertiary care, outpatient physical therapy.</div></div><div><h3>Participants</h3><div>N=24 individuals with chronic peripheral vestibular hypofunction.</div></div><div><h3>Interventions</h3><div>Group A first completed incremental VOR adaptation training using the novel, head-mounted StableEyes device, while group B completed traditional gaze stability exercises considered standard of care in vestibular rehabilitation. After 3 weeks, participants entered a 3-week washout period before crossing over to the opposing gaze stability training intervention and starting balance and gait training.</div></div><div><h3>Main Outcome Measures</h3><div>The magnitude of the vestibulo-ocular reflex was the primary outcome measure of the clinical trial; this paper reports results for the secondary outcome measures of gait, balance, and subjective experience, which are of primary concern to patients with vestibular disorders. Demographic, balance, gait, and subjective symptom differences between the groups were analyzed using a linear mixed model with a random intercept and, when appropriate, paired <em>t</em> tests, following the intent-to-treat principle.</div></div><div><h3>Results</h3><div>At baseline, group A had lower subjective balance confidence scores (<em>P</em>=.016) and fewer neurobehavioral symptoms (<em>P</em>=.029) than those allocated to group B. However, we found no difference between the groups in the change of any clinical outcome (gait, balance, or subjective symptoms) after completion of either/both types of gaze stability training. Regardless of cohort placement, individuals improved their gait, balance confidence, and global impression of change, yet these improvements were not retained at 6 months.</div></div><div><h3>Conclusions</h3><div>The novel incremental VOR adaptation method for gaze stability training offers advantages similar to those of traditional vestibular rehabilitation in improving gait, balance, and subjective symptoms, though these improvements are lost at 6 months.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 3","pages":"Article 100622"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961746","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":"Practice Patterns of Hip Flexion Assist Orthosis Use in Multiple Sclerosis: A Retrospective Community-Based Analysis","authors":"Christopher R. Bhatla MD,&nbsp;Rajiv N. Reebye MD, FRCPC","doi":"10.1016/j.arrct.2026.100640","DOIUrl":"10.1016/j.arrct.2026.100640","url":null,"abstract":"<div><h3>Objective</h3><div>To identify patterns of hip flexion assist orthosis (HFAO) use among ambulatory patients with multiple sclerosis (MS) and to assess factors influencing device adoption and discontinuation.</div></div><div><h3>Design</h3><div>Retrospective chart review.</div></div><div><h3>Setting</h3><div>Outpatient community physiatry clinic in New Westminster, British Columbia.</div></div><div><h3>Participants</h3><div>Fifty-four ambulatory patients with MS who were previously assessed for HFAO use between November 2017 and October 2023. Patients were 35-92 years old, able to participate in gait evaluation, and had documented physical examinations. Patients with nonambulatory status or missing motor strength data were excluded. Participants were categorized into groups based on HFAO outcomes: regular use, no follow-up postpurchase, discontinued use, declined HFAO, or unsuccessful HFAO assessment.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Rates of HFAO use and discontinuation, hip flexor and knee extensor Medical Research Council (MRC) strength scores, lower-limb spasticity using the Modified Ashworth Scale (MAS), and qualitative factors associated with device adoption and nonuse.</div></div><div><h3>Results</h3><div>Of 54 patients assessed, 48 were recommended an HFAO. Forty obtained a device, and 19 used it regularly. Thirteen patients discontinued use after a mean of 20 months, primarily due to pain/discomfort (38%) and device bulkiness (31%). Discontinuation was associated with higher lower-limb spasticity (mean MAS 1.5 vs 0.77, <em>P</em>=.011). Cost was the primary barrier to adoption (75%). Most patients exhibited hip flexor weakness (MRC=1-3) and relatively preserved knee extensor strength (MRC≥3).</div></div><div><h3>Conclusions</h3><div>This study identifies clinical factors associated with HFAO use and discontinuation in ambulatory patients with MS, including hip flexion MRC scores of 1-3, knee extension MRC scores ≥3, and spasticity MAS scores &lt;2. Comprehensive pre-prescription assessment, including pain screening and gait evaluation with and without a device, is recommended to optimize patient selection.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 3","pages":"Article 100640"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961747","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 Telerehabilitation on the Outcome of Arthroscopic Rotator Cuff Repair: A Meta-analysis of Randomized Clinical Trials","authors":"Wu Jiao BSN,&nbsp;Han Chang-Xu MD,&nbsp;Li Li BSN,&nbsp;Li De-Long BSN,&nbsp;Zhuang Shu-Yuan BSN,&nbsp;Dong Si-Hong BSN,&nbsp;Dang Yu BSN,&nbsp;Pan Linlin BSN","doi":"10.1016/j.arrct.2026.100635","DOIUrl":"10.1016/j.arrct.2026.100635","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effectiveness of telerehabilitation in the postoperative treatment of rotator cuff diseases following arthroscopic repair.</div></div><div><h3>Data Sources</h3><div>Randomized controlled trials comparing the effects of telemedicine and conventional treatment on patients after arthroscopic rotator cuff repair were retrieved from PubMed, Embase, Cochrane Library, Web of Science, and other databases up to December 2024.</div></div><div><h3>Study Selection</h3><div>The Cochrane risk of bias tool was used for quality assessment. Meta-analysis was conducted using RevMan 5.4 software. Forest plots and Egger’s test were used to estimate publication bias. The results were integrated using the pooled integration method.</div></div><div><h3>Date Extraction</h3><div>Two researchers independently conducted the data extraction. Discrepancies were resolved through discussion.</div></div><div><h3>Data Synthesis</h3><div>A total of 5 studies were included, involving 317 participants (telerehabilitation group, 157; conventional group, 160), with a mean age ranging from 26.5 to 63.9 years and a gender distribution of 74 males and 243 females. Follow-up periods ranged from 12 to 52 weeks. After treatment, functional outcomes measured by the Constant-Murley score in the telerehabilitation group were significantly better than those in the conventional treatment group. Compared with conventional treatment, telerehabilitation significantly improved upper limb function evaluated by the quick disability of the arm, shoulder, and hand score and shoulder strength, and improved shoulder function during the posttreatment period and at the final follow-up.</div></div><div><h3>Conclusion</h3><div>The combination of home monitoring devices with traditional rehabilitation methods is receiving significant attention. It offers a broader range of high-quality care services and is expected to reduce medical costs associated with face-to-face treatment.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 3","pages":"Article 100635"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961683","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":"Consumer Priorities for Upper-Extremity Outcome Assessments","authors":"Lauren J. Christie PhD,&nbsp;Laura Jolliffe PhD,&nbsp;Brian A. Beh,&nbsp;Clive Kempson,&nbsp;Madeleine J. Smith PhD,&nbsp;Ben Schelfhaut,&nbsp;Natasha A. Lannin PhD","doi":"10.1016/j.arrct.2026.100663","DOIUrl":"10.1016/j.arrct.2026.100663","url":null,"abstract":"<div><h3>Objective</h3><div>To identify which upper-extremity outcome measures stroke survivors and caregivers consider meaningful and acceptable.</div></div><div><h3>Design</h3><div>Cross-sectional online survey.</div></div><div><h3>Setting</h3><div>Community-based survey distributed through stroke organizations and social media.</div></div><div><h3>Participants</h3><div>Thirty respondents (27 stroke survivors, 3 caregivers); median age 64 years (interquartile range=18); median 3.1 years post stroke (interquartile range=6.1).</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Participants rated their familiarity with, perceived relevance of, and preferences for 15 outcome assessments used to measure upper-extremity recovery. They also ranked preferences for timing, frequency, location, and duration of assessments in a hypothetical clinical trial.</div></div><div><h3>Results</h3><div>Participants most valued clinician-assessed impairment measures (eg, range of motion, strength; 76.7%), task-oriented upper-extremity activity measures (70%), and movement analysis using sensors (66.7%). Measures reflecting neurophysiology or biological mechanisms (eg, biomarkers, transcranial magnetic stimulation) were perceived as less meaningful, particularly among participants with limited prior exposure to these measures. The Motor Assessment Scale, movement sensors, and range-of-motion assessments received higher relevance ratings than dexterity measures, such as the Box and Block Test and the 9-Hole Peg Test. In a hypothetical trial, weekly assessments during the intervention phase (63.0%) were preferred, with in-person assessment sessions, either in hospital outpatient clinics or at home, being the most acceptable. The preferred session duration for outcome assessment was 30-60 minutes; assessments with sessions ≥3 hours were the least acceptable.</div></div><div><h3>Conclusions</h3><div>Stroke survivors and caregivers prioritize upper-extremity impairment and activity-based upper-extremity assessments and prefer frequent, shorter, in‑person evaluations. Incorporating consumer preferences into clinical care and trial design may enhance the relevance, acceptability, and engagement of stroke survivors in future upper‑limb rehabilitation research.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 3","pages":"Article 100663"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961741","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":"Examining the Role of Behavioral Health Factors on Inpatient Traumatic Brain Injury Rehabilitation Outcomes Among Service Members and Veterans","authors":"Justin T. McDaniel PhD,&nbsp;Jolie N. Haun PhD,&nbsp;Julie McMahon-Grenz MS, OTR/L,&nbsp;Tali Schneider PhD,&nbsp;Karen Skop PT, DPT, MS,&nbsp;Sharon Barton MS, CRC, CVE, CBIS, CPD,&nbsp;Roberto Sandoval PT, DPT,&nbsp;Kimberly Samson PT, DPT, MS,&nbsp;Risa Nakase-Richardson PhD,&nbsp;Kevin Wells MPH,&nbsp;Mary Jo Pugh PhD","doi":"10.1016/j.arrct.2026.100664","DOIUrl":"10.1016/j.arrct.2026.100664","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the association between behavioral health factors, specifically pretreatment alcohol and tobacco use, and traumatic brain injury (TBI)-related outcomes in the Intensive Evaluation and Treatment Program (IETP).</div></div><div><h3>Design</h3><div>Retrospective longitudinal cohort design.</div></div><div><h3>Setting</h3><div>The intervention and data collection were conducted at 5 Veterans Health Administration (VHA) sites (Florida, Texas, California, Minnesota, and Virginia).</div></div><div><h3>Participants</h3><div>Behavioral health and TBI-related outcome data were collected from N=205 veteran and active-duty service member participants with mild-to-moderate TBI.</div></div><div><h3>Interventions</h3><div>The VHA IETP delivered interdisciplinary rehabilitation to veterans and service members with a history of mild-to-moderate TBI and related conditions, including posttraumatic stress disorder (PTSD), pain, impaired function, and adverse neurobehavioral symptoms.</div></div><div><h3>Main Outcome Measures</h3><div>The exploratory outcome measures included the Neurobehavioral Symptom Inventory, the PTSD Checklist for DSM-5, the Patient Reported Outcomes Measurement Information System Pain Interference scale, and the Mayo-Portland Adaptability Inventory. Pretreatment tobacco and alcohol use behaviors were extracted from patient medical records. Multiple linear regression models were fitted to the data to test our hypotheses<em>.</em></div></div><div><h3>Results</h3><div>Alcohol use was not shown to be associated with changes in any of the outcomes; however, tobacco use was associated with attenuated improvement in PTSD symptoms (<em>p</em>=.03).</div></div><div><h3>Conclusions</h3><div>This study suggests that pretreatment tobacco use may lessen the effects of long-term PTSD rehabilitation among patients with TBI.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 3","pages":"Article 100664"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961742","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":"Early Gait Responsiveness as a Predictor of Functional Trajectory in Older Adults Undergoing Postacute Rehabilitation","authors":"Neha Sabharwal DPT","doi":"10.1016/j.arrct.2026.100634","DOIUrl":"10.1016/j.arrct.2026.100634","url":null,"abstract":"<div><h3>Objective</h3><div>To examine early gait responsiveness as a predictor of rehabilitation outcomes in older adults undergoing postacute rehabilitation.</div></div><div><h3>Design</h3><div>Retrospective cohort study.</div></div><div><h3>Setting</h3><div>Three skilled nursing facilities in Northern California.</div></div><div><h3>Participants</h3><div>One hundred sixty-two adults aged ≥65 years admitted for postacute rehabilitation (2022-2023); 58% female; primary diagnoses: 38% orthopedic, 33% medical, and 28% neurologic.</div></div><div><h3>Interventions</h3><div>Not applicable (observational study).</div></div><div><h3>Main Outcome Measures</h3><div>Discharge functional status (Functional Independence Measure motor subscale), length of stay, and discharge disposition.</div></div><div><h3>Results</h3><div>Early gait responsiveness was operationalized as the rate of change in gait distance across the first 5 physical therapy sessions. Mean early gait responsiveness was 2.1±1.6 m/session (range −0.6 to 7.4 m/session). Greater early gait responsiveness was independently associated with higher discharge functional status (<em>β</em>=2.6 per m/session; 95% confidence interval, [CI] 1.6-3.6), shorter length of stay (<em>β</em>=−2.0 d per m/session; 95% CI, −2.9 to −1.0), and increased odds of discharge home independently versus institutional placement (odds ratio=2.3; 95% CI 1.4-3.6). The addition of gait responsiveness improved model explanatory power beyond baseline function alone (<em>R</em>² 0.28-0.40).</div></div><div><h3>Conclusions</h3><div>Early gait responsiveness is a clinically interpretable indicator of rehabilitation trajectory and may support earlier identification of patients at risk for suboptimal outcomes.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 3","pages":"Article 100634"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Exploratory Assessment of Service Dog Training for the Treatment of Military Members with Posttraumatic Stress: A Pre-post Interventional Trial","authors":"Kalyn C. Jannace PhD,&nbsp;Michelle Nordstrom OT,&nbsp;Shannon Fichter MS,&nbsp;Daniel B. Cooper MPH,&nbsp;Rebecca N. Schulz MPH,&nbsp;Drake R. Ryff BS,&nbsp;Tiffany Riggleman COTA/L,&nbsp;David Carlisle BA,&nbsp;Paul F. Pasquina MD","doi":"10.1016/j.arrct.2026.100641","DOIUrl":"10.1016/j.arrct.2026.100641","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the impact of a Service Dog Training Program (SDTP) on PTSD, anxiety, and depression symptoms among military beneficiaries experiencing PTSD.</div></div><div><h3>Design</h3><div>Nonrandomized, nonblinded, pre-post interventional clinical trial conducted between 2019 and 2022; analysis complete 2023.</div></div><div><h3>Setting</h3><div>Recruitment, screening, consent, and enrollment were conducted between March 2019 and August 2022. Active duty military, veterans, and military dependents were recruited from clinics at 2 major military hospitals in the National Capital Region.</div></div><div><h3>Participants</h3><div>Received care in the Military Health System, ages 18 and 65 years, clinical diagnosis of PTSD or posttraumatic stress, or 30 or higher on the PTSD Checklist-5 (PCL-5); diagnosis of an anxiety disorder, unspecified trauma, unspecified anxiety, or adjustment disorder.</div></div><div><h3>Interventions</h3><div>Participants completed assessments weekly for 4 weeks prior to beginning the intervention, which consisted of twice-weekly SDTP sessions for 6 additional weeks for a total study time of 10 weeks.</div></div><div><h3>Main Outcome and Measures</h3><div>Primary: PTSD, anxiety, and depression as measured with the PCL-5 (0-80, higher scores indicate higher symptoms), Generalized Anxiety Disorder-7 (GAD-7, 0-21, higher scores indicate higher symptoms), and Patient Health Questionnaire-9 (PHQ-9, 0-27, higher scores indicate higher symptoms).</div></div><div><h3>Results</h3><div>The 118 SDTP participants were, on average, 37.8 (±SD, 11.6) years old, male (57.6%), white (56.8%), employed (82.2%), and had a history of military service (97.5%). Post-SDTP intervention, mean score differences were −5.8 (95% CI, −8.4 to −3.1), −1.5 (95% CI, −0.7 to −2.3), and −1.2 (95% CI, −2.0 to −0.4) for the PCL-5, GAD-7, and PHQ-9, respectively.</div></div><div><h3>Conclusions</h3><div>Following completion of the SDTP, participants reported significantly lower psychological impairment. The results of this study support the use of a structured SDTP as an engaging adjunct to existing clinical care for military-connected individuals experiencing PTSD and other psychological symptoms.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 3","pages":"Article 100641"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961752","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":"Analysis of the Impact of the Use of Rehabilitation Services on Employment Outcomes for People With Disabilities: Based on Propensity Score Matching","authors":"Mutian Ma MSc,&nbsp;Xue Lan MSc,&nbsp;Hongxia Zhou MSc,&nbsp;Kaixi Zhong MSc,&nbsp;Jing Wen MSc","doi":"10.1016/j.arrct.2026.100629","DOIUrl":"10.1016/j.arrct.2026.100629","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the association between rehabilitation services and employment among persons with physical disabilities in China, and to examine other disability types in secondary analyses. Using propensity score matching on data from a northwestern province, we provide empirical evidence to guide policy development.</div></div><div><h3>Design</h3><div>Cross-sectional study using propensity score matching, logistic regression analysis, the chi-square test, and the <em>t</em> test.</div></div><div><h3>Setting</h3><div>Persons with disabilities in urban and rural areas of the Ningxia Hui Autonomous Region, China.</div></div><div><h3>Participants</h3><div>A total of N=1870 persons with disabilities aged 16-60 years holding a disability certificate issued by the People’s Republic of China.</div></div><div><h3>Interventions</h3><div>This study employed propensity score matching to approximate a randomized controlled trial, designating persons with disabilities receiving rehabilitation services as the experimental group and those not receiving rehabilitation services as the control group.</div></div><div><h3>Main Outcome Measures</h3><div>The primary outcomes were employment status and use of rehabilitation services among persons with disabilities, while demographic characteristics were secondary outcomes.</div></div><div><h3>Results</h3><div>Rehabilitation services were positively associated with employment among persons with disabilities. Subgroup analyses by disability type revealed that this association was strongest among individuals with physical disabilities; those receiving rehabilitation services increased the employment rate by 8.8 percentage points (95% CI, 0.8-16.3; <em>P</em>=.025). In contrast, no statistically significant associations were found for other disability types, including visual, hearing, intellectual, and multiple disabilities (all <em>P</em>&gt;.05). At the disability level, the largest increase was observed among individuals with level 3 (moderate) disabilities, whose employment rate rose by 22.1 percentage points (95% CI, 10.5-35.2; <em>P</em>&lt;.001), whereas no statistically significant associations were found for disability levels 1, 2, and 4 (all <em>P</em>&gt;.05). Significant associations were also observed among rural residents, men, unmarried individuals, those in nuclear families, and those reporting poor subjective health (all <em>P</em>&lt;.05).</div></div><div><h3>Conclusions</h3><div>Rehabilitation services have a facilitating effect on the employment of persons with disabilities, which is regulated by the complexity of the nature of household registration, marital status, family structure, disability level, disability type and subjective health status.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 3","pages":"Article 100629"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961820","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":"Rehabilitation Exercise Behaviors in Patients Undergoing Peritoneal Dialysis: A Mixed-Methods Study on Multidimensional Determinants","authors":"Haixue Lin BN,&nbsp;Yiru Wang PhD,&nbsp;Beixia Zhu BN,&nbsp;Congping Xue BN,&nbsp;Qun Luo MD,&nbsp;Fangfang Zhou MD","doi":"10.1016/j.arrct.2026.100632","DOIUrl":"10.1016/j.arrct.2026.100632","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify factors influencing rehabilitation exercise behaviors in patients undergoing peritoneal dialysis (PD), analyze correlations between exercise intention and physical function, and explore unmet needs via qualitative interviews to inform evidence-based PD exercise rehabilitation management.</div></div><div><h3>Design</h3><div>Cross-sectional survey and qualitative study.</div></div><div><h3>Setting</h3><div>A tertiary comprehensive hospital in China.</div></div><div><h3>Participants</h3><div>Cross-sectional survey: 144 patients on maintenance PD (N=144) were consecutively recruited between 2024 and 2025. The cohort had a mean age of 57.2±12.4 years (54.9% men), with chronic glomerulonephritis (71.5%) as the primary renal disease. Qualitative study: 16 patients undergoing PD (N=16) were selected via purposive maximum variation sampling from this cohort, with sampling stratified to ensure heterogeneity in age, disease severity, and education level.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>For the cross-sectional survey, baseline demographic and clinical data were collected; Spearman correlation was used to analyze the association between Exercise Benefits/Barriers Scale scores and physical function indicators. For the qualitative study, semistructured interviews on home exercise barriers and support needs were performed, with data analyzed using the conventional content analysis approach.</div></div><div><h3>Results</h3><div>Exercise Benefits/Barriers Scale scores showed significant positive correlations with bilateral handgrip strength and skeletal muscle mass. In contrast, a negative correlation was observed with timed Up and Go test, indicating that higher exercise intention predicts better muscle function and mobility. Qualitative analysis identified 6 core barriers: cognitive misconceptions on exercise safety, fear of exercise-induced complications, limited tailored rehabilitation information, demand for sustained professional guidance, insufficient family understanding, and inadequate specialized rehabilitation services.</div></div><div><h3>Conclusions</h3><div>Exercise intention is positively correlated with muscle function in patients undergoing PD, but exercise adherence remains suboptimal because of interlinked cognitive, socially reinforced bodily fragility, safety-related, and systemic barriers. Multidimensional targeted strategies addressing these barriers are critical to improve exercise adherence and patients’ quality of life.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 3","pages":"Article 100632"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148961398","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}