Archives of rehabilitation research and clinical translation最新文献

{"title":"Ipsilesional 5 Hz Repetitive Transcranial Magnetic Stimulation for Motor Dysfunction in Subacute Intracerebral Hemorrhage: An Exploratory Trial","authors":"Juan Xiao MD ,&nbsp;Yan Sun MD ,&nbsp;Ze-Jian Liu PT, Bsc ,&nbsp;Liang Wu MD, PhD ,&nbsp;Weijiao Fan MD ,&nbsp;An-Ming Hu MD, PhD","doi":"10.1016/j.arrct.2024.100386","DOIUrl":"10.1016/j.arrct.2024.100386","url":null,"abstract":"<div><h3>Objective</h3><div>To explore whether ipsilesional 5 Hz repetitive transcranial magnetic stimulation (rTMS) therapy can improve motor function in patients with intracerebral hemorrhage (ICH) and observe any adverse reactions.</div></div><div><h3>Design</h3><div>A 4-week randomized, controlled, single-blind (evaluator) trial with a 1-month follow-up.</div></div><div><h3>Setting</h3><div>A tertiary hospital rehabilitation center.</div></div><div><h3>Participants</h3><div>Forty-nine patients with first ICH were recruited and randomly separated into an experimental (n=25; 19 men, 6 women) or control group (n=24; 17 men, 7 women), with age range of 30 to 75 years, and mean duration after hemorrhage onset of 47 (range 17-86) days.</div></div><div><h3>Interventions</h3><div>The experimental group received ipsilesional 5 Hz rTMS therapy and conventional rehabilitation training. The hot spot of the abductor pollicis brevis and tibialis anterior muscles on the affected hemisphere of the brain received 1500 pulses of stimulation each day, for a total of 3000 pulses. The stimulations applied to the affected abductor pollicis brevis and tibialis anterior hot spots were separated by &gt;2 hours. The stimulation frequency was 5 Hz, each sequence lasting 2 seconds, with a sequence interval of 5 seconds, for a total duration of 36 minutes every day. The control group only received conventional rehabilitation training.</div></div><div><h3>Main Outcome Measures</h3><div>The primary endpoint was the change in Brunnstrom stage. Secondary endpoints included Fugl-Meyer Assessment, Barthel Index, and Berg Balance Scale. All assessments were performed at baseline, after intervention (day 29) and 1 month after intervention (day 60).</div></div><div><h3>Results</h3><div>Improvements over baseline in all scores at day 29 and 60 were significantly greater in the 5 Hz rTMS group than in the control group. No significant side effects were reported during the experiment and 1 month after the experiment.</div></div><div><h3>Conclusions</h3><div>Applying 5 Hz high-frequency rTMS to the affected hemisphere within 3 months after the onset of ICH appears safe and may significantly improve motor function and activities of daily living.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100386"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563249","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":"Depressive Symptoms Are Associated With Reduced Unsupervised Training Engagement in Inpatients With Subacute Stroke: A Secondary Data Analysis Study","authors":"Kazuaki Oyake PT, PhD ,&nbsp;Kaori Takahashi PT, BSc ,&nbsp;Aiko Arikawa PT, BSc ,&nbsp;Honoka Abe PT, BSc ,&nbsp;Kunitsugu Kondo MD, PhD ,&nbsp;Yohei Otaka MD, PhD ,&nbsp;Satoshi Tanaka PhD","doi":"10.1016/j.arrct.2024.100424","DOIUrl":"10.1016/j.arrct.2024.100424","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate whether depressive symptoms are associated with reduced engagement in unsupervised training among inpatients with subacute stroke.</div></div><div><h3>Design</h3><div>A secondary analysis of a data set obtained from a previous study conducted by our research group.</div></div><div><h3>Setting</h3><div>Convalescent rehabilitation hospitals.</div></div><div><h3>Participants</h3><div>This study included 34 patients with stroke (19 males; median age 65 [interquartile range, 55-75] years) admitted to a convalescent rehabilitation ward.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Primary outcome was the median time spent in unsupervised training across 3 leg cycle sessions. Secondary outcomes included the Functional Independence Measure motor scores at discharge and the length of stay. Depressive symptoms were defined as the Japanese version of the Geriatric Depression Scale Short Form score of ≥7.</div></div><div><h3>Results</h3><div>Twelve participants (35.3%) had depressive symptoms. The median total time spent in unsupervised training was significantly lower in the group with depressive symptoms (367 [249-799] s) than in the group without depressive symptoms (888 [579-901] s), with a medium effect size (<em>U</em>=57, <em>P</em>=.006, Cohen's <em>r</em>=.46). No significant differences were found in the secondary outcomes (<em>P</em>&gt;.05).</div></div><div><h3>Conclusions</h3><div>Depressive symptoms were associated with reduced engagement in unsupervised training among inpatients after stroke. The findings highlight the importance of considering psychological factors in designing and implementing self-rehabilitation programs at the early stages of rehabilitation.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100424"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563329","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":"Use of Technology in the Rehabilitation Setting: Therapy Observations, Mixed Methods Analysis, and Data Visualization","authors":"Courtney Celian M/OT ,&nbsp;Hannah Redd PT, DPT ,&nbsp;Kevin Smaller BS ,&nbsp;Partha Ryali PhD ,&nbsp;James L. Patton PhD ,&nbsp;David J. Reinkensmeyer PhD ,&nbsp;Miriam R. Rafferty PT, DPT, PhD","doi":"10.1016/j.arrct.2024.100425","DOIUrl":"10.1016/j.arrct.2024.100425","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze real-world rehabilitation technology (RT) use, with a view toward enhancing RT development and adoption.</div></div><div><h3>Design</h3><div>A convergent, mixed-methods study using therapy observations, semistructured templates, and summative content analysis.</div></div><div><h3>Setting</h3><div>Ten neurorehabilitation units in a single health system.</div></div><div><h3>Participants</h3><div>Three research clinicians (1 occupational therapist [OT], 2 physical therapists [PTs]) observed approximately 78 OTs and 100 PTs (N=178).</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Characteristics of RT, time spent setting up and using RT, and clinician behaviors.</div></div><div><h3>Results</h3><div>Ninety distinct devices across 15 different focus areas were inventoried. Three hundred twenty-nine RT uses were documented over 44 hours, with only 42% of inventoried devices observed used. RT was used more during interventions (72%) than measurement (28%). Intervention devices used frequently were associated with balance/gait (39%), strength/endurance (30%), and transfer/mobility training (16%). Measurement devices were frequently used to measure vital signs (83%), followed by grip strength (7%), and upper extremity function (5%). Device characteristics were predominately electrically powered (56%), actuated (57%), monitor-less (53%), multiuse (68%), and required little familiarization (57%). Setup times were brief (mean ± SD = 3.8±4.2 and 0.8±1.3min for intervention and measurement, respectively); more time was spent with intervention RT (25.6±15min) than measurement RT (7.3±11.2min). RT nearly always involved verbal instructions (72%) with clinicians providing more feedback on performance (59.7%) than on results (30%) to their patients. Clinicians were evenly divided between providing one-on-one direct attention (49.7%) and multitasking (50.3%), such as completing documentation, when using RT with patients.</div></div><div><h3>Conclusions</h3><div>Even in a tech-friendly hospital, most available RTs were observed unused, especially measurement technologies. We discuss how the identified characteristics of used RT, as well as the observations about how therapists used RT, may be useful in guiding new designs. An interactive data visualization page supplement is also provided to facilitate further exploration with this dataset.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100425"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563330","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":"Etiology and Functional Outcomes following Hypoxic Ischemic Encephalopathy in Adults: A 10-Year Retrospective Cohort Study","authors":"Sian Roberts-Walsh MB, BCh, BAO ,&nbsp;Prasanth Sukumar MPhil ,&nbsp;Valerie Twomey DPsychSc ,&nbsp;Áine Carroll DPhil","doi":"10.1016/j.arrct.2024.100418","DOIUrl":"10.1016/j.arrct.2024.100418","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the etiology and outcome of patients with HIE admitted to a complex specialist rehabilitation facility over a 10-year period, to assess if numbers had changed, and to assess the effectiveness of rehabilitation for these patients. Hypoxic ischemic encephalopathy (HIE) is a leading cause of long-term neurologic disability.</div></div><div><h3>Design</h3><div>An observational retrospective cohort study.</div></div><div><h3>Setting</h3><div>A National Rehabilitation Hospital.</div></div><div><h3>Participants</h3><div>All health care records with an ICD-9 code (348.1) or ICD-10 code (G93.1) for HIE from 2008 to 2017 totaling 104 participants.</div></div><div><h3>Intervention</h3><div>Not applicable</div></div><div><h3>Main Outcome Measures</h3><div>Modified Barthel Index (MBI), Disability Rating Scale (DRS), Sensory Modality Assessment and Rehabilitation Technique scale, and discharge destination. Data were obtained from the patient administrative system of the brain injury program and were abstracted using a specially designed data abstraction tool. For statistical analysis, SPSS version 26.0 was used. Comparisons across etiologic groups were calculated using analysis of variance.</div></div><div><h3>Results</h3><div>A total of 572 episodes were recorded under the code G93.1; 468 did not meet the inclusion criteria and 104 records were reviewed systematically using a standardized data extraction proforma. Sixty-nine (66%) were male and 35 (33%) were female. Cardiovascular causes of HIE were most common (35.6%), followed by overdose (22.1%). Most had moderate to severe disability on admission (MBI and DRS). Severe disability was associated with respiratory arrest, overdose, and neurologic causes, whereas independence was associated with cardiovascular causes. MBI and DRS improved in the majority with the greatest improvements seen with cardiovascular etiology. In this cohort study, 45.2% of patients were discharged home, 18.3% to a nursing home, and 18.3% to an acute hospital.</div></div><div><h3>Conclusion</h3><div>Improvement in functional outcomes after HIE was correlated to etiology. This may have implications in helping to predict patient outcomes post-HIE. Study limitations include incomplete recordings in charts and varying sample sizes within etiologic groupings.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100418"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563328","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":"Prevalence of Pain and Effect of Joint Strength on Perceived Physical Function in Pediatric Patients With Ehlers–Danlos Syndrome","authors":"Nathaniel Garcia ,&nbsp;Ashley Lytch ,&nbsp;Emily Cramer PhD ,&nbsp;William R. Black PhD ,&nbsp;Jordan T. Jones DO","doi":"10.1016/j.arrct.2024.100416","DOIUrl":"10.1016/j.arrct.2024.100416","url":null,"abstract":"<div><h3>Objective</h3><div>To identify how pediatric patients with hypermobile-type Ehlers–Danlos syndrome (hEDS) present to physical therapy (PT) and better understand their musculoskeletal dysfunction.</div></div><div><h3>Design</h3><div>Patients were included in the study if they had a diagnosis of hEDS and at least 1 completed PT evaluation after diagnosis. A chart review was conducted to assess joint strength and pain characteristics at the initial PT assessment. Physical Function Mobility (PF-Mobility; 4 domains with 1-5 scale with higher score representative of better physical function) as part of the Patient-Reported Outcome Measurement Information System and pain intensity score (visual analog scale, 0-10 scale where a lower number indicates less pain) was completed by participants.</div></div><div><h3>Setting</h3><div>Midwestern tertiary care center.</div></div><div><h3>Participants</h3><div>Sixty-nine participants were included in the study with an average age of 16.4 years (SD 2.8) at the initial PT visit and 96% were female individuals.</div></div><div><h3>Intervention</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Joint strength, pain intensity and location, and PF-Mobility.</div></div><div><h3>Results</h3><div>The knee was the most reported location with pain (68%) followed by the shoulder (46%), hip (41%), and back (39%). Average pain intensity was 5.0 (SD 1.8), joint strength scores ranged from 8.2 (SD 0.9) to 9.9 (SD 0.4), and the PF-Mobility mean was 3.3 (SD 0.6). No correlation was noted between joint pain intensity and strength at the joint.</div></div><div><h3>Conclusions</h3><div>Although the participants perceived poor mobility and significant pain, PT-assessed strength did not reveal significant muscle weakness. Additional work is needed to explore this discrepancy, including altered biomechanics, evaluation methods, and nonmusculoskeletal factors such as neuropathic and psychological components.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100416"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563243","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":"Functional Cognition-Patient Reported Outcomes Short Forms and Keyform Ability Maps","authors":"Pey-Shan Wen PhD, OTR/L ,&nbsp;Julia Kay Waid-Ebbs PhD ,&nbsp;Craig A. Velozo PhD, OTR/L","doi":"10.1016/j.arrct.2024.100421","DOIUrl":"10.1016/j.arrct.2024.100421","url":null,"abstract":"<div><h3>Objective</h3><div>To develop and demonstrate the item-level psychometrics of the Functional Cognition-Patient Reported Outcome (FC-PRO) short forms and keyform ability maps that promote measurement efficiency and provide collaborative goal setting opportunities between therapists and patients.</div></div><div><h3>Design</h3><div>Using the Rasch model, FC-PRO data from a previous cross-sectional study of persons with traumatic brain injury (TBI) were analyzed to develop short forms of 13 to 15 items and keyform ability maps for the following FC-PRO domains: Attention, Memory, Processing Speed, and Emotional Management.</div></div><div><h3>Setting</h3><div>Outpatient clinics and community locations.</div></div><div><h3>Participants</h3><div>Persons 18 to 85 years of age who self-reported a moderate to severe TBI and who completed the FC-PRO (n=90).</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>FC-PRO long forms and short forms for Attention, Memory, Processing Speed, and Emotional Management domains.</div></div><div><h3>Results</h3><div>For the short forms, person separation reliability ranged from 0.77 to 0.82. Person measures for the short forms and long form correlated strongly (0.91-0.97). For each domain, a keyform ability map indicated functional cognitive challenges that matched the patient, that is, that would be at a level neither too hard nor too easy for patients.</div></div><div><h3>Conclusions</h3><div>The FC-PRO short forms can provide efficient measures of the effect of cognition challenges in everyday life. Keyform ability maps of the cognitive domains can serve as a tool for goal setting and treatment planning by patients and rehabilitation therapists. By superimposing short-form response patterns onto response patterns of the long forms, patients can be empowered to identify preferences and priorities for rehabilitation goals.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100421"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563331","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":"Walking Function and Capacity in Middle-Aged and Older (59-66y) Adults With Spina Bifida Myelomeningocele: A 4-Year Follow-up Study","authors":"Sandra Linnea Klund-Hansen MSc ,&nbsp;Kerstin Lundberg Larsen MSc ,&nbsp;Ingeborg Beate Lidal PhD ,&nbsp;Elisabeth Fagereng MSc ,&nbsp;Linda Rennie PhD","doi":"10.1016/j.arrct.2024.100420","DOIUrl":"10.1016/j.arrct.2024.100420","url":null,"abstract":"<div><h3>Objective</h3><div>To present a 4-year follow-up study on walking function and capacity in adults with spina bifida myelomeningocele (SBM) aged 59-66 years.</div></div><div><h3>Design</h3><div>A 4-year follow-up study.</div></div><div><h3>Setting</h3><div>A rehabilitation hospital.</div></div><div><h3>Participants</h3><div>Ten middle-aged and older adults (59-66y) with SBM (N = 10), with walking ability, from a cross-sectional study of 19 participants in 2017. Five participants from 2017 were excluded due to medical reasons; 1 had lost walking ability and 3 had died.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Instrumented 10-m walk test, 6-minute walk test (6MWT), and fatigue severity scale.</div></div><div><h3>Results</h3><div>The distance on the 6MWT decreased by more than 30 m in 5 out of 10 participants over the 4 years, whereas walking speed on the instrumented 10-m gait analysis decreased (&gt;0.1m/s) in only 3 participants. Further, those with reduced walking capacity during the last 4 years also experienced increasing symptoms of fatigue and reported a self-perceived reduction in walking function.</div></div><div><h3>Conclusions</h3><div>This is the first follow-up study of people with SMB without hydrocephalus aged 59-66 years to capture changes in their walking function by using objective measures in a motion laboratory and self-reported measures. This study revealed a change in half of the persons on the 6MWT and not to the same extent in the 10-m instrumented gait analysis test during the follow-up period. This may reflect that the 6MWT is more useful in detecting changes in walking capacity in this group. In conclusion, the study highlights the need for long-term follow-up for adults with SBM to maintain optimal walking capacity for more years.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100420"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563451","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 PhD ,&nbsp;Giorgia Coratti PhD","doi":"10.1016/j.arrct.2024.100372","DOIUrl":"10.1016/j.arrct.2024.100372","url":null,"abstract":"<div><div>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.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"Article 100372"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","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":"Enhancing Sensory Experiences for Infants Born Preterm: A Quality Improvement Project","authors":"Kate N. de Castro Mehrkens OTD, OTR/L, CLC, CIMI ,&nbsp;Elena V. Donoso Brown PhD, OTR/L","doi":"10.1016/j.arrct.2024.100377","DOIUrl":"10.1016/j.arrct.2024.100377","url":null,"abstract":"<div><h3>Objective</h3><div>To enhance neonatal sensory experiences in infants born preterm: a quality improvement project.</div></div><div><h3>Design</h3><div>This was a time-interruption quality improvement project. The time-interruption lasted 4 weeks with an 8-week data collection period before and after. Baseline data were collected on current program use for 8 weeks prior to the time interruption. The neonatal intensive care unit (NICU) occupational therapist provided staff education, training, and modeling of the Supporting and Enhancing NICU Sensory Experiences (SENSE) program during the time interruption. Data were collected for 8 weeks after the time interruption to track improvements.</div></div><div><h3>Participants</h3><div>Twenty infants and their families participated, as well as NICU nurses who provided positive sensory experiences and completed surveys.</div></div><div><h3>Main Outcome Measures</h3><div>Data related to delivery of, education on, and adherence to SENSE were collected before, during, and after the time interruption. Staff surveys were completed pre- and posteducation, training, and modeling to gather perspectives on program usage.</div></div><div><h3>Results</h3><div>On average, parents delivered 43.88 minutes of positive sensory input per day before and increased to 92.7 minutes per day after the time interruption. Positive tactile recommendations were met, on average, 19% of the time before and 47% of the time after the time interruption. After education, training and modeling, nursing staff unanimously supported the program according to surveys.</div></div><div><h3>Conclusions</h3><div>Although a higher percentage of infants received the recommended dosage of positive tactile input after intervention, opportunities still exist to improve and expand implementation.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"Article 100377"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploratory Analysis of Unstable Surface Training: A Systematic Review and Meta-Analysis for Chronic Ankle Instability","authors":"Shuang Liu MS ,&nbsp;Bo Gou PhD ,&nbsp;Zhiguang Zhao PhD ,&nbsp;Qirong Wang PhD","doi":"10.1016/j.arrct.2024.100365","DOIUrl":"10.1016/j.arrct.2024.100365","url":null,"abstract":"<div><h3>Objective</h3><div>To conduct an exploratory systematic review and meta-analysis to evaluate the effect of unstable surface training on balance and hop function in individuals with chronic ankle instability (CAI).</div></div><div><h3>Data Sources</h3><div>Four major electronic databases were searched, including Cochrane Library, PubMed, Embase, and Web of Science, from January 1, 2000 to June 20, 2024.</div></div><div><h3>Study Selection</h3><div>Randomized controlled trials that compare unstable surface training with either general intervention or no intervention in individuals with CAI were included.</div></div><div><h3>Data Extraction</h3><div>The physical therapy evidence database scale was used to assess the risk of bias and methodological quality of included studies. The mean differences (MDs) with 95% confidence intervals (CIs) were calculated using Review Manager 5.4 software.</div></div><div><h3>Data Synthesis</h3><div>The review ultimately included 9 studies involving 308 participants. Compared with the other exercises or no exercise, unstable surface training could improve the significant effects of the star excursion balance test (SEBT) in the direction of posterolateral (MD=5.80; 95% CI, 1.60-9.99; P=.007), posteromedial (MD=6.24; 95% CI, 2.32-10.16; P=.002), medial (MD=9.11; 95% CI, 6.42-11.80; P&lt;.00001), anteromedial (MD=7.25; 95% CI, 2.33-12.17; P=.004), the time-in-balance test (MD=8.45; 95% CI, 1.50-15.40; P=.02), the foot-lift test (MD=-1.39; 95% CI, -2.49 to -0.28; P=.01). However, there was no significant difference in the anterior direction of the SEBT (MD=3.22; 95% CI, -0.66 to 7.10; P=.10), the side-hop test (MD=-1.94; 95% CI, -4.82 to 0.95; P=.19), and the figure-of-8 hop test (MD=-0.97; 95% CI, -2.39 to 0.46; P=.18) between groups.</div></div><div><h3>Conclusions</h3><div>Compared with the other exercises or no exercise, unstable surface training has potential benefits in improving balance in people with CAI but has no significant effect on hop function. However, the exploratory nature of this study highlights the need for further research to confirm these findings.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"Article 100365"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017288","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}