Archives of rehabilitation research and clinical translation最新文献

{"title":"Canadian Physicians’ Use of Ultrasound in Spasticity Treatment: A National Cross-Sectional Survey","authors":"Fraser MacRae BSc ,&nbsp;Ève Boissonnault MD ,&nbsp;Alto Lo MD ,&nbsp;Heather Finlayson MD ,&nbsp;Paul Winston MD ,&nbsp;Omar Khan MD ,&nbsp;Heather Dow ,&nbsp;Farris Kassam BSc ,&nbsp;Rajiv Reebye MD","doi":"10.1016/j.arrct.2024.100353","DOIUrl":"10.1016/j.arrct.2024.100353","url":null,"abstract":"<div><h3>Objective</h3><p>To identify potential barriers and obstacles preventing clinicians from adopting ultrasound for spasticity management.</p></div><div><h3>Design</h3><p>A prospective, cross-sectional national survey.</p></div><div><h3>Setting</h3><p>Web-based platform.</p></div><div><h3>Participants</h3><p>Thirty-six physicians and surgeons from across Canada.</p></div><div><h3>Interventions</h3><p>Survey completion.</p></div><div><h3>Main Outcome Measures</h3><p>The use of ultrasound in clinical spasticity practice, perceived barriers, and risks associated with its implementation.</p></div><div><h3>Results</h3><p>In total, 36 Canadian physicians and surgeons responded. A total of 91% reported using the US in their practice. Nearly all of them used ultrasonography (US) to guide injections and reported using more than 1 guidance technique for their injections. Less than half of the survey respondents reported using the US for muscle architecture assessment or longitudinal evaluation of muscle echo intensity. A total of 47% of survey respondents reported that they believe there are disadvantages associated with US use in spasticity practice. Disadvantages included increased time requirements resulting in discomfort for the injector and patient, the risk of infection after the procedure, and the risk of needle-stick injury. The most important barrier identified was the increased time demands of US compared with other guidance techniques. Other barriers included a lack of feedback on identifying a spastic muscle compared with electrical guidance techniques, a lack of additional remuneration to complete injections under ultrasound guidance, and a lack of adequate training.</p></div><div><h3>Conclusions</h3><p>Future educational efforts should address clinicians’ lack of familiarity with US purposes outside of injection guidance. This survey has highlighted the need for a curriculum shift in spasticity education to improve physician's scanning and injection technique, to address concerns about increased time requirements for injecting under ultrasound guidance and to address perceived disadvantages from clinicians.</p></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 3","pages":"Article 100353"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S259010952400051X/pdfft?md5=92e6d530463b08b02a4447f8f5f09421&pid=1-s2.0-S259010952400051X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142240708","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":"Social Determinants of Health and the Use of Community-Based Rehabilitation Following Stroke: Methodologic Considerations","authors":"Elizabeth R. Mormer MS, CCC-SLP ,&nbsp;Sara B. Jones Berkeley PhD, MPH ,&nbsp;Anna M. Johnson PhD, MSPH ,&nbsp;Kristin Ressel MS, ATC ,&nbsp;Shuqi Zhang MS ,&nbsp;Amy M. Pastva PT, PhD, MA ,&nbsp;Cheryl D. Bushnell MD, MHS ,&nbsp;Pamela Duncan PT, PhD ,&nbsp;Janet K. Freburger PT, PhD","doi":"10.1016/j.arrct.2024.100358","DOIUrl":"10.1016/j.arrct.2024.100358","url":null,"abstract":"<div><p>Social determinants are nonmedical factors frequently used to study disparities in health outcomes but have not been widely explored in regard to rehabilitation service utilization. In our National Institutes of Child Health and Human Development-funded study, Access to and Effectiveness of Community-Based Rehabilitation After Stroke, we reviewed several conceptual models and frameworks for the study of social determinants to inform our work. The overall objective of this special communication is to describe our approach to identifying, selecting, and using area-level measures of social determinants to explore the relationship between social determinants and rehabilitation use. We present our methods for developing a conceptual model and a methodologic framework for the selection of social determinant measures relevant to rehabilitation use, as well as an overview of publicly available data on social determinants. We then discuss the methodologic challenges encountered and future directions for this work.</p></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 3","pages":"Article 100358"},"PeriodicalIF":1.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590109524000569/pdfft?md5=8c3e6aa55e5627f9a4cc1549b6c5ed16&pid=1-s2.0-S2590109524000569-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141846318","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 Sensory Reweighting on Postural Control and Cortical Activity in Parkinson's Disease: A Pilot Study.","authors":"Maryam Sadeghi, Thomas Bristow, Sodiq Fakorede, Ke Liao, Jacqueline A Palmer, Kelly E Lyons, Rajesh Pahwa, Chun-Kai Huang, Abiodun Akinwuntan, Hannes Devos","doi":"10.1016/j.arrct.2024.100368","DOIUrl":"10.1016/j.arrct.2024.100368","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effects of sensory reweighting on postural control and cortical activity in individuals with Parkinson's disease (PD) compared to age-matched controls using a virtual reality sensory organization test (VR-SOT).</p><p><strong>Design: </strong>Cross-sectional pilot study.</p><p><strong>Setting: </strong>University research laboratory.</p><p><strong>Participants: </strong>Ten participants with idiopathic Parkinson's disease and 11 age- and sex-matched control participants without neurologic disorders.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>Changes in center of pressure (COP) and electroencephalography (EEG) activity (ie, power) in the alpha band and the theta/beta ratio recorded during the VR-SOT were the main outcome variables.</p><p><strong>Results: </strong>PD participants exhibited greater COP displacement, particularly in the mediolateral direction across sensory conditions. They also showed increased alpha power when relying on visual inputs and increased theta/beta ratio power when depending on somatosensory inputs.</p><p><strong>Conclusion: </strong>PD affects sensory reweighting mechanisms involved in postural control, as evidenced by greater COP displacement and altered cortical activity. These findings emphasize the potential of EEG and VR-SOT in understanding and monitoring postural control impairments in PD.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100368"},"PeriodicalIF":1.9,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016336","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":"Adaptive Approaches to Exercise Rehabilitation for Postural Tachycardia Syndrome and Related Autonomic Disorders.","authors":"Lauren Ziaks, Kathryn Johnson, Kelsi Schiltz, Ryan Pelo, Guillaume Lamotte, Claudia Dal Molin, Tae Chung, Melissa M Cortez","doi":"10.1016/j.arrct.2024.100366","DOIUrl":"10.1016/j.arrct.2024.100366","url":null,"abstract":"<p><p>Exercise is a well-documented, nonpharmacologic treatment for individuals with autonomic dysfunction and associated orthostatic intolerance, such as postural tachycardia syndrome and related disorders. Exercise has been shown to increase blood volume, reverse cardiovascular deconditioning, and improve quality of life. Current first-line standard of care treatment for autonomic dysfunction combines graded approaches to exercise with medications and lifestyle modifications. However, current exercise rehabilitation protocols for postural orthostatic tachycardia syndrome contain rigid timelines and progression paradigms that often threaten tolerability and adherence. In addition, they fail to account for clinical variables potentially critical to care and lack guidance for individualization, limiting accessibility to patients with co-morbidities that affect exercise appropriateness and safety. Therefore, we introduce an adaptive approach to exercise prescription for orthostatic intolerance that allows patient-specific modifications to meet functional goals for a wider spectrum of patients, thus improving adherence. The proposed approach integrates iterative physiological and symptomatic assessments to provide flexible, yet structured, exposure to aerobic exercise and strength training to improve functional capacity and tolerance of daily activities for patients with postural tachycardia syndrome and related autonomic disorders.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100366"},"PeriodicalIF":1.9,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017225","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, Bo Gou, Zhiguang Zhao, Qirong Wang","doi":"10.1016/j.arrct.2024.100365","DOIUrl":"10.1016/j.arrct.2024.100365","url":null,"abstract":"<p><strong>Objective: </strong>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).</p><p><strong>Data sources: </strong>Four major electronic databases were searched, including Cochrane Library, PubMed, Embase, and Web of Science, from January 1, 2000 to June 20, 2024.</p><p><strong>Study selection: </strong>Randomized controlled trials that compare unstable surface training with either general intervention or no intervention in individuals with CAI were included.</p><p><strong>Data extraction: </strong>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.</p><p><strong>Data synthesis: </strong>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<.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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100365"},"PeriodicalIF":1.9,"publicationDate":"2024-08-17","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}

{"title":"Nonresponse Bias on Inpatient Rehabilitation Hospitals' Experience of Care Quality Measure Scores.","authors":"Allen Walter Heinemann, Anne Deutsch, Dave Brewington, Linda Foster, Karon Frances Cook, Ana Miskovic, David Cella","doi":"10.1016/j.arrct.2024.100363","DOIUrl":"10.1016/j.arrct.2024.100363","url":null,"abstract":"<p><strong>Objective: </strong>To describe the magnitude of nonresponse bias on inpatient rehabilitation facility (IRF) experience of care survey data in patients with neurologic disorders.</p><p><strong>Design: </strong>Cohort study of patients at 2 IRFs. Patients reported experience of care via an IRF-administered survey as part of routine operations approximately 2 weeks after discharge. A partially overlapping sample of research participants completed a similar survey approximately 2 weeks and 30 days after discharge.</p><p><strong>Setting: </strong>Two inpatient rehabilitation facilities.</p><p><strong>Participants: </strong>Patients aged ≥18 years with neurologic disorders who were discharged from 2 IRFs.</p><p><strong>Interventions: </strong>None.</p><p><strong>Main outcome measures: </strong>Experience of care data collected via an IRF Survey (self-report or proxy responses) and a Research Survey (self-report only).</p><p><strong>Results: </strong>Of the 1055 patients admitted during the study period who met the age and diagnosis criteria, 490 (46.4%) completed one or both of the surveys. Of the 325 IRF Survey respondents, 202 were self-report, 99 were proxy respondents, and 24 were unknown respondents. Only patients completed the Research Survey (N=285). One hundred twenty patients completed both surveys, of which 7 were proxy IRF Survey respondents. IRF Survey respondents had higher cognitive function than nonrespondents; patients with spinal cord injuries were more likely to complete the IRF Survey than other patients. There were no differences in the proportions of patients answering favorably on the IRF Survey (all respondents) compared with the Research Survey, except for physician communication and discharge information. Mutual information analysis revealed agreement between the scores produced by the 2 data sources.</p><p><strong>Conclusions: </strong>There were subtle, potentially important differences in quality measure results across surveys, reflecting the extent to which patients are encouraged to complete experience of care surveys. There was higher agreement on questions about global hospital perceptions than specific aspects of patients' experience.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100363"},"PeriodicalIF":1.9,"publicationDate":"2024-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017248","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":"Entry-to-Practice Rehabilitation Competencies and the Rehabilitation Competency Framework: A Gap Analysis.","authors":"Nicole F Beamish, Shala Cunningham, Cheryl Footer, Rachael Lowe","doi":"10.1016/j.arrct.2024.100364","DOIUrl":"10.1016/j.arrct.2024.100364","url":null,"abstract":"<p><strong>Objectives: </strong>To systematically map the entry-level competencies of rehabilitation professions to the World Health Organization's Rehabilitation Competency Framework (RCF) to identify overlapping commonalities and gaps across available rehabilitation frameworks.</p><p><strong>Design: </strong>The competence frameworks of audiology, occupational therapy, physical and rehabilitation medicine, psychology, physiotherapy, prosthetics and orthotics, rehabilitation nursing, and speech and language therapy were researched online. In cases where international standards or competencies were unavailable online, expert colleagues in the related field were consulted to confirm the absence of an international document. A nationally recognized and freely available document was selected to represent the profession if no international document was found. The frameworks were then mapped to the RCF domains.</p><p><strong>Setting: </strong>Desk-based research.</p><p><strong>Participants: </strong>Not applicable.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>Not applicable.</p><p><strong>Results: </strong>The professional documents demonstrated a stronger alignment with the competencies outlined in the RCF activities. The practice and professionalism domains showed the greatest congruence with profession-specific competencies, whereas the learning and development, management and leadership, and research domains had varying levels of alignment. This consistency in mapping may be attributed to the profession-specific competencies' focus on the fundamental entry-level knowledge, skills, values, and abilities essential for delivering safe and effective patient care.</p><p><strong>Conclusions: </strong>The mapping exercise revealed that competencies in the profession-specific frameworks primarily focused on individual-level skills for effective patient care rather than societal-level impact, such as acting as rehabilitation advocates. The study provides valuable insights into the alignment between profession-specific competencies among the rehabilitation professions. Identifying commonalities and gaps can facilitate the development of shared educational resources for foundational support across diverse rehabilitation disciplines. This effort can contribute to building a robust and unified rehabilitation workforce capable of meeting the emerging health needs of diverse populations worldwide.</p>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 4","pages":"100364"},"PeriodicalIF":1.9,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017284","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 for the Treatment of Knee Arthritis to Facilitate Inpatient Rehabilitation: A Case Report","authors":"Fraser MacRae BSc ,&nbsp;Mahdis Hashemi MD ,&nbsp;Ève Boissonnault MD ,&nbsp;Romain David MD, MSc ,&nbsp;Paul Winston MD","doi":"10.1016/j.arrct.2024.100340","DOIUrl":"https://doi.org/10.1016/j.arrct.2024.100340","url":null,"abstract":"<div><p>A 65-year-old woman presenting with a sensory ganglionopathy complicated with COVID-19 is limited in her rehabilitation due to pain from lateral compartment knee osteoarthritis. To increase participation in rehabilitation, cryoneurolysis of the medial and lateral anterior femoral cutaneous nerve and infrapatellar branches of the saphenous nerve was provided to manage pain associated with knee osteoarthritis. The patient reported immediate relief from pain. Physiotherapy noted improvement immediately after the procedure. Follow-ups at 7- and 11-days post-treatment revealed ongoing increases in mobility and reduction in pain. The patient was discharged to live independently shortly after cryoneurolysis. Cryoneurolysis for knee osteoarthritis could be considered as a treatment option to increase participation in rehabilitation for hospital inpatients who are stalled in their rehabilitation due to pain and poor mobility from knee osteoarthritis.</p></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 2","pages":"Article 100340"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590109524000302/pdfft?md5=1cca255e222501b00caf39621a4df601&pid=1-s2.0-S2590109524000302-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141313669","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":"Individuals With Prior Chronic Pain and Long-Term Opioid Treatment May Experience Persistence of That Pain Even After Subsequent Complete Cervical Spinal Cord Injury: Suggestions From a Prospective Case-Controlled Study","authors":"Jeffrey S. Hecht MD ,&nbsp;Kyle L. Johnson Moore PhD ,&nbsp;Roy F. Roberts Jr MD","doi":"10.1016/j.arrct.2024.100338","DOIUrl":"https://doi.org/10.1016/j.arrct.2024.100338","url":null,"abstract":"<div><h3>Objective</h3><p>To determine whether chronic pain persists after complete spinal cord injury (SCI).</p></div><div><h3>Design</h3><p>Prospective observational study regarding the outcome of pre-existent chronic pain of inpatients admitted with new clinically diagnosed complete cervical SCI. For patients who acknowledged chronic pain of ≥3 years duration before the SCI, further questions explored whether they still experienced that pain, whether they were experiencing current posttraumatic pain, and whether they had any past exposure to opioids. The included patients were identified during the initial consultation in the trauma center for treatment of the SCI.</p></div><div><h3>Setting</h3><p>Level I trauma center.</p></div><div><h3>Participants</h3><p>From a total of 49 participants with acute cervical SCI with clinically diagnosed complete motor and sensory tetraplegia admitted between 2018 and 2020, 7 were selected on the basis of a history of chronic pain.</p></div><div><h3>Intervention</h3><p>Collected complete history and performed physical examination with serial follow-ups during the acute hospital stay until death or discharge.</p></div><div><h3>Main Outcome Measures</h3><p>The primary outcome was a finding of chronic pain experienced before new clinical diagnosis of complete SCI, compared with whether or not that pain continued after the SCI injury. The secondary outcome was the relation of persistent pain with opioid use; it was formulated after data collection.</p></div><div><h3>Results</h3><p>Among 49 patients with clinically diagnosed complete cervical SCIs, 7 had experienced prior chronic pain. Four participants experienced a continuation of the prior pain after their complete tetraplegia (4/7), whereas 3 participants did not (3/7). All the participants with continued pain had been previously treated with opioids, whereas those whose pain ceased had not received chronic opioid therapy.</p></div><div><h3>Conclusions</h3><p>There may be a unique form of chronic pain that is based in the brain, irrespective of peripheral pain or spinal mechanisms. Otherwise healthy people with longstanding antecedent chronic pain whose pain persists after acute clinically complete SCI with tetraplegia may provide a new model for evaluation of brain-based pain. Opioids may be requisite for this type of pain.</p></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 2","pages":"Article 100338"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590109524000284/pdfft?md5=455d9948640cdef65ddd63a2243b89d4&pid=1-s2.0-S2590109524000284-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141313139","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 International and Multidisciplinary Consensus on the Labeling of Spatial Neglect Using a Modified Delphi Method","authors":"Timothy J. Rich PhD, OTR/L ,&nbsp;Lindy J. Williams BAppSc (OccTh) ,&nbsp;Audrey Bowen PhD ,&nbsp;Gail A. Eskes PhD, R. Psych ,&nbsp;Kimberly Hreha EdD, OTR/L ,&nbsp;Matthew Checketts PhD ,&nbsp;Mauro Mancuso MD ,&nbsp;Helena Fordell MD, PhD ,&nbsp;Peii Chen PhD","doi":"10.1016/j.arrct.2024.100343","DOIUrl":"10.1016/j.arrct.2024.100343","url":null,"abstract":"<div><p>Survivors of neurologic injury (most commonly stroke or traumatic brain injury) frequently experience a disorder in which contralesionally positioned objects or the contralesional features of individual objects are often left unattended or underappreciated. The disorder is known by &gt;200 unique labels in the literature, which potentially causes confusion for patients and their families, complicates literature searches for researchers and clinicians, and promotes a fractionated conceptualization of the disorder. The objective of this Delphi was to determine if consensus (≥75% agreement) could be reached by an international and multidisciplinary panel of researchers and clinicians with expertise on the topic.</p><p>To accomplish this aim, we used a modified Delphi method in which 66 researchers and/or clinicians with expertise on the topic completed at least 1 of 4 iterative rounds of surveys. Per the Delphi method, panelists were provided with results from each round prior to responding to the survey in the subsequent round with the explicit intention of achieving consensus. The panel ultimately reached consensus that the disorder should be consistently labeled <em>spatial neglect</em>. Based on the consensus reached by our expert panel, we recommend that researchers and clinicians use the label <em>spatial neglect</em> when describing the disorder in general and more specific labels pertaining to subtypes of the disorder when appropriate.</p></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"6 2","pages":"Article 100343"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2590109524000338/pdfft?md5=d77bdee49591e9bd86e8635ac2c98072&pid=1-s2.0-S2590109524000338-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141033834","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}