Archives of rehabilitation research and clinical translation最新文献

{"title":"Resistance Exercise as a Dual-Target Strategy in Physical Therapy: Reducing Depressive Symptoms to Improve Rehabilitation Participation and Outcomes","authors":"Volodymyr Maksym MSc","doi":"10.1016/j.arrct.2026.100615","DOIUrl":"10.1016/j.arrct.2026.100615","url":null,"abstract":"<div><div>Depressive symptoms are prevalent in physical therapy and rehabilitation populations and can act as a limiting factor for rehabilitation participation and outcomes across diagnoses. Even when not meeting criteria for major depressive disorder, elevated depressive symptoms can undermine rehabilitation participation through reduced motivation, impaired self-regulation, sleep disturbance, fatigue, low perceived control, and avoidance of effort or movement. Although referral pathways for mental health care remain essential, access barriers and stigma commonly delay help-seeking. This Special Communication argues that resistance exercise can be positioned in physical therapy as a dual-target intervention: supporting functional recovery while concurrently engaging mood-relevant mediators that influence rehabilitation participation and outcomes. Beyond physiological adaptations, resistance training provides rapid and measurable experiences of mastery and agency (eg, progressive increases in repetitions, time under tension, or load), which may strengthen self-efficacy and perceived control, reduce helplessness, and improve tolerance to discomfort through graded exposure to effort. These mediators are clinically relevant because they map directly onto modifiable drivers of adherence, persistence, and dropout risk in rehabilitation. Pragmatic, safety-oriented principles are outlined for prescribing resistance exercise across settings (clinic- or home-based; minimal equipment), including techniques to maximize early achievable success, simplify programs to reduce cognitive load, apply symptom- and fatigue-guided progression, and monitor engagement outcomes. Scope of practice boundaries and red flags requiring timely referral are also discussed. Future work should test implementation strategies and quantify whether targeting mood-related mediators through resistance exercise improves both depressive symptoms and rehabilitation endpoints, including adherence, functional outcomes, and return to valued activities.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 2","pages":"Article 100615"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148247480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variability of the Behavioral Assessment Screening Tool for Mobile Health Using Ecological Momentary Assessment in Chronic Traumatic Brain Injury","authors":"Lauren Terhorst PhD ,&nbsp;Shannon B. Juengst PhD","doi":"10.1016/j.arrct.2026.100624","DOIUrl":"10.1016/j.arrct.2026.100624","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the variability of self-reported behavioral symptoms over a 2-week period in 44 individuals with chronic traumatic brain injury (TBI) using subscale scores from the Behavioral Assessment Screening Tool for Mobile Health (BAST_mHealth) collected in a prior feasibility study.</div></div><div><h3>Design</h3><div>Secondary analysis of data collected from a prospective, high-frequency, in situ, repeated-measures design feasibility study of the BAST_mHealth.</div></div><div><h3>Setting</h3><div>Community.</div></div><div><h3>Participants</h3><div>Forty-four (N=44) community-dwelling adults with a lifetime TBI history who completed at least 2 assessments. The sample had an average age of 43 years (SD, 14.4), consisted primarily of women (69.2%), and had an average time since the last TBI of 8.6 years (SD, 10).</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Self-reported behavioral symptoms measured with the BAST_mHealth.</div></div><div><h3>Results</h3><div>We found that the <em>Every Other Day Scheduled</em> prompts captured the most between-day variability in self-reported behavioral symptoms compared with the <em>Daily Random</em> and <em>Daily Scheduled</em> prompts, while all 3 prompting schedules captured within-person variability over a 14-day period. We identified 3 clusters of symptom reporters, which we labeled psychiatric, cognitive, and steady symptoms.</div></div><div><h3>Conclusions</h3><div>We were able to capture and evaluate variability in self-reported emotional and behavioral symptoms within and between individuals. Understanding individual symptom fluctuations may guide and evaluate treatment interventions. Thus, our results indicate that BAST_mHealth may be a valuable, evidence-based tool and clinical monitoring system for evaluating post-TBI symptoms in both clinical and pragmatic trials.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 2","pages":"Article 100624"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148247202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Treatment Expectations and Clinical Meaningfulness in Spinal Muscular Atrophy Using the Goal Attainment Scale","authors":"Jacopo Casiraghi MS ,&nbsp;Andrea Lizio MS ,&nbsp;Maria Beretta BS ,&nbsp;Lucia Greco MS ,&nbsp;Giorgia Coratti PhD ,&nbsp;Francesca Salmin BS ,&nbsp;Valentina Franchino BS ,&nbsp;Lisa De Felice BS ,&nbsp;Rachele Piras MD ,&nbsp;Federica Cerri PhD ,&nbsp;Emilio Albamonte MD ,&nbsp;Eugenio Mercuri PhD ,&nbsp;Valeria Ada Sansone MD","doi":"10.1016/j.arrct.2026.100590","DOIUrl":"10.1016/j.arrct.2026.100590","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate how Goal Attainment Scale (GAS) in spinal muscular atrophy (SMA) identifies patient-reported clinically meaningful improvement after disease-modifying treatment and to evaluate whether the patient-stated goals identified through GAS are already captured by items in existing motor assessment scales.</div></div><div><h3>Design</h3><div>Longitudinal retrospective study considering the first available follow-up.</div></div><div><h3>Setting</h3><div>The study was conducted in a rehabilitation center dedicated to neuromuscular diseases.</div></div><div><h3>Participants</h3><div>The GAS was recorded from N=58 SMA patients on treatment with nusinersen or risdiplam regularly followed for clinical follow-up in 2023.</div></div><div><h3>Main Outcome Measures</h3><div>Clinical and demographic data, SMA type, Hammersmith Functional Motor Scale, Children’s Hospital of Philadelphia scale, Revised Upper Limb Module, 6 Minute Walk Test, and GAS questionnaire were collected.</div></div><div><h3>Results</h3><div>One hundred forty-nine SMART goals were clustered in 15 macrodomains, with the most frequent being mobility, upper limb strength, and activities of daily living. Most smart goals (72%) could be redirected to items of standardized motor and functional scales. Unmet goals primarily involved activities of daily living, endurance, and mobility, with a particular focus on upper limb strength.</div></div><div><h3>Conclusions</h3><div>The GAS provides an individualized, reliable, and quantifiable measure of goal attainment, and is useful in setting realistic treatment expectations that could guide patients and physicians to interpret changes over time.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 2","pages":"Article 100590"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148247257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unmet Needs for Community-Based Rehabilitation the First 12 Months Postinjury in a Traumatic Brain Injury Population with Moderate-to-Severe Trauma—a Longitudinal Cohort Study","authors":"Helene Lundgaard Soberg PhD ,&nbsp;Mari Storli Rasmussen PhD ,&nbsp;Håkon Øgreid Moksnes PhD ,&nbsp;Christoph Schäfer MD ,&nbsp;Audny Anke PhD ,&nbsp;Nada Andelic PhD ,&nbsp;Torgeir Hellstrøm PhD","doi":"10.1016/j.arrct.2026.100619","DOIUrl":"10.1016/j.arrct.2026.100619","url":null,"abstract":"<div><h3>Objective</h3><div>To describe and explore factors related to unmet needs and differences in urban vs rural centrality of community-based rehabilitation in patients with moderate-to-severe traumatic injuries with TBI at 12 months postinjury.</div></div><div><h3>Design</h3><div>A 12-month follow-up study of rehabilitation needs in a longitudinal multicenter cohort study Rehabilitation Needs, Service Provision, and Costs in the First Year after Traumatic Injuries.</div></div><div><h3>Setting</h3><div>Two reginal trauma centers and the patients’ municipality of residence.</div></div><div><h3>Participants</h3><div>Patients with moderate-to-severe trauma with a traumatic brain injury with age≥18 years, a New Injury Severity Score&gt;9, an Abbreviated Injury – Head score≥2, admission to the trauma centers within 72 hours, and a hospital stay of at least 2 days. N=235 community dwelling patients (mean age 51.9y; 77.4% men) were included.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Unmet rehabilitation needs at 12 months on the Needs and Provision Complexity Scale. We hypothesized that injury severity and urban vs rural centrality of residence would predict unmet rehabilitation needs at 12 months postinjury.</div></div><div><h3>Results</h3><div>42.1% reported unmet rehabilitation needs on the Needs and Provision Complexity Scale Rehabilitation subscale at 12 months postinjury. Median unmet rehabilitation needs was 2.0 (interquartile range 1-3). Mean Glasgow Outcome Scale Extended (GOSE) was 6.2 (SD, 1.5).</div><div>A logistic regression model that included demographic and injury-related variables, urban vs rural centrality of residence and global functioning on the GOSE found that significant predictors of unmet rehabilitation needs were living in less central municipalities (odds ratio [OR], 2.18), AIS-Head≥3 (OR, 3.35), and lower GOSE scores at 6 months (OR, 1.60).</div></div><div><h3>Conclusions</h3><div>Unmet rehabilitation needs are common after moderate-to-severe trauma with TBI at 12 months postinjury. Particular attention is required for individuals with more severe TBI and those in less central municipalities, because they face higher risk of unmet rehabilitation needs.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 2","pages":"Article 100619"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148247258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do Leg-Focused Exercises Improve Arm and Hand Function for Individuals With Neurologic Disorders? A Scoping Review","authors":"Katrina S. Nietsch MS ,&nbsp;Lauren E. Kinne BS ,&nbsp;Gloria Willson MLIS, MPH ,&nbsp;Noam Y. Harel MD, PhD ,&nbsp;Lynda M. Murray PhD","doi":"10.1016/j.arrct.2025.100572","DOIUrl":"10.1016/j.arrct.2025.100572","url":null,"abstract":"<div><h3>Objective</h3><div>To perform a scoping review summarizing existing literature on the use of leg exercises to improve arm function for individuals living with neurologic conditions.</div></div><div><h3>Data Sources</h3><div>We searched 5 databases (PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature, Scopus, Cochrane Central), secondary references, and 9 gray literature databases from January 1, 1947, to October 28, 2025.</div></div><div><h3>Study Selection</h3><div>Studies were included if they involved adults living with neurologic conditions conducting leg-focused exercise programs that included an arm-specific outcome. All were written in English. Two reviewers independently screened all articles.</div></div><div><h3>Data Extraction</h3><div>Data were extracted by one reviewer and confirmed by a second. Methodological quality was assessed using Physiotherapy Evidence Database scale.</div></div><div><h3>Data Synthesis</h3><div>A total of 12 published studies met criteria. Studies involved 6-101 participants living with deficits because of stroke or Parkinsons disease. Participants performed leg-focused exercises, ranging from a single session up to 100 sessions, followed by upper extremity assessments. Of the 12 studies, 6 showed a statistically significant or clinically relevant benefit of leg exercise on arm function. However, these were mostly observed as incidental findings.</div></div><div><h3>Conclusions</h3><div>This scoping review highlights a gap in research on the use of leg training to activate arm motor circuits for individuals living with neurologic conditions. Future research should explore this approach as a novel method for neurorehabilitation.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 2","pages":"Article 100572"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148247513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterization of the Change in Physical Function in Adults From Acute Hospitalization to Home Health Care Across Diagnostic Categories","authors":"Leah Ling PT, DPT ,&nbsp;Margaret A. French PhD ,&nbsp;Kelly N. Daley MBA ,&nbsp;Danica Dummer PhD ,&nbsp;Robin L. Marcus PhD ,&nbsp;Daniel L. Young PhD","doi":"10.1016/j.arrct.2026.100614","DOIUrl":"10.1016/j.arrct.2026.100614","url":null,"abstract":"<div><h3>Objective</h3><div>To characterize changes in mobility and activities of daily living (ADLs) from acute hospitalization through home health care across diagnostic categories, and to identify demographic and clinical factors associated with these changes.</div></div><div><h3>Design</h3><div>Retrospective cohort study.</div></div><div><h3>Setting</h3><div>Acute hospitalization and home health care.</div></div><div><h3>Participants</h3><div>A total of 2060 adults in the mobility cohort (67.8±13.6 years old; 53.7% female); 614 adults in the ADL cohort (69.6±12.9 years old; 56.2% female).</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Physical function was measured using the Activity Measure for Post-Acute Care (AM-PAC) “6-Clicks” Basic Mobility (BM) and Daily Activity (DA) short forms in both hospital and home health settings.</div></div><div><h3>Results</h3><div>Linear mixed-effects models indicated that both AM-PAC BM and DA scores improved significantly over time, with BM and ADL increasing 0.13 and 0.08 <em>t</em> score points per day, respectively (BM: β=0.13/d; DA: β=0.08/d; <em>P</em>&lt;.05). After controlling for all other variables (including time), older age and higher body mass index were associated with lower functional scores. Diagnostic category significantly influenced both baseline function and rate of improvement for both BM and DA. For example, individuals in the Metabolic/Cancer diagnosis group improved more slowly in BM when compared with all other diagnosis groups.</div></div><div><h3>Conclusions</h3><div>Physical function improves from hospital admission through home health care, but recovery trajectories through home health care vary by age, body mass index, and diagnostic category. These findings demonstrate trajectories of change across care settings, highlight the importance of standardized functional assessments across care settings, and suggest a need for individualized prognostic models. This study informs clinicians, patients, and caregivers about expected recovery trajectories in mobility and ADLs that could support discharge planning and goal setting. Future research should explore the role of therapy dosage and timing and develop individualized models to better predict functional recovery.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 2","pages":"Article 100614"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148246618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor: Evaluation of Clemastine’s Effects on Clinical and Electrodiagnostic Parameters in Individuals With CTS: A Preliminary Placebo-Controlled Double-Blind RCT","authors":"Rajeev Kumar Thapar PHD,&nbsp;Prashant Ramdas Kokiwar MD,&nbsp;Ranjana Roy MD,&nbsp;Archana Dhyani MD","doi":"10.1016/j.arrct.2026.100589","DOIUrl":"10.1016/j.arrct.2026.100589","url":null,"abstract":"","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 2","pages":"Article 100589"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148247479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing Inpatient Rehabilitation Outcomes for Pediatric Dysphagia with the PEDI-EAT-10","authors":"Sarah Sung MA ,&nbsp;Julia Carpenter MA ,&nbsp;Jungwha Lee PhD, MPH ,&nbsp;Leora R. Cherney PhD","doi":"10.1016/j.arrct.2026.100612","DOIUrl":"10.1016/j.arrct.2026.100612","url":null,"abstract":"<div><h3>Objective</h3><div>To determine if the Pediatric Assessment Eating Tool (PEDI-EAT-10), a parent- or caregiver-reported measure that describes the impact of swallowing problems on daily life, is sensitive to change in feeding and swallowing impairments in inpatient rehabilitation pediatric patients with an acquired neurologic etiology.</div></div><div><h3>Design</h3><div>Quality improvement study measuring pre to post-treatment change in the PEDI-EAT-10.</div></div><div><h3>Setting</h3><div>This study was conducted on the pediatric inpatient floor at a large urban rehabilitation hospital.</div></div><div><h3>Participants</h3><div>Caregivers of inpatient pediatric patients with acquired neurologic disorders (n=23, age from 2y, 10mo to 17y, 6mo) completed the PEDI-EAT-10 at admission and discharge.</div></div><div><h3>Interventions</h3><div>Patients were provided usual standard of clinical care.</div></div><div><h3>Main Outcome Measures</h3><div>Change scores in PEDI-EAT-10 from admission to discharge and associations between PEDI-EAT-10 at admission/discharge with diet and oral intake measures (Functional Oral Intake Scale [FOIS], International Dysphagia Diet Standardization Initiative [IDDSI] Scale) as well as Penetration Aspiration Scale scores obtained during videofluoroscopy were assessed.</div></div><div><h3>Results</h3><div>Participants showed a significant improvement in PEDI-EAT-10 scores from admission to discharge (mean change=6.96, SD=10.99, <em>t</em>₂₂=3.04, <em>P</em>=.006). At admission, PEDI-EAT-10 scores did not correlate with the FOIS (<em>r_s</em>= −0.34, <em>P</em>=.100) or the IDDSI Diet scale (<em>r_s</em>= −0.09, <em>P</em>=.686). However, at discharge, PEDI-EAT-10 scores correlated with the FOIS (<em>r_s</em>= −0.71, 95% CI, −0.87 to −0.42, <em>P</em>&lt;.001) and with the IDDSI Diet scale (<em>r_s</em>= −0.65, 95% CI, −0.84 to −0.33, <em>P</em>=.004). There was no observable linear trend between PEDI-EAT-10 scores and worst Penetration Aspiration Scale score at admission or discharge.</div></div><div><h3>Conclusions</h3><div>The PEDI-EAT-10 can detect change in an acquired neurologic inpatient pediatric population and may be used to measure outcome of dysphagia rehabilitation in this clinical setting. Given its brevity, inclusion of the PEDI-EAT-10 in routine clinical practice has the potential to offer a quick and precise method of capturing dysphagia outcomes.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 2","pages":"Article 100612"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148247481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transitioning Towards Quality-of-Care Assessment in Orthotics and Prosthetics Practice","authors":"Fanny Schultea MS ,&nbsp;Andreas Kannenberg PhD ,&nbsp;Shane R. Wurdeman PhD ,&nbsp;Allen W. Heinemann PhD ,&nbsp;M.G. Finco PhD","doi":"10.1016/j.arrct.2026.100586","DOIUrl":"10.1016/j.arrct.2026.100586","url":null,"abstract":"<div><div>Quality of care is fundamental for achieving optimal patient outcomes, enhancing patient experiences, and engaging in improvement practices. Quality of care comprises 6 domains: safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity. Despite robust frameworks guiding quality measurement in other health care fields, orthotics and prosthetics (O&amp;P) rehabilitation lags in adopting these practices. As quality-of-care measures become more prevalent, particularly as the Centers for Medicare and Medicaid Services plans to shift to value-based care by 2030, the urgency to establish measures in O&amp;P increases. Establishing specific evidence-based quality measures in O&amp;P empowers the profession to define appropriate standards, helping to ensure that care remains tailored to patients’ needs and produces optimal outcomes—while minimizing the risk of inappropriate, externally imposed benchmarks. Several key groups across the care continuum are highlighted in this article, because they will be responsible for transitioning toward quality-of-care assessment in O&amp;P care: leaders in O&amp;P organizations, researchers, manufacturers, clinic owners, clinicians, patients, and educators. When each group fulfills its responsibilities, it strengthens overall quality and enhances the value of care provided. This special communication highlights the imperative of incorporating quality-of-care measurement into O&amp;P practice across each key group and calls for research to define meaningful measures, establish standardized indicators, and implement systems for quality improvement. This article provides a comprehensive perspective to inform and educate each key group in quality-of-care concepts to foster improvement efforts in O&amp;P.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 2","pages":"Article 100586"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148247557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Rehabilitation Interventions on Participation in Children and Adolescents With Unilateral Cerebral Palsy: A Systematic Review and Meta-Analysis","authors":"María Coello-Villalón MSc ,&nbsp;Purificación López-Muñoz PhD ,&nbsp;Giuseppina Sgandurra PhD ,&nbsp;Cristina Lirio-Romero PhD ,&nbsp;Ana Torres-Costoso PhD ,&nbsp;Rocío Palomo-Carrión PhD","doi":"10.1016/j.arrct.2026.100593","DOIUrl":"10.1016/j.arrct.2026.100593","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the effectiveness of rehabilitation interventions on participation outcomes in daily living, leisure, social, and educational contexts for children and adolescents with unilateral cerebral palsy (UCP), and to identify whether specific intervention categories yield superior participation improvements.</div></div><div><h3>Data Sources</h3><div>MEDLINE via PubMed, Physiotherapy Evidence Database, Cochrane Library, CINAHL, and Scopus were searched from inception to July 31, 2025, for randomized controlled trials (RCTs), non-RCTs, and single-arm pre–post studies involving participants aged 18 months to 18 years with UCP, rehabilitation interventions, and standardized participation measures.</div></div><div><h3>Study Selection</h3><div>After screening 417 records, 23 studies (19 RCTs and 4 pre–post designs; total N=840) met inclusion criteria.</div></div><div><h3>Data Extraction</h3><div>Two independent reviewers extracted study characteristics and participation outcomes. Risk of bias was assessed via Risk of Bias 2.0 and Risk Of Bias In Nonrandomized Studies of Interventions-I; certainty of evidence was judged using Grading of Recommendations Assessment, Development and Evaluation.</div></div><div><h3>Data Synthesis</h3><div>Pooled pre–post analyses using a random-effects model (Restricted Maximum Likelihood) showed a standardized mean difference of 1.44 (95% CI: 0.95-1.92), indicating strong within-group participation improvements; however, certainty of evidence was low because of methodological limitations and high heterogeneity (I²=95%). Secondary analyses showed no significant superiority for constraint-induced movement therapy (standardized mean difference=−0.09; I²=0%), technology-assisted interventions (standardized mean difference=0.15; I²=56%), or bimanual therapy (standardized mean difference=0.69; I²=88%).</div></div><div><h3>Conclusions</h3><div>Rehabilitation interventions yield substantial pre–post participation gains in children and adolescents with UCP; no specific modality showed clear superiority. Intervention characteristics may be key drivers. Future RCTs with active comparators and standardized, participation-focused protocols are needed.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 2","pages":"Article 100593"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148247516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}