Archives of rehabilitation research and clinical translation最新文献

{"title":"Quantification of Lower Extremity Dressing Movements in Patients With Stroke","authors":"Yuki Kuroda PhD ,&nbsp;Naoyuki Motojima PhD ,&nbsp;Sano Kouhei ,&nbsp;Sumiko Yamamoto PhD","doi":"10.1016/j.arrct.2026.100609","DOIUrl":"10.1016/j.arrct.2026.100609","url":null,"abstract":"<div><h3>Objective</h3><div>To quantify movement characteristics of lower extremity dressing among patients with stroke.</div></div><div><h3>Design</h3><div>Retrospective study.</div></div><div><h3>Setting</h3><div>Rehabilitation hospital.</div></div><div><h3>Participants</h3><div>This study included 49 patients with stroke and hemiplegia. They were classified by toileting scores of the Functional Independence Measure: independent group (14 men, 4 women; n=18), supervision group (13 men, 3 women; n=16), and assistance group (11 men, 4 women; n=15).</div></div><div><h3>Interventions</h3><div>None.</div></div><div><h3>Main Outcome Measures</h3><div>The lower garment raising movement was measured using a 3-dimensional motion analysis system. Forty-three reflective markers were attached, and the movement was divided into 5 phases based on hand-marker trajectories. Trunk and pelvic angles, center-of-pressure range, paretic limb loading ratio, manipulation time, and vertical displacement of the lower garment were calculated.</div></div><div><h3>Results</h3><div>The supervision group had longer manipulation times than the independent group during the downward reach (2.08s vs 1.29s, <em>P</em>=.005) and the first paretic-side manipulation (1.28s vs 0.66s, <em>P</em>=.013). The assistance group exhibited smaller pelvic flexion during the downward reach (3.38° vs 8.42°, <em>P</em>=.002), as well as showed smaller trunk rotation angle (−11.05° vs 3.46°, <em>P</em>=.002) and pelvic rotation angle (−6.32° vs 5.28°, <em>P</em>=.013) than the supervision group during the final non–paretic-side manipulation, and performed the task while oriented toward the paretic side. Furthermore, during the final paretic-side manipulation, the assistance group exhibited a significantly larger pelvic rotation angle (18.29° vs 9.50°, <em>P</em>=.009).</div></div><div><h3>Conclusions</h3><div>In the supervision group, decreased efficiency was noted during the downward reach and initial manipulations. In the assistance group, participants performed downward reach and the final manipulations in a posture that limited hand access to the lower garment, resulting in inefficient movements.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 2","pages":"Article 100609"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148246619","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":"Multidimensional Assessment of Fall Risk Using the Timed Up and Go Test and Complementary Measures in a Charcot-Marie-Tooth Type 1A Neuropathy","authors":"Héloïse Ferrandon-Berne MD ,&nbsp;Mathilde Pelletier Visa MSc ,&nbsp;Lech Dobija PT, PhD ,&nbsp;Maxime Grolier MD ,&nbsp;Frederic Costes MD, PhD ,&nbsp;Frédéric Taithe MD ,&nbsp;Vivien Reynaud MD ,&nbsp;Bruno Pereira PhD ,&nbsp;Emmanuel Coudeyre MD, PhD","doi":"10.1016/j.arrct.2025.100581","DOIUrl":"10.1016/j.arrct.2025.100581","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the relationship between the occurrence of falls and the time taken to perform the Timed Up and Go (TUG) test in a population of patients with Charcot-Marie-Tooth disease type 1A (CMT1A).</div></div><div><h3>Design</h3><div>We conducted a longitudinal, single-center, exploratory study involving adult patients with CMT1A, followed for 1 year. Physical, functional, and analytical tests, including the TUG test, gait analysis, and muscle strength assessment, were performed at baseline, 6 months, and 12 months. Patients also completed questionnaires on physical capabilities, fatigue, falls, and the impact on quality of life and psychological health. The study was conducted between September 2020 and February 2025.</div></div><div><h3>Setting</h3><div>This study was conducted at a university hospital.</div></div><div><h3>Participants</h3><div>Patients (n=40) included in this study had to be adults, have a molecular biology-confirmed diagnosis of CMT1A, have quadriceps strength &gt;2 of 5, and have a proficient oral and written understanding of French.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main outcome measures</h3><div>The primary outcome was the time (in s) required to complete the TUG test, analyzed according to the frequency of self-reported falls. Secondary outcome measures included balance performance assessed with the Berg Balance Scale (BBS) and walking endurance evaluated by the distance covered during the 6-minute walk test (6MWT). Physical, functional, and analytical tests were conducted at baseline, 6 months, and 12 months.</div></div><div><h3>Results</h3><div>We included 40 patients with CMT1A, predominantly women (62.5%), with a median (interquartile range) age of 52 (42-67) years. Analysis of the TUG test results according to fall frequency revealed no significant difference between groups (no fall, 1-2 falls, and &gt;2 falls) with respect to the median (interquartile range) time: 9.3 (6.9-10.8), 9.0 (7.5-10.4), and 9.5 (7.8-11.0) seconds, respectively (<em>P</em>=.710). Median BBS and 6MWT values at baseline were 52 (47-55) and 422 (335-480) m, respectively, showing no significant change after 1 year of follow-up.</div></div><div><h3>Conclusions</h3><div>When used alone, the TUG test is not a suitable tool for fall risk screening in patients with CMT1A. Balance (BBS) and walking endurance (6MWT) also remained stable over 1 year. Global assessment is crucial for detecting physical impairments and preventing falls. A future study could include a larger sample and a more precise categorization of falls.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 2","pages":"Article 100581"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148247349","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":"Prevalence and Predictive Factors of Active Myofascial Trigger Points Among Office Workers Using to Visual Display Terminals: A Cross-Sectional Study","authors":"Emilio José Poveda-Pagán PT, PhD ,&nbsp;Carlos Lozano-Quijada PT, RN, PhD ,&nbsp;Sergio Hernández-Sánchez PT, PhD ,&nbsp;José Vicente Toledo-Marhuenda PT, PhD ,&nbsp;Eduardo López Pintado PT ,&nbsp;José Vicente Segura-Heras Maths, PhD ,&nbsp;Jaime Gascón-Jaén PT","doi":"10.1016/j.arrct.2026.100606","DOIUrl":"10.1016/j.arrct.2026.100606","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the prevalence of active myofascial trigger points (MTrPs) in office workers who sit for extended periods and use visual display terminals for ≥4 hours a day. Identify predictive factors associated with MTrP activation.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting</h3><div>Administration and services departments in municipal settings (January-August 2025).</div></div><div><h3>Participants</h3><div>A total of 305 municipal volunteer employees (N=305; 133 men: 36.30±8.80y; 172 women: 37.59±9.44y) aged 18-65 years who worked at a video display terminal for ≥4 hours daily were included.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Participants completed the Neck Disability Index and Oswestry Disability Index. A physiotherapist specialized in myofascial pain assessed bilateral MTrPs in cervical and lumbogluteal muscles using standardized palpation and algometry. Logistic regression models were developed to identify predictive factors, and model performance was evaluated through receiver operating characteristic curve analysis.</div></div><div><h3>Results</h3><div>Active MTrPs were found in 40% of participants in the right trapezius (25% men; 54% women), 35% in the left trapezius (18% men; 48% women), and 20% in the right sternocleidomastoid (9% men; 28% women), with consistently higher prevalence in women. Neck Disability Index and Oswestry Disability Index scores were identified as significant predictor factors (odds ratio&gt;1), whereas higher pressure pain thresholds were protective (odds ratio&lt;1). The models demonstrated good discriminative ability (area under the curve, 0.74-0.88) and high sensitivity (∼90%).</div></div><div><h3>Conclusions</h3><div>Active MTrPs show high prevalence among office workers, particularly in women and the cervical region. Disability scores were associated with increased MTrP activation, whereas higher pressure pain thresholds were linked to lower activation. These findings suggest that incorporating algometry into musculoskeletal assessments and strengthening programs for cervical, scapular, and lumbar muscles may help prevent myofascial pain and disability in sedentary workers.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 2","pages":"Article 100606"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148246631","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":"Effects of Tai Chi Chuan on Postural Stability and Lower-Limb Biomechanical Characteristics in Patients With Functional Ankle Instability: A Randomized Controlled Trial","authors":"Chen Zhang MMed ,&nbsp;Dunbing Huang MMed ,&nbsp;Zhonghua Lin MMed ,&nbsp;Jiaqi Wang MMed ,&nbsp;Hongfei Ren MMed ,&nbsp;Lihong Li MD ,&nbsp;Xiaohua Ke MD ,&nbsp;Zhenhua Wu MMed ,&nbsp;Cai Jiang MD","doi":"10.1016/j.arrct.2026.100595","DOIUrl":"10.1016/j.arrct.2026.100595","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the effects of a 12-week Tai Chi Chuan (TCC) program on ankle instability/function, pain, and gait/balance performance in patients with functional ankle instability (FAI).</div></div><div><h3>Design</h3><div>Prospective, single-blind randomized controlled trial.</div></div><div><h3>Setting</h3><div>Clinical gait analysis laboratory with community-based recruitment.</div></div><div><h3>Participants</h3><div>Fifty patients with FAI were randomly divided 1:1 to a TCC group (n=25; age 65.44±8.75y; 18 women/7 men) or a control group (n=25; age 67.08±4.76y; 22 women/3 men). By eligibility criteria, all participants had experienced at least 1 severe ankle sprain within the prior year and had recurrent episodes of giving way/instability in the prior year.</div></div><div><h3>Interventions</h3><div>The TCC group completed supervised simplified 24-form TCC training 3 sessions/wk for 12 weeks; controls received structured health education once every 4 weeks for 12 weeks.</div></div><div><h3>Main Outcome Measures</h3><div>The primary outcome was the Cumberland Ankle Instability Tool (CAIT). Secondary outcomes included the American Orthopaedic Foot &amp; Ankle Society Ankle–Hindfoot Score, pain intensity (visual analog scale [VAS]), 3-dimensional gait spatiotemporal and sagittal kinematic parameters, and postural control (Huber360 static balance metrics and the Y-Balance Test [YBT]).</div></div><div><h3>Results</h3><div>After 12 weeks, CAIT increased by 10.32 points in the TCC group (14.48±5.53 to 24.80±4.21) compared with 2.84 points in the control group (15.16±5.98 to 18.00±5.05), with a significant between-group difference (<em>P</em>&lt;.01), exceeding the CAIT minimal clinically important difference (MCID) (≥3 points); American Orthopaedic Foot &amp; Ankle Society Ankle–Hindfoot Score and VAS also improved more with TCC (all <em>P</em>&lt;.05), with changes within/above published AOFAS MCID estimates (7.9-30.2 points) and exceeding the commonly used VAS MCID (∼1.4 cm). The TCC group also demonstrated improvements in step width, selected sagittal-plane hip/ankle kinematics, and Y-Balance Test performance compared with controls (<em>P</em>&lt;.05).</div></div><div><h3>Conclusions</h3><div>A 12-week TCC program may provide clinically meaningful improvements in ankle stability and function, reduce pain, and enhance gait and balance performance in patients with FAI.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 2","pages":"Article 100595"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148246702","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":"Feasibility of Behavior Change Techniques to Promote Physical Activity of People With Acute Stroke During Hospitalization: A Pilot Randomized Controlled Trial","authors":"Annalena Paus ,&nbsp;Isabelle Stickdorn ,&nbsp;Marion Grafe ,&nbsp;Christian Grüneberg PhD","doi":"10.1016/j.arrct.2025.100582","DOIUrl":"10.1016/j.arrct.2025.100582","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the feasibility of using behavior change techniques in people with acute stroke during hospitalization and to evaluate the preliminary effects of these interventions on the physical activity and mobility of the participants.</div></div><div><h3>Design</h3><div>Nonblinded, parallel-group pilot randomized controlled trial.</div></div><div><h3>Setting</h3><div>The trial was conducted in a stroke unit of a university hospital in Germany.</div></div><div><h3>Participants</h3><div>A random sample of 24 participants (N=24) was selected. Included were people with acute stroke (&lt;48h after the incident), with National Institutes of Health Stroke Scale score 0-5, who were able to ambulate independently.</div></div><div><h3>Interventions</h3><div>Participants of the intervention group received 3 behavior change techniques alongside standard physiotherapy during their hospital stay: education, goal setting, and monitoring. In the control group, participants received standard physiotherapy.</div></div><div><h3>Main Outcome Measures</h3><div>Feasibility was assessed based on previously established feasibility criteria. Physical activity levels were measured using accelerometry, while mobility was evaluated with the de Morton Mobility Index.</div></div><div><h3>Results</h3><div>Twenty-four participants were recruited in total (participation rate: 77.4%), and 12 of them received the intervention. There were no drop-outs and none lost to follow-up (drop-out rate 0%; retention rate: 100%). The recruitment rate, retention, acceptability, and safety of the intervention were assessed as feasible. The target adherence of 80% potential wear time of an accelerometer could not be confirmed. No adverse events were reported. A trend for higher physical activity of the intervention group was observed; however, the results were not statistically significant.</div></div><div><h3>Conclusions</h3><div>Despite a small number of participants, the feasibility and safety of the use of behavior change techniques in people with acute stroke, as well as indications of a potential effect, were established. Therefore, after implementing adjustments regarding the recruitment and inclusion of participants, the recommendation can be made to conduct a definite trial.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 2","pages":"Article 100582"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148246725","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":"Measurement Properties of the Functional Balance Ability Measure Across Subacute Neurologic Diagnoses","authors":"Jasmine J. Cash PhD ,&nbsp;Margaret A. French PT, DPT, PhD ,&nbsp;Craig A. Velozo PhD, OTR/L ,&nbsp;Bryant A. Seamon PT, DPT, PhD","doi":"10.1016/j.arrct.2025.100583","DOIUrl":"10.1016/j.arrct.2025.100583","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the measurement properties of the Functional Balance Ability Measure (FBAM) in people with subacute neurologic conditions using Rasch analysis.</div></div><div><h3>Design</h3><div>Retrospective, cross-sectional analysis.</div></div><div><h3>Setting</h3><div>Inpatient rehabilitation facility.</div></div><div><h3>Participants</h3><div>Data from persons (N=841, 57.5±18.6y, 39% women) with a neurologic diagnosis receiving inpatient rehabilitation who had Berg Balance Scale and Functional Gait Assessment item-level scores within three days of admission.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Principal component analysis of residuals evaluated measurement unidimensionality. Rasch analysis with the Andrich Rating Scale Model was used to quantify rating scale characteristics, item difficulty hierarchy, item and person fit, and person separation of the FBAM. Item difficulty hierarchy stability across 4 diagnostic groups (cerebral vascular accident, traumatic brain injury, spinal cord injury, and other nontraumatic neurologic disorders) was evaluated with differential item functioning (DIF).</div></div><div><h3>Results</h3><div>The principal component analysis of residuals suggested 2 dimensions, however, disattenuated correlations indicated dimensions were not measuring different constructs and therefore supported unidimensionality. The FBAM had an appropriate rating scale structure, item difficulty hierarchy, and high person reliability (0.91). Only 5.2% of persons misfit response patterns. Two items misfit but were retained because removal caused additional item misfit. The FBAM separated persons into 6 groups of balance ability. Marginal DIF was found for the items “sitting unsupported,” “gait with vertical head turns,” and ”gait with horizontal head turns” in the other nontraumatic neurologic disorders group, and “look behind” and “pick up an object” in the spinal cord injury group. Twenty-one percent of the sample received the lowest measure value, indicating a floor effect.</div></div><div><h3>Conclusions</h3><div>The FBAM is a unidimensional and reliable measure of balance for persons with subacute neurologic injuries. DIF analyses confirmed a stable hierarchy of balance ability across mobility levels supporting the FBAM’s construct validity. Future work should address the observed floor effect.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 2","pages":"Article 100583"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148246726","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":"Impact of a Therapeutic Dance Program Compared With Circuit Physiotherapy in Rehabilitation of Older People With Recent Acquired Brain Injury: A Randomized Controlled Feasibility Trial With Embedded Qualitative Assessment","authors":"Zoe Adey-Wakeling PhD ,&nbsp;Heather Block PhD ,&nbsp;Selena Hutchins BHS, MPT ,&nbsp;Leanne Greene PhD ,&nbsp;Maayken Van Den Berg PhD ,&nbsp;Garry Stewart ,&nbsp;Enwu Liu PhD ,&nbsp;Wendy Shulver PhD ,&nbsp;Maria Crotty PhD ,&nbsp;Susan Hillier PhD","doi":"10.1016/j.arrct.2026.100587","DOIUrl":"10.1016/j.arrct.2026.100587","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the feasibility of providing dance groups to people with recent acquired brain injuries (ABIs) in a hospital rehabilitation outpatient setting.</div></div><div><h3>Design</h3><div>A mixed methods exploratory trial that included qualitative interviews and a single blind randomized controlled trial comparing 10 weeks (3 per wk: 30 sessions) of dance group to circuit group.</div></div><div><h3>Setting</h3><div>A day rehabilitation outpatient setting in a tertiary hospital in South Australia.</div></div><div><h3>Participants</h3><div>A total of 49 participants (N=49) with ABI consented and were randomly divided.</div></div><div><h3>Interventions</h3><div>Patients were randomly divided to a 10-week program of either dance group (n=25) or physiotherapy circuit group (n=24). The intervention was completed by 84% of dance participants and 87% of physiotherapy circuit group participants.</div></div><div><h3>Main Outcome Measures</h3><div>Primary outcome measure was health-related quality of life measured with Short Form-36. Secondary outcomes included a battery of assessments of balance, function, mobility, mood, and cognition. Feasibility outcomes included information on enrolment rates, attendance, participant satisfaction, and adverse events.</div></div><div><h3>Results</h3><div>Physical outcomes were comparable between the 2 groups (with no adverse outcomes), but gains in the mental health component of quality of life measures were observed in the dance group only, including energy/fatigue and emotional well-being. Qualitative results indicated that participants found both dance and circuit groups enjoyable and acceptable. Participants offered that dance had complemented other aspects of their rehabilitation.</div></div><div><h3>Conclusions</h3><div>Dance groups in rehabilitation outpatient settings appear a safe, feasible therapeutic option post ABI, with significant gains in health-related quality of life, mood, and fatigue measures. Findings support feasibility to progress to a larger cluster randomized controlled trial to assess cost effectiveness and implementation issues in rehabilitation services generally.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 2","pages":"Article 100587"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148246729","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":"Understanding the Impact of Screening Location on Depressive Symptom Scores Among People With Spinal Cord Injury","authors":"Ramya Gopalan MS, MPH ,&nbsp;Elizabeth Pasipanodya PhD ,&nbsp;Benjamin Dirlikov MA ,&nbsp;Mark Held PhD ,&nbsp;Janelle Myhre PhD ,&nbsp;Cria-May Khong BS ,&nbsp;Kazuko Shem MD","doi":"10.1016/j.arrct.2026.100592","DOIUrl":"10.1016/j.arrct.2026.100592","url":null,"abstract":"<div><h3>Objective</h3><div>To compare Patient Health Questionnaire-9 (PHQ-9) responses among individuals screened in inpatient rehabilitation versus at home during the first year after spinal cord injury (SCI).</div></div><div><h3>Design</h3><div>Cross-sectional secondary analysis.</div></div><div><h3>Setting</h3><div>Depressive symptomology was assessed either during SCI acute inpatient rehabilitation stay (Inpatient Group [IG]) or postdischarge in home setting (Home Group [HG]).</div></div><div><h3>Participants</h3><div>A total of 148 individuals (N=148) with traumatic or nontraumatic SCI with complete PHQ-9 responses (42 HG; 106 IG) were included. Participants were 71% men, with a mean age of 48±19.5 years and a duration of injury (DOI) 62±55 days (between April 2019 and January 2024).</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>PHQ-9 scores and prevalence of suicidal ideation (SI).</div></div><div><h3>Results</h3><div>Median DOI in the IG was 35 days versus 78 days in the HG (<em>P</em>&lt;.001). PHQ-9 total scores and the rate of probable major depressive disorder did not differ between the 2 groups (<em>P</em>=.09 for both); however, the median subscale score for nonsomatic (affective) items of the PHQ-9 was significantly greater in the HG (3.0) versus IG (1.0; <em>P</em>=.004). SI was greater in the HG (21%) versus IG (9%; <em>P</em>=.049). Furthermore, among those endorsing SI (N=19), the HG reported a significantly greater severity of SI based on median PHQ-9 (item 9) scores compared with the IG (2.0 vs 1.0; <em>P</em>=.035). Post hoc analyses indicated screening location as a significant predictor of nonsomatic subscores (<em>P</em>=.008) as well as SI (<em>P</em>=.029), after adjusting for DOI.</div></div><div><h3>Conclusions</h3><div>Elevated nonsomatic depressive symptom scores, including greater SI in the HG, highlight the heightened vulnerability of individuals transitioning from inpatient rehabilitation to home during the first year after SCI. These findings emphasize the need for systematic mental health screening during the early phase of community reintegration.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 2","pages":"Article 100592"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148246731","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":"Trajectories and Predictors of Activity Participation Among People with Parkinson Disease: A 3-Year Longitudinal Study","authors":"Moon Young Kim PhD, MSOT ,&nbsp;Yejin Lee PhD, MSOT ,&nbsp;Carolyn M. Baum PhD ,&nbsp;Lisa T. Connor PhD, MSOT ,&nbsp;Chih-Hung Chang PhD ,&nbsp;Linda Tickle-Degnen PhD ,&nbsp;Erin R. Foster PhD, OTD","doi":"10.1016/j.arrct.2025.100567","DOIUrl":"10.1016/j.arrct.2025.100567","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate how participation changes over time among individuals with Parkinsondisease (PD) and identify factors influencing these changes, focusing on impairment level and social factors.</div></div><div><h3>Design</h3><div>Secondary analysis of a 3-year prospective cohort study of social self-management of PD. Data were collected during 4 in-person assessments conducted at baseline and then annually thereafter. Multilevel modeling was used to analyze data from the 4 time points.</div></div><div><h3>Setting</h3><div>Department of Occupational Therapy Research Laboratory and Department of Neurology Movement Disorder Clinic.</div></div><div><h3>Participants</h3><div>A total of 86 individuals (N = 86) with idiopathic PD (Hoehn &amp; Yahr stages I-IV; mean age ± SD, 65.0 ± 9.6y).</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Participation was measured by the Activity Card Sort. Potential predictors contributing to changes in participation included motor impairment (Movement Disorder Society-Unified Parkinson Disease Rating Scale-III), depressive symptoms (Geriatric Depression Scale), cognitive function (Montreal Cognitive Assessment), social isolation (Nottingham Health Profile), and social support (Health Management Resources Survey).</div></div><div><h3>Results</h3><div>There were no significant changes in overall activity participation over the 3-year period among the participants with PD. More severe depressive symptoms were associated with reduced participation in instrumental (<em>β</em> = −0.42, <em>P</em> &lt; .01), high-demand leisure (<em>β</em> = −0.22, <em>P</em> = .04), and social activities (<em>β</em> = −0.41, <em>P</em> &lt; .01). Greater social support from family and friends (<em>β</em> = 0.77, <em>P</em> = .03) and organizations (<em>β</em> = 1.07, <em>P</em> &lt; .01) was associated with greater participation in social activities.</div></div><div><h3>Conclusions</h3><div>Depressive symptoms were a significant within-person driver of restricted participation in instrumental, high-demand leisure, and social activities, as well as in the global domain, whereas higher social support from organizations, family, and friends predicted greater participation, particularly in social and global activity participation. Early detection of depressive symptoms and strategies to enhance social support resources may help promote sustained activity participation in this population.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 1","pages":"Article 100567"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147428877","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":"Efficacy of Aquatic Therapy in Improving Balance in Patients With Stroke: A Systematic Review and Meta-Analysis","authors":"Laura Gento-Andrés MSc,&nbsp;Ismael Sanz-Esteban PhD,&nbsp;Isabel Rodríguez-Costa PhD,&nbsp;María Dolores Sosa-Reina PhD,&nbsp;Marina Castel-Sánchez PhD","doi":"10.1016/j.arrct.2025.100548","DOIUrl":"10.1016/j.arrct.2025.100548","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the efficacy of aquatic therapy in improving balance, gait speed, and fall risk in patients with stroke.</div></div><div><h3>Data Sources</h3><div>MEDLINE, Cumulative Index to Nursing and Allied Health Literature, PubMed, Scopus, Web of Science, and Physiotherapy Evidence Database were searched for studies published from 2013 to October 2024.</div></div><div><h3>Study Selection</h3><div>Experimental studies comparing aquatic therapy with conventional rehabilitation, land-based interventions, or no intervention. The primary outcome was balance, assessed using the Berg Balance Scale. Secondary outcomes included gait speed and fall risk.</div></div><div><h3>Data Extraction</h3><div>Study design characteristics, number of participants, interventions characteristics, and outcomes were extracted.</div></div><div><h3>Data Synthesis</h3><div>Twenty-seven interventional studies with 1134 participants (236 women and 225 men approximately) were included in the systematic review, among which 19 contributed to the meta-analysis. Ages ranged from 49.5 to 69.1 years. The time since injury varied from approximately 30 days to 5.4 years. Risk of bias of included studies was assessed using Cochrane Risk of Bias tool 2. Aquatic therapy significantly improved balance (Berg Balance Scale: MD, −5.10; 95% CI, −8.85 to −1.36; <em>P</em>=.008), gait speed (MD, −5.10; 95% CI, −8.85 to −1.36; <em>P</em>=.008), and reduced fall risk (MD, −4.38; 95% CI, −7.17 to −1.59; <em>P</em>=.002). Subgroup analyses based on session frequency (&gt;20 sessions vs 10-20 sessions) showed similar effects.</div></div><div><h3>Conclusions</h3><div>This meta-analysis suggests that aquatic therapy may be effective in enhancing balance and gait speed and in reducing fall risk among individuals with stroke; however, these findings should be interpreted with caution because of the high heterogeneity observed across studies.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"8 1","pages":"Article 100548"},"PeriodicalIF":2.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147428611","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}