Frontiers in rehabilitation sciences最新文献

{"title":"Case Report: Rehabilitation of a giant meniscus cyst with a mixed tear.","authors":"Jing Ji, Yali Wang, Xitao Li, Yuling Wang","doi":"10.3389/fresc.2024.1483226","DOIUrl":"10.3389/fresc.2024.1483226","url":null,"abstract":"<p><p>Giant meniscus cysts combined with mixed tears are relatively uncommon in clinical practice. The primary objective of rehabilitation is to restore knee joint function and prevent cyst recurrence. In this article, we discuss a series of rehabilitation strategies implemented for a patient who experienced both a giant meniscus cyst and a mixed tear.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1483226"},"PeriodicalIF":1.3,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082542","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":"Preliminary development and evaluation of a mechanical handwriting assistive device to support individuals with movement disorders.","authors":"Gabrielle Lemire, Thierry Laliberté, Katia Turcot, Véronique H Flamand, Alexandre Campeau-Lecours","doi":"10.3389/fresc.2024.1418534","DOIUrl":"10.3389/fresc.2024.1418534","url":null,"abstract":"<p><p>Individuals with movement disorders often face challenges in writing independently due to factors such as spasticity, lack of precise motor control, muscle weakness, and tremors. This paper aims to develop a handwriting assistive device (HAD) for individuals with movement disorders, to stabilize the motion of user's hand, through initial needs assessment, iterative design, and a preliminary evaluation. The research is scoped to include only initial testing with a small user group, six potential users with movement disorders, providing foundational insights for future refinement. The findings from the initial needs assessment revealed that current assistive technologies do not fully meet handwriting challenges for individuals with motor impairments. The HAD prototype, developed with adjustable damping mechanism and customizable handles to suit different levels of motor control, enabled steadier handwriting in preliminary testing with six participants. Children drew shapes more accurately, and some traced letters they couldn't otherwise. The adult participant showed greater fluidity and legibility, completing tasks 4.81 times faster with the HAD. The qualitative feedback indicated the device's potential to enhance handwriting independence and usability across age groups. Future prospects for this study include developing an electronic version of the HAD, allowing real-time adjustable damping to better support users' voluntary movements while further stabilizing involuntary motions.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1418534"},"PeriodicalIF":1.3,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082545","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":"Caregiver perceptions of usual care home programs for persons with acquired brain injury: a qualitative descriptive study.","authors":"Elena V Donoso Brown, Kasey Stepansky, Sarah E Wallace, Isabella Bien, Emma Buttino","doi":"10.3389/fresc.2024.1490874","DOIUrl":"https://doi.org/10.3389/fresc.2024.1490874","url":null,"abstract":"<p><strong>Objective: </strong>The study explores caregiver perceptions of home programs for clients with acquired brain injury based on current clinical care after transition to the community.</p><p><strong>Design: </strong>A qualitative descriptive study.</p><p><strong>Setting: </strong>Within the community, post inpatient rehabilitation.</p><p><strong>Participants: </strong>A convenience sample of eight caregivers of clients with acquired brain injury from one clinical site. All participants spoke English, were between the ages of 18 and 85 years, had no neurodegenerative disorders, and self-identified as caregivers.</p><p><strong>Procedures: </strong>Two nested semi-structured interviews were completed post-discharge from an inpatient rehabilitation facility. All interviews were audio recorded and transcribed. Qualitative data analysis was performed utilizing MAXQDA© software, consensus coding, and abstraction of themes.</p><p><strong>Results: </strong>Two themes with subsequent subthemes were identified: (1) Systems, Roles, and Responsibilities Influenced Caregivers' Perceptions of Home Program and Recovery Outlook and (2) Caregivers' Home Program Experience. The first theme addresses topics of caregiver roles and responsibilities, system supports and barriers, and their general outlook on recovery. Within the second theme, results provide a chronological description of home program training, use, and modification.</p><p><strong>Conclusions: </strong>A caregiver's outlook on the care receiver's recovery and home program implementation is influenced by the burden of responsibilities, and system-level supports and barriers. The home program experience of the caregivers was reported to involve limited but satisfactory training. Caregivers saw the value in home programs and advised others to engage in them. Future programs should encourage healthcare providers to provide explicit instruction to the caregiver about their intrinsic value to home program implementation and adherence.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1490874"},"PeriodicalIF":1.3,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069494","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":"Underutilization of coper/non-coper screening in anterior cruciate ligament injuries management in Italy: an online survey.","authors":"Luca Macrelli, Luca Mallia, Gabriele Thiebat, Jacopo Emanuele Rocchi, Lee Herrington, Sebastiano Nutarelli","doi":"10.3389/fresc.2024.1497828","DOIUrl":"https://doi.org/10.3389/fresc.2024.1497828","url":null,"abstract":"<p><strong>Introduction: </strong>Total and sub-total lesions of the anterior cruciate ligament (ACL) are one of the most frequent and performance-limiting injuries to the knee joint within the active population. Early surgical management, often regarded as the primary management strategy, has recently been shown to have similar outcomes when compared with an initial rehabilitative approach followed by surgical ACL reconstruction if higher levels of functionality are needed. The primary objective of the study was to investigate the physiotherapists and orthopedic surgeons' \"coper/non-coper\" screening application in the clinical management of the patient after ACL injury. Second, the authors aimed to investigate the cooperation between physiotherapists and orthopedic surgeons when dealing with patients with ACL injuries.</p><p><strong>Methods: </strong>An online survey consisting of 12 questions on the clinical practice of the surveyed physiotherapists (<i>n</i> = 803) and orthopedic surgeons (<i>n</i> = 201), and the relation between these healthcare professionals, was distributed. The answers were stratified depending on clinical experience in dealing with ACL injuries.</p><p><strong>Results: </strong>Both physiotherapists and orthopedic surgeons showed a low degree of confidence and application of the \"coper/non-coper\" screening when managing ACL lesions. The sub-population of ACL experts reported a good level of interprofessional interaction. Nevertheless, an updated level of knowledge regarding the recent evidence on the non-surgical management of ACL lesions is still lacking.</p><p><strong>Conclusions: </strong>The study findings indicate the need to improve the collaboration between Italian physiotherapists and orthopedic surgeons as well as their knowledge of the non-surgical approaches to ACL lesions.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1497828"},"PeriodicalIF":1.3,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774934/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069668","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":"Validation of a tri-axial accelerometer for measuring physical activity in patients with subacute stroke.","authors":"Yosuke Kimura, Yoshiki Suzuki, Hiroki Kubo, Keishi Yoshida, Tomohiro Ota, Natsuki Shimizu, Masashi Kanai","doi":"10.3389/fresc.2024.1496515","DOIUrl":"10.3389/fresc.2024.1496515","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to validate the accuracy of the Active Style Pro HJA-750C (ASP) in measuring metabolic equivalents (METs) during walking and reaching tasks in individuals with subacute stroke using a respiratory gas analyzer as a reference.</p><p><strong>Methods: </strong>Twenty-three hospitalized patients with subacute stroke participated in this study. They performed sitting and standing reaching tasks, as well as walking while wearing a VO2 Master respiratory gas analyzer and ASP devices on both the paretic and non-paretic sides. The METs values recorded by the ASP were compared with those obtained using a VO2 Master respiratory gas analyzer. Pearson's correlation coefficients were calculated for each task, and Bland-Altman plots were used to assess the agreement between the two methods.</p><p><strong>Results: </strong>The ASP demonstrated good concurrent validity, with correlation coefficients of 0.71 and 0.74 for the sitting reaching task, 0.75 and 0.79 for the standing reaching task, and 0.83 and 0.85 for walking when the ASP was placed on the paretic and non-paretic sides, respectively. Bland-Altman analysis indicated no significant fixed or proportional errors. The ASP accurately measures METs whether worn on the affected or unaffected side of the waist.</p><p><strong>Conclusion: </strong>The ASP provides valid measurements of physical activity during walking and reaching tasks in patients with subacute stroke. These findings suggest that ASP is a valuable tool for monitoring physical activity in clinical rehabilitation settings.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1496515"},"PeriodicalIF":1.3,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029709","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":"Mapping the vitiligo patient journey: from awareness to treatment or coping strategies.","authors":"Y Valle, T Lotti, S Towheed, J Sigova","doi":"10.3389/fresc.2024.1511053","DOIUrl":"10.3389/fresc.2024.1511053","url":null,"abstract":"","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1511053"},"PeriodicalIF":1.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017493","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":"Cultural and urban city living expectations of knee motion in a Southeast Asian city: implications on total knee arthroplasty outcomes.","authors":"Yong Yao Tan, Ke Xin Magneline Ang, Ching Yi Aliza Wong, Kinjal Vidyut Mehta, Sir Young James Loh","doi":"10.3389/fresc.2024.1446389","DOIUrl":"10.3389/fresc.2024.1446389","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of knee osteoarthritis in Southeast Asia has increased steadily over the years. When conservative management options fail, total knee arthroplasty (TKA) is a reliable surgical option. Despite over 90% post-operative satisfaction, the high volume of TKAs performed means that even a small percentage of dissatisfied patients holds significance. Dissatisfaction often arises from unmet expectations, which are influenced by cultural and urban factors specific to the region. Surgeons must counsel patients on likely post-operative activities, but limited data on knee range of motion (ROM) for daily tasks in Southeast Asia renders personalised guidance challenging.</p><p><strong>Aim: </strong>The primary aim of this study was to evaluate the minimum knee ROM required for daily activities (walking, stair climbing, squatting, kneeling, and sitting cross-legged) in a healthy Southeast Asian urban population. The secondary aim was to determine the association between anthropometric measurements and knee ROM required for the activities. This information is useful in managing patient expectations after TKA.</p><p><strong>Methods: </strong>An email describing the study was sent to hospital staff to recruit them as volunteers for the study. Enrolled participants were required to be between the ages of 21 and 65 years and capable of providing informed consent. Interested volunteers with a past medical history involving the lower limbs and spine were excluded. Those with a history of lower limb joint pain or back pain within the last 1 year were also excluded. The KINEXCS KIMIA device (KIMIA Recover System, 2022 edition v1.0) was used to measure the knee ROM. The overall characteristics of participants were summarised using descriptive statistics. Anthropometric measurements and their association with knee ROM during the various activities were analysed. Variables with <i>p</i>-values <0.3 in univariate analysis were included in the multivariable analysis.</p><p><strong>Results: </strong>Fifty participants (32 men, 18 women) were enrolled in the study. The average age of participants was 28.5 years (SD 5.57). The average height was 168 cm (SD 0.0870), and the average body mass index was 23.02 kg/m² (SD 2.82). The average knee ROM requirements for various activities are as follows: walking on flat ground and stair climbing required less than 90°, squatting and kneeling required at least 127°, and sitting cross-legged required 106°. Lower limb length, leg length, and calf circumference were significantly correlated with the knee ROM required to perform the activities.</p><p><strong>Significance: </strong>The findings of this study, combined with an understanding of cultural expectations, might prove valuable for counselling and managing patients undergoing TKA in an urban Southeast Asian country.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1446389"},"PeriodicalIF":1.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025014","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":"Musical neglect training for chronic persistent left hemispatial neglect with right hemiplegia post-stroke: a case report.","authors":"Yuka Kasuya-Ueba, Koji Maeda","doi":"10.3389/fresc.2024.1462978","DOIUrl":"10.3389/fresc.2024.1462978","url":null,"abstract":"<p><p>A 69-year-old right-handed man, who initially suffered a stroke 8 years ago and experienced two recurrences since then, presented with right hemiplegia and left hemispatial neglect as a post-stroke syndrome in the chronic phase. This report demonstrates the use of active musical instrument playing with Musical Neglect Training (MNT®) to improve severe left-side neglect and activities of daily living (ADLs). In addition to physical and occupational therapy, individual MNT® was incorporated into the patient's rehabilitation plan to improve his hemispatial neglect. At the initiation of the intervention, the number of uncrossed lines on the line cancellation test was 33 out of 40, and his Mini-Mental State Examination score was 17. Regarding ADLs, egocentric neglect was observed, especially during eating and wheelchair operations. Over the course of 18 months of weekly individual MNT®, a remarkable improvement was observed in the line cancellation test score (number of uncrossed lines = 4) and in ADLs. Follow-up tests showed that the effects of the intervention lasted at least 6 months. This is the first reported case demonstrating long-term effects observed at 6 months after an 18-month intervention period employing MNT® in a patient with severe chronic persistent hemispatial neglect. While rigorous studies are needed, our findings encourage further investigation of the benefits of MNT® interventions in post-stroke rehabilitation. In summary, long-term intervention involving active musical instrument playing, using auditory stimulus cues, significantly improved the severe symptoms of left hemispatial neglect in a patient with right hemiplegia, even during the chronic phase of recovery.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1462978"},"PeriodicalIF":1.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017572","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":"Editorial: Co-design of rehabilitation programming.","authors":"Janelle Unger, Dalton L Wolfe, John Bourke, James Middleton","doi":"10.3389/fresc.2024.1537063","DOIUrl":"10.3389/fresc.2024.1537063","url":null,"abstract":"","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1537063"},"PeriodicalIF":1.3,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017489","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":"Case Report: Targeted plasticity in spinal cord injury-the role of focal muscle vibration and neurocognitive rehabilitation in adaptative synaptic change along sensory and motor circuit.","authors":"Filippo Camerota, Naomi Francesca Pocino, Federico Zangrando, Roberta Di Tommaso, Marco Paoloni, Massimiliano Mangone, Claudia Celletti","doi":"10.3389/fresc.2024.1515114","DOIUrl":"10.3389/fresc.2024.1515114","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this case was to investigate objectively and quantitatively the effects of the application of repeated focal muscle vibration (fMV) associated with neurocognitive exercise on a 46-year-old patient with spastic paraparesis secondary to the surgical removal of a C5-C6 ependymoma.</p><p><strong>Methods: </strong>We have evaluated gait parameters, spasticity, and pain with clinical scales. We have applied focal muscle vibration on quadriceps femoris, hamstrings, gastrocnemius, and iliopsoas muscles bilaterally. A total of 30 sessions of fMV treatment of 80 min each was carried out over 30 consecutive days.</p><p><strong>Results: </strong>After the whole treatment period, the patient showed an overall improvement in scores on the same assessment scales administered at admission. The gait analysis evaluation showed a reduction in stride time bilaterally, an increase in average walking speed, increased cadence, and a slight increase in step length.</p><p><strong>Conclusion: </strong>The improvements obtained have highlighted the relevance of the fMV application associated to physiotherapy in the field of neurological rehabilitation, particularly emphasizing the interest in increasing the number of sessions correlated with more durable clinical improvements over time. Results obtained have shown to persist for several months after discharge, allowing the patient to improve walking and to have greater autonomy in daily activities.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1515114"},"PeriodicalIF":1.3,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017486","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}