Frontiers in rehabilitation sciences最新文献

{"title":"Clinical outcome of Two Minute Walk Test after return to run program in IDEO users: a retrospective study.","authors":"Michelle D Lockwood, Christopher F Hovorka, Molly E Baumann, W Lee Childers","doi":"10.3389/fresc.2025.1602110","DOIUrl":"https://doi.org/10.3389/fresc.2025.1602110","url":null,"abstract":"<p><strong>Objective: </strong>To investigate clinical improvement in persons with severe musculoskeletal injuries following a 4-week high intensity sports-based return to run rehabilitation therapy program (RTR) combined with use of an Intrepid Dynamic Exoskeletal Orthosis (IDEO).</p><p><strong>Patients: </strong>41 persons (37 male and 4 female) with lower limb musculoskeletal injuries undergoing treatment and rehabilitation at the Center for the Intrepid were included in the retrospective cohort study.</p><p><strong>Methods: </strong>Retrospective analysis of clinical data was used to identify changes in Two Minute Walk Test (2MWT) outcomes in patients with lower limb musculoskeletal injuries without the IDEO, with the IDEO alone and after IDEO + RTR. A repeated measures ANOVA was used to examine differences in distance walked across the three groups (NO IDEO, IDEO alone, and IDEO + RTR). Bonferroni <i>post-hoc</i> analysis was performed, and a level of significance was set at 0.05.</p><p><strong>Results: </strong>A statistically significant difference in distance walked between all groups was observed (<i>p</i> < 0.001). Patients' mean distance walked using the IDEO alone (179 m, <i>p</i> < 0.001) and IDEO + RTR (208 m, <i>p</i> < 0.001) increased significantly compared to NO IDEO (152 m, <i>p</i> < 0.001). These differences surpass the Minimal Clinically Important Difference (37.2 m) and the Minimal Detectable Change (34.3 m) for the 2MWT in the limb loss population.</p><p><strong>Conclusion: </strong>These data suggest the potential benefit of the combination of IDEO + RTR improved walking in patients with lower limb musculoskeletal injuries and suggest the 2MWT may be a meaningful, simple measure to detect improvement in function.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1602110"},"PeriodicalIF":1.9,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12540400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145357120","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 impact of second-generation androgen receptor pathway inhibitors on skeletal muscle morphology and strategies to mitigate their effects in prostate cancer patients.","authors":"Sarah Edwards, Tea Lulic-Kuryllo, Anupam Batra","doi":"10.3389/fresc.2025.1655422","DOIUrl":"10.3389/fresc.2025.1655422","url":null,"abstract":"<p><p>The standard of care for metastatic castrate sensitive prostate cancer (mCSPC) involves the use of doublet therapies, which prolong survival and delay disease progression. Doublet therapies include the addition of second-generation androgen receptor pathway inhibitors (ARPIs) to androgen deprivation therapy (ADT). ADT monotherapy has been associated with adverse effects on skeletal muscle morphology, muscle strength, and physical function. Our findings suggest that the addition of ARPIs to ADT may further exacerbate these adverse effects. This review provides an overview of the current evidence to initiate exercise during treatment as an intervention to mitigate these adverse effects. Despite growing research in exercise oncology, research on the effects of exercise in men with mCSPC treated with doublet therapy is lacking. Much of the current supporting evidence is based on men with metastatic castrate resistant prostate cancer. Nonetheless, this review examines the available research on the efficacy and benefits of participating in a regimented exercise program in men with metastatic prostate cancer. We highlight the emerging evidence that exercising during treatment has the potential to protect against the adverse effects of doublet therapy. Future research to uncover the effects of different doublet therapies on muscle health in mCSPC is needed. Moreover, an improved understanding of the optimal training dose and timing that would elicit the most optimal benefits on muscle health in men with mCSPC is required.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1655422"},"PeriodicalIF":1.9,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12531131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330998","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":"Barriers to physical activity and patient profiling in the lifelong maintenance phase of coronary artery disease: a territorial mixed-methods pilot study.","authors":"Morgane Molina, Fabienne Durand, Henri Meric","doi":"10.3389/fresc.2025.1659925","DOIUrl":"10.3389/fresc.2025.1659925","url":null,"abstract":"<p><strong>Introduction: </strong>Despite proven benefits, adherence to physical activity (PA) during the lifelong maintenance phase of cardiac rehabilitation (CR) remains suboptimal. Understanding territorial-specific barriers is essential for developing targeted interventions. This pilot study aimed to (1) identify principal barriers to PA among coronary artery disease (CAD) patients in lifelong maintenance Phase CR in a specific territory of southern France, and (2) characterize distinct patient profiles using unsupervised machine learning.</p><p><strong>Methods: </strong>Socio-demographic data, completion of a full Phase II CR and behavioral characteristics related to PA during the lifelong maintenance Phase were collected with a LimeSurvey questionnaire. A modified Delphi method was employed with CAD patients (<i>n</i> = 26, subsequently, <i>n</i> = 13 in round 2) who had completed a supervised Phase II CR. Barriers were categorized and ranked using Likert scales. K-means clustering analysis was then applied to identify homogeneous patient subgroups based on barrier patterns.</p><p><strong>Results: </strong>Nine barrier categories emerged, with environment (8.3 ± 1.0), motivation (7.7 ± 1.4), and exercise tolerance (6.3 ± 1.2) ranking highest. Kendall's W = 0.64 (<i>p</i> < 0.001) indicated a significant consensus. Three cluster were identified: Cluster 1 (38.46%) characterized by physical deconditioning; Cluster 2 (23.07%) by environmental and motivational constraints; Cluster 3 (38.46%) by organizational limitations. Significant between-cluster differences were observed for: environmental barriers (H = 7.82, <i>p</i> = 0.02), motivation (H = 8.14, <i>p</i> = 0.017), and professional obligations (H = 6.93, <i>p</i> = 0.031).</p><p><strong>Conclusion: </strong>This mixed-methods approach revealed complex, interrelated barriers to PA maintenance. The identification of distinct CAD patient profiles suggests that personalized intervention strategies, rather than one-size-fits-all approaches, may enhance long-term adherence to PA in lifelong maintenance Phase CR.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1659925"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310207","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: Advances on participation perspective in rehabilitation sciences.","authors":"Mert Doğan, Özgün Kaya Kara","doi":"10.3389/fresc.2025.1686925","DOIUrl":"10.3389/fresc.2025.1686925","url":null,"abstract":"","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1686925"},"PeriodicalIF":1.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521220/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145310181","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":"Operationalizing systems thinking approach to sustain public health rehabilitation programs: a rapid review and strategic synthesis.","authors":"Zanib Nafees, Mahmoud AboAlfa, Mohammed Alkhaldi","doi":"10.3389/fresc.2025.1633596","DOIUrl":"10.3389/fresc.2025.1633596","url":null,"abstract":"<p><strong>Background: </strong>Public Health Rehabilitation Programs (PHRPs) are essential to achieving universal health coverage and disability-inclusive health systems. Despite their importance, sustainability is threatened by demographic pressures, funding variability, and weak system integration. Systems Thinking (ST) provides a structured paradigm to address complexity, identify key leverage points, and embed adaptive capabilities for longer-term program survival. Our aim was to summarise global applications of ST in PHRPs and identify mechanisms that most effectively contribute to sustainability.</p><p><strong>Methods: </strong>We conducted a rapid review of peer-reviewed literature and global case studies published between 2010 and 2025. The short timeframe was intentionally selected to provide timely, policy-relevant insights while laying the groundwork for more extensive future reviews. Searches in PubMed, Scopus, and WHO repositories identified studies applying ST to sustain PHRPs. Data were thematically synthesized using the WHO 10-step ST framework and the Systems Thinking for Health (ST4H) model.</p><p><strong>Results: </strong>Six studies from six countries were included. Three mechanisms emerged: (1) Feedback Loops & Adaptive Learning, (2) Stakeholder Engagement & Systems Mapping, and (3) Strategic Leverage Points. Examples from diverse contexts, especially low- and middle-income countries such as Brazil, India, South Africa, and Jordan, demonstrated improved service integration, resilience, and reach.</p><p><strong>Conclusion: </strong>ST offers a robust framework for addressing persistent sustainability challenges in PHRPs. Embedding ST early in program design, supported by cross-sector engagement, systems literacy, and strong governance, enhances adaptability, equity, and efficiency. This rapid review provides actionable evidence for policymakers and practitioners, while also underscoring the need for context-specific sustainability metrics and broader scoping or systematic reviews to deepen and expand the evidence base.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1633596"},"PeriodicalIF":1.9,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12504261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260088","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 effectiveness of physiotherapy for chronic headaches in patients with temporomandibular disorders: a systematic review.","authors":"Charlène Quilghini, Julian Lefflot, Kim Buchholtz","doi":"10.3389/fresc.2025.1647927","DOIUrl":"10.3389/fresc.2025.1647927","url":null,"abstract":"<p><strong>Background: </strong>Chronic headaches (CH) affect approximately 1 billion people globally, with women having three to five times higher prevalence. The estimated cost in Europe is €173 billion. Recent studies suggest a strong link between chronic headaches and temporomandibular disorders (TMD), which are characterized by orofacial pain, temporomandibular joint symptoms, and limited mandibular movement. Physiotherapy for these disorders often involves addressing muscle spasms through massage, trigger point therapy, and active stretching.</p><p><strong>Objective: </strong>This systematic review aimed to assess the effectiveness of temporomandibular joint (TMJ) physiotherapy for patients with chronic headaches (CH) and temporomandibular disorders (TMD).</p><p><strong>Methods: </strong>A systematic literature search was performed in January 2025 using the PICOS framework and relevant MeSH terms across the PubMed, PEDro, and Cochrane databases. Two reviewers independently screened studies, with a third reviewer resolving disagreements. Five randomized controlled trials (RCTs) met the inclusion criteria. Data extraction and study characteristics were analyzed, and the risk of bias was assessed using the Cochrane RoB2 tool.</p><p><strong>Results: </strong>The review identified five studies, suggesting that physiotherapy may benefit these patients. Three studies showed significant improvements in headache intensity and frequency following TMJ or orofacial physiotherapy. One study favored the control group, and one showed no significant difference. However, variability in study quality, therapist roles, and poorly reported interventions limited comparability and prevented meta-analysis. The findings point to potential benefits of physiotherapy for managing chronic headaches and TMD but underscore the need for more standardized research.</p><p><strong>Conclusion: </strong>This review highlights the potential of multidisciplinary treatments for patients with chronic headaches and temporomandibular disorders. However, due to the variability in treatment protocols and outcome measures, further research is needed to confirm these findings and standardize protocols for more reliable and consistent results.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1647927"},"PeriodicalIF":1.9,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12500710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and correlation of workload and musculoskeletal disorders in industrial workers: a cross-sectional study.","authors":"Anderson G Rodríguez-Pulido, Andy F Arrieta-Córdova, Miguel A Arce-Huamani","doi":"10.3389/fresc.2025.1677621","DOIUrl":"10.3389/fresc.2025.1677621","url":null,"abstract":"<p><strong>Background: </strong>Musculoskeletal disorders (MSDs) are a leading cause of disability among industrial workers worldwide, often resulting from excessive physical and mental workload. This study aimed to determine the prevalence of MSDs and their correlation with workload including physical and mental dimensions among industrial workers in the cleaning and ballasting division of a Peruvian shipyard.</p><p><strong>Methods: </strong>A cross-sectional, correlational study was conducted in 2023 among 100 workers selected from a population of 134. Workload was assessed using a validated questionnaire covering physical and mental dimensions, while MSDs were evaluated with the standardized Nordic Musculoskeletal Questionnaire. Descriptive statistics summarized the prevalence of workload and MSDs, and the relationship between variables was analyzed using Spearman's correlation coefficient, considering a significance threshold of <i>p</i> < 0.05.</p><p><strong>Results: </strong>High workload was identified in 85% of workers, with both physical and mental workload dimensions reaching high levels in the same proportion. The prevalence of severe MSDs was 88%, affecting primarily the wrist/hand, neck, shoulder, lumbar region, and elbow/forearm. A strong and statistically significant positive correlation was found between overall workload and MSDs (Spearman's rho = 0.896, <i>p</i> < 0.001). Similar correlations were observed for the physical (rho = 0.834) and mental (rho = 0.896) workload dimensions.</p><p><strong>Conclusion: </strong>Severe musculoskeletal disorders are highly prevalent among industrial workers exposed to substantial physical and mental workload. The strong correlations observed highlight the need for comprehensive occupational health strategies that address both ergonomic and psychosocial risk factors to reduce the burden of MSDs in industrial settings.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1677621"},"PeriodicalIF":1.9,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12500539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253961","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":"A systematic literature review to explore lived experiences with phantom limb phenomenon following a lower extremity amputation: a qualitative synthesis.","authors":"Abdullah Ali H Alabdullah, Saeed Saad Alyazidi, Ibrahim Ali Asiri, Hussain Saleh Ali, Sarah Abdullah Almutlaqah, Ahmed Saleh Alzahrani, Saeed Abdulrhman Alzahb, Sumaya Abdullah Alasmari, Dejan Nikolic, Natasa Radosavljevic","doi":"10.3389/fresc.2025.1667659","DOIUrl":"10.3389/fresc.2025.1667659","url":null,"abstract":"<p><strong>Objective: </strong>In this review we aimed to understand better frequent experiences accompanying phantom limb issues from patients' perspective and accordingly to generate recommendations for clinical practice.</p><p><strong>Methods: </strong>A systematic literature review approach was utilized and articles meeting the eligibility criteria were critically appraised using the Critical Appraisal Skills Program (CASP). Additionally, a meta-synthesis approach was adopted to combine and analyze the data.</p><p><strong>Results: </strong>Ten relevant studies were critiqued, key themes were: 1) early Information Provision about phantom Limb Pain (PLP) and Participants' Satisfaction; 2) the PLP's described characteristics; 3) different Emotions and Psychosocial Issues with PLP; 4) the Impact of the PLP on Performing Daily Activities<i>;</i> and 5) the experienced strategies to address the PLP.</p><p><strong>Conclusion: </strong>The experience of phantom limb varies among individuals with lower limb amputation (LLA); however, for many, PLP significantly affects both physical and psychological well-being, adding an additional burden to the overall experience of amputation. Addressing these challenges should begin with early education, followed by a rehabilitation process that considers individual differences in coping mechanisms. Moreover, patients' preferences should be prioritized when selecting prosthetic devices and determining the most appropriate treatment strategies for managing PLP.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1667659"},"PeriodicalIF":1.9,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12488712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234489","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":"Persistent obstacles for return to work after COVID-19 infection - an explorative follow-up study in Sweden.","authors":"Hilda Öhlén, Iolanda Santos Tavares Silva, Marie Gustafsson, Sara Jarl, Ann Björkdahl","doi":"10.3389/fresc.2025.1628490","DOIUrl":"10.3389/fresc.2025.1628490","url":null,"abstract":"<p><strong>Design aim and method: </strong>To explore in patients with postcovid-19 condition the influence of various factors on return to work in the year following diagnosis. The study had an explorative quantitative and qualitative design based on interviews with 41 hospitalized (HC) and 63 primary care (PC) COVID-19 patients. RTW was described at 3 and 12 months, and differences between groups, changes over time and possible factors explaining RTW were analysed statistically. Qualitative analyses with content analysis of interviews were performed to describe obstacles to work.</p><p><strong>Result: </strong>The obstacles for RTW were persistent symptoms such as fatigue, cognitive dysfunction and breathlessness with the consequences for work as lack of energy, decreased physical capability, decreased mental stamina, reduced cognitive ability, increased sensitivity to stress and general reduced capacity. At 12 months, 50% and 70% of patients in the PC and HC groups, respectively, had returned to full-time work, while 20% of patients in both groups had not RTW at all. To function at work, many patients expressed that they required adaptations. RTW was not dependent on the initial severity of COVID-19 or type of work. The likelihood of RTW was higher in males with COVID-19 onset during the second wave.</p><p><strong>Conclusion: </strong>RTW may be limited after COVID-19 infection, regardless of its initial severity. Women with persistent covid had greater difficulty than men in returning to work. Limitations were due to a general reduced capacity mainly caused by physical and mental fatigue, and cognitive dysfunction. However, the support from employers and the environment also has an impact on the RTW. If necessary, appropriate rehabilitation measures should be offered and adaptations of work content and the organization of the work at the workplace are of great importance.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1628490"},"PeriodicalIF":1.9,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12490236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234429","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":"Relationship between post-COVID-19 symptoms and daily physical activity.","authors":"Antonio Sarmento, Sandra Webber, Shelley Sargent, Brenda Tittlemier, Diana C Sanchez-Ramirez","doi":"10.3389/fresc.2025.1646093","DOIUrl":"10.3389/fresc.2025.1646093","url":null,"abstract":"<p><strong>Background: </strong>Exertion-intolerant symptoms common in post-COVID-19 syndrome (PCS), often resembling myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), challenge conventional rehabilitation and highlight the need for research into the poorly understood relationship between PCS symptoms and physical activity.</p><p><strong>Objectives: </strong>We aimed to investigate the longitudinal associations between PCS symptoms and physical activity (same and following day), while accounting for the presence of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) symptoms. Additionally, to compare the characteristics and outcomes of PCS patients with and without ME/CFS symptoms.</p><p><strong>Methods: </strong>Adults with PCS participated in an in-person evaluation that included assessment of dyspnea (Borg scale), fatigue (Fatigue Severity Scale), ME/CFS symptoms screening (DePaul Symptom Questionnaire), and functional capacity. Participants were also instructed to complete a daily PCS symptoms survey and wear a smartwatch for a week to track daily physical activity (step count).</p><p><strong>Results: </strong>Eighteen individuals with PCS (78% females, 51 ± 11 years) participated in the study, averaging 4,067 steps per day (95%CI 3,638-4,497) over 117 days of valid data. Individuals with ME/CFS symptoms (<i>n</i> = 11) reported more severe PCS symptoms and had lower functional capacity than those without ME/CFS symptoms. After adjusting for ME/CFS symptoms, greater dizziness was associated with fewer steps on the same [OR 0.94 (95%CI 0.88-0.99), <i>p</i> = 0.026] and following day [OR 0.91 (95%CI 0.84-0.98), <i>p</i> = 0.016]. Lower levels of fatigue [OR 0.69 (95%CI 0.49-0.99), <i>p</i> = 0.043] and chest pain [OR 0.76 (95%CI 0.57-0.99), <i>p</i> = 0.048] were associated with walking ≥5,000 steps on the previous day.</p><p><strong>Conclusion: </strong>Regardless of the presence of ME/CFS symptoms, dizziness was negatively associated with physical activity on both the same and following day in PCS individuals. Additionally, lower levels of fatigue and chest pain were linked to walking 5,000 steps or more the previous day.</p><p><strong>Impact: </strong>These results provide insights into the relationships between symptoms and daily physical activity in PCS, which can help tailor interventions and improve the management of this condition. This research also highlights the value of using wearable devices and smartphone apps to collect data for monitoring individuals with PCS over time.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1646093"},"PeriodicalIF":1.9,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12477147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202235","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}