Frontiers in rehabilitation sciences最新文献

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Patient satisfaction and tolerance of virtual reality rehabilitation in subacute ischemic stroke: a pilot study. 亚急性缺血性脑卒中患者满意度和虚拟现实康复的耐受性:一项试点研究。
IF 1.9
Frontiers in rehabilitation sciences Pub Date : 2025-08-26 eCollection Date: 2025-01-01 DOI: 10.3389/fresc.2025.1660766
Sarka Banikova, Alice Najsrova, Istvan Szegedi, Katerina Vitova, Iva Fiedorova, Jana Trda, Ondrej Volny
{"title":"Patient satisfaction and tolerance of virtual reality rehabilitation in subacute ischemic stroke: a pilot study.","authors":"Sarka Banikova, Alice Najsrova, Istvan Szegedi, Katerina Vitova, Iva Fiedorova, Jana Trda, Ondrej Volny","doi":"10.3389/fresc.2025.1660766","DOIUrl":"10.3389/fresc.2025.1660766","url":null,"abstract":"<p><strong>Background: </strong>Virtual reality (VR) rehabilitation represents a promising technological approach in post-stroke neurorehabilitation, offering immersive, engaging therapy environments. However, limited data exist on patient satisfaction and tolerance in clinical practice, particularly during the subacute phase of stroke recovery.</p><p><strong>Objective: </strong>To evaluate patient satisfaction and tolerance of VR rehabilitation in patients with subacute ischemic stroke and assess physiotherapist perceptions of treatment outcomes compared to conventional rehabilitation.</p><p><strong>Methods: </strong>A prospective pilot study was conducted from January 1, 2024, to December 31, 2024, at the Department of Neurology, University Hospital Ostrava, Czech Republic. Patients in the subacute phase of ischemic stroke (≤2 weeks post-stroke) underwent VR rehabilitation using the MDR-certified VR Vitalis® Pro system. Patient satisfaction was measured using the User Satisfaction Evaluation Questionnaire (USEQ) with individual question analysis. Physiotherapists assessed treatment outcomes on a 5-point scale compared to conventional rehabilitation. Vital signs were monitored pre- and post-intervention.</p><p><strong>Results: </strong>Nineteen patients (mean age 67.7 ± 11.2 years, 52.6% female) completed VR rehabilitation. The mean USEQ satisfaction score was 25.0 ± 6.8 points (range 7-30). High satisfaction (≥25 points) was achieved in 68.4% of patients, with only 5.3% reporting low satisfaction (<15 points). Individual question analysis revealed highest ratings for information clarity (4.63 ± 0.96) and perceived rehabilitation benefit (4.37 ± 1.12), with excellent tolerability as 63.2% reported no discomfort. Physiotherapists rated 31.6% of patients as showing better outcomes than expected with conventional therapy, while 52.6% showed similar outcomes and 15.8% showed worse outcomes. The mean number of VR sessions per patient was 4.2 ± 4.1. No serious adverse events were recorded.</p><p><strong>Conclusions: </strong>VR rehabilitation demonstrated high patient satisfaction and excellent tolerance in subacute stroke patients. Individual USEQ analysis revealed particularly strong acceptance for system clarity and rehabilitation benefit. These findings support the feasibility and acceptability of VR rehabilitation in clinical stroke care.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1660766"},"PeriodicalIF":1.9,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12417458/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042597","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}
引用次数: 0
Machine learning predicts improvement of functional outcomes in spinal cord injury patients after inpatient rehabilitation. 机器学习预测脊髓损伤患者住院康复后功能结果的改善。
IF 1.9
Frontiers in rehabilitation sciences Pub Date : 2025-08-25 eCollection Date: 2025-01-01 DOI: 10.3389/fresc.2025.1594753
Mohammad Rasoolinejad, Irene Say, Peter B Wu, Xinran Liu, Yan Zhou, Nathan Zhang, Emily R Rosario, Daniel C Lu
{"title":"Machine learning predicts improvement of functional outcomes in spinal cord injury patients after inpatient rehabilitation.","authors":"Mohammad Rasoolinejad, Irene Say, Peter B Wu, Xinran Liu, Yan Zhou, Nathan Zhang, Emily R Rosario, Daniel C Lu","doi":"10.3389/fresc.2025.1594753","DOIUrl":"10.3389/fresc.2025.1594753","url":null,"abstract":"<p><strong>Introduction: </strong>Spinal cord injury (SCI) presents a significant burden to patients, families, and the healthcare system. The ability to accurately predict functional outcomes for SCI patients is essential for optimizing rehabilitation strategies, guiding patient and family decision making, and improving patient care.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of 589 SCI patients admitted to a single acute rehabilitation facility and used the dataset to train advanced machine learning algorithms to predict patients' rehabilitation outcomes. The primary outcome was the Functional Independence Measure (FIM) score at discharge, reflecting the level of independence achieved by patients after comprehensive inpatient rehabilitation.</p><p><strong>Results: </strong>Tree-based algorithms, particularly Random Forest (RF) and XGBoost, significantly outperformed traditional statistical models and Generalized Linear Models (GLMs) in predicting discharge FIM scores. The RF model exhibited the highest predictive accuracy, with an R-squared value of 0.90 and a Mean Squared Error (MSE) of 0.29 on the training dataset, while achieving 0.52 R-squared and 1.37 MSE on the test dataset. The XGBoost model also demonstrated strong performance, with an R-squared value of 0.74 and an MSE of 0.75 on the training dataset, and 0.51 R-squared with 1.39 MSE on the test dataset. Our analysis identified key predictors of rehabilitation outcomes, including the initial FIM scores and specific demographic factors such as level of injury and prehospital living settings. The study also highlighted the superior ability of tree-based models to capture the complex, non-linear relationships between variables that impact recovery in SCI patients.</p><p><strong>Discussion: </strong>This research underscores the potential of machine learning models to enhance the accuracy of outcome predictions in SCI rehabilitation. The findings support the integration of these advanced predictive tools in clinical settings to better guide decision making for patients and families, tailor rehabilitation plans, allocate resources efficiently, and ultimately improve patient outcomes.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1594753"},"PeriodicalIF":1.9,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12414964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031268","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}
引用次数: 0
Qualitative insights from an online community-based exercise intervention for persons living with HIV. 针对艾滋病毒感染者的在线社区运动干预的定性见解。
IF 1.9
Frontiers in rehabilitation sciences Pub Date : 2025-08-25 eCollection Date: 2025-01-01 DOI: 10.3389/fresc.2025.1602007
Francisco Ibáñez-Carrasco, Kiera McDuff, George Da Silva, Ahmed M Bayoumi, Soo Chan Carusone, Mona Loutfy, Ada Tang, Puja Ahluwalia, Lisa Avery, Kelly K O'Brien
{"title":"Qualitative insights from an online community-based exercise intervention for persons living with HIV.","authors":"Francisco Ibáñez-Carrasco, Kiera McDuff, George Da Silva, Ahmed M Bayoumi, Soo Chan Carusone, Mona Loutfy, Ada Tang, Puja Ahluwalia, Lisa Avery, Kelly K O'Brien","doi":"10.3389/fresc.2025.1602007","DOIUrl":"10.3389/fresc.2025.1602007","url":null,"abstract":"<p><strong>Introduction: </strong>Online community-based exercise (CBE) is a rehabilitation strategy that can promote health outcomes among people living with HIV. We aimed to describe experiences implementing a community-based exercise (CBE) intervention with adults living with HIV.</p><p><strong>Methods: </strong>We conducted a longitudinal qualitative descriptive study involving interviews with adults living with HIV and persons implementing an online tele-coaching CBE intervention. Leveraging community-based research principles, the intervention aimed to improve physical activity engagement and health outcomes through online individualized coaching, online YMCA resources, and wearable fitness technology. We analyzed interviews with adults living with HIV and representatives involved in CBE implementation at baseline (month 0), end of intervention (6 months), and end of follow-up phase (12 months).</p><p><strong>Results: </strong>Thirteen adults living with HIV and eight representatives involved in CBE implementation participated in the study (43 interviews total). Key themes included the \"four Cs\": Cost, Care, Comfort, and Convenience that encapsulated participants' perceptions of financial barriers, need for holistic healthcare integration, importance of stigma-free and emotionally supportive environments, and accessibility of health interventions.</p><p><strong>Discussion: </strong>Results underscore the critical role of inclusive and adaptable exercise programs in addressing the complex needs of individuals with chronic, episodic conditions such as HIV, and the value of participatory, community-driven methodologies in designing effective and equitable health interventions.</p><p><strong>Clinical trial registration: </strong>NCT05006391.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1602007"},"PeriodicalIF":1.9,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12415039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031235","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}
引用次数: 0
Upper limb motor recovery in chronic stroke-longitudinal aggregate analysis from control group outcomes. 慢性脑卒中患者上肢运动恢复-对照组结果纵向汇总分析。
IF 1.9
Frontiers in rehabilitation sciences Pub Date : 2025-08-22 eCollection Date: 2025-01-01 DOI: 10.3389/fresc.2025.1448174
Fabien Scalzo, Robert A Coker, Lauren Souders, Leo Petrossian, Kern Bhugra, Lauren Sheehan, Eric C Leuthardt, Alexander R Carter
{"title":"Upper limb motor recovery in chronic stroke-longitudinal aggregate analysis from control group outcomes.","authors":"Fabien Scalzo, Robert A Coker, Lauren Souders, Leo Petrossian, Kern Bhugra, Lauren Sheehan, Eric C Leuthardt, Alexander R Carter","doi":"10.3389/fresc.2025.1448174","DOIUrl":"10.3389/fresc.2025.1448174","url":null,"abstract":"<p><strong>Introduction: </strong>This study examines the effects of regular physical activity on upper extremity motor recovery during the late subacute and chronic phases of stroke.</p><p><strong>Methods: </strong>Data were aggregated from 20 studies comprising 368 participants in control groups receiving usual care or general rehabilitation without specialized interventions. To isolate the impact of non-specific physical activity, studies involving robotics or task-specific therapies were excluded.</p><p><strong>Results: </strong>The primary outcome was the change in Fugl-Meyer Assessment of Upper Extremity (FMA-UE) motor scale. The pooled effect size for FMA-UE change was small and non-significant (Cohen's <i>d</i> = 0.11, 95% CI: -0.05 to 0.26, <i>p</i> > 0.05), indicating that general physical activity alone may result in limited improvements in upper extremity function in chronic stroke. Heterogeneity across studies was low, and no evidence of publication bias was found.</p><p><strong>Discussion: </strong>These findings provide a quantitative benchmark for expected gains from general activity and offer a reference for interpreting outcomes in future stroke rehabilitation trials lacking control groups.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1448174"},"PeriodicalIF":1.9,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016798","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}
引用次数: 0
Effectiveness and cost savings of employing speech therapists in a home artificial nutrition unit. 在家庭人工营养单元中使用语言治疗师的有效性和成本节约。
IF 1.9
Frontiers in rehabilitation sciences Pub Date : 2025-08-20 eCollection Date: 2025-01-01 DOI: 10.3389/fresc.2025.1553818
Alice Di Battista, Ylenia Di Giancaterino, Lucia Di Palma, Claudia Nunziata, Loredana Gigli, Antonio Vivenzio, Alessandra Matano
{"title":"Effectiveness and cost savings of employing speech therapists in a home artificial nutrition unit.","authors":"Alice Di Battista, Ylenia Di Giancaterino, Lucia Di Palma, Claudia Nunziata, Loredana Gigli, Antonio Vivenzio, Alessandra Matano","doi":"10.3389/fresc.2025.1553818","DOIUrl":"10.3389/fresc.2025.1553818","url":null,"abstract":"<p><p>The Home Artificial Nutrition Unit (HANU) deals with both dysphagic patients receiving enteral and parenteral nutrition and patients who can eat orally with restrictions. In the Lazio Region, the HANU prescribes water gels and thickeners, supplied by the National Health Service (NHS), for safe hydration. Before the employment of a Speech and Language Pathologist (SLP) in the HANU (January 2023), prescriptions were standardized, regardless of the swallowing impairment severity: four jars of thickeners per patient/month and six water gels daily. The Clinical Swallowing Evaluation (CSE) made by the SLP allowed to customize the amount of thickeners and water gels based on the actual needs of the patient. The aim of this study is to investigate the cost savings resulting from the employment of an SLP in the HANU. A descriptive retrospective study was conducted, which analyzed the SLP activity in the HANU of ASL Roma 3 (January-December 2023). The study group consisted of 149 patients (61 males, 88 females with a mean age of 76.2 years) with different pathologies. The cost of each product (thickeners and gelified water) was provided by the Regional Pharmacy. The annual savings were calculated as the difference between the standardized prescription of products (as usual care in our department) and personalized prescription after SLP assessment. Since January 2023, there has been an increasing trend in requests for SLP assessments. The employment of an SLP in the HANU resulted in an annual economic saving of €30,278.67. This preliminary study shows how the employment of an SLP in the HANU can reduce inappropriate prescriptions of thickeners and water gels, thus ensuring cost savings.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1553818"},"PeriodicalIF":1.9,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12405277/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002066","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}
引用次数: 0
Global response to physiotherapy services disruptions during the COVID-19 pandemic and the level of preparedness for the next health emergency. 全球对2019冠状病毒病大流行期间物理治疗服务中断的反应以及对下一次突发卫生事件的准备水平。
IF 1.9
Frontiers in rehabilitation sciences Pub Date : 2025-08-18 eCollection Date: 2025-01-01 DOI: 10.3389/fresc.2025.1614604
Heidi Kosakowski, Peter Skelton, Wouter De Groote, Jonathon Kruger, Flavio Salio
{"title":"Global response to physiotherapy services disruptions during the COVID-19 pandemic and the level of preparedness for the next health emergency.","authors":"Heidi Kosakowski, Peter Skelton, Wouter De Groote, Jonathon Kruger, Flavio Salio","doi":"10.3389/fresc.2025.1614604","DOIUrl":"10.3389/fresc.2025.1614604","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic was a global health emergency that severely impacted physiotherapy and other rehabilitation services. The purpose of this study is to describe mitigation strategies developed for physiotherapy service disruptions during the COVID-19 pandemic and the level of integration of physiotherapy services into health emergency preparedness planning in countries/territories of World Physiotherapy member organisations.</p><p><strong>Methods: </strong>The 2022 World Physiotherapy annual membership census (AMC) included questions on health emergency preparedness planning and mitigation strategies in line with WHO recommendations. Quantitative analysis was conducted on response frequencies and disaggregated into World Physiotherapy regions and country/territory income level classifications.</p><p><strong>Results: </strong>116 out of 125 World Physiotherapy member organisations (MOs) participated in the census. 24% of all participating MOs reported not adopting any of the listed mitigation strategies to overcome physiotherapy service disruptions in their country/territory during the COVID-19 pandemic. 64% of participating MOs reported that physiotherapy services were not included in any health emergency preparedness component for rehabilitation in their country/territory.</p><p><strong>Discussion: </strong>There are low levels of integration of physiotherapy services into national and subnational health emergency preparedness planning. A country's income level does not appear to be a major determinant of emergency preparedness.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1614604"},"PeriodicalIF":1.9,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12399563/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994770","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}
引用次数: 0
Using photovoice to engage underserved children with neurodevelopmental disorders and their caregivers in health research: a mixed methods systematic review. 在健康研究中使用photovoice来吸引缺乏服务的神经发育障碍儿童及其照顾者:一项混合方法的系统回顾。
IF 1.9
Frontiers in rehabilitation sciences Pub Date : 2025-08-15 eCollection Date: 2025-01-01 DOI: 10.3389/fresc.2025.1638513
Miriam Gonzalez, Paul Y Yoo, Samantha E Noyek, Brooke MacLeod, Michelle Kee, Michelle Phoenix, Samantha K Micsinszki, Marion Knutson, Christine J Neilson, Roberta L Woodgate
{"title":"Using photovoice to engage underserved children with neurodevelopmental disorders and their caregivers in health research: a mixed methods systematic review.","authors":"Miriam Gonzalez, Paul Y Yoo, Samantha E Noyek, Brooke MacLeod, Michelle Kee, Michelle Phoenix, Samantha K Micsinszki, Marion Knutson, Christine J Neilson, Roberta L Woodgate","doi":"10.3389/fresc.2025.1638513","DOIUrl":"10.3389/fresc.2025.1638513","url":null,"abstract":"<p><strong>Introduction: </strong>Limited guidance exists for researchers wanting to use photovoice to engage children with neurodevelopmental disorders (NDDs), 0-25 years, and their caregivers in health research. This mixed-methods systematic review synthesized photovoice research with this population with attention to children and caregivers from diverse backgrounds. Diversity of study participants, research areas that have used photovoice with this population, feasibility considerations (adaptations, contextual considerations, practicality), and recommendations provided by study authors were of interest.</p><p><strong>Methods: </strong>We searched five databases and limited the search to English or French language publications. Eighteen studies met the inclusion criteria. We used a convergent integrated synthesis approach as well as qualitative content analysis to synthesize data from included studies.</p><p><strong>Results: </strong>The majority of children and caregivers in selected studies were white. Selected studies focused primarily on autism spectrum disorder (<i>n</i> = 12) followed by intellectual disability (<i>n</i> = 3). Photovoice has been used across six research areas relevant to individual, interpersonal, and organizational level influences on an individual's life. Authors of selected studies faced various contextual considerations (e.g., requiring flexibility) and made adaptations (e.g., using smiley/sad faces to monitor assent) to facilitate research participation. Authors reported photovoice as valuable and useful and provided implementation recommendations (e.g., work one-on-one with participants) and future research directions (e.g., using photovoice with nonverbal children) to advance the use of this methodology.</p><p><strong>Discussion: </strong>Our findings support using photovoice to explore the lived experience of this population, provide guidance to health and rehabilitation researchers seeking inclusive, person-centred approaches to engaging participants in research, and have direct implications for practice.</p><p><strong>Systematic review registration: </strong>https://osf.io/3xsak/.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1638513"},"PeriodicalIF":1.9,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980979","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}
引用次数: 0
Aligning metrics with meaning: considerations for measurement selection in disability evaluation. 使量度与意义一致:残疾评估中量度选择的考虑。
IF 1.9
Frontiers in rehabilitation sciences Pub Date : 2025-08-14 eCollection Date: 2025-01-01 DOI: 10.3389/fresc.2025.1657105
Elizabeth Marfeo, Elizabeth K Rasch, Kathleen Coale, Julia Porcino, Leighton Chan
{"title":"Aligning metrics with meaning: considerations for measurement selection in disability evaluation.","authors":"Elizabeth Marfeo, Elizabeth K Rasch, Kathleen Coale, Julia Porcino, Leighton Chan","doi":"10.3389/fresc.2025.1657105","DOIUrl":"10.3389/fresc.2025.1657105","url":null,"abstract":"<p><p>This article explores the role of patient-reported outcome measures (PROMs) in disability evaluation, a measurement domain traditionally dominated by clinical performance-based assessments. While performance tests are valued for their perceived objectivity, PROMs have gained prominence in research for their efficiency, patient-centered orientation, and capacity to capture subjective experiences relevant to functional decline related to potentially disabling conditions. The manuscript underscores the importance of aligning measurement tools with the specific purpose of evaluation-whether clinical, policy-driven, or programmatic. Using the Work Disability Functional Assessment Battery (WD-FAB) as an illustrative case, it compares the strengths and limitations of PROMs and performance-based tools in evaluating mental and physical function in the context of disability assessment. PROMs such as the WD-FAB can systematically and efficiently generate scores that represent function across multiple domains of function (e.g., mood and emotion, mobility, cognition) and are particularly well-suited for detecting change over time in large-scale applications. In contrast, performance-based assessments, while useful in certain clinical scenarios, are often resource-intensive and may not accurately reflect real-world functioning. The paper argues that although PROMs should not replace performance measures entirely, they represent a valuable and often preferable alternative or complement in many disability evaluation contexts. Ultimately, the choice of assessment tool should consider the intended use, resource constraints, and the need for comprehensive, patient-centered data.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1657105"},"PeriodicalIF":1.9,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12391044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144981060","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}
引用次数: 0
Novel magnetic resonance imaging methodology for dynamic visualization of respiratory thoracic motion: a pilot feasibility study. 用于呼吸胸部运动动态可视化的新型磁共振成像方法:一项试点可行性研究。
IF 1.9
Frontiers in rehabilitation sciences Pub Date : 2025-08-12 eCollection Date: 2025-01-01 DOI: 10.3389/fresc.2025.1540183
Masaaki Kobayashi, Hideyuki Fukubayashi, Katsuma Iwai, Kazumo Miura, Akio Yamamoto, Kumiko Ono, Akinori Miki, Takashi Ueguchi, Akira Ishikawa
{"title":"Novel magnetic resonance imaging methodology for dynamic visualization of respiratory thoracic motion: a pilot feasibility study.","authors":"Masaaki Kobayashi, Hideyuki Fukubayashi, Katsuma Iwai, Kazumo Miura, Akio Yamamoto, Kumiko Ono, Akinori Miki, Takashi Ueguchi, Akira Ishikawa","doi":"10.3389/fresc.2025.1540183","DOIUrl":"https://doi.org/10.3389/fresc.2025.1540183","url":null,"abstract":"<p><strong>Introduction: </strong>Positional management is important in respiratory rehabilitation. Current magnetic resonance (MR) imaging techniques for visualizing respiratory mechanics are limited by external pressure from receiver coils or spatial restrictions within the bore, and there is no established method for visualizing respiratory movements in the semi-prone position. Therefore, we aimed to develop a novel MR imaging and analysis method for visualizing thoracic movements during free breathing, enabling assessment of positional effects.</p><p><strong>Methods: </strong>Five healthy male participants were enrolled. MR images were obtained in the supine and semi-prone positions using a fast imaging sequence, allowing for continuous dynamic imaging during deep breathing. Subsequently, an image processing pipeline was applied to enhance visibility. The thoracic expansion was measured and compared between the two positions. Intra- and interobserver reproducibility and test-retest reproducibility were assessed using intraclass correlation coefficients (ICCs).</p><p><strong>Results: </strong>The proposed method enabled successful dynamic visualization of thoracic movements without using a receiver coil. A significant difference in thoracic expansion between the supine and semi-prone positions was observed in the head-foot and right-left directions. Head-foot expansion was greater in the supine position, while right-left expansion was greater in the semi-prone position. No significant differences were found in the anterior-posterior direction. Both intra- and interobserver reproducibility were high, with ICCs exceeding 0.9 for most thoracic expansion measurements. Test-retest reproducibility also demonstrated high agreement for most measurements, with ICCs ranging from 0.74 to 0.97 across different directions and positions.</p><p><strong>Conclusion: </strong>The developed MR imaging method allows for noninvasive visualization of thoracic movements during natural breathing with robust reproducibility. This method could provide valuable insights into respiratory mechanics, supporting its clinical application in respiratory rehabilitation.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1540183"},"PeriodicalIF":1.9,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144980997","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}
引用次数: 0
Use of emerging technologies in rehabilitation education and practice. 新兴技术在康复教育和实践中的应用。
IF 1.9
Frontiers in rehabilitation sciences Pub Date : 2025-08-11 eCollection Date: 2025-01-01 DOI: 10.3389/fresc.2025.1655454
Cristina Dumitrescu
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