Frontiers in rehabilitation sciences最新文献

{"title":"Integration of resistance exercise into a multimodal approach to prehabilitation for patients with sarcopenia prior to surgery: a narrative review.","authors":"Harsh Patel, Khang Duy Ricky Le, Annie Jiao Wang, Samuel Boon Ping Tay","doi":"10.3389/fresc.2025.1481233","DOIUrl":"https://doi.org/10.3389/fresc.2025.1481233","url":null,"abstract":"<p><strong>Introduction: </strong>Sarcopenia describes the process of progressive, generalised loss of skeletal muscle mass and strength, and has been recognised as a predictor of postoperative complications and mortality. Prehabilitation represents a clinical strategy where patients undergo both physical and psychological strategies in order to improve their functional capacity prior to surgery. Importantly, prehabilitation programs have been considered as an area of perioperative optimisation to address sarcopenia. However, the optimal prehabilitation program regimen remains poorly characterised. Instead of suggesting a novel prehabilitation strategy for sarcopenic patients, this review seeks to characterise the best-practice modalities and methods of resistance training as a component of multimodal prehabilitation to improve patient outcomes following surgery.</p><p><strong>Methods: </strong>A narrative review was performed following a search of Medline and Embase databases.</p><p><strong>Results: </strong>There is significant heterogeneity in the literature regarding best-practive resistance exercise regimens for patients with sarcopenia who are awaiting surgery. Overall, the literature highlights that programs with early involvement of clinicians, dietitians, nutritionists, and psychological support programs have been shown to improve patient outcomes compared to programs that did not. Additionally, asides from muscular hypertrophy, resistance exercise programs have been shown to have a multifactorial impact on sarcopenia, synergistically improving the domains of nutrition, mental health, hormonal imbalance, and chronic inflammation. The ideal approach to resistance exercise remains poorly understood, with a paucity of evidence surrounding the best methods for delivering such regimens. Despite this, key considerations revealed by this review include the need for prehabilitation clinicians to consider key aspects of resistance training including training volume, intensity with consideration into periodisation and progressive overload. Collaboration with multidisciplinary networks such as physiotherapists, exercise physiologists and personal trainers should be considered to ensure a safe and injury-free approach to resistance exercise in prehabilitation.</p><p><strong>Conclusion: </strong>While there remains a lack of standardisation of prehabilitation protocols, the evidence suggests that multimodal prehabilitation should be considered in evidence-based frameworks to improve patient outcomes following surgery. In particular, the ability of resistance exercises to address multiple domains relevant to sarcopenia, thereby enhancing patient outcomes beyond pure hypertrophy and playing a key role in prehabilitation.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1481233"},"PeriodicalIF":1.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12106015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163293","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":"Staff perspectives on independence and collaborative practices in the IRIS intervention: an evaluation in Swedish LSS residential homes.","authors":"Sylvia Olsson, Carina Loeb, Munir Dag","doi":"10.3389/fresc.2025.1571233","DOIUrl":"https://doi.org/10.3389/fresc.2025.1571233","url":null,"abstract":"<p><strong>Background and purpose: </strong>Intensive Rehabilitation Coordination (IRIS), is an intensive, health-promoting habilitative intervention designed to prevent, reduce, and compensate for individuals' support needs while enhancing their independence. The purpose of this study is to explore staff experiences with the IRIS intervention in a municipality's LSS residential homes, with a focus on how independence is defined and operationalized and the resulting impact on service delivery.</p><p><strong>Methods: </strong>A qualitative study was conducted in which staff from various LSS residential homes were interviewed. The interviews were structured to examine differences in the interpretation of independence, the strategies used to support service users, and the collaborative nature of the intervention. Participants were asked to describe their approaches to encouraging or supporting independence in daily tasks and their interactions with quality coordinators.</p><p><strong>Results: </strong>The analysis revealed a lack of a shared definition of independence among staff, leading to varied approaches in supporting service users. Some staff members actively promoted independence by encouraging service users to perform everyday tasks on their own, while others performed these tasks for the service users due to practical considerations such as convenience and efficiency. Despite these variations, staff reported that service users still have the opportunity to make their own decisions regarding daily activities. Overall, the IRIS intervention was viewed positively, with its collaborative implementation cited as a key strength.</p><p><strong>Discussion: </strong>The findings suggest that the absence of a unified conceptualization of independence can lead to inconsistent practices in LSS residential homes, potentially affecting the effectiveness of the intervention. The collaborative approach of IRIS, which fosters joint efforts among municipal professionals, appears to be instrumental in understanding and addressing service users' needs. Future research should focus on establishing a more standardized definition of independence to improve intervention consistency and outcomes for service users.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1571233"},"PeriodicalIF":1.3,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152517","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":"Oropharyngeal dysphagia management and informed consent: a survey of speech-language pathologists' practice patterns when recommending modified texture diets.","authors":"Matthew G Ward, Angela S Bowman","doi":"10.3389/fresc.2025.1520240","DOIUrl":"10.3389/fresc.2025.1520240","url":null,"abstract":"<p><strong>Purpose: </strong>The modification of diet textures and liquid viscosity represents the primary form of management of oropharyngeal dysphagia (OD) by speech-language pathologists (SLPs). Despite the ubiquitous use of modified texture diets (MTDs) to prevent aspiration in an attempt to prevent pneumonia, there is no convincing evidence that consumption of MTDs protects individuals with dysphagia from developing pneumonia. Furthermore, informed consent is required for the prescription of MTDs. To date, no study has investigated if practicing SLPs know the risks associated with MTDs, consider the risks when making clinical decisions, and disclose those risks to their patients.</p><p><strong>Method: </strong>Thirteen negative health outcomes associated with MTDs were identified in the research literature. A web-based survey was created and distributed. Participants were asked to identify known risks associated with MTDs, how often they considered the risks associated with MTDs before recommending them, and how often they informed patients with OD of the known risks associated with MTDs.</p><p><strong>Results: </strong>Only 6.3% of the SLPs surveyed identified all thirteen listed health risks associated with MTDs, and greater than one in five respondents (<i>n</i> = 55; 21.7%) were unable to select even one known risk. Seventy percent (<i>n</i> = 140) of participants indicated that they \"almost always\" weigh the risks associated with drinking thickened liquids, and fifty-four percent of respondents (<i>n</i> = 108) specified that they \"almost always\" weigh the risks associated with consuming modified texture solids. Less than half of the participants (<i>n</i> = 99; 49.7%) stated that they \"almost always\" inform the patient of the risks associated with thickened liquids and 39.9% (<i>n</i> = 79) indicated that they \"almost always\" inform patients of the risks associated with altered texture solids.</p><p><strong>Conclusions: </strong>Participants demonstrated poor overall knowledge of the hazards associated with MTDs, limited consideration of known risks of MTDs, and suboptimal levels of disclosure of the risks associated with MTDs to patients with OD.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1520240"},"PeriodicalIF":1.3,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144767","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: Vestibular rehabilitation, neuromodulation and balance in clinical applications of neurology and otoneurology: what is the recent evidence from basic and clinical research?","authors":"Michael C Schubert, Catarina Costa Boffino","doi":"10.3389/fresc.2025.1602044","DOIUrl":"https://doi.org/10.3389/fresc.2025.1602044","url":null,"abstract":"","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1602044"},"PeriodicalIF":1.3,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12094931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129687","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":"Responsiveness and minimal important differences of common disability measures in people with depression and anxiety disorders.","authors":"Edimansyah Abdin, Vanessa Seet, Anitha Jeyagurunathan, Sing Chik Tan, Muhammad Iskandar Shah Mohmad Khalid, Yee Ming Mok, Swapna Kamal Verma, Mythily Subramaniam","doi":"10.3389/fresc.2025.1556390","DOIUrl":"https://doi.org/10.3389/fresc.2025.1556390","url":null,"abstract":"<p><strong>Background: </strong>The Sheehan Disability Scale (SDS), World Health Organization Disability Assessment Schedule 2.0 12-item version (WHODAS 2.0), and Social and Occupational Functioning Assessment Scale (SOFAS) are commonly used disability measures in patients with depression and anxiety disorders. The current study aimed to compare the responsiveness of these three disability measures and establish their minimal important differences (MID) in the same population.</p><p><strong>Methods: </strong>A total of 308 patients (M = 36.1, SD = 12.7) who were recruited from outpatient clinics and completed all measures at the two assessment points were included in the current study. The MID was estimated using a triangulation approach while the internal and external responsiveness was evaluated using standardized response mean and receiver operating characteristic curves, respectively.</p><p><strong>Results: </strong>The best MID estimates for the WHODAS, SDS, and SOFAS were three, four, and six points, respectively. The internal responsiveness analysis showed that all three disability measures were well responsive in patients with improved or stable Patient Health Questionnaire-8 and Generalized Anxiety Disorder-7 scores at the 6-month follow-up. Meanwhile, the external responsiveness analysis demonstrated that all three disability measures showed adequate responsiveness to improvement, with AUC values of at least 0.7. However, when improvement criteria incorporated MID, only WHODAS was found to be adequately responsive.</p><p><strong>Conclusion: </strong>The results of this study will be a helpful guide for clinicians to track and detect meaningful improvements in patient functioning, ensuring continued high-quality clinical care and management.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1556390"},"PeriodicalIF":1.3,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12075521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082525","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":"Development, Urdu translation, and validation of a lifestyle modification manual for patients post-total knee replacement.","authors":"Samreen Sadiq, Rabiya Noor, Hafiz Muhammad Asim","doi":"10.3389/fresc.2025.1565544","DOIUrl":"10.3389/fresc.2025.1565544","url":null,"abstract":"<p><strong>Objective: </strong>Development, Urdu translation, and content validation of a manual on lifestyle modifications for individuals post-total knee replacement.</p><p><strong>Methods: </strong>A methodological study design was utilized in which a thorough literature review and a group interview with eight subjects were conducted, which led to the identification of domains and generation of items. The group consisted of 10 patients who had undergone total knee arthroplasty and five caregivers. A focal group discussion was conducted to evaluate the overlay and repetition among variable items. Two series of content validation were conducted by four content experts and four untrained individuals in English and Urdu. A revision was conducted for items with scores between 0.70 and 0.79 and retention was conducted for items that scored more than 0.79. Items with a content validity index score of less than 0.70 were omitted from the final set of items.</p><p><strong>Results: </strong>The initial review and focus group interview finalized 53 items in the exercise, education, and diet sections. After the discussion phase, the manual was tailored to 34 items. Content validation reported that the English version of the manual received validation scores of 0.864 and 0.858 for relevance and clarity, respectively. Likewise, the Urdu version of the manual attained Scale-Content Validity Index/Average scores of 0.864 and 0.900, respectively, for these metrics.</p><p><strong>Conclusion: </strong>A 34-item lifestyle modification manual was generated and its content was thoroughly validated to provide detailed guidance and instructions, enabling patients to continue their rehabilitation exercises and lifestyle modifications in the comfort of their own homes. The manual shows strong content validity, particularly for our target population in Pakistan.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1565544"},"PeriodicalIF":1.3,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014266","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":"Short-term effects of percutaneous electrical nerve stimulation on pain and muscle function in patients undergoing anterior cruciate ligament surgery: a randomized clinical trial.","authors":"Julio Caballero-López, Marcos Navarro-Santana, Jaime Almazán-Polo, Fernando García-Sanz, María José Díaz-Arribas, Francisco Minaya-Muñoz, Carlos Romero-Morales","doi":"10.3389/fresc.2025.1501703","DOIUrl":"10.3389/fresc.2025.1501703","url":null,"abstract":"<p><strong>Introduction: </strong>Anterior cruciate ligament (ACL) reconstruction surgery is associated with the presence of anterior knee pain and knee extension weakness. Percutaneous electrical nerve stimulation (PENS) is a minimally invasive technique with the objective of neuromodulating the symptoms derived from the intervention. The objective of the study is to analyze the short-term effect of the use of the PENS technique in patients undergoing ACL surgery.</p><p><strong>Materials and methods: </strong>A randomized clinical trial was carried out at the CEMTRO clinic in Madrid with 70 participants (<i>N</i> = 70) where the effect of the PES intervention in combination with a rehabilitation program (<i>n</i> = 35) was compared against a control group of rehabilitation (<i>n</i> = 35). The study analyzed changes in pain intensity, pressure pain threshold (PPT) of the vastus medialis, vastus lateralis, quadriceps and patellar tendons, isometric knee extension strength and range of motion of the knee.</p><p><strong>Results: </strong>Differences were determined in the PENS group compared to the rehabilitation group immediately after the first intervention in the reduction of pain intensity through the VAS scale and in knee extension isometric strength (<i>p</i> < 0.05). Both groups showed differences after 12 weeks in the range of motion of the knee in knee flexion and extension, as well as in the PPT of the patellar tendon.</p><p><strong>Conclusion: </strong>The PENS intervention combined with a rehabilitation program compared to an isolated rehabilitation program showed a short-term reduction in pain intensity and an increase in isometric strength in knee extension in patients undergoing ACL surgery.</p><p><strong>Clinical trial registration: </strong>[ClinicalTrials.gov], identifier [NCT05606250].</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1501703"},"PeriodicalIF":1.3,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12069260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054607","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 symbolic intersecting ableism and racism scale.","authors":"Carli Friedman","doi":"10.3389/fresc.2025.1576357","DOIUrl":"https://doi.org/10.3389/fresc.2025.1576357","url":null,"abstract":"<p><strong>Introduction: </strong>Intersectionality recognizes and maps the ways oppressions interact and intersect for multiply marginalized people. This framework is a pushing back against the historical approach to discrimination that has taken a \"single-axis\" view of discrimination, focusing on one single type of oppression, even for people with multiple identities. Little attention has been drawn to intersectionality when it comes to disability, especially related to disability and race.</p><p><strong>Objective: </strong>In recognition of the intersectional nature of ableism and racism, the aim of this study was to develop and validate the Symbolic Intersecting Ableism and Racism Scale (SIARS).</p><p><strong>Materials and methods: </strong>We piloted the SIARS with 512 people (July-October 2024) and conducted an exploratory factor analysis to examine the underlying structure of the SIARS.</p><p><strong>Results: </strong>The SIARS has adequate validity and reliability. Our findings suggest the SIARS is comprised of a complex combination of a denial of continuing discrimination, individualism, and empathy. The findings also indicated many points of contention with the single-axis symbolic ableism scale measure, which examines disability only, further reinforcing the need to measure and attend to intersectionality.</p><p><strong>Conclusion: </strong>Without doing so, we will never truly be able to dismantle oppression and discrimination, including the ableism disabled people face.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1576357"},"PeriodicalIF":1.3,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060188","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":"Evaluating the disability employment gap and Its determinants: findings from a population-based cohort study in spinal cord injury.","authors":"Mahesh Sarki, Urban Schwegler, George Austin-Cliff, Mayra Galvis Aparicio, Christine Reuse, Martin W G Brinkhof","doi":"10.3389/fresc.2025.1572158","DOIUrl":"https://doi.org/10.3389/fresc.2025.1572158","url":null,"abstract":"<p><strong>Introduction: </strong>The disability employment gap (DEG) is instrumental in monitoring social progress and employment inequalities. This study evaluated the DEG and its determinants among people with spinal cord injury (SCI) in Switzerland.</p><p><strong>Methods: </strong>Employment data from three consecutive population-based surveys were analyzed and compared with the general Swiss population, matched according to sex, age, year, and region of residence. Mixed-effects Poisson regression modelling was applied to evaluate the determinants of labor market participation (LMP) and derive marginal predictions for the DEG.</p><p><strong>Results: </strong>DEGs decreased over calendar time, with individuals with complete tetraplegia exhibiting the most substantial reduction (2012: -37%, 2022: -25%); however, their probability of LMP in 2022 remained 25% lower than those with incomplete paraplegia. The DEG marginally increased among those with the fewest years of education (0-9) (2012: -48.1%, 2022: -49.2%). Regional disparities were also observed.</p><p><strong>Conclusions: </strong>Our findings indicate improved LMP opportunities in the Swiss SCI population, but also highlight the need to promote access to quality employment opportunities, vocational education, and training programs for severely injured individuals with low education. Additionally, efforts should be made to ensure equal LMP prospects across Switzerland.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1572158"},"PeriodicalIF":1.3,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12062058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042197","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 comparative study of blood pressure submission between mobilec app users and non-users in Romania: a pilot cohort study.","authors":"Liviu Ionut Serbanoiu, Stefan Sebastian Busnatu, Andreea Elena Lacraru, Maria Alexandra Pana, Suzana Guberna, Dragos Trache, Plesu Elena, Catalina Liliana Andrei, Crina Sinescu","doi":"10.3389/fresc.2025.1580991","DOIUrl":"https://doi.org/10.3389/fresc.2025.1580991","url":null,"abstract":"<p><strong>Introduction: </strong>Cardiovascular diseases (CVD) represent a major public health concern in Romania. Despite the importance of home blood pressure (BP) monitoring, adherence to this practice remains limited. With the growing availability of eHealth solutions, this study aimed to evaluate the user experience and engagement of individuals with and without CVD in using telemonitoring technology.</p><p><strong>Methods: </strong>A prospective cohort study was conducted involving 24 participants who used a smartwatch application for telemonitoring. In addition, 176 participants who did not use the application were surveyed through an online questionnaire to serve as a comparison group. Participants were included regardless of CVD status. Data collected included blood pressure submission frequency, app usage metrics, and daily step counts. The cohort using the smartwatch app was observed over a 60-day period.</p><p><strong>Results: </strong>Among the participants, 58.3% were male and 41.7% were female, with a mean age of 50.57 years. The average number of active app usage days was 47.5 out of 60, and blood pressure was submitted on average 31.79 days. The average daily step count was 4,624 steps. In comparison, the reference group (non-app users) submitted BP data on average 7.41 days out of 60. A positive correlation was observed between active usage and BP submissions in the app group, indicating higher engagement with the telemonitoring intervention. Variability in user involvement was noted, with moderate but periodic participation.</p><p><strong>Discussion: </strong>This pilot study suggests that Romanian patients are more likely to engage with mobile health technologies for hypertension management compared to traditional care approaches. The use of telemonitoring devices was associated with greater adherence to vital sign reporting. However, limitations such as small sample size, potential self-selection bias, and lack of randomization must be considered. Further research with larger, randomized control trials and extended follow-up is necessary to validate these findings. Empowering patients through eHealth solutions, alongside clinician support, may help mitigate the burden of cardiovascular diseases in Romania.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1580991"},"PeriodicalIF":1.3,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12062177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013753","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}