Frontiers in rehabilitation sciences最新文献_第10页

Functional and perceptive differences between conventional and advanced ankle foot orthoses in community ambulators post-limb trauma: the injuries managed with advanced bracing of the lower extremity (IM ABLE) study. 传统踝足矫形器和先进踝足矫形器在社区救护者肢体创伤后的功能和感知差异：下肢先进支架治疗损伤（IM ABLE）研究。

IF 1.3

Frontiers in rehabilitation sciences Pub Date : 2024-07-01 eCollection Date: 2024-01-01 DOI: 10.3389/fresc.2024.1277509

M Jason Highsmith, Rebecca M Miro, Michael Kartel, Anita Ramrattan, Angela Courtade, Jeffrey T Heckman, Samuel L Phillips, Shane R Wurdeman, Thomas V DiBello, Dwiesha L England, Phillip M Stevens, James H Campbell, Michael J Hyre, Jason T Maikos, Owen T Hill, Stephanie L Carey

{"title":"Functional and perceptive differences between conventional and advanced ankle foot orthoses in community ambulators post-limb trauma: the injuries managed with advanced bracing of the lower extremity (IM ABLE) study.","authors":"M Jason Highsmith, Rebecca M Miro, Michael Kartel, Anita Ramrattan, Angela Courtade, Jeffrey T Heckman, Samuel L Phillips, Shane R Wurdeman, Thomas V DiBello, Dwiesha L England, Phillip M Stevens, James H Campbell, Michael J Hyre, Jason T Maikos, Owen T Hill, Stephanie L Carey","doi":"10.3389/fresc.2024.1277509","DOIUrl":"10.3389/fresc.2024.1277509","url":null,"abstract":"Introduction: Many military service members and civilians suffer from lower extremity trauma. Despite recent advancements in lower limb bracing technology, it remains unclear whether these newer advanced braces offer improved comfort and functionality compared to conventional options. The IDEO (Intrepid Dynamic Exoskeletal Orthosis), a type of \"advanced\" orthosis was developed to assist in maintaining high functional performance in patients who have experienced high-energy lower extremity trauma and underwent limb salvage surgeries.Methods: A cross-sector multi-site initiative was completed to study the efficacy of advanced ankle foot orthoses (AFO) for lower limb trauma and injury compared to a conventional AFO. Following fitting, training, and accommodation, the subjects were assessed in each AFO system for mobility, self-reported function, safety and pain, and preference.Results: They preferred the advanced over the conventional AFO and the mobility and exertion perception improved with the advanced AFO with no difference in pain or overall health status scores.Discussion: Thus, an advanced AFO is an option for trauma affecting the lower limb. Long-term studies are required to better understand the accommodation and learning process of using an advanced AFO.","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1277509"},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11246986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141621852","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

Selective orthotic constraint of lower limb movement during walking reveals new insights into neuromuscular adaptation. 步行时下肢运动的选择性矫形约束揭示了神经肌肉适应性的新见解。

IF 1.3

Frontiers in rehabilitation sciences Pub Date : 2024-06-27 eCollection Date: 2024-01-01 DOI: 10.3389/fresc.2024.1354115

Christopher F Hovorka, Géza F Kogler, Young-Hui Chang, Robert J Gregor

{"title":"Selective orthotic constraint of lower limb movement during walking reveals new insights into neuromuscular adaptation.","authors":"Christopher F Hovorka, Géza F Kogler, Young-Hui Chang, Robert J Gregor","doi":"10.3389/fresc.2024.1354115","DOIUrl":"10.3389/fresc.2024.1354115","url":null,"abstract":"Introduction: A concern expressed by the clinical community is that the constraint of motion provided by an ankle foot orthosis (AFO) may lead the user to become dependent on its stiffness, leading to learned non-use. To examine this, we hypothesized that using an experimental AFO-footwear combination (exAFO-FC) that constrains ankle motion during walking would result in reduced soleus and tibialis anterior EMG compared to free (exAFO-FC) and control (no AFO, footwear only) conditions.Method: A total of 14 healthy subjects walked at their preferred speed (1.34 ± 0.09 m·s-1) for 15 min, in three conditions, namely, control, free, and stop.Results: During the stance phase of walking in the stop condition, ipsilateral soleus integrated EMG (iEMG) declined linearly, culminating in a 32.1% reduction compared to the control condition in the final 5 min interval of the protocol. In contrast, ipsilateral tibialis anterior iEMG declined in a variable fashion culminating in an 11.2% reduction compared to control in the final 5 min interval. During the swing phase, the tibialis anterior iEMG increased by 6.6% compared to the control condition during the final 5 min interval. The contralateral soleus and tibialis anterior exhibited increased iEMG in the stop condition.Discussion: An AFO-FC functions as a biomechanical motion control device that influences the neural control system and alters the output of muscles experiencing constraints of motion.","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1354115"},"PeriodicalIF":1.3,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11236798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592277","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

Empowering sickle cell disease care: the rise of TechnoRehabLab in Sub-Saharan Africa for enhanced patient's perspectives. 增强镰状细胞病护理能力：技术康复实验室在撒哈拉以南非洲的崛起，提升患者的视角。

IF 1.3

Frontiers in rehabilitation sciences Pub Date : 2024-06-27 eCollection Date: 2024-01-01 DOI: 10.3389/fresc.2024.1388855

Paul Muteb Boma, Suzanne Kamin Kisula Ngoy, Jules Mulefu Panda, Bruno Bonnechère

{"title":"Empowering sickle cell disease care: the rise of TechnoRehabLab in Sub-Saharan Africa for enhanced patient's perspectives.","authors":"Paul Muteb Boma, Suzanne Kamin Kisula Ngoy, Jules Mulefu Panda, Bruno Bonnechère","doi":"10.3389/fresc.2024.1388855","DOIUrl":"10.3389/fresc.2024.1388855","url":null,"abstract":"Sickle-cell Disease (SCD) is a major public health problem in Africa, and there are significant obstacles to its comprehensive management, particularly in terms of access to appropriate healthcare. This calls for inventive approaches to improve patients' prospects. Among the major challenges to be met are the primary and secondary prevention of certain serious complications associated with the disease, such as neurocognitive, motor and respiratory functional disorders. This perspective argues for the rapid creation of specific, cost-effective, technology-supported rehabilitation centres to advance SCD care, identify patients at high risk of stroke and implement tailored rehabilitation strategies. The TechnoRehabLab in Lubumbashi illustrates this shift in thinking by using cutting-edge technologies such as virtual reality (VR), serious games and mobile health to create a comprehensive and easily accessible rehabilitation framework. Diagnostic tools used to perform functional assessment can be used to identify cognitive, balance and walking deficits respectively. Transcranial Doppler enables early detection of sickle cell cerebral vasculopathy, making it possible to provide early and appropriate treatment. VR technology and serious games enable effective rehabilitation and cognitive stimulation, which is particularly advantageous for remote or community-based rehabilitation. In the context of African countries where there is a glaring disparity in access to digital resources, the TechnoRehabLab serves as a tangible example, demonstrating the flexibility and accessibility of technology-assisted rehabilitation. This perspective is an urgent call to governments, non-governmental organisations and the international community to allocate resources to the replication and expansion of similar facilities across Africa.","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1388855"},"PeriodicalIF":1.3,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11236801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592275","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

Participation as a means-implications for intervention reasoning. 参与作为一种手段--对干预推理的影响。

IF 1.3

Frontiers in rehabilitation sciences Pub Date : 2024-06-27 eCollection Date: 2024-01-01 DOI: 10.3389/fresc.2024.1399818

Mats Granlund, Christine Imms

{"title":"Participation as a means-implications for intervention reasoning.","authors":"Mats Granlund, Christine Imms","doi":"10.3389/fresc.2024.1399818","DOIUrl":"10.3389/fresc.2024.1399818","url":null,"abstract":"Introduction: The increased focus among researchers and professionals on participation as an explicit intervention outcome has prompted a paradigm shift in both thought and practice. However, much research centers on altering participation outcomes in specific life situations and stages. This discussion paper considers \"participation as a means\" in pediatric rehabilitation and special education interventions, emphasizing its role in achieving lasting outcomes.Method: This paper uses a Venn diagram approach to consider relations between three core concepts-participation, intervention, and outcomes-and their intersection. The paper's central theme revolves around the intersection of these concepts, wherein participation serves as a means to achieve enduring participation outcomes within the realms of rehabilitation and special education. The discussion is supported by contemporary empirical work and from literature identified in two recent scoping reviews focusing on the intervention process.Results: Achieving enduring participation outcomes through participation in the intervention process necessitates creating a learning experience, with children and families actively participating in every step: identifying participation issues, seeking explanations, prioritizing intervention goals, selecting methods, implementing interventions, and evaluating the process and outcomes.Discussion: This structured approach supports professionals and researchers to foster the skills and capacity required for lasting participation outcomes for children with impairments.","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1399818"},"PeriodicalIF":1.3,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11236800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141592276","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

Patient-reported outcome survey of user-experiences in the spinal cord injured-community with MPPT for treating wounds and pressure injuries and for controlling soft tissue infection caused by osteomyelitis. 脊髓损伤社区用户使用 MPPT 治疗伤口和压力损伤以及控制骨髓炎引起的软组织感染的患者报告结果调查。

IF 1.3

Frontiers in rehabilitation sciences Pub Date : 2024-06-20 eCollection Date: 2024-01-01 DOI: 10.3389/fresc.2024.1386518

Damian Smith, Mark Ridler

{"title":"Patient-reported outcome survey of user-experiences in the spinal cord injured-community with MPPT for treating wounds and pressure injuries and for controlling soft tissue infection caused by osteomyelitis.","authors":"Damian Smith, Mark Ridler","doi":"10.3389/fresc.2024.1386518","DOIUrl":"10.3389/fresc.2024.1386518","url":null,"abstract":"Background: People with spinal cord injury (SCI) are at high risk of developing pressure injuries. Reports in the SCI-community had indicated that a new class of wound treatment, MPPT (micropore-particle-technology), was effective in treating pressure injuries. The British Spinal Injuries Association therefore conducted a survey among MPPT-users to learn from their experiences.Methods: Online survey restricted to individuals with spinal cord injury. Participants were requested to identify themselves to permit validation of statement.Results: The survey had 41 respondents reporting on a total of 49 wounds of which the two main categories were wounds (n = 33), primarily pelvic pressure ulcers; and draining fistulas (n = 9) caused by osteomyelitis. All wounds reported had reached full closure. Median duration of MPPT use and time to closure were 3 and 4 weeks for acute wounds (<6 weeks old) and 8 and 10 weeks for chronic wounds, respectively. On draining fistulas, MPPT had been used to reduce wound size, remove soft tissue infection, avoid sepsis, reduce autonomic dysreflexia, improve overall health, and avoid bed rest, whilst waiting for surgery. Comments on MPPT were 84% highly positive, 11% positive, and 0% negative. No adverse events were reported.Conclusions: MPPT achieved a 100% closure rate of acute and chronic wounds, and, in draining fistulas, effectively controlled soft tissue infection resulting from osteomyelitis. MPPT does not require bed rest and is suitable for self-care and telemedicine, promoting independence and higher quality-of-life. The findings strongly agree with a recent clinical study of MPPT.","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1386518"},"PeriodicalIF":1.3,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11222669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536133","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

A review of evidence on mechanical properties of running specific prostheses and their relationship with running performance. 跑步专用假肢机械性能及其与跑步表现关系的证据综述。

IF 1.3

Frontiers in rehabilitation sciences Pub Date : 2024-06-19 eCollection Date: 2024-01-01 DOI: 10.3389/fresc.2024.1402114

Leila Rahnama, Kimberly Soulis, Mark D Geil

{"title":"A review of evidence on mechanical properties of running specific prostheses and their relationship with running performance.","authors":"Leila Rahnama, Kimberly Soulis, Mark D Geil","doi":"10.3389/fresc.2024.1402114","DOIUrl":"10.3389/fresc.2024.1402114","url":null,"abstract":"Background: Although mechanical properties of running specific prostheses (RSPs) can affect running performance, manufacturers do not consistently report them. This study aimed to review existing literature on RSP mechanical and structural properties and their relationship with running performance.Methods: A comprehensive search was conducted using keywords related to mechanical properties of RSPs and running performance. Search terms included stiffness and hysteresis, as well as performance outcomes including metabolic cost and running speed. Non-peer-reviewed and non-English publications were excluded.Results: Twenty articles were included in the review. Sixteen studies used a material testing machine to measure RSP material properties, and four articles used other techniques including 2D/3D video capture and force platforms. Both measurement techniques and reporting of outcomes were inconsistent, which limits the ability to draw broad conclusions. Additionally, several studies did not report the numerical data for material properties despite measuring them. Relatively few articles measured both material properties and running performance and assessed correlations.Conclusion: Several articles connected prosthesis properties to running performance. However, inconsistent measurement and reporting of mechanical properties, along with the multifactorial nature of the athlete-prosthesis system, limit the ability to draw broad conclusions regarding the relationship between material and structural properties and athlete performance. Current evidence may be useful for clinicians seeking ways to optimize RSP stiffness in a case-by-case basis; however, clinicians would benefit from more consistent and systematic comparisons of the attributes of different RSPs and their role in performance.","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1402114"},"PeriodicalIF":1.3,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11220186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499779","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

Nil per os in the management of oropharyngeal dysphagia-exploring the unintended consequences. 口咽吞咽困难治疗中的 "无"--探讨意外后果。

IF 1.3

Frontiers in rehabilitation sciences Pub Date : 2024-06-18 eCollection Date: 2024-01-01 DOI: 10.3389/fresc.2024.1410023

Michelle Cimoli, Jennifer Gibney, Mathew Lim, Jo Castles, Pedro Dammert

引用次数: 0

Enriching the lives of children with acquired brain injury and their caregivers: experiences from peer mentorship sports camps. 丰富后天性脑损伤儿童及其照顾者的生活：同伴指导运动营的经验。

Frontiers in rehabilitation sciences Pub Date : 2024-05-31 eCollection Date: 2024-01-01 DOI: 10.3389/fresc.2024.1285742

Pia Wedege, Silje Mæland, Anestis Divanoglou, Frank Eirik Abrahamsen

{"title":"Enriching the lives of children with acquired brain injury and their caregivers: experiences from peer mentorship sports camps.","authors":"Pia Wedege, Silje Mæland, Anestis Divanoglou, Frank Eirik Abrahamsen","doi":"10.3389/fresc.2024.1285742","DOIUrl":"10.3389/fresc.2024.1285742","url":null,"abstract":"Peer-based community interventions have shown promise in improving health management and fostering coping skills and psychosocial functioning among individuals with a disability. Active Rehabilitation camps are examples of peer-based community interventions that provide structured, time-limited peer mentorship in conjunction with sports and leisure activities. These camps hold potential benefits for individuals with acquired neurological injury. However, the specific impact of Active Rehabilitation camps on children or individuals with acquired brain injury remains unexplored. In this longitudinal, qualitative study, we explored children with an acquired brain injury and their caregivers' experiences with an Active Rehabilitation camp in Norway through observations and interviews with nine children and ten caregivers. Using an abductive thematic analysis, we identified an overarching theme: Active Rehabilitation peer mentorship camps enrich the lives of children with acquired brain injury and their caregivers. The theme contains three sub-themes: (1) Interacting with peers made me wiser, (2) Nudging from peer mentors made me feel better, and (3) A sense of companionship through meeting peers. Peer mentorship, sports and leisure activities, and the safe camp atmosphere benefitted children with acquired brain injury and their caregivers. The children gained knowledge, motivation, and self-worth, and their caregivers had greater impetus to prioritize their children's independence. Meeting peers and peer mentors led to friendships and sustained social connections. The Self-Determination Theory was of assistance in explaining the informants' experiences. Active Rehabilitation camps provide children with acquired brain injury and their caregivers with an opportunity to develop better coping skills, improve psychological functioning, and build more robust social networks.","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1285742"},"PeriodicalIF":0.0,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11176490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332646","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

Opportunities for play in paediatric healthcare environments: a scoping review. 儿科医疗环境中的游戏机会：范围界定综述。

IF 1.3

Frontiers in rehabilitation sciences Pub Date : 2024-05-30 eCollection Date: 2024-01-01 DOI: 10.3389/fresc.2024.1415609

Clarissa Yu, Sophie Weaver, Meaghan Walker, Julia Hess, Amanda Mac, Timothy Ross

{"title":"Opportunities for play in paediatric healthcare environments: a scoping review.","authors":"Clarissa Yu, Sophie Weaver, Meaghan Walker, Julia Hess, Amanda Mac, Timothy Ross","doi":"10.3389/fresc.2024.1415609","DOIUrl":"10.3389/fresc.2024.1415609","url":null,"abstract":"Play spaces are important components of paediatric healthcare environments. They provide children with critical opportunities to experience the social, emotional, and developmental benefits of play while in healthcare settings for appointments or hospitalizations. These spaces can help to mitigate stress, provide a sense of normalcy in unfamiliar environments, and facilitate social engagement for children and their families. Given the benefits of play spaces in paediatric healthcare settings, it is important to understand how these spaces can be designed to enhance children's inclusion and quality of care. The aim of this scoping review was to explore the current understanding of paediatric play space design. Using search terms related to children, health care, and play space, six interdisciplinary databases were searched over a 30-year period. The search found 2,533 records from which eighteen were included for review. Findings suggest that although it is well-documented that play spaces offer valuable social and emotional benefits, little is known about the specific design features that can and should be incorporated to enhance play opportunities and ensure that they benefit all children and families. Further, the literature mostly considers play spaces in the context of designated play or recreational rooms. Scholars are encouraged to consider how play opportunities can be incorporated into the designs of paediatric healthcare environments beyond the boundaries of these rooms. Future studies should also consider the diversity of play space users, including children of varying ages and abilities, to create more accessible and inclusive paediatric play spaces for children and their families. Advancing knowledge on play space design can help to optimize the quality of these important spaces and to ensure their designs meaningfully enhance children's play experiences and quality of care.","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1415609"},"PeriodicalIF":1.3,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11169685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141319083","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

Corrigendum: Assessment of a novel Ehlers-Danlos syndromes disability index. 更正：新型 Ehlers-Danlos 综合征残疾指数评估。

Frontiers in rehabilitation sciences Pub Date : 2024-05-17 eCollection Date: 2024-01-01 DOI: 10.3389/fresc.2024.1430453

Stephen Chai, Patricia Roney, John Fagan, Emily Rose Rosario

引用次数: 0