Frontiers in rehabilitation sciences最新文献

{"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}

{"title":"Global availability of guidelines related to assistive technology: a scoping review.","authors":"Wei Zhang, Johan Borg","doi":"10.3389/fresc.2025.1581104","DOIUrl":"https://doi.org/10.3389/fresc.2025.1581104","url":null,"abstract":"<p><strong>Background: </strong>Given the rising global demand for assistive technology, predicted to encompass 3.5 billion people by 2050, understanding the availability of guidelines governing its use and identifying potential gaps is paramount.</p><p><strong>Objective: </strong>This scoping review mapped existing guidelines related to assistive technology. The review aimed to inform future research and guideline development to accelerate access to assistive technology within universal health coverage.</p><p><strong>Methods: </strong>Following the JBI methodology, a systematic search of guidelines published between January 2008 and March 2024 was conducted across CINAHL, Google Scholar, PubMed, TRIP and WHO IRIS. Included guidelines related to specific assistive technology, including product types and services for users and their caregivers. Guidelines targeting system-level interventions were excluded.</p><p><strong>Results: </strong>The search identified 291 records, of which 24 guidelines were included. They focus on improving health outcomes for diverse populations across different healthcare settings. Most guidelines originated from high-income countries and predominantly addressed commonly known assistive products for mobility, hearing, vision, and self-care. There is a gap in guidelines for assistive products for cognition and communication. The identified guidelines primarily followed evidence-based methodologies and involved assistive technology users in their development.</p><p><strong>Conclusions: </strong>This review provides a crucial overview of the existing landscape of assistive technology guidelines. It calls for further action to harmonize standards, leverage innovation in evidence generation, and enhance guideline development to better serve the global population in need of assistive technology.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1581104"},"PeriodicalIF":1.3,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045847","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":"Contraindications to Whole-Body Cryostimulation (WBC). A position paper from the WBC Working Group of the International Institute of Refrigeration and the multidisciplinary expert panel.","authors":"Paolo Capodaglio, Angelo Alito, Benoit Michel Duguè, Romain Bouzigon, Giovanni Lombardi, Elzbieta Dorota Miller, Federica Verme, Giuseppe Modaffari, Paolo Piterà, Ewa Ziemann, Jacopo Maria Fontana","doi":"10.3389/fresc.2025.1567402","DOIUrl":"https://doi.org/10.3389/fresc.2025.1567402","url":null,"abstract":"<p><strong>Background: </strong>Whole-Body Cryostimulation (WBC) is a treatment that involves short exposures of the entire body to very cold and dry air in specially adapted cryochambers. A growing body of literature suggests the safe application of this technique in medical settings.</p><p><strong>Aim: </strong>The primary purpose of this study was to generate an international consensus on the updated contraindications for WBC through an interactive process of questionnaire interspersed with controlled feedback from a steering committee.</p><p><strong>Design: </strong>The study design was based on a systematic review of the literature and Delphi methodology.</p><p><strong>Setting: </strong>Administration of electronic online questionnaires concerning contraindications to WBC.</p><p><strong>Population: </strong>A multidisciplinary panel of 48 experts in the fields of rehabilitation, cardiology, neurology, endocrinology, oncology, clinical nutrition or in the clinical application of WBC was invited to participate in this consensus study.</p><p><strong>Methods: </strong>A systematic search of PubMed, Scopus and Embase databases was carried out to identify possible items for inclusion in a form. A two-round Delphi survey was then conducted according to international guidelines, consisting of an electronic online questionnaire. The experts had to rate their agreement with each item in the questionnaires on a 5-point Likert scale. Expert consensus was assessed.</p><p><strong>Results: </strong>A total of 28 European experts participated in the Delphi survey. The first round consisted of 59 items, 3 of which were discarded after data analysis. The second round was rearranged according to the previous suggestions of the panellists. All 28 experts completed the two rounds. At the end of the survey, consensus was reached and a final list of temporal and absolute contraindications to WBC was identified.</p><p><strong>Conclusions: </strong>This process resulted in multidisciplinary expert consensus statements on contraindications to WBC. The European experts agreed on most of the decisions and produced a list of contraindications.</p><p><strong>Clinical rehabilitation impact: </strong>The results provide a robust evidence framework to help clinicians improve clinical practice and patient safety.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1567402"},"PeriodicalIF":1.3,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059863","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":"Utilization and associated factors of traditional bone setting service among patients with musculoskeletal injuries in Northeast Ethiopia.","authors":"Mengesha Alemu Seid, Betelhem Walelgn, Ashenafi Kibret Sendekie, Getachew Tesfaw Walle, Melkamu Adamu Geremew, Mikiyas Haylu Sahlu, Simachew Asress Mekonen, Biruk Beletew Abate","doi":"10.3389/fresc.2025.1484403","DOIUrl":"https://doi.org/10.3389/fresc.2025.1484403","url":null,"abstract":"<p><strong>Background: </strong>Traditional bone setting is widely practiced in Ethiopia, despite the lack of standardized training and associated risks. This study aimed to assess the prevalence of traditional bone setting service utilization and associated factors among trauma patients at Woldia Comprehensive Specialized Hospital.</p><p><strong>Methods: </strong>An institution-based cross-sectional study was conducted between April 9 and May 18, 2024. A total of 420 participants were selected using a consecutive sampling technique. Binary and multiple logistic regressions were used to assess the association between the independent variables and traditional bone setting service utilization.</p><p><strong>Results: </strong>A total of 420 patients with orthopedic injuries participated in the study. The prevalence of traditional bone setting utilization was 55.2% (95% CI: 50.44, 59.95). In a multivariable regression model, rural residency (AOR = 1.56, 95% CI: 1.02, 2.39), low annual income (<21,000 Birr) (AOR = 4.06, 95% CI: 1.97, 8.37), use of health insurance (AOR = 0.63, 95% CI: 0.41, 0.95), and extremity trauma (AOR = 1.82, 95% CI: 1.11, 2.99) were significantly associated with traditional bone setting utilization.</p><p><strong>Conclusion: </strong>Traditional bone setting utilization is common among rural, poor, and uninsured patients. Further research may be important to ensure its appropriate utilization.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1484403"},"PeriodicalIF":1.3,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042707","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":"Implementing psychosocial guidelines into specialized spinal cord injury rehabilitation services to strengthen person-centred health care: protocol for a mixed methods study.","authors":"Candice McBain, Anne Marie Sarandrea, Ilaria Pozzato, Mohit Arora, Daniel Myles, John Bourke, Yvonne Tran, Ian D Cameron, James W Middleton, Ashley Craig","doi":"10.3389/fresc.2025.1537890","DOIUrl":"https://doi.org/10.3389/fresc.2025.1537890","url":null,"abstract":"<p><strong>Background: </strong>Spinal cord injury (SCI) is a severe neurological disorder resulting in loss of movement and altered sensation with lifelong impacts on health, function, and social integration. Multidisciplinary SCI rehabilitation primarily focuses on enhancing function and independence while simultaneously managing secondary health conditions and providing psychosocial support. Therefore, a major goal in SCI rehabilitation should be strengthening patients' capacity to cope with and adjust to challenges they encounter. Using a mixed methods design, the primary aim of this study is to integrate psychosocial guidelines that promote psychological adjustment into SCI rehabilitation, and second, to evaluate facilitators and barriers to their successful implementation.</p><p><strong>Methods: </strong>To determine perceived depth of knowledge, beliefs, and attitudes about psychosocial care, and usage of psychosocial guidelines, healthcare professionals in the three specialist SCI services in New South Wales, Australia will be invited to complete a baseline survey. Following the survey, semi-structured one-to-one interviews and focus groups will be conducted with healthcare professionals representing different health disciplines to understand the context and generate ideas about how best to integrate these guidelines into clinical practice. Based on the surveys, interviews, and focus groups, an implementation intervention employing educational strategies, structural, and nudge (behavioural change) approaches will be designed and implemented over a period of 18-months to facilitate integration of the guidelines into the SCI services. A post-intervention survey with healthcare workers will then be conducted. Focus groups from each SCI service, with representation across the different healthcare professions, will also be conducted to identify facilitators and barriers to implementing the guidelines. Success of implementation will be determined by analyzing any shifts in perceived knowledge, attitudes, and behaviour of staff and cultural/structural processes observed through comparing baseline and post-intervention qualitative and quantitative data. To capture lived experience insight, 10 patients with SCI currently undergoing rehabilitation will be interviewed.</p><p><strong>Discussion: </strong>This study will establish the success of implementing psychosocial guidelines into three specialist SCI services. It is hypothesized that constructive changes will occur in the knowledge, attitudes, and behaviour of the SCI Unit healthcare professionals, leading to improved psychosocial practices and patient outcomes that will strengthen person-centred healthcare in SCI rehabilitation. This study has been retrospectively registered with the Australian New Zealand Clinical Trials Registry on the 7th of May 2024. The registration number is: ACTRN12624000581561.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1537890"},"PeriodicalIF":1.3,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058160","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":"Medical accessibility and underreporting of occupational diseases: effect of travel distance and travel time.","authors":"Ping Hui Chen, Po-Ching Chu, Ching-Chun Huang, Chi-Hsien Chen, Yue Leon Guo, Ta-Chen Su, Pau-Chung Chen","doi":"10.3389/fresc.2025.1545460","DOIUrl":"https://doi.org/10.3389/fresc.2025.1545460","url":null,"abstract":"<p><strong>Objectives: </strong>Underreporting of occupational diseases (ODs) could be attributed to poor medical accessibility, which is rarely discussed previously. Our cross-sectional study aims to evaluate how OD reporting is impeded by long travel distance/time (TD/TT) to the nearest major occupational medicine clinics.</p><p><strong>Methods: </strong>Using data from the Network of Occupational Diseases and Injuries Service (NODIS), Taiwan's OD surveillance system, and the annual Manpower Survey from 2008 to 2018, we calculate each district's incidence rate of ODs (IROD) and expected IROD based on industries and job titles. Each town's TD/TT to the nearest major occupational medicine clinics is estimated by Google Maps' Distance Matrix API. The quasi-Poisson regression model is used to investigate the effect of TD and TT on IROD, while industries and job titles are adjusted by offsetting expected IROD. A subgroup analysis is then carried out to check the effect of employment status, sickness absence, and reporting years.</p><p><strong>Results: </strong>A total of 3,420 cases of definite ODs are included in our study. Using the quasi-Poisson regression model, after adjusting industry types and job titles, TD and TT have a significant effect on IROD. As TD/TT increases by 10 km/10 min, IROD decreases by 10.90%/10.73%. It is estimated that ∼200 OD cases per year or 40% of ODs are therefore underreported. In the subgroup analysis, only mildly sick workers are still significantly affected by TD and TT.</p><p><strong>Conclusions: </strong>Our study shows how poor medical accessibility leads to underreporting, especially for mildly sick cases, and up to 40% of ODs could be underreported. Using this method, we can evaluate the cost-effectiveness of adding reporting hospitals in areas with poor medical accessibility.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1545460"},"PeriodicalIF":1.3,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054605","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":"Resilience and adaptations-insights from Norwegian adolescents with pediatric-onset spinal cord injury.","authors":"Wiebke Höfers, Kirsti Riiser, Vivien Jørgensen, Solveig L Hauger, Kirsti Skavberg Roaldsen","doi":"10.3389/fresc.2025.1526431","DOIUrl":"https://doi.org/10.3389/fresc.2025.1526431","url":null,"abstract":"<p><strong>Introduction: </strong>Pediatric-onset spinal cord injuries (SCIs) significantly impact adolescents' psychosocial and physical developments, posing unique challenges during a critical period of identity formation and progression toward independence. Despite the rarity of pediatric SCIs, the need for understanding how adolescents adapt to their SCIs is crucial. Thus, the aims of this study were to examine and describe the adaption and returning to daily life of adolescents with pediatric-onset SCIs.</p><p><strong>Methods: </strong>Eight adolescents (4 boys and 4 girls) with SCIs who were aged 11-16 years at the time of the injury were interviewed individually 1-6 years post injury using a semi-structured, strength-based thematic interview guide. The interviews were conducted face-to-face (<i>n</i> = 6) or digitally (<i>n</i> = 2). A thematic analysis was used to identify key themes in the transcribed data.</p><p><strong>Results: </strong>Three key themes were identified. Theme 1, \"integrating into social life,\" highlighted the importance of supportive social networks, with peers and family playing crucial roles. Theme 2, \"finding an identity as an adolescent,\" underscored the impact of the disability on the adolescent's identity and pursuit of independence. Theme 3, \"gaining a sense of control in life,\" illustrated strategies for self-care, socializing, and managing physical and psychological challenges.</p><p><strong>Discussion: </strong>The adolescents in this study who had pediatric-onset SCI demonstrated resilience, adaptability, and agency in navigating social integration, identity formation, and regaining control over their lives. This study emphasizes the importance of social networks and the desire for autonomy in daily life. The participants' experiences suggest an improvement in their involvement in making decisions concerning themselves and a need to inform health-care professionals and improve support for adolescents during and after rehabilitation.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1526431"},"PeriodicalIF":1.3,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12003419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063453","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":"Comparison of manual and semi-automated algorithm for measuring architectural features during different isometric knee extension intensities: a reliability and comparative study in novice raters.","authors":"Micheal J Luera, JoCarol E Shields, Emma Bozarth, Rob J MacLennan, Natalie P Walker, Jesus A Hernandez-Sarabia, Carlos A Estrada, Jason M DeFreitas, Scott K Crawford","doi":"10.3389/fresc.2025.1539804","DOIUrl":"https://doi.org/10.3389/fresc.2025.1539804","url":null,"abstract":"<p><strong>Introduction: </strong>Ultrasound is a cost-effective and reliable method to determine skeletal muscle architecture. However, manual analysis of fascicle length (FL) and pennation angle (PA) can be arduous and subjective among raters, particularly among novice raters. Alternatives to manual processing have been proposed that expedite the evaluation of muscle architecture and afford more consistency. While using algorithms has provided dependable results of muscle architecture, it has often focused on variables of passive range of motion and submaximal contractions. To fully understand the impact of muscle architecture using semi-automated analysis, an investigation of a broad range of contraction intensities is needed. The purpose of this study was to develop and determine the intra-rater and inter-rater reliability of a custom, semi-automated algorithm to extract measures of muscle thickness, pennation angle, and fascicle length, and second to compare the semi-automated measures to measures extracted manually from the same novice raters while accounting for differences between contraction intensities.</p><p><strong>Methods: </strong>Fifteen resistance-trained individuals (male: <i>n</i> = 6, female: <i>n</i> = 9) completed this study. Images were collected during four contraction intensities relative to maximal voluntary isometric contractions (MVIC) (at rest, 30%, 70%, and MVIC) and analyzed by three novice raters to compare the semi-automated algorithm and manual measurement in the vastus lateralis.</p><p><strong>Results: </strong>Intra-rater reliability for manual measures was poor for FL (ICCs: 0-0.30), poor to good for PA (ICCs: 0.46-0.77), and moderate to good for muscle thickness (MT) (ICCs: 0.55-0.84). For the semi-automated algorithm, the intra-rater reliability was good to excellent for FL (range: 0.90-0.99), PA (range: 0.88-0.99), and MT (range: 0.996-0.999) across all contraction intensities.</p><p><strong>Discussion: </strong>The findings of this study suggest that the reliability of manual measurement is lower when novice raters perform image analyses compared to the semi-automated method. Therefore, careful consideration and training should be provided when considering manual assessment of muscle architecture values, and standardized identification methods and features in algorithm development may be a better method for reproducibility.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1539804"},"PeriodicalIF":1.3,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12003410/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054539","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 and evaluation of Goal setting and Action Planning (G-AP) training to support person-centred rehabilitation practice.","authors":"Lesley Scobbie, Katie Elliott, Sally Boa, Lynn Grayson, Emily Chesnet, Iona Izat, Mark Barber, Rebecca Fisher","doi":"10.3389/fresc.2025.1505188","DOIUrl":"https://doi.org/10.3389/fresc.2025.1505188","url":null,"abstract":"<p><strong>Background: </strong>Stroke survivor's goals reflect their individual priorities and hopes for the future. Person-centred goal setting is recommended in rehabilitation clinical guidelines, but evidence-based training to support its implementation in practice is limited. We aimed to develop, describe and evaluate a new Goal setting and Action Planning (G-AP) rehabilitation training resource to support person-centred goal setting practice in community neuro-rehabilitation settings.</p><p><strong>Methods: </strong>A clinical-academic team, advisory group and web-design company were convened to co-develop the G-AP training resource. G-AP training was then delivered to multi-disciplinary staff (<i>n</i> = 48) in four community neuro-rehabilitation teams. A mixed methods evaluation utilising a staff questionnaire and focus group discussion was conducted to investigate staff experiences of G-AP training and their early G-AP implementation efforts. Questionnaire data were analysed descriptively; focus group data were analysed using a Framework approach. An integrated conceptual overview of data was developed to illustrate findings.</p><p><strong>Results: </strong>A fully online G-AP training resource comprising a training website and two interactive webinars was developed. Following training, 41/48 (85%) staff completed the online questionnaire and 8/48 (17%) participated in the focus group. Nearly all staff rated the training website as excellent (<i>n</i> = 25/40; 62%) or good (<i>n</i> = 14/40; 35%) and the webinars as excellent (<i>n</i> = 26/41; 63%) or good (<i>n</i> = 14/41; 34%). Following training, staff agreed they were knowledgeable about G-AP (37/41; 90%) and had the confidence (35/40; 88%) and skills (35/40; 88%) to use it in practice. Within one month of training, staff described implementing G-AP individually, but transitioning to implementation at a team level required more time to develop new working practices. Team context including staff beliefs about G-AP, leadership support and competing demands impacted (positively and negatively) on staff training engagement, learning experience and implementation efforts.</p><p><strong>Conclusions: </strong>The new G-AP training resource was positively evaluated and supported early G-AP implementation efforts. This study advances our understanding of training evaluation by highlighting the training-context interaction the temporal nature of training effects. A follow up study evaluating longer term G-AP implementation is underway.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1505188"},"PeriodicalIF":1.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11994713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045843","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}