Frontiers in rehabilitation sciences最新文献

{"title":"Content validity of mobility measures in arthrogryposis multiplex congenita: engaging clinicians and people with lived experience.","authors":"Ahlam Zidan, Laurie Snider, Jaclyn Sions, Kristen Donlevie, Alexa Cirillo, Verity Pacey, Noémi Dahan-Oliel","doi":"10.3389/fresc.2025.1576267","DOIUrl":"10.3389/fresc.2025.1576267","url":null,"abstract":"<p><strong>Introduction: </strong>Lower-extremity impairment is prevalent in children with Arthrogryposis multiplex congenita (AMC), frequently leading to mobility limitations. Without AMC-specific assessment tools, clinicians and researchers often employ tools that have not been formally validated for the AMC population. This study aims to establish the content validity of commonly used mobility measures in children with AMC following the COnsensus-based Standards for health Measurement INstruments (COSMIN) and the International Classification of Functioning, Disability, and Health (ICF) framework.</p><p><strong>Methods: </strong>Items from the measures \"Functional Mobility Scale (FMS), Gillette Functional Assessment Questionnaire (FAQ), Functional Independence Measure for Children (WeeFIM), and Patient-Reported Outcomes Measurement Information System (PROMIS)\" were linked to the ICF categories using the refined linking rules of the ICF. Three raters conducted independent linking, and inter-rater reliability was calculated using the Kappa coefficient. An expert panel consisting of people with lived experience, clinicians and researchers reviewed the ICF codes identified by the raters and evaluated the comprehensibility, relevance, and comprehensiveness of the four measures using the COSMIN standards. The Content Validity Index (CVI) and modified Kappa (<i>k</i>*) were calculated.</p><p><strong>Results: </strong>Inter-rater agreement was substantial [<i>κ</i> = 0.79, (95% CI: 0.78-0.84)]. Most concepts (84.4%) were linked to the \"Activities and Participation\" domain, with a limited representation of \"Environmental Factors\" (8.9%) and \"Body Functions\" (6.7%). The CVI and <i>k</i>* values for most measures indicated excellent content validity (0.91 to 1), except for the PROMIS Mobility Young Adult (≤0.82). The expert panel found that measures exhibited high comprehensibility and relevance, but comprehensiveness was insufficient. Most studied mobility measures missed concepts such as pain, fatigue, mobility aids, and compensatory strategies.</p><p><strong>Conclusions: </strong>FMS, FAQ, WeeFIM, and PROMIS (Parent Proxy/Pediatric) demonstrated good content validity. However, none of these measures fully address the full spectrum of mobility experiences in children with AMC. Incorporating missing concepts, such as environmental challenges, compensatory strategies, and pain, into existing or newly developed assessment tools is essential for providing a more holistic evaluation of functional mobility. Doing so will support more comprehensive clinical assessment, improve outcome tracking, and enhance care for children living with AMC.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1576267"},"PeriodicalIF":1.9,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12358442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884433","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":"Effect of repetitive peripheral magnetic stimulation for patients with chronic stroke: a case report using an AB design.","authors":"Shota Itoh, Kenta Fujimura, Shogo Imamura, Ryoka Itoh, Yuma Misawa, Mii Matsuda, Chisato Chikamori, Hiroki Tanikawa, Hirofumi Maeda, Hitoshi Kagaya","doi":"10.3389/fresc.2025.1617492","DOIUrl":"10.3389/fresc.2025.1617492","url":null,"abstract":"<p><strong>Objective: </strong>To determine the effects of repetitive peripheral magnetic stimulation in a patient with chronic stroke.</p><p><strong>Design: </strong>Case report.</p><p><strong>Patients: </strong>A man in his 70s presented with left hemiplegia secondary to cerebral hemorrhage.</p><p><strong>Methods: </strong>An AB design was used: phase A (sham stimulation) and phase B (active stimulation). Magnetic stimulation was applied using a peripheral magnetic stimulator (Pathleader™, IFG, Sendai, Japan). Outcomes were assessed at four points: before the intervention, after phase A, after phase B, and at follow-up (3 weeks after phase B) using the Modified Ashworth Scale, range of motion, Fugl-Meyer Assessment, Simple Test for Evaluating Hand Function, and Canadian Occupational Performance Measures.</p><p><strong>Results: </strong>The Modified Ashworth Scale score for the wrist extensor remained unchanged in phase A but improved after phase B and was sustained at follow-up. The range of motion showed no change. The Fugl-Meyer Assessment scores were 40, 41, 44, and 45, respectively, and the Simple Test for Evaluating Hand Function scores were 1, 4, 3, and 5, respectively, at the four time points. One Canadian Occupational Performance Measure item improved after phase B and remained stable.</p><p><strong>Conclusion: </strong>In patients with chronic stroke and severe hemiplegia, repetitive peripheral magnetic stimulation may be effective in reducing spasticity and improving motor function.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1617492"},"PeriodicalIF":1.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12354346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877105","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":"Goals in motion: exploring goal setting among adults living with HIV who participated in an online community-based exercise intervention.","authors":"Tai-Te Su, Soo Chan Carusone, Kiera McDuff, Francisco Ibáñez-Carrasco, Ada Tang, Ahmed M Bayoumi, Mona Loutfy, Lisa Avery, George Da Silva, Annamaria Furlan, Helen Trent, Ivan Ilic, Zoran Pandovski, Mehdi Zobeiry, Puja Ahluwalia, Katrina Krizmancic, Tizneem Jiancaro, Brittany Torres, Patricia Solomon, Kelly K O'Brien","doi":"10.3389/fresc.2025.1644139","DOIUrl":"10.3389/fresc.2025.1644139","url":null,"abstract":"<p><strong>Introduction: </strong>Adults living with HIV may experience various health-related challenges in life. Exercise has been shown to provide numerous benefits. However, the specific goals that individuals aim to achieve through exercise are not well-documented. Our aim was to explore goal setting among adults living with HIV who participated in an online community-based exercise (CBE) intervention.</p><p><strong>Methods: </strong>We conducted a multi-method, longitudinal study using data from a 12-month online CBE intervention study involving 6-month intervention and follow-up phases. Goal Attainment Scaling was used to quantify the number and types of goals set and achieved at each phase. We analyzed interview data with a subsample to identify experiences with and factors influencing goal setting.</p><p><strong>Results: </strong>Thirty-two participants initiated the intervention and were included in analyses. The majority were men (69%); median age of 53 years. Participants articulated a median of four goals before and after the intervention, most commonly related to increasing muscle, reducing weight, and improving strength. Approximately 50% of goals were achieved at the end of intervention and follow-up phases. Interview data (<i>n</i> = 10) indicated goal setting was influenced by personal health concerns, family, and perceived obligations to research. Most found goal setting personal and helpful, while some experienced challenges.</p><p><strong>Conclusions: </strong>Adults living with HIV prioritized physical-health-related goals during an online CBE intervention, with diverse experiences influencing their goal-setting process. Findings may inform the design and evaluation of online exercise programs for adults living with HIV.</p><p><strong>Clinical trial registration: </strong>identifier (NCT05006391).</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1644139"},"PeriodicalIF":1.9,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12350490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877107","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":"Virtual reality motor sensing exercise in patients with Parkinson's disease: a scoping review.","authors":"Lulu Zou, Xiaoqing Chen, Sisi Lei, Qingwen Hu","doi":"10.3389/fresc.2025.1630304","DOIUrl":"10.3389/fresc.2025.1630304","url":null,"abstract":"<p><strong>Background: </strong>A scoping review of research on the application of virtual reality (VR) motor sensing exercises for patients with Parkinson's disease was conducted to identify the types of interventions, outcome indicators, and evaluation tools used and to assess the effectiveness of these exercises. The aim was also to provide a reference for future research in this area.</p><p><strong>Methods: </strong>The aim of this scoping review was to examine the current status of research into the application of somatosensory virtual reality exercise for patients with Parkinson's disease. We conducted a systematic search of the PubMed, Cochrane Library, Web of Science, and Embase databases. The search time frame was from the date the library was established until 19 April 2025, with the included literature being screened and summarised.</p><p><strong>Results: </strong>The majority of the included studies reported improved rehabilitation outcomes for participants, suggesting that VR is beneficial for the rehabilitation of patients with Parkinson's disease. A total of 2,327 articles were retrieved, comprising 10 randomised clinical trials, 3 class-experimental studies, and 1 mixed study involving a total of 470 patients with Parkinson's disease.</p><p><strong>Conclusion: </strong>This scoping review provides a basis for the application of virtual reality somatosensory exercise in elderly patients with Parkinson's disease and lays the groundwork for future research and clinical practice. However, large-scale, high-quality randomised controlled trials are still needed to verify the feasibility of virtual reality somatosensory exercise for Parkinson's patients and to inform the development of targeted exercise programmes for this patient group.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1630304"},"PeriodicalIF":1.9,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12350502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877109","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":"Efficacy of functional electrical stimulation alone and as an adjunct to exercise for improving respiratory function and aerobic capacity in spinal cord injury: a systematic review and meta-analysis.","authors":"Jiahao Xiangli, Binquan Ma, Yu Liang, Shi Haijiangshi, Xifang Liu","doi":"10.3389/fresc.2025.1623752","DOIUrl":"10.3389/fresc.2025.1623752","url":null,"abstract":"<p><strong>Objective: </strong>To systematically evaluate the efficacy of functional electrical stimulation (FES), used either alone or as an adjunct to exercise (rowing/cycling), for improving respiratory function and aerobic capacity in patients with spinal cord injury (SCI).</p><p><strong>Methods: </strong>We conducted a PRISMA-compliant meta-analysis, searching PubMed, Embase, Cochrane Library, and Web of Science through January 2025. We included 23 randomized controlled trials and self-controlled studies (<i>N</i> = 314) that assessed outcomes such as forced vital capacity (FVC), peak expiratory flow (PEF), maximal expiratory/inspiratory pressure (MEP/MIP), and peak oxygen uptake (VO₂peak).</p><p><strong>Results: </strong>When used as a standalone intervention, FES significantly improved expiratory function, with notable increases in PEF (SMD = 0.42, <i>p</i> = 0.007), MEP (SMD=0.93, <i>p</i> = 0.008), and FVC (SMD = 0.37, <i>p</i> = 0.03). However, no significant improvement was found for MIP (<i>p</i> = 0.38). When FES was combined with exercise, it significantly enhanced aerobic capacity. This was demonstrated by improvements in VO₂peak for both FES-assisted rowing (SMD = 0.35, <i>p</i> = 0.03) and FES-assisted cycling (SMD = 0.24, <i>p</i> = 0.0003) compared to exercise alone. No significant effects on peak ventilation were observed.</p><p><strong>Conclusion: </strong>FES moderately improves key expiratory functions in individuals with SCI and acts synergistically with exercise to augment aerobic capacity. These findings support the clinical use of FES in this population. However, the interpretation of these results should consider the methodological heterogeneity across studies and the limited sample size for some outcomes.</p><p><strong>Systematic review registration: </strong>https://www.crd.york.ac.uk/PROSPERO/myprospero, identifier CRD420251030235.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1623752"},"PeriodicalIF":1.9,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12350409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877106","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 role of place types on social relationships and satisfaction as influenced by COVID and disabilities.","authors":"Brent Chamberlain, Valerie Novack, Teresa Larsen, Keunhyun Park, Samuel Johnson, Jefferson Sheen, Motahareh Abrishami, Carlos Licon, Keith Christensen","doi":"10.3389/fresc.2025.1624771","DOIUrl":"10.3389/fresc.2025.1624771","url":null,"abstract":"<p><p>An individual's participation in community life is important to their health, well-being, self-determination, and quality of life. Consequently, community planners and policymakers play a role in shaping and improving environments through land use planning, including the distribution of amenities. This research explores the influence of different amenities, referred to as place types, and their influence on social satisfaction during and before the COVID-19 pandemic. A nationwide online survey of 393 adults across the U.S.A. was conducted to compare participants who self-report as living with and without a disability (41% and 59%, respectively). To uncover the relationship between place types and social satisfaction, participants responded to questions about social relationships, social satisfaction, frequency of visitation to place types, and the perceived importance of place types. Results indicate that the frequency of visits and perceived importance of place types were significantly associated with social satisfaction (<i>r</i> = 0.30, <i>p</i> = 0.001). Disability status, income level, population density, and employment status significantly predicted reduced visitation frequency during the pandemic (<i>p</i> < 0.001). <i>Post-hoc</i> comparisons revealed that individuals with disabilities experience a lower level of satisfaction with social life living closer to outdoor recreation (<i>p</i> = 0.006) and healthcare facilities (<i>p</i> = 0.025) compared to other place types. The findings emphasize the need for planners to better account for accessibility and inclusion in the design and combination of community amenities.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1624771"},"PeriodicalIF":1.9,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12350495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877108","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: Vol II: person-centred rehabilitation - theory, practice and research.","authors":"Jacqui H Morris, Nicola Kayes, Lesley Scobbie, Brendan McCormack","doi":"10.3389/fresc.2025.1665527","DOIUrl":"10.3389/fresc.2025.1665527","url":null,"abstract":"","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1665527"},"PeriodicalIF":1.9,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12339499/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838764","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":"Plea for routine endoscopic tracheostomy tube adjustment.","authors":"Bettina Otto, Regina Lindemann, Holger Kirsch, Matthias Schmid, Hartmut Vatter, Christiane Braun","doi":"10.3389/fresc.2025.1598300","DOIUrl":"10.3389/fresc.2025.1598300","url":null,"abstract":"<p><strong>Introduction: </strong>Tracheostomy is one of the standard procedures in intensive care medicine. In the context of tracheostomy tube-, dysphagia- and decannulation management the selection of the appropriate tracheostomy tube model (angle, diameter, length) is crucial for the proper placement in the trachea. In spite of recent guidelines mentioning endoscopic control of the tube placement as a useful measure, data regarding the proper placement are rare in the present literature. Therefore, the aim of the present study was to investigate the accuracy of tracheostomy tube placement in patients admitted to our early neurological rehabilitation center.</p><p><strong>Methods: </strong>We performed a retrospective single-center analysis of all patients with tracheostomy tube admitted to our early neurological rehabilitation center between 12/2022 and 01/2024. We analyzed the frequency, type and extent of injuries caused by a suboptimal placement of the tracheostomy tubes. The location of the tubes was routinely controlled endoscopically upon admission. In total 327 tracheoscopies were carried out. Clinical characteristics were collected in all patients and the endoscopic results were divided into malpositioned tracheostomy tubes (non-central tube position, often causing mucosal lesions, ulcer, bleeding) vs. well-positioned (central or almost central) tubes. The association between the quality of the tracheostomy tube placement and the characteristics age, gender, main diagnosis, tracheostomy procedure, time until initial endoscopic control of tracheostomy tube fitting after admission and after tracheostomy were analyzed using a logistic regression model.</p><p><strong>Results: </strong>A total of 214 examinations (65%) revealed a malpositioned tracheostomy tube. In 19% of the carried out tracheoscopies (327), manifest injuries were already detectable (mucosal lesion, ulcer, bleeding). 113 examinations (35%) showed an acceptable tube placement. We found no association between the quality of the tracheostomy tube position and gender, age, main diagnosis, time until initial endoscopic control of tube fitting or type of tracheostomy.</p><p><strong>Discussion: </strong>Since we found a high percentage of suboptimal tracheostomy tube positions (65%), an increased risk of complications can be assumed. With a view to the most relevant late complication of tracheal stenosis, there is agreement that the fundamental lesion begins with mucosal ulceration, which we found in 19% of the investigations. Therefore, the present data strongly suggest that a routine endoscopic control of tracheostomy tube placement should be firmly implemented into the routine tracheostomy tube management. Our data further suggest that the supply with tracheostomy tubes needs to be optimized.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1598300"},"PeriodicalIF":1.9,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12328300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144801124","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":"Effects of whole-body cryostimulation on spinal and shoulder range of motion in individuals with obesity.","authors":"Serena Cerfoglio, Federica Verme, Jacopo Maria Fontana, Angelo Alito, Manuela Galli, Paolo Capodaglio, Veronica Cimolin","doi":"10.3389/fresc.2025.1568280","DOIUrl":"10.3389/fresc.2025.1568280","url":null,"abstract":"<p><strong>Introduction: </strong>Flexibility and mobility are essential components of physical fitness, impacting joint function and musculoskeletal health. Individuals with obesity often exhibit restricted range of motion (ROM), exacerbated by muscle weakness, joint stiffness, and altered posture. Whole-body cryostimulation (WBC), involving exposure to low temperatures, has shown promise in alleviating inflammation and improving physical performance. This study evaluates the acute and short-term effects of WBC combined with rehabilitation on spinal and shoulder ROM in individuals with obesity.</p><p><strong>Methods: </strong>This non-randomized controlled trial included 42 adults with obesity undergoing a 4-week multidisciplinary rehabilitation program consisting of nutritional intervention, psychological support, physiotherapy, and physical activity. Participants were divided into two groups: a WBC group [WG, <i>n</i> = 21; 12 males (BMI = 38.77 kg/m²), 9 females (BMI = 38.45 kg/m²)] receiving 10 sessions (-110°C, 2 min/session) alongside rehabilitation, and a control group [CG, <i>n</i> = 21; 12 males (BMI = 43.37 kg/m²), 9 females (BMI = 41.86 kg/m²)] receiving rehabilitation alone. ROM for spine-related (i.e., anterior flexion, lateral bending, rotation) and shoulder-related (i.e., frontal rise, lateral rise, backward push) motor tasks was assessed at different time-points using a marker-based optoelectronic motion capture (MoCap) system. Repeated-measures (RM-ANOVA) analyzed changes within groups over time, <i>post hoc t</i>-tests identified significant effects, and mixed RM-ANOVA compared changes between groups.</p><p><strong>Results: </strong>Except for anterior flexion, WG showed significant improvements (<i>p</i> < 0.05) in ROM and task duration across all movements, with moderate to large effect sizes (0.20 ≤ <i>d</i> < 0.80). For instance, improvements were reported for ROM in shoulder flexion (acute-post: <i>p</i> = 0.045, <i>d</i> = 0.43) and extension (pre-post: <i>p</i> < 0.001, <i>d</i> = 0.51), as well as for spinal rotation (pre-post: <i>p</i> = 0.029, <i>d</i> = 0.42). Similarly, task duration reductions across all tasks, such as spinal rotation (pre-post: <i>p</i> = 0.040, <i>d</i> = 0.45) and lateral bending (pre-post: <i>p</i> < 0.025, <i>d</i> = 0.54). Conversely, CG showed no significant ROM changes.</p><p><strong>Discussion: </strong>WBC, when combined with rehabilitation, led to significant improvements in spinal and shoulder ROM. Acute and short-term benefits were observed in ROM and task duration, supporting WBC as a valuable addition to rehabilitation for individuals with obesity.</p><p><strong>Clinical trial registration: </strong>https://clinicaltrials.gov/study/NCT05443100, identifier NCT05443100.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1568280"},"PeriodicalIF":1.9,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796213","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":"Understanding bracing outcomes in adolescents with idiopathic scoliosis: a mixed-methods approach.","authors":"Hasan İşçi, Sena Özdemir Görgü","doi":"10.3389/fresc.2025.1625736","DOIUrl":"10.3389/fresc.2025.1625736","url":null,"abstract":"<p><strong>Background: </strong>Brace treatment is the routinely applied conservative treatment method for Adolescent Idiopathic Scoliosis (AIS) and can yield effective results when correctly administered. Brace treatment, often initiated during adolescence, can cause individuals to face various challenges in their daily lives. This study determined the effect of spinal brace treatment on the quality of life (QoL), views, and the problems encountered regarding bracing by individuals with AIS and their parents.</p><p><strong>Methods: </strong>This study included 44 participants aged 10-17 years using spinal braces for at least six months. Participants' QoL was assessed using the Brace Questionnaire (BrQ), a numerical evaluation scale for brace satisfaction (BS), and the extracted user and parental opinions to identify the problems affecting brace use. Individual interviews were conducted with selected groups of ten participants to examine thoroughly the factors influencing spinal brace use.</p><p><strong>Results: </strong>Pearson correlation analysis revealed positive correlation between BS and total BrQ scores and sub-parameters the regression analysis to determine the cause-and-effect relationship between BS and total BrQ scores with sub-parameters was significant (F = 7.648, <i>p</i> = 0.008; <i>F</i> = 2.935, <i>p</i> = 0.015, respectively). Regarding brace satisfaction and influencing factors, most participants reported breathing difficulties, dissatisfaction with the weight, color, and design of the brace, feeling chest pain, and experiencing balance problems on surveys and individual interviews.</p><p><strong>Conclusions: </strong>This study established a correlation between BS and QoL and identified the design, weight, and material-related issues of the orthosis as significant factors influencing brace satisfaction in individuals using spinal braces.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1625736"},"PeriodicalIF":1.9,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12325295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796214","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}