Frontiers in rehabilitation sciences最新文献

{"title":"The proportion and clinical characteristics of patients with stroke who returned to work six months after discharge from a convalescent rehabilitation ward: a descriptive study.","authors":"Takashi Yamamoto, Yoshitaka Wada, Hirofumi Maeda, Daisuke Matsuura, Satoshi Hirano, Seiko Shibata, Masahiko Mukaino, Yohei Otaka","doi":"10.3389/fresc.2025.1613916","DOIUrl":"10.3389/fresc.2025.1613916","url":null,"abstract":"<p><strong>Background: </strong>The economic burden on individuals with stroke is a major concern, and measures to mitigate the negative effects of stroke on labor productivity are imperative. However, few studies have explored the return to work (RTW) of individuals with stroke after their discharge from rehabilitation wards. We therefore aimed to explore the proportion of patients with stroke who returned to work after discharge from a convalescent rehabilitation ward and to explore the characteristics of patients with stroke who achieve RTW compared to those who do not.</p><p><strong>Methods: </strong>This descriptive study was conducted in a convalescent rehabilitation ward at a university hospital in Japan. It included patients with stroke in the working-age population (15-64 years) who worked before the onset and were discharged from the rehabilitation ward to their homes between January 2018 and April 2022. The participants were required to respond to a questionnaire, which was sent by mail, and the RTW status at 6 months after discharge from the rehabilitation ward was investigated. They were classified into RTW and non-RTW groups, and their characteristics were compared between the groups.</p><p><strong>Results: </strong>Fifty-nine patients [mean (SD) age 53.0 (9.0) years; 42 men] among 125 who met the criteria returned the questionnaire, and their data were included in the analysis. Thirty-nine individuals [66.1%; mean (SD) age 53.0 (8.2) years; 31 men] achieved RTW. Compared to the non-RTW group, the RTW group had significantly higher total functional independence measure (FIM) scores at admission (<i>p</i> = 0.046) and discharge (<i>p</i> < 0.001), a significantly shorter duration of ward stay during hospitalization (<i>p</i> = 0.002), and a significantly smaller proportion of patients with aphasia (<i>p</i> = 0.019).</p><p><strong>Conclusion: </strong>Two-thirds of the patients in this study population had achieved RTW at 6 months after discharge from the convalescent rehabilitation ward. Patients who achieved RTW had better motor function and FIM scores at discharge than those who did not.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1613916"},"PeriodicalIF":1.9,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12321898/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790878","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":"Effectiveness of combined regenerative medicine and exercise therapy for patients with knee osteoarthritis: a scoping review.","authors":"Tomohiro Oka, Kosuke Suzuki, Katsuyoshi Tanaka, Kouhei Okuyama, Takashi Kitagawa","doi":"10.3389/fresc.2025.1612615","DOIUrl":"10.3389/fresc.2025.1612615","url":null,"abstract":"<p><strong>Background: </strong>Regenerative therapies such as platelet-rich plasma (PRP) and stem cell treatments show promise for symptom relief in knee osteoarthritis (OA), but individual responses vary. Exercise therapy is a well-established intervention that enhances muscle strength and joint stability. Although both approaches are effective, their combined use remains underexplored. Notably, no systematic or scoping review has yet examined the specific types of regenerative medicine and exercise therapy used in combination, the outcome domains assessed (pain, function, structure, and quality of life), or the key evidence gaps. This scoping review aimed to examine these combinations, outcome domains, and gaps in the current evidence base.</p><p><strong>Methods: </strong>A literature search was conducted in MEDLINE, CENTRAL, and CINAHL using keywords including \"knee osteoarthritis,\" \"regenerative medicine,\" and \"exercise therapy.\" Studies were included if they compared regenerative medicine alone to regenerative medicine combined with exercise therapy. Two reviewers independently extracted data on pain, physical function, and patient-reported outcomes across short-term (6-24 weeks) and long-term (up to 96 weeks) follow-up.</p><p><strong>Results: </strong>Three studies [two randomized controlled trials (RCTs), one non-RCT] were included. Sample sizes ranged from 17 to 32. Despite variations in PRP type (pure vs. leukocyte rich), and exercise regimen (home-based vs. supervised), all studies showed significant advantages in pain and function for the combined intervention group. Benefits emerged as early as 6 weeks and persisted up to 96 weeks. One study also noted structural changes via ultrasound.</p><p><strong>Conclusions: </strong>Combining regenerative medicine with exercise therapy significantly enhances pain relief and functional outcomes in knee OA patients.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1612615"},"PeriodicalIF":1.9,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12321541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790876","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":"Focal muscle vibration and neurocognitive exercise improve function and reduce neuropathic pain after sciatic nerve injury: a case report assessment through gait analysis.","authors":"Filippo Camerota, Naomi Francesca Pocino, Federico Zangrando, Alessia Lucani, Marco Paoloni, Massimiliano Mangone, Claudia Celletti","doi":"10.3389/fresc.2025.1628749","DOIUrl":"10.3389/fresc.2025.1628749","url":null,"abstract":"<p><p>The sciatic nerve may be injured during total hip arthroplasty (THA). This complication can lead to severe neuropathic pain syndrome. This case report aims to investigate the effect of a combined treatment approach involving neurocognitive rehabilitation and focal mechanical vibrations in a patient affected by iatrogenic sciatic nerve injury and neuropathic pain following total hip arthroplasty (THA). The patient was followed over a total of 1 year, during which she underwent three cycles of 12-week neurocognitive physiotherapy, with weekly 1 h sessions, interspersed with two cycles of 1-week therapy involving only focal mechanical vibrations (fMV). She was also evaluated with a clinical scale and gait analysis. We have observed a significant reduction in the pain perceived by the patient, although not complete, but interestingly, the patient reported resolution of allodynia right after the first fMV session. Furthermore, the duration of the gait cycle approached more normal values. Overall, the combined treatment of neurocognitive rehabilitation and focal mechanical vibrations yielded positive results and contributed significantly to the reduction of chronic neuropathic pain in the patient. Simultaneously, the focal mechanical vibrations seem to provide crucial proprioceptive stimulation, promoting better motor control and further aiding in neuropathic pain reduction.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1628749"},"PeriodicalIF":1.9,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12321534/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790877","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":"Design and validation of an energy level diary for fatigue management in patients with post-COVID syndrome.","authors":"Maryam Balke, René Garbsch, Jessica Cormann, Pantea Pape, Frank C Mooren, Boris Schmitz","doi":"10.3389/fresc.2025.1633466","DOIUrl":"10.3389/fresc.2025.1633466","url":null,"abstract":"<p><strong>Background: </strong>Post-COVID syndrome (PCS) is a frequent condition with an incidence of 7.8-10.6 per 100 unvaccinated and 3.5-5.3 events per 100 vaccinated persons. Cognitive and motor fatigue are common clinical manifestations, limiting patients' occupational, educational, and social activities severely.</p><p><strong>Objective: </strong>This study aimed to develop a diary to keep record of daily changes in energy levels of patients with PCS to adapt their rehabilitation program.</p><p><strong>Material and methods: </strong>We conducted a prospective observational study at two German rehabilitation centers in a codesign approach with repeated feedback loops. Daily energy changes were analyzed and validated using the Multidimensional Fatigue Inventory-20 (MFI-20).</p><p><strong>Results: </strong>The final diary revealed that morning and evening energy levels of patients with PCS differed significantly, with 49.6 ± 18.6% and 33.4 ± 19.7%, respectively (<i>p</i> ≤ 0.0001, on admission). Energy levels decreased by ∼5% with active therapy and increased by ∼5% with passive therapy (<i>p</i> < 0.0001). A comparison with MFI-20 at discharge showed good negative correlation (<i>r</i> = -0.5358, <i>p</i> < 0.0001), and patient interviews revealed that most patients (<i>N</i> = 19; 95%) rated the diary as \"useful for self-reflection\" and \"helpful tool to learn the process of pacing.\"</p><p><strong>Discussion/conclusion: </strong>This diary is a valid and user-friendly tool to detect and control the effects of daily therapy during the rehabilitation of patients with PCS. It will facilitate individual planning and adaptation of therapies in PCS and other fatigue groups and may help to implement an effective relation of exercise load to load capacity (pacing) for optimal coping with the disease and an improved handling of daily activities in patients' lives.</p><p><strong>Clinical trial registration: </strong>Clinicaltrials.gov, identifier (NCT06883500).</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1633466"},"PeriodicalIF":1.9,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12318978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144786109","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":"Safety and efficacy of belt-type electrical stimulation for preventing disuse syndrome in elderly hemodialysis patients: a pilot study.","authors":"Misa Miura, Shigeru Owada, Osamu Ito, Masahiro Kohzuki","doi":"10.3389/fresc.2025.1559077","DOIUrl":"10.3389/fresc.2025.1559077","url":null,"abstract":"<p><strong>Background: </strong>Elderly hemodialysis (HD) patients frequently experience reduced physical activity due to treatment-related immobility and fatigue, leading to accelerated functional decline. While exercise therapy is beneficial, adherence remains challenging among frail elderly patients. Belt-type electrical stimulation (B-SES) presents a potential alternative, though evidence for its safety and efficacy in this population is limited.</p><p><strong>Methods: </strong>In this 12-week prospective intervention study, eight frail maintenance HD patients (mean age 75.5 ± 0.9 years) received B-SES therapy during HD sessions. Outcomes were assessed through physical function measures, biochemical markers, quality of life indices, and body composition analysis using multiple imaging modalities (BIA, CT, ¹H-MRS).</p><p><strong>Results: </strong>Five participants completed the intervention, with three withdrawals unrelated to the treatment. Physical function measures showed a trend toward improvement without elevation in inflammatory markers. While BIA showed no significant changes in muscle mass, CT analysis revealed increased thigh muscle cross-sectional area, and ¹H-MRS indicated improvements in intramuscular fat composition. A significant correlation emerged between reduced intramyocellular lipids and improved physical performance measures (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>B-SES demonstrated safety and potential efficacy in improving physical function and muscle quality among frail elderly HD patients. From a public health perspective, B-SES may serve as a feasible and accessible intervention for this population, particularly in resource-limited settings. However, further studies are needed to determine its cost-effectiveness in comparison with conventional exercise therapy.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1559077"},"PeriodicalIF":1.9,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12310636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762561","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":"Case Report: Design of a University of the District of Columbia (UDC) intrepid dynamic exoskeletal orthosis.","authors":"Ji Chen, J'niya Butler, Mawussi Nzonou, Lara Thompson","doi":"10.3389/fresc.2025.1597923","DOIUrl":"10.3389/fresc.2025.1597923","url":null,"abstract":"<p><p>Intrepid Dynamic Exoskeletal Orthosis (IDEO), developed in Walter Reed National Military Medical Center (WRNMMC), is a custom, energy-storing orthosis made of carbon fiber. It is designed to improve mobility of individuals who have ankle dorsi and plantar flexor weakness. The development of IDEO follows a traditional workflow which is time consuming and costly. Users have reported functional limitations due to structural and material rigidity. This case report introduces a new IDEO design workflow which aims to achieve device functionality comparable to the IDEO from WRNMMC, and to reduce cost and time of production. Two IDEO prototypes were created. An experimental evaluation was conducted on a healthy participant wearing prototype 1 to assess the effects of IDEO on task completion time, joint angle and spatiotemporal measures. The participant walked along 3-meter straight line back and forth three times at self-selected speed in two conditions: walking without IDEO (baseline condition) and walking with IDEO. Our results show that the IDEO either hindered the movement or impaired the dynamic balance based on the current outcome measures, except that the range of motion of left ankle dorsi and plantar flexion angle was significantly reduced by 11 degrees (<i>p</i> value <0.001). Prototype 2 was created to compare time and cost of device production between UDC and WRNMMC workflows. The analysis shows that our approach reduced the cost and time. Further clinical evaluation is needed to assess the overall functionality of both prototypes when compared to the WRNMMC IDEO.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1597923"},"PeriodicalIF":1.9,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12307379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144755269","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":"Estimates of the global workforce required for providing assistive technology: a modeling study.","authors":"Johanna Rosberg Petersson, Malin Tistad, Sébastien Muller, Irene Calvo, Johan Borg","doi":"10.3389/fresc.2025.1617624","DOIUrl":"10.3389/fresc.2025.1617624","url":null,"abstract":"<p><strong>Introduction: </strong>Despite being a fundamental human right, access to assistive products varies between 3% and 90% across countries. Ensuring adequate and trained human resources is a prerequisite for improving access to assistive products. To support workforce planning and development, this study estimated the global workforce required for assistive technology provision to achieve a high level of access.</p><p><strong>Method: </strong>This modeling study used estimates of the primary workforce for assistive technology provision and assistive product needs in a country with a high level of access and global assistive product needs, to predict the global workforce required to provide assistive technology in five product domains: cognition and communication, hearing, mobility and self-care, orthotics and prosthetics, and vision. The assistive product need estimates were based on self-reported data from WHO Rapid Assistive Technology Assessment surveys in 28 countries.</p><p><strong>Results: </strong>A total workforce for assistive technology provision of 4.4 (95% CI: 3.0-6.8) million full-time equivalents (FTE) would be required globally to achieve a high level of access to assistive products. Excluding the administrative workforce, this includes a workforce of 3.4 (2.3-5.4) million FTE, composed of 1.7 (1.3-2.2) million FTE providing mobility and self-care products, 0.9 (0.5-1.7) million FTE providing orthoses and prostheses, 0.5 (0.2-1.0) million FTE providing vision products, 0.3 (0.2-0.4) million FTE providing hearing products, and 0.05 (0.04-0.06) million FTE providing cognition and communication products.</p><p><strong>Conclusion: </strong>Likely a conservative estimate of the required workforce size, this provides a cautious foundation for informing strategies to develop a workforce capable of meeting global assistive product needs and improving access.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1617624"},"PeriodicalIF":1.3,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12279701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692663","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":"Sensory integration combined with interoceptive interventions for functional urinary incontinence in children: a case report.","authors":"Lingshan Ma, Yuanxun Zhang, Songjun Yao, Shuang He, Jie Li","doi":"10.3389/fresc.2025.1599599","DOIUrl":"10.3389/fresc.2025.1599599","url":null,"abstract":"<p><strong>Background: </strong>Functional urinary incontinence is prevalent among children and affects their daily life, psychology, and behavior. Although some behavioral therapies have been reported before, there is still no consensus on the treatment plan for functional urinary incontinence in children.</p><p><strong>Case information: </strong>This case describes an 8-year-old girl presenting with urgency, urine leakage and frequent nocturnal enuresis. An 8-week sensory integration therapy combined with interoceptive training was implemented, followed by follow-up visits at 4 and 8 weeks after the intervention. Her urinary urgency and leakage symptoms gradually decreased over the 8 weeks of treatment and resolved completely by week 12. However, nocturnal enuresis persisted, suggesting the limited efficacy of sensory-based interventions in non-awake states.</p><p><strong>Conclusions: </strong>The therapeutic effect of this case study indicates that interoceptive-sensory integration training has a positive effect on impaired bladder perception and voiding control during wakefulness and provides a new perspective for the evaluation and treatment of functional urinary incontinence. However, the improvement of enuresis by sensory enhancement still needs further research.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1599599"},"PeriodicalIF":1.3,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12279691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692664","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":"Artificial intelligence applications in intracerebral hemorrhage care: implications for clinical and nursing practice - a narrative literature review.","authors":"Seoyoung Kim, Jungmin Lee, Soo-Hyun Nam","doi":"10.3389/fresc.2025.1620335","DOIUrl":"10.3389/fresc.2025.1620335","url":null,"abstract":"<p><p>Little is known about how artificial intelligence tools are utilized across the different stages of intracerebral hemorrhage care or how they contribute to clinical decision-making and patient outcomes in this population. This narrative review aimed to explore current applications of artificial intelligence in the clinical management of patients with intracerebral hemorrhage. A comprehensive search was conducted across five electronic databases (PubMed, CINAHL Plus with Full Text, Ovid MEDLINE, ProQuest, and Web of Science), supplemented by additional manual searches. This review included studies published in English between January 1, 2014, and December 31, 2024. Seven studies examining the application of artificial intelligence in the acute and post-acute phases of intracerebral hemorrhage care were included. In the acute phase, machine learning models such as Random Forest and XGBoost outperform traditional prognostic scoring systems, offering clinicians more precise tools for early risk stratification. In the post-acute phase, AI contributes to continuity of care by supporting data completion, rehabilitation planning, and remote rehabilitation, thereby enhancing patient-centered nursing practice with high predictive accuracy and practical utility. These findings suggest that artificial intelligence holds significant promise for enhancing prognosis prediction, clinical decision-making, and continuity of care in patients with intracerebral hemorrhage.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1620335"},"PeriodicalIF":1.3,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683641","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":"Case Report: Rehabilitation assessment and exercise using cardiopulmonary exercise test after coronavirus-disease pneumonia.","authors":"Ken Kouda, Hideki Konishi, Toshikazu Kubo, Fumihiro Tajima","doi":"10.3389/fresc.2025.1533239","DOIUrl":"10.3389/fresc.2025.1533239","url":null,"abstract":"<p><p>Coronavirus disease (COVID-19) affects not only respiratory function, but also physical function and decreases activities of daily living. Cardiopulmonary evaluation using cardiopulmonary exercise test (CPET) was performed in two patients with persistent respiratory distress one month after acute treatment for COVID-19. The results showed decrease in exercise tolerance, ventilation ability, oxygenation ability, heart rate reserve, stroke volume, and muscle metabolism in both cases. By performing rehabilitation exercise according to the results of CPET, both patients were able to withdraw from oxygen inhalation, improve their functions (17.4 vs. 22.1 in case 1 and 9.0 vs. 16.1 in case 2 on peak exercise aerobic capacity), and were discharged to their homes three months after training. Rehabilitation assessment and exercise using CPET in COVID-19 patients could be safe and useful.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1533239"},"PeriodicalIF":1.3,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12271168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676724","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}