Frontiers in rehabilitation sciences最新文献

{"title":"Impact of provider feedback on quality improvement in rehabilitation services: an interrupted time series analysis.","authors":"Anne-Lene Sand-Svartrud, Hanne Dagfinrud, Johanne Fossen, Heidi Framstad, Eirik Lind Irgens, Hild Kristin Morvik, Joseph Sexton, Rikke Helene Moe, Ingvild Kjeken","doi":"10.3389/fresc.2025.1564346","DOIUrl":"10.3389/fresc.2025.1564346","url":null,"abstract":"<p><strong>Introduction: </strong>Quality improvement in rehabilitation is needed due to unwarranted variations and suboptimal service coordination. Audit and feedback strategies are commonly used to improve healthcare quality, but evidence of their effectiveness in rehabilitation settings is limited.</p><p><strong>Objective: </strong>To evaluate the impact of an audit and feedback strategy on rehabilitation quality, as measured by a set of quality indicators (QIs) specifically designed for rehabilitation.</p><p><strong>Methods: </strong>Interrupted time series analysis was conducted across 16 Norwegian institutions delivering specialized rehabilitation for long-term diseases. Patient-reported rehabilitation quality data was collected continuously before and after a provider feedback intervention, while provider-reported quality was measured once before and after the intervention. We compared 11 pre- and 9 post-intervention observations, each spanning 3 weeks, over a 15-months study period.</p><p><strong>Results: </strong>The analyses included 2,415 patients, with 1,444 (59.8%) pre-intervention and 971 (40.2%) post-intervention. Mixed model analyses revealed that the mean differences in patient-reported QIs between the pre- and post-intervention phase were small and statistically non-significant. The expected impact model, including a gradually higher quality after the feedback to institution managers and clinical team members, was not confirmed. We observed variations in service quality among institutions, also post-intervention. The lowest pass rates were observed for indicators addressing the follow-up, involvement of external services and next of kin.</p><p><strong>Conclusions: </strong>In this multicentre study, the audit and feedback intervention did not lead to improvements in the quality of rehabilitation services, as measured by changes in QI pass rates covering health service structures, processes and patient outcomes.</p><p><strong>Clinical trial registration: </strong>ClinicalTrials.gov [NCT03764982].</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1564346"},"PeriodicalIF":1.3,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671781","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":"Early functional proprioceptive stimulation in high spinal cord injury: a pilot study.","authors":"Florence Martinache, Anne-Claire de Crouy, Arnaud Boutin, Jacques Duranteau, Bernard Vigué","doi":"10.3389/fresc.2025.1490904","DOIUrl":"10.3389/fresc.2025.1490904","url":null,"abstract":"<p><strong>Introduction: </strong>The first months following a spinal cord injury (SCI) are crucial for promoting recovery. However, patients with high SCIs often require prolonged stays in intensive care units (ICUs), delaying optimal rehabilitation due to limited resources. This study examined the safety, feasibility, and effects on spasticity and muscle atrophy of an early rehabilitation technique using non-invasive sensory stimulation and called functional proprioceptive stimulation (FPS).</p><p><strong>Materials and methods: </strong>Ten SCI patients were included in this randomized pilot study, with five receiving early FPS and five receiving sham stimulation. Both groups were treated using the Vibramoov, consisting of 12 computer-synchronized vibrators placed on the lower limbs. Treatment sessions lasted 30 min, four times a week, for up to 8 weeks. Spasticity was assessed using the Modified Ashworth Scale, Tardieu Scale, Spinal Cord Assessment Tool for Spastic Reflexes, and a patient self-evaluation with a visual analog scale. Muscle atrophy was evaluated through ultrasonography of rectus femoris thickness and cross-sectional area. The duration of the follow-up period ranged from 6 months to 1 year.</p><p><strong>Results: </strong>Treatment began early, with a median of 4 days post-injury for both groups. The number of adverse events was similar between groups, with none linked to the intervention. No medium-term effects on spasticity or muscle atrophy could be identified. However, our results show a tendency toward a beneficial short-term effect of FPS on spasticity, observed for all spasticity measurements.</p><p><strong>Discussion: </strong>This pilot study shows that early FPS is feasible and safe for SCI as early as the intensive care unit stage. We demonstrated that FPS induced a transient relaxation and spasticity reduction that could potentially enhance a rehabilitation session administered shortly after it, but larger studies are needed to determine the medium and long-term effects.</p><p><strong>Clinical trial registration: </strong>ClinicalTrials.gov, identifier (NCT05094752).</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1490904"},"PeriodicalIF":1.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11897281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617904","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 bibliometric analysis of perioperative rehabilitation research between 2005 and 2024.","authors":"Juan Li, Fen Su, Qing Zhang, Guiqi Song","doi":"10.3389/fresc.2025.1524303","DOIUrl":"10.3389/fresc.2025.1524303","url":null,"abstract":"<p><p>Effective rehabilitation can improve the prognosis of surgical patients, thereby enhancing their medical experience. In recent years, relatively more research is been carried out in this field; therefore, it is necessary to use bibliometric analysis to understand the development status and main research hotspots of perioperative rehabilitation, so as to determine the role of rehabilitation in the perioperative period. All documents related to perioperative rehabilitation and published from 2005 to 2024 were retrieved from the Web of Science Core Collection (Woscc). Number of articles, countries/regions, institutions, journals, authors, and keywords were analysed using VOSviewer and CiteSpace. A total of 829 studies on perioperative rehabilitation were included in the bibliometric analysis. The number of articles has steadily and rapidly increased since 2016. Over time, the publication outputs increased annually. There are 532 keyword nodes in total, of which the five keywords that appear most frequently are \"surgery\" \"rehabilitation\" \"Outcome\" \"management\" and \"complications\". Research on the perioperative rehabilitation has developed rapidly. This study provides necessary information for researchers to understand the current status, collaborative networks, and main research hotspots in this field. In addition, our research findings provide a series of recommendations for future studies.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1524303"},"PeriodicalIF":1.3,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11893396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607435","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 effects of family directed power mobility on self-care, mobility, and social function in very young children with severe multiple developmental impairments.","authors":"Juan Aceros, Guilherme M Cesar, Ayshka Rodriguez, Mary Lundy","doi":"10.3389/fresc.2025.1551536","DOIUrl":"10.3389/fresc.2025.1551536","url":null,"abstract":"<p><strong>Introduction: </strong>Children with impaired mobility often experience negative impact on overall development leading to depression, social isolation, and perceived lower quality of life.</p><p><strong>Objective: </strong>Our study explored the effects of Power Mobility Devices (PMD), in the form of modified ride-on toy cars with two distinct activation/steering technologies, on functional independent and social function in young children with severe multiple developmental impairments.</p><p><strong>Methodology: </strong>Twelve children (age range 12-54 months) with neuromuscular, musculoskeletal, and genetic diagnoses, and metabolic progressive diseases participated. Significant cognitive, visual, or communication impairment was not exclusionary. Two types of activation and steering modifications (proportional control joystick and line follower technologies) were provided. Paired samples <i>t</i>-test contrasted pre-post functional capabilities after three months of PMD use in both Pediatric Evaluation of Disability Inventory scales of Functional Skills and Caregiver Assistance, each with the subscales self-care, mobility, and social/cognitive.</p><p><strong>Findings: </strong>Improvements were observed in all three subscales for Functional Skills (significant 9.8% increase in self-care, 21.4% in mobility, and 17.5% social/cognitive) and Caregiver Assistance (significant 35.4% increase in self-care).</p><p><strong>Conclusion: </strong>These quantitative results support findings of previous studies analyzing qualitative data, suggesting that early power mobility interventions provide positive improvements in the quality of life of children with severe developmental disabilities.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1551536"},"PeriodicalIF":1.3,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11893569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607437","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":"Estimation of elbow flexion torque using equilibrium optimizer on feature selection of NMES MMG signals and hyperparameter tuning of random forest regression.","authors":"Raphael Uwamahoro, Kenneth Sundaraj, Farah Shahnaz Feroz","doi":"10.3389/fresc.2025.1469797","DOIUrl":"10.3389/fresc.2025.1469797","url":null,"abstract":"<p><strong>Background: </strong>The assessment of limb joint torque is essential for understanding musculoskeletal system dynamics. Yet, the lack of direct muscle strength measurement techniques has prompted previous research to deploy joint torque estimation using machine learning models. These models often suffer from reduced estimation accuracies due to the presence of redundant and irrelevant information within the rapidly expanding complex biomedical datasets as well as suboptimal hyperparameters configurations.</p><p><strong>Methods: </strong>This study utilized a random forest regression (RFR) model to estimate elbow flexion torque using mechanomyography (MMG) signals recorded during electrical stimulation of the biceps brachii (BB) muscle in 36 right-handed healthy subjects. Given the significance of both feature engineering and hyperparameter tuning in optimizing RFR performance, this study proposes a hybrid method leveraging the General Learning Equilibrium Optimizer (GLEO) to identify most informative MMG features and tune RFR hyperparameters. The performance of the GLEO-coupled with the RFR model was compared with the standard Equilibrium Optimizer (EO) and other state-of-the-art algorithms in physical and physiological function estimation using biological signals.</p><p><strong>Results: </strong>Experimental results showed that selected features and tuned hyperparameters demonstrated a significant improvement in root mean square error (RMSE), coefficient of determination (R²) and slope with values improving from 0.1330 to 0.1174, 0.7228 to 0.7853 and 0.6946 to 0.7414, respectively for the test dataset. Convergence analysis further revealed that the GLEO algorithm exhibited a superior learning capability compared to EO.</p><p><strong>Conclusion: </strong>This study underscores the potential of the hybrid GLEO approach in selecting highly informative features and optimizing hyperparameters for machine learning models. These advancements are essential for evaluating muscle function and represent a significant advancement in musculoskeletal biomechanics research.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1469797"},"PeriodicalIF":1.3,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11880288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568956","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: Surface EMG and other measurement techniques in rehabilitation research and practice: are new educational programs needed?","authors":"Marco Tramontano, Sheng Li, Roberto Merletti","doi":"10.3389/fresc.2025.1565879","DOIUrl":"https://doi.org/10.3389/fresc.2025.1565879","url":null,"abstract":"","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1565879"},"PeriodicalIF":1.3,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11868156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544810","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: ICF in teaching, training and education - retrospective for future concepts - what remains of 20 years of ICF in education?","authors":"Sandra Kus, Andrea Glässel, Anita Kidritsch","doi":"10.3389/fresc.2025.1559098","DOIUrl":"https://doi.org/10.3389/fresc.2025.1559098","url":null,"abstract":"","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1559098"},"PeriodicalIF":1.3,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11865257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525461","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":"Mapping of long COVID condition in India: a study protocol for systematic review and meta-analysis.","authors":"Nidhi Jain, Komal Shah, Roshani Chauhan, Abhishek Gupta, Priyanka Arora, Deepak Saxena, Dileep Mavalankar","doi":"10.3389/fresc.2025.1419963","DOIUrl":"10.3389/fresc.2025.1419963","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic has reported significant alarming aftereffects experienced by some individuals following acute sequelae of SARS-CoV-2 infection, commonly referred to as long COVID. Long COVID is a set of symptoms that remain for weeks or months, after the initial phase of COVID-19 infection is ended.</p><p><strong>Objective: </strong>This study protocol outlines the methodology of a systematic review followed by a meta-analysis to comprehensively assess the chronic effects of COVID-19 infection on the Indian population and determine the likely risk factors connected to the development and persistence of long COVID.</p><p><strong>Methodology: </strong>This study will employ comprehensive search through a custom-made search strategy across significant databases (PubMed, MEDLINE etc.) and grey literature to identify related literature from January 2020 to December 2023. A systematic review and meta-analysis will be conducted to synthesize data from various studies. The data synthesis will involve a comprehensive narrative and tabular presentation of outcome data from included studies, focusing on long-term effects of COVID-19 infection in Indian population. A meta-analysis will be conducted contingent upon the availability and suitability of data. If sufficient and comparable quantitative data are identified across the included studies, statistical synthesis will be undertaken. Subgroup and sensitivity analyses will manage confounders, while MedCalc software will facilitate a meta-analysis to assess pooled data. Publication bias will be evaluated using statistical tests to ensure the integrity of the findings. In the absence of adequate data, a narrative synthesis will be performed to summarize the findings systematically and transparently.</p><p><strong>Conclusion: </strong>The anticipated findings will contribute to a refined understanding of this condition and its lingering symptoms, guiding healthcare interventions and future research endeavors to mitigate the impact of long COVID in the Indian population.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1419963"},"PeriodicalIF":1.3,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11865057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525465","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: Rehabilitation to guide functional plasticity and regeneration with novel cellular, pharmacological and neuromodulation therapies.","authors":"Régis Gemerasca Mestriner, Sukhvinder Kalsi-Ryan, Gita Gholamrezaei, Gustavo Balbinot","doi":"10.3389/fresc.2025.1563975","DOIUrl":"10.3389/fresc.2025.1563975","url":null,"abstract":"","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1563975"},"PeriodicalIF":1.3,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11865205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525463","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: Psychosocial issues and interventions in pulmonary rehabilitation.","authors":"Ingeborg Farver-Vestergaard, Eleonora Volpato, Henrik Hansen, Liz Steed","doi":"10.3389/fresc.2025.1562337","DOIUrl":"10.3389/fresc.2025.1562337","url":null,"abstract":"","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1562337"},"PeriodicalIF":1.3,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11861301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517465","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}