Frontiers in rehabilitation sciences最新文献

{"title":"Validation of a tri-axial accelerometer for measuring physical activity in patients with subacute stroke.","authors":"Yosuke Kimura, Yoshiki Suzuki, Hiroki Kubo, Keishi Yoshida, Tomohiro Ota, Natsuki Shimizu, Masashi Kanai","doi":"10.3389/fresc.2024.1496515","DOIUrl":"10.3389/fresc.2024.1496515","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to validate the accuracy of the Active Style Pro HJA-750C (ASP) in measuring metabolic equivalents (METs) during walking and reaching tasks in individuals with subacute stroke using a respiratory gas analyzer as a reference.</p><p><strong>Methods: </strong>Twenty-three hospitalized patients with subacute stroke participated in this study. They performed sitting and standing reaching tasks, as well as walking while wearing a VO2 Master respiratory gas analyzer and ASP devices on both the paretic and non-paretic sides. The METs values recorded by the ASP were compared with those obtained using a VO2 Master respiratory gas analyzer. Pearson's correlation coefficients were calculated for each task, and Bland-Altman plots were used to assess the agreement between the two methods.</p><p><strong>Results: </strong>The ASP demonstrated good concurrent validity, with correlation coefficients of 0.71 and 0.74 for the sitting reaching task, 0.75 and 0.79 for the standing reaching task, and 0.83 and 0.85 for walking when the ASP was placed on the paretic and non-paretic sides, respectively. Bland-Altman analysis indicated no significant fixed or proportional errors. The ASP accurately measures METs whether worn on the affected or unaffected side of the waist.</p><p><strong>Conclusion: </strong>The ASP provides valid measurements of physical activity during walking and reaching tasks in patients with subacute stroke. These findings suggest that ASP is a valuable tool for monitoring physical activity in clinical rehabilitation settings.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1496515"},"PeriodicalIF":1.3,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11754406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029709","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 the vitiligo patient journey: from awareness to treatment or coping strategies.","authors":"Y Valle, T Lotti, S Towheed, J Sigova","doi":"10.3389/fresc.2024.1511053","DOIUrl":"10.3389/fresc.2024.1511053","url":null,"abstract":"","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1511053"},"PeriodicalIF":1.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017493","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":"Cultural and urban city living expectations of knee motion in a Southeast Asian city: implications on total knee arthroplasty outcomes.","authors":"Yong Yao Tan, Ke Xin Magneline Ang, Ching Yi Aliza Wong, Kinjal Vidyut Mehta, Sir Young James Loh","doi":"10.3389/fresc.2024.1446389","DOIUrl":"10.3389/fresc.2024.1446389","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of knee osteoarthritis in Southeast Asia has increased steadily over the years. When conservative management options fail, total knee arthroplasty (TKA) is a reliable surgical option. Despite over 90% post-operative satisfaction, the high volume of TKAs performed means that even a small percentage of dissatisfied patients holds significance. Dissatisfaction often arises from unmet expectations, which are influenced by cultural and urban factors specific to the region. Surgeons must counsel patients on likely post-operative activities, but limited data on knee range of motion (ROM) for daily tasks in Southeast Asia renders personalised guidance challenging.</p><p><strong>Aim: </strong>The primary aim of this study was to evaluate the minimum knee ROM required for daily activities (walking, stair climbing, squatting, kneeling, and sitting cross-legged) in a healthy Southeast Asian urban population. The secondary aim was to determine the association between anthropometric measurements and knee ROM required for the activities. This information is useful in managing patient expectations after TKA.</p><p><strong>Methods: </strong>An email describing the study was sent to hospital staff to recruit them as volunteers for the study. Enrolled participants were required to be between the ages of 21 and 65 years and capable of providing informed consent. Interested volunteers with a past medical history involving the lower limbs and spine were excluded. Those with a history of lower limb joint pain or back pain within the last 1 year were also excluded. The KINEXCS KIMIA device (KIMIA Recover System, 2022 edition v1.0) was used to measure the knee ROM. The overall characteristics of participants were summarised using descriptive statistics. Anthropometric measurements and their association with knee ROM during the various activities were analysed. Variables with <i>p</i>-values <0.3 in univariate analysis were included in the multivariable analysis.</p><p><strong>Results: </strong>Fifty participants (32 men, 18 women) were enrolled in the study. The average age of participants was 28.5 years (SD 5.57). The average height was 168 cm (SD 0.0870), and the average body mass index was 23.02 kg/m² (SD 2.82). The average knee ROM requirements for various activities are as follows: walking on flat ground and stair climbing required less than 90°, squatting and kneeling required at least 127°, and sitting cross-legged required 106°. Lower limb length, leg length, and calf circumference were significantly correlated with the knee ROM required to perform the activities.</p><p><strong>Significance: </strong>The findings of this study, combined with an understanding of cultural expectations, might prove valuable for counselling and managing patients undergoing TKA in an urban Southeast Asian country.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1446389"},"PeriodicalIF":1.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11752875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025014","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":"Musical neglect training for chronic persistent left hemispatial neglect with right hemiplegia post-stroke: a case report.","authors":"Yuka Kasuya-Ueba, Koji Maeda","doi":"10.3389/fresc.2024.1462978","DOIUrl":"10.3389/fresc.2024.1462978","url":null,"abstract":"<p><p>A 69-year-old right-handed man, who initially suffered a stroke 8 years ago and experienced two recurrences since then, presented with right hemiplegia and left hemispatial neglect as a post-stroke syndrome in the chronic phase. This report demonstrates the use of active musical instrument playing with Musical Neglect Training (MNT®) to improve severe left-side neglect and activities of daily living (ADLs). In addition to physical and occupational therapy, individual MNT® was incorporated into the patient's rehabilitation plan to improve his hemispatial neglect. At the initiation of the intervention, the number of uncrossed lines on the line cancellation test was 33 out of 40, and his Mini-Mental State Examination score was 17. Regarding ADLs, egocentric neglect was observed, especially during eating and wheelchair operations. Over the course of 18 months of weekly individual MNT®, a remarkable improvement was observed in the line cancellation test score (number of uncrossed lines = 4) and in ADLs. Follow-up tests showed that the effects of the intervention lasted at least 6 months. This is the first reported case demonstrating long-term effects observed at 6 months after an 18-month intervention period employing MNT® in a patient with severe chronic persistent hemispatial neglect. While rigorous studies are needed, our findings encourage further investigation of the benefits of MNT® interventions in post-stroke rehabilitation. In summary, long-term intervention involving active musical instrument playing, using auditory stimulus cues, significantly improved the severe symptoms of left hemispatial neglect in a patient with right hemiplegia, even during the chronic phase of recovery.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1462978"},"PeriodicalIF":1.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11747466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017572","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: Co-design of rehabilitation programming.","authors":"Janelle Unger, Dalton L Wolfe, John Bourke, James Middleton","doi":"10.3389/fresc.2024.1537063","DOIUrl":"10.3389/fresc.2024.1537063","url":null,"abstract":"","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1537063"},"PeriodicalIF":1.3,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743263/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017489","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: Targeted plasticity in spinal cord injury-the role of focal muscle vibration and neurocognitive rehabilitation in adaptative synaptic change along sensory and motor circuit.","authors":"Filippo Camerota, Naomi Francesca Pocino, Federico Zangrando, Roberta Di Tommaso, Marco Paoloni, Massimiliano Mangone, Claudia Celletti","doi":"10.3389/fresc.2024.1515114","DOIUrl":"10.3389/fresc.2024.1515114","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this case was to investigate objectively and quantitatively the effects of the application of repeated focal muscle vibration (fMV) associated with neurocognitive exercise on a 46-year-old patient with spastic paraparesis secondary to the surgical removal of a C5-C6 ependymoma.</p><p><strong>Methods: </strong>We have evaluated gait parameters, spasticity, and pain with clinical scales. We have applied focal muscle vibration on quadriceps femoris, hamstrings, gastrocnemius, and iliopsoas muscles bilaterally. A total of 30 sessions of fMV treatment of 80 min each was carried out over 30 consecutive days.</p><p><strong>Results: </strong>After the whole treatment period, the patient showed an overall improvement in scores on the same assessment scales administered at admission. The gait analysis evaluation showed a reduction in stride time bilaterally, an increase in average walking speed, increased cadence, and a slight increase in step length.</p><p><strong>Conclusion: </strong>The improvements obtained have highlighted the relevance of the fMV application associated to physiotherapy in the field of neurological rehabilitation, particularly emphasizing the interest in increasing the number of sessions correlated with more durable clinical improvements over time. Results obtained have shown to persist for several months after discharge, allowing the patient to improve walking and to have greater autonomy in daily activities.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1515114"},"PeriodicalIF":1.3,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017486","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 a 5-day adapted swim instruction program for children with disabilities.","authors":"Tana B Carson, J Megan Irwin, Tania Santiago Perez, Ivana Frampton, Lisa Ruby","doi":"10.3389/fresc.2024.1496185","DOIUrl":"10.3389/fresc.2024.1496185","url":null,"abstract":"<p><strong>Background: </strong>Drowning is a leading cause of death for children. Some populations of children with disabilities, such as children with autism, experience a health disparity in drowning when compared to peers without disabilities.</p><p><strong>Objective: </strong>This study presents a secondary data analysis of the response to intervention for a 5-day adapted swim instruction program (iCan Swim) for children with disabilities (<i>n</i> = 164 participants) ages 3-18 years.</p><p><strong>Methods: </strong>This secondary data analysis assessed the effectiveness of the swim intervention on changes in swim skill level from Day 1 to Day 5. Associations between response to intervention (i.e., change score) and participant characteristics were examined using Kendall's tau-b for age and Chi-square for sex and diagnosis. Models were fit using a Poisson regression to examine potential predictors of progress across participants.</p><p><strong>Results: </strong>Swim skills significantly improved from Day 1 (<i>Md</i> = 1.00, <i>n</i> = 164) to Day 5 (<i>Md</i> = 2.00, <i>n</i> = 164), z = -10.06, <i>p</i> < .001, r = .58). Most participants (61.6%) improved by at least one swim skill level. Age was weakly, yet significantly positively correlated with swim skill level change scores (<i>τ</i> _b = .154, <i>p</i> = .020) and was a significant predictor of swim skill level change for participants with Down Syndrome [b = .091, S.E. = .0434, <i>p</i> = .036, 95%CI (.006,.176)].</p><p><strong>Conclusions: </strong>While this 5-day adapted swim instruction program was effective for most participants in improving swim skills, certain factors may have contributed to slower progression including participant fearfulness or needing more time. Further study of these factors is warranted.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1496185"},"PeriodicalIF":1.3,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11738942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017491","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":"Enhancing shared street accessibility in heritage sites for individuals with visual disabilities: a Canadian perspective.","authors":"M Lakoud, E Morales, A Ruiz-Rodrigo, I Feillou, S Mathieu, F Routhier","doi":"10.3389/fresc.2024.1419446","DOIUrl":"10.3389/fresc.2024.1419446","url":null,"abstract":"<p><strong>Introduction: </strong>Heritage sites often pose significant accessibility challenges for individuals with visual disabilities due to their preserved architectural features and strict regulations against modifications. In shared streets, designed to encourage pedestrian use and reduce vehicle dominance, these challenges are exacerbated by the lack of tactile and directional cues for visually impaired users. This study, set in the context of Canadian heritage sites, explores how shared streets can be adapted to be more inclusive while respecting the integrity of historical environments.</p><p><strong>Objective: </strong>The objective of this study is to explore and propose practical solutions to enhance the accessibility of shared streets for individuals with visual disabilities within heritage sites, with a particular focus on preservation requirements.</p><p><strong>Methodology: </strong>The study adopts a three-phase methodology. First, co-design sessions were conducted with three groups of stakeholders: people with disabilities, caregivers, and experts in accessibility and heritage preservation. Second, a narrative literature review was undertaken to identify practices from existing research and urban planning cases. Finally, solutions were developed in collaboration with a design firm to create practical, adaptable prototypes that address the specific needs identified in earlier phases.</p><p><strong>Findings: </strong>The co-design sessions revealed several key challenges, including the lack of tactile references, difficulties with snow removal, and the need for clearer delineation between pedestrian and vehicular zones. Solutions such as tactile paving, modular bollards, and the use of contrasting materials were developed to address these issues. The narrative review reinforced the importance of universal design in heritage contexts and provided insights into successful implementations in other urban settings.</p><p><strong>Conclusion: </strong>The study concludes that shared streets can be made more accessible for individuals with visual disabilities by adopting a modular design approach that integrates tactile cues and adaptable urban furniture. These solutions ensure that accessibility and safety can coexist with heritage preservation, promoting inclusivity in public spaces. The research highlights the importance of stakeholder engagement in the design process and offers a replicable framework for improving accessibility in heritage sites globally. However, further field testing is needed to assess the feasibility and acceptance of these solutions within the regulatory constraints of heritage environments.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1419446"},"PeriodicalIF":1.3,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11703866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959614","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":"Current status of the curricula of physiotherapy schools in Türkiye in terms of the usage of new rehabilitation technologies and measurement systems.","authors":"Selda Uzun, Muhammed Yusuf Kahraman","doi":"10.3389/fresc.2024.1504509","DOIUrl":"https://doi.org/10.3389/fresc.2024.1504509","url":null,"abstract":"","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1504509"},"PeriodicalIF":1.3,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11695287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933732","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":"Striving to establish patient participation in rehabilitation: the challenges experienced by nursing staff when changing practice to include the patient's perspective.","authors":"Randi Steensgaard, Raymond Kolbaek, Helge Kasch, Sanne Angel","doi":"10.3389/fresc.2024.1504984","DOIUrl":"10.3389/fresc.2024.1504984","url":null,"abstract":"<p><strong>Purpose: </strong>Patient participation is a complex issue and difficult to establish, but essential to successful spinal cord injury rehabilitation. The purpose of this study was to explore the challenges experienced by nursing staff when they wanted to include the patient's perspective in their rehabilitation.</p><p><strong>Methods: </strong>Action research methodology was applied to increase knowledge, develop competences, and ultimately change practice. Over a period of two years, four nurses and four certified healthcare workers participated in identifying, testing and evaluating ways to improve patient participation. The data consist of evaluations of patient participation and recorded and transcribed dialogues from meetings and workshops. Transformed into text, data were analysed using the interpretive theory of Ricoeur to identify central themes.</p><p><strong>Findings: </strong>Three central themes highlight the challenges experienced by the nursing staff while focusing more on patient participation in nursing practice: (1) Struggling to really listen to the patient's perspective, (2) Searching for time to listen to the patient's perspective, (3) Legitimising the patient's perspective in rehabilitation.</p><p><strong>Conclusion: </strong>Even though nursing staff found patient participation to be vital for individualised rehabilitation, it was difficult to include the patient's perspective. The inclusion was challenged on a personal level, within the nursing group, and in the organisation due to prioritizing physical nursing tasks over the patient's perspective. Thus, the nursing staff struggled to change their nursing practice and to convince their colleagues and leaders that the rehabilitation should be re-organised to perform their nursing role to the full. This indicated a need to work on the attitude and approach of the entire organisation to promoting patient participation and nursing rehabilitation.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1504984"},"PeriodicalIF":1.3,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11693675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923895","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}