Frontiers in rehabilitation sciences最新文献

{"title":"Use of O-arm to place an intrathecal catheter through a bony fusion mass: case report.","authors":"Francesco Sammartino, Sheital Bavishi, Brian Dalm","doi":"10.3389/fresc.2025.1530801","DOIUrl":"10.3389/fresc.2025.1530801","url":null,"abstract":"<p><strong>Background: </strong>Intrathecal baclofen (ITB) delivery is an FDA-approved indication for patients with intractable spasticity. Often, implantation in these patients can be considerably challenging, especially if previous surgical fusion involves the procedure access location.</p><p><strong>Case report: </strong> We present the case of a 27-year-old female with T2 American Spinal Injury Association (ASIA) A spinal cord injury (SCI) and chronic spastic dystonia. She was maximized on oral medications without satisfactory control of her painful muscle spasms and was a candidate for ITB trial, which ultimately failed due to the difficulty of accessing the spinal canal due to extensive pseudoarthrosis secondary to thoracic to lumbar fusion. A decision was made to directly implant the pump in the operative room using O-arm-aided neuronavigation to guide catheter access at L5-S1. Currently, at 22 months of follow-up post-pump implant, ITB delivery has led to persistent improvements in her spastic dystonia and many aspects of quality of life.</p><p><strong>Discussion: </strong> The current case indicates that a multidisciplinary approach when considering surgical treatments for medication-refractory spasticity may help expand the indications to large numbers of patients with postsurgical spine abnormalities.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1530801"},"PeriodicalIF":1.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12137080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236033","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":"12-Month trajectories of physical and mental symptom scores after COVID-19 hospitalization and their role in predicting \"very long\" COVID.","authors":"Oleksii Honchar, Tetiana Ashcheulova, Alla Bobeiko, Viktor Blazhko, Eduard Khodosh, Nataliia Matiash, Vladyslav Syrota","doi":"10.3389/fresc.2025.1568291","DOIUrl":"10.3389/fresc.2025.1568291","url":null,"abstract":"<p><strong>Background: </strong>Long COVID syndrome (LCS) represents a significant global health challenge due to its wide-ranging physical and cognitive symptoms that persist beyond 12 months in a substantial proportion of individuals recovering from SARS-CoV-2 infection. Developing tools for predicting long-term LCS persistence can improve patient management and resource allocation.</p><p><strong>Objective: </strong>To evaluate the natural dynamics of symptoms over 12 months following hospitalization for COVID-19 and to establish the utility of survey-based symptoms assessment for predicting LCS at one year.</p><p><strong>Methods: </strong>This prospective observational study included 166 hospitalized COVID-19 survivors who were evaluated pre-discharge and followed up at 1, 3, and 12 months. Assessments included surveys including physical and mental symptom scales (e.g., EFTER-COVID, SBQ-LC, PCFS, MRC Dyspnea, CAT, CCQ, and HADS) and machine learning modeling to predict LCS persistence at 12 months.</p><p><strong>Results: </strong>LCS symptoms were reported by 76% of patients at three months and 43% at 12 months. Physical symptom scores, particularly EFTER-COVID and PCFS, consistently differentiated LCS and LCS-free cohorts. CAT outperformed other respiratory scales in its discriminatory ability, while HADS subscales showed limited predictive value. Younger patients (<40 years) demonstrated faster recovery, whereas older patients (>60 years) exhibited persistent symptoms across respiratory and cognitive domains. A machine learning model combining EFTER-COVID, SBQ-LC, CAT, and MRC Dyspnea scores achieved 91% predictive accuracy for LCS persistence at 12 months.</p><p><strong>Conclusion: </strong>Comprehensive survey-based symptoms assessment at three months post-discharge provides a practical and cost-effective tool for prediction of the long COVID persistence at 12 months, supporting targeted rehabilitation strategies.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1568291"},"PeriodicalIF":1.3,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227855","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":"Social validation of post-treatment outcomes of adults who stutter who participated in CARE Model treatment: replication and extension.","authors":"Geoffrey A Coalson, Courtney T Byrd","doi":"10.3389/fresc.2025.1541059","DOIUrl":"10.3389/fresc.2025.1541059","url":null,"abstract":"<p><strong>Purpose: </strong>Social validation provides external validity of treatment outcomes from the perspective of untrained observers. To date, clinical efficacy studies of the Blank Center CARE^™ Model indicate post-treatment gains in communication competence from the perspective of participants and clinicians. A preliminary social validation study corroborated these positive treatment outcomes with ratings from the general public for a single participant in a single context. The present study was designed to replicate and extend these findings by assessing clinical outcomes from the perspective of untrained observers across multiple participants and contexts.</p><p><strong>Method: </strong>Ten adults who stutter provided communication samples one week before and after completing the Blank Center CARE Model treatment. A total of 1,110 untrained observers were recruited. Each untrained observer rated only one participant at one timepoint (pre-treatment or post-treatment) in one context (dyad or presentation), and each participant was asked to provide only one rating (communication competence or stuttering severity).</p><p><strong>Results: </strong>A significant interaction indicated that post-treatment gains were observed for communication competence, but not stuttering severity, for both contexts.</p><p><strong>Conclusions: </strong>Present findings provide further social validation of the Blank Center CARE Model of treatment. Untrained observers confirmed that participation in this strengths-based approach significantly enhances communication competence. Notably, these changes were observed regardless of pre- to post-treatment stuttering severity, lending additional support to the premise that changes in communication and fluency are independent constructs.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1541059"},"PeriodicalIF":1.3,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227856","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":"Multidisciplinary and home-based management in neonatal unilateral foot drop: a case report.","authors":"Ilaria Sanzarello, Lorenza Siracusano, Angelo Alito, Carmela De Domenico, Matteo Nanni, Danilo Leonetti","doi":"10.3389/fresc.2025.1575708","DOIUrl":"10.3389/fresc.2025.1575708","url":null,"abstract":"<p><strong>Background: </strong>Foot drop in newborns is a rare condition with limited cases reported in the literature. It can result from various aetiologies including neurological, muscular, anatomical, or mechanical factors. Diagnosis can be challenging as identifying the underlying cause is essential for determining the appropriate course of management.</p><p><strong>Case presentation: </strong>We present the case of a newborn with unilateral foot drop highlighting the diagnostic approach and clinical progression. Clinical evaluation and instrumental examinations, including electromyography and nerve conduction studies, showed isolated external popliteal of the sciatic nerve dysfunction. There were no associated spinal cord or musculoskeletal abnormalities. A prolonged and complicated delivery, with sustained intrauterine limb malposition and nerve compression, was identified as the likely cause, leading to transient ischemia and peripheral nerve impairment. Despite the initial weakness and inability to dorsiflex the foot, no surgical or pharmacological intervention was required. Supportive care and close clinical monitoring were adopted besides the active involvement of parents in foot positioning and mobilization. Over the following months, gradual neurological recovery was observed, culminating in the complete resolution of symptoms by the fifth month of life.</p><p><strong>Conclusion: </strong>This case underscores the importance of recognizing transient peroneal nerve palsy as a potential cause of neonatal foot drop. It also highlights the role of conservative management and expectant observation in cases where spontaneous recovery is likely, avoiding unnecessary interventions.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1575708"},"PeriodicalIF":1.3,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217804","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 qualitative comparison of healthcare practitioners' perceptions regarding fatigue as a symptom in neurological conditions: insights from a tertiary care center in Saudi Arabia.","authors":"Madawi Alotaibi, Murali P Subramanian, Wafa Alahmari, Samiah Alqabbani, Maha Algabbani, Afrah Almuwais","doi":"10.3389/fresc.2025.1433276","DOIUrl":"10.3389/fresc.2025.1433276","url":null,"abstract":"<p><strong>Introduction: </strong>Fatigue as a symptom severely affects individuals with neurological diseases, but its understanding and management remain limited, especially in the unique healthcare context of Saudi Arabia. While it has been extensively studied in stroke, its manifestations in neurological conditions and the perceptions of health professionals have not been thoroughly explored in this specific setting. Given the profound impact of fatigue on patient outcomes, understanding the attitudes of health professionals is crucial to identifying targeted interventions and significantly improving patient care in Saudi Arabia.</p><p><strong>Methods: </strong>This qualitative study, conducted in collaboration with a diverse group of Saudi healthcare professionals, used Semi-structured interviews to explore their perspectives on fatigue in neurological diseases. The 24 participants included physiatrists, occupational therapists, and physiotherapists, all of whom played a crucial role in treating and managing individuals with neurological conditions. Semi-structured interviews were conducted in Arabic and translated into English. Data analysis involved thematic analysis using NVivo software, with themes identified iteratively until data saturation was achieved.</p><p><strong>Results: </strong>Three overarching themes emerged from the data analysis. (1) \"Fatigue is a common symptom of a neurological disorder\" highlights clinicians' recognition of the prevalence and manifestations of fatigue in various neurological disorders. (2) \"Adaptive fatigue management\" emphasizes the importance of individual strategies for managing fatigue, including improving endurance and environmental adaptation, and emphasizes the relationship. (3) \"Fatigue and Other Conditions\" explored the complex relationship between fatigue and other common neurological conditions, such as multiple sclerosis and traumatic brain injury.</p><p><strong>Conclusion: </strong>The study provides useful information about Saudi healthcare professionals' perceptions of fatigue in neurological illnesses. Key findings stress the significance of fatigue and the need for unique designs to manage its diverse forms. While admitting limitations such as limited generalizability and inherent biases, the study advances our understanding of fatigue management in Saudi Arabia. It advocates the development of targeted therapies to improve patient care and outcomes in neurological illnesses.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1433276"},"PeriodicalIF":1.3,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12127392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210407","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":"Scope of rehabilitation for patients with long COVID symptoms in Bangladesh.","authors":"Md Waliul Islam, Ehsanur Rahman, K M Amran Hossain, Md Zahid Hossain","doi":"10.3389/fresc.2025.1572351","DOIUrl":"10.3389/fresc.2025.1572351","url":null,"abstract":"<p><strong>Background: </strong>The Bangladeshi healthcare system had planned to meet the long-term rehabilitation needs of people who had suffered due to COVID, as well as those whose health and level of activity had declined during the COVID pandemic. The goal is to apply the COVID-19 Yorkshire Rehabilitation Scale (C-YRS) to ascertain the number of health domains in which a person with PCS should undergo rehabilitation.</p><p><strong>Methods: </strong>We carried out a quantitative cross-sectional study. The eight administrative divisions provided the pool of participants for selecting the 409 people comprised by the stratified sampling. We collected data using a semi-structured questionnaire that included sociodemographics, a symptoms checklist, and the C-YRS.</p><p><strong>Results: </strong>The most common post-COVID symptoms among the participants were fatigue (34.3%), muscle pain (20%), and dyspnea (12.2%). The comparison between pre- and postinfection symptoms revealed a notable increase in symptom severity and functional impairments. The study also found a significant relationship between symptom severity and place of residence (<i>p</i> < 0.5). The study found that the severity of symptoms was mild (30.5% (<i>n</i> = 90), moderate 55.3% (<i>n</i> = 186), and severe 14.2% (<i>n</i> = 94). We also looked for correlations between symptom severity, functional impairment, and health. It showed a significant positive correlation between symptom scores and functional difficulty scores (0.889, <i>p</i> < 0.001), while there was a significant negative correlation between symptom scores and overall health (-0.658, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Severity phenotypes can aid in the stratification of people with PCS for targeted therapies and rehabilitation care planning.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1572351"},"PeriodicalIF":1.3,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182420","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 clinical utility of musculoskeletal ultrasonography in hemiplegic shoulder rehabilitation poststroke.","authors":"Jun Liu, Huijuan Pan, Yong Bao, Li Huang, Yunyun Hu","doi":"10.3389/fresc.2025.1576890","DOIUrl":"10.3389/fresc.2025.1576890","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the utility of musculoskeletal ultrasound (MSUS) in the rehabilitation of stroke patients with hemiplegic shoulder pain.</p><p><strong>Methods: </strong>We conducted a study involving 80 stroke patients with hemiplegia and concomitant shoulder pain on the affected side, admitted to our hospital between April 2020 and March 2021. MSUS was used to evaluate shoulder structures, including the long head of the biceps brachii tendon (BICT) and its sheath, rotator cuff, subacromial-subdeltoid (SA-SD) bursa, labrum, acromioclavicular ligament, acromiocoracoid ligament, and acromion-greater tuberosity (AGT) distance. We compared pre- and post-rehabilitation measurements of supraspinatus tendon (SST) thickness, BICT sheath effusion thickness, SA-SD bursa effusion thickness, AGT distance, and visual analog scale (VAS) scores. Statistical significance was set at <i>P</i> < 0.05.</p><p><strong>Results: </strong>Post-rehabilitation, the SST thickness on the hemiplegic side showed a statistically significant reduction (<i>P</i> = 0.023). No significant difference was observed in the mean maximum rupture diameter (<i>P</i> = 0.796). Both BICT sheath effusion (<i>P</i> < 0.001) and SA-SD bursa effusion (<i>P</i> < 0.001) exhibited significant decreases. The AGT distance on the hemiplegic side also demonstrated a statistically significant change (<i>P</i> < 0.001). Additionally, the VAS score significantly improved post-rehabilitation (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>MSUS is a feasible and reproducible tool for monitoring rehabilitation progress in stroke patients with hemiplegic shoulder pain.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1576890"},"PeriodicalIF":1.3,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119546/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182421","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":"Integration of resistance exercise into a multimodal approach to prehabilitation for patients with sarcopenia prior to surgery: a narrative review.","authors":"Harsh Patel, Khang Duy Ricky Le, Annie Jiao Wang, Samuel Boon Ping Tay","doi":"10.3389/fresc.2025.1481233","DOIUrl":"10.3389/fresc.2025.1481233","url":null,"abstract":"<p><strong>Introduction: </strong>Sarcopenia describes the process of progressive, generalised loss of skeletal muscle mass and strength, and has been recognised as a predictor of postoperative complications and mortality. Prehabilitation represents a clinical strategy where patients undergo both physical and psychological strategies in order to improve their functional capacity prior to surgery. Importantly, prehabilitation programs have been considered as an area of perioperative optimisation to address sarcopenia. However, the optimal prehabilitation program regimen remains poorly characterised. Instead of suggesting a novel prehabilitation strategy for sarcopenic patients, this review seeks to characterise the best-practice modalities and methods of resistance training as a component of multimodal prehabilitation to improve patient outcomes following surgery.</p><p><strong>Methods: </strong>A narrative review was performed following a search of Medline and Embase databases.</p><p><strong>Results: </strong>There is significant heterogeneity in the literature regarding best-practive resistance exercise regimens for patients with sarcopenia who are awaiting surgery. Overall, the literature highlights that programs with early involvement of clinicians, dietitians, nutritionists, and psychological support programs have been shown to improve patient outcomes compared to programs that did not. Additionally, asides from muscular hypertrophy, resistance exercise programs have been shown to have a multifactorial impact on sarcopenia, synergistically improving the domains of nutrition, mental health, hormonal imbalance, and chronic inflammation. The ideal approach to resistance exercise remains poorly understood, with a paucity of evidence surrounding the best methods for delivering such regimens. Despite this, key considerations revealed by this review include the need for prehabilitation clinicians to consider key aspects of resistance training including training volume, intensity with consideration into periodisation and progressive overload. Collaboration with multidisciplinary networks such as physiotherapists, exercise physiologists and personal trainers should be considered to ensure a safe and injury-free approach to resistance exercise in prehabilitation.</p><p><strong>Conclusion: </strong>While there remains a lack of standardisation of prehabilitation protocols, the evidence suggests that multimodal prehabilitation should be considered in evidence-based frameworks to improve patient outcomes following surgery. In particular, the ability of resistance exercises to address multiple domains relevant to sarcopenia, thereby enhancing patient outcomes beyond pure hypertrophy and playing a key role in prehabilitation.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1481233"},"PeriodicalIF":1.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12106015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163293","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":"Staff perspectives on independence and collaborative practices in the IRIS intervention: an evaluation in Swedish LSS residential homes.","authors":"Sylvia Olsson, Carina Loeb, Munir Dag","doi":"10.3389/fresc.2025.1571233","DOIUrl":"10.3389/fresc.2025.1571233","url":null,"abstract":"<p><strong>Background and purpose: </strong>Intensive Rehabilitation Coordination (IRIS), is an intensive, health-promoting habilitative intervention designed to prevent, reduce, and compensate for individuals' support needs while enhancing their independence. The purpose of this study is to explore staff experiences with the IRIS intervention in a municipality's LSS residential homes, with a focus on how independence is defined and operationalized and the resulting impact on service delivery.</p><p><strong>Methods: </strong>A qualitative study was conducted in which staff from various LSS residential homes were interviewed. The interviews were structured to examine differences in the interpretation of independence, the strategies used to support service users, and the collaborative nature of the intervention. Participants were asked to describe their approaches to encouraging or supporting independence in daily tasks and their interactions with quality coordinators.</p><p><strong>Results: </strong>The analysis revealed a lack of a shared definition of independence among staff, leading to varied approaches in supporting service users. Some staff members actively promoted independence by encouraging service users to perform everyday tasks on their own, while others performed these tasks for the service users due to practical considerations such as convenience and efficiency. Despite these variations, staff reported that service users still have the opportunity to make their own decisions regarding daily activities. Overall, the IRIS intervention was viewed positively, with its collaborative implementation cited as a key strength.</p><p><strong>Discussion: </strong>The findings suggest that the absence of a unified conceptualization of independence can lead to inconsistent practices in LSS residential homes, potentially affecting the effectiveness of the intervention. The collaborative approach of IRIS, which fosters joint efforts among municipal professionals, appears to be instrumental in understanding and addressing service users' needs. Future research should focus on establishing a more standardized definition of independence to improve intervention consistency and outcomes for service users.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1571233"},"PeriodicalIF":1.3,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152517","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":"Oropharyngeal dysphagia management and informed consent: a survey of speech-language pathologists' practice patterns when recommending modified texture diets.","authors":"Matthew G Ward, Angela S Bowman","doi":"10.3389/fresc.2025.1520240","DOIUrl":"10.3389/fresc.2025.1520240","url":null,"abstract":"<p><strong>Purpose: </strong>The modification of diet textures and liquid viscosity represents the primary form of management of oropharyngeal dysphagia (OD) by speech-language pathologists (SLPs). Despite the ubiquitous use of modified texture diets (MTDs) to prevent aspiration in an attempt to prevent pneumonia, there is no convincing evidence that consumption of MTDs protects individuals with dysphagia from developing pneumonia. Furthermore, informed consent is required for the prescription of MTDs. To date, no study has investigated if practicing SLPs know the risks associated with MTDs, consider the risks when making clinical decisions, and disclose those risks to their patients.</p><p><strong>Method: </strong>Thirteen negative health outcomes associated with MTDs were identified in the research literature. A web-based survey was created and distributed. Participants were asked to identify known risks associated with MTDs, how often they considered the risks associated with MTDs before recommending them, and how often they informed patients with OD of the known risks associated with MTDs.</p><p><strong>Results: </strong>Only 6.3% of the SLPs surveyed identified all thirteen listed health risks associated with MTDs, and greater than one in five respondents (<i>n</i> = 55; 21.7%) were unable to select even one known risk. Seventy percent (<i>n</i> = 140) of participants indicated that they \"almost always\" weigh the risks associated with drinking thickened liquids, and fifty-four percent of respondents (<i>n</i> = 108) specified that they \"almost always\" weigh the risks associated with consuming modified texture solids. Less than half of the participants (<i>n</i> = 99; 49.7%) stated that they \"almost always\" inform the patient of the risks associated with thickened liquids and 39.9% (<i>n</i> = 79) indicated that they \"almost always\" inform patients of the risks associated with altered texture solids.</p><p><strong>Conclusions: </strong>Participants demonstrated poor overall knowledge of the hazards associated with MTDs, limited consideration of known risks of MTDs, and suboptimal levels of disclosure of the risks associated with MTDs to patients with OD.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"6 ","pages":"1520240"},"PeriodicalIF":1.3,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144767","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}