Frontiers in rehabilitation sciences最新文献

{"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}

{"title":"Evaluating client functioning in a harm reduction program in South Africa: insights from a tool derived from the International Classification of Functioning, Disability and Health.","authors":"Michelle N S Janse van Rensburg, Daleen Casteleijn, Andrew Scheibe","doi":"10.3389/fresc.2024.1445176","DOIUrl":"10.3389/fresc.2024.1445176","url":null,"abstract":"<p><p>South Africa faces the detrimental effects of problematic substance use. The Community Oriented Substance Use Program (COSUP) is a research-based, community-situated harm-reduction program. The International Classification of Functioning, Disability and Health (ICF) was used as the framework to develop a unique tool to determine the functioning of COSUP clients. The study was a quantitative descriptive, cross-sectional design, with data collected from COSUP sites during January 2023 using the COSUP Client Functioning Tool. Twenty-three Likert-scale structured closed questions about clients' perceptions of their functioning and context were analyzed using descriptive statistics. Open-ended questions about COSUP services were thematically analyzed. Most COSUP clients are working-age African males, and many are unemployed. Clients seem to be coping well physically but need more mental health support. Pressing concerns for COSUP clients are feeling stressed and anxious, an inability to handle stress, poor use of free time, not getting support from others, and not having enough money to meet daily needs. Lack of energy and boredom are significant concerns, along with feelings of rejection and loneliness. Facilitating opportunities for sustaining livelihoods requires focus. Even so, there are those who have a sense of hope due to the positive impact of the program. Basing the COSUP Client Functioning Tool on the ICF framework provided a useful picture of the functioning of people who use/d drugs in their contexts. The COSUP Tool is helpful to guide interventions that are responsive to clients' needs.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1445176"},"PeriodicalIF":1.3,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11693645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923884","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":"Postoperative cognitive dysfunction in elderly postcardiac surgery patients: progress in rehabilitation application research.","authors":"Zhen-Rong Zhang, Yang-Zheng Li, Xiao-Qing Wu, Wen-Jun Chen, Jian Xu, Wei-Hua Zhao, Xiao-Yan Gong","doi":"10.3389/fresc.2024.1525813","DOIUrl":"10.3389/fresc.2024.1525813","url":null,"abstract":"<p><p>Postoperative cognitive dysfunction (POCD) is a prevalent complication of the central nervous system in elderly patients following cardiac surgery. This review aims to provide an overview of the etiology, risk factors, diagnostic assessment, and rehabilitation strategies for cognitive dysfunction occurring after cardiac surgery. The pathogenesis of POCD after cardiac surgery includes cerebral microembolism, neuroinflammation, and cryptogenic strokes. Risk factors are associated with advanced age, diminished preoperative cognitive status, and anesthesia. Cognitive function screening tools used for pre- and postoperative assessments can detect changes in patients' cognitive levels in a timely manner. The timely provision of appropriate rehabilitation methods, including cognitive function training, exercise training, transcranial direct current stimulation, and perioperative acupuncture, is crucial, with emerging technologies such as virtual reality playing an increasingly significant role. In conclusion, POCD is a common postoperative complication in elderly cardiac surgery patients, with age and reduced preoperative cognitive function being the primary risk factors. A comprehensive rehabilitation strategy can more effectively address postoperative cognitive dysfunction in patients.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1525813"},"PeriodicalIF":1.3,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11686598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of low-frequency acupuncture on muscle and fascia stiffness: examination with or without intervention.","authors":"Toshihiro Maemichi, Masatomo Matsumoto, Shigeru Meguriya, Atsuya Furusho, Takashi Yamashita, Toshiharu Tsutsui, Tsukasa Kumai","doi":"10.3389/fresc.2024.1324000","DOIUrl":"10.3389/fresc.2024.1324000","url":null,"abstract":"<p><strong>Background: </strong>Low-frequency acupuncture is used to maintain skeletal muscle flexibility and improve joint range of motion; however, its definite effects are unclear. This study aimed to determine the effects of low-frequency acupuncture on muscle and fascial stiffness and ankle dorsiflexion range of motion.</p><p><strong>Methods: </strong>The participants included 12 randomly selected healthy adults. The medial head of the gastrocnemius muscle was selected as the target muscle, and changes in hardness and dorsiflexion range of motion of the ankle joint in the deep fascia, muscle, and deep intermuscular fascia of the same region were measured before and after low-frequency acupuncture intervention. Acupuncture needles were inserted until they passed through the deep intermuscular fascia and electrically stimulated at a frequency of 2 Hz for 15 min. The 12 right legs were the intervention legs, and the 12 left legs were the non-intervention legs.</p><p><strong>Results: </strong>In the intervention leg, hardness increased in the deep fascia immediately after low-frequency acupuncture, but decreased in all regions (deep fascia, muscle, and deep intermuscular fascia) after 15 min. The rate of change in hardness was the greatest in the muscles and deep intermuscular fascia. Additionally, the ankle's dorsiflexion range of motion increased after 15 min. In contrast, the non-intervention leg showed no significant changes in stiffness or ankle dorsiflexion angle.</p><p><strong>Conclusions: </strong>Low-frequency acupuncture may decrease muscle stiffness and improve fascial gliding. The change in hardness tended to be greater in the deeper areas.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1324000"},"PeriodicalIF":1.3,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11670481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901032","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}