Frontiers in rehabilitation sciences最新文献

{"title":"Relationship between functional independence and community integration of people with spinal cord injury in Bangladesh.","authors":"Shazal Kumar Das, Md Bakhtiar, Saiba Muhammad Sabrin, Michael Curtin, Ehsanur Rahman, Zahid Bin Sultan Nahid, Zakia Rahman, Md Furatul Haque, Md Fazlul Karim Patwary, Md Jahangir Alam, Md Emran Hossain, Md Atiar Rahman, Shafiqul Islam, Md Ashfaquzzaman, Md Anowar Khasru Parvez","doi":"10.3389/fresc.2024.1435656","DOIUrl":"10.3389/fresc.2024.1435656","url":null,"abstract":"<p><strong>Design: </strong>Prospective, cross-sectional study.</p><p><strong>Objectives: </strong>To determine the functional outcome and home and social integration of people who had spinal cord injury and completed their inpatient rehabilitation.</p><p><strong>Setting: </strong>Centre for the Rehabilitation of the Paralysed (CRP), Bangladesh.</p><p><strong>Methods: </strong>Spinal Cord Independence Measure (SCIM) and Community Integration Questionnaire (CIQ) were used to analyse the relationship between the functional outcome and home and social integration at the end of rehabilitation. Descriptive and inferential statistics were performed to analyse the data.</p><p><strong>Results: </strong>A total of two hundred participants (181 men and 19 women) were recruited for the study. Among the participants, 92.5% of them reported a history of trauma or accident, including road traffic accidents, falls and other injuries. Approximately 60% of participants presented with paraplegia and 62.5% of participants were categorized on the ASIA Impairment Scale (AIS) as Grade A, complete spinal cord injury. Participants with paraplegia and participants with a Grade B, incomplete injury, on the AIS were functionally more independent (<i>p</i> = 0.011)) compared with participants with tetraplegia and other AIS grades. Participants with paraplegia reported having a more active lifestyle (<i>p</i> = 0.040) in their home and social activities compared to those with tetraplegia. There was no significant association found between functional independence at pre-discharged and community integration one-month post-discharge of the people with SCI.</p><p><strong>Conclusion: </strong>A month after discharge, there is no statistically significant relationship between community reintegration and functional independence. A measure of functional independence may not be a suitable indicator of community integration. It is proposed that to monitor a person's community integration the CIQ could be used with a measure of quality of life as this would indicate a person's contentment with their level of community integration.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1435656"},"PeriodicalIF":1.3,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11668740/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901044","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":"Experience of conductive hearing loss and impacts of hearing aid use throughout life.","authors":"Thomas Hampton, Manuel Loureiro, Kevin Mortimer, Deborah Nyirenda","doi":"10.3389/fresc.2024.1491473","DOIUrl":"10.3389/fresc.2024.1491473","url":null,"abstract":"<p><strong>Introduction: </strong>Hearing loss and Deafness/deafness affects as much as 5% of the world's population and has a considerable health and economic burden. We explored the relationship with hearing and hearing aids as well as other assistive technology for health in general with a cohort of UK adults who have conductive hearing loss. We anticipated that insights could lead to greater understanding for the delivery of assistive technology (AT) for conductive hearing loss and the participant's lived experience related to technology and society.</p><p><strong>Methods: </strong>This study presents the qualitative findings from a mixed methods study exploring the story of each participant's hearing, the impact on their lives and their experience and use of AT. A purposive sample of 33 adults with conductive hearing loss took part in semi-structured interviews. Participants were aged ≥18 years and had previously attended outpatient ENT or audiology clinic at University Hospitals Sussex NHS Foundation Trust. Transcripts underwent thematic analysis.</p><p><strong>Results: </strong>The overarching theme was \"A changing relationship over time with deafness, themselves and society\". The three principle sub-themes of the interviews were \"a technological world\" describing the necessity of interaction with people & technology' both as children and adults, then the concept of \"Normalised Marginalisation\"-the struggle of childhood and school in the face of social norms' and typicality. Finally, there were issues raised about visibility and \"the visible display of D/deafness\", tied to aesthetics, vanity and traditional ideas about masculinity. Many participants described their adoption of new technology or devices as \"<i>transforming their life</i>\" and their quality of life without assistive technology as significantly impaired.</p><p><strong>Conclusion: </strong>Insights from this study described the experiences of adults with conductive hearing loss and the ways in which they have a difficult relationship with their deafness, including how they felt and viewed themselves and how they interacted with society, particularly as children and young adults. The potential for benefit of assistive technology for hearing health was deemed by many participants to be a necessary bridge integrating them in relationships with other people in society. Early notions of disability, typicality and social norms frequently persisted into adulthood and these insights should be considered by all those professional seeking to provided hearing health assistance to individuals with conductive hearing loss.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1491473"},"PeriodicalIF":1.3,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11668742/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901042","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":"Attendance rate and perceived relevance related to type, content, and delivery of current rehabilitation programmes after surgical resection for non-small cell lung cancer.","authors":"Mette Kaasgaard, Uffe Bodtger, Anders Løkke, Erik Jakobsen, Ole Hilberg","doi":"10.3389/fresc.2024.1447767","DOIUrl":"10.3389/fresc.2024.1447767","url":null,"abstract":"<p><strong>Background: </strong>Surgical resection is the preferred treatment for localised non-small cell lung cancer (NSCLC). Rehabilitation is central in the management of the associated impaired quality of life, high symptom burden, deconditioning, and social-existential vulnerability. Yet, optimal content and delivery of rehabilitation are not yet defined. Therefore, we aimed to investigate the current rehabilitation offers, attendance rate, and perceived relevance related to content or delivery. Moreover, we investigated the current symptom burden in the patients.</p><p><strong>Methods: </strong>We conducted an observational cohort study in patients who had undergone surgical resection for NSCLC 4-6 months earlier at Odense University Hospital, Denmark. We retrieved demographic data from patient registries, and interviewed patients via telephone concerning availability, uptake, and attendance rate of any rehabilitation offer in their local primary care setting; content and delivery; benefits of attending, experienced relevance and \"symptom burden generally\" (specially developed questions); and \"symptom burden here and now\" [Edmonton Symptom Assessment Scale (ESAS)].</p><p><strong>Results: </strong>We approached 128 patients, reached 115, and interviewed the 100 (87%) patients who consented. In total, 88% (88/100) had received a rehabilitation offer, and 75% (66/88) had participated in programmes that either targeted NSCLC (23%) or were general cancer rehabilitation (33%), pulmonary rehabilitation (12%), online (1%), or other (33%). Disease-specific rehabilitation was significantly related to the highest attendance rate and perception of relevance. High attendance (≥75%) was, moreover, significantly related to the offer being delivered by a physiotherapist and having a focus on physical exercise. General symptoms were physically oriented [dyspnoea (65%), pain (47%), fatigue (78%)] and \"mild\" in ESAS scoring. No differences were observed in any baseline characteristics.</p><p><strong>Conclusions: </strong>Rehabilitation after surgical resection for localised NSCLC is delivered heterogeneously in Denmark. Disease-specific rehabilitation was positively related to attendance rate and to the perceived relevance of the offer.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1447767"},"PeriodicalIF":1.3,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11666536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886468","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":"Stretching after spinal cord injury: a call for evidence for this common clinical practice.","authors":"Todd E Williams, Louis A DeMark, Tinuade A Olarewaju, Kelly A Hawkins, Emily J Fox","doi":"10.3389/fresc.2024.1505439","DOIUrl":"10.3389/fresc.2024.1505439","url":null,"abstract":"<p><p>Stretching is a ubiquitous rehabilitation intervention for individuals with spinal cord injury (SCI), intended to reduce spasticity, maintain or improve joint range of motion, and prevent joint contractures. Although people with SCI report that stretching is their preferred approach to reduce spasticity, limited evidence supports the use of stretching for people with SCI, including short-term (< one hour) effects on spasticity. Further, the long-term effects and the effects of stretching on motor function have yet to be examined in humans with SCI. Evidence from pre-clinical studies in rats with SCI demonstrates that stretching impairs motor output, reduces spinal cord excitability, and abolishes walking function. This perspective paper discusses evidence of static stretching in humans and rats with SCI regarding the effects on range of motion, joint contractures, and effects on voluntary and involuntary (i.e., spasticity) motor output. Additionally, we aim to challenge assumptions regarding the use of stretching and encourage research to advance the understanding of this common rehabilitation approach. Research is needed to investigate underlying mechanisms of stretch-induced effects and to advance stretching protocols to optimize the potential beneficial effects of stretching for people with SCI.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1505439"},"PeriodicalIF":1.3,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11666664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886469","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":"Corrigendum: Assessing effectiveness of serious game training designed to assist in upper limb prosthesis rehabilitation.","authors":"Bart Maas, Corry K Van Der Sluis, Raoul M Bongers","doi":"10.3389/fresc.2024.1532227","DOIUrl":"10.3389/fresc.2024.1532227","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.3389/fresc.2024.1353077.].</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1532227"},"PeriodicalIF":1.3,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663877/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883821","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":"More absolute moderate-to-vigorous physical activity is associated with better health-related quality of life in outpatients with an acquired brain injury.","authors":"Emily E MacDonald, Liam P Pellerine, Katerina E Miller, Ryan J Frayne, Myles W O'Brien","doi":"10.3389/fresc.2024.1427446","DOIUrl":"10.3389/fresc.2024.1427446","url":null,"abstract":"<p><p>Health-related quality of life (HRQoL) is a patient-perceived measure of physical, social, and emotional health. Acquired brain injury (ABI) occurs due to damage to the brain after birth. Individuals with an ABI typically present with reduced HRQoL and require additional support to maintain their HRQoL. Although structured exercise training has been shown to improve HRQoL in individuals with ABI, there is little research on habitual, real-world activity. Most activity research characterizes moderate-to-vigorous physical activity (MVPA) in absolute terms; however, relative physical activity levels have been promoted for research in clinical populations. We tested whether longer MVPA durations, measured in absolute/relative levels, are associated with higher HRQoL in outpatients with ABIs. In total, 26 adults (54 ± 13 years, 16 females) with ABI completed the Quality of Life After Brain Injury questionnaire, a 6-min walk test (a measure of aerobic fitness; 490 ± 105 m), and wore an activPAL device 24 h/day for 7 days. Participants had an average HRQoL score of 53.4 ± 15.0 (out of 100), with 20 of 26 showing impaired HRQoL (score <60). Absolute MVPA (74.6 ± 91.0 min/week, <i>b</i> = 0.09, <i>p</i> = 0.03) was associated with HRQoL, whereas total physical activity (565.7 ± 264.8 min/week, <i>p</i> = 0.47), light physical activity (LPA; 491.1 ± 224.3 min/week, <i>p</i> = 0.98), and step count (5,960 ± 3,037 steps/day, <i>p</i> = 0.24) were not. Neither relative LPA (521.4 ± 244.9) nor relative MVPA (33.5 ± 34.9 min/week) were associated with HRQoL (both <i>p</i> values > 0.14). Targeting more absolute MVPA, but not necessarily relative MVPA, may be an effective strategy for interventions aiming to improve HRQoL in individuals with ABI.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1427446"},"PeriodicalIF":1.3,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11659261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878751","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":"Combination of traditional Chinese bone setting and NMES technique for treating lumbar disc herniation: a case report.","authors":"Yimei Bao, ZhiJin Wang","doi":"10.3389/fresc.2024.1465623","DOIUrl":"10.3389/fresc.2024.1465623","url":null,"abstract":"<p><strong>Objective: </strong>To analyze and study the causes and treatment approaches for lumbar disc herniation, focusing on office workers.</p><p><strong>Methods: </strong>The concept of spinal internal balance disorder as a foundation for treating traumatic spinal diseases was introduced. Pathological changes occurring with single (or multiple) vertebral displacement were considered. For the first time, the \"spinal (point) rotation repositioning method\" from traditional Chinese bone setting was combined with NMES (neuromuscular electrical stimulation) technology to treat low back pain.</p><p><strong>Results: </strong>The patient's symptoms of low back pain were cured within a short period, allowing a quick return to work and daily life, with no recurrence of the disease observed during long-term follow-up.</p><p><strong>Conclusion: </strong>The combination of traditional Chinese bone setting and NMES provides a more effective and quicker resolution to low back pain in office workers with lumbar disc herniation. This integrated approach not only relieves pain but also restores lumbar function, ensuring long-term stability and reducing recurrence<b>.</b></p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1465623"},"PeriodicalIF":1.3,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878694","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":"Strategies for STEM and SEMG applications in clinical practice-lessons from the past.","authors":"Sanjeev Gupta, Saanvi Aggarwal","doi":"10.3389/fresc.2024.1500316","DOIUrl":"10.3389/fresc.2024.1500316","url":null,"abstract":"","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1500316"},"PeriodicalIF":1.3,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11655466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866276","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":"Stroke and liminality: narratives of reconfiguring identity after stroke and their implications for person-centred stroke care.","authors":"Joseph Hall, Frederike van Wijck, Thilo Kroll, Helena Bassil-Morozow","doi":"10.3389/fresc.2024.1477414","DOIUrl":"10.3389/fresc.2024.1477414","url":null,"abstract":"<p><strong>Background: </strong>The complex physical, cognitive, and psychological consequences of stroke can disrupt a survivor's sense of pre-stroke normality and identity. This can have a substantial impact on their individual and social lives. Individual reports about life after stroke have improved our understanding of this impact. However, stroke support systems, struggling with increased demands due to a growing stroke population and guideline requirements, require deeper insights based on synthesised narratives into what can enable stroke survivors to rebuild their lives and identities positively to provide person-centred care.</p><p><strong>Methods: </strong>A qualitative study using Charmaz's Constructivist Grounded Theory (GT) method. Semi-structured interviews lasting 60-90 min were conducted. These interviews were held at least 12 months post-stroke.</p><p><strong>Findings: </strong>Thirty participants were interviewed from across the UK (14 women, 16 men; aged 31-86; 1-25 years post-stroke). Participants reported the disruption stroke could cause to their sense of identity. The concept of liminality, that describes the ambiguous, transformative state between two distinct stages, where an individual or group exists \"betwixt and between\" stable conditions, explains the challenge to identity post-stroke. Participants reported developing an uncertain sense of identity as they struggled to structure identity in the same way they did before stroke. This is because the participants' characteristics, traits, hobbies, or future life plans, as well as social relationships and roles, were affected by stroke. Subsequently, participants began a process of reconfiguring their identity, an often-long-term process that involved coming to terms with, and integrating, the impact of stroke on their lives. As a result, participants could enter an indefinite period of sustained liminality as they contend with long-term change and continued uncertainty.</p><p><strong>Conclusion: </strong>The concept of liminality, which emerged from individual stroke narratives for the first time, conveyed the adaptive and enduring nature of a stroke survivor's journey. Post-stroke liminality may continue indefinitely, sustained by a survivor's subjective individual and social situation. This new insight justifies the urgent call for long-term rehabilitation and support that is tailored towards the unique nature of a survivor's circumstances. Further work is required to understand how tailored, long-term and person-centred support can encourage survivors to positively reconfigure their identity.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1477414"},"PeriodicalIF":1.3,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Design and control of a low-cost non-backdrivable end-effector upper limb rehabilitation device.","authors":"Fulan Li, Yunfei Guo, Wenda Xu, Weide Zhang, Fangyun Zhao, Baiyu Wang, Huaguang Du, Chengkun Zhang","doi":"10.3389/fresc.2024.1469491","DOIUrl":"10.3389/fresc.2024.1469491","url":null,"abstract":"<p><p>This paper presents GARD, an upper limb end-effector rehabilitation device developed for stroke patients. GARD offers assistance force along or towards a 2D trajectory during physical therapy sessions. GARD employs a non-backdrivable mechanism with novel motor velocity-control-based algorithms, which offers superior control precision and stability. To our knowledge, this innovative technical route has not been previously explored in rehabilitation robotics. In alignment with the new design, GARD features two novel control algorithms: Implicit Euler Velocity Control (IEVC) algorithm and a generalized impedance control algorithm. These algorithms achieve <math><mi>O</mi> <mo>(</mo> <mi>n</mi> <mo>)</mo></math> runtime complexity for any arbitrary trajectory. The system has demonstrated a mean absolute error of 0.023 mm in trajectory-following tasks and 0.14 mm in trajectory-restricted free moving tasks. The proposed upper limb rehabilitation device offers all the functionalities of existing commercial devices with superior performance. Additionally, GARD provides unique functionalities such as area-restricted free moving and dynamic Motion Restriction Map interaction. This device holds strong potential for widespread clinical use, potentially improving rehabilitation outcomes for stroke patients.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1469491"},"PeriodicalIF":1.3,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830480","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}