Frontiers in rehabilitation sciences最新文献

{"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}

{"title":"Efficient integration of personal factors into the international classification of functioning, disability, and health (ICF): the importance of emotional and motivational aspects in goal pursuit.","authors":"Ayano Tsuda, Emmanuel Manalo, Ichiro Miyai, Tomoyuki Noda","doi":"10.3389/fresc.2024.1450157","DOIUrl":"10.3389/fresc.2024.1450157","url":null,"abstract":"<p><p>The International Classification of Functioning, Disability, and Health (ICF) is a widely used framework in rehabilitation that provides standardized measures to describe health and health-related states of people. The strength of the ICF lies in its provision of a common language for describing rehabilitation progress. However, personal factors are not classified within the ICF due to their significant variability across cultures, which may render it not adequately capturing the subjective and social dimensions of disability. Our objective in this research was to propose theoretical frameworks that could help identify relevant personal factors for inclusion in the ICF. We discuss the Personality Systems Interaction (PSI) Theory to identify personal variability in goal pursuit, highlighting the importance of emotions like negative and positive affect in handling adverse situations and managing habitual behaviors. Additionally, the theory helps to determine personality factors relevant to patients, facilitating the resolution of potential issues that may emerge during the goal achievement process. We also emphasize the role of goal setting in rehabilitation and suggest the Goal-Oriented Action Linking (GOAL) model as a useful tool for understanding how motivational values change over time, distance, and progress. Following from this, we discuss the importance of self-efficacy and its relationship to effort and goal achievement, while noting potential issues in its assessment. Finally, we propose viable assessment methods for measuring the potential components to be incorporated as personal factors.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1450157"},"PeriodicalIF":1.3,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830942","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 new model for the diagnostic assessment services trajectory for neurodevelopmental conditions.","authors":"Claudine Jacques, Mélina Rivard, Catherine Mello, Nadia Abouzeid, Élodie Hérault, Geneviève Saulnier","doi":"10.3389/fresc.2024.1426966","DOIUrl":"10.3389/fresc.2024.1426966","url":null,"abstract":"<p><strong>Purpose: </strong>The Canadian province of Québec faces several issues regarding the accessibility and quality of diagnostic assessment and the efficiency and continuity of evaluation, support, and intervention services for children with neurodevelopmental conditions (NDCs). To address these issues, the Ministry of Health and Social Services mandated a research team to initiate the development of a reference trajectory, i.e., a proposed model pathway based on national and international best practices and research, for the diagnostic assessment of NDCs in children aged 0-7 years.</p><p><strong>Methods: </strong>The present study focused on the development of a logic model to operationalize the diagnostic services trajectory using a community-based participatory research approach and informed by implementation science. This involved representatives from multiple stakeholder groups (e.g., parents, professionals, physicians, administrators, researchers). Project steps included an analysis of best practices from a literature review on diagnostic trajectories, focus groups and interviews with stakeholders, and a validation process to ensure the appropriateness of the final model.</p><p><strong>Results: </strong>The integration of existing research and stakeholder input resulted in a logic model for a new diagnostic services trajectory for children aged 0-7 years suspected of NDCs and identified key ingredients that should be present in its future implementation.</p><p><strong>Conclusion: </strong>The proposed model for a diagnostic services trajectory is expected to address several systemic issues identified previously. Its implementation will need to be evaluated to ensure its sustained focus on the needs of families and its ability to promote their quality of life, well-being, and involvement.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1426966"},"PeriodicalIF":1.3,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11625808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803699","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":"Frozen shoulder: exploration of terminology and classification.","authors":"Fabrizio Brindisino, Elif Turgut, Filip Struyf","doi":"10.3389/fresc.2024.1498263","DOIUrl":"10.3389/fresc.2024.1498263","url":null,"abstract":"","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1498263"},"PeriodicalIF":1.3,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11625732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803721","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":"Participation of teenagers with vision or motor impairments in leisure activities: a qualitative study.","authors":"Carlijn Veldhorst, Marjolein Wijnen, Sabina Kef, Mathijs P J Vervloed, Bert Steenbergen","doi":"10.3389/fresc.2024.1444901","DOIUrl":"10.3389/fresc.2024.1444901","url":null,"abstract":"<p><strong>Purpose: </strong>Participation in everyday life activities is important for the development of children and is an important topic in rehabilitation practices. This qualitative study aimed to unveil the perspectives and experiences of teenagers with vision impairments (VIs) or motor impairments (MIs) regarding their participation in leisure activities.</p><p><strong>Materials and methods: </strong>13 teenagers with VIs and 12 teenagers with MIs (age range: 11-15 years) participated in this study. Data were collected using semi-structured interviews. Verbatim transcripts were analyzed following the steps of the phenomenological approach.</p><p><strong>Results: </strong>A total of 623 significant statements were identified and assigned to 221 meaning units. Finally, 13 themes emerged. Teenagers with VIs and MIs shared many experiences and perspectives regarding participation in leisure activities.</p><p><strong>Conclusions: </strong>Teenagers reported that they can sufficiently indicate what they experience as pleasant and sufficient considering their participation, as well as the challenges they encountered, such as their impairment, limited transport possibilities, or concerns from parents. Overall, teenagers with VIs or MIs were generally satisfied with the degree and frequency of their participation in leisure activities and felt sufficiently involved.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1444901"},"PeriodicalIF":1.3,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11625804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803722","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 cardiovascular patients' knowledge of air pollution: a pilot study evaluating the impact of an educational intervention in cardiac rehabilitation.","authors":"Marta Supervia, Ana Paula Delgado Bomtempo, Eduardo Gómez, Amanda R Bonikowske, Maria Olga Arroyo-Riaño, Gabriela Lima de Melo Ghisi","doi":"10.3389/fresc.2024.1495621","DOIUrl":"10.3389/fresc.2024.1495621","url":null,"abstract":"<p><strong>Introduction: </strong>Air pollution poses significant risks to cardiovascular health, yet patients often lack comprehensive knowledge about its impact and mitigation strategies. This study aims to evaluate the effectiveness of an educational intervention within a cardiac rehabilitation (CR) context in enhancing patients' understanding of air pollution and its cardiovascular effects.</p><p><strong>Methods: </strong>A pre-post pilot study was conducted from February 2021 to June 2021 at the Gregorio Marañón University General Hospital, Madrid, Spain. A total of 43 patients with cardiovascular disease attending CR were enrolled. Participants received a 1-h educational intervention delivered either in-person or online, focusing on the effects of air pollution and strategies to reduce exposure. Pre- and post-intervention questionnaires assessed participants' knowledge and perceptions. Descriptive statistics were used to analyze changes in awareness and understanding.</p><p><strong>Results: </strong>Initially, participants demonstrated a high level of awareness about the health impacts of air pollution, with 100% acknowledging its effects on health. However, detailed knowledge about specific concepts such as the Air Quality Index (AQI) and particulate matter (PM2.5) was limited. Post-intervention, there was a significant increase in knowledge, with familiarity with AQI rising from 61% to 81% (<i>p</i> = 0.02) and understanding of PM2.5 improving from 28% to 58% (<i>p</i> = 0.01). This indicates that the educational intervention effectively bridged gaps in understanding and reinforced the importance of environmental factors in cardiovascular health management.</p><p><strong>Discussion: </strong>The pilot study highlights the critical role of targeted education in improving patient awareness and knowledge about air pollution. The significant improvement in understanding key concepts underscores the need for broader educational initiatives that extend beyond CR programs. Future research should explore the impact of such interventions on long-term health outcomes and consider expanding educational efforts to include healthcare providers and family members.</p>","PeriodicalId":73102,"journal":{"name":"Frontiers in rehabilitation sciences","volume":"5 ","pages":"1495621"},"PeriodicalIF":1.3,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11621042/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796380","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}