Archives of physical medicine and rehabilitation最新文献

{"title":"Dual-task resistance training improves strength and reduces pain more than resistance exercise alone in elbow fracture rehabilitation: A Randomized Controlled Trial.","authors":"Carlos Cruz-Montecinos, Laura López-Bueno, Rodrigo Núñez-Cortés, Rubén López-Bueno, Luis Suso-Martí, Guillermo Mendez-Rebolledo, Antoni Morral, Lars Louis Andersen, Joaquín Calatayud","doi":"10.1016/j.apmr.2025.01.419","DOIUrl":"https://doi.org/10.1016/j.apmr.2025.01.419","url":null,"abstract":"<p><strong>Objective: </strong>To examine the effects on strength, pain intensity, range of motion (ROM), and functionality of a 12-week dual-task resistance exercise program in patients undergoing rehabilitation from elbow fractures.</p><p><strong>Design: </strong>Randomized Controlled Trial SETTING: Rehabilitation hospital.</p><p><strong>Participants: </strong>Individuals undergoing elbow fracture rehabilitation.</p><p><strong>Intervention: </strong>Randomization was performed sequentially using numbered envelopes containing assignments to either an intervention group (dual-task resistance training using a mathematical task with self-regulation, n=18) or a control group (traditional resistance training, n=14) for 12 weeks.</p><p><strong>Main outcome: </strong>Measures: The primary outcomes were muscle strength for elbow flexors and extensors and pain assessed by the visual analog scale from 0 to 100 mm. The secondary outcomes were kinesiophobia assessed by the Tampa Scale-11 and disability using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire and passive ROM.</p><p><strong>Results: </strong>Dual-task resistance training improved strength and reduced pain more than resistance training alone (p<0.05), and only the dual-task group improved in kinesiophobia (p<0.05). The linear regression showed a significant negative association between kinesiophobia and increased elbow strength in the dual-task group (flexion, r=-0.53, p=0.024; extension, r=-0.65, p=0.004) but not in the control group (p>0.05). No significant differences were observed between the group for disability and passive ROM (p>0.05).</p><p><strong>Conclusions: </strong>Dual-task resistance training and traditional resistance training both enhance strength, reduce pain, improve functionality, and increase ROM after 12 weeks of elbow fracture rehabilitation. However, dual-task resistance training is superior to resistance training alone in enhancing strength and reducing pain.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143021995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Clinical Efficacy of Extracorporeal Shock Wave Therapy Combined with Platelet Rich Plasma and Exercise for Lateral Epicondylitis: Prospective Randomized Sham-Controlled Ultrasonographic Study.","authors":"Ali İzzet Akçin, Nuran Eyvaz, Ümit Dündar, Hasan Toktaş, Hilal Yeşil, Selma Eroğlu, Sevda Adar","doi":"10.1016/j.apmr.2025.01.420","DOIUrl":"https://doi.org/10.1016/j.apmr.2025.01.420","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the combined effect of two different regenerative therapies, extracorporeal shock wave therapy (ESWT) and platelet-rich plasma (PRP), along with therapeutic exercise, in patients with lateral epicondylitis (LE).</p><p><strong>Design: </strong>Prospective, Randomized, Sham-Controlled Trial.</p><p><strong>Settings: </strong>Outpatient clinic.</p><p><strong>Participants: </strong>Ninety one patients with LE for >3 months were randomly allocated into 3 groups.</p><p><strong>Interventions: </strong>Participants were assigned to PRP+ESWT, Sham PRP +ESWT, or ESWT only treatment group. All groups received exercise therapy.</p><p><strong>Main outcome measures: </strong>The primary outcome was the VAS pain score. Secondary outcomes included handgrip strength, Patient-rated Tennis Elbow Evaluation (PRTEE), Quick Disabilities of the Arm, Shoulder, and Hand (Quick DASH), Short Form 36 (SF-36), ultrasonographic assessments (common extensor tendon [CET] measurement and total ultrasonography scale score [TUSS]), and isokinetic evaluation. Participants were evaluated three times: pre-treatment (T0), after 4 weeks (T1), and after 12 weeks (T2).</p><p><strong>Results: </strong>The PRP group showed superiority over other groups in terms of VAS (activity and night) scores at follow-ups. With regard to the secondary outcomes, in the short term, the PRP group demonstrated a statistically significant difference in the PRTEE-function. In the 12th week, PRP outperformed only against ESWT in all PRTEE parameters, and also showed superior Quick DASH scores to the other groups. In handgrip strength, the PRP group demonstrated superiority over the Sham PRP group at T1 and over both groups at T2. In the isokinetic evaluation, PRP group showed superiority over the Sham PRP group in both wrist flexion/extension peak torque scores during follow-ups. No significant differences were found in any of the ultrasonographic parameters, including CET thickness and TUSS scores, between the groups at the 4th and 12th week.</p><p><strong>Conclusions: </strong>The combined application of ESWT and PRP in the management of LE has demonstrated superior efficacy, as evidenced by significant improvements in clinical parameters.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143021997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional capacity at rehabilitation discharge predicts physical activity characteristics twenty-four weeks later for people with total knee arthroplasty: a secondary analysis of a randomized controlled trial.","authors":"Paul W Kline, Shawn L Hanlon, Vanessa L Richardson, Rashelle M Hoffman, Edward L Melanson, Elizabeth Juarez-Colunga, Jennifer E Stevens-Lapsley, Cory L Christiansen","doi":"10.1016/j.apmr.2025.01.416","DOIUrl":"https://doi.org/10.1016/j.apmr.2025.01.416","url":null,"abstract":"<p><strong>Objective: </strong>To determine the association between performance-based and patient-reported functional capacity at the conclusion of 12-week rehabilitation with average daily step counts and peak walking cadence 38 weeks following total knee arthroplasty (TKA).</p><p><strong>Design: </strong>Secondary analysis of an RCT.</p><p><strong>Setting: </strong>Veterans Affairs Medical Center.</p><p><strong>Participants: </strong>87 U.S. military Veterans (age: 67±7 years, 87% male).</p><p><strong>Interventions: </strong>12-week rehabilitation beginning two weeks post-TKA plus random assignment to either a telehealth-based physical activity behavior change intervention (PABC) or control group.</p><p><strong>Main outcome measures: </strong>Performance-based (Timed Up-and-Go (TUG), 30-second sit-to-stand) and patient-reported measures (Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Veterans Rand 12-Item Health Survey (VR12)) were assessed at rehabilitation discharge (14-weeks post-TKA). Physical activity was measured using thigh-mounted accelerometry 38 weeks post-TKA. Relationships between participant characteristics (age, sex, BMI, group assignment), functional capacity at discharge, and long-term physical activity outcomes (average daily step count and peak walking cadence) were evaluated using single- and multiple-variable linear and logistic regressions.</p><p><strong>Results: </strong>Univariate analyses: TUG time (r= -0.33, p=0.002) and VR12 physical health subscore (r= 0.23, p=0.036) were correlated to average daily step count at week 38. TUG time (r= -0.31, p=0.006) was correlated to peak walking cadence. Multivariate analyses: Multiple linear regression controlling for age, sex, and BMI identified TUG (B= -301.25, p=0.039) and VR12 physical health (B= 93.1; p=0.049) as predictors of daily step count. TUG time (B= -1.5, p=0.012) and assignment to PABC intervention (B= 13.7, p<0.001) predicted peak walking cadence. No significant predictors of attaining a 7500 steps/day threshold were identified.</p><p><strong>Conclusion: </strong>Functional capacity at discharge is related to physical activity characteristics 38 weeks post-TKA. While behavior-change interventions are needed to address physical activity deficits post-operatively, the link between functional capacity and activity suggests additional need to address functional capacity limitations during TKA rehabilitation.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"External validation and update of minimal important change in the 6-minute walk test in hospitalized patients with subacute stroke.","authors":"Hiroki Kubo, Kazuhiro Miyata, Shuntaro Tamura, Sota Kobayashi, Masafumi Nozoe, Asami Inamoto, Akira Taguchi, Kazuki Kajimoto, Sota Nishihara, Nozomi Yamamoto, Tsuyoshi Asai, Shinichi Shimada","doi":"10.1016/j.apmr.2025.01.002","DOIUrl":"https://doi.org/10.1016/j.apmr.2025.01.002","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the external validation of the previously reported minimal important change (MIC) in the 6-minute walk test (6MWT) and update it for patients with subacute stroke hospitalized in rehabilitation unit.</p><p><strong>Design: </strong>Longitudinal study SETTING: : Rehabilitation unit of a neurosurgical hospital.</p><p><strong>Participants: </strong>One hundred and seven patients with subacute stroke.</p><p><strong>Intervention: </strong>Not applicable.</p><p><strong>Main outcome measure(s): </strong>The 6MWT, modified Rankin Scale (mRS), Functional Ambulation Categories (FAC), and Functional Independence Measure (FIM) were assessed at 30 (baseline) and 60 (follow-up) days after stroke onset. Patients were divided into two groups according to improvements of mRS by ≥1, FAC by ≥1, or FIM by ≥22. The change in the 6MWT between baseline and follow-up was calculated and patients were divided into two groups according to improvements of 6MWT by ≥71 m. External validation was performed using likelihood ratio (LR) between change of 6MWT by ≥71 m and improvement of mRS. An LR+>2.0 and LR-<0.5 was considered valid. The new MIC of the 6MWT was calculated for the mRS, FAC, and FIM using the receiver operating characteristic curve (MIC_ROC) and adjusted predictive modeling method (MIC_adjusted).</p><p><strong>Results: </strong>No external validation was achieved (LR+ of 1.41, LR- of 0.77). The MIC_ROC values for mRS, FAC, and FIM were 22.0 m, 69.0 m, and 22.0 m, respectively. The MIC_adjusted values for the mRS, FAC, and FIM were 68.7 m, 63.1 m, and 83.1 m, respectively. Only the MIC of the 6MWT for FAC was validated.</p><p><strong>Conclusions: </strong>The previously reported MIC of the 6MWT was not suitable for patients with subacute stroke hospitalized in rehabilitation units; however, the newly determined MIC was useful.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive Impairment After Stroke: Rehabilitation Strategies and SMART Goal Setting.","authors":"Urvashy Gopaul, Pooja Jethani, Nabila Enam, Anahita Amirpour, Olivia Crozier, Marina Charalambous, Mark Bayley","doi":"10.1016/j.apmr.2024.08.030","DOIUrl":"https://doi.org/10.1016/j.apmr.2024.08.030","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142963680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lower limb strength differentiates between fallers and non-fallers with multiple sclerosis.","authors":"Heather M DelMastro, Tracy Wall, Deirdre J McPartland, Erik S Plaia, Naomi J Trimble, Jennifer A Ruiz, Katherine Harris, Elizabeth S Gromisch","doi":"10.1016/j.apmr.2025.01.001","DOIUrl":"https://doi.org/10.1016/j.apmr.2025.01.001","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether hip flexion (HF), extension (HE), abduction (HA), knee flexion (KF) and extension (KE), and ankle plantarflexion (APF) and dorsiflexion (ADF) Maximum Voluntary Contraction (MVC) differentiates between non-fall and fall history in persons with MS (PwMS) after accounting for age, gender, fatigue, disability, and disease duration.</p><p><strong>Design: </strong>Secondary analysis of a cross-sectional study.</p><p><strong>Setting: </strong>Community-based comprehensive MS Center PARTICIPANTS: 172 persons with MS who completed a one-time visit INTERVENTIONS: Not applicable MAIN OUTCOME MEASURES: Lower limb (LL) MVC was measured for each muscle group as isometric peak torque (Newton-meter: Nm) of both limbs (Strongest: S; Weakest: W) using a Biodex Dynamometer and normalized by body weight (Nm/kg). Falls in the past 6-months were retrospectively collected and participants were classified as non-fall history (0 falls [non-fallers]; n = 78) or fall history (≥1 falls [fallers]; n = 94). Fall history was further categorized as occasional (1-2 falls [occasional fallers]; n = 51) and recurrent (≥3 falls [recurrent fallers]; n = 43).</p><p><strong>Results: </strong>Overall differences between participants with and without a fall history were noted on both limbs, with post-hoc analyses showing that those with a fall history had significantly lower strength (p < .05) on all LL-W and HF-S, HE-S, HA-S, KF-S, and APF-S. When separated out by fall frequency, recurrent fallers had diminished strength on all LL-W and HF-S, HE-S, HA-S, and APF-S, while occasional fallers exhibited reductions on HA-W, KE-W, and KF-W compared to non-fallers. Recurrent and occasional fallers differed on HE-W.</p><p><strong>Conclusion: </strong>All LL-W and aspects of LL-S differentiated between fallers and non-fallers, with further differences observed when fall history was separated by frequency. These findings provide the necessary information to clinicians to inform their plans of care to address falls in MS and provide education on the importance of maintaining LL strength.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The 24-hour physical activities in adults with cerebral palsy and their adherence to the 24-hour movement guideline.","authors":"Ilse Margot van Rijssen, Jan Willem Gorter, Johanna Maria Augusta Visser-Meily, Manin Konijnenbelt, Marieke van Driel, Mandy Geertruda Cornelia Carina van Drunen, Olaf Verschuren","doi":"10.1016/j.apmr.2024.12.021","DOIUrl":"https://doi.org/10.1016/j.apmr.2024.12.021","url":null,"abstract":"<p><strong>Objective: </strong>To describe 24-hour physical activities (sleep and physical activity) in adults with cerebral palsy (CP), explore potential influencing factors and compare 24-hour physical activities with controls.</p><p><strong>Design: </strong>Cross-sectional, observational internet study involving adults with CP and a convenience sample of adults without CP.</p><p><strong>Setting: </strong>Individuals residing in the Netherlands Participants: 110 adults with CP (median age 42, range 28-77 years; 64 (58%) ambulant; 40% male) and 89 adult controls (median age 43, range 18-78 years; 29% male).</p><p><strong>Main outcome measures: </strong>Sleep quantity and quality measured by the Pittsburgh Sleep Quality Index, physical activity measured using the International Physical Activity Questionnaire- Short Form, and health status using the 5-level EQ-5D.</p><p><strong>Results: </strong>Most recurrent sleep problems for adults with CP included falling asleep, waking up, needing the toilet, having nightmares, and experiencing pain during the night. Sleep quality was significantly worse for adults with CP compared to controls. 64% of adults with CP met the physical activity guidelines. Total physical activity was similar between adults with CP who are ambulatory and controls. 44% of adults with CP, compared to 51% controls, met both sleep and physical activity guidelines. No factors influencing the 24-hour activities were found for level of severity, age, sex, pain/discomfort, and anxiety/depression.</p><p><strong>Conclusions: </strong>Given the prevalence of worse sleep quality and modest adherence to the 24-hour movement guideline, this study emphasizes the importance for clinicians to assess problems in physical activities during clinical encounters with adults with CP.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving outcomes for care partners of individuals with traumatic brain injury: Results for a mHealth randomized control trial of the CareQOL app.","authors":"Noelle E Carlozzi, Jonathan P Troost, Srijan Sen, Sung Won Choi, Zhenke Wu, Jennifer A Miner, Wendy L Lombard, Christopher Graves, Angelle M Sander","doi":"10.1016/j.apmr.2024.12.022","DOIUrl":"https://doi.org/10.1016/j.apmr.2024.12.022","url":null,"abstract":"<p><strong>Objective: </strong>To test the efficacy of a randomized control trial low-touch mobile health intervention designed to promote care partner self-awareness and self-care.</p><p><strong>Design: </strong>This randomized controlled trial (RCT) included a baseline assessment of self-report surveys of health-related quality of life (HRQOL), care partner-specific outcomes, and the functional/mental status of the person with TBI, as well as a 6-month home monitoring period that included three daily questions about HRQOL, monthly assessments of 12 HRQOL domains, and the use of a Fitbit® to continuously monitor physical activity and sleep. HRQOL surveys were repeated at 3- and 6-months post-home monitoring.</p><p><strong>Setting: </strong>Two academic medical centers PARTICIPANTS: 254 TBI care partners INTERVENTIONS: The CareQOL app, a mobile health app designed to promote care partner self-awareness (through self-monitoring) and self-care (through personalized self-care push notifications) RESULTS: Care partners were randomized to self-monitoring alone (n=128) or self-monitoring plus self-care push notifications (n=126). Although we did not see improvements in HRQOL outcomes, nor in physical activity or sleep, we found that across all the different measures, approximately1/3 of the participants showed clinically meaningful improvements, 1/3 stayed the same, and 1/3 got worse; care partners who reported engagement in the intervention were more likely to show improvements than those who were not engaged. There was preliminary support for factors such as being male, caring for a person with posttraumatic stress symptoms, living in the same household as the person with TBI, being a spousal care partner, working, and being diagnosed with COVID-19 during the study were associated with increased risk for negative outcomes.</p><p><strong>Conclusions: </strong>Findings suggest that engagement with the app, even when it is confined to self-monitoring alone, is associated with small improvements in HRQOL.</p><p><strong>Trial registration: </strong>ClinicalTrial.gov NCT04570930; https://clinicaltrials.gov/ct2/show/NCT04570930.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142969254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishing Minimal Clinically Important Differences for the Cognitive and Linguistic Scale (CALS) in Pediatric Neurorehabilitation.","authors":"Adrian M Svingos, Rob J Forsyth, Ludvik Alkhoury, Beth S Slomine, Stacy J Suskauer, William D Watson, Laura S Blackwell, Sudhin A Shah","doi":"10.1016/j.apmr.2024.12.020","DOIUrl":"10.1016/j.apmr.2024.12.020","url":null,"abstract":"<p><strong>Objective: </strong>The Cognitive and Linguistic Scale (CALS) was developed to serially monitor cognitive recovery of children and young people after severe acquired brain injury, during inpatient rehabilitation. The CALS can be used to derive Cognitive Ability Estimates (CAE), which are Rasch-propertied (unidimensional, interval-scale) and therefore may be ideally applied for use in research including within the context of clinical trials. Here, we used established statistical distribution-based and expert consensus-based methods to estimate the minimal clinically important difference (MCID) for CAE derived from the CALS.</p><p><strong>Design: </strong>Retrospective study.</p><p><strong>Setting: </strong>Pediatric inpatient rehabilitation hospital.</p><p><strong>Participants: </strong>252 patients consecutively admitted for inpatient rehabilitation after acquired brain injury (46% traumatic brain injury); age at injury ranging from 1.9 to 21.6 years (median, 11.8 years).</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>MCID estimates.</p><p><strong>Results: </strong>Together, results suggest a MCID of approximately 4-7 CAE units.</p><p><strong>Conclusions: </strong>These data can be used to aid in the design and interpretation of clinical studies proposing to use the CALS CAE as an outcome measure.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142943371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing Emotions After Your Stroke: A Practical Guide.","authors":"Olivia Crozier, Monika Gross, Anahita Amirpour, Pooja Jethani, Marina Charalambous, Abe Snaiderman, Mark Bayley, Urvashy Gopaul","doi":"10.1016/j.apmr.2024.12.006","DOIUrl":"https://doi.org/10.1016/j.apmr.2024.12.006","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}