Archives of physical medicine and rehabilitation最新文献

{"title":"A Transdisciplinary Collaborative Study of mTBI and Chronic Pain Using iTBS and Yoga","authors":"Amy Kemp ,&nbsp;Bridget Cotner ,&nbsp;Bella Etingen ,&nbsp;Iboula Kale ,&nbsp;Kelly Krese ,&nbsp;Sandra Kletzel ,&nbsp;Miriam Rafferty ,&nbsp;Amy Herrold","doi":"10.1016/j.apmr.2025.03.017","DOIUrl":"10.1016/j.apmr.2025.03.017","url":null,"abstract":"<div><div>Mild traumatic brain injury (mTBI) with comorbid chronic pain causes significant health challenges, necessitating creative treatment strategies. A transdisciplinary study team comprised of neuropsychologists, yoga instructors, health services researchers and implementation scientists, and physical, occupational, and speech therapists developed and tested a novel nonpharmacological treatment option for chronic pain. Objective: The parent pilot study (clincaltrial.gov #NCT04517604) explored the effects of intermittent theta burst stimulation (iTBS; a type of transcranial magnetic stimulation) to have an additive effect on the neural circuits with yoga on Quality of Life (QoL), function, and pain among Veterans with mTBI and chronic musculoskeletal pain. In the present sub-analysis, we focused on gaining a deeper insight into the QoL results. Methods: Utilizing an open-label trial design, 10 Veterans received iTBS before participating in a TBI-specific yoga program, LoveYourBrain Yoga. The Farmer triangulation method was used to compare qualitative and quantitative outcomes. Outcome measures included self-reported symptom scales and post-participation semi-structured qualitative interviews. Results: Participants reported that iTBS prepared their brains for yoga and increased their confidence in self-management of pain post-participation. This was confirmed with TBI QoL subscales (t(9)=2.03; p=0.02) and as reported with the participant's self-report. However, TBI QoL composite scores did not agree (t(9)=-5.17, p=0.65) nor capture the role iTBS + Yoga had on participants' increased confidence in self-management of health and non-pharmacological pain management. Conclusion: Our results suggest integrating advanced neurological technologies with complementary health therapies such as yoga presents a creative, transdisciplinary approach to nonpharmacologic rehabilitation for chronic pain.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 5","pages":"Pages e4-e5"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887965","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":"Disparities in Access to, Use of, and Quality of Rehabilitation After Stroke in the United States: A Scoping Review","authors":"Janet K. Freburger PT, PhD ,&nbsp;Elizabeth R. Mormer MS, CCC-SLP ,&nbsp;Kristin Ressel MS ,&nbsp;Shuqi Zhang MS ,&nbsp;Anna M. Johnson PhD, MSPH ,&nbsp;Amy M. Pastva PT, MA, PhD ,&nbsp;Rose L. Turner MLIS ,&nbsp;Peter C. Coyle PhD, DPT, PT ,&nbsp;Cheryl D. Bushnell MD, MHS ,&nbsp;Pamela W. Duncan PhD, PT ,&nbsp;Sara B. Jones Berkeley PhD, MPH","doi":"10.1016/j.apmr.2024.10.010","DOIUrl":"10.1016/j.apmr.2024.10.010","url":null,"abstract":"<div><h3>Objectives</h3><div>To summarize current reports in the literature on disparities in rehabilitation after stroke; identify gaps in our understanding of rehabilitation disparities; and make recommendations for future research.</div></div><div><h3>Data Sources</h3><div>A health sciences librarian developed a search string based on an a priori protocol and searched Medline (Ovid) Embase (Elsevier), and the Cumulative Index to Nursing and Allied Health Literature (CINAHL and EBSCO).</div></div><div><h3>Study Selection</h3><div>A 2-step screening process of titles and abstracts followed by full-text review was conducted. Primary observational studies conducted in the United States that reported on disparities in rehabilitation (ie, physical, occupational, or speech therapy) among adults after stroke were retained. Eligible disparity populations included racial minorities; ethnic minorities; sex and gender minorities; older populations; socioeconomically disadvantaged populations; and geographic minorities (inner city/rural).</div></div><div><h3>Data Extraction</h3><div>Data extracted from retained articles included: aims/objectives; data source; sample characteristics, rehabilitation outcomes examined; types of disparities examined; statistical methods used; and disparity findings.</div></div><div><h3>Data Synthesis</h3><div>Seven thousand eight hundred fifty-three titles and abstracts were screened, and 473 articles underwent full-text review. Forty-nine articles were included for data extraction and analysis. Many articles examined more than 1 disparity type with most examining disparities in race and/or ethnicity (n=43, 87.7%), followed by sex (n=25, 53.0%), age (n=23, 46.9%), socioeconomic status (n=22, 44.9%), and urban/rural status (n=8, 16.3%). Articles varied widely by sample characteristics, data sources, rehabilitation outcomes, and methods of examining disparities.</div></div><div><h3>Conclusions</h3><div>Although we found some consistent evidence of disparities in rehabilitation for older individuals, non-White races, and individuals of lower socioeconomic status, the variability in methods made the synthesis of findings challenging. Further work, including additional well-designed studies and systematic reviews, and/or meta-analyses of current studies, is needed to better understand the extent of rehabilitation disparities after stroke.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 5","pages":"Pages 759-770"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567253","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":"Which Sex- and Gender-Based Explanatory Variables Are Associated With Memory Function Poststroke? A Cross-Sectional Analysis of the National Health and Aging Trends Study","authors":"Clare Thompson BHSc,&nbsp;Elise Wiley PhD,&nbsp;Ada Tang PT, PhD","doi":"10.1016/j.apmr.2024.11.014","DOIUrl":"10.1016/j.apmr.2024.11.014","url":null,"abstract":"<div><h3>Objective</h3><div>To identify sex- and gender-based variables associated with immediate and delayed recall in individuals with stroke.</div></div><div><h3>Design</h3><div>This was a secondary analysis of data from the National Health and Aging Trends Study (NHATS) using general linear models with a standard stepwise approach.</div></div><div><h3>Setting</h3><div>Community.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Participants</h3><div>Participants were eligible for the current analysis if they had a self-reported history of stroke at NHATS Round 1 (2011) and data available on our variables of interest. The final analyses included 366 participants for the immediate recall model and 365 participants for the delayed recall model.</div></div><div><h3>Main Outcome Measures</h3><div>Independent variables of interest included sex- (8 variables, for example biological sex, depression and anxiety, and comorbidities) and gender-related factors (14 variables, for example education, income, and independence with banking). The dependent variables of interest were the 10-word immediate and delayed recall tests, respectively.</div></div><div><h3>Results</h3><div>Higher immediate recall scores were associated with younger age, female biological sex, independence with banking, higher income, giving financial gifts, not requiring assistance with activities of daily living, and higher education (<em>P</em>&lt;.001-.04). Higher delayed recall scores were associated with younger age, higher body mass index, higher education, placing importance in socializing, and independence with banking (<em>P</em>&lt;.001-.04).</div></div><div><h3>Conclusions</h3><div>We conducted the largest analysis to date of sex- and gender-based factors associated with cognition in individuals with stroke. Stroke rehabilitation scientists and clinicians may consider both biological and sociodemographic factors associated with cognitive function, which may guide holistic poststroke assessments and interventions.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 5","pages":"Pages 713-722"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142794203","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":"Effectiveness of Exercise Intervention on Mobility, Postural Control, and Falls for Older Adults With Mild Cognitive Impairment: A Systematic Review and Network Meta-analysis","authors":"Ziwei Zeng MSc ,&nbsp;Cheuk-yin Ho MSc ,&nbsp;Cindy Hui-ping Sit PhD ,&nbsp;Stephen Heung-sang Wong PhD ,&nbsp;Jing Liao PhD ,&nbsp;Yijian Yang PhD","doi":"10.1016/j.apmr.2024.12.002","DOIUrl":"10.1016/j.apmr.2024.12.002","url":null,"abstract":"<div><h3>Objective</h3><div>To review and synthesize the effectiveness of exercise interventions on mobility, postural control, and falls in older adults with mild cognitive impairment (MCI).</div></div><div><h3>Data Sources</h3><div>This review was registered with PROSPERO (CRD42023453320) and adhered to the PRISMA guidelines. The PubMed, Embase, APA PsycInfo, Cochrane Library, Web of Science, CINAHL, and SPORTDiscus were searched from inception until September 2024.</div></div><div><h3>Study Selection</h3><div>Randomized controlled trials (RCTs) examining the effectiveness of exercise interventions on mobility, postural control, and falls in older adults with MCI.</div></div><div><h3>Data Extraction</h3><div>Data extraction included author names, publication years, participant characteristics, intervention details, outcomes, key results, and attrition rates. Data accuracy was verified by 2 reviewers, with discrepancies resolved through consultation with a third reviewer.</div></div><div><h3>Data Synthesis</h3><div>Thirty-two RCTs met the criteria for qualitative systematic review, with 22 RCTs included in the pairwise meta-analysis and network meta-analysis. Aerobic exercise (AE) (SMD 1.07 [95% CI, 0.62-1.52]), multicomponent exercise (SMD 0.46 [95% CI, 0.18-0.74]), and simultaneous cognitive-motor training (SMD 0.56 [95% CI, 0.23-0.89]) significantly improved gait speed during single task (<em>P&lt;.</em>05). AE was the most effective intervention for single-task walking performance (99.3%), whereas Exergaming was the most effective for timed Up and Go performance (100.0%) according to the surface under the cumulative ranking. Paddling exercise (SMD 0.42 [95% CI, 0.16-0.68]) effectively increased handgrip strength (<em>P&lt;.</em>05). However, network meta-analyses revealed no intervention demonstrating significant effects on postural control performance (Berg Balance Scale and Functional Reach Test scores). The effect of exercise on falls remained inconclusive because of the limited number of studies.</div></div><div><h3>Conclusions</h3><div>AE, multicomponent exercise, and combined cognitive-motor training significantly enhance gait speed and functional performance in older adults with MCI. However, the effect of exercise on fall risk remains unclear. These findings underscore the potential of tailored exercise interventions to improve physical function in this vulnerable population.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 5","pages":"Pages 781-800"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142823485","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":"Physical and Psychosocial Consequences of Falls in Ambulatory Individuals With Cerebral Palsy by Age and Gross Motor Function","authors":"Marissa Esterley MS ,&nbsp;Linda E. Krach MD ,&nbsp;Kari Pederson MSW, LICSW ,&nbsp;Nathan G. Wandersee ABA ,&nbsp;Sandy Callen Tierney MSSW, PhD ,&nbsp;Elizabeth R. Boyer PhD","doi":"10.1016/j.apmr.2024.12.010","DOIUrl":"10.1016/j.apmr.2024.12.010","url":null,"abstract":"<div><h3>Objective</h3><div>To quantify physical and psychosocial impacts of falls by age and Gross Motor Classification System (GMFCS) level in ambulatory individuals with cerebral palsy (CP).</div></div><div><h3>Design</h3><div>Cross-sectional survey.</div></div><div><h3>Setting</h3><div>Tertiary specialty hospital and online CP communities.</div></div><div><h3>Participants</h3><div>Ambulatory individuals with CP (N=201 adults; 18-76 years old) or the caregivers of minors (N=180; 5-17 years old).</div></div><div><h3>Main Outcome Measure(s)</h3><div>Participants completed online surveys to report fall frequency, fall characteristics, injuries, concern about falling (Short Falls Efficacy Scale-International), activity avoidance due to concern about falling (Short Falls Efficacy Scale-International Avoidance Behavior), and psychosocial constructs related to perceived consequences of falling (Consequences of Falling-Damage to Identity subscale).</div></div><div><h3>Results</h3><div>Most participants fell in the past 12 months (86%). Fall frequency in the past 12 months differed by age (<em>P</em>&lt;.001) and GMFCS level (<em>P</em>=.021). Individuals aged 5-12 years or GMFCS level II reported the most falls. The percentage of participants who experienced a past serious fall-related injury (eg, head/face stitches, concussion, fractures) increased with age (<em>P</em>&lt;.001), affecting 80% of ≥50-year olds. Falls often occurred in the forward direction, when wearing shoes, and during ambulation. Uneven surfaces and fatigue were notable causes. Concern about falling and associated activity avoidance scores differed by age and GMFCS level (all <em>P</em>&lt;.01), both of which were highest for ≥50-year olds and GMFCS level III. Although psychosocial consequences of falls (eg, embarrassment, lost confidence) were elevated across all groups, they did not differ by age or GMFCS level (<em>P</em>=.130, <em>P</em>=.083). Nearly everyone (88%) wished they fell less.</div></div><div><h3>Conclusions</h3><div>Falls are common for ambulatory children and adults with CP. Physical and psychosocial consequences of falls were frequent and impacted behavior. Differences observed by age and GMFCS level should be considered in care delivery. Clinically tracking and discussing falls and their repercussions across the lifespan will aid in addressing this under-researched and under-resourced concern of people with CP.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 5","pages":"Pages 688-695"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862927","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":"Prevalence of Chronic Health Conditions Among People With Disabilities in the United States","authors":"Audrey C. Juhasz PhD,&nbsp;Rachel Byers MPH","doi":"10.1016/j.apmr.2025.02.002","DOIUrl":"10.1016/j.apmr.2025.02.002","url":null,"abstract":"<div><h3>Objective</h3><div>Report chronic health conditions are common among adults with disabilities to inform prevention and management efforts in public health.</div></div><div><h3>Design and Setting</h3><div>This article reports on secondary analysis of 2022 Behavioral Risk Factor Surveillance Survey.</div></div><div><h3>Participants</h3><div>Cases with a disability within the BRFSS 2022 dataset were identified by selecting any case that answered “yes” to any of the ACS-6. The BRFSS only includes non-institutionalized individuals 18 years or older.</div></div><div><h3>Main Outcome Measures</h3><div>Statistics reported include weighted unadjusted prevalence of any chronic health condition among adults with a disability by type of disability and other selected demographic characteristics, weighted unadjusted prevalence estimates for individuals with chronic health conditions by age group and disability type, and prevalence ratios across groups.</div></div><div><h3>Results</h3><div>Review of the proportions between disability types within demographic strata revealed those with self-care and those with independent living disabilities consistently had the highest, and those with hearing and those with vision-related disabilities had the lowest prevalence of any chronic health condition. Across all age and disability groups, arthritis and depression were among the most common chronic health conditions. Prevalence differences among racial groups in younger age groups were not present among the 65+ age group.</div></div><div><h3>Conclusion</h3><div>These prevalence estimates can inform health education and chronic health management efforts to support targeted prevention and intervention programs.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 5","pages":"Pages 805-810"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432381","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":"Soft Wearable Robot that Provides Anti-Gravity Arm Support Improves Upper Limb Movement Quality in Individuals Post-Stroke","authors":"Prabhat Pathak ,&nbsp;James Arnold ,&nbsp;John Paul Bonadonna ,&nbsp;Carolin Lehmacher ,&nbsp;Connor McCann ,&nbsp;Tanguy Lewko ,&nbsp;Yichu Jin ,&nbsp;Sarah Cavanaugh ,&nbsp;David Pont-Esteban ,&nbsp;Kelly Riche ,&nbsp;David Lin ,&nbsp;Conor Walsh","doi":"10.1016/j.apmr.2025.03.011","DOIUrl":"10.1016/j.apmr.2025.03.011","url":null,"abstract":"<div><div>Post-stroke motor impairments limit the ability to functionally move the arm against gravity which leads to a reduction in upper limb movement quality. Hence, providing anti-gravity arm support is widely adopted as an effective strategy in motor rehabilitation to enable functional upper limb movement. Recently, we developed a soft wearable shoulder robot that lifts the arm against gravity using a pneumatic actuator attached underneath the arm on a custom-made shirt. This study aims to evaluate the effectiveness of the soft wearable robot in improving upper limb movement quality for individuals post-stroke. We recruited four individuals post-stroke (age = 60.5±18.3 years, UE-FMA scores = 45.5±11) and asked them to lift their arm against gravity to 90° flexion and abduction, three times each with the robot turned on and off. We used an optical motion capture system to record and evaluate upper limb movement by calculating 1) shoulder elevation/depression range of motion (ROM), 2) end-effector movement quality (hand-path-ratio of the three-dimensional (3D) hand center of mass (COM) trajectory), and 3) trunk compensation (displacement of 3D trunk COM). We found that the soft wearable robot increased shoulder elevation/depression ROM, on average, by 6.1±1.7°, for the four participants. Additionally, the robot improved end-effector movement quality and reduced trunk compensation by decreasing hand-path-ratio and trunk displacement, on average, by 50.9±7.7% and 15.3±6.7%, respectively. The demonstrated improvement in movement quality highlights the potential utility of our device for upper limb motor rehabilitation.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 5","pages":"Page e3"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887528","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":"Ed Board page","authors":"","doi":"10.1016/S0003-9993(25)00632-X","DOIUrl":"10.1016/S0003-9993(25)00632-X","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 5","pages":"Page A4"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887702","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":"Self-Compassion-Based Resilience Habits Course for Caregivers of Children with Physical Disabilities","authors":"Christine Lathren ,&nbsp;Jamie Lynn Tatera ,&nbsp;Macy Ratliff ,&nbsp;Rosemary Ellsworth ,&nbsp;Hannah Allen ,&nbsp;Jin Park","doi":"10.1016/j.apmr.2025.03.013","DOIUrl":"10.1016/j.apmr.2025.03.013","url":null,"abstract":"<div><div>Caregivers of children with moderate to severe physical disabilities (e.g., cerebral palsy, spina bifida, traumatic brain injuries, genetic conditions) report high levels of stress, burnout, isolation, and self-blame (Dlamini et al., 2023; Masefield et al., 2020). Self-compassion-based interventions are linked to improved mental health and are suited to address isolation, de-prioritization of self, and self-critical tendencies common to long-term caregivers (Neff, 2023). However, these interventions have not been tested in caregivers of children with physical disabilities. Informed by feedback from service providers, advocates, and a caregiver advisory group, we developed a 6-session (1.5 hour/session) live-online group Resilience Habits for Caregivers course. Eight caregivers (100% female, Mage= 44, 38% Black, 62% White) were recruited via flyers in specialty clinics or community organizations. Caregivers participated in exercises, discussions and practices around 5 key self-compassion-based resilience habits: (1) Mindfulness (noticing thoughts, feelings and sensations); (2) Common Humanity (acknowledging that difficult emotions make sense and connect us); (3) Self-Kindness (providing gentle and strong internal support); (4) Helpful Actions (taking steps to meet needs); and (5) Soaking in the Good (appreciating/noticing good). Online questionnaires were administered pre and post intervention and a group feedback session was audio recorded, transcribed, and analyzed using reflexive thematic analysis. Attendance and acceptability were high, with 6/8 attending every session and 7/8 strongly agreeing or agreeing that they would recommend the course to other caregivers. Mean resilience and self-compassion increased, while mean anxiety, depression, perceived stress, difficulties with emotion regulation decreased pre versus post intervention. Qualitative themes showed shifts in caregivers’ emotional awareness, sense of isolation, and capacity for grace and self-advocacy. Caregivers expressed interest in future co-facilitation by caregiving peers and continued opportunities for involvement. The resilience habits course shows promise as an accessible, acceptable resource for caregivers to gain skills to cultivate greater well-being. Future work should examine efficacy, effectiveness, and implementation.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 5","pages":"Page e3"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887500","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":"Motor Skill Learning in School-Age Children Tested with a Gamified Mobile Health System","authors":"Md Raihan Mia,&nbsp;Cassandra Kemmel-Bartletti,&nbsp;Sheikh Iqbal Ahamed,&nbsp;Samuel Nemanich","doi":"10.1016/j.apmr.2025.03.028","DOIUrl":"10.1016/j.apmr.2025.03.028","url":null,"abstract":"<div><div>Motor skills are critical to a child's physical development, academic success, and social participation. Evidence of motor skill learning requires multiple evaluations across time, posing challenges for traditional laboratory testing. Combining expertise of two labs in rehabilitation and computer science, we implemented a motor learning task within a mobile health iPad application to study unimanual and bimanual skill learning in a school environment. Twenty-five participants ages 5-8 were tested as part of an on-going study investigating differences in motor skill learning between children born preterm or at term age. Testing occurred on three separate days (Day 1, Day 2, Day 7) wherein participants performed 5 blocks (24 trials/block) of a unimanual and bimanual task using a wireless gaming remote fitted with joystick handles. The game objective was to move a visual cursor (ladybug) to a target (flower). Completion time and movement error were calculated and used to evaluate 7-day retention; comparisons were made between tasks (bimanual vs. unimanual) and age (5-6 y/o vs. 7-8 y/o). A greater proportion of 7-8 y/o children (80%) showed retention compared to 5-6 y/o children (33%) for both tasks, however, there were overall fewer children who showed retention of bimanual (19%) compared to unimanual (31%) skills. Movement errors significantly decreased at Day 7 for unimanual compared to bimanual skills (t = −3.134, p = 0.007) demonstrating better unimanual skill retention. Mobile devices may enable precise and objective data collection outside the laboratory, enabling future motor learning research in children with and without developmental disorders.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 5","pages":"Pages e7-e8"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887917","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}