Archives of physical medicine and rehabilitation最新文献

{"title":"Establishing Consensus for Prescription of Prosthetic Components for Transtibial Bone-Anchored Limbs: An International Delphi Method Study.","authors":"Eric J Earley, Dan W Milius, Mohamed E Awad, Danielle H Melton, Kirstin Ahmed, Ruud A Leijendekkers, Benjamin K Potter, Phillip M Stevens, Brecca M M Gaffney, Cory L Christiansen, Jason W Stoneback","doi":"10.1016/j.apmr.2026.09.015","DOIUrl":"https://doi.org/10.1016/j.apmr.2026.09.015","url":null,"abstract":"<p><strong>Objective: </strong>Establish consensus and provide recommendations from international experts on the prescription of prosthetic components for patients with transtibial bone-anchored limbs (BAL).</p><p><strong>Design: </strong>Delphi method study comprising three rounds of surveys between November 2023 and September 2024.</p><p><strong>Setting: </strong>Anonymous online surveys distributed to international Delegates.</p><p><strong>Participants: </strong>Up to 10 clinicians with expertise in longitudinal prosthetic care for patients with BAL.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>Delegate agreement of at least 80% to establish consensus.</p><p><strong>Results: </strong>28 thematic statements achieved consensus. Delegates unanimously agreed with prescribing an appropriate safety connector, a torque absorber, and a high-energy return or compliant carbon fiber or fiberglass foot with a split toe, and also agreed with the prioritization of torsion absorption over shock absorption if necessary. Delegates generally agreed that sex, age, and BMI should not change the prosthesis component prescription, but that physical ability and desired functional activities may necessitate different components. Other findings highlighted areas of uncertainty amongst experts, such as the ability of the anatomical knee and the prosthetic foot to provide torsion and shock absorption, respectively, in place of a separate prosthetic component. Delegates also strongly agreed on the need for safety connectors protecting against high coronal and sagittal loads in transtibial BAL, a finding not reflected in recommendations for transfemoral BAL.</p><p><strong>Conclusions: </strong>The recommendations generated from this study provide a starting point to guide clinicians when selecting prosthetic components for patients with transtibial BAL and serve as a basis for structuring future clinical practice guidelines. Furthermore, the proposed themes may aid in identifying knowledge gaps and direct future research studies on safety and functional improvements with BAL.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073425","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 Performance and Central Nervous System-Active Analgesics Independently Predict 8-Year Fall Risk in Adults with or at Risk for Knee Osteoarthritis.","authors":"Saad M Bindawas, Vishal Vennu","doi":"10.1016/j.apmr.2026.07.033","DOIUrl":"https://doi.org/10.1016/j.apmr.2026.07.033","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether baseline objective physical performance and central nervous system (CNS)-active analgesics use independently and jointly predict long-term fall risk among adults with or at risk for knee osteoarthritis (OA).</p><p><strong>Design: </strong>Prospective longitudinal cohort study.</p><p><strong>Setting: </strong>Community-based cohort from the Osteoarthritis Initiative.</p><p><strong>Participants: </strong>A total of 4,783 adults aged 45-79 years with or at risk for knee OA.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>Baseline exposure included CNS-active analgesic use (opioids or antidepressants). Physical performance was assessed using the repeated chair-stand test and 400-m walk test. The primary outcomes were the incidence of any falls (≥1) and recurrent falls (≥2) over 8 years. Associations were estimated using generalized estimating equations adjusted for demographic characteristics, body mass index, and depressive symptoms.</p><p><strong>Results: </strong>CNS-active analgesics use at baseline was associated with higher odds of any fall (adjusted odds ratio [AOR]: 1.16; 95% confidence interval [CI]: 1.08-1.24) and recurrent falls (AOR: 1.30; 95% CI: 1.18-1.42). Poorer physical performance was also associated with increased fall risk. Slower 400-m walk times and inability to complete the chair-stand test were independently associated with both outcomes. No statistically significant interaction was observed between analgesic use and physical performance measures.</p><p><strong>Conclusions: </strong>Among adults with or at risk for knee OA, CNS-active analgesic use and impaired physical performance were independent predictors of long-term fall risk. Routine assessments of physical performance help clinicians identify individuals at greater risk of falls when prescribing CNS-active medications and guide the development of tailored fall-prevention strategies in rehabilitation.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069339","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":"Effects of TENS, NMES, and Combination Therapy on Hemiplegic Shoulder Pain and Function After Stroke.","authors":"Sevinç Külekçioğlu, Merve Korukcu, Zübeyde Kurtoğlu, Levent Yazmalar","doi":"10.1016/j.apmr.2026.09.013","DOIUrl":"https://doi.org/10.1016/j.apmr.2026.09.013","url":null,"abstract":"<p><strong>Objective: </strong>To compare the effectiveness of transcutaneous electrical nerve stimulation (TENS), neuromuscular electrical stimulation (NMES), and their combination in hemiplegic shoulder pain (HSP), upper limb function, and joint range of motion (ROM) in patients with acute and subacute stroke.</p><p><strong>Design: </strong>Prospective randomized study.</p><p><strong>Setting: </strong>Inpatient and outpatient rehabilitation settings.</p><p><strong>Participants: </strong>Eighty patients were assessed for eligibility. Five patients were excluded before randomization. Seventy-five participants were randomized, and sixty completed the study (TENS, n = 21; TENS+NMES, n = 20; NMES, n = 19).</p><p><strong>Interventions: </strong>All groups received a standardized rehabilitation program consisting of positioning, ROM exercises, stretching, strengthening, and task-oriented upper extremity training for 60 minutes per session, 5 days per week for 3 weeks. Group 1 received TENS, Group 2 received combined TENS+NMES, and Group 3 received NMES MAIN OUTCOME MEASURES: Primary outcome: pain intensity assessed using the Visual Analog Scale (VAS).</p><p><strong>Secondary outcomes: </strong>upper extremity motor function assessed using the Fugl-Meyer Assessment for Upper Extremity (FMA-UE), shoulder pain and disability assessed using the Shoulder Pain and Disability Index (SPADI), spasticity assessed using the Modified Ashworth Scale (MAS), activities of daily living (ADL) assessed using the Barthel Index (BI), and shoulder ROM measured by goniometry.</p><p><strong>Results: </strong>All treatment groups showed significant improvements in VAS, Fugl-Meyer, SPADI, BI, and ROM scores after treatment. The TENS+NMES group demonstrated significantly greater reductions in pain and SPADI scores than the TENS group. However, post hoc analysis showed no significant difference between the TENS+NMES and NMES groups for SPADI.</p><p><strong>Conclusions: </strong>Compared with TENS or NMES alone, the combined intervention improved pain, shoulder-related limitations, and shoulder ROM, but not upper extremity motor function, spasticity, or activities of daily living. Combined electrical stimulation may be a useful adjunct for pain and shoulder function during early stroke rehabilitation, although larger studies are needed to confirm these findings.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149023752","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":"Associations of Patient-Reported and Objective Measures of Mobility With Prospective Falls in Older Adults with Multiple Sclerosis.","authors":"Roee Holtzer, Robert W Motl, Mark E Wagshul, Gabriel Carera, Meltem Izzetoglu, Frederick W Foley, Manuel E Hernandez","doi":"10.1016/j.apmr.2026.09.014","DOIUrl":"10.1016/j.apmr.2026.09.014","url":null,"abstract":"<p><strong>Objective: </strong>The patient determined disease steps (PDDS) scale is a valid measure of mobility disability in multiple sclerosis (MS). The short physical performance battery (SPPB) is a gold standard objective measures of physical function. However, whether the PDDS and SPPB are associated with prospective falls in older adults with MS (OAMS) has not been reported. The current study addressed this gap in the literature by evaluating and comparing associations of both measures with prospective falls in this patient population.</p><p><strong>Design: </strong>Prospective cohort study SETTING: Community PARTICIPANTS: Ambulatory OAMS (n=109, mean age=64.74±4.3ys, %female=69.7).</p><p><strong>Interventions: </strong>Not applicable MAIN OUTCOME MEASURES: Participants completed the PDDS and SPPB during in-person study visits and reported falls using a structured monthly telephone interview during follow-up that varied depending on participants' enrollment date into the study (mean duration of follow-up in years = 2.24±1.40).</p><p><strong>Results: </strong>PDDS and SPPB scores were standardized based on sample distribution and General Estimating Equations (GEE) models were utilized to evaluate and compare their associated odds ratios with prospective falls. One standard deviation increases in PDDS and SPPB scores were associated with an increase of 27.7% (OR=1.277, 95%CI=1.034 to 1.576, p=.023) and a decrease of 25.1% (OR=.749, 95%CI=.617 to .910, p=.004) in the odds of falling, respectively. Two one-sided test (TOST) results showed that the PDDS and SPPB were equivalent with respect to their associations with prospective falls (p=0.039).</p><p><strong>Conclusions: </strong>Associations of the PDDS and SPPB with prospective falls were significant and comparable among OAMS. Thus, the PDDS, a simple-to-administer patient-reported outcome measure, could be used to inform falls risk assessment procedures as well as the design of observational or intervention studies of falls in OAMS.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149023757","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":"Recovery Trajectories of Lower-Limb Motor Function After Cervical Spinal Cord Injury: A Latent Class Mixed Model Analysis.","authors":"Atsushi Sugyo, Ryosuke Ideta, Yuto Ariji, Ryuichiro Koga, Satoshi Murai, Ryusei Ifuku, Shota Miyahara, Kensuke Kubota, Kazuhiro Hata, Takeshi Maeda","doi":"10.1016/j.apmr.2026.09.012","DOIUrl":"10.1016/j.apmr.2026.09.012","url":null,"abstract":"<p><strong>Objective: </strong>To identify the latent recovery trajectories of lower-limb motor function after cervical spinal cord injury (SCI) using a latent class mixed model (LCMM) and to examine clinical factors associated with trajectory-class membership.</p><p><strong>Design: </strong>Retrospective longitudinal cohort study.</p><p><strong>Setting: </strong>A single specialized SCI center in Japan.</p><p><strong>Participants: </strong>A total of 516 participants and 4040 longitudinal observations were included.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>Longitudinal Lower Extremity Motor Score (LEMS) data within 1 year of injury were analyzed using the LCMM. Candidate models with 1 to 5 latent classes were evaluated using information criteria and clinical interpretability. Factors associated with trajectory-class membership were identified using multinomial logistic regression with Firth correction.</p><p><strong>Results: </strong>The LCMM identified 5 distinct recovery trajectory classes: early high recovery, steep nonlinear recovery, moderate recovery with early plateau, low recovery, and slow sustained recovery. The mean posterior probabilities were 0.91 to 0.98, supporting the validity of the classification. LEMS at admission was consistently associated with trajectory-class membership across all comparisons. Age, American Spinal Injury Association Impairment Scale classification, and bony injury were associated with specific trajectory classes.</p><p><strong>Conclusions: </strong>Lower-limb motor function recovery after cervical SCI can be classified into multiple longitudinal trajectories. Trajectory-based analysis may contribute to understanding heterogeneous recovery patterns and support prognostic assessment in clinical practice.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149011791","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":"Letter to the Editor: Beyond Clinical Improvement: Is Radial Nerve Neuromodulation Truly the Mechanism Behind Long-Term Benefits of Ultrasound-Guided Percutaneous Electrical Nerve Stimulation?","authors":"Timur Ekiz","doi":"10.1016/j.apmr.2026.09.009","DOIUrl":"10.1016/j.apmr.2026.09.009","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148988007","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":"Response to Letter to the Editor: Beyond Clinical Improvement: Is Radial Nerve Neuromodulation Truly the Mechanism Behind Long-Term Benefits of Ultrasound-Guided Percutaneous Electrical Nerve Stimulation?","authors":"Daniel Albert-Lucena, Gabriel Rabanal-Rodríguez, Marcos José Navarro-Santana, Guido Fabián Gómez-Chiguano, Ángel González-de-la-Flor, Carlos Romero-Morales, Gustavo Plaza-Manzano","doi":"10.1016/j.apmr.2026.09.008","DOIUrl":"10.1016/j.apmr.2026.09.008","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148988029","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":"Accelerometer-Measured Physical Activity Percentiles Across Age in Adults With Knee Osteoarthritis.","authors":"José Luis Ceballos-Sánchez, Manuel Reguera-Rodríguez, Rosa M Alfonso-Rosa, Francisco Álvarez-Barbosa, Borja Del Pozo Cruz, Jesús Del Pozo-Cruz","doi":"10.1016/j.apmr.2026.09.003","DOIUrl":"10.1016/j.apmr.2026.09.003","url":null,"abstract":"<p><strong>Objective: </strong>To describe age-related percentile distributions of accelerometer-measured physical activity (PA) in adults with knee osteoarthritis (OA) and to examine differences according to sex, pain, income, and body mass index (BMI).</p><p><strong>Design: </strong>Cross-sectional secondary analysis.</p><p><strong>Setting: </strong>Secondary analysis of data from the accelerometer substudy of the Osteoarthritis Initiative, a multicenter longitudinal cohort study conducted in the United States.</p><p><strong>Participants: </strong>Adults with knee OA-related data available for analysis (N=968).</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>Weekly minutes of moderate-to-vigorous physical activity (MVPA) and total physical activity (TPA), measured using a uniaxial ActiGraph GT1M accelerometer and classified according to the Freedson cut-point approach. Quantile regression was used to estimate age-related percentile curves.</p><p><strong>Results: </strong>Median weekly MVPA was 13.93 minutes, and median weekly TPA was 292.07 minutes. This median MVPA value is substantially below the World Health Organization recommendations. Both MVPA and TPA declined with advancing age. Men accumulated significantly more MVPA than women across percentiles, whereas women accumulated significantly more TPA. Lower PA levels were also observed in participants with significant pain and higher BMI, particularly at lower percentiles. No statistically significant differences were detected according to annual income. These findings indicate that percentile position reflects relative activity within this knee OA sample and should not be interpreted as equivalent to meeting guideline-recommended PA levels.</p><p><strong>Conclusions: </strong>Adults with knee OA accumulated low levels of device-measured PA, with less favorable patterns observed at older ages and among participants with greater pain and higher BMI. These percentile distributions may help contextualize an individual's activity level relative to comparable adults with knee OA in rehabilitation and research settings; however, they are descriptive reference distributions and do not replace guideline-based PA targets.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148962957","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":"Fall-prevention education after achieving independent walking is associated with reduced subsequent fall risk in patients with stroke: a retrospective pre-post intervention study.","authors":"Seigo Inoue, Yohei Otaka, Masafumi Sugasawa, Michiyuki Kawakami, Kunitsugu Kondo","doi":"10.1016/j.apmr.2026.09.006","DOIUrl":"https://doi.org/10.1016/j.apmr.2026.09.006","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the association between standardized fall-prevention education delivered immediately after achieving independent walking and subsequent fall risk in patients with stroke.</p><p><strong>Design: </strong>Retrospective pre-post intervention study.</p><p><strong>Setting: </strong>Post-acute inpatient rehabilitation hospital.</p><p><strong>Participants: </strong>1,437 hospitalized patients with stroke INTERVENTIONS: Standardized fall-prevention education delivered immediately after achieving independent walking versus usual care without a standardized education program. The education emphasized that walking independence did not ensure absolute safety, clarified safe activity boundaries, and encouraged patients to seek assistance when performing hazardous activities.</p><p><strong>Main outcome measures: </strong>The time to first fall after achieving independent walking was analyzed using the Kaplan-Meier method and compared between groups with the log-rank test, followed by multivariable Cox proportional hazards regression. The total number of falls was analyzed using negative binomial regression.</p><p><strong>Results: </strong>A total of 816 patients received usual care and 621 received standardized fall-prevention education. Among 1,437 patients, 217 experienced at least one fall after achieving independent walking. The standardized education group had a significantly longer time to the first fall (log-rank P=.005), a lower adjusted hazard of the first fall (adjusted hazard ratio: 0.58, 95% confidence interval [CI]: 0.43-0.76, P<.001), and a lower fall incidence rate (incidence rate ratio: 0.68, 95% CI: 0.51-0.90, P=.006).</p><p><strong>Conclusions: </strong>Standardized fall-prevention education delivered upon achieving independent walking was associated with a lower subsequent fall risk among patients with subacute stroke.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148954661","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":"Putting Patient-Centered Measurement Into Practice: A Qualitative Exploratory Study of Four Pilot Projects.","authors":"Karen Frazier, Mary Lavelle, Ellen Schultz, Dilani Logan, Hala Durrah, Stephen Hoy","doi":"10.1016/j.apmr.2026.09.002","DOIUrl":"https://doi.org/10.1016/j.apmr.2026.09.002","url":null,"abstract":"<p><strong>Objective: </strong>The Principles for Making Health Care Measurement Patient-Centered advance a patient-centered approach to health care measurement by guiding measurement efforts to reflect patient experiences and needs. This study aimed to understand how 4 pilot projects applied the Patient-Centered Measurement (PCM) principles in real-world health care measurement efforts.</p><p><strong>Design: </strong>Qualitative exploratory study. Data sources included: 1) transcriptions of quarterly learning community meetings, 2) transcriptions of monthly one-on-one meetings; and 3) each project's progress reports and final reflection report. Researchers used NVivo to analyze data sources.</p><p><strong>Setting: </strong>Pilot program with required virtual learning community.</p><p><strong>Participants: </strong>Four pilot projects, selected from a call for proposals. Each received approximately $200,000 in funding for 18 months and included a patient or caregiver partner.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measure(s): </strong>Not applicable.</p><p><strong>Results: </strong>To put principles of co-creation and patient-driven measurement into practice, projects established engagement structures that facilitated equal partnership, compensated partners and addressed barriers to inclusion, prepared team members to work together, co-created project activities, and acted on input from their partners. Co-creation and the patient-driven principles resulted in measure concepts and specifications that were holistic and driven by patient and caregiver priorities; adaptations to existing survey questions (when implementing an existing measure); transparent communication with patients about how data would be used; and a planned approach to survey results that was tied to action.</p><p><strong>Conclusions: </strong>This exploratory study identified actions that measurement teams can take to advance the patient-centeredness of measurement. Putting these principles into practice was feasible within projects with short timelines and small budgets using varied team structures, measurement approaches, and across different stages of the measurement life cycle. No one way of structuring the teams stood out as better for applying the principles. Co-creation with patient and caregiver partners was most crucial.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":4.0,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148944316","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}