Pub Date : 2022-11-29eCollection Date: 2022-01-01DOI: 10.1177/11795727221139517
Manoj Sivan
{"title":"Advances in Rehabilitation Science and Practice (AdvRSP) Editorial: A Journal Showcasing Exciting Developments in the Field of Rehabilitation in Medical Conditions.","authors":"Manoj Sivan","doi":"10.1177/11795727221139517","DOIUrl":"https://doi.org/10.1177/11795727221139517","url":null,"abstract":"","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9716441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35253166","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}
The workforce of the medical specialty of Rehabilitation Medicine (RM) in the UK is 10 times less than the European average for the specialty of Physical and Rehabilitation Medicine (PRM). This can be explained partly by the difference in the scope of practice within the specialty between the UK and other European countries and USA. This opinion paper aims to compare the rehabilitation needs in chronic medical conditions and compare the scope of practice between countries within Europe and other regions of the world. The potential advantages of a broader remit specialty to improve rehabilitation care for patients by involving rehabilitation physicians in various medical conditions is explored. Recommendations have been put forward in the Rehabilitation Medicine Expansion Proposal (RMEP), which is likely to make the medical specialty of RM/ PRM more satisfying for the doctors working in the specialty and a more attractive career choice for those entering training in the specialty. There is a need for an international universal framework for the scope of the specialty to have a greater impact on improving the lives of those with chronic medical conditions.
{"title":"A Proposal for Expansion of the Medical Specialty of Rehabilitation Medicine.","authors":"Manoj Sivan, Mahesh Cirasanambati, Elie Okirie, Faraz Jeddi, Matthew Smith, Bhaskar Basu, Sachin Watve, Renjith Bose, Sudha Balakrishnan, Abayomi Salawu, Yogendra Jagatsinh, Vicki Williams, Sreedhar Kolli, Robert Simpson, Simon Shaw, Shyam Swarna, Vijay Kolli","doi":"10.1177/11795727221137213","DOIUrl":"https://doi.org/10.1177/11795727221137213","url":null,"abstract":"<p><p>The workforce of the medical specialty of Rehabilitation Medicine (RM) in the UK is 10 times less than the European average for the specialty of Physical and Rehabilitation Medicine (PRM). This can be explained partly by the difference in the scope of practice within the specialty between the UK and other European countries and USA. This opinion paper aims to compare the rehabilitation needs in chronic medical conditions and compare the scope of practice between countries within Europe and other regions of the world. The potential advantages of a broader remit specialty to improve rehabilitation care for patients by involving rehabilitation physicians in various medical conditions is explored. Recommendations have been put forward in the Rehabilitation Medicine Expansion Proposal (RMEP), which is likely to make the medical specialty of RM/ PRM more satisfying for the doctors working in the specialty and a more attractive career choice for those entering training in the specialty. There is a need for an international universal framework for the scope of the specialty to have a greater impact on improving the lives of those with chronic medical conditions.</p>","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/90/27/10.1177_11795727221137213.PMC9677288.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40508016","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}
Pub Date : 2022-10-18eCollection Date: 2022-01-01DOI: 10.1177/11795727221126891
Lis Dreijer Hammond, Alexander Paul Farrington, Manoj Sivan
Purpose: Literature regarding the WHO's International Classification of Function, Disability and Health (ICF) has called for research into psychosocial adjustment processes. This project aims to establish the relevance of the Integrative Model of Adjustment to Chronic Conditions (IMACC) as a framework for research and a clinical tool in rehabilitation by linking it with the ICF.
Methods: The study employed secondary analysis of data from the original IMACC grounded theory study, where 8 women and 2 men with type 2 diabetes mellitus participated. IMACC consists of 3 interconnected parts comprising a total of 13 components. Datasets used for the study consisted of the qualitative data underpinning each IMACC component. Meaningful concepts from each dataset were linked to ICF categories using the updated ICF linking rules.
Results: Results showed that all 13 IMACC components accommodate ICF category codes from all health and health related ICF components in patterns consistent with the theoretical conceptualisation of each separate IMACC component.
Conclusion: IMACC maps comprehensively to the ICF framework and provides a framework that may be useful for future ICF related research into biopsychosocial processes in psychosocial adjustment. IMACC provides a clinically applicable intervention for people with psychosocial adjustment difficulties consistent with the ICF framework.
{"title":"Verification of the Integrative Model of Adjustment to Chronic Conditions by Mapping it Onto the World Health Organization's International Classification of Function, Disability and Health.","authors":"Lis Dreijer Hammond, Alexander Paul Farrington, Manoj Sivan","doi":"10.1177/11795727221126891","DOIUrl":"10.1177/11795727221126891","url":null,"abstract":"<p><strong>Purpose: </strong>Literature regarding the WHO's International Classification of Function, Disability and Health (ICF) has called for research into psychosocial adjustment processes. This project aims to establish the relevance of the Integrative Model of Adjustment to Chronic Conditions (IMACC) as a framework for research and a clinical tool in rehabilitation by linking it with the ICF.</p><p><strong>Methods: </strong>The study employed secondary analysis of data from the original IMACC grounded theory study, where 8 women and 2 men with type 2 diabetes mellitus participated. IMACC consists of 3 interconnected parts comprising a total of 13 components. Datasets used for the study consisted of the qualitative data underpinning each IMACC component. Meaningful concepts from each dataset were linked to ICF categories using the updated ICF linking rules.</p><p><strong>Results: </strong>Results showed that all 13 IMACC components accommodate ICF category codes from all health and health related ICF components in patterns consistent with the theoretical conceptualisation of each separate IMACC component.</p><p><strong>Conclusion: </strong>IMACC maps comprehensively to the ICF framework and provides a framework that may be useful for future ICF related research into biopsychosocial processes in psychosocial adjustment. IMACC provides a clinically applicable intervention for people with psychosocial adjustment difficulties consistent with the ICF framework.</p>","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/56/ad/10.1177_11795727221126891.PMC9583227.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40569342","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}
Pub Date : 2022-10-18eCollection Date: 2022-01-01DOI: 10.1177/11795727221126070
Raju Dhakal, Mandira Baniya, Rosie M Solomon, Chanda Rana, Prajwal Ghimire, Ram Hariharan, Sophie G Makower, Wei Meng, Stephen Halpin, Sheng Quan Xie, Rory J O'Connor, Matthew J Allsop, Manoj Sivan
Background: Spinal Cord Injury (SCI) or Acquired Brain Injury (ABI) leads to disability, unemployment, loss of income, decreased quality of life and increased mortality. The impact is worse in Low-and Middle-Income Countries (LMICs) due to a lack of efficient long-term rehabilitative care. This study aims to explore the feasibility and acceptability of a telerehabilitation programme in Nepal.
Methods: Prospective cohort feasibility study in a community setting following discharge from a specialist rehabilitation centre in Nepal. Patients with SCI or ABI who had previously accessed specialist rehabilitation were connected to a specialist Multidisciplinary Team (MDT) in the centre through a video conference system for comprehensive remote assessments and virtual individualised interventions. Data were captured on recruitment, non-participation rates, retention, acceptability (via end-of-study in-depth interviews with a subset of participants) and outcome measures including the Modified Barthel Index (MBI), Depression Anxiety Stress Scale (DASS) and EuroQol-5D (EQ-5D), completed pre- and post-programme.
Results: 97 participants with SCI (n = 82) or ABI (n = 15) discharged from the centre during an 18-month period were approached and enrolled on the study. The telerehabilitation programme facilitated the delivery of support around multiple aspects of rehabilitation care, such as spasticity treatments and pain management. Outcome measures indicated a significant improvement in functional independence (P < .001), depression, anxiety and stress (P < .001) and quality of life (P < .001). Qualitative interviews (n = 18) revealed participants found the programme acceptable, valuing regular contact and input from MDT professionals and avoiding expensive and lengthy travel.
Conclusion: This is the first study in Nepal to identify telerehabilitation as a feasible and acceptable approach to augment the provision of specialist rehabilitation. Future research is needed to assess the suitability of the programme for other conditions requiring specialist rehabilitation and determine the mechanisms underpinning improved outcomes for people with SCI or ABI.
背景:脊髓损伤(SCI)或获得性脑损伤(ABI)导致残疾、失业、收入损失、生活质量下降和死亡率增加。由于缺乏有效的长期康复护理,这种影响在低收入和中等收入国家更为严重。本研究旨在探讨尼泊尔远程康复方案的可行性和可接受性。方法:从尼泊尔一家专科康复中心出院后,在社区环境中进行前瞻性队列可行性研究。先前接受过专家康复治疗的脊髓损伤或ABI患者通过视频会议系统与中心的专家多学科小组(MDT)联系,进行全面的远程评估和虚拟个性化干预。数据包括招募、不参与率、保留、可接受性(通过研究结束时对一部分参与者的深度访谈)和结果测量,包括修改的Barthel指数(MBI)、抑郁焦虑压力量表(DASS)和EuroQol-5D (EQ-5D),完成项目前后。结果:在18个月内从中心出院的97名SCI (n = 82)或ABI (n = 15)参与者被纳入研究。远程康复方案促进了围绕康复护理的多个方面提供支持,例如痉挛治疗和疼痛管理。结果测量显示功能独立性显著改善(P P P结论:这是尼泊尔第一个确定远程康复作为一种可行和可接受的方法来增加专科康复服务的研究。未来的研究需要评估该方案对其他需要专业康复的条件的适用性,并确定支持SCI或ABI患者改善结果的机制。试验注册:ClinicalTrials.gov标识符:NCT04914650。
{"title":"TEleRehabilitation Nepal (TERN) for People With Spinal Cord Injury and Acquired Brain Injury: A Feasibility Study.","authors":"Raju Dhakal, Mandira Baniya, Rosie M Solomon, Chanda Rana, Prajwal Ghimire, Ram Hariharan, Sophie G Makower, Wei Meng, Stephen Halpin, Sheng Quan Xie, Rory J O'Connor, Matthew J Allsop, Manoj Sivan","doi":"10.1177/11795727221126070","DOIUrl":"https://doi.org/10.1177/11795727221126070","url":null,"abstract":"<p><strong>Background: </strong>Spinal Cord Injury (SCI) or Acquired Brain Injury (ABI) leads to disability, unemployment, loss of income, decreased quality of life and increased mortality. The impact is worse in Low-and Middle-Income Countries (LMICs) due to a lack of efficient long-term rehabilitative care. This study aims to explore the feasibility and acceptability of a telerehabilitation programme in Nepal.</p><p><strong>Methods: </strong>Prospective cohort feasibility study in a community setting following discharge from a specialist rehabilitation centre in Nepal. Patients with SCI or ABI who had previously accessed specialist rehabilitation were connected to a specialist Multidisciplinary Team (MDT) in the centre through a video conference system for comprehensive remote assessments and virtual individualised interventions. Data were captured on recruitment, non-participation rates, retention, acceptability (via end-of-study in-depth interviews with a subset of participants) and outcome measures including the Modified Barthel Index (MBI), Depression Anxiety Stress Scale (DASS) and EuroQol-5D (EQ-5D), completed pre- and post-programme.</p><p><strong>Results: </strong>97 participants with SCI (n = 82) or ABI (n = 15) discharged from the centre during an 18-month period were approached and enrolled on the study. The telerehabilitation programme facilitated the delivery of support around multiple aspects of rehabilitation care, such as spasticity treatments and pain management. Outcome measures indicated a significant improvement in functional independence (<i>P</i> < .001), depression, anxiety and stress (<i>P</i> < .001) and quality of life (<i>P</i> < .001). Qualitative interviews (n = 18) revealed participants found the programme acceptable, valuing regular contact and input from MDT professionals and avoiding expensive and lengthy travel.</p><p><strong>Conclusion: </strong>This is the first study in Nepal to identify telerehabilitation as a feasible and acceptable approach to augment the provision of specialist rehabilitation. Future research is needed to assess the suitability of the programme for other conditions requiring specialist rehabilitation and determine the mechanisms underpinning improved outcomes for people with SCI or ABI.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov Identifier: NCT04914650.</p>","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9583203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40569343","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}
Pub Date : 2022-09-06eCollection Date: 2022-01-01DOI: 10.1177/11795727221117503
Tehila Almog, Yafit Gilboa
Background: Telehealth has been declared an accepted method of occupational therapy (OT) service delivery and has been shown to be effective. However, studies done before the outbreak of coronavirus disease (COVID-19) show that most occupational therapists didn't use it.
Aim: The aim of this exploratory study was to examine the perceptions of occupational therapists regarding remote delivery of service following the COVID-19 outbreak.
Material and methods: An online survey, including 11-item five-point Likert scale, and 2 open-ended questions were distributed to occupational therapists.
Results: Responses were received from 245 Israeli occupational therapists. The majority of the participants (60%) strongly agreed that remote delivery allows an ecological and effective intervention, while 76% strongly agreed that an ideal treatment is one that would combine telehealth with in-person intervention. Qualitative findings indicated that the most significant advantage was providing care in the natural environment and improving accessibility to the service. The most salient barriers were limitations of the therapeutic relationship and threats on clinical reasoning.
Conclusion: The study results highlight the complexity of telehealth. Findings indicate that overall occupational therapists perceive remote care as an effective and legitimate service delivery method that cannot be used as an alternative to in-person treatment. These findings can help in developing intervention programs for remote treatment, and their implementation.
{"title":"Remote Delivery of Service: A Survey of Occupational Therapists' Perceptions.","authors":"Tehila Almog, Yafit Gilboa","doi":"10.1177/11795727221117503","DOIUrl":"https://doi.org/10.1177/11795727221117503","url":null,"abstract":"<p><strong>Background: </strong>Telehealth has been declared an accepted method of occupational therapy (OT) service delivery and has been shown to be effective. However, studies done before the outbreak of coronavirus disease (COVID-19) show that most occupational therapists didn't use it.</p><p><strong>Aim: </strong>The aim of this exploratory study was to examine the perceptions of occupational therapists regarding remote delivery of service following the COVID-19 outbreak.</p><p><strong>Material and methods: </strong>An online survey, including 11-item five-point Likert scale, and 2 open-ended questions were distributed to occupational therapists.</p><p><strong>Results: </strong>Responses were received from 245 Israeli occupational therapists. The majority of the participants (60%) strongly agreed that remote delivery allows an ecological and effective intervention, while 76% strongly agreed that an ideal treatment is one that would combine telehealth with in-person intervention. Qualitative findings indicated that the most significant advantage was providing care in the natural environment and improving accessibility to the service. The most salient barriers were limitations of the therapeutic relationship and threats on clinical reasoning.</p><p><strong>Conclusion: </strong>The study results highlight the complexity of telehealth. Findings indicate that overall occupational therapists perceive remote care as an effective and legitimate service delivery method that cannot be used as an alternative to in-person treatment. These findings can help in developing intervention programs for remote treatment, and their implementation.</p>","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cc/64/10.1177_11795727221117503.PMC9452793.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33460643","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}
Pub Date : 2022-07-30eCollection Date: 2022-01-01DOI: 10.1177/11795727221114464
Kazuki Hayashida, Ryota Nakazono, Nami Yamamichi, Masa Narita, Koichiro Onishi, Shu Morioka
The difference between the walking speeds of stroke patients and the general population may influence the self-perception of patients, who perceive their walk as lacking general human-likeness. Perception toward human-likeness during walking is defined here as the feeling that one can walk as intended, just like healthy people. Such negative subjective experiences may curb their social participation. However, the perception associated with walking speed in stroke patients is poorly understood. The main purpose of this study was to investigate the relationship between walking speed and perception toward general human-likeness during walking in stroke patients. Thirty-two post-stroke patients were enrolled in this cross-sectional study. Patients performed 10-m walk tests at comfortable and fast speeds and answered questions about their perceived human-like walking after completing the walk ("How much did you feel your walking resembled the human-likeness during walking of general people?"). We found a significant positive correlation between perception toward human-likeness during walking and walking speed at both comfortable and fast speeds. To the best of our knowledge, this report is the first to suggest that walking speed may correlate with self-perception. Our findings may help understand the underlying mechanism in patients perceiving less human-likeness during walking.
{"title":"Association Between Self-Perceived General Human-Likeness During Walking and Walking Speed in Stroke Patients: A Preliminary Study.","authors":"Kazuki Hayashida, Ryota Nakazono, Nami Yamamichi, Masa Narita, Koichiro Onishi, Shu Morioka","doi":"10.1177/11795727221114464","DOIUrl":"https://doi.org/10.1177/11795727221114464","url":null,"abstract":"<p><p>The difference between the walking speeds of stroke patients and the general population may influence the self-perception of patients, who perceive their walk as lacking general human-likeness. Perception toward human-likeness during walking is defined here as the feeling that one can walk as intended, just like healthy people. Such negative subjective experiences may curb their social participation. However, the perception associated with walking speed in stroke patients is poorly understood. The main purpose of this study was to investigate the relationship between walking speed and perception toward general human-likeness during walking in stroke patients. Thirty-two post-stroke patients were enrolled in this cross-sectional study. Patients performed 10-m walk tests at comfortable and fast speeds and answered questions about their perceived human-like walking after completing the walk (\"How much did you feel your walking resembled the human-likeness during walking of general people?\"). We found a significant positive correlation between perception toward human-likeness during walking and walking speed at both comfortable and fast speeds. To the best of our knowledge, this report is the first to suggest that walking speed may correlate with self-perception. Our findings may help understand the underlying mechanism in patients perceiving less human-likeness during walking.</p>","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b4/3f/10.1177_11795727221114464.PMC9340907.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40669218","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}
Pub Date : 2021-12-16eCollection Date: 2021-01-01DOI: 10.1177/11795727211064156
Alexander Stäuber, Marc Heydenreich, Peter R Wright, Steffen Großmann, Niklas Grusdat, Dirk-Henrik Zermann, Henry Schulz
Background: Knowledge of clinically established factors of physical function such as body composition, bioelectrical phase angle (PhA) and handgrip strength (HGS) with mortality predictive and health-related relevance is limited in prostate cancer survivors (PCS). Therefore, the aim of this study was to characterise and compare body composition data of PCS with extensive reference data as well as to analyse PhA and HGS and the prevalence of critical prognostic values at an early stage of cancer survivorship.
Methods: One hundred and forty-eight PCS were examined at the start (T1) and end (T2) of a 3-week hospitalised urooncological rehabilitation, which began median 28 days after acute cancer therapy. Examinations included a bioimpedance analysis and HGS test. Comparison of body composition between PCS and reference data was performed using bioimpedance vector analysis (BIVA).
Results: BIVA of the whole PCS group showed abnormal physiology with a cachectic state and a state of overhydration/oedema, without significant changes between T1 and T2. The age- and BMI-stratified subgroup analysis showed that PCS aged 60 years and older had this abnormal pattern compared to the reference population. HGS (T1: 38.7 ± 8.9 vs T2: 40.8 ± 9.4, kg), but not PhA (T1/T2: 5.2 ± 0.7, °), changed significantly between T1 and T2. Values below a critical threshold reflecting a potentially higher risk of mortality and impaired function were found for PhA in 20% (T1) and 22% (T2) of PCS and in 41% (T1) and 29% (T2) for HGS.
Conclusions: BIVA pattern and the prevalence of critically low HGS and PhA values illustrate the necessity for intensive continuation of rehabilitation and survivorship care especially in these 'at risk' cases. The routine assessment of body composition, PhA and HGS offer the opportunity to conduct a risk stratification for PCS and could help personalising and optimising treatment in rehabilitation and ongoing survivorship care.
{"title":"Bioelectrical Impedance Vector Pattern and Biomarkers of Physical Functioning of Prostate Cancer Survivors in Rehabilitation.","authors":"Alexander Stäuber, Marc Heydenreich, Peter R Wright, Steffen Großmann, Niklas Grusdat, Dirk-Henrik Zermann, Henry Schulz","doi":"10.1177/11795727211064156","DOIUrl":"https://doi.org/10.1177/11795727211064156","url":null,"abstract":"<p><strong>Background: </strong>Knowledge of clinically established factors of physical function such as body composition, bioelectrical phase angle (PhA) and handgrip strength (HGS) with mortality predictive and health-related relevance is limited in prostate cancer survivors (PCS). Therefore, the aim of this study was to characterise and compare body composition data of PCS with extensive reference data as well as to analyse PhA and HGS and the prevalence of critical prognostic values at an early stage of cancer survivorship.</p><p><strong>Methods: </strong>One hundred and forty-eight PCS were examined at the start (T1) and end (T2) of a 3-week hospitalised urooncological rehabilitation, which began median 28 days after acute cancer therapy. Examinations included a bioimpedance analysis and HGS test. Comparison of body composition between PCS and reference data was performed using bioimpedance vector analysis (BIVA).</p><p><strong>Results: </strong>BIVA of the whole PCS group showed abnormal physiology with a cachectic state and a state of overhydration/oedema, without significant changes between T1 and T2. The age- and BMI-stratified subgroup analysis showed that PCS aged 60 years and older had this abnormal pattern compared to the reference population. HGS (T1: 38.7 ± 8.9 vs T2: 40.8 ± 9.4, kg), but not PhA (T1/T2: 5.2 ± 0.7, °), changed significantly between T1 and T2. Values below a critical threshold reflecting a potentially higher risk of mortality and impaired function were found for PhA in 20% (T1) and 22% (T2) of PCS and in 41% (T1) and 29% (T2) for HGS.</p><p><strong>Conclusions: </strong>BIVA pattern and the prevalence of critically low HGS and PhA values illustrate the necessity for intensive continuation of rehabilitation and survivorship care especially in these 'at risk' cases. The routine assessment of body composition, PhA and HGS offer the opportunity to conduct a risk stratification for PCS and could help personalising and optimising treatment in rehabilitation and ongoing survivorship care.</p>","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a7/52/10.1177_11795727211064156.PMC8689438.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39787764","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}
Pub Date : 2021-08-07eCollection Date: 2021-01-01DOI: 10.1177/11795727211033279
Ana María Escalante-Gonzalbo, Yoás Saimon Ramírez-Graullera, Herminia Pasantes, José Jonathan Aguilar-Chalé, Gloria Ixchel Sánchez-Castillo, Ximena Ameyalli Escutia-Macedo, Tania María Briseño-Soriano, Paulina Franco-Castro, Ana Lilia Estrada-Rosales, Sandra Elizabeth Vázquez-Abundes, David Andrade-Morales, Jorge Hernández-Franco, Lorena Palafox
Purpose: Stroke is the leading cause of disability in adults worldwide, with hemiparesis being the most prevalent consequence. The use of video games and movement sensors could contribute to improving patients' chances of recovery. We performed a supervised pilot study to validate the safety, feasibility, and acceptability of a new virtual rehabilitation platform in patients with chronic post-stroke upper limb hemiparesis.
Methods: The participants (n = 9) participated in 40 rehabilitation sessions, twice a week, for a period of 20 weeks. Their experiences with the platform were documented using a Likert-scale survey. Changes in motor function were evaluated using the Chedoke Arm and Hand Activity Inventory (CAHAI) and the Wolf Motor Function Test (WMFT).
Results and conclusions: All participants expressed that they enjoyed the experience and felt comfortable using the platform. Preliminary results showed significant motor recovery (P = .0039) according to the WMFT scores. Patients with significant impairment showed no improvement in upper limb task-oriented motor function after therapy.The new platform is safe and well-accepted by patients. The improvement in motor function observed in some of the participants should be attributed to the therapy since spontaneous functional recovery is not expected in chronic stroke patients.
{"title":"Safety, Feasibility, and Acceptability of a New Virtual Rehabilitation Platform: A Supervised Pilot Study.","authors":"Ana María Escalante-Gonzalbo, Yoás Saimon Ramírez-Graullera, Herminia Pasantes, José Jonathan Aguilar-Chalé, Gloria Ixchel Sánchez-Castillo, Ximena Ameyalli Escutia-Macedo, Tania María Briseño-Soriano, Paulina Franco-Castro, Ana Lilia Estrada-Rosales, Sandra Elizabeth Vázquez-Abundes, David Andrade-Morales, Jorge Hernández-Franco, Lorena Palafox","doi":"10.1177/11795727211033279","DOIUrl":"https://doi.org/10.1177/11795727211033279","url":null,"abstract":"<p><strong>Purpose: </strong>Stroke is the leading cause of disability in adults worldwide, with hemiparesis being the most prevalent consequence. The use of video games and movement sensors could contribute to improving patients' chances of recovery. We performed a supervised pilot study to validate the safety, feasibility, and acceptability of a new virtual rehabilitation platform in patients with chronic post-stroke upper limb hemiparesis.</p><p><strong>Methods: </strong>The participants (n = 9) participated in 40 rehabilitation sessions, twice a week, for a period of 20 weeks. Their experiences with the platform were documented using a Likert-scale survey. Changes in motor function were evaluated using the Chedoke Arm and Hand Activity Inventory (CAHAI) and the Wolf Motor Function Test (WMFT).</p><p><strong>Results and conclusions: </strong>All participants expressed that they enjoyed the experience and felt comfortable using the platform. Preliminary results showed significant motor recovery (<i>P</i> = .0039) according to the WMFT scores. Patients with significant impairment showed no improvement in upper limb task-oriented motor function after therapy.The new platform is safe and well-accepted by patients. The improvement in motor function observed in some of the participants should be attributed to the therapy since spontaneous functional recovery is not expected in chronic stroke patients.</p>","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c6/44/10.1177_11795727211033279.PMC8492031.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39787763","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}
Pub Date : 2021-07-05eCollection Date: 2021-01-01DOI: 10.1177/11795727211022330
Thomas Hellsten, Jonny Karlsson, Muhammed Shamsuzzaman, Göran Pulkkis
Background: Several factors, including the aging population and the recent corona pandemic, have increased the need for cost effective, easy-to-use and reliable telerehabilitation services. Computer vision-based marker-less human pose estimation is a promising variant of telerehabilitation and is currently an intensive research topic. It has attracted significant interest for detailed motion analysis, as it does not need arrangement of external fiducials while capturing motion data from images. This is promising for rehabilitation applications, as they enable analysis and supervision of clients' exercises and reduce clients' need for visiting physiotherapists in person. However, development of a marker-less motion analysis system with precise accuracy for joint identification, joint angle measurements and advanced motion analysis is an open challenge.
Objectives: The main objective of this paper is to provide a critical overview of recent computer vision-based marker-less human pose estimation systems and their applicability for rehabilitation application. An overview of some existing marker-less rehabilitation applications is also provided.
Methods: This paper presents a critical review of recent computer vision-based marker-less human pose estimation systems with focus on their provided joint localization accuracy in comparison to physiotherapy requirements and ease of use. The accuracy, in terms of the capability to measure the knee angle, is analysed using simulation.
Results: Current pose estimation systems use 2D, 3D, multiple and single view-based techniques. The most promising techniques from a physiotherapy point of view are 3D marker-less pose estimation based on a single view as these can perform advanced motion analysis of the human body while only requiring a single camera and a computing device. Preliminary simulations reveal that some proposed systems already provide a sufficient accuracy for 2D joint angle estimations.
Conclusions: Even though test results of different applications for some proposed techniques are promising, more rigour testing is required for validating their accuracy before they can be widely adopted in advanced rehabilitation applications.
{"title":"The Potential of Computer Vision-Based Marker-Less Human Motion Analysis for Rehabilitation.","authors":"Thomas Hellsten, Jonny Karlsson, Muhammed Shamsuzzaman, Göran Pulkkis","doi":"10.1177/11795727211022330","DOIUrl":"https://doi.org/10.1177/11795727211022330","url":null,"abstract":"<p><strong>Background: </strong>Several factors, including the aging population and the recent corona pandemic, have increased the need for cost effective, easy-to-use and reliable telerehabilitation services. Computer vision-based marker-less human pose estimation is a promising variant of telerehabilitation and is currently an intensive research topic. It has attracted significant interest for detailed motion analysis, as it does not need arrangement of external fiducials while capturing motion data from images. This is promising for rehabilitation applications, as they enable analysis and supervision of clients' exercises and reduce clients' need for visiting physiotherapists in person. However, development of a marker-less motion analysis system with precise accuracy for joint identification, joint angle measurements and advanced motion analysis is an open challenge.</p><p><strong>Objectives: </strong>The main objective of this paper is to provide a critical overview of recent computer vision-based marker-less human pose estimation systems and their applicability for rehabilitation application. An overview of some existing marker-less rehabilitation applications is also provided.</p><p><strong>Methods: </strong>This paper presents a critical review of recent computer vision-based marker-less human pose estimation systems with focus on their provided joint localization accuracy in comparison to physiotherapy requirements and ease of use. The accuracy, in terms of the capability to measure the knee angle, is analysed using simulation.</p><p><strong>Results: </strong>Current pose estimation systems use 2D, 3D, multiple and single view-based techniques. The most promising techniques from a physiotherapy point of view are 3D marker-less pose estimation based on a single view as these can perform advanced motion analysis of the human body while only requiring a single camera and a computing device. Preliminary simulations reveal that some proposed systems already provide a sufficient accuracy for 2D joint angle estimations.</p><p><strong>Conclusions: </strong>Even though test results of different applications for some proposed techniques are promising, more rigour testing is required for validating their accuracy before they can be widely adopted in advanced rehabilitation applications.</p>","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/11795727211022330","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39787762","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}
Pub Date : 2021-04-27eCollection Date: 2021-01-01DOI: 10.1177/11795727211010500
Catherine R Hoyt, Sarah K Sherman, Shelby K Brown, Dillan J Newbold, Ryland L Miller, Andrew N Van, Joshua S Shimony, Mario Ortega, Annie L Nguyen, Bradley L Schlaggar, Nico Uf Dosenbach
Background: Cerebral palsy (CP) is the leading cause of disability in children. While motor deficits define CP, many patients experience behavioral and cognitive deficits which limit participation. The purpose of this study was to contribute to our understanding of developmental delay and how to measure these deficits among children with CP.
Methods: Children 5 to 15 years with hemiplegic CP were recruited. Cognition and motor ability were assessed. The brain injury associated with observed motor deficits was identified. Accelerometers measured real-world bilateral upper extremity movement and caregivers completed behavioral assessments.
Results: Eleven children participated, 6 with presumed perinatal stroke. Four children scored below average intelligence quotient while other measures of cognition were within normal limits (except processing speed). Motor scores confirmed asymmetrical deficits. Approximately one third of scores indicated deficits in attention, behavior, or depression.
Conclusions: Our findings corroborate that children with CP experience challenges that are broader than motor impairment alone. Despite the variation in brain injury, all participants completed study procedures.
Implications: Our findings suggest that measuring behavior in children with CP may require a more comprehensive approach and that caregivers are amenable to using online collection tools which may assist in addressing the therapeutic needs of children with CP.
{"title":"Toward a More Comprehensive Assessment of School Age Children with Hemiplegic Cerebral Palsy.","authors":"Catherine R Hoyt, Sarah K Sherman, Shelby K Brown, Dillan J Newbold, Ryland L Miller, Andrew N Van, Joshua S Shimony, Mario Ortega, Annie L Nguyen, Bradley L Schlaggar, Nico Uf Dosenbach","doi":"10.1177/11795727211010500","DOIUrl":"https://doi.org/10.1177/11795727211010500","url":null,"abstract":"<p><strong>Background: </strong>Cerebral palsy (CP) is the leading cause of disability in children. While motor deficits define CP, many patients experience behavioral and cognitive deficits which limit participation. The purpose of this study was to contribute to our understanding of developmental delay and how to measure these deficits among children with CP.</p><p><strong>Methods: </strong>Children 5 to 15 years with hemiplegic CP were recruited. Cognition and motor ability were assessed. The brain injury associated with observed motor deficits was identified. Accelerometers measured real-world bilateral upper extremity movement and caregivers completed behavioral assessments.</p><p><strong>Results: </strong>Eleven children participated, 6 with presumed perinatal stroke. Four children scored below average intelligence quotient while other measures of cognition were within normal limits (except processing speed). Motor scores confirmed asymmetrical deficits. Approximately one third of scores indicated deficits in attention, behavior, or depression.</p><p><strong>Conclusions: </strong>Our findings corroborate that children with CP experience challenges that are broader than motor impairment alone. Despite the variation in brain injury, all participants completed study procedures.</p><p><strong>Implications: </strong>Our findings suggest that measuring behavior in children with CP may require a more comprehensive approach and that caregivers are amenable to using online collection tools which may assist in addressing the therapeutic needs of children with CP.</p>","PeriodicalId":41347,"journal":{"name":"Rehabilitation Process and Outcome","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/11795727211010500","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39396304","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}