Annals of Physical and Rehabilitation Medicine最新文献

{"title":"Effects of long-term unmet needs and unmet rehabilitation need on the quality of life in stroke survivors: A cross-sectional study","authors":"Yookyung Lee ,&nbsp;Won-Seok Kim ,&nbsp;WonKee Chang ,&nbsp;YunSun Jung ,&nbsp;Sungju Jee ,&nbsp;Sung-Hwa Ko ,&nbsp;MinKyun Sohn ,&nbsp;Yong-Il Shin ,&nbsp;Hee-Joon Bae ,&nbsp;BeomJoon Kim ,&nbsp;JunYup Kim ,&nbsp;Dong-Ick Shin ,&nbsp;KyuSun Yum ,&nbsp;Hee-Yun Chae ,&nbsp;Dae-Hyun Kim ,&nbsp;Jae-Kwan Cha ,&nbsp;Man-Seok Park ,&nbsp;Joon-Tae Kim ,&nbsp;Kang-Ho Choi ,&nbsp;Jihoon Kang ,&nbsp;Nam-Jong Paik","doi":"10.1016/j.rehab.2025.101996","DOIUrl":"10.1016/j.rehab.2025.101996","url":null,"abstract":"<div><h3>Background</h3><div>Long-term unmet needs are prevalent among stroke survivors. Their impact on quality of life (QoL) has been reported in the Western population but remain largely unexplored within Western Pacific populations.</div></div><div><h3>Objectives</h3><div>We aimed to identify the long-term unmet needs and unmet rehabilitation need among stroke survivors in South Korea and evaluate their intercorrelations with QoL.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, a total of 1002 survivors of stroke, admitted to 4 Regional Cardiocerebrovascular Disease Centers between January 1, 2015 and December 31, 2019, were surveyed. Unmet needs were evaluated based on the Longer-term Unmet Needs after Stroke (LUNS) questionnaire items. QoL was evaluated using the EuroQoL 5-dimension, 3-level (EQ-5D-3 L) questionnaire. The lowest 25 percentile of the EQ-5D index was defined as low QoL. To analyze factors influencing health-related QoL, as measured by the EQ-5D index, a multiple logistic regression analysis was performed.</div></div><div><h3>Results</h3><div>Among the participants, 94 % experienced at least one unmet need and 311 (33 %) reported unmet rehabilitation need. The most frequently cited unmet needs after stroke were “Help with applying for benefits” (49 %), “Advice on daily occupation” (47 %), and “Fear of falling” (38 %). The odds ratio (OR) for low QoL significantly increased with number of unmet needs (OR = 1.17; 95 % confidence interval [CI], 1.10–1.24), unmet rehabilitation need (OR = 1.71; 95 % CI, 1.10–2.64), and higher Modified Rankin Scale (mRS) score (OR = 2.82; 95 % CI, 2.35–3.39).</div></div><div><h3>Conclusions</h3><div>Long-term unmet needs, unmet rehabilitation need, and low functional level were associated with a lower QoL. Community-based long-term care is needed to address these unmet needs to improve QoL in survivors of stroke. The generalizability of these findings, derived from a relatively younger and less severe stroke survivor population in Korea, may be limited across different age groups, stroke severities, ethnicities, and socioeconomic backgrounds. Cross-cultural validation is crucial to determine their applicability in diverse settings.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 7","pages":"Article 101996"},"PeriodicalIF":3.9,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of augmented reality-based telerehabilitation in adhesive capsulitis of the shoulder: a randomized controlled trial","authors":"Seung Mi Yeo ,&nbsp;Ji Young Lim ,&nbsp;Seonghee Kim ,&nbsp;Hae-Yeon Park ,&nbsp;Jae-Young Lim ,&nbsp;Jong Geol Do ,&nbsp;Jong In Lee ,&nbsp;Ji Hye Hwang","doi":"10.1016/j.rehab.2025.101956","DOIUrl":"10.1016/j.rehab.2025.101956","url":null,"abstract":"<div><h3>Background</h3><div>Home exercise is important for the treatment of adhesive capsulitis of the shoulder (ACS). Although studies on telerehabilitation to increase compliance and accuracy of home exercise are increasing in various musculoskeletal conditions, there are few studies on ACS.</div></div><div><h3>Objectives</h3><div>This study aims to investigate the effectiveness of augmented reality (AR)-based asynchronous telerehabilitation using UNICARE Home+ versus conventional home exercise in participants with ACS.</div></div><div><h3>Methods</h3><div>One hundred participants with unilateral ACS were recruited and randomly assigned to telerehabilitation group (TR group) and conventional rehabilitation group (CR group). All participants, regardless of group, received the same hospital-based physical therapy once or twice for at least 3 months, plus an additional 3 months of home exercise. The TR group performed home exercises with an asynchronous telerehabilitation system, and the CR group performed home exercises with brochures. The primary outcome was the changes in the passive range of motion (PROM) of the affected shoulder joint between baseline and 3 months. The secondary outcomes were active ROM (AROM), shoulder pain measured by Numeric Rating Scale (NRS), shoulder pain and disability index (SPADI), 36-Item Short Form Survey (SF-36), European Quality of Life Five Dimensions Five Level Scale (EQ-5D-5L), and Canadian Occupational Performance Measure (COPM) at the 6 assessment points: at baseline, 1-, 2-, 3-, 4.5- and 6-month.</div></div><div><h3>Results</h3><div>There were no statistically significant differences in baseline PROM and 3-month PROM between the 2 groups. From baseline to 6 months, all PROM, all AROM, NRS, SPADI, COPM, SF-36 and EQ-5D-5L were significantly improved over time within each group in both groups (all <em>P</em>&lt;0.001). However, there was no significant Group<span><math><mo>×</mo></math></span>Time interaction in any outcome, which means that the effect of time did not depend on which group the participants belonged to.</div></div><div><h3>Conclusion</h3><div>AR and Kinect sensor-based telerehabilitation for participants with ACS improved shoulder pain, functional outcomes, and quality of life, but did not show superiority over conventional rehabilitation.</div><div>ClinicalTrials.gov: NCT04316130</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 5","pages":"Article 101956"},"PeriodicalIF":3.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144502572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical activity scale for the elderly (PASE): Transcultural adaptation into French","authors":"Maëlle Scouvemont ,&nbsp;Fabienne Humblet ,&nbsp;Stephen Bornheim ,&nbsp;Charlotte Beaudart ,&nbsp;Julien Van Beveren ,&nbsp;Valériane Tannoia ,&nbsp;Gwendoline Schaff ,&nbsp;Nikita Beliy ,&nbsp;Catherine Elsen ,&nbsp;Stéphane Adam ,&nbsp;Christina Schmidt ,&nbsp;Olivier Bruyère","doi":"10.1016/j.rehab.2025.101994","DOIUrl":"10.1016/j.rehab.2025.101994","url":null,"abstract":"<div><h3>Objective</h3><div>To translate the Physical Activity Scale for the Elderly (PASE) questionnaire into French, adapt it to the French European culture and validate it.</div></div><div><h3>Material and methods</h3><div>The PASE was translated and culturally adapted using a 5-step validated process. The investigation of the measurement properties included the internal consistency, test-retest reliability, construct validity and floor and ceiling effects.</div></div><div><h3>Results</h3><div>The translation faced no major problems, with moderate cultural adjustments. Unfamiliar activities such as American football, shuffleboard or aerobic dancing were adjusted, while common sports like yoga, aqua cycling and electric cycling were added. Validation study involved 89 older participants (median age of 73 (69.5 - 77) years, 58% of women). Moderate internal consistency was found (Cronbach's alpha= 0.571). Test-retest reliability was very good for household activities (ICC= 0.712 (95% CI= 0.496 – 0.845)) and work-related activities (ICC= 0.955 (95% CI= 0.908 – 0.978)) but was lower in the leisure section (ICC= 0.163 (95% CI= - 0.183 - 0.473)), leading to a moderate overall score (ICC= 0.455 (95% CI= 0.125 - 0.608)). This result could be attributed to the weather conditions that were not similar between the two test-intervals, which affects leisure activities (most of which take place outdoors). Construct validity was almost confirmed (66.67% of the ideal 75% hypothesis was validated). No floor or ceiling effects were detected.</div></div><div><h3>Conclusion</h3><div>The French PASE appears to be a reliable and relatively valid tool for assessing household and work-related activities. However, PASE should be used with caution, especially when assessing leisure time activities, ensuring that the meteorological conditions are consistent between the two reliability tests.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 6","pages":"Article 101994"},"PeriodicalIF":3.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143947133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and clinical significance of sensory changes after moderate-severe traumatic brain injury: A cross-sectional study","authors":"Jai Carmichael ,&nbsp;Gershon Spitz ,&nbsp;Marilien C. Marzolla ,&nbsp;Kate Rachel Gould ,&nbsp;John Olver ,&nbsp;Caroline M. van Heugten ,&nbsp;Jennie Ponsford","doi":"10.1016/j.rehab.2025.101993","DOIUrl":"10.1016/j.rehab.2025.101993","url":null,"abstract":"<div><h3>Background</h3><div>Sensory changes are commonly observed in individuals with moderate-severe traumatic brain injury (msTBI) but remain under-researched.</div></div><div><h3>Objectives</h3><div>This study examined the prevalence of sensory changes after msTBI and relationships with emotional distress, functional disability, and life satisfaction.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted including 387 participants with msTBI (mean years post-injury, 12.8; range = 0.4–35.0 years) and 60 controls, not matched on age and sex but recruited in the same period. Self-reported sensory symptoms were assessed using a custom checklist and the Somatic Symptom Scale–8 (SSS-8). Emotional distress, functional disability, and life satisfaction were measured through the Hospital Anxiety and Depression Scale (HADS), 12-Item World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), and Satisfaction With Life Scale (SWLS). We compared the frequency of sensory symptoms between groups and examined associations with demographics, injury factors, and clinical outcomes within the msTBI sample.</div></div><div><h3>Results</h3><div>70% with msTBI reported experiencing ≥1 sensory changes due to their brain injury, and 35% reported experiencing dizziness in the previous week, averaging 2.2 symptoms in total, which was significantly higher than controls after adjusting for age and sex. Sensory changes were more common in younger participants (<em>light hypersensitivity</em>), females (<em>light</em> and <em>noise hypersensitivity</em>), those with more severe TBI (<em>overall sensory changes, affected vision, reduced smell</em>), and those fewer years post-injury (<em>overall sensory changes, noise hypersensitivity, reduced smell, altered taste, dizziness</em>), though many of these associations did not survive multiple comparison correction. Sensory changes were clearly and consistently associated with worse clinical outcomes, with medium-large effect sizes for emotional distress and functional disability and smaller effects for life satisfaction.</div></div><div><h3>Conclusions</h3><div>Although causality cannot be established, these findings suggest that sensory changes are a clinically significant issue after msTBI, even among individuals more than a decade post-injury on average. This underscores the need for routine assessment and further research on underlying mechanisms and interventions.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 6","pages":"Article 101993"},"PeriodicalIF":3.9,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143922035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of exercise therapy on lumbar muscle structure in low back pain: A systematic review and meta-analysis","authors":"Vasiliki Karagiannopoulou ,&nbsp;Hannes Meirezonne ,&nbsp;Indra De Greef ,&nbsp;Jessica Van Oosterwijck ,&nbsp;Thomas Matheve ,&nbsp;Lieven Danneels ,&nbsp;Tine Marieke Willems","doi":"10.1016/j.rehab.2025.101988","DOIUrl":"10.1016/j.rehab.2025.101988","url":null,"abstract":"<div><h3>Background</h3><div>Changes in muscle structure are observed in people with low back pain (LBP). Although exercise therapy is arguably one of the most commonly used methods to treat LBP, evidence regarding its effects on muscle structure is still lacking.</div></div><div><h3>Objectives</h3><div>To answer the following questions: (1) What are the effects of exercise therapy on lumbar muscle structure in people with LBP and (2) which type of exercise intervention has the greatest effects?</div></div><div><h3>Methods</h3><div>Six electronic databases were systematically searched. The RoB 2 tool and the ROBINS-I tool were used to blindly assess the Risk of bias (RoB), and the RevMan 5 tool was used for the meta-analysis. Due to heterogeneity, the various exercise interventions were classified into 4 groups. Interventions that could not be classified into 1 of these 4 groups were not included in the meta-analyses and were qualitatively analysed.</div></div><div><h3>Results</h3><div>In total, 984 records were retrieved, of which 34 articles were included. The meta-analyses showed that when considering the overall effect size per muscle structural outcome in chronic LBP (cLBP), exercise therapy showed significant positive effects on Lumbar Multifidus (LM) muscle thickness (MT) and LM cross-sectional area (CSA), but not on Lumbar Erector Spinae (LES) CSA and Quadratus Lumborum CSA. Considering the different intervention groups, significant positive effects were observed for: (1) “Motor control + stabilization” with small effect on LM MT, (2) “Stabilization” with medium effect on LM MT, and large effect on LM CSA, and (3) “Motor control + Stabilization + Lumbar strengthening” with large effect on LM MT and LES CSA. There were no significant effects observed for “Lumbar strengthening”.</div></div><div><h3>Conclusions</h3><div>Overall, exercise therapy has a positive effect on lumbar muscle structural properties in a cLBP population, with a combination of Motor control + Stabilization + Lumbar strengthening giving the best results.</div></div><div><h3>Database registration</h3><div>This systematic review was registered on PROSPERO (CRD42021232583).</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 5","pages":"Article 101988"},"PeriodicalIF":3.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the body scheme by the representation of the longitudinal body axis: A robust test with narrow ranges of normality","authors":"Jean-Pierre Karam ,&nbsp;Aurélien Hugues ,&nbsp;Eugénie Lhommée ,&nbsp;Céline Piscicelli ,&nbsp;Stéphanie Dehem ,&nbsp;Rémi Lafitte ,&nbsp;Julien Barra ,&nbsp;Dominic Pérennou","doi":"10.1016/j.rehab.2025.101986","DOIUrl":"10.1016/j.rehab.2025.101986","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 4","pages":"Article 101986"},"PeriodicalIF":3.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators to early post-stroke rehabilitation in stroke units: A nationwide survey in France","authors":"Lucie Bihel ,&nbsp;Vivien Reynaud ,&nbsp;Anna Ferrier ,&nbsp;Pierre Clavelou ,&nbsp;Gilles Rode ,&nbsp;Emmanuel Coudeyre","doi":"10.1016/j.rehab.2025.101983","DOIUrl":"10.1016/j.rehab.2025.101983","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 6","pages":"Article 101983"},"PeriodicalIF":3.9,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143886597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transcultural adaptation of the bath CRPS body perception disturbance scale into French","authors":"Sessi Acapo ,&nbsp;Julien Nizard ,&nbsp;Thomas Rulleau ,&nbsp;Nicolas Kacki ,&nbsp;Sabine Laurent-Chabalier ,&nbsp;Thibault Mura ,&nbsp;Arnaud Dupeyron","doi":"10.1016/j.rehab.2025.101979","DOIUrl":"10.1016/j.rehab.2025.101979","url":null,"abstract":"<div><div>Body perception disturbances are a typical symptom among people with Complex Regional Pain Syndrome (CRPS). To assess it, the Bath CRPS Body Perception Disturbance Scale (B-BPDS) is a comprehensive tool which was validated in English and translated/validated in German and Japanese. To date, no French version was available. We translated the B-BPDS in French using the forward-backward method to obtain a French version (B-BPDS-F). Then, we examined its internal consistency, concurrent validity and structural validity. 32 participants were included for the first evaluation and 21 for the second. Internal consistency of the B-BPDS-F was adequate after removing item 3 on attention. B-BPDS-F was significantly correlated with pain at rest, quality of life total score and anxiety/depression dimensions. Exploratory Factor Analysis showed 2 main factors which explain 63 and 31% of the total variance. ICC was found acceptable. Our results are in line with previous work and provide a valid measurement tool in French.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 5","pages":"Article 101979"},"PeriodicalIF":3.9,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pericapsular hip chemical denervation with phenol: A case report suggesting the interest of this new tool in rehabilitation medicine","authors":"Etienne Foussat ,&nbsp;Antoine Geffrier ,&nbsp;Charles Guignans ,&nbsp;Mickael Ropars ,&nbsp;Simon Butet ,&nbsp;Isabelle Bonan","doi":"10.1016/j.rehab.2025.101982","DOIUrl":"10.1016/j.rehab.2025.101982","url":null,"abstract":"<div><h3>Introduction</h3><div>Hip pain is a frequent complaint in Physical and Rehabilitation Medicine. The cause is often joint degradation, often exacerbated by the consequences of neurological or orthopedic conditions. Surgical treatment is not always feasible in fragile patients. When medical treatment is insufficient, the result is loss of autonomy. Based on an innovative technique of locoregional anaesthesia (PEricapsular Nerve Group block or PENG block) and recently adapted with phenol, our multidisciplinary team used it to improve function.</div></div><div><h3>Observation</h3><div>The case reported here is that of a 25-year-old woman presenting with luxating dysplasia of the right hip in the context of Costello syndrome. The main symptom reported was right hip pain with functional discomfort on walking. Medical treatment was only temporarily effective. The benefit/risk balance was unfavorable to surgery due to the young age and degree of dysplasia. In this context, phenol neurolysis of the hip pericapsular nerve group was performed, preceded by a prognostic anesthetic block. The procedure resulted in complete disappearance of hip pain and resumption of walking.</div></div><div><h3>Discussion</h3><div>The achievement of complete analgesia and recovery of the previous functional level in this case give this procedure prospects for use in clinical practice in physical medicine and rehabilitation. Chemical denervation of the anterior hip joint capsule is a simple, inexpensive procedure whose efficacy can be assessed beforehand by a prognostic anesthetic block. This procedure provides pain relief for frail patients, minimizing their loss of function while avoiding the risks of surgery.</div></div><div><h3>Conclusion</h3><div>Pericapsular hip chemical denervation appears to be an interesting alternative in the management of hip pain in therapeutic impasse, as it is likely to improve autonomy and even restore previous functional status.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 6","pages":"Article 101982"},"PeriodicalIF":3.9,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143882256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early intervention vocational rehabilitation for return to work following traumatic injury: A randomized controlled trial","authors":"Jennie Ponsford ,&nbsp;Marina G. Downing ,&nbsp;Emily O'Kearney ,&nbsp;Yash Bedekar ,&nbsp;Gillean Hilton ,&nbsp;Duncan Mortimer ,&nbsp;Ellie Fossey ,&nbsp;Linda Barclay ,&nbsp;John Olver ,&nbsp;Wendy Castle ,&nbsp;Andrew Nunn ,&nbsp;Dean McKenzie ,&nbsp;Pamela Ross","doi":"10.1016/j.rehab.2025.101972","DOIUrl":"10.1016/j.rehab.2025.101972","url":null,"abstract":"<div><h3>Background</h3><div>Returning to work (RTW) is an important goal for individuals sustaining traumatic injury (Multi-Trauma Orthopaedic [MTO], traumatic brain injury [TBI], and spinal cord injury [SCI]). Vocational rehabilitation is often unavailable or delayed, and controlled evaluation limited.</div></div><div><h3>Objectives</h3><div>This study evaluated the impact of providing an Early Intervention Vocational Rehabilitation Service (EIVRS) following traumatic injury on employment outcomes, mental health and quality of life 1- and 2-years post-injury.</div></div><div><h3>Methods</h3><div>A randomised parallel 2-group design was used to compare the EIVRS group with a control group receiving usual rehabilitation. Outcomes included hours worked and time to return to first job (primary outcomes), anxiety, depression and quality of life 1- and 2-years post-injury. Participants were adults aged 16–70, employed pre-injury. Eighty-eight EIVRS treatment and 82 controls were recruited; mean 47 days post-injury, 75% male, mean age 38 years. Dedicated EIVRS therapists provided activities associated with fostering hope for RTW, thinking about and preparing for returning to work, building RTW goals into rehabilitation, identifying an employer liaison, and peer support.</div></div><div><h3>Results</h3><div>There were no significant group differences in employment outcomes at 1-year follow-up, but EIVRS participants reported lower anxiety. Median quartile regressions revealed that at 2-year follow-up, the EIVRS group worked more hours (38, 24; 40) and took significantly less time from injury to RTW (166, 87; 280) than controls (29, 23; 36 and 238, 144; 325). Quartile regressions by diagnosis showed a significant main effect of group (<em>P</em> = 0.02) but no interaction between group and diagnosis (<em>P</em> = 0.60). Trends for shorter time to RTW were strongest in the MTO and TBI groups at 2 years. At 2 years there were no group differences in anxiety, depression or quality of life.</div></div><div><h3>Conclusions</h3><div>Offering EIVRS may reduce time to RTW and increase hours worked 2 years after traumatic injury.</div></div><div><h3>Trial registration</h3><div>#ACTRN12619000521123.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 5","pages":"Article 101972"},"PeriodicalIF":3.9,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143881682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}