Annals of Physical and Rehabilitation Medicine最新文献

{"title":"Pragmatic multicenter randomized controlled study on early supported discharge after stroke in Korea: the KOMPACT study","authors":"Won Kee Chang ,&nbsp;Yun-Sun Jung ,&nbsp;Ji-Soo Choi ,&nbsp;Won-Seok Kim ,&nbsp;Min Kyun Sohn ,&nbsp;Sungju Jee ,&nbsp;Yong-Il Shin ,&nbsp;Sung-Hwa Ko ,&nbsp;Minsu Ock ,&nbsp;Hyun Joo Kim ,&nbsp;Nam-Jong Paik","doi":"10.1016/j.rehab.2025.102025","DOIUrl":"10.1016/j.rehab.2025.102025","url":null,"abstract":"<div><h3>Background</h3><div>Early supported discharge (ESD) has shown benefits in post-acute stroke care in Western countries; however, its effectiveness in Asian healthcare systems remains unclear.</div></div><div><h3>Objectives</h3><div>To investigate the efficacy and economic impact of ESD compared with conventional rehabilitation (CR) in Korean patients recovering from acute stroke.</div></div><div><h3>Methods</h3><div>The Korean Model for post-acute comprehensive rehabilitation (KOMPACT) study was a multicenter, single-blind, randomized controlled trial. Patients with mild-to-moderate stroke (modified Rankin Scale 1–3) were randomly assigned to the ESD or CR groups. ESD included 4 weeks of home-based rehabilitation and liaison services, including welfare applications and community care. Outcomes were assessed at baseline, 1 month after discharge, and 3 months after stroke. T-test, Chi-Square test, and Fisher’s exact test were used to compare the outcomes between two groups.</div></div><div><h3>Results</h3><div>Sixty-seven patients were enrolled, 61 (mean [SD] age, 66 [12] years, female <em>n</em>=13) of whom completed the study. No significant differences were found in the clinical outcomes, including functional dependence, between the groups. The ESD group (<em>n</em>=30) showed greater improvement in depressive symptoms from baseline to 3 months than the CR group (<em>n</em>=31) (<em>p</em>=0.025). Length of stay (17.8 days vs 18.3 days) and total deductible costs (2657.3 US dollars vs 2140.5 US dollars) did not significantly differ between the groups. However, one hospital site reported significantly lower rehabilitation costs for ESD. Patient and caregiver satisfaction were significantly higher in the ESD group in most domains.</div></div><div><h3>Conclusion</h3><div>ESD for Korean patients recovering from mild-to-moderate acute stroke showed clinical and economic outcomes comparable to those of CR, with potential benefits of mood improvement and higher patient satisfaction. These findings suggest that ESD could be a feasible transitional care model in the Korean healthcare system. Nonetheless, further research with larger sample sizes and more extended follow-up periods is needed to confirm ESD’s long-term effects.</div></div><div><h3>Registrations</h3><div>URL: <span><span>https://www.clinicaltrials.gov</span><svg><path></path></svg></span>; Identifier: NCT04720820</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 8","pages":"Article 102025"},"PeriodicalIF":4.6,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145093159","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":"Effect of different forms of upper limb muscle training on dyspnea in chronic obstructive pulmonary disease: a randomised controlled trial","authors":"Marc Beaumont ,&nbsp;Loic Péran ,&nbsp;Anne Cécile Berriet ,&nbsp;Catherine Le Ber ,&nbsp;Emmanuelle Courtois-Communier ,&nbsp;Francis Couturaud","doi":"10.1016/j.rehab.2025.102021","DOIUrl":"10.1016/j.rehab.2025.102021","url":null,"abstract":"<div><h3>Introduction</h3><div>Patients with chronic obstructive pulmonary disease (COPD) often report an increase in dyspnea during activities involving the upper limbs. For this reason, pulmonary rehabilitation guidelines recommend upper limb training for these patients. However, the most effective training methods are unclear.</div></div><div><h3>Objective</h3><div>This study aimed to assess the relative effectiveness of upper limb endurance training vs force training in patients with COPD during pulmonary rehabilitation.</div></div><div><h3>Methods</h3><div>In a randomised, open-label, monocentric controlled trial, the included patients were allocated to either upper limb force training (Force group) or endurance training (Endurance group). Evaluations were performed at baseline and after 4 weeks. The primary outcome was dyspnea, measured using the London Chest Activity of Daily Living questionnaire. Secondary outcomes included dyspnea, assessed using the MMRC Dyspnea Scale and Dyspnea-12 questionnaire; upper limb exercise capacity, measured using the 6-min peg board and ring test; maximal voluntary strength of the deltoid, biceps, and triceps brachii; quality of life, anxiety, and depression. All analyses were performed on an intention-to-treat basis.</div></div><div><h3>Results</h3><div>280 patients (FEV1[%]: force group: 45.9[19.2]; endurance group: 46.0[17.7]) were included. Dyspnea decreased in both groups. There was no difference in the improvement in dyspnea between both groups, and the minimum important difference of −3 points was not within the 95 % confidence interval (95% CI, −1.0 to 2.1). A significantly greater increase in biceps strength was found in the force group, N.m, 3.3 (6.3) vs 1.5 (6.2), (95% CI, 0.3 - 3.4), <em>P</em> &lt; 0.017. A higher proportion of patients in the force group were unable to reach the required intensity because they found the program too difficult.</div></div><div><h3>Conclusion</h3><div>We found no significant difference between upper limb force training and upper limb endurance training in terms of changes in dyspnea, arm exercise capacity, quality of life, anxiety, or depression. We therefore suggest incorporating upper limb endurance training during pulmonary rehabilitation.</div></div><div><h3>Trial registration</h3><div>ClinicalTrials.gov (NCT03611036).</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 7","pages":"Article 102021"},"PeriodicalIF":4.6,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088287","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":"Treadmill walking alongside controlled speed and cadence improves gait parameters in Parkinson’s disease: a randomized controlled trial","authors":"Caroline Simpkins ,&nbsp;Rebecca Ban ,&nbsp;Joash Lazarus ,&nbsp;Feng Yang","doi":"10.1016/j.rehab.2025.102016","DOIUrl":"10.1016/j.rehab.2025.102016","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 8","pages":"Article 102016"},"PeriodicalIF":4.6,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048776","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":"Eight years as associate editor of Annals of Physical and Rehabilitation Medicine: a farewell editorial","authors":"Sylvie Nadeau","doi":"10.1016/j.rehab.2025.102024","DOIUrl":"10.1016/j.rehab.2025.102024","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 6","pages":"Article 102024"},"PeriodicalIF":4.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088295","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 mindfulness and exercise on cognition and emotion in adults with mild deficits in the chronic post-stroke phase: A randomized controlled trial","authors":"Adrià Bermudo-Gallaguet ,&nbsp;Mar Ariza ,&nbsp;Daniela Agudelo ,&nbsp;Neus Camins-Vila ,&nbsp;Maria Boldó ,&nbsp;Blai Ferrer-Uris ,&nbsp;Albert Busquets ,&nbsp;Guillem Pera ,&nbsp;Cynthia Cáceres ,&nbsp;Meritxell Gomis ,&nbsp;Rosalia Dacosta-Aguayo ,&nbsp;Imma C Clemente ,&nbsp;Alberto García-Molina ,&nbsp;Maria José Durà Mata ,&nbsp;Pere Torán-Monserrat ,&nbsp;Kirk I Erickson ,&nbsp;Maria Mataró","doi":"10.1016/j.rehab.2025.102008","DOIUrl":"10.1016/j.rehab.2025.102008","url":null,"abstract":"<div><h3>Background</h3><div>Individuals with stroke often face cognitive and emotional challenges. Mindfulness-based stress reduction (MBSR), physical exercise (PE), and computerized cognitive training (CCT) are promising approaches to incorporate into post-stroke rehabilitation.</div></div><div><h3>Objectives</h3><div>To determine whether adding MBSR or PE to CCT improves cognition and mental health more than CCT alone, and whether any benefits are mediated by gains in mindfulness or fitness.</div></div><div><h3>Methods</h3><div>The MindFit Project was a single-blind, parallel, 3-arm randomized controlled trial enrolling participants with chronic stroke, assigned to MBSR+CCT, PE+CCT, or CCT-only (1:1:1). All 12-week, home-based interventions were delivered online, with 5 sessions per week. The primary outcomes included 3 cognitive and 2 mental health measures; mindfulness and physical fitness were also assessed. Analyses used per-protocol and intention-to-treat approaches.</div></div><div><h3>Results</h3><div>A total of 141 individuals (mean [SD] age 57.7 [11.2] years; 40 % women) were randomly assigned to 3 groups (47 each). Participants were 28.54 (20.35) months post-stroke with a mean modified Rankin Scale score of 2.23 (1.04). Of these, 78 % (39 in MBSR+CCT, 34 in PE+CCT, and 37 in CCT-only) achieved an adherence rate of ≥80 % and were included in the per-protocol analysis. No significant between-group differences were found in primary outcomes (all <em>P</em> &gt; 0.05). For secondary outcomes, the PE+CCT group showed significantly greater gains in leg strength than the others (<em>F</em> = 7.50, adjusted <em>P</em> = 0.009). These results were consistent with the intention-to-treat analysis. In the per-protocol sample, improvements in mindfulness significantly mediated emotional outcomes in the MBSR+CCT group (<em>B</em> = –1.08; 95 % bootstrapped CI, –2.77 to –0.01).</div></div><div><h3>Conclusions</h3><div>In participants with predominantly mild chronic post-stroke deficits, adding MBSR or PE to CCT did not improve primary cognitive or emotional outcomes beyond CCT alone. However, PE+CCT increased fitness, and MBSR+CCT yielded mindfulness-mediated emotional gains. Future studies involving larger and more severe stroke samples are needed.</div></div><div><h3>Trial registration</h3><div>NCT04759950 (<span><span>www.ClinicalTrials.gov</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 7","pages":"Article 102008"},"PeriodicalIF":4.6,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144887599","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":"A custom-made sling to achieve personal goals in shoulder pain or subluxation in the subacute stroke phase: a pilot study","authors":"Emmeline Montané ,&nbsp;Magali Pradié ,&nbsp;Inès Bigarre ,&nbsp;Claire Lebely ,&nbsp;Alizée Lelièvre ,&nbsp;Camille Cormier ,&nbsp;Jacqueline Butterworth ,&nbsp;Benoît Lepage ,&nbsp;Philippe Marque ,&nbsp;Xavier de Boissezon ,&nbsp;Evelyne Castel-Lacanal","doi":"10.1016/j.rehab.2025.102014","DOIUrl":"10.1016/j.rehab.2025.102014","url":null,"abstract":"<div><h3>Background</h3><div>The efficacy of the different shoulder orthoses available to prevent hemiplegic shoulder complications still remains debatable.</div></div><div><h3>Objectives</h3><div>To evaluate how wearing a custom-made (CM) shoulder sling affected personal goals and complications among hemiplegic stroke patients undergoing realworld rehabilitation.</div></div><div><h3>Methods</h3><div>A prospective, single-center, non-randomized, pilot study on patients having a stroke within the last 6 months with hemiplegic shoulder pain/subluxation &gt;5 mm. The primary outcome was achievement in three personal goals according to Goal Attainment Scaling one month after (week 5) compared to before (day 7) sling wearing.</div></div><div><h3>Results</h3><div>Twenty-two patients were included: 60 % male, 56.4 ± 12.1 years old. ≥1 goal was achieved by 90.5 % of patients after sling wearing (week 5) versus 36 % of patients before. VAS pain score (-1.3 ± 2.3; <em>p</em> = 0.01) and subluxation distance (-0.41±0.42 cm; <em>p</em> = 0.0001) were reduced at week 5. Both the Chedoke Arm and Hand Activity Inventory score (+9.0 ± 13.1; <em>p</em> = 0.0003) and Fugl-Meyer upper-extremity score (+9.5 ± 9.5; <em>p</em> = 0.00002) were improved after sling wearing.</div></div><div><h3>Conclusion</h3><div>We observed improvements in patient-desired outcomes, complications, and upper-limb functional recovery after CM sling wearing for 1-month.</div></div><div><h3>Trial registration</h3><div>NCT04028999.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 7","pages":"Article 102014"},"PeriodicalIF":4.6,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878979","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":"Social cognition and behavioral problems persist after subarachnoid hemorrhage: a longitudinal cohort study","authors":"Lieke S. Jorna ,&nbsp;Sara Khosdelazad ,&nbsp;Sandra E. Rakers ,&nbsp;Rob J.M. Groen ,&nbsp;Ralf Koffijberg ,&nbsp;Joke M. Spikman ,&nbsp;Anne M. Buunk","doi":"10.1016/j.rehab.2025.102015","DOIUrl":"10.1016/j.rehab.2025.102015","url":null,"abstract":"<div><h3>Background</h3><div>Aneurysmal subarachnoid hemorrhage (aSAH) and angiographically negative subarachnoid hemorrhage (anSAH) can result in problems in social cognition and behavior, potentially affecting societal participation.</div></div><div><h3>Objectives</h3><div>To assess the long-term course of social cognition and behavior, and their impact on societal participation in the chronic stage following aSAH and anSAH.</div></div><div><h3>Methods</h3><div>In this longitudinal, prospective cohort study, neuropsychological assessments were conducted at 3–6 months (T1) and 2–4 years (T2) after SAH. Social cognition was measured using tests for emotion recognition (FEEST) and Theory of Mind (Cartoon Test, Faux Pas Test). Social behavioral problems were assessed using items on social behavior from the Dysexecutive Questionnaire (DEX-Soc), rated by both participants and informants. Apathy was assessed using self- and informant-rated versions of the Apathy Evaluation Scale (AES). Societal participation was evaluated with the Role Resumption List (RRL).</div></div><div><h3>Results</h3><div>Eighty-one participants with SAH (59 aSAH and 22 anSAH) and 60 age-, sex-, and education-matched healthy individuals were included. At T1, participants with aSAH performed significantly worse than healthy individuals on the FEEST (<em>P</em> = 0.001) and Cartoon Test (<em>P</em> &lt; 0.001), with no substantial improvement at T2. Participants with anSAH showed no deficits in social cognition at T1, and their scores remained stable over time. Behavioral problems in participants with aSAH remained stable, while informant-rated social behavioral problems (DEX-Soc-I) in the anSAH group increased over time (<em>P</em> = 0.003). In the total SAH group, lower FEEST scores correlated with higher AES-I scores at both time points (<em>r</em> = −0.26), while worse Cartoon Test scores correlated with AES-I at T1 only (<em>r</em> = −0.25). Behavioral problems at T1, not social cognition, were associated with reduced societal participation at T2 (<em>r</em> = 0.24–0.31).</div></div><div><h3>Conclusion</h3><div>Social cognition impairments after aSAH persist over time, while behavioral problems may worsen after anSAH and are related to long-term societal participation.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 8","pages":"Article 102015"},"PeriodicalIF":4.6,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144879536","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":"Effectiveness of a 3D-printed silicone medial arch support on foot pain in individuals with pes planus: A randomized controlled trial","authors":"Siranya Paecharoen ,&nbsp;Somruethai Channasanon ,&nbsp;Passakorn Tesavibul ,&nbsp;Kan Ngamsopasirisakul ,&nbsp;Nayada Choosawad ,&nbsp;Siriporn Tanodekaew","doi":"10.1016/j.rehab.2025.102007","DOIUrl":"10.1016/j.rehab.2025.102007","url":null,"abstract":"<div><h3>Background</h3><div>Pes planus, a foot deformity that causes foot pain and functional limitations, is often treated with custom-made foot orthoses as a conservative approach to managing symptoms. In this study, silicone medial arch orthotics produced by 3D printing technology were evaluated for their ability to reduce pain and improve foot function, compared to conventional Total Contact Insoles (TCI).</div></div><div><h3>Objectives</h3><div>To assess the effectiveness of 3D-printed orthoses made from soft and hard silicone by evaluating primary outcomes (pain and foot function) and secondary outcomes (plantar pressure, heel valgus angle, and satisfaction), in comparison to those of TCI.</div></div><div><h3>Methods</h3><div>A total of 78 participants were randomized into 3 groups: soft and hard 3D-printed arch supports, and TCI. Outcomes were assessed at baseline and 2, 6, and 12 weeks after orthotic wear using various tools, including numeric pain scales, Foot Function Index (FFI) questionnaires, plantar pressure measurements, goniometric measurements of heel valgus angle, and satisfaction surveys.</div></div><div><h3>Results</h3><div>All 3 groups showed a significant reduction in pain after a 12-week intervention (<em>P</em> &lt; 0.001), with no significant difference between orthotic types. FFI demonstrated progressive and comparable improvement in all groups, with an advantage for TCI. Redistribution of plantar pressure was observed, with no significant difference between the orthoses. The heel valgus angle showed no significant change from baseline in all groups. High satisfaction scores (over 80 %) were achieved for all groups, with no significant differences between them.</div></div><div><h3>Conclusion</h3><div>The 3D-printed arch supports are as effective as TCI in reducing foot pain and improving foot function in participants with pes planus. They represent a viable alternative, but without demonstrated superiority.</div></div><div><h3>Trial registration</h3><div>Australian New Zealand Clinical Trials Registry (ACTRN12624000330549).</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 7","pages":"Article 102007"},"PeriodicalIF":4.6,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144858274","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":"Cardiorespiratory exercise during rehabilitation is associated with improved functional recovery early post-stroke: A cohort study","authors":"Sarah Thompson ,&nbsp;Augustine J. Devasahayam ,&nbsp;Cynthia J. Danells ,&nbsp;David Jagroop ,&nbsp;Elizabeth L. Inness ,&nbsp;Avril Mansfield","doi":"10.1016/j.rehab.2025.102006","DOIUrl":"10.1016/j.rehab.2025.102006","url":null,"abstract":"<div><h3>Background</h3><div>Cardiorespiratory exercise (CRE) early post-stroke can improve cardiorespiratory fitness, facilitate participation in rehabilitation, and promote neuroplasticity.</div></div><div><h3>Objectives</h3><div>This study aimed to determine if CRE during routine inpatient stroke rehabilitation is associated with improved recovery of motor and cognitive function, functional ambulation, and motor impairment.</div></div><div><h3>Methods</h3><div>People (<em>n</em> = 503) admitted to 2 rehabilitation hospitals over 14 months were included in this cohort study. Participants were classified into 3 groups: “Prescribed,” where participants completed CRE that was included in their treatment plan; “Incidental,” where they completed CRE that was not included in their treatment plan; and “None,” where they did not complete any CRE. Analysis of covariance compared Functional Independence Measure (FIM), Functional Ambulation Category (FAC), and Chedoke-McMaster Stroke Assessment (CMSA) scores between groups at discharge, controlling for age, length of stay, comorbidities and scores at baseline. Multiple linear regression determined the relationship between time spent doing CRE during rehabilitation and admission to discharge change in FIM, FAC and CMSA scores, controlling for age, length of stay, comorbidities, and site.</div></div><div><h3>Results</h3><div>The Prescribed group had higher FIM total and motor sub-scores at discharge than the None (Site A; <em>P</em> &lt; 0.001) or the Incidental group (Site B; <em>P</em> &lt; 0.03). There were significant positive correlations between time spent doing CRE during rehabilitation and change in all outcomes (<em>r</em> &gt; 0.15), except CMSA hand scores.</div></div><div><h3>Conclusions</h3><div>Findings support that CRE during routine inpatient rehabilitation early post-stroke is associated with improved functional independence, ambulation and motor recovery. However, given that the observational design limits causal inferences, controlled studies are needed to confirm the benefits of CRE early post-stroke.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 8","pages":"Article 102006"},"PeriodicalIF":4.6,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144858413","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 litigation on outcome after traumatic injury: A systematic review","authors":"Jimmy Muong ,&nbsp;Mélanie Cogné ,&nbsp;Alexis Schnitzler ,&nbsp;Philippe Azouvi","doi":"10.1016/j.rehab.2025.102004","DOIUrl":"10.1016/j.rehab.2025.102004","url":null,"abstract":"<div><h3>Background</h3><div>There is a widespread belief that litigation procedures may have a negative association with outcome.</div></div><div><h3>Objectives</h3><div>This systematic review aims to compare outcomes between people going through compensation procedures following traumatic injury vs those who are not going through compensation procedures following traumatic injury. This is the first systematic review on the subject that includes all types of trauma.</div></div><div><h3>Methods</h3><div>A PRISMA methodology was used to assess the association between compensation procedures and outcome following personal injury (excluding medical accidents), including articles published in English between 1st January 1980 and 1st September 2023, using the PubMed and Medline databases. We retrieved the data according to outcome measures and divided the data into 5 categories: overall disability and quality of life, cognitive, psychological, somatic, and social. The results were classified into 3 categories: those that showed a significant negative association between compensation procedures and outcome, those that showed a non-significant trend, and those that did not show a significant difference between compensation procedures and outcome. The quality of the studies was assessed using the Quality Assessment Tool for Studies with Diverse Designs (QATSDD) scale.</div></div><div><h3>Results</h3><div>From 467 articles initially screened, 27 met the inclusion criteria (total of 5,668 participants). Fifteen articles found a negative association between litigation and outcome, 8 found no significant effect, including 2 suggesting a non-significant trend. Four articles had different results according to the outcome measure.</div></div><div><h3>Conclusion</h3><div>While we expected stronger results in favor of the negative association between compensation procedures and outcome, and despite limitations due to methodological heterogeneity and the lack of valid evidence, we nevertheless found a trend towards poorer outcome on psychological, somatic, disability, and quality of life measures. These results suggest that there is a clinical relevance to considering the unconscious and conscious mechanisms of potential secondary benefits in cases of litigation.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 8","pages":"Article 102004"},"PeriodicalIF":4.6,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769347","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}