Archives of rehabilitation research and clinical translation最新文献

{"title":"Test-Retest Reliability and Minimal Detectable Change of Body Function Impairment and Activity Limitation Outcomes Using a Mechatronic Evaluation Designed for Inpatient Stroke Research","authors":"Jane E. Gyarmaty DPT ,&nbsp;Francesca S. Abiusi DPT ,&nbsp;Natalie B. Hoffman DPT ,&nbsp;Reem E. Ibrahim BA ,&nbsp;Emily R. Linne DPT ,&nbsp;Sanjana Matta DPT ,&nbsp;Carli R. Nissen DPT ,&nbsp;Maya A. Sankaran DPT ,&nbsp;Alexandrea M. Smith DPT ,&nbsp;Ana Maria Acosta PhD ,&nbsp;Michael D. Ellis DPT","doi":"10.1016/j.arrct.2024.100385","DOIUrl":"10.1016/j.arrct.2024.100385","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the test-retest reliability and minimal detectable change (MDC) scores for 7 precision measures examining upper extremity strength, reaching ability, and the expression of flexion synergy after stroke. The measurements relied on a mechatronic evaluation designed for time efficiency facilitating implementation in inpatient translational research.</div></div><div><h3>Design</h3><div>Observational, analytical, cross-sectional study.</div></div><div><h3>Setting</h3><div>University research laboratory.</div></div><div><h3>Participants</h3><div>Twenty-five participants (N=25) &gt;6 months poststroke with persistent upper extremity body function impairment and activity limitation were recruited using convenience sampling.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Shoulder abduction and elbow extension strength measured as a unit of torque (Nm); normalized reaching distance with the arm under 3 conditions: supported, against gravity, and against 50% of shoulder abduction strength; flexion synergy takeover; and emergence thresholds.</div></div><div><h3>Results</h3><div>Twelve male and 13 female participants aged 56.4 ± 17.8 years with a mean time poststroke of 5.37 ± 7.55 years completed the study. The intraclass correlation coefficients for the outcome measures were as follows: shoulder abduction strength (0.963), elbow extension strength (0.983), supported reaching (0.982), reaching against gravity (0.968), reaching against 50% abduction strength (0.974), flexion synergy takeover (0.919), and flexion synergy emergence (0.949) thresholds. The MDC, overall mean, and standard deviation were calculated as follows: shoulder abduction strength (5.69 Nm, 24.44±10.67 Nm), elbow extension strength (5.66 Nm, 18.53±15.66 Nm), supported reaching (0.07, 0.91±0.20), reaching against gravity (0.15, 0.73±0.30), reaching against 50% abduction strength (0.13, 0.69±0.29), flexion synergy takeover (0.14, 0.91±0.17), and flexion synergy emergence (0.17, 0.56±0.27) thresholds.</div></div><div><h3>Conclusions</h3><div>The mechatronic evaluation, although streamlined from more labor-intensive laboratory evaluations, demonstrates excellent (&gt;0.90) test-retest reliability and MDC scores for 7 precision measures of upper extremity body function impairment (weakness and synergy) and activity limitation (reaching).</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100385"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563248","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}

{"title":"Efficacy of Robot-assisted Training on Upper Limb Motor Function After Stroke: A Systematic Review and Network Meta-analysis","authors":"He Wang MD ,&nbsp;Xiaoxu Wu BD ,&nbsp;Yaning Li MD ,&nbsp;Shaohong Yu DD","doi":"10.1016/j.arrct.2024.100387","DOIUrl":"10.1016/j.arrct.2024.100387","url":null,"abstract":"<div><h3>Objective</h3><div>To systematically evaluate the efficacy of robot-assisted training (RAT) in the treatment of upper limb motor function in patients with stroke, and to compare the efficacy of different types of RAT.</div></div><div><h3>Data Sources</h3><div>We searched 5 English database (PubMed, Web of Science, Embase, Cochrane Library, and Scopus) and 4 Chinese databases (China National Knowledge Infrastructure [CNKI], SinoMed [CBM], VIP, and Wanfang Data) from inception to May 2024.</div></div><div><h3>Study Selection</h3><div>Randomized controlled trials (RCTs) of RAT combined with conventional rehabilitation therapy (CRT) on patients with upper extremity motor dysfunction after stroke. Two independent researches screened 3461 records, resulting in 31 eligible RCTs.</div></div><div><h3>Data Extraction</h3><div>Two independent researches extracted data into a preformed table, including first author, year of publication, baseline characteristics of the literature (including sample size, age, disease duration, interventions, outcome indicators, and adverse reactions) and quality evaluation information.</div></div><div><h3>Data Synthesis</h3><div>Traditional meta-analysis and network meta-analysis were performed using RevMan 5.4 software and Stata 14.0 software, respectively. A total of 31 RCTs were included, involving 1537 patients. The results of traditional meta-analysis showed that in terms of upper limb function, RAT combined with RCT could effectively reduce the elbow flexion Modified Asworth Score (mean difference [MD] −0.63, 95% confidence interval (95% CI) −0.75 to −0.51), improve the Fugl-Meyer Assessment-upper extremity score (MD 5.92, 95% CI 3.52-8.32) and elbow extension angle (MD 16.14, 95% CI 14.56-17.73) in patients with stroke. In terms of activities of daily living, RAT combined with RCT could effectively improve the Modified Barthel Index score (MD 8.03, 95% CI 5.54-10.52) and Functional Independence Measure score (standardized MD 0.95, 95% CI 0.32-1.59) in patients with stroke. The results of network meta-analysis showed that the best probability of improving upper limb motor function was end-effector robot-assisted therapy (EE-RAT)&gt;exoskeleton robot-assisted therapy (Exo-RAT)&gt;CRT, and the best probability of improving daily living ability was Exo-RAT&gt;EE-RAT&gt;CRT.</div></div><div><h3>Conclusions</h3><div>The current evidence showed that RAT combined with routine rehabilitation therapy can effectively improve the upper limb motor function and activities of daily life of patients with stroke. Among them, the EE-RAT had the best effect in improving the upper limb motor function of patients with stroke, and the Exo-RAT had the best effect in improving the ability of daily life of patients with stroke.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100387"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563335","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}

{"title":"Living Successfully With Chronic Aphasia: Outcomes and Program Improvement After 5 Years of Operations","authors":"Michelle Armour MS, CCC-SLP ,&nbsp;Susan Brady DHEd, MS, CCC-SLP, BCS-S","doi":"10.1016/j.arrct.2025.100429","DOIUrl":"10.1016/j.arrct.2025.100429","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the durability of quality-of-life outcomes after 5-years of participation in an Aphasia Center program using Life Participation Approach to Aphasia (LPAA) values.</div></div><div><h3>Design</h3><div>Evidence-based practice quality improvement project.</div></div><div><h3>Setting</h3><div>Ambulatory care Aphasia Center part of a larger health care system.</div></div><div><h3>Participants</h3><div>Participants included 10 clients with aphasia; 2 women and 8 men with a mean age of 66.5 years. All participants had consistent participation in LPAA aphasia center services over a 5-year period (n=10).</div></div><div><h3>Interventions</h3><div>Group programming was provided using the LPAA as the service delivery model.</div></div><div><h3>Main Outcome Measures</h3><div>Client reported outcome measures were used. The Stroke and Aphasia Quality of Life Scale (SAQOL-39) was administered at 3 time periods: T1, baseline; T2, 1-year participation; and T3, 5-year participation. Program evaluation data were collected via a custom generated, self-reported electronic survey at the 5-year mark.</div></div><div><h3>Results</h3><div>Outcomes indicated significant differences in self-reported quality-of-life scores from T1 to T2 and T1 to T3. No differences were observed between T2 to T3 for the mean score, physical domain, and communication domain of the SAQOL-39.</div></div><div><h3>Conclusions</h3><div>The project provided further support for the use of LPAA values with clients experiencing chronic aphasia.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100429"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563244","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}

{"title":"Percutaneous Cryoneurolysis as a Dynamic Treatment for Spasticity: A Case Series","authors":"Clay C. Guynn DO","doi":"10.1016/j.arrct.2025.100426","DOIUrl":"10.1016/j.arrct.2025.100426","url":null,"abstract":"<div><div>Spasticity, whether from stroke or spinal cord injury or other causes, remains challenging to treat effectively. Common spasticity treatments such as stretching, physical therapy, injection therapy, and even surgery may not result in optimal or the desired outcomes or be appropriate for all patients. Cryoneurolysis is another potential treatment option for spasticity that may have benefits over traditional spasticity treatments. In this case series, 10 patients received cryoneurolysis of specific nerves to treat either lower or upper-extremity pain, weakness, and spasticity, or a neuropathic gait in an outpatient clinic. All 10 patients experienced immediate improvements that were sustained for 1-12 months after treatment. Cryoneurolysis is a safe and effective treatment for spasticity and can allow for easy access to involved nerves.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100426"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563246","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}

{"title":"Sensorimotor Stabilization Exercises With and Without Behavioral Treatment in Low Back Pain: Feasibility and Effects of a Multicenter Randomized Controlled Trial","authors":"Tilman Engel PhD ,&nbsp;Daniel Niederer PhD ,&nbsp;Adamantios Arampatzis PhD ,&nbsp;Winfried Banzer MD ,&nbsp;Heidrun Beck MD ,&nbsp;Philipp Floessel MA ,&nbsp;Thore Haag PhD ,&nbsp;Steffen Mueller PhD ,&nbsp;Marcus Schiltenwolf MD ,&nbsp;Hendrik Schmidt PhD ,&nbsp;Christian Schneider MD ,&nbsp;Dirk Stengel MD ,&nbsp;Josefine Stoll PhD ,&nbsp;Pia-Maria Wippert PhD ,&nbsp;Frank Mayer MD","doi":"10.1016/j.arrct.2025.100430","DOIUrl":"10.1016/j.arrct.2025.100430","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate the feasibility and effects of a sensorimotor stabilization exercise intervention with and without behavioral treatment in nonspecific low back pain.</div></div><div><h3>Design</h3><div>A three-armed multicenter randomized controlled trial.</div></div><div><h3>Setting</h3><div>Five study sites across Germany (3 orthopedic university outpatient clinics, 1 university sports medicine department, and 1 clinical institution).</div></div><div><h3>Participants</h3><div>Six hundred and sixty-two volunteers (N=662) (59% females, age 39±13y) with low back pain.</div></div><div><h3>Interventions</h3><div>Sensorimotor training (SMT), sensorimotor training with behavioral therapy (SMT+BT), and usual care group (UCG; continuation of the already ongoing individual treatment regime). Intervention groups performed a 12-week (3wk center-based, 9wk home-based) program.</div></div><div><h3>Main Outcome Measures</h3><div>Adherence, dropout rates, adverse events, and intervention effects on pain intensity, disability, and trunk torque (gain scores, repeated measures analysis of variance, α-level&lt;0.05).</div></div><div><h3>Results</h3><div>In total, 220 participants received SMT, 222 received SMT+BT, and 170 were analyzed as UCG. Dropout rates were 10% for SMT and SMT+BT at week 3, 31% and 30% at week 4, and 49% and 50% at week 12. Adherence rates above 80% were reached in both interventions; 134 adverse events occurred. Intervention effects compared to UCG were found for pain intensity (SMT, <em>P</em>=.011, effect size d=0.41), disability (SMT+BT, <em>P</em>=.020, d=0.41), and peak torque (SMT, <em>P</em>=.045, d=0.38; SMT+BT, <em>P</em>=.019, d=0.44), with overall small effect sizes.</div></div><div><h3>Conclusions</h3><div>Participants were highly adherent to the sensorimotor exercise, but showed increased dropout rates, particularly during home-based training. Both interventions proved to be feasible, and although only SMT showed an increased effect on pain intensity compared to UCG, the SMT+BT showed positive effects on disability. Both interventions led to increases in strength, indicative of a neuromuscular adaptation.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100430"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563334","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}

{"title":"Comparison Between a State-of-the-Art Mechanical 3D Scoliosis Correction Protocol and the Schroth Exercise on Spinal Flexibility of Patients With Adolescent Idiopathic Scoliosis: A Randomized Controlled Trial","authors":"Yi Jie MSc ,&nbsp;Mengyao Li MSc ,&nbsp;Anqin Dong PhD ,&nbsp;Yu-Yan Luo MSc ,&nbsp;Chang-Liang Luo MSc ,&nbsp;Qian Zheng MSc ,&nbsp;Shixin Wang BSc ,&nbsp;Man-Sang Wong PhD ,&nbsp;Christina Zong-Hao Ma PhD ,&nbsp;Ming Zhang PhD","doi":"10.1016/j.arrct.2025.100428","DOIUrl":"10.1016/j.arrct.2025.100428","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the effects of a novel mechanical 3-dimensional (3D) scoliosis correction protocol and the Schroth exercise on the spinal flexibility of patients with adolescent idiopathic scoliosis (AIS).</div></div><div><h3>Design</h3><div>Randomized controlled trial.</div></div><div><h3>Setting</h3><div>At the affiliated teaching hospital of a university.</div></div><div><h3>Participants</h3><div>Forty participants with AIS (aged 14.7±2.1y, 10 males and 30 females) received 1 intervention session.</div></div><div><h3>Interventions</h3><div>Participants were randomly allocated to the intervention group (IG) (n=20) receiving a single 30-minute mechanical 3D scoliosis correction session and the exercise group (EG) (n=20) receiving a single 30-minute Schroth exercise session. A newly developed scoliosis correction system that could generate spinal longitudinal traction (based on the standard mechanical spinal traction protocol for managing low back pain) and lateral forces (based on the 3-point pressure system) was applied to the participants of the IG.</div></div><div><h3>Main Outcome Measures</h3><div>Spinal flexibility and body height were evaluated before and after each intervention.</div></div><div><h3>Results</h3><div>Significant improvements in spinal flexibility were found in the forward bending and trunk rotation tests for both groups (<em>P≤.</em>028). The participants of the IG further demonstrated significantly improved spinal flexibility as assessed by the lateral bending tests and body height (<em>P≤.</em>012). The increase in body height in the IG was also significantly larger than that of the EG (<em>P&lt;.</em>05).</div></div><div><h3>Conclusions</h3><div>This pilot study preliminarily demonstrated that the developed novel 30-minute mechanical 3D scoliosis correction protocol could effectively improve the side-bending spinal flexibility and body height of the participants. Such positive effects tend to be better than those generated by the Schroth best practice exercises. A long-term study with more participants should be warranted.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100428"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563332","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}

{"title":"A Review of Physical Medicine and Rehabilitation Journals' Guidelines Regarding the Use of Artificial Intelligence in Manuscript Writing","authors":"Maryam Behroozinia MD,&nbsp;Saeid Khosrawi MD","doi":"10.1016/j.arrct.2024.100419","DOIUrl":"10.1016/j.arrct.2024.100419","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the submission guidelines of physical medicine and rehabilitation (PM&amp;R) journals regarding their policies on the use of artificial intelligence (AI) in manuscript preparation.</div></div><div><h3>Design</h3><div>Cross-sectional study, including 54 MEDLINE-indexed PM&amp;R journals, selected by searching “Physical and Rehabilitation Medicine” as a broad subject term for indexed journals. Non-English journals, conference-related journals, and those not primarily focused on PM&amp;R were excluded.</div></div><div><h3>Setting</h3><div>PM&amp;R journals.</div></div><div><h3>Participants</h3><div>Not applicable.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Reviewing policies regarding the use of AI and comparing CiteScore, Source Normalized Impact per Paper (SNIP), Scientific Journal Ranking (SJR), and Impact Factor (IF) between journals with an AI policy and those without.</div></div><div><h3>Results</h3><div>Of the 54 PM&amp;R journals, only 46.3% had an AI policy. Among these, none completely banned AI use or allowed unlimited use without a declaration. Most journals (52%) permitted AI for manuscript editing with a required declaration, 44% allowed unlimited AI use with a declaration, and only 4% allowed AI-assisted editing without any declaration. No significant difference was found in scientometric scores between journals considered with and without AI policies (<em>P</em>&gt;.05).</div></div><div><h3>Conclusions</h3><div>Under half of MEDLINE-indexed PM&amp;R journals had guidelines regarding the use of AI. None of the journals with AI policies entirely prohibited its use, nor did they allow unrestricted use without a declaration. Journals with defined AI policies did not demonstrate higher citation rates or affect scores.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100419"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563399","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}

{"title":"Demographics, Clinical Characteristics, and Outcomes of a Post-Coronavirus-19 Sample After Cognitive Rehabilitation: A Case Series","authors":"Ellen Farr MD ,&nbsp;Dmitry Esterov DO ,&nbsp;Blake A. Kassmeyer MS ,&nbsp;Ryan J. Lennon MS ,&nbsp;Thomas F. Bergquist PhD, LP","doi":"10.1016/j.arrct.2024.100409","DOIUrl":"10.1016/j.arrct.2024.100409","url":null,"abstract":"<div><div>The Coronavirus-19 pandemic has infected millions of people, resulting in ongoing symptoms now described as post-acute sequelae of SARS-COV2 infection (PASC). Persistent neurologic and behavioral sequelae including fatigue, depression, anxiety, sleep disorders, headache, memory loss, and cognitive complaints are common. Although there is increasing evidence related to treatment of physical symptoms such as fatigue through physical rehabilitation practices, to date there is very limited evidence about the efficacy of various treatment regimens directed at nonphysical symptoms such as cognitive concerns and behavioral sequelae. This case series discusses a series of 13 patients with PASC who underwent individualized multidisciplinary outpatient cognitive rehabilitation at a quaternary medical center. In this patient population, the median age was 46 years (Q1, Q3: 41, 50), 77% were women, and 85% were White. The median time from infection to treatment was 229 days (Q1, Q3: 117, 367) and median length of stay in the program was 4.9 months (Q1, Q3: 3.1, 6.3). A history of depression and anxiety was found in 38% and 46% of this population, respectively. On admission and at discharge, the Mayo-Portland Adaptability Inventory-4 Participation Index, the Satisfaction with Life Scale, the Patient Health Questionnaire-9, and the Neurobehavioral Symptom Inventory-22 were completed. After individualized outpatient cognitive therapy, no clear benefit was seen in any of the outcome measures. The ongoing investigation is important to better understand which approaches will benefit these patients.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100409"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563245","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}

{"title":"Association Between Physical, Social, and Attitudinal Environments and Quality of Life in Adolescents With Cerebral Palsy: Insights From the SPARCLE Cross-Sectional Study","authors":"Virginie Ehlinger MSc ,&nbsp;Grégory Guernec MSc ,&nbsp;Célia Perret MSc ,&nbsp;Nicolas Vidart PhD ,&nbsp;Catherine Arnaud MD ,&nbsp;SPARCLE group","doi":"10.1016/j.arrct.2024.100411","DOIUrl":"10.1016/j.arrct.2024.100411","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the correlation between the adequacy of the environment (the quantity of met individual environmental needs) and quality of life (QoL) in adolescents with cerebral palsy (CP) and to examine the magnitude of effects against personal and family factors.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting</h3><div>Nine administrative regions in Denmark, France, Germany, Ireland, Italy, Sweden, and the United Kingdom.</div></div><div><h3>Participants</h3><div>Adolescents with confirmed diagnosis of CP, born 1991-1997, aged 13-17 years at the time of data collection. Nonwalkers (GMFCS IV-V) were overrepresented.</div></div><div><h3>Intervention</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Parent reports of the adequacy of the environment (using the European Child Environment Questionnaire) and their adolescent's QoL (using the Kidscreen-52 generic instrument, focusing on 4 domains: physical well-being, psychological well-being, autonomy, and school environment).</div></div><div><h3>Results</h3><div>Six hundred sixty-four adolescents with CP participated in the study: 57.2% boys, mean age 15.1 years, 45.1% with GMFCS IV-V, and 45.7% attending mainstream schools. The adequacy of the environment was positively associated with QoL. More specifically, once adjusted for personal and family factors, positive correlations were observed between the adequacy of social support in the community and physical well-being, a supportive attitudinal environment from peers and psychological well-being, a supportive attitudinal environment from peers and teachers and satisfaction with school life, and the adequacy of physical environment at home and QoL in the autonomy domain, the latter only in the subgroup of those with GMFCS IV-V<em>.</em> Among personal and family factors, impairments, pain, behavioral problems, or parenting stress correlated slightly higher with QoL than with the adequacy of the environment.</div></div><div><h3>Conclusions</h3><div>The adequacy of the environment relates to adolescent QoL. Personal and family factors correlated slightly higher with QoL than with environmental factors.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100411"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563250","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}

{"title":"Ipsilesional 5 Hz Repetitive Transcranial Magnetic Stimulation for Motor Dysfunction in Subacute Intracerebral Hemorrhage: An Exploratory Trial","authors":"Juan Xiao MD ,&nbsp;Yan Sun MD ,&nbsp;Ze-Jian Liu PT, Bsc ,&nbsp;Liang Wu MD, PhD ,&nbsp;Weijiao Fan MD ,&nbsp;An-Ming Hu MD, PhD","doi":"10.1016/j.arrct.2024.100386","DOIUrl":"10.1016/j.arrct.2024.100386","url":null,"abstract":"<div><h3>Objective</h3><div>To explore whether ipsilesional 5 Hz repetitive transcranial magnetic stimulation (rTMS) therapy can improve motor function in patients with intracerebral hemorrhage (ICH) and observe any adverse reactions.</div></div><div><h3>Design</h3><div>A 4-week randomized, controlled, single-blind (evaluator) trial with a 1-month follow-up.</div></div><div><h3>Setting</h3><div>A tertiary hospital rehabilitation center.</div></div><div><h3>Participants</h3><div>Forty-nine patients with first ICH were recruited and randomly separated into an experimental (n=25; 19 men, 6 women) or control group (n=24; 17 men, 7 women), with age range of 30 to 75 years, and mean duration after hemorrhage onset of 47 (range 17-86) days.</div></div><div><h3>Interventions</h3><div>The experimental group received ipsilesional 5 Hz rTMS therapy and conventional rehabilitation training. The hot spot of the abductor pollicis brevis and tibialis anterior muscles on the affected hemisphere of the brain received 1500 pulses of stimulation each day, for a total of 3000 pulses. The stimulations applied to the affected abductor pollicis brevis and tibialis anterior hot spots were separated by &gt;2 hours. The stimulation frequency was 5 Hz, each sequence lasting 2 seconds, with a sequence interval of 5 seconds, for a total duration of 36 minutes every day. The control group only received conventional rehabilitation training.</div></div><div><h3>Main Outcome Measures</h3><div>The primary endpoint was the change in Brunnstrom stage. Secondary endpoints included Fugl-Meyer Assessment, Barthel Index, and Berg Balance Scale. All assessments were performed at baseline, after intervention (day 29) and 1 month after intervention (day 60).</div></div><div><h3>Results</h3><div>Improvements over baseline in all scores at day 29 and 60 were significantly greater in the 5 Hz rTMS group than in the control group. No significant side effects were reported during the experiment and 1 month after the experiment.</div></div><div><h3>Conclusions</h3><div>Applying 5 Hz high-frequency rTMS to the affected hemisphere within 3 months after the onset of ICH appears safe and may significantly improve motor function and activities of daily living.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 1","pages":"Article 100386"},"PeriodicalIF":1.9,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563249","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}