Archives of rehabilitation research and clinical translation最新文献

{"title":"Retrospective Case-Control Study on the Effect of In-Person Physical Therapy With Remote Therapeutic Monitoring on Functional Outcomes and Plan of Care Adherence Amongst Individuals With Musculoskeletal Conditions","authors":"Timothy Marshall PhD, MHA, MS, ,&nbsp;Andrew Goldman MS ,&nbsp;Robert Lyles PT, DPT, SCS, CSCS ,&nbsp;M. Jake Grundstein PT, DPT, MS, MBA ,&nbsp;Negar Ahmadian BA ,&nbsp;Thomas A. Koc Jr PT, DPT, PhD, CIMT ,&nbsp;Marc Gruner DO, MBA","doi":"10.1016/j.arrct.2025.100466","DOIUrl":"10.1016/j.arrct.2025.100466","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the efficacy of in-person physical therapy (PT) coupled with remote therapeutic monitoring (RTM) compared to in-person PT only on patient outcomes and care delivery.</div></div><div><h3>Design</h3><div>A case-control study</div></div><div><h3>Setting</h3><div>95 private practice physical therapy clinics. RTM is delivered at home via a mobile application.</div></div><div><h3>Participants</h3><div>Inclusion criteria included: (1) Adults ≥18 years of age, (2) musculoskeletal diagnosis, (3) clinician-prescribed PT, (4) at least 2 outcome measures. Patients who met the inclusion criteria were enrolled in RTM. A control group was generated using 3:1 matching based on: age, sex, case type, and intake patient-reported outcome score. Three hundred and six cases for the in-person PT + RTM group (N = 306) and 918 (N = 918) controls were identified.</div></div><div><h3>Interventions</h3><div>RTM Patients were enrolled in a home exercise program administered through a mobile application, with digital exercise therapy videos and care navigation support. Both RTM and control patients were enrolled in in-person PT.</div></div><div><h3>Main Outcome Measures</h3><div>Achieving the discharge functional status score as measured by the binary yes/no Functional Status Benchmark.</div></div><div><h3>Results</h3><div>A significantly greater proportion of PT + RTM patients achieved the Functional Statue Benchmark (72%) compared to the control group (63%, <em>P</em>=.004). A statistically greater proportion of PT + RTM patients attended more than 2 visits per week (36%) compared to the control group (24%, <em>P</em>&lt;.001). When controlling all variables, RTM participation was a significant predictor of achieving the discharge functional status score as measured by the binary yes/no Functional Status Benchmark (adjusted odds ratio, 1.53; 95% confidence interval, 1.04-2.22).</div></div><div><h3>Conclusions</h3><div>The inclusion of RTM with in-person PT facilitated better patient engagement and patient-reported outcomes compared to in-person PT only.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 3","pages":"Article 100466"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145011244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility, Usability, and Acceptability of a Randomized Controlled Trial Evaluating Teleexercise Interventions for Individuals with Spinal Cord Injury: Interim Analysis of the Spinal Cord Injury Program in Exercise (SCIPE) Study","authors":"Hui-Ju Young PhD ,&nbsp;Sangeetha Mohanraj MS ,&nbsp;Laurie A. Malone PhD ,&nbsp;Lauren A. Fowler PhD ,&nbsp;Tapan S. Mehta PhD ,&nbsp;James H. Rimmer PhD ,&nbsp;Mohanraj Thirumalai PhD","doi":"10.1016/j.arrct.2025.100495","DOIUrl":"10.1016/j.arrct.2025.100495","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the feasibility, usability, and acceptability of the Spinal Cord Injury Program in Exercise intervention.</div></div><div><h3>Design</h3><div>Three-arm randomized controlled trial.</div></div><div><h3>Setting</h3><div>Video-based exercise sessions via an online teleexercise platform.</div></div><div><h3>Participants</h3><div>Thirty-six participants (N=36) with spinal cord injury (52.8% women, 47.2% men), aged 18-65 years, were randomized to movement-to-music (M2M, n=12), standard exercise training (SET, n=12), or attention control (AC, n=12).</div></div><div><h3>Interventions</h3><div>M2M and SET participants completed 3 weekly exercise sessions for 8 weeks, while AC participants received weekly educational articles.</div></div><div><h3>Main Outcome Measures</h3><div>Primary outcomes included feasibility (recruitment and retention rates), platform usability (System Usability Scale, Health IT Usability Evaluation, and qualitative interviews), and acceptability (8-item Physical Activity Enjoyment Scale and qualitative interviews). Preliminary outcomes included changes in physical activity (Leisure Time Physical Activity Questionnaire for People with Spinal Cord Injury) and quality of life (Patient-Reported Outcomes Measurement Information System short forms) at 8 weeks postintervention. Analyses included descriptive statistics, effect size estimation, and qualitative interview analysis.</div></div><div><h3>Results</h3><div>Follow-up retention at weeks 8, 12, and 16 was 66.7%, 41.7%, and 41.7% for M2M; 83.3%, 66.7%, and 66.7% for SET; and 83.3%, 75.0%, and 66.7% for AC, respectively. The mean ± SD of system usability scale score was 69.8±17.1. SET participants rated the intervention “good,” and M2M and AC rated it “fair.” The mean Health IT usability evaluation scale score of 3.61±0.54 indicated moderate satisfaction, with “Impact” highest and “Perceived Usefulness” lowest. Preliminary outcomes suggested small to moderate improvements in physical activity and quality of life for SET, with effect sizes (Hedge’s <em>g</em>) ranging from 0.13 to 0.71.</div></div><div><h3>Conclusions</h3><div>The interim analysis shows high feasibility and moderate usability and acceptability. Preliminary outcomes suggest potential benefits in physical activity and quality of life, particularly for SET. Future research should focus on enhancing platform usability and long-term participant engagement strategies.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 3","pages":"Article 100495"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145011278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of COVID-19 on General Medical Rehabilitation Efficiency in Designated Inpatient Facilities: A Comparative Analysis of Patient Outcomes and Care Processes","authors":"Perrine Ferré PhD ,&nbsp;Yang Han (Stacey) B.Sc. ,&nbsp;Louis-David Beaulieu PhD ,&nbsp;Johanne Higgins PhD ,&nbsp;Marie-Hélène Milot PhD ,&nbsp;Marie-Hélène Boudrias PhD","doi":"10.1016/j.arrct.2025.100487","DOIUrl":"10.1016/j.arrct.2025.100487","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate how the COVID-19 pandemic affected rehabilitation outcomes and care delivery processes in Physical Medicine and Rehabilitation programs of COVID-19-designated rehabilitation facilities.</div></div><div><h3>Design</h3><div>Retrospective cohort study comparing care processes and outcomes between prepandemic and pandemic periods and identifying factors that influenced rehabilitation efficiency using the total score of the Functional Independence Measure (FIM) instrument.</div></div><div><h3>Setting</h3><div>Four designated subacute rehabilitation facilities.</div></div><div><h3>Participants</h3><div>Patients (N=507) from the Physical Medicine and Rehabilitation program (PMR), with a mean age of 78.3 years (range: 28-99y) and 60% women (ranging from 58% to 64% across groups). The cohort included prepandemic patients (33%), non-COVID-19 patients during the pandemic (33%), patients who were COVID-19-positive before admission (23%), and those who acquired COVID-19 during rehabilitation (11%).</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Average daily gain in functional independence using the FIM total score (FIM efficiency), clinical and demographic profiles at admission, functional outcomes, and indicators of care delivery processes.</div></div><div><h3>Results</h3><div>While functional outcomes were mostly similar across groups (FIM total score at discharge, <em>P</em>≥.05), patients who acquired COVID-19 during rehabilitation experienced longer stays (mean difference=32.2d, <em>P</em>&lt;.001) and higher rehospitalization rates (48%, <em>P</em>&lt;.001). In contrast, those infected before admission had shorter stays (mean difference=−9.5d, <em>P</em>&lt;.001) and less multidisciplinary involvement (mean difference=1 discipline, <em>P</em>&lt;.001). Linear mixed effects modeling, with rehabilitation site as random effects, demonstrated that COVID-19 acquisition during rehabilitation and increased multidisciplinary care were significant predictors of reduced FIM efficiency (<em>P</em>&lt;.001).</div></div><div><h3>Conclusions</h3><div>The COVID-19 pandemic affected rehabilitation care delivery processes more than functional outcomes. Patients who acquired COVID-19 during rehabilitation and those requiring more diverse multidisciplinary care showed reduced FIM efficiency, highlighting the importance of infection control measures in rehabilitation settings. These insights will help health care professionals and decision makers optimize future crisis preparedness plans for rehabilitation services.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 3","pages":"Article 100487"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145009899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Manual Therapy on Instrumentalist Musicians With Playing-Related Musculoskeletal Disorders: A Systematic Review","authors":"Giulio Cherubini PT, MSc ,&nbsp;Mario De Marco PT, MSc ,&nbsp;Rosa Maria Converti MD ,&nbsp;Marina Ramella MD ,&nbsp;Claudio Macchi MD ,&nbsp;Laura Perucca MD ,&nbsp;Marco Baccini PT, MSc ,&nbsp;Francesca Cecchi MD","doi":"10.1016/j.arrct.2025.100486","DOIUrl":"10.1016/j.arrct.2025.100486","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the effects of manual therapy on playing-related musculoskeletal disorders (PRMDs) in instrumentalist musicians.</div></div><div><h3>Data Sources</h3><div>PubMed, MEDLINE, CINAHL, Scopus, Web of Science, and EMBASE were searched from inception until December 17, 2024.</div></div><div><h3>Study Selection</h3><div>Randomized controlled trials (RCTs), noncontrolled trials, case reports evaluating the effects of any manual therapy on PRMDs of instrumentalists were selected.</div></div><div><h3>Data Extraction</h3><div>Two independent authors extracted data and assessed quality using different risk of bias assessment tools, depending on study design.</div></div><div><h3>Data Synthesis</h3><div>Of the 529 retrieved titles, 9 were included: 3 articles on 2 RCTs (one with 69 string/wind/percussion players and the other with 30 wind players, aged 18-30y), 1 case series (689 instrumentalists), 1 pre-post trial (32 string/wind/keyboard/percussion/other instrumentalists, aged 18-30y), and 4 case reports (4 string/wind/keyboard players, aged 25-64y). The first RCT showed significantly reduced pain and disability after soft tissue and mobilization techniques along with postural exercises versus postural exercises alone in temporomandibular dysfunction of wind instrument students. The other RCT reported immediate and medium-term significant pain reduction after Tuina versus sham Tuina in PRMDs in professional musicians. The case series, pre-post study, and 1 case report were of low-very low quality, while 3 case reports were of good quality. However, it should be noted that support for treatment was very limited; both RCTs were underpowered and had a high risk of bias, whereas the evidence from the other studies was limited by low quality and/or design. Heterogeneity did not allow for meta-analysis.</div></div><div><h3>Conclusions</h3><div>The evidence supporting manual therapy for PMRDs in instrumentalists is scarce and of low quality. High-quality RCTs are needed to investigate the risks and benefits of these interventions.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 3","pages":"Article 100486"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145011257","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prediction of Outcome in Moderate and Severe Traumatic Brain Injury: The Value of Pragmatic Estimation of the Duration of Posttraumatic Confusional State","authors":"Rabea Iris Pantelatos MD, PhD ,&nbsp;Toril Skandsen MD, PhD ,&nbsp;Turid Follestad PhD ,&nbsp;Oddrun Sandrød ,&nbsp;Camilla Sæterstad MD ,&nbsp;Cathrine Elisabeth Einarsen MD, PhD ,&nbsp;Kent Gøran Moen MD, PhD ,&nbsp;Anne Vik MD, PhD ,&nbsp;Jonas Stenberg PhD","doi":"10.1016/j.arrct.2025.100446","DOIUrl":"10.1016/j.arrct.2025.100446","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the added value of posttraumatic confusional state (PTCS) duration for outcome prediction, in patients with moderate and severe traumatic brain injury (TBI).</div></div><div><h3>Design</h3><div>Neurosurgical inception cohort study with follow-up 12 months postinjury.</div></div><div><h3>Setting</h3><div>Regional trauma center.</div></div><div><h3>Participants</h3><div>Patients aged ≥16 years admitted with moderate or severe TBI (Glasgow Coma Scale score 9-13 and 3-8), who survived the acute phase. Three hundred ninety-five patients completed follow-up and had a valid PTCS duration estimation; 75% were men.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>PTCS duration was pragmatically categorized into weekly intervals, primarily through retrospective review of medical records. In addition to PTCS duration, predictors included age, sex, the admission Glasgow Coma Scale score, pupillary dilatation, and the worst Rotterdam computed tomography score. The outcome was assessed using the Glasgow Outcome Scale–Extended (GOSE). Uni- and multivariable binary logistic regression analyses were performed to explore predictive models with and without PTCS duration. The dependent variable GOSE was dichotomized using several cutoffs: GOSE scores ≤7, ≤6, ≤5, and ≤4.</div></div><div><h3>Results</h3><div>The GOSE score (with lower scores indicating worse function) decreased with longer PTCS duration in patients with moderate and severe TBI. PTCS duration was a significant predictor of most outcomes and the only significant predictor in the multivariable models for severe TBI. Adding PTCS duration as a covariate improved the fit of the multivariable models, particularly in severe TBI. When PTCS lasted &lt;28 days, a GOSE score of 1-4 was observed in only 3% of cases.</div></div><div><h3>Conclusions</h3><div>The strong association between PTCS duration and outcomes demonstrates the benefit of estimating PTCS in hospital and rehabilitation settings. Moreover, PTCS holds promise as a modifier of the TBI severity classification.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 3","pages":"Article 100446"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145011215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterization of Ventilatory Drive in Community-Dwelling Adults with Chronic Spinal Cord Injury","authors":"Tommy W. Sutor MS, PhD ,&nbsp;Michela J. Mir PhD, CCC-SLP ,&nbsp;Alicia K. Vose PhD, CCC-SLP ,&nbsp;Gordon S. Mitchell PhD ,&nbsp;Emily J. Fox PT, DPT, PhD","doi":"10.1016/j.arrct.2025.100481","DOIUrl":"10.1016/j.arrct.2025.100481","url":null,"abstract":"<div><h3>Objective</h3><div>To advance characterization of ventilatory drive in community-dwelling adults with chronic spinal cord injury (SCI).</div></div><div><h3>Design</h3><div>Cross-sectional analysis of data from a parent randomized clinical trial. Relationships between ventilatory drive and the following variables were assessed: (1) age, (2) sex, (3) height, (4) body mass index, (5) American Spinal Injury Association Impairment scale, (6) neurologic level of injury, (7) time since injury, (8) maximal inspiratory pressure, (9) the ratio of ventilatory drive to maximal inspiratory pressure, (10) tidal volume, (11) breathing frequency, (12) minute ventilation, (13) body mass-normalized tidal volume and minute ventilation, and (14) end-tidal carbon dioxide.</div></div><div><h3>Setting</h3><div>Clinical research laboratory in a rehabilitation hospital.</div></div><div><h3>Participants</h3><div>Volunteer sample of community-dwelling, independently breathing adult participants (N=29) (median age, 34y; range, 18-67; 27 men) with chronic (median, 2.25y postinjury; range, 1.1-30y) complete or incomplete SCI from the first cervical to sixth thoracic level.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Mouth occlusion pressure (P0.1) as an indicator of ventilatory drive.</div></div><div><h3>Results</h3><div>Participants presented with reduced pulmonary function (percent predicted forced vital capacity median, 75%; interquartile range, 64%-84%). P0.1 values were consistent with those in the general population (median, 1.00 cmH₂O; interquartile range, 0.80-1.26). P0.1 was strongly correlated with body mass index (r_s=.56, <em>P</em>&lt;.01) and significantly correlated with body mass (r_s=.48, <em>P</em>&lt;.01), breathing frequency (r_s=.41, <em>P</em>=.03), body mass-normalized tidal volume (r_s=–.39, <em>P</em>=.04) and minute ventilation (r_s=0.40, <em>P</em>=.03).</div></div><div><h3>Conclusions</h3><div>Independently breathing adults with chronic SCI have P0.1 values within normal range. This suggests their intrinsic resting ventilatory drive recovers from potentially elevated states in the acute phase of injury and is sufficient to sustain ventilation. The significant correlation between P0.1 and body mass has not been reported in the general population and suggests that body mass, P0.1, and ventilatory drive are tightly coupled in adults with SCI despite independent breathing ability. The potential for increased body mass-induced strain on the respiratory pump after SCI may have implications for breathing during daily activities and exercise which should be explored in future research.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 3","pages":"Article 100481"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145011247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"History of Clinical Services, Medical Training, and Research for Spinal Cord Injuries and Disorders in the United States Veterans Health Administration","authors":"Jennifer E. Daly PhD ,&nbsp;River Smith PhD ,&nbsp;Chao Li PhD ,&nbsp;Jennifer L. Sippel PhD","doi":"10.1016/j.arrct.2025.100488","DOIUrl":"10.1016/j.arrct.2025.100488","url":null,"abstract":"<div><div>As of August 2025, the Veterans Health Administration (VHA) Spinal Cord Injuries and Disorders (SCI/D) system of care provides state-of-the-art specialty medical care for 24,560 United States Veterans living with SCI/D and multiple sclerosis and motor neuron disease with spinal cord involvement. This article reviews the history of VHA SCI/D care to show how VHA’s early adoption of rehabilitation innovations and lifetime management not only improved Veterans’ outcomes but also contributed to its evolution as a world leader in SCI/D research, training, and comprehensive life-long care. This review traces events that shaped the current VHA SCI/D System of Care as it evolved from housing and pensions for disabled Veterans after the US Civil War to the present-day foundational service within one of the largest health care, research, and medical training systems in the world.This history highlights VHA’s longstanding commitment to providing comprehensive, world-class services for Veterans and their families and reinforces its leadership and commitment to cutting-edge research on treatments, potential SCI/D cures, and innovations in precision medicine, training, and technology for all people living with SCI/D.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 3","pages":"Article 100488"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145011259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to Letter to the Editor: Effectiveness of Early Cardiorespiratory Rehabilitation Combined With Melatonin Supplementation During the Inpatient Period After Acute Myocardial Infarction: a Pilot Study","authors":"Mohamed Ali Hbaieb MSc,&nbsp;Salma Charfeddine MD,&nbsp;Tarak Driss PhD,&nbsp;Laurent Bosquet PhD,&nbsp;Benoit Dugué PhD,&nbsp;Leila Abid MD,&nbsp;Omar Hammouda PhD","doi":"10.1016/j.arrct.2025.100477","DOIUrl":"10.1016/j.arrct.2025.100477","url":null,"abstract":"","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 3","pages":"Article 100477"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145011264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rehabilitation Researchers Learning Health Systems Needs Assessment Survey: An Updated Assessment of Research Competencies","authors":"Pamela M. Dunlap DPT, PhD ,&nbsp;Kathleen M. Poploski DPT, MAS, PhD ,&nbsp;Catherine A. Anderson PhD, LPC, CRC ,&nbsp;Thiru M. Annaswamy MD, MA ,&nbsp;Melissa A. Clark PhD ,&nbsp;Peter C. Coyle DPT, PhD ,&nbsp;Natalie F. Douglas PhD, CCC-SLP ,&nbsp;Ann Marie Flores PT, PhD ,&nbsp;Janet K. Freburger PT, PhD ,&nbsp;Brian J. Hafner PhD ,&nbsp;Ken J. Harwood PT, PhD ,&nbsp;Jeanne M. Hoffman PhD ,&nbsp;Adam R. Kinney PhD, OTR/L ,&nbsp;Linda Resnik PT, PhD ,&nbsp;Kristin Ressel MS ,&nbsp;Margarite J. Whitten PhD ,&nbsp;Christine M. McDonough PT, PhD","doi":"10.1016/j.arrct.2025.100492","DOIUrl":"10.1016/j.arrct.2025.100492","url":null,"abstract":"<div><h3>Objective</h3><div>To use the updated Rehabilitation Researchers Learning Health Systems (LHS) Needs Assessment Survey for conducting a needs assessment and identify current knowledge and interest in LHS competencies among rehabilitation professionals.</div></div><div><h3>Design</h3><div>The anonymous, cross-sectional online survey included 70 competency items related to LHS research core competencies across 8 domains.</div></div><div><h3>Setting</h3><div>The respondents were recruited through the LHS Rehabilitation Research Network partners.</div></div><div><h3>Participants</h3><div>There were 637 respondents (N=637) who indicated interest and knowledge in LHS research competency items and completed at least 1 competency item or 1 demographic question.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Rehabilitation Researchers Learning Health Systems Needs Assessment Survey.</div></div><div><h3>Results</h3><div>The most common professions reported among respondents were physical therapy (24.5%), research (21.6%), and behavioral health (17.6%). The research questions and standards domain had the highest average proportion of respondents indicating “a lot” of interest (67.6%). The systems science domain had the highest average proportion of respondents indicating “none” or “some” knowledge (89%). Competency items that were of high interest and low knowledge were from the systems science, research methods and engagement, leadership, and research management, improvement and implementation, health and health care equity and justice, research questions and standards, and informatics domains.</div></div><div><h3>Conclusions</h3><div>In this updated needs assessment survey of LHS competencies among the rehabilitation community, we found that there was continued high interest across LHS domains, high current interest in health and health care equity and justice domain topics, and limited knowledge related to systems science domain competency items. The results of the survey identified new directions for learning opportunities as well as areas for continued engagement to work toward achieving proficiency in LHS competencies among rehabilitation researchers.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 3","pages":"Article 100492"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145011276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes and Preferences for Decision-Making for Upper Limb Prosthetic Care: The Patient Journey: A Scoping Literature Review","authors":"Leslie Wilson PhD ,&nbsp;Mark Gutin PharmD ,&nbsp;Timothy Banh PhD ,&nbsp;Elizabeth Gress MPA ,&nbsp;Todd Castleberry PhD ,&nbsp;Siya Asatkar BS ,&nbsp;Peggy Tahir MLIS ,&nbsp;Michael P. Douglas MS ,&nbsp;Shane R. Wurdeman PhD","doi":"10.1016/j.arrct.2025.100460","DOIUrl":"10.1016/j.arrct.2025.100460","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify key concepts or themes and map the breadth of evidence describing the current decision-making process for prostheses between individuals with upper limb loss/difference (ULL/D) and prosthetists using a scoping review.</div></div><div><h3>Data Sources</h3><div>We searched PubMed, Web of Science, Embase, and Cumulative index to Nursing and Allied Health Literuature (CINAHL) databases to identify studies using PRISMA guidelines.</div></div><div><h3>Study Selection</h3><div>Qualitative, quantitative, quasi-experimental, randomized controlled studies or mixed methods studies in the English language with adults ≥18 years involving ULL/D from any cause were included. Studies were required to provide outcome measures, decision aids, discrete choice or other preference measurement methods, patient satisfaction, quality of life, cost, and choice characteristics of prostheses.</div></div><div><h3>Data Extraction</h3><div>Characteristics were extracted from each study including study aim, author, publication year, country, sampling strategy, sample size, data collection methods, analysis, outcome or survey type, approach or discussion of prosthetic preference or choice, model or description of the prosthetic, results, and attributes or factors of decision-making. Two individuals assessed study quality using the 2018 validated Critical Appraisal Skills Program qualitative studies checklist.</div></div><div><h3>Data Synthesis</h3><div>Of the 1388 studies, 67 were included. Our findings reveal a variety of study types and purposes that together describe factors important to a complex decision-making process. We conceptualized 5 main themes to create our literature landscape: (1) adequacy of outcomes/measures used, (2) extent of preference research, (3) prosthesis type comparisons, (4) factors critical to decision-making, and (5) the prescription process. A personalized approach to decision-making was stressed but there were only 5 prosthetic preference studies. We identified a list of the major factors or attributes important when choosing a prosthetic to be used in preference research; functionality, appearance, grip characteristics, durability, weight, and cost. We suggest a “user complexity” construct to integrate the studies on technology and users’ choices.</div></div><div><h3>Conclusions</h3><div>To the best of our knowledge, this is the first literature review to focus on preference measurements. Despite this lack of preference studies, there was consensus on the importance of including the patient’s voice into the prosthetic choice through the prescription process. Our findings synthesize a body of literature that is not well organized or generalizable enough to help individuals and prosthetists make prosthesis decisions. Our insights can guide shared decision-making and improve prosthetic prescription.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 2","pages":"Article 100460"},"PeriodicalIF":1.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144222011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}