样式: 排序: IF: - GO 导出 标记为已读
-
Targeted deep brain stimulation of the motor thalamus improves speech and swallowing motor functions after cerebral lesions medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-09-16 Erinn M Grigsby, Lilly W Tang, Arianna Damiani, Jonathan C Ho, Isabella Montanaro, Sirisha Nouduri, Sara Trant, Theodora Constantine, Gregory M Adams, Kevin M Franzese, Bradford Z Mahon, Julie Fiez, Donald J Crammond, Kaila L Stipancic, Jorge A Gonzalez-martinez, Elvira Pirondini
Speech and swallowing are complex motor acts that depend upon the integrity of input neural signals from motor cortical areas to control muscles of the head and neck. Lesions damaging these neural pathways result in weakness of key muscles causing dysarthria and dysphagia, leading to profound social isolation and risk of aspiration and suffocation. Here we show that Deep Brain Stimulation (DBS) of
-
CROSS-SECTIONAL ANALYSIS: INTERPRETATION OF NON-STATISTICALLY SIGNIFICANT RESULTS IN RANDOMISED CONTROLLED CLINICAL TRIALS IN REHABILITATION medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-09-16 Caterina Mugnai, Luca Falsiroli Maistrello, Giacomo Fiacca, Michele Perucchini, Noemi Corbetta, Federico Amateis, Stefano Salvioli
Introduction Despite the CONSORT guidelines, which aim to improve the quality of studies, authors often formulate conclusions based on the dichotomous distinction of the p-value, declaring differences between ′statistically significant′ and ′non-significant′. This approach confuses the identification of the real efficacy of the studied treatment. To solve this problem, CONSORT guidelines recommend
-
Normal feeding movements expressed by dimensionality reduction of whole-body joint motions using principal component analysis medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-09-15 Jun Nakatake, Shigeaki Miyazaki, Hideki Arakawa, Etsuo Chosa
Understanding elementary feeding movements and postures is essential for improving assessment and intervention strategies in occupational therapy, particularly for individuals with eating difficulties, and for educating caregivers and students; however, current assessment tools lack precision in evaluating complex feeding movements and often rely on subjective judgments rather than objective measures
-
Impact of early postoperative ambulation on gait recovery after hip fracture surgery: A multicenter cohort study medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-09-13 Keisuke Nakamura, Yasushi Kurobe, Keita Sue, Shinichi Sakurai, Tomohiro Sasaki, Shuhei Yamamoto, Naoko Ushiyama, Masahito Taga, Kimito Momose
Objective: This study aimed to investigate the effect of early postoperative ambulation on gait recovery at the initial postoperative week and at discharge after hip fracture surgery in older patients. Design: Multicenter prospective cohort study. Setting and Participants: The study included 882 patients aged ≥65 years from 10 acute hospitals in Japan. Methods: Patients were divided into two groups
-
Backward Locomotor Treadmill Training on Walking and Balance Outcomes in Stroke Survivors: A Randomized Clinical Trial medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-09-13 Oluwole O. Awosika, Colin Drury, Amanda Garver, Pierce Boyne, Heidi Sucharew, Emily Wasik, Amit Bhattacharya, Kari Dunning, Pooja Khatri, Brett Kissela
Background and Purpose: Walking and balance impairments after stroke are a global health concern, causing significant morbidity and mortality. However, effective strategies for achieving meaningful recovery in the chronic stages are limited. Backward locomotor treadmill training (BLTT) is a novel walking rehabilitation protocol that is safe, feasible, and likely beneficial in stroke survivors; however
-
EFFECTS OF LIFESTYLE ACTIVITY LEVEL ON ANTICIPATORY LOCOMOTOR ADJUSTMENTS FOR PEDESTRIAN CIRCUMVENTION medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-09-12 Joris Boulo, Margaux Simon, Bradford James McFadyen, Andreanne Blanchette
Navigating public environments requires adjustments to one s walking patterns to avoid stationary and moving obstacles. It is known that physical inactivity induces alterations in motor capacities, but the impact of inactivity on anticipatory locomotor adjustments (ALA) has not been studied. The purpose of the present study was to compare ALAs and related muscle co-contraction during a pedestrian circumvention
-
Rehabilitation with and without Robot and Allied Digital Technologies (RADTs) in stroke patients: a study protocol for a multicentre Randomised Controlled Trial on the effectiveness, acceptability, usability, and economic-organizational sustainability of RADTs from subacute to chronic phase (STROKEFIT4) medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-09-12 Irene Giovanna Aprile, Marco Germanotta, Alessio Fasano, Mariacristina Siotto, Maria Cristina Mauro, Arianna Pavan, Giovanna Nicora, Giuseppina Sgandurra, Alberto Malovini, Letizia Oreni, Nevio Dubbini, Enea Parimbelli, Giovanni Comandè, Christian Lunetta, Pietro Fiore, Roberto De Icco, Carlo Trompetto, Leopoldo Trieste, Giuseppe Turchetti, Silvana Quaglini, STROKEFIT4 study group
Introduction. Rehabilitation after stroke often employs Robots and Allied Digital Technologies (RADTs). However, evidence of their effectiveness remains inconclusive due to study heterogeneity and limited sample sizes. Here, we describe a protocol for a multicentre randomized controlled pragmatic trial aimed at comprehensively and accurately assessing the effectiveness and sustainability of RADT-mediated
-
Industry differences in managers’ experiences of work capacity in employees with common mental disorders: a cross-sectional study on the Swedish labour market medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-09-07 Lisa Bjork, Jenny Hultquist, Gunnel Hensing, Monica Bertilsson
The aim of this study was to assess industry differences in managers' experiences and ratings of work capacity in employees with common mental disorders (CMDs). Swedish managers (N=1819) were grouped into three industry classifications. Differences between industries in managers’ experiences were investigated by chi-squared tests. The managers’ ratings of how work capacity was affected by CMDs were
-
The relationship between physical function and psychological symptoms in Parkinson's: A Survey of People with Parkinson’s and Carers medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-09-06 Philip Hodgson, Alastair Jordan, Charikleia Sinani, Divine Charura
Background: People with Parkinson's (PwP) can experience both physical and psychological symptoms, and understanding the perspectives of people affected is crucial for improved management, and clinical outcomes. Objectives: This online survey sought to investigate whether individuals perceive a connection between physical and psychological symptoms, while also considering the influence of personal
-
Reclaiming Motor Functions after Complete Spinal Cord Injury using Epidural Minimally Invasive Brain-Computer Interface medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-09-06 Dingkun Liu, Yongzhi Shan, Penghu Wei, Wenzheng Li, Honglai Xu, Fangshuo Liang, Tao Liu, Guoguang Zhao, Bo Hong
Spinal cord injuries significantly impair patients' ability to perform daily activities independently. While invasive brain-computer interfaces (BCIs) offer high communication bandwidth to assist and rehabilitate these patients, their invasiveness limits broader adoption. We developed a minimally invasive BCI system that balances safety and communication bandwidth to restore hand functions. This system
-
Are specific, measurable, action-oriented, realistic, and time-bound (SMART) goals associated with improved walking outcomes for stroke survivors undergoing outpatient stroke rehabilitation? An observational cross-sectional retrospective cohort study medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-09-06 Helia Mohammadi-Ghayeghchi, Nidhi Bhagat, Mackenzie Campbell, Madi Mayhew, Rheall Dufresne, Levi Ewald, Augustine J. Devasahayam, Avril Mansfield
Background Goal-setting is a core principle used in clinical practice to guide treatment. Setting goals improves adherence to rehabilitation treatments and may lead to better outcomes in people with neurological disorders. However, there is a lack of research into the prevalence of goals using a Specific, Measurable, Action-Oriented, Realistic, and Time-Bound (SMART) framework. Additionally, it is
-
Understanding Bilateral Motor Coordination in Stroke Using the Towel Folding Task: An Exploratory Biomechanical Study medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-09-04 Jingyi Wu, Patrick Wai-Hang Kwong, Ananda Sidarta, Jack Jiaqi Zhang, Jingwen Zhuang, Yining Li, Kenneth NK Fong
Objectives Coordination deficits in bilateral upper limbs make daily activities more difficult for stroke survivors. Previous studies showed worse kinematics during unilateral tasks compared to healthy individuals, but this was unclear for bimanual tasks. We aim to assess the potential of the towel folding task from the Wolf Motor Function Assessment as a measure of bimanual control by examining kinematic
-
Research report CERITER Clinical study - Stride One medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-09-04 Sarah Meyer, Jan Limet, Piet Stevens, Marc Michielsen
Objective This study investigates the short-term impact of the use of Ceriter Stride One on the quality of gait in patients rehabilitating after a cerebrovascular accident (CVA). Stride One is a smart insole that provides real-time audio feedback (cues) to the patient when performing a certain exercise. The goal of Stride One is to allow patients to practice walking more intensively and with higher
-
Red flags useful to screen for suspect cancer in patients with low back pain: a scoping review protocol medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-09-01 Gianluca Notarangelo, Giuseppe Giovannico, Francesco Bruno, Claudia Milella, Firas Mourad, Filippo Maselli
Low back pain (LBP) is defined as pain and discomfort occurring under the costal arch and above the inferior gluteal folds, with or without leg pain. The most common type of low back pain is “non-specific low back pain”. It is defined as such because there is no specific pathology that can be the cause. Instead, “specific low back pain” is caused by diseases such as infections, tumors, osteoporosis
-
Priority Setting for Multicenter Research Among Adults with Cerebral Palsy: A Qualitative Study medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-08-29 Cristina A. Sarmiento, Mary Gannotti, Jocelyn Cohen, Edward Hurvitz
Purpose Identify priorities for adult cerebral palsy (CP) research by engaging individuals with lived experience, clinical investigators, and community leaders.
-
Gait Adaptations to Walking Speeds in Individuals with Myotonic Dystrophy Type 1 medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-08-28 Hoerter Barthelemy, Laurent Ballaz, Yosra Cherni
Background Myotonic dystrophy type 1 (DM1) is a prevalent inherited muscular dystrophy in adults, affecting distal muscles such as the gastrocnemius, soleus, and tibialis anterior. This leads to significant gait deviations and reduced walking speed, impacting overall well-being and increasing fall risk. Objective This study aimed to assess how walking speed affects gait kinematics in individuals with
-
Effects of maximal speed locomotor training on spatiotemporal gait changes in individuals with chronic stroke: A secondary analysis of a randomized controlled trial medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-08-28 Daria Pressler, Sarah M. Schwab-Farrell, Darcy S. Reisman, Sandra A. Billinger, Pierce Boyne
Objective To investigate longitudinal changes in spatiotemporal gait parameters after maximal versus moderate speed locomotor training in chronic stroke, by comparing short-burst high-intensity interval training (HIIT) versus moderate-intensity aerobic training (MAT). Compared to MAT, short-burst HIIT was hypothesized to exhibit greater improvement in non-paretic step length.
-
A low-cost virtual reality stroke rehabilitation system: breaking down barriers to treatment medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-08-26 Aidan Fisk, Summer Fox, Jenna Floyd, Daniel H Blustein
Stroke is a leading cause of disability worldwide. Following a stroke, high doses of intensive motor rehabilitation provide maximal benefit. Barriers to realizing recommended levels of rehabilitation therapy include cost, physical access, and clinical resource availability. Virtual Reality (VR) offers a potential solution to overcome these challenges and enable home-based, self-directed therapy. Here
-
Predicting Walking Capacity Outcomes After Moderate to High Intensity Locomotor Training in Chronic Stroke medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-08-26 Christina Garrity, Darcy S Reisman, Sandra A Billinger, Katie A Butera, Pierce Boyne
Purpose: Moderate-to-high intensity locomotor training (M-HIT) is strongly recommended in stroke rehabilitation but outcomes are variable. This study aimed to identify baseline clinical characteristics that predict change in walking capacity following M-HIT in chronic stroke. Methods: This analysis used data from the HIT-Stroke Trial (N=55), which involved up to 36 sessions of either moderate or high
-
Comparison of Peripheral Nerve Injury Outcomes Between COVID-19 Survivors and Non-COVID Rehabilitation Inpatients: A Retrospective Study medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-08-22 Antonio Mondriguez-Gonzalez, Brian M Rothemich, Manasi N Sheth, Kevin N Swong, Colin K. Franz
Introduction: Peripheral nerve injury (PNI) is associated with severe Coronavirus disease 2019 (COVID-19) survivorship. The diagnosis of PNI is often made by a physiatrist during a detailed functional assessment during an inpatient rehabilitation stay. COVID-19 patients have elevated rates of medical comorbidities, including risk factors for acquired PNI, such as diabetes mellitus and obesity. It is
-
What keeps male amateur rugby union players committed to the game despite high risk of injury? A qualitative study. medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-08-21 Samuel Lane, Colin Ayre
Objectives: Rugby Union is a popular sport worldwide characterised by high intensity full contact match play. Injuries are common during matches and training. While musculoskeletal injury is expected in such a sport, there is emerging research evidence and increased public awareness of neurodegenerative disease risks. The objectives of the present study are to explore reasons for continued participation
-
Soluble IL-2R impairs muscle cell mitochondrial respiration in fatigued individuals with post-acute sequelae of COVID-19. medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-08-20 Laura Peterson Brown, Jai Joshi, Kate Kosmac, Douglas E Long, Ashley A Montgomery-Yates, Anna G Kalema, Jamie Sturgill, Hemendra Vekaria, Patrick Sullivan, Dylan Wilburn, Panagiotis Koutakis, Christine M Latham, Christopher Fry, Philip A Kern, Benjamin Miller, Esther Dupont-Versteegden, Ahmed Ismaeel, Kirby P Mayer, Yuan Wen
Post-acute sequelae of COVID (PASC) persist in many patients for weeks and months after recovery from initial SARS-CoV-2 infection. Recent evidence suggests that pathological changes in skeletal muscle may contribute significantly to ongoing pain and fatigue, particularly post-exertional malaise. This study aimed to investigate the underlying mechanisms of PASC-related fatigue by examining skeletal
-
A Large Harmonized Upper and Lower Limb Accelerometry Dataset: A Resource for Rehabilitation Scientists medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-08-16 Allison Miller, Keith Lohse, Marghuretta D Bland, Jeffrey D Konrad, Catherine R Hoyt, Eric J Lenze, Catherine E Lang
Wearable sensors can measure movement in daily life, an outcome that is salient to patients, and have been critical to accelerating progress in rehabilitation research and practice. However, collecting and processing sensor data is burdensome, leaving many scientists with limited access to such data. To address these challenges, we present a harmonized, wearable sensor dataset that combines 2,885 recording
-
Audio-Visual Stimulation Therapy for Chronic Neuropathic Pain: A Sham-Controlled Randomized Clinical Trial medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-08-13 Laura Tabacof, Rebecca Howard, Jeffrey Bower, Erica Breyman, Sophie Dewil, Jenna Tosto-Mancuso, Richard Hanbury, Brandon Carmouche, Mark Robberson, Adam Fry, David Putrino
Neuropathic Pain (NP) affects 10% of the general population, decreasing quality of life for millions of Americans and contributing to higher physical and mental health care costs. The most widely used treatments for NP involve medications that show limitations in efficacy and burdensome side effects. This randomized controlled trial explored the efficacy of a wearable Audio-Visual Stimulation neuromodulation
-
Long COVID Brain Fog Treatment: Findings from a Pilot Randomized Controlled Trial of Constraint-Induced Cognitive Therapy medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-08-12 Gitendra Uswatte, Edward Taub, Karlene Ball, Brandon S Mitchell, Jason A Blake, Staci McKay, Fedora Biney, Olesya Iosipchuk, Piper Hempfling, Elise Harris, Anne Dickerson, Kristine Lokken, Amy J Knight, Victor W Mark, Shruti Agnihotri, Gary Cutter
Purpose: Long COVID brain fog is often disabling. Yet, no empirically-supported treatments exist. This study′s objectives were to evaluate feasibility and efficacy, provisionally, of a new rehabilitation approach, Constraint-Induced Cognitive Therapy (CICT), for post-COVID-19 cognitive sequelae. Design: Sixteen community-residents ≥ 3-months post-COVID-19 infection with mild cognitive impairment and
-
Effect of cardiorespiratory exercise during rehabilitation on functional recovery early post-stroke: a cohort study medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-08-10 Sarah Thompson, Augustine Joshua Devasahayam, Cynthia J Danells, David Jagroop, Elizabeth L. Inness, Avril Mansfield
Background: People with stroke often have low cardiorespiratory fitness, hindering daily activities and rehabilitation participation. Cardiorespiratory exercise (CRE) early post-stroke can improve fitness, facilitating participation in rehabilitation, and may promote neuroplasticity. This longitudinal observational study aimed to determine the effect of CRE during routine inpatient stroke rehabilitation
-
Hebbian plasticity induced by temporally coincident BCI enhances post-stroke motor recovery medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-08-09 Johanna Krueger, Richard Krauth, Christoph Reichert, Serafeim Perdikis, Susanne Vogt, Tessa Huchtemann, Stefan Duerschmid, Almut Sickert, Juliane Lamprecht, Almir Huremovic, Michael Goertler, Slawomir J. Nasuto, I-Chin Tsai, Robert T. Knight, Hermann Hinrichs, Hans-Jochen Heinze, Sabine Lindquist, Michael Sailer, Jose del R. Millan, Catherine M. Sweeney-Reed
Functional electrical stimulation (FES) can support functional restoration of a paretic limb post-stroke. Hebbian plasticity depends on temporally coinciding pre- and post-synaptic activity. A tight temporal relationship between motor cortical (MC) activity associated with attempted movement and FES-generated visuo-proprioceptive feedback is hypothesized to enhance motor recovery. Using a brain-computer
-
Excess ventilation and chemosensitivity in patients with chronic coronary syndrome and patients with heart failure with reduced ejection fraction – a case control study medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-08-09 Prisca Eser, Dominic Kaesermann, Pietro Calamai, Anja Kalberer, Laura Stuetz, Sarina Huber, James Duffin, Matthias Wilhelm
Background In patients with chronic coronary syndromes (CCS) increased ventilation/carbon dioxide production (VE/VCO2) slope has been found to predict disease progression and mortality similarly to patients with heart failure (HF), however, chemosensitivity has rarely been assessed in patients with CCS. Method Patients with CCS, HF with reduced ejection fraction (EF<50%), old healthy (45+ years) and
-
Multipoint Stimulation Motor Unit Number Estimation of the Extensor Indicis and Anconeus after Cervical Spinal Cord Injury medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-08-09 Adenike A Adewuyi, Mahdis Hashemi, Shreyaa Khanna, Michael J Berger, Colin K Franz
Introduction: The health of infralesional lower motor neurons (LMNs) after a cervical spinal cord injury is frequently overlooked, despite its critical role in mediating effective clinical interventions for improving arm and hand function. Prior studies suggest high frequencies of infralesional lower motor abnormalities in muscles that are potential targets for nerve transfer surgery, a procedure that
-
Improving Clarity and Interpretability of Items in a Bilingual Index of Propensity to Integrate Research Evidence into Clinical Decision-Making in Rehabilitation medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-08-08 Jacqueline Roberge-Dao, Nancy Mayo, Annie Rochette, Keiko Shikako, Aliki Thomas
Purpose: To contribute evidence for the clarity and interpretability of a new five-item bilingual multidimensional index of a rehabilitation clinician's propensity to integrate research evidence into clinical decision-making. Methods: This study was conducted in three sequential steps: (1) We conducted a focus group with occupational therapists, physical therapists, and researchers to review the items
-
Talking while Walking After Concussion: Acute effects of concussion on speech pauses and gait speed medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-08-07 Shu Yang, Paula K Johnson, Elisabeth A Wilde, Colby R Hansen, Melissa M Cortez, Leland E Dibble, Peter C. Fino, Tiphanie E Raffegeau
Background: Deficits in dual-tasks (DT) are frequently observed post-concussion (i.e., mild Traumatic Brain Injury). However, traditional DT may not be relevant to daily life. Walking while talking elicits DT costs in healthy adults and is part of daily life. Objective: We investigated the effect of concussion on walking with extemporaneous speech and explored relationships between DT and acute symptoms
-
Lesion location changes the association between brain excitability and motor skill acquisition post-stroke medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-07-31 Bernat de las Heras, Lynden Rodrigues, Jacopo Cristini, Kevin Moncion, Numa Dancause, Alexander Thiel, Jodi Edwards, Janice J Eng, Ada Tang, Marc Roig
Background: The capacity to reacquire motor skills lost after a stroke is crucial to promote upper-limb motor recovery but the impact of lesion location on motor skill acquisition and the underlying neurophysiological mechanisms remain uncertain. Methods: We used transcranial magnetic stimulation to investigate associations between excitatory and inhibitory cortico-spinal excitability measures and
-
A Methodological Evaluation of Meta-Analyses in tDCS - Motor Learning Research medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-07-30 Taym Alsalti, Ian Hussey, Malte Elson, Robert Krause, Steffi Pohl
With transcranial direct-current stimulation's (tDCS) rising popularity both in motor learning research and as a commercial product, it is becoming increasingly important that the quality of evidence on its effectiveness be evaluated. Special attention should be paid to meta-analyses, as they usually have a large impact on research and clinical practice. The aim of this study was to evaluate the methodological
-
Baseline correlation between pain, range of motion, disability, and health-related quality of life variables in subjects with frozen shoulder: A cross-sectional study medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-07-29 fabrizio brindisino, Antonio Poser, Daniel Feller, Davide Venturin
Frozen shoulder (FS) is a debilitating condition affecting the glenohumeral joint. As FS frequently manifests as a chronic condition, it intensifies pain and leads to disability and to a deterioration in overall quality of life, affecting physical, behavioral, mental, and social dimensions. While the impact of pain on disability is widely acknowledged, recent literature highlights a growing body of
-
Kinesiophobia and physical activity: A systematic review and meta-analysis medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-07-25 Miriam Goubran, Ata Farajzadeh, Ian M. Lahart, Martin Bilodeau, Matthieu P. Boisgontier
OBJECTIVE. Physical activity contributes to the primary, secondary, and tertiary prevention of multiple diseases. However, in some patients, an excessive, irrational, and debilitating fear of movement (i.e., kinesiophobia) is thought to induce avoidance behaviors, contributing to decreased engagement in physical activity. The aim of this study was to examine whether kinesiophobia is negatively associated
-
The AbilityQuotient Dashboard: Outcomes of Implementing Patient-Specific Predictive Modeling in Inpatient Team Conference medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-07-23 James Sliwa, Julia Carpenter, Andrew J Bodine, Caitlin Deom, Richard L Lieber
Objective: Recent work has highlighted the importance of data-driven decision making as it relates to precision medicine and the field of rehabilitation as a whole. One promising method of facilitating the integration of data into patient care involves the use of data warehousing to process and host stores of patient data, analytics to produce useful results, and dashboarding technology to disseminate
-
Integrating Physiotherapy into Primary Care Models: A Scoping Review Protocol medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-07-18 Andrews Kwabena Tawiah, Nathaniel Saddy, Aamir Aboosally, Jordan Aslanidis, Anthony Beilin, Jessica da Silva Schezar, Jordan Miller
Introduction Physiotherapists (PTs) working in primary care settings within an interprofessional team can lead to favourable health outcomes and decreased burden on the healthcare system. Although PT models of care are important to primary care delivery, there is a lack of knowledge and evidence on the characteristics of these models of care, the differences and similarities between the models, and
-
Apathy, intentions, and affective attitudes in physical activity behavior medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-07-16 Ata Farajzadeh, Nathalie Dionne, Nickolas Benoit, Olivier Bezeau, Tristan Bourgie, Benjamin Gerro, Jacob Ouimet, Matthieu P. Boisgontier
Background. Greater behavioral apathy has been shown to be associated with lower engagement in physical activity. However, the mechanisms underlying this association remain overlooked and poorly understood. Intention, explicit attitudes, and implicit attitudes toward physical activity may play a central role in the relationship, given their strong links to motivation and physical activity. Methods
-
Identifying candidate items for a prototype index on propensity to integrate research evidence into clinical decision-making in rehabilitation medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-07-16 Aliki Thomas, Jacqueline Roberge-Dao, Annie Rochette, Keiko Shikako, Nancy Mayo
Purpose: Existing measures of evidence-based practice (EBP) in rehabilitation provide a fragmented interpretation of EBP competencies as performance is rated on discrete domains without a harmonized measure to represent the multidimensionality of EBP. Building on previous work, this study aimed to provide evidence that a brief multidimensional index can be formed to determine a clinician's propensity
-
Prospective classification of functional dependence: Insights from machine learning and 39,927 participants in the Canadian Longitudinal Study on Aging medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-07-15 Zachary M. van Allen, Nathalie Dionne, Matthieu P. Boisgontier
Objective: Functional dependence is a multifactorial health condition that affects well-being and life expectancy. To better understand the mechanisms underlying functional dependence, we aimed to identify the variables that best prospectively classify adults with and without limitations in basic and instrumental activities of daily living. Methods: A filtering approach was used to select the best
-
Effects of robotic gait rehabilitation with Lokomat® in vascular hemiplegia medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-07-15 Constance MICHEL, Soizic Injeyan, Xavier Ropero, Remy De Mil, Olivier Arkoun, Anne Peskine
Introduction : Gait rehabilitation after a stroke is a major concern in physical medicine and rehabilitation. Since 2007, Le Normandy rehabilitation center is equipped with robotic assisted gait training named ?Lokomat?. This study was conducted to investigate the effect of Lokomat on the walking performance of hemiplegic patients after a stroke and to identify the influence of certain factors. Methods:
-
What's in a name? Protocol for a bibliometric and content analysis of rehabilitation, reablement, reactivation, and restorative health care services medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-07-10 Evan MacEachern, Miranda Wu, Shawna Cronin, Áine Carroll, Marco Inzitari, Gaston Perman, Janet Prvu-Bettger, Michelle L.A. Nelson
Background: Various terms are used interchangeably to describe health care services that focus on supporting functional recovery after experiencing a health event. Previous literature has identified these terms as the 4R’s: rehabilitation, reablement, reactivation, and restorative health care services. However, there lacks a clear understanding and delineation between these concepts, making it difficult
-
Traumatic Encephalopathy Syndrome in the Late Effects of Traumatic Brain Injury (LETBI) study cohort medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-07-05 Kristen Dams-O'Connor, Enna Selmanovic, Lisa Spielman, Ariel Pruyser, Ashlyn Bulas, Eric Watson, Jesse Mez, Jeanne M Hoffman
Importance:Traumatic encephalopathy syndrome (TES),the suggested clinical manifestation of chronic traumatic encephalopathy(CTE),is believed to result from repetitive head impacts (RHI) and the prevalence of TES and its component symptoms have not been thoroughly investigated in individuals with single TBI.Objective:To use prospectively collected data to operationalize TES per consensus research diagnostic
-
Longitudinal trajectories of muscle impairments in growing boys with Duchenne muscular dystrophy medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-07-02 Ines Vandekerckhove, Marleen Van den Hauwe, Tijl Dewit, Geert Molenberghs, Nathalie Goemans, Liesbeth De Waele, Anja Van Campenhout, Friedl De Groote, Kaat Desloovere
Background Insights into the progression of muscle impairments in growing boys with Duchenne muscular dystrophy (DMD) remains incomplete due to the frequent oversight of normal maturation as confounding factor, thereby restricting the delineation of sole pathological processes. Objective To establish longitudinal trajectories for a comprehensive integrated set of muscle impairments, including muscle
-
Subthreshold intracortical microstimulation of human somatosensory cortex enhances tactile sensitivity medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-06-28 Luke E Osborn, Breanne Christie, David P McMullen, Victoria Arriola, Tessy M Thomas, Ambarish S Pawar, Robert W Nickl, Manuel Alejandro Anaya, Brock A Wester, Charles M Greenspon, Gabriela L Cantarero, Pablo A Celnik, Sliman J Bensmaia, Jeffrey M Yau, Matthew S Fifer, Francesco V Tenore
Intracortical microstimulation (ICMS) of the somatosensory cortex activates neurons around the stimulating electrodes and can elicit tactile sensations. However, it is not clear how the direct activation of cortical neurons influences their ability to process additional tactile inputs originating from the skin. In a human implanted with chronic microelectrode arrays in both left and right somatosensory
-
Participation Questionnaire for Preschoolers with Autism Spectrum Disorder: Item Development medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-06-24 Takuto Nakamura, Sakumi Koyama, Hirofumi Nagayama, Satoshi Sasada
Occupational therapists must comprehensively assess how children with autism spectrum disorder (ASD) participate in daily activities and evaluate the effectiveness of interventions. Several tools for measuring participation have been developed for children with ASD; however, these tools often require expert involvement, which limits their use in large-scale surveys. To mitigate these issues, a caregiver-administered
-
Synchronous Group-Based Tele-Exercise versus Community-Based Interventions: Effects on Physical Functioning and Adherence in Older Adults at Risk of Falls - A Randomized Controlled Trial medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-06-24 Karly O. W. Chan, Peter P. Yuen, Ben Y.F. Fong, Vincent T.S. Law, Fowie S.F. Ng, Janet L.C. Lee, I.S. Cheung, Tommy K.C. Ng, Wilson C.P. Fung
Objective This study aimed to assess the effectiveness of synchronous group-based tele-exercise (TE) in improving physical functioning and exercise adherence among older adults at risk of falls, comparing it to a community-based group (CB).
-
Depressive Symptoms Are Associated With Reduced Unsupervised Training Participation in Inpatients With Subacute Stroke: A Secondary Data Analysis Study medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-06-22 Kazuaki Oyake, Kaori Takahashi, Aiko Arikawa, Honoka Abe, Kunitsugu Kondo, Yohei Otaka, Satoshi Tanaka
Objective: To investigate the association between depressive symptoms and time spent in unsupervised training among inpatients with subacute stroke. Design: This study was a secondary analysis of an unpublished dataset from 34 inpatients with subacute stroke (19 males; median age 65 [interquartile range, 55-75] years). Primary outcome was the median time spent in unsupervised training across three
-
Implementation of a people-like-me tool for personalized rehabilitation after total knee arthroplasty: A mixed methods pilot study medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-06-21 Jeremy Graber, Lauren Hinrichs-Kinney, Laura Churchill, Daniel D Matlock, Andrew J Kittelson, Adam Lutz, Michael Bade, Jennifer Stevens-Lapsley
Objective We piloted a decision support tool that promotes a people-like-me (PLM) approach to rehabilitation after total knee arthroplasty (TKA). The PLM approach encourages person centered care by using historical outcomes data from similar (past) patients as a template of what to expect for a new patient. In this study, we evaluated how successfully the PLM tool was implemented and examined contextual
-
Multi-joint approach for assessing lower limb proprioception: reliability and precision in school-aged children medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-06-20 Nina Jacobs, Maud van den Bogaart, Ann Hallemans, Pieter Meyns
Background: The Joint Position Reproduction (JPR) approach has been commonly used to assess joint position sense (JPS), however, no prior study investigated its psychometric properties in children. This study aimed to assess the reliability and precision of a newly developed multi–joint JPR protocol for assessing lower limb JPS in school-aged typically developing (TD) children. Methods: Ankle, knee
-
Overview of effects of motor learning strategies in neurological and geriatric populations: a systematic mapping review medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-06-20 Li-Juan Jie, Melanie Kleynen, Guus Rothuizen, Elmar Christiaan Kal, Andreas Rothgangel, Susy Braun
Introduction: Motor learning plays a central role in neurological and geriatric rehabilitation. The wide range of motor learning strategies and increase in evidence can make it difficult to make informed decisions about the use of motor learning strategies in practice. This review’s aim was to provide a broad overview of the current state of research regarding the effects of seven commonly used motor
-
The Predictive Value of Diaphragm Muscle Ultrasound for Ventilator Weaning Outcomes after Cervical Spinal Cord Injury: A Retrospective Case Series medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-06-19 Natasha S Bhatia, Stephany Kunzweiler, Christopher Conley, Ki H Kim, Adenike Adewuyi, Antonio Mondriguez-Gonzalez, Lisa F Wolfe, Mary Kwasny, Colin K. Franz
Objectives Neuromuscular respiratory failure after spinal cord injury (SCI) can lead to dependence on a ventilator. Ventilator-free breathing after SCI is associated with improved morbidity, mortality, and quality of life. We investigated the use of diaphragm muscle ultrasound to predict ventilator weaning outcomes after spinal cord injury. Methods This is a retrospective case series conducted at a
-
Patient and Clinician Perceptions of a 'People-Like-Me' Tool for Personalized Rehabilitation after Total Knee Arthroplasty: A Qualitative Interview Study medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-06-15 Laura Churchill, Jeremy Graber, Meredith Mealer, Charles A. Thigpen, Dan D. Matlock, Michael J. Bade, Jennifer E. Stevens-Lapsley
Objective: We developed a decision support tool to help physical therapists (PTs) address the varied expectations and recoveries of the total knee arthroplasty (TKA) population. The tool enables a people-like-me approach to rehabilitation, which centers around using historical outcomes data from similar (past) patients as a template of what to expect for a new patient. The purpose of this study was
-
Evaluating Cervical Spine Mobility and Fitt's Law Compliance: The DidRen Laser Test Adapted for Virtual Reality with Age and Sex Effects medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-06-13 Frederic Dierick, Renaud Hage, Wesley Estievenart, Joey Bruno, Olivier Nocent, William Bertucci, Fabien Buisseret
Cervical spine mobility assessment is crucial in rehabilitation to monitor patient progress. This study introduces the DidRen VR test, a virtual reality (VR) adaptation of the conventional DidRen laser test, aimed at evaluating cervical spine mobility. We conducted a cross-sectional study involving fifty healthy participants that underwent the DidRen VR test. The satisfaction of Fitts' law within this
-
Transcutaneous Electrical Spinal Cord Stimulation Promotes Focal Sensorimotor Activation that Accelerates Brain-Computer Interface Skill Learning medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-06-11 Hussein Alawieh, Deland Liu, Jonathan Madera, Satyam Kumar, Frigyes Samuel Racz, Ann Majewicz Fey, José del R. Millán
Injuries affecting the central nervous system may disrupt neural pathways to muscles causing motor deficits. Yet the brain exhibits sensorimotor rhythms (SMRs) during movement intents, and brain-computer interfaces (BCIs) can decode SMRs to control assistive devices and promote functional recovery. However, non-invasive BCIs suffer from the instability of SMRs, requiring longitudinal training for users
-
Application of tailored motor learning in community-based physiotherapy: a user-centered design and process evaluation of an extended framework medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-06-11 Guus Rothuizen, Li-Juan Jie, Gaston Jamin, Roderick Wondergem, Susy Braun, Melanie Kleynen
Abstract Objective To develop supplementary knowledge and tools to support the application of motor learning in community-based physiotherapy of geriatric individuals and evaluate physiotherapists their experiences of the developed knowledge and tools. Design A prospective case study comprised of two phases: 1) a user-centered design, and 2) a process evaluation. Setting Community-based physiotherapy
-
Co-developing a novel intervention to promote wellbeing of family caregivers of individuals with spinal cord injury: Research protocol medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-06-10 Somayyeh Mohammadi, Beth Erlander, Heather Cathcart, Julie M. Robillard, David GT Whitehurst, Elena Pauly, Brooke Pagé, Sophia Sauvageau, William C. Miller
Family caregivers of individuals with spinal cord injury (fcSCI) are responsible for providing assistance with activities of daily living for individuals with spinal cord injury (SCI), which can include emotional support and physical assistance. Over time, providing daily support can put fcSCI at risk of experiencing caregiver burden. Burden and distress can have a substantial impact on fcSCI’s wellbeing
-
Development and Validation of a Bedside Scale for Assessing Upper Limb Function Following Stroke: A Methodological Study medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-06-10 Dhaval Pawani, Abraham M Joshua, Akshatha Nayak, Vijayakumar Palaniswamy, Prasanna Mithra, Ashish John Prabhakar, Sampath Kumar Amaravadi
Objective: This study aimed to develop and concurrently validate a simple, resource efficient and time efficient bedside tool based on day to day movement tasks for evaluating upper limb function in stroke survivors Methods: The study qualitative and cross-sectional component was conducted in 2 stages. At the initial stage, a relevant literature review was carried out to conceptualize and define the
-
Healthcare providers’ knowledge and use of psychological and psychoSOCIAL screening and interventions in the management of patients with tendinopathy: An International Survey of Practice medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-06-05 Seth O’Neill, Laura English, Adrian Mallows, Carl Stubbs, Gareth Stephens, Sam Briggs-Price, Paul Kirwan, Matt Lee, Sean McAuliffe, Matt Kenyon
Background Psychological and psychosocial factors play an important role in the management of patients with musculoskeletal disorders. Currently, there is no information exploring how clinicians current practice is informed by these factors in the people with tendinopathy exists.
-
Getting seniors back on their bicycle; a pretest-posttest case-control study on the improvement of bicycle balance control medRxiv. Rehabilit. Med. Phys. Ther. Pub Date : 2024-06-04 Eric Maris
Objective Quantify the effectiveness and generalizability of an intervention that aims at restoring bicycle balance control skills in seniors that have quit cycling.