Objectives To identify areas of most restricted self-reported participation among Veterans with traumatic brain injury (TBI), explore associations among participation restriction and clinical characteristics, and examine differences in participation restrictions by sex. Design Retrospective cross-sectional design. Setting National VA Polytrauma System of Care outpatient settings. Participants Veterans

Objective To investigate altered prefrontal white matter integrity in complex regional pain syndrome (CRPS) and its relationship with the degree of pain catastrophizing. Design Cross-sectional study. Setting University hospital. Participants Twenty-one CRPS patients and 49 healthy controls. Interventions Not applicable. Main Outcome Measures The fractional anisotropy values within the prefrontal regions

Objectives We conducted two complementary scoping reviews to (1) identify instruments that assess experience and outcomes of custom ankle-foot orthosis (AFO) care in persons with neurologic and traumatic conditions and (2) determine to what extent they might be psychometrically sound for AFO users. A stakeholder Advisory Committee considered to what extent the identified and psychometrically sound

Our objective was to make recommendations intended to reduce the rate of opioid misuse and overdose for a particularly high-risk group of people with traumatic brain injury (TBI). A consensus process conducted with TBI researchers and expert practitioners developed practical recommendations to inform prescribing of opioids for people with TBI. After determining key general principles for prescribing

Objective To assess outcomes at 12 and 24 months following participation in a multidisciplinary cardiac rehabilitation program plus usual care compared with usual care alone for patients treated for atrial fibrillation with catheter ablation. Design Long-term follow-up on the randomized CopenHeartRFA trial. Stetting Patients were enrolled and outcome assessed at the hospital and the intervention were

Objective To investigate the association of sexuality with sociodemographic (age, sex, education), medical (injury severity, time since injury), physical (fatigue, pain, independence), neuropsychological (memory, attention, executive function), psychological (depression, anxiety, self-esteem), and social participation factors after traumatic brain injury (TBI). Design Survey. Individuals with TBI completed

Objectives The primary objective was to provide a list of effective motivational strategies based on consensus among rehabilitation experts, generated using the Delphi technique. The secondary objective was to identify the types of information that are important when selecting motivational strategies. Design Delphi study. Setting On-site survey at academic conferences and web-based survey. Participants

Objective To compare the effectiveness and rank order of physical therapy interventions, including conventional physical therapy (CPT), inspiratory muscle training (IMT), and early mobilisation (EM) on the mechanical ventilation (MV) duration and weaning duration. Data sources PubMed, The Cochrane Library, Scopus, and CINAHL Complete electronic databases were searched through August 2019. Study selection

Objective To combine items from the Functional Independence MeasureTM (FIMTM), Minimum Data Set 2.0 (MDS), and the Outcome and Assessment Information Set-B (OASIS) to reliably measure cognition across post-acute care settings and facilitate future studies of patient cognitive recovery. Design Rasch analysis of data from a prospective, observational cohort study. Setting Post-acute care inclusive of

Objective To evaluate changes in duration of physical activity (PA) and sedentary behavior (SB) from discharge to one year after inpatient rehabilitation in ambulatory people with spinal cord injury (SCI). Design Longitudinal cohort study with objective measurements of physical behavior at discharge, 6 months and 12 months post-discharge. Setting Three rehabilitation centers and the participant’s home

Objective To summarize the effectiveness of physical therapy (PT) interventions to reduce fear of falling (FOF) among individuals living with neurological diseases. Data Sources PubMed, PEDro, Scopus, Web of Science, PsycINFO, CINAHL, and SportDiscuss were searched from inception until December 2019. Study Selection Clinical trials with either the primary or secondary aim to reduce FOF among adults

Objective To examine the impact of agitation, cognitive impairment, fatigue and pain on physical therapy participation and outcomes during Post Traumatic Amnesia (PTA) following traumatic brain injury (TBI). Design Prospective longitudinal study. Setting Inpatient Rehabilitation Hospital. Participants 77 participants with moderate-to-severe TBI, deemed to be in PTA using the Westmead Post-Traumatic

Objective To determine if ballistic resistance training is feasible, safe and effective in improving muscle strength, power generation and mobility in adults with neurological conditions. Data Sources Nine electronic databases were searched from inception to March 2019 in addition to the reference lists of included articles. [PROSPERO CRD42019126007] Study Selection Articles were independently screened

Objective To examine predictors of profiles of cognitive functioning among individuals receiving acute inpatient spinal cord injury (SCI) rehabilitation as well as associations between their cognitive functioning and psychological well-being (life satisfaction and depression) 6 months after the baseline assessment. Design Prospective observational study design, with two assessments approximately 6

In response to the need to better define the natural history of emerging consciousness after traumatic brain injury (TBI) and to better describe the characteristics of the condition commonly labeled Post-traumatic Amnesia, a case definition and diagnostic criteria for the Post- traumatic Confusional State (PTCS) were developed. This project was completed by the Confusion Workgroup of the American Congress

Objectives To determine the effects of exercise on fatigue and sleep quality in fibromyalgia (primary aim) and to identify which type of exercise is the most effective in achieving these outcomes (secondary aim). Data sources PubMed and Web of Science were searched from inception until October 18th, 2018. Study selection Eligible studies contained information on population (fibromyalgia), intervention

Objective To summarize the progress toward the National Institutes of Health (NIH) Research Plan on Rehabilitation goals and the methods by which tracking occurred. Design Each grant award was manually coded by NIH staff for research plan goals, type of science categories (eg, basic, applied, infrastructure, etc), and if applicable, training, and then validated by NIH institute and center (IC) experts

Objectives To investigate the correlation between brain-derived neurotrophic factor (BDNF) and risk factors, as well as functional outcome in poststroke depression (PSD) or poststroke anxiety (PSA). Design Cohort study. Setting Stroke patients admitted to an urban rehabilitation hospital. Participants Stroke patients (N=162) without any previous history of depression and anxiety. Interventions Not

Objective To analyze the nature of the interaction between motor and language recovery in patients with motor impairment and aphasia following left hemispheric stroke and to investigate prognostic factors of best recovery, that is, the significant recovery of both functions simultaneously. Design Retrospective cohort study. Setting Specialized inpatient rehabilitation facility. Participants Patients

Objective To determine if poorer gait variability and gait coordination among mobility-limited older adults is related to their slower walking speed. Design Cross-sectional analysis. Setting University research laboratory. Participants Community-dwelling adults (N=69) 68 years or older with (Short Physical Performance Battery score ≤9; n=37) and without (n=32) mobility limitations. Interventions Not

Objective To examine demographic, psychiatric symptom, and neuropsychological performance factors associated with duration of unemployment in Iraq/Afghanistan Veterans with a history of mild-to-moderate traumatic brain injury (TBI). Design Cross-sectional, secondary data analysis of baseline measures in a supported employment study. Setting VA medical center. Participants Participants (N=50) were veterans

Objectives To evaluate whether the therapeutic effect of ultrasound-guided injections with 10 mg or 40 mg triamcinolone acetonide (TA) was dose-dependent in patients with idiopathic mild to moderate carpal tunnel syndrome (CTS). Design Prospective, double-blinded, randomized controlled study with 12 weeks of follow-up. Setting Rehabilitation outpatient clinic of a single medical center. Participants

Objective To describe the course of performance of activities (observed and self-reported) of people with Chronic Idiopathic Axonal Polyneuropathy (CIAP) over four years and to assess the associations with muscle strength, sensory function and psychological personal factors (intention, perceived behaviour control (PBC) and feelings of depression or anxiety). Design Prospective observational study with

Objectives This study assessed the utility of the Multidimensional Patient Impression of Change (MPIC) questionnaire in a pediatric pain population following interdisciplinary treatment. Design Observational study with retrospective chart review. The observed treatment program included psychological counseling, relaxation training, physical therapy, occupational therapy, and physician management. Outcome

Objective To identify the specific features that contribute to the variability in baseline wheelchair transfer and the changes in transfer ability (gain or loss) over time for a large cohort of patients with spina bifida (SB) in the National Spina Bifida Patient Registry (NSBPR). Design Longitudinal cohort study. Setting 35 United States outpatient SB clinic sites . Participants individuals (n=1,687)

Aim to compare the effectiveness and harms of higher exercise dose, including higher exercise load and/or higher volume, with lower exercise dose (lower load and/or lower volume) in people with rotator cuff tendinopathy Design Systematic review (PROSPERO: CRD42017077478) Data sources CENTRAL, MEDLINE, EMBASE, CINAHL from inception to March 2019. Eligibility criteria Randomised controlled trials comparing

Objective To investigate whether the positional release technique (PRT) affects central sensitization in patients with chronic TTH. Design Randomised controlled trial with concealed allocation, assessor blinding and intention-to-treat analysis. Setting: Two university neurology clinics. Participants 32 patients with TTH and MTrPs in their cervical muscles. Intervention Patients in the PRT group received

Objective Seated balance (SB) is substantially compromised and greatly impacts the function of individuals living with a spinal cord injury (SCI). A clinically applicable gold standard measure for SB does not exist for this population. Initial validation and reliability analysis of the Function in Sitting Test (FIST) in SCI has been published but the authors of this study report that modifications

Objective To describe the employment situation of people with spinal cord injury (SCI) in 22 countries participating in the International Spinal Cord Injury Community Survey (InSCI), compare observed and predicted employment rates, estimate gaps in employment rates among people with SCI compared to the general population, and study differences in employment between males and females. Design Cross-sectional

Objective To evaluate the efficacy of a proprioceptive exercise program on functional mobility, musculoskeletal endurance, dynamic and static balance, gait, and risk of falls in institutionalized older adults. Design A randomized, single-blind, controlled trial. Setting A Spanish nursing home from the Autonomous Community of Extremadura, Spain. Participants An initial sample was created by recruiting

As a community survey of people living with spinal cord injury in 22 countries, representing all six of WHO regions of the world, InSCI is one of a very few surveys that highlights, not only the basic medical issues, but also the impact of SCI on the everyday lives of people. As well, the InSCI survey is part of a much larger project called the Learning Health System for SCI Initative (LHS-SCI) which

Objective To evaluate the best option among orthoses for carpometacarpal osteoarthritis of the thumb, using a network meta-analysis. Data sources Medline, Embase, Cochrane, and ClinicalTrials.gov registry databases were used PubMed, Embase, Cochrane Controlled Trials Register, Cochrane and other databases were used without language restrictions. Study Selection We searched randomized controlled trials

Objectives To investigate the effects of dual task balance training on static and dynamic balance, functional mobility, cognitive level, and sleep quality in individuals with transfemoral amputation. Design Randomised controlled clinical trial. Participants Transfemoral amputees (n=20). Interventions Participants were randomly assigned to the single task gait and balance training group (n=10) or the

Objectives To examine heterogeneity in the temporal patterns of depression and participation over the first two years post-TBI. Design Observational prospective longitudinal study. Setting Inpatient rehabilitation centers, with 1- and 2-year follow-up conducted primarily by telephone. Participants Persons with TBI (N=2307) enrolled in the Traumatic Brain Injury Model Systems database, followed at 1

Objective To compare Veterans Administration (VA) diagnoses, health services utilization and costs by mild traumatic brain injury (mTBI) group (Blast-Related (BR) mTBI vs. non-Blast-Related (NBR) mTBI vs. no mTBI) among Operation Enduring Freedom(OEF)/Operation Iraqi Freedom (OIF)/Operation New Dawn (OND) veterans in the Chronic Effects of Neurotrauma Consortium (CENC) multicenter observational study

Objetive To analyse the microbiota of the physiotherapist´s work environment to understand the existing potential risks in order to adopt appropriate preventive measures. Design Cross-sectional descriptive observational study. Setting Physiotherapist´s working environment. Participants 19 physiotherapy and rehabilitation centres. Intervention A microbiological sampling was carried out in the physiotherapy

Objective To investigate the evidence of measurement properties of isokinetic dynamometry (ID) for assessment of shoulder muscle strength in healthy individuals and patients with non-neurological shoulder pathology. Data Sources Cochrane Central Register of Controlled Trials (CENTRAL), Pubmed, EMBASE, and PEDro were searched up to February 2020 without restrictions. Reference lists and citations were

Objective To identify intra-personal and inter-personal sociodemographic, injury-related and psychological variables measured at admission of inpatient rehabilitation that predict psychological distress among dyads of persons with spinal cord injury (SCI) or acquired brain injury (ABI) and their significant others (i.e., persons close to the individual with a disability, mostly family members) six

Due to the COVID-19 epidemic, many cardiac rehabilitation (CR) services and programs are stopped. Because CR is a Class I level A recommendation with clinical benefits that are now well documented, the cessation of CR programs can lead to dramatic consequences in terms of public health. We proposed here a viewpoint of significant interest about the sudden need to develop remote home-based CR programs

Objective To investigate the Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) tool for longitudinal monitoring of pain associated distress with the goal of improving prediction of 50% reduction in pain intensity and disability outcomes. Design Cohort study with 12-month follow-up after initial care episode Setting Ambulatory care, participants seeking care from out-patient

Objective To verify the suitability and reliability of YouTube videos pertaining to the five most commonly used knee stability tests for educational purposes. Design Cross-sectional observational study. Setting YouTube videos were categorized into two groups according to their sources: professional and non-professional groups. Only videos that satisfied the purpose and procedure parts among comprehensiveness

Objective To investigate if the combination of self-efficacy levels of persons with spinal cord injury (SCI) or acquired brain injury (ABI) and their significant others, measured shortly after the start of inpatient rehabilitation, predict their personal and family adjustment six months after inpatient discharge. Design Prospective longitudinal study. Setting Twelve Dutch rehabilitation centers. Participants

Objectives To examine risk factors in the year before suicide in a national sample of United States veterans with multiple sclerosis (MS), as well as means of suicide and receipt of mental health services prior to death. Design Case control study. Individuals in the Veterans Affairs MS National Data Repository were linked to the National Death Index Plus to obtain death records, including specific

Objectives To understand the factor structure of health-related quality of life specific to caregivers of people living with traumatic brain injury (TBI). Design Prospective, cross-sectional data collection. Setting Three TBI Model Systems rehabilitation hospitals, an academic medical center, and a military medical treatment facility. Participants Caregivers (N=558) of people who have sustained a TBI

Objective To compare the effects of high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) combined with strengthening and stretching exercises in patients with fibromyalgia. Design Interventional, single-blinded, randomized-controlled trial. Setting Outpatient rehabilitation center. Participants Sixty women diagnosed with fibromyalgia were randomized to HIIT, MICT

Objective To evaluate the efficacy and safety of progressive resistance exercise (PRE) for patients with total knee arthroplasty (TKA) in a meta-analysis. Data Sources PubMed, MEDLINE, Cochrane’s Library, and EMBASE databases. Study selection Randomized controlled trials evaluating the effect of PRE on mobility and function in TKA patients. Data extraction A random-effect model was applied if significant

Objectives To determine the factors associated with acute hospital discharge to the three most common post-acute settings following TKA (Total Knee Arthroplasty): inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs), and directly back to the community. Design Retrospective cohort study. Setting Acute care hospitals submitting claims to Medicare. Participants National cohort

Objectives To systematically summarize the evidence of gait tests as screening tools for mild cognitive impairment (MCI). Data Sources Electronic database searches were conducted in PubMed, EBSCO, Cochrane, Web of Science, OVID, CNKI, WanFang, and SinoMed, and studies published before November 30th, 2018 were included. Study Selection Synonyms of MCI, gait, and cognitive-motor interference (CMI) were

Objectives To understand how health status preceding traumatic brain injury (TBI) affects relative functional gain after inpatient rehabilitation using a data mining approach. Design Population-based, sex-stratified, retrospective cohort study using health administrative data from Ontario, Canada (39% of the Canadian population). Setting Inpatient rehabilitation. Participants Patients 14 years or older

Objective To compare participants with Parkinson’s disease (PD) motor subtypes, postural instability with gait difficulty (PIGD) (n=46) and tremor dominant (TD) (n=28) in cognitive and motor-cognitive assessments with the purpose of identifying associations between subtype and visuospatial, whole-body spatial, inhibition/switching, and planning/organizational aspects of cognitive and motor-cognitive

Objective To determine if the “sacral sparing” definition for completeness of traumatic spinal cord injury (SCI) is a more stable definition than the previously used Frankel Classification. Design Retrospective analysis of persons enrolled in the Spinal Cord Injury Model Systems (SCIMS) database from 2011-2018. Setting SCIMS centers. Participants Individuals (N=804) with traumatic SCI, age >16 years

Objective To analyze and compare how performance indicators of the health system are linked to the self-reported quality of life (QoL) of people with spinal cord injury (SCI) in 22 countries participating in the International Spinal Cord (InSCI) community survey. Design Cross-sectional survey. Setting 22 countries representing all six WHO regions, community setting. Participants A total of 12,591 (N)

Objective To detail the methodological features of the first International Spinal Cord Injury (InSCI) community survey by describing recruitment and data collection procedures, and to report on the recruitment results and basic characteristics of participants by country and income setting. Design Cross-sectional survey. Setting 22 countries representing all six WHO regions, community setting. Participants:

The rapid evolution of the health emergency linked to the spread of SARS-CoV-2 requires specifications for the rehabilitative management of COVID-19 patients. The symptomatic evolution of COVID-19 patients is characterized by two phases: an acute phase in which respiratory symptoms prevail, and a post-acute phase in which patients can show symptoms related to prolonged immobilization, to previous and

Objectives This study investigated (i) the impact of engaging with 20 minute simulated natural environments delivered via virtual reality (VR) on current mood state, and (ii) the impact of engaging with multiple VR sessions over a period of a week on the depressive symptoms of people with a SCI. Design A randomized controlled trial design was utilised. Setting Spinal Cord Injury Rehabilitation Unit

Objective To derive accelerometer count thresholds for classifying time spent in sedentary, light-intensity and moderate-to-vigorous physical activity (MVPA) in manual wheelchair users (MWUs) with spinal cord injury (SCI). Design Participants completed 18 activities of daily living and exercises for 10 minutes each with a 3-minute break between activities while wearing a Cosmed-k4b2 portable metabolic

Objective To investigate the experience of environmental barriers by people with spinal cord injury (SCI) across 22 countries. Specific aims were to describe and compare the prevalence of environmental barriers experienced across countries, and to analyze determinants of environmental barriers at the individual and country levels. Design Cross-sectional community survey Participants: 12,591 individuals

Objective To identify the occurrence of recurrent falls and the determinants in the acute phase post stroke that are associated with recurrent falls within the first year after stroke onset. Design Prospective follow-up study. Setting Stroke unit and community. Participants 504 patients with acute stroke. Interventions Not applicable. Main Outcome Measures The dependent variable was recurrent falls

Objective Evaluate the psychometric properties of the SCI-SET and PRISM using Rasch analysis to optimize their validity and efficiency. Design Rasch analysis of the SCI-SET and PRISM represents a secondary analysis of data collected as part of a collaborative research project of the SCI Model Systems Centers. The overall survey was organized into four sections: 1) participant demographics and injury

Objective To assess the phenotypic characteristics of patients with Chronic Obstructive Pulmonary Disease (COPD) after stratification for Short Physical Performance Battery (SPPB) summary scores and to determine phenotypic characteristics of the SPPB summary score at the start of pulmonary rehabilitation (PR). Design Retrospective, cross-sectional. Setting Baseline assessment for PR program. Participants