Clinical Rehabilitation[JOURNAL]
Sun
200 papers
Evaluating the use of vision-face-arm-speech-time in stroke admissions: A comparative study with national institutes of health stroke scale and orthoptist assessment in an emergency department.
Alobaida M, Lane DA, Harrison SL … +2 more , Lip GYH, Rowe FJ
Clin Rehabil · 2026 May · PMID 42131904 · Publisher ↗
ObjectivesVisual problems are common in acute stroke, however no standardised vision screening tool is routinely used in pre-hospital or emergency department settings. This study evaluated the V-FAST (vision-face-arm-spe...
ObjectivesVisual problems are common in acute stroke, however no standardised vision screening tool is routinely used in pre-hospital or emergency department settings. This study evaluated the V-FAST (vision-face-arm-speech-time) checklist for detecting visual impairment in patients admitted with suspected stroke.DesignProspective, service evaluation study.SettingOne emergency department.ParticipantsAbout 282 consecutive patients with suspected stroke.Main measuresAll patients were assessed with the National Institutes of Health Stroke Scale, V-FAST checklist, and reference standard orthoptic assessment. Main outcomes included visual impairment detection rates and diagnostic performance (sensitivity, specificity, predictive values, and agreement).ResultsOf 282 screened patients (mean (SD) age 73 (11) years; 51.5% females), 158 (56.2%) had stroke confirmed. Among these, visual impairment was detected in 64.0% by orthoptists, 34.0% by the National Institutes of Health Stroke Scale (κ = 0.22), and 47.0% by V-FAST (κ=0.34). In FAST-positive strokes, National Institutes of Health Stroke Scale and V-FAST detected visual impairment in 83.3% and 76.0%, respectively; in FAST-negative strokes, detection was 16.7% and 24.0%, respectively, compared to orthoptic assessments. V-FAST showed better diagnostic performance than National Institutes of Health Stroke Scale, with sensitivity, specificity, positive/negative predictive values and kappa of 78.7%, 97.2%, 83.6%, 90.0%, and 0.79, respectively.ConclusionThe V-FAST checklist demonstrates fair agreement with orthoptist assessment and complements the National Institutes of Health Stroke Scale for detecting visual impairment in stroke admissions in the emergency department, with particular benefit in FAST-negative strokes. These findings support integrating a standardised screening checklist for visual impairment detection into emergency department stroke pathways.
The experiences and perceptions of social prescribing: A qualitative study with people with long-term conditions, link workers and healthcare practitioners.
O'Sullivan DJ, Bearne LM, Harrington JM … +1 more , McVeigh JG
Clin Rehabil · 2026 May · PMID 42089701 · Publisher ↗
ObjectiveTo explore the experiences and perceptions of key stakeholders regarding social prescribing interventions.DesignQualitative study incorporating focus groups and semi-structured interviews. Data was analysed them...
ObjectiveTo explore the experiences and perceptions of key stakeholders regarding social prescribing interventions.DesignQualitative study incorporating focus groups and semi-structured interviews. Data was analysed thematically to identify themes and sub-themes. The Consolidated Criteria for Reporting Qualitative Research was used.SettingUrban communities in The Republic of Ireland.ParticipantsParticipants included people with long-term conditions (n = 12), link workers (n = 9), healthcare practitioners (n = 17), and community service representatives (n = 6).InterventionSocial prescribing interventions using community link workersMain measuresFace-to-face focus groups were conducted with individuals with long-term conditions and online focus groups with link workers, healthcare practitioners, and community service representatives. Online semi-structured interviews were conducted with General practitioner.ResultsTranscripts were analysed using reflexive thematic analysis, using an inductive approach to develop codes, categories and themes. One overarching theme, three themes and six sub-themes were identified. The overarching theme 'Between Promise and Precarity' reflected the opportunities for growth, connection and sustainability alongside the challenges of implementing social prescribing. Theme 1 Promise had one sub-theme of empowerment and growth. Theme 2 was Fragmentation with two sub-themes of awareness and understanding. Theme 3 was Precarity with three sub-themes of workforce and resource insecurity, information gaps and evaluation shortfalls.ConclusionSocial prescribing has the potential to improve health and well-being by empowering individuals to grow through social connection. However, poor stakeholder understanding and collaboration coupled with unclear link worker roles and resource constraints threaten its sustainability. Streamlined workflows, clear guidelines and robust stakeholder partnerships are required to ensure social prescribing succeeds.
Goal setting in stroke rehabilitation: A systematic review and qualitative synthesis of the experiences and perspectives of healthcare professionals.
Fišerová A, Duchoňová Š, Hafiz H … +5 more , Hagarová M, Morton B, Tessmann H, Graham CD, Rickardsson N
Clin Rehabil · 2026 May · PMID 42068272 · Publisher ↗
ObjectiveTo synthesise and analyse qualitative evidence relevant to the question: What are the experiences and perspectives of healthcare professionals on goal setting in stroke rehabilitation?Data sourcesPubMed, PsycINF...
ObjectiveTo synthesise and analyse qualitative evidence relevant to the question: What are the experiences and perspectives of healthcare professionals on goal setting in stroke rehabilitation?Data sourcesPubMed, PsycINFO, MEDLINE and CINAHL were systematically searched in May 2025, supplemented by backward and forward citation searching.Review methodsThis systematic review was pre-registered on PROSPERO (CRD420251038210). Eligibility criteria included peer-reviewed qualitative or mixed methods studies with qualitative data from healthcare professionals outlining experiences of goal setting in stroke rehabilitation. Non-English publications were excluded. The Critical Appraisal Skills Programme (CASP) checklist was used to appraise quality. Data were analysed using thematic synthesis.ResultsEight studies, published between 1999 and 2020, were included. These comprised 108 clinicians of various rehabilitation disciplines, from multiple countries, working across acute, inpatient and community settings. Most data were collected via semi-structured interviews. Methodological rigour of identified studies was generally high. Nine descriptive themes emerged from the thematic synthesis. From these descriptive themes, three analytical themes were derived: (1) Who leads, who follows?, (2) Between hope and reality, (3) Starting with the person, not the problem. Eight of the descriptive themes were directly related to analytical themes, whereas one theme was a stand-alone theme. Confidence in the thematic synthesis findings was assessed as moderate.ConclusionThis synthesis of qualitative studies from various rehabilitation settings in stroke found that experiences of goal setting from the perspective of healthcare professionals describe directive and collaborative approaches, emotional aspects of goal setting in time-limited contexts and a commitment to person-centred care.
Costs and cost effectiveness of the use of telerehabilitation training for upper limb function in people after stroke: A systematic review.
Syukriyah D, Perks J, McBride P … +6 more , Clatworthy P, Dawes H, Mansoubi M, Snowsill T, Taylor G, Hulme C
Clin Rehabil · 2026 May · PMID 42068268 · Publisher ↗
ObjectiveTo review the costs and cost-effectiveness of telerehabilitation training for upper limb function in people after stroke.Data SourcesMEDLINE, EconLit, and EMBASE databases were searched for studies published bet...
ObjectiveTo review the costs and cost-effectiveness of telerehabilitation training for upper limb function in people after stroke.Data SourcesMEDLINE, EconLit, and EMBASE databases were searched for studies published between 2013 and 16 March 2026.MethodsThe review included studies of technology-based rehabilitation programmes for individuals after stroke that evaluated costs or cost-effectiveness. Titles and abstracts were screened, and data were independently extracted by two researchers. Study quality was appraised using the Critical Appraisal Skills Programme (CASP) checklist. Findings were synthesised narratively.ResultsFifteen studies including 963 participants were included. Two studies conducted cost-effectiveness analyses, eight reported cost analyses, and six reported the use of a preference-based measure recommended for cost-effectiveness studies (all used the EQ-5D), with some studies contributing to more than one category. Evidence on costs and cost-effectiveness was mixed, but several studies suggested potential cost savings. Reporting of EQ-5D outcomes was inconsistent across studies.ConclusionsEvidence on the costs of telerehabilitation training for upper limb function primarily focused on therapist time and equipment costs. Few studies included costs associated with equipment maintenance, depreciation, or the need for internet-enabled devices. Reductions in therapist time could offset or exceed technology costs. Further research is needed to evaluate the longer-term costs and cost-effectiveness of telerehabilitation in this population.
Comparative efficacy of mind-body exercises for treating chronic obstructive pulmonary disease: a systematic review and network meta-analysis.
Gao Q, Li P, Han X … +6 more , Lv Y, Wang J, Tang H, Zhang Y, Liu X, Wu W
Clin Rehabil · 2026 Apr · PMID 42053497 · Publisher ↗
ObjectiveThe comparative effectiveness of various mind-body exercises for chronic obstructive pulmonary disease remains unclear. This study aimed to compare and rank different mind-body interventions for improving object...
ObjectiveThe comparative effectiveness of various mind-body exercises for chronic obstructive pulmonary disease remains unclear. This study aimed to compare and rank different mind-body interventions for improving objective and subjective outcomes in patients with chronic obstructive pulmonary disease.Data sourcesWe systematically searched PubMed, Web of Science, EMBASE, Cochrane Library, and Scopus.MethodsRandomised controlled trials assessing mind-body exercises for chronic obstructive pulmonary disease were included. A network meta-analysis was performed using Stata 16.0. The protocol was registered with PROSPERO (CRD42024592835).ResultsThirty-seven studies involving 3179 participants and nine interventions were analysed. Regarding objective outcomes, Pilates plus pulmonary rehabilitation showed the largest improvement in exercise capacity. For pulmonary function, Pilates plus pulmonary rehabilitation significantly improved forced expiratory volume in the first second as a percentage of the predicted value and forced expiratory volume in the first second/forced vital capacity, while Yoga demonstrated superior effects on forced expiratory volume in the first second and forced vital capacity. Regarding subjective outcomes, Tai Chi, alone or combined with pulmonary rehabilitation, was superior in reducing dyspnea, while Tai Chi plus pulmonary rehabilitation and Qigong showed the greatest benefits for health-related quality of life.ConclusionsMind-body exercises are beneficial for chronic obstructive pulmonary disease management. Pilates plus pulmonary rehabilitation stands out for improving objective outcomes, particularly exercise capacity and pulmonary function, whereas Tai Chi, alone or combined with pulmonary rehabilitation, emerges as the most effective intervention for subjective outcomes, including dyspnea and health-related quality of life.
Exercise to reduce falls in Community-Dwelling people after stroke: A systematic review with meta-analysis.
Scrivener K, Lin I, Ada L … +7 more , Lannin NA, Graham PL, Preston E, Haines A, Day S, Clemson L, Dean CM
Clin Rehabil · 2026 Apr · PMID 42029397 · Publisher ↗
ObjectiveTo determine the effect of falls-prevention exercise compared with nothing, sham or another exercise intervention on reducing falls after stroke. To also determine the effect of falls-prevention exercise on bala...
ObjectiveTo determine the effect of falls-prevention exercise compared with nothing, sham or another exercise intervention on reducing falls after stroke. To also determine the effect of falls-prevention exercise on balance, mobility and quality of life.Data sourcesSearches were conducted from inception to December 2025 on MEDLINE, EMBASE, Scopus and PEDro databases according to predefined search terms with details provided in supplementary materials.Review methodsRandomised trials were included if the intervention targeted falls and the primary outcome was the rate of falls or the number of people experiencing one or more falls. Other outcomes of interest were balance, mobility and quality of life. Methodological quality was rated with the PEDro scale. Two researchers independently extracted data, which was synthesised by meta-analysis.ResultsThree trials (n = 677) were included in the review. Exercise trended towards a lower rate of falls compared to no/sham intervention (IRR 0.84, 95% CI 0.62 to 1.15, p = 0.29) with uncertainty in the estimate (confidence interval includes the possibility of no effect). Exercise did not reduce the number of individuals experiencing one or more falls (RR 0.98, 95% CI 0.81 to 1.18, p = 0.84). There was a trend towards improved balance (MD 0.49 steps in the Step Test, 95% CI -0.11 to 1.08, p = 0.11) and exercise did improve mobility a small amount (MD 0.04 m/s preferred walking speed, 95% CI 0.01 to 0.07, p < 0.01). No trials compared two exercise interventions.ConclusionThere is a suggestion that exercise can reduce the rate of falls after stroke but does not affect the number of individuals falling.RegistrationPROSPERO CRD42024520272.
A systematic review of physical activity guidelines for adults with cardio-respiratory diseases: Stepping towards evidence-based recommendations.
Tonga E, Yates T, Worboys H … +4 more , Singh SJ, Divall P, Ng GA, Evans RA
Clin Rehabil · 2026 Apr · PMID 42029388 · Publisher ↗
ObjectivesPhysical activity benefits for adults with cardio-respiratory diseases are well established, and evidence-based recommendations are essential for healthcare professionals. This study systematically reviewed exi...
ObjectivesPhysical activity benefits for adults with cardio-respiratory diseases are well established, and evidence-based recommendations are essential for healthcare professionals. This study systematically reviewed existing recommendations on physical activity for adults with cardio-respiratory diseases, specifically chronic obstructive pulmonary disease, asthma, and heart failure, focusing on the frequency, intensity, time and type (FITT).Data SourcesWe searched OVID MEDLINE, EMBASE, CINAHL, and grey literature for guidelines and related documents. The comprehensive search was conducted in July 2025 and subsequently updated through March 2026. Two authors independently screened guidelines, extracted FITT components, and documented disease-specific precautions. Disagreements were resolved with a third author. The AGREE II instrument assessed methodological quality for identified CPGs. Recommendations were categorised based on the FITT framework.ResultsWe included 29 guidelines, of which 14 were classified as Clinical Practice Guideline and assessed with AGREE II. Among the 14 guidelines, 7 demonstrated high quality, 6 were moderate, and 1 was low quality. Most guidelines recommended at least 150 minutes of moderate aerobic activity per week. Adaptive recommendations primarily addressed exacerbations and symptom management.ConclusionWhile aerobic physical activity was consistently recommended, disease-specific guidance and adherence to FITT principles were limited. Significant gaps were noted in methodological quality, particularly in stakeholder involvement and applicability. To enhance usability, guidelines should standardise recommendations for type, duration, intensity, and frequency, incorporating evidence grading system.
Efficacy of immersive virtual reality-based self-managed naming therapy for chronic post-stroke aphasia: A randomized controlled trial.
Kurul R, Benli ET, Ozkan T … +2 more , Yaşar MF, Aydin Turkoğlu S
Clin Rehabil · 2026 Apr · PMID 42012380 · Publisher ↗
ObjectiveThis study aimed to evaluate the efficacy of immersive virtual reality-based naming therapy in individuals with chronic post-stroke aphasia.DesignRandomized, single-blind, parallel-group, and controlled trial.Se...
ObjectiveThis study aimed to evaluate the efficacy of immersive virtual reality-based naming therapy in individuals with chronic post-stroke aphasia.DesignRandomized, single-blind, parallel-group, and controlled trial.SettingBolu Abant Izzet Baysal University Physical Medicine and Rehabilitation Hospital.ParticipantsA total of 102 individuals with non-fluent aphasia (aged 40-80 years), randomly assigned to two groups ( = 51 each).InterventionsThe virtual reality group received virtual reality-based self-managed naming therapy in an immersive environment, while the control group received conventional therapy. Both interventions were delivered 5 times per week over 8 weeks.Outcome measuresThe primary outcome was language performance, measured by the Gulhane Aphasia Test. Secondary outcomes included Stroke and Aphasia Quality of Life Scale and enjoyment.ResultsAt baseline, groups were similar in demographics and clinical measures ( > 0.05). Both groups showed significant improvements in the Gulhane Aphasia Test and Stroke and Aphasia Quality of Life Scale scores ( < 0.05). The virtual reality group improved across all Gulhane Aphasia Test subscales ( < 0.05). In contrast, the control group did not show gains in listening comprehension and repetition. Stroke and Aphasia Quality of Life subscale improvements were broader in the virtual reality group. Between-group comparisons indicated significantly higher gains in the virtual reality group in oral motor ( = 0.005), naming ( = 0.001), and enjoyment ( = 0.002).ConclusionsTherapy based on immersive virtual reality showed better results for naming, quality of life, and patient engagement. These findings suggest that virtual reality is an effective intervention for aphasia rehabilitation. Future studies are needed to investigate long-term effects and the potential for home-based applications.
Determining the reliability and validity of a new method for measuring upper extremity joint range of motion in patients with burn injury using a tracking system.
Lee SY, Zheng YX, Seo CH … +6 more , Cho YS, Seo J, Bae YD, Yoon J, Byun K, Joo SY
Clin Rehabil · 2026 Apr · PMID 42012175 · Publisher ↗
DesignA cross-sectional study.SettingPatients with burn injuries often present with joint contracture caused by hypertrophic scars. To assess the patient's degree of disability or outcome to rehabilitation treatment, var...
DesignA cross-sectional study.SettingPatients with burn injuries often present with joint contracture caused by hypertrophic scars. To assess the patient's degree of disability or outcome to rehabilitation treatment, various objective assessment tools are used, such as a standard goniometer, which is often used for measuring joint range of motion; however, measurements using a handheld goniometer may have a large margin of error depending on the therapist's experience. Herein, the reliability and validity of a novel marker-based system were investigated for evaluating joint range of motion in patients with burn injuries.ParticipantsIn total, 48 participants with joint contractures in the shoulder, elbow, and wrist owing to hypertrophic scars after thermal injury were enrolled.InterventionUpper extremity joint range of motion was measured using a goniometer and optical motion capture system (Session 1), followed by remeasurement 2 days later (Session 2).Main measuresTwenty-two reflective markers were attached to the upper limbs, and motion analysis was measured using eight infrared cameras.ResultsNo statistical differences were detected between the range of motion values measured using the two methods. The measurements based on the optical motion capture system showed excellent intra-rater reliability.ConclusionsThe findings of this study highlight the value of the motion capture system as a tool to objectively evaluate the joint range of motion in patients with contractures caused by burns.This study was registered at ClinicalTrials.gov (Identifier: NCT05881876).
Modernising functional independence measurement: Validation of a Contemporary Extended Activities of Daily Living scale in a mixed sample.
Mavromati K, Tvrda L, Quinn TJ
Clin Rehabil · 2026 Apr · PMID 41995683 · Publisher ↗
ObjectiveTo validate a previously described 5-item short-form Nottingham Extended Activities of Daily Living and assess the properties of incorporating contemporary tasks to create a novel Contemporary Extended Activitie...
ObjectiveTo validate a previously described 5-item short-form Nottingham Extended Activities of Daily Living and assess the properties of incorporating contemporary tasks to create a novel Contemporary Extended Activities of Daily Living scale.DesignValidation study.SettingConducted through an online questionnaire.ParticipantsAdults over 60 years of age, living with a chronic condition or receiving care, caregivers, and healthcare providers.Main measuresWe assessed internal consistency of each scale using Cronbach's alpha. Additionally, criterion validity and convergent validity of the short-form and contemporary scales were assessed using Spearman's correlation analyses with the original 22-item Nottingham scale, and with quality of life measured by the European Quality of Life 5-dimension scale.ResultsAcross 712 participants ( = 256, 36% with a chronic condition), both the short-form Nottingham Extended Activities of Daily Living scale (α = 0.84, 95% CI: 0.82-0.86) and a novel Contemporary Extended Activities of Daily Living scale (α = 0.88, 95% CI: 0.87-0.89) had good internal consistency. The short-form scale had excellent concurrent validity ( = 0.82, < .00). Each contemporary item was correlated with the original Nottingham scale, and the full Contemporary scale had good concurrent validity ( = 0.78, < .001). Both scales had moderate construct validity in relation to quality of life (short-form Nottingham scale = 0.68, < .001, contemporary scale = 0.56, ≤ .001).ConclusionsOur initial evaluation of a Contemporary Extended Activities of Daily Living scale shows that construct validity is not compromised by the inclusion of contemporary tasks. Future research is needed to account for the diversity of activity patterns to improve the perceived relevance of scales assessing functional outcomes.
Cross-cultural adaptation and validation of the physical activity scale for individuals with physical disabilities among people with spinal cord injury in China.
Liu Y, He Y, Chen Y … +7 more , Jia M, Wang W, Tang J, Xie S, Li Y, Yan T, Li K
Clin Rehabil · 2026 Apr · PMID 41983945 · Publisher ↗
ObjectiveTo translate the Physical Activity Scale for Individuals with Physical Disabilities into Mandarin according to Brislin guidelines and to examine its reliability and validity.DesignCross-sectional study.SettingsT...
ObjectiveTo translate the Physical Activity Scale for Individuals with Physical Disabilities into Mandarin according to Brislin guidelines and to examine its reliability and validity.DesignCross-sectional study.SettingsTwo rehabilitation centers in China.ParticipantsA convenience sample of 208 adults with spinal cord injury.Main MeasuresA total of 208 participants completed the Chinese version of the Physical Activity Scale for Individuals with Physical Disabilities at the first measurement. One week later, 122 of them completed both the scale and the International Physical Activity Questionnaire Short Form. Construct validity, criterion-related validity, internal consistency, test-retest reliability, goodness of fit of items, and differential item functioning were evaluated in this study.ResultsFactor analysis found a four-factor structure, including household activities, moderate to vigorous intensity activities, mild activities, and work-related activities. The Cronbach's α coefficient of the Chinese version of the Physical Activity Scale for Individuals with Physical Disabilities was 0.795. A significant correlation was found between Physical Activity Scale for Individuals with Physical Disabilities and International Physical Activity Questionnaire Short Form (r = 0.842, p＜0.05). The test-retest intraclass correlation coefficient was 0.814 ( < 0.001). Three rounds of Rasch analyses were conducted in this study. The results indicated that the Rasch model for the questionnaire had a good fit.ConclusionThe Chinese version of the Physical Activity Scale for Individuals with Physical Disabilities is a reliable and valid scale for assessing physical activity among individuals with spinal cord injury in China.
Cross-cultural adaptation, reliability, and validity of the arabic version of the foot-health status questionnaire.
Shayani AM, Albarakati AJ, Alzahrani H
Clin Rehabil · 2026 Apr · PMID 41983937 · Publisher ↗
ObjectiveTo translate and culturally adapt the Foot Health Status Questionnaire into Arabic (Foot Health Status Questionnaire-Ar) and investigate its psychometric properties in patients with various foot conditions.Desig...
ObjectiveTo translate and culturally adapt the Foot Health Status Questionnaire into Arabic (Foot Health Status Questionnaire-Ar) and investigate its psychometric properties in patients with various foot conditions.DesignCross-sectional study. The study was conducted in outpatient clinics across various private and general hospitals in Saudi Arabia.ParticipantsParticipants included 135 adult patients from Saudi Arabia (83.7% females) with foot problems (mean age=38.1 years).Main measuresWe utilized the intraclass correlation coefficient and Cronbach's alpha to evaluate the test-retest reliability and internal consistency, respectively, of the Foot Health Status Questionnaire-Ar domains. To evaluate construct validity, we calculated Pearson's correlation coefficients between the Foot Health Status Questionnaire-Ar domains scores and other related constructs, including the Foot Function Index, Numeric Pain Rating Scale, and the EuroQol Health Questionnaire, five-dimension, five-level. Floor and ceiling effects were also assessed to determine the scale's ability to discriminate across the full range of scores.ResultsThe Foot Health Status Questionnaire-Ar exhibited acceptable test-retest reliability, with intraclass correlation coefficients ranging from 0.760-0.858 across four domains. Internal consistency was good, with Cronbach's α values between 0.843 and 0.912 across the domains. The construct validity was supported by significant correlations between the Foot Health Status Questionnaire-Ar domains and related constructs, including the Foot Function Index, Numeric Pain Rating Scale, and EuroQol Health Questionnaire.ConclusionFoot Health Status Questionnaire-Ar is a reliable and valid scale for evaluating foot health in Arabic-speaking populations. These results support its use in research and clinical settings for evaluating foot health.
Early controlled mobilisation improves functional outcomes in nonoperatively treated radial head fractures: A multicenter retrospective cohort study.
Altuntas Y, Ipek E, Bozca MA … +2 more , Tuter I, Eren OT
Clin Rehabil · 2026 Apr · PMID 41973458 · Publisher ↗
DesignRetrospective multicentre cohort study.SettingData were collected between 2015 and 2024 from the orthopaedic departments of multiple hospitals.ParticipantsAdult patients with isolated Mason type I and selected Maso...
DesignRetrospective multicentre cohort study.SettingData were collected between 2015 and 2024 from the orthopaedic departments of multiple hospitals.ParticipantsAdult patients with isolated Mason type I and selected Mason type II radial head fractures (≤2 mm displacement, no mechanical block) treated nonoperatively between 2015 and 2024 were included. A total of 174 patients met the inclusion criteria and completed a minimum follow-up of 24 months.InterventionPatients were allocated to either early controlled mobilisation using a functional brace (Group 1) or delayed rehabilitation following four weeks of long-arm cast immobilisation (Group 2).Main measuresPrimary outcome measures were the Mayo Elbow Performance Score at final follow-up. Secondary outcomes included elbow range of motion, pain assessed using the visual analogue scale, time to return to work, and treatment-related complications.ResultsEarly controlled mobilisation was associated with slightly higher functional outcome scores, including the Mayo Elbow Performance Score (89.5 vs 87.0) and the Oxford Elbow Score (87.3 vs 85.0). Differences were also observed in elbow flexion (138.0° vs 134.8°), pain scores (0.67 vs 1.01), and time to return to work (10.5 vs 11.7 weeks), whereas extension loss and forearm rotation were comparable between groups. Complication rates were similar. However, the magnitude of these differences did not exceed established minimal clinically important difference thresholds.ConclusionsEarly controlled mobilisation is a safe and reasonable approach in the nonoperative management of radial head fractures. Although small differences favouring early mobilisation were observed, no clinically meaningful difference was identified between the two approaches.
Response to letter: Methodological reflections on a postoperative home-based exercise rehabilitation trial.
Nishiyama R, Hashizume H, Minamide A … +3 more , Murata S, Yoshida M, Yamada H
Clin Rehabil · 2026 Apr · PMID 41954467 · Publisher ↗
Abstract loading — click title to view on PubMed.
Letter to the editor regarding methodological reflections in a postoperative home-based exercise rehabilitation trial.
Zhao FY, Fu QQ, Wang YM … +1 more , Zhang WJ
Clin Rehabil · 2026 Apr · PMID 41949830 · Publisher ↗
Abstract loading — click title to view on PubMed.
Author's response to 'Quantitative clinical assessment of wrist proprioception with stroke survivors'.
Mak-Yuen YY, Matyas TA, Lockwood K … +1 more , Carey LM
Clin Rehabil · 2026 Apr · PMID 41940594 · Publisher ↗
Abstract loading — click title to view on PubMed.
Letter to the editor on quantitative clinical assessment of wrist proprioception with stroke survivors.
Tao J, Zhao Y, Li H … +1 more , Feng W
Clin Rehabil · 2026 Apr · PMID 41940590 · Publisher ↗
Abstract loading — click title to view on PubMed.
Dual-task performance as a clinical marker of upper limb decline in Duchenne muscular dystrophy.
Savas-Kalender D, Kurt-Aydin M, Tarsuslu T … +1 more , Yis U
Clin Rehabil · 2026 Apr · PMID 41925168 · Publisher ↗
ObjectiveTo compare upper extremity performance of ambulant children with Duchenne muscular dystrophy and typically developing peers under single- and dual-task conditions, and to examine its associations with mobility a...
ObjectiveTo compare upper extremity performance of ambulant children with Duchenne muscular dystrophy and typically developing peers under single- and dual-task conditions, and to examine its associations with mobility and balance.DesignCross-sectional observational study.SettingData were collected at the Pediatric Neurology Department and the Pediatric Rehabilitation Unit of the Faculty of Physical Therapy and Rehabilitation.ParticipantsTwenty ambulant boys with Duchenne muscular dystrophy (6-12 years) and 19 age-matched typically developing peers.InterventionNot applicable.Main measuresUpper extremity performance was assessed using the Nine-Hole Peg Test under single-task, motor dual-task, and cognitive dual-task conditions. Functional mobility and balance, as well as clinical scales, were also evaluated.ResultsChildren with Duchenne muscular dystrophy performed significantly slower than typically developing peers under cognitive dual-task conditions (p < 0.001) and under motor dual-task conditions for the left hand (p = 0.032). Slower dual-task performance was moderately associated with poorer balance and trunk control. Cognitive dual-task performance showed high diagnostic accuracy for identifying Duchenne muscular dystrophy (area under curve = 0.91-0.96).ConclusionsDual-task paradigms may reveal functional vulnerability in upper-limb performance in ambulant children with Duchenne muscular dystrophy that is not evident during single-task testing. Increased cognitive-motor demands appear to exacerbate functional difficulties beyond muscle weakness. These findings suggest that dual-task assessment may complement conventional clinical evaluations and provide additional insight for rehabilitation planning.
Healthcare professionals' perspectives on early sling removal following conservatively managed proximal humerus fractures: A qualitative study.
Tunnicliffe H, O'Neill S, Scott S … +2 more , Singh H, Wright D
Clin Rehabil · 2026 Apr · PMID 41925164 · Publisher ↗
DesignA qualitative study using uni-professional focus groups, forming the first stage of a multi-phase co-design project to develop a model of care for early sling removal after conservatively managed proximal humerus f...
DesignA qualitative study using uni-professional focus groups, forming the first stage of a multi-phase co-design project to develop a model of care for early sling removal after conservatively managed proximal humerus fracture.SettingFocus groups were conducted online via Microsoft Teams with participants from a wide geographical spread across multiple United Kingdom National Health Service Trusts.ParticipantsHealthcare professionals ( = 23), including orthopaedic surgeons, therapists (physio and occupational), and nurses, recruited through purposive sampling.InterventionThree focus groups explored healthcare professionals' perspectives on early sling removal in the non-operative management of proximal humerus fractures. Patient and public involvement and engagement work informed study design, identifying the need to first understand professionals' viewpoints before engaging patients and progressing to consensus co-design.Main measuresData were collected through focus groups supported by pre-session forms and analysed thematically following Braun and Clarke's framework using NVivo software.ResultsThree overarching themes were identified: , , and . Fear of patient harm and high pain levels in the early weeks were barriers to early sling removal. Confidence was influenced by experience, fracture severity and limited evidence, with hierarchical decision-making by surgeons. Participants considered enablers to be consistent messaging, early education, and reassurance to support both clinicians and patients.ConclusionsWhilst healthcare professionals recognise benefits of earlier sling removal, implementation is limited by pain, uncertainty, and hierarchical decision-making. These findings highlight the need for multidisciplinary, co-designed pathways. There is a need next to explore patient perspectives to inform future co-designed pathways.
Factors influencing clinical decision-making in inpatient rehabilitation: A scoping review.
Dobson CG, Carrington H, Hernandez GM … +3 more , Go HC, Hameed SN, Cogan AM
Clin Rehabil · 2026 Mar · PMID 41885302 · Publisher ↗
ObjectiveTo synthesize research about clinical reasoning and decision-making among therapists in inpatient rehabilitation facilities about how they organize care and use their treatment time.Data sourcesPubMed, CINAHL, a...
ObjectiveTo synthesize research about clinical reasoning and decision-making among therapists in inpatient rehabilitation facilities about how they organize care and use their treatment time.Data sourcesPubMed, CINAHL, and PsycINFO were searched for relevant empirical studies published prior to January 13, 2026.Review methodsScoping review. The review process was organized using Covidence. Included studies featured descriptions of clinical decisions explained by occupational therapists, physical therapists, and speech therapists in inpatient rehabilitation facilities. Two reviewers coded the extracted themes through inductive analysis using Dedoose.ResultsOf 1239 articles identified through the search process, 51 met inclusion criteria. We identified six factors across studies that contributed to therapists' clinical decision-making including: (1) consideration of non-medical circumstances (with sub-themes of understanding the patient's perspective, presence of families and caregivers, and assessment of patient resources); (2) collaboration and roles within care teams; (3) within-session communication techniques; (4) knowledge-base and the influence of experience; (5) medical and safety considerations; and (6) balancing institutional priorities within treatment. We created a concept map showing connections across these six factors.ConclusionThe process of making decisions about therapy time and organization of care within inpatient rehabilitation settings is complex and requires integration of multiple factors. Therapists usually prefer familiar approaches to complex or time-intensive ones, and local culture shapes decision-making norms. Future research may examine how these factors relate to patient outcomes and implementation of practice changes such as introduction of new evidence-based treatments or assessment tools.
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