Pulmonary rehabilitation(PR)aims to improve lung function in patients with chronic respiratory disease(CRD).In recent years,significant advancements have been made in pulmonary rehabilitation technologies,demonstratin...Pulmonary rehabilitation(PR)aims to improve lung function in patients with chronic respiratory disease(CRD).In recent years,significant advancements have been made in pulmonary rehabilitation technologies,demonstrating their potential for enhancing lung function in patients with respiratory diseases.The purpose of this study is to outline recent developments in the field of pulmonary rehabilitation guided by pulmonary rehabilitation robots,which has not been previously addressed in earlier reviews.To fill this gap,this paper first provides a systematic summary of the monitoring and actuation technologies of pulmonary rehabilitation robot systems and evaluates these technologies from multiple dimensions,including portability,wearability potential,invasiveness,and clinical applications,analyzing the potential for integrating various technologies into pulmonary rehabilitation robot systems.Furthermore,three technical directions are proposed:real-time precise monitoring,suitable structure and actuation strategies,and the intelligence of pulmonary rehabilitation robot systems.On the basis of these directions,this paper presents a comprehensive technical outlook for a soft wearable pulmonary rehabilitation robot system,providing reference and guidance for future research.To our knowledge,this is the first review of pulmonary rehabilitation robot systems and their key technologies.Additionally,the review section on respiratory assistive technologies simultaneously covers key technologies such as mechanical ventilation(MV),exoskeleton robots,and functional electrical stimulation(FES)for the first time.It also summarizes the respiratory assistive technology paradigm from the innovative perspectives of respiratory assistive modalities,targeted body sites,and types of ventilation for the first time.This study offers a broader perspective and a deeper understanding of pulmonary re-habilitation robots,with a technical outlook encompassing multimodal data fusion perception,respiratory event detection and intention recognition,full-phase assistance strategies,modeling,decoupling,and quantification of multipleinput multiple-output(MIMO)systems,as well as model-based interactive control strategies.展开更多
Objective This study aimed to evaluate whether cardiac rehabilitation with a technology-assisted personalized exercise prescription is superior to traditional remote home-based rehabilitation in improving cardiorespir...Objective This study aimed to evaluate whether cardiac rehabilitation with a technology-assisted personalized exercise prescription is superior to traditional remote home-based rehabilitation in improving cardiorespiratory endurance and quality of life in postoperative patients.Methods From October 2022 to April 2024,62 patients who underwent percutaneous coronary intervention for coronary heart disease were recruited from a tertiary hospital in Beijing and randomly assigned to either an intervention group or a control group.After baseline assessments of cardiorespiratory endurance and exercise function,the intervention group received a digitalized personalized exercise prescription combined with remote monitoring rehabilitation.This included an exercise prescription delivered via a mobile application,weekly remote monitoring sessions with an exercise therapist to supervise prescription adherence,provide feedback based on real-time electrocardiographic data,and make personalized adjustments to the exercise prescription based on this information.The control group received an application-delivered exercise movement library and a wearable electrocardiogram device for self-monitoring of exercise intensity.Both groups underwent the 12-week intervention.Changes in maximal oxygen uptake and quality of life were evaluated at enrollment,as well as at 4 weeks,12 weeks,and 24 weeks after the intervention commenced.Results A total of 58 participants completed the study(the intervention group[n=30],the control group[n=28]).Twelve weeks after the interventions,the intervention group showed statistically improvements in VO2AT(Z=2.247,P=0.025),general health(Z=2.126,P=0.033)and social functioning(Z=3.349,P=0.001)compared to the control group.At 24 weeks of follow-up,the intervention group continued to exhibit statistically significant improvements in VO2AT(Z=2.017,P=0.044)and social functioning(Z=3.126,P=0.002).The exercise duration of patients in the intervention group during the exercise test was significantly prolonged at both 4 weeks(Z=−2.420,P=0.021),12 weeks(Z=−2.240,P=0.029)and 24weeks(Z=−2.300,P=0.025)showing statistically significant differences compared to the control group.Conclusions This study provides new evidence-based support for the practical effectiveness of nurses acting as supervisors of rehabilitation implementation and coordinators of multidisciplinary teams within a remote digital cardiac rehabilitation model,underscoring their significant value in the secondary prevention management system for cardiovascular diseases in the information era.展开更多
Digital twin technology,that creates virtual replicas of physical entities using real-time data and simulation models,has emerged as a transformative innovation across multiple healthcare domains.Its application in ph...Digital twin technology,that creates virtual replicas of physical entities using real-time data and simulation models,has emerged as a transformative innovation across multiple healthcare domains.Its application in physiotherapy and rehabilitation represents a paradigm shift from traditional therapeutic approaches to personalized data-driven interventions that optimize patient outcomes.This narrative review examines the current applications,benefits,challenges,and future prospects of digital twin technology in physiotherapy and rehabilitation,providing a comprehensive analysis of the manner in which this technology is reshaping clinical practice and patient care.A narrative review approach was employed,systematically searching PubMed,IEEE Xplore,Scopus,and Web of Science databases.Studies describing digital twin applications,development methodologies,clinical implementations,and theoretical frameworks in physiotherapy and rehabilitation contexts were included.Digital twin technology demonstrates significant potential in personalizing rehabilitation programs,enabling real-time monitoring of patient progress,predicting treatment outcomes,and facilitating remote therapeutic interventions.Current applications span musculoskeletal rehabilitation,neurological recovery,post surgical care,and sports injury management.Key benefits include enhanced treatment precision,improved patient engagement,reduced healthcare costs,and accelerated recovery times.However,implementation faces challenges including technological complexity,data privacy concerns,interoperability issues,and the need for substantial infrastructure investment.Digital twin technology represents a promising frontier in physiotherapy and rehabilitation,offering unprecedented opportunities for personalized,efficient,and effective patient care.Successful integration requires addressing the current limitations while fostering interdisciplinary collaboration between clinicians,engineers,and data scientists.展开更多
With the intensification of population aging,knee and hip joint replacement surgeries have become core methods for treating end-stage joint diseases,with over a million cases performed globally each year.Postoperative...With the intensification of population aging,knee and hip joint replacement surgeries have become core methods for treating end-stage joint diseases,with over a million cases performed globally each year.Postoperative rehabilitation nursing,as a crucial aspect of enhancing surgical outcomes,reducing complications,and facilitating patients’return to normal life,has its scientific and effective protocols directly influencing patient prognosis.This article systematically reviews the core research findings on rehabilitation nursing after joint replacement surgery based on the concept of evidence-based medicine,aiming to provide references for the formulation of standardized and personalized rehabilitation nursing plans in clinical settings.展开更多
Flexible and wearable sensors offer immense potential for rehabilitation medicine,but most rely solely on electrical signals,lacking real-time visual feedback and limiting trainee's interactivity.Inspired by the s...Flexible and wearable sensors offer immense potential for rehabilitation medicine,but most rely solely on electrical signals,lacking real-time visual feedback and limiting trainee's interactivity.Inspired by the structural coloration of Cyanocitta stelleri feathers,we developed a dual-mode sensor by utilizing black conductive polymer hydrogel(CPH)-enhanced structural color strategy.This sensor integrates a hydroxypropyl cellulose(HPC)-based structural color interface with a designed CPH sensing component.Highly visible light-absorbing CPH(absorption rate>88%)serves as the critical substrate for enhancing structural color performance.By absorbing incoherent scattered light and suppressing background interference,it significantly enhances the saturation of structural color,thereby achieving a high contrast index of 4.92.Unlike the faint and hardly visible structural colors on non-black substrates,the HPC on CPH displays vivid,highly perceptible colors and desirable mechanochromic behavior.Moreover,the CPH acts as a flexible sensing element,fortified by hydrogen and coordination bond networks,and exhibits exceptional electromechanical properties,including 867.1 kPa tensile strength,strain sensitivity(gauge factor of 4.24),and outstanding durability(over 4400 cycles).Compared to traditional single-mode sensors,the integrated sensor provides real-time visual and digital dual feedback,enhancing the accuracy and interactivity of rehabilitation assessments.This technology holds promise for advancing next-generation rehabilitation medicine.展开更多
Bioelectronic medicine is a discipline that employs various electronic devices and technologies to diagnose,treat,and monitor biological systems and diseases.With continuous technological advancement,numerous bioelect...Bioelectronic medicine is a discipline that employs various electronic devices and technologies to diagnose,treat,and monitor biological systems and diseases.With continuous technological advancement,numerous bioelectronic devices are now utilized as independent therapeutic interventions or as adjunct treatments,and their applications continue to expand.This article briefly outlines the discovery process of several common electrophysiological signals in the human body and focuses on diverse electrical stimulation technologies.Their applications in the nervous system,cancer treatment,tissue regeneration and repair,and cardiovascular therapy are discussed,along with the underlying mechanisms of action.Furthermore,the rapid development of artificial intelligence and technological innovation has significantly broadened the scope and application of bioelectronic medicine.Finally,the current limitations and future prospects of bioelectronic medicine are explored.展开更多
Objective:To explore the impact of systematic stepwise rehabilitation nursing intervention on the prognosis and disease uncertainty of patients with hypertensive intracerebral hemorrhage,and to provide feasible strate...Objective:To explore the impact of systematic stepwise rehabilitation nursing intervention on the prognosis and disease uncertainty of patients with hypertensive intracerebral hemorrhage,and to provide feasible strategies for clinical nursing.Methods:Eighty patients with hypertensive intracerebral hemorrhage admitted to our hospital from January 2023 to June 2025 were selected and randomly divided into an observation group(n=40,receiving systematic stepwise rehabilitation nursing)and a control group(n=40,receiving conventional nursing).The intervention effects were analyzed by comparing changes in the National Institutes of Health Stroke Scale(NIHSS)scores for neurological recovery,Short Form 36 Health Survey(SF-36)scores for quality of life,Exercise of Self-Care Agency Scale(ESCA)scores for self-management ability,compliance,and the Mishel Uncertainty in Illness Scale(MUIS)scores between the two groups.Results:All scores in the observation group were significantly better than those in the control group after the intervention(p<0.05).Specifically,the NIHSS scores decreased more significantly,the total SF-36 scores increased,the ESCA scores increased significantly,while the MUIS scores decreased significantly,and compliance improved markedly,indicating a reduction in disease uncertainty among patients.Conclusion:Systematic stepwise rehabilitation nursing intervention can significantly improve neurological recovery,quality of life,self-management ability,and compliance in patients with hypertensive intracerebral hemorrhage,while effectively reducing disease uncertainty.It is worthy of clinical promotion and application.展开更多
[Objectives]To investigate the clinical effects of implementing structured phased rehabilitation training,in addition to conventional rehabilitation,on shoulder joint function and pain alleviation in patients with rot...[Objectives]To investigate the clinical effects of implementing structured phased rehabilitation training,in addition to conventional rehabilitation,on shoulder joint function and pain alleviation in patients with rotator cuff injuries managed conservatively.[Methods]Eighty patients diagnosed with rotator cuff injury were selected and randomly assigned to either the control group or the experimental group,each comprising 40 individuals.The control group received conventional rehabilitation treatment,whereas the experimental group underwent phased rehabilitation training in addition to the conventional treatment for 6 weeks.Assessments were conducted prior to treatment,6 weeks following treatment,and 8 weeks after the completion of treatment(follow-up period).The visual analogue scale(VAS)was employed to evaluate pain intensity,the Constant-Murley score was utilized to assess shoulder joint function,and the shoulder joint range of motion was measured.[Results]Prior to treatment,no statistically significant differences were observed between the two patient groups across all measured indicators(P>0.05).Following 6 weeks of treatment and throughout the follow-up period,both groups exhibited significant reductions in VAS scores compared to baseline measurements,alongside improvements in Constant-Murley scores and shoulder joint range of motion(P<0.05).Furthermore,the magnitude of improvement in the experimental group was significantly greater than that in the control group(P<0.05).[Conclusions]Phased rehabilitation training can enhance shoulder joint function and alleviate pain in patients with rotator cuff injuries beyond the effects of conventional rehabilitation treatment,demonstrating notable clinical application value.展开更多
Objective:To analyze the improvement effect of early postoperative rehabilitation training on balance ability and quality of life in elderly patients with hip fracture.Methods:A total of 50 elderly patients with hip f...Objective:To analyze the improvement effect of early postoperative rehabilitation training on balance ability and quality of life in elderly patients with hip fracture.Methods:A total of 50 elderly patients with hip fracture admitted to our hospital from January 2023 to January 2024 were selected and divided into the observation group(25 cases)and the control group(25 cases)by random number table method.The control group received routine nursing,while the observation group received early rehabilitation training on the basis of routine nursing.The balance ability(Berg Balance Scale,BBS)and quality of life(SF-36)of the two groups were compared.Results:The BBS scores of the observation group at all postoperative time points were significantly higher than those of the control group(p<0.05),and the quality-of-life scores of the observation group were also significantly higher than those of the control group(p<0.05).Conclusion:Early postoperative rehabilitation training for elderly patients with hip fracture can improve their balance ability,enhance their quality of life,and reduce the incidence of postoperative complications,which is worthy of clinical promotion.展开更多
Objective: To explore the application effect of pulmonary rehabilitation nursing intervention in patients with stable chronic obstructive pulmonary disease (COPD) and evaluate its impact on nursing satisfaction. Metho...Objective: To explore the application effect of pulmonary rehabilitation nursing intervention in patients with stable chronic obstructive pulmonary disease (COPD) and evaluate its impact on nursing satisfaction. Methods: A total of 120 patients with stable COPD admitted to our hospital from February 2023 to February 2025 were selected and divided into a control group and an observation group according to the order of admission, with 60 cases in each group. The control group received routine nursing care, while the observation group received systematic pulmonary rehabilitation nursing intervention on this basis. Pulmonary function indicators, 6-minute walk test (6MWT) distance, COPD Assessment Test (CAT) scores, incidence of acute exacerbations, and nursing satisfaction were compared between the two groups after nursing. Results: After nursing, the FEV1, FVC, and FEV1/FVC in the observation group were significantly higher than those in the control group, the 6MWT distance significantly increased, and the CAT scores significantly decreased, with statistically significant differences (p < 0.05). The incidence of acute exacerbations in the observation group was lower than that in the control group, and the nursing satisfaction score was higher (p < 0.05). Conclusion: Pulmonary rehabilitation nursing intervention can effectively improve pulmonary function, exercise tolerance, and symptom control in patients with stable COPD, and significantly enhance nursing satisfaction, making it worthy of further clinical promotion.展开更多
The purpose is to explore the effects of Exercise rehabilitation(ER)on bone mineral density(BMD)of the knee,muscle strength(MS),and physical function(PF)after ACL rupture.Finally,A total of 58 patients were randomized...The purpose is to explore the effects of Exercise rehabilitation(ER)on bone mineral density(BMD)of the knee,muscle strength(MS),and physical function(PF)after ACL rupture.Finally,A total of 58 patients were randomized into 2 groups(Control Group[CON]:conventional treatment,male=16,female=13,age=[31.63±8.01]years;Exercise rehabilitation group[ER]:6-week ER on CON basis,male=17,female=12,age=[31.26±7.07]years).At baseline and 6 weeks,the knee BMD was measured using DEXA,MS and PF measures were recorded by isokinetic strength test,IKDC,Lysholm,and VAS score.T-tests,analysis of variance(ANOVA),and Mann-Whitney tests were used for comparisons.The BMD outcomes:after a 6-week period,the BMD of the CON([1.47±0.24]g·cm^(-2))was significantly lower than that of the ER([1.65±0.37]g·cm^(-2))at lateral condyle of femur(LCF)(p=0.041).MS outcomes:at 6 weeks,the relative peak torque(RPT)of the quadriceps and hamstrings during concentric contractions in ER group were significantly higher than that in CON group(p<0.001,p=0.017).Similarly,during eccentric contractions in ER group,the RPT of the quadriceps and the H/Q ratio revealed significant variations from the CON group(p=0.033,p=0.043).PF outcomes:the IKDC,Lysholm,and VAS scores of the ER group were significantly improved compared to the CON group(p<0.001,p<0.001,p=0.002).The conclusion is that 6 weeks of ER intervention for patients with ACL rupture can effectively delay the decline of BMD in the LCF of the knee joint,and enhance the restoration of MS and PF.This provides guidance for clinical rehabilitation.展开更多
It explores the integration of rehabilitation and palliative care in cancer management,advocating for a holistic approach that addresses the diverse needs of patients throughout their treatment journey.Traditional can...It explores the integration of rehabilitation and palliative care in cancer management,advocating for a holistic approach that addresses the diverse needs of patients throughout their treatment journey.Traditional cancer care often prioritizes curative interventions at the expense of overall well-being,leading to a fragmented experience for patients.By combining rehabilitation-focused on restoring function and improving physical health-with palliative care-emphasizing symptom management and quality of life-healthcare providers can create a comprehensive support system.The essay highlights the importance of interdisciplinary collaboration among healthcare professionals,as well as the need for education and training to implement this integrated model effectively.Additionally,it addresses potential barriers such as funding limitations and institutional resistance.Ultimately,the integration of these two disciplines represents a critical evolution in cancer care,enhancing patient outcomes and ensuring that individuals receive compassionate,patient-centered support throughout their journey.展开更多
Cancer rehabilitation is a critical component of comprehensive cancer care,aiming to improve the quality of life for cancer survivors by addressing physical,psychological,and social challenges following treatment.In I...Cancer rehabilitation is a critical component of comprehensive cancer care,aiming to improve the quality of life for cancer survivors by addressing physical,psychological,and social challenges following treatment.In India,with rising cancer incidence and a growing survivor population,the need for effective rehabilitation services is more pronounced than ever.However,despite significant progress in cancer treatment,rehabilitation remains an underdeveloped and underutilized area of care in the country.This mini-review explores the current status of cancer rehabilitation in India,highlighting existing gaps in healthcare infrastructure,access,and awareness.It examines the scope of rehabilitation services-including physical therapy,psychosocial support,palliative care,and vocational rehabilitation-and identifies regional variations in service availability.Furthermore,the mini-review outlines challenges faced by healthcare providers,such as a shortage of trained professionals,limited funding,and cultural stigmas surrounding cancer.Future perspectives on cancer rehabilitation in India emphasize the need for policy reforms,integration of rehabilitation into national cancer care programs,and promotion of multidisciplinary care teams.The article concludes with recommendations for expanding cancer rehabilitation services to meet the evolving needs of survivors and to enhance their long-term well-being in India.展开更多
Early intervention for sensorineural hearing loss(SNHL)in childhood is crucial for auditory and language development.In recent years,innovative auditory stimulation techniques and speech therapy strategies,such as mid...Early intervention for sensorineural hearing loss(SNHL)in childhood is crucial for auditory and language development.In recent years,innovative auditory stimulation techniques and speech therapy strategies,such as middle ear implants,cochlear implants,auditory brainstem implants,and midbrain implants,have provided new avenues for improving patient outcomes.Additionally,basic research advancements in cell reprogramming and regeneration,stem cell therapy,and targeted drug delivery offer promising approaches to meet the individualized needs of children with SNHL.However,many challenges and unresolved issues remain in the treatment of SNHL.This article comments on the case report,which describes a female pediatric patient with SNHL who underwent foot reflexology which led to the normalization of hearing thresholds.Reflexology is considered to have potential benefits in physical rehabilitation,but its efficacy in hearing restoration requires further scientific validation through rigorous clinical trials and large-scale prospective studies.展开更多
Objective:To explore the rehabilitation effect of upper limb rehabilitation robots combined with isokinetic muscle strength training on hemiplegic patients in the recovery phase of stroke,and to provide a more effecti...Objective:To explore the rehabilitation effect of upper limb rehabilitation robots combined with isokinetic muscle strength training on hemiplegic patients in the recovery phase of stroke,and to provide a more effective intervention plan for clinical rehabilitation treatment.Methods:One hundred and sixty type 2 stroke patients with hemiplegia in recovery phase treated at Jintan First People’s Hospital from May 2020 to May 2025 were selected as the research subjects.They were divided into a control group(n=80)and an observation group(n=80)using a random number table method.The control group received isokinetic muscle strength training,while the observation group received additional upper limb rehabilitation robot-assisted intervention based on the control group’s treatment.The general information(age,gender,course of disease),Brunnstrum staging,Barthel index,FMA score,and facial expression pain score were compared between the two groups.Results:After treatment,the indicators of both groups improved compared to before treatment.The observation group showed significant advantages in improving various indicators.In terms of Brunnstrum staging,the number of patients in stage IV and above was significantly higher than that in the control group;in terms of the Barthel index,the increase was more significant than that of the control group(P=0.000<0.001).In terms of the FMA score,the increase was more pronounced(P=0.000<0.001);and in terms of facial expression pain assessment,the decrease was more evident(P=0.000<0.01).Conclusion:The combination of upper limb rehabilitation robots and isokinetic muscle strength training can significantly improve the recovery of limb function and activities of daily living in hemiplegic patients during the recovery phase of stroke,and reduce pain.Compared with simple isokinetic muscle strength training,the rehabilitation effect is better,and it is worthy of clinical application.展开更多
Objective:To analyze the impact of the predictive rehabilitation nursing model on the quality of emergency transport and rehabilitation outcomes for patients with acute cerebral hemorrhage(ICH).Methods:A total of 62 p...Objective:To analyze the impact of the predictive rehabilitation nursing model on the quality of emergency transport and rehabilitation outcomes for patients with acute cerebral hemorrhage(ICH).Methods:A total of 62 patients with acute cerebral hemorrhage admitted to the hospital from January 2022 to December 2024 were selected as the study subjects.The observation group(n=31)received conventional nursing combined with the predictive rehabilitation nursing model during the emergency process,while the control group(n=31)received conventional nursing.The recovery conditions(Fuel-Meyer Assessment(FMA)score,Barthel Index(BI)),incidence of complications,nursing satisfaction,and time to regain consciousness were compared between the two groups.Results:After the intervention,the FMA and BI scores of the observation group were significantly higher than those of the control group,with statistically significant differences.The incidence of complications in the observation group was significantly lower than that in the control group.In terms of nursing satisfaction,the scores of various indicators in the observation group were higher than those in the control group,with statistically significant differences.The time to regain consciousness in the observation group was(48.72±11.76)minutes,compared to(64.29±14.58)minutes in the control group,with the observation group regaining consciousness earlier than the control group.Conclusion:The application of the predictive rehabilitation nursing model in the emergency transport process of patients with acute cerebral hemorrhage can reduce the incidence of complications,shorten the duration of consciousness disorder,improve the quality of transport,and enhance functional rehabilitation levels.展开更多
Bronchiectasis is a chronic inflammatory airway disease,and patients often suffer from recurrent airway infections leading to decreased lung function and impaired quality of life.In this study,the effects of supervise...Bronchiectasis is a chronic inflammatory airway disease,and patients often suffer from recurrent airway infections leading to decreased lung function and impaired quality of life.In this study,the effects of supervised pulmonary rehabilitation training on pulmonary function,training compliance,and quality of life in patients with bronchiectasis under home rehabilitation mode are investigated.Ninety stable patients were selected,and the observation group adopted the home-supervised mode of pulmonary rehabilitation training.The results showed that the observation group’s pulmonary function indexes,quality of life,and training adherence were better than those of the control group.The differences were statistically significant(P<0.05).The supervised pulmonary rehabilitation training in home rehabilitation mode can effectively improve patients’pulmonary function and quality of life,and improve training compliance,which has good clinical application value.展开更多
BACKGROUND Telerehabilitation can help overcome geographic barriers and expand access to physical rehabilitation for patients with chronic liver disease.AIM To evaluate the impact of adherence to a videoconference-sup...BACKGROUND Telerehabilitation can help overcome geographic barriers and expand access to physical rehabilitation for patients with chronic liver disease.AIM To evaluate the impact of adherence to a videoconference-supervised telerehabilitation programme on frailty,functional capacity,and quality of life in pre-frail or frail cirrhotic patients awaiting liver transplantation.METHODS We conducted a non-randomised controlled clinical trial involving patients listed for liver transplantation from January 2021 to May 2023.Frailty was assessed using the Liver Frailty Index(LFI).Participants were enrolled in a 12-week telerehabilitation programme and classified as adherent(≥50%sessions)or nonadherent.Functional capacity was measured using the 4-minute step test(4MST),and quality of life was evaluated with the 36-Item Short Form Health Survey(SF-36)questionnaire.RESULTS Fifty-seven pre-frail or frail patients were included in the study and enrolled in the telerehabilitation programme.Adherence was observed in 29.8%of participants.At baseline,non-adherent patients had higher mean LFI scores(4.24 vs 4.03,P<0.001).Over time,the LFI score increased by 0.11 in non-adherent patients,while adherent patients experienced a mean score reduction of 0.54(final mean LFI score:3.2).Adherent patients also demonstrated enhanced heart rate responses in the 4MST(P<0.001)and greater improvements in the physical functioning,vitality,and mental health domains of the SF-36.No serious adverse events were reported.CONCLUSION The videoconference-supervised telerehabilitation programme was safe and effective in reducing frailty and improving functional outcomes and quality of life in adherent cirrhotic patients on the liver transplant waitlist.展开更多
BACKGROUND Rotator cuff tears are a chief cause of shoulder pain and disability,and surgical repair is often required when conservative management fails.As digital health technologies have expanded,especially since th...BACKGROUND Rotator cuff tears are a chief cause of shoulder pain and disability,and surgical repair is often required when conservative management fails.As digital health technologies have expanded,especially since the coronavirus disease 2019 pandemic,digitally augmented rehabilitation programs emerged as a potential alternative to conventional physical therapy.AIM To determine if digitally assisted rehabilitation could be as practical,or even more effective,than the traditional methods most patients currently follow.METHODS Six electronic databases,including PubMed,Scopus,Cochrane Library,Google Scholar,EMBASE,and Web of Science,were searched to find articles that compare digital-based rehabilitation and conventional treatment.Outcomes of interest were Disabilities of the Arm,Shoulder and Hand(DASH)score and range of motion.The quality assessment of the included studies was performed using the risk-of-bias tool for randomized trials tool.RESULTS Three randomized controlled trial studies were enrolled in this study,including 195 cases.We did not find any significant differences between the two groups in terms of DASH score,flexion range of motion,and external rotation range of motion.There was a significant difference between the two groups for abduction range of motion.CONCLUSION Digital home-based rehab seems to be a strong alternative to traditional methods,offering similar results for people recovering from rotator cuff surgery.This approach might also make rehab more accessible and engaging for patients.That said,further research is needed to fully understand the potential of digital rehabilitation and ensure it works effectively for everyone.展开更多
Severe aortic stenosis has increased exponentially as a result of the aging of the population.Transcatheter aortic valve replacement(TAVR)procedures increase by 20%-30%per year in Spain.Referred patients are increasin...Severe aortic stenosis has increased exponentially as a result of the aging of the population.Transcatheter aortic valve replacement(TAVR)procedures increase by 20%-30%per year in Spain.Referred patients are increasingly older,have comorbidities,and frailty.TAVR cardiac rehabilitation(CR)programs significantly improve both functional capacity and quality of life of patients.However,there are no guidelines on how to carry out them and few elderly patients are referred to CR.Furthermore,mortality in women who undergo TAVR is higher than in men and even fewer are referred to CR programs.Multidisciplinary patient care,including comorbidities and frailty,is essential.It is necessary to ensure exquisite continuity of care during TAVR,CR,and the rest of the patient's life.Telerehabilitation could be an option in some lower-risk patients to include more patients in CR programs after TAVR,given the high demand.This article reviews the evidence on why CR should be performed in post-TAVR patients and proposes a practical and novel approach to the care process and the recommended aspects and components of the CR program.展开更多
基金supported by the National Key Research and Development Project(2022YFB4703200)。
文摘Pulmonary rehabilitation(PR)aims to improve lung function in patients with chronic respiratory disease(CRD).In recent years,significant advancements have been made in pulmonary rehabilitation technologies,demonstrating their potential for enhancing lung function in patients with respiratory diseases.The purpose of this study is to outline recent developments in the field of pulmonary rehabilitation guided by pulmonary rehabilitation robots,which has not been previously addressed in earlier reviews.To fill this gap,this paper first provides a systematic summary of the monitoring and actuation technologies of pulmonary rehabilitation robot systems and evaluates these technologies from multiple dimensions,including portability,wearability potential,invasiveness,and clinical applications,analyzing the potential for integrating various technologies into pulmonary rehabilitation robot systems.Furthermore,three technical directions are proposed:real-time precise monitoring,suitable structure and actuation strategies,and the intelligence of pulmonary rehabilitation robot systems.On the basis of these directions,this paper presents a comprehensive technical outlook for a soft wearable pulmonary rehabilitation robot system,providing reference and guidance for future research.To our knowledge,this is the first review of pulmonary rehabilitation robot systems and their key technologies.Additionally,the review section on respiratory assistive technologies simultaneously covers key technologies such as mechanical ventilation(MV),exoskeleton robots,and functional electrical stimulation(FES)for the first time.It also summarizes the respiratory assistive technology paradigm from the innovative perspectives of respiratory assistive modalities,targeted body sites,and types of ventilation for the first time.This study offers a broader perspective and a deeper understanding of pulmonary re-habilitation robots,with a technical outlook encompassing multimodal data fusion perception,respiratory event detection and intention recognition,full-phase assistance strategies,modeling,decoupling,and quantification of multipleinput multiple-output(MIMO)systems,as well as model-based interactive control strategies.
文摘Objective This study aimed to evaluate whether cardiac rehabilitation with a technology-assisted personalized exercise prescription is superior to traditional remote home-based rehabilitation in improving cardiorespiratory endurance and quality of life in postoperative patients.Methods From October 2022 to April 2024,62 patients who underwent percutaneous coronary intervention for coronary heart disease were recruited from a tertiary hospital in Beijing and randomly assigned to either an intervention group or a control group.After baseline assessments of cardiorespiratory endurance and exercise function,the intervention group received a digitalized personalized exercise prescription combined with remote monitoring rehabilitation.This included an exercise prescription delivered via a mobile application,weekly remote monitoring sessions with an exercise therapist to supervise prescription adherence,provide feedback based on real-time electrocardiographic data,and make personalized adjustments to the exercise prescription based on this information.The control group received an application-delivered exercise movement library and a wearable electrocardiogram device for self-monitoring of exercise intensity.Both groups underwent the 12-week intervention.Changes in maximal oxygen uptake and quality of life were evaluated at enrollment,as well as at 4 weeks,12 weeks,and 24 weeks after the intervention commenced.Results A total of 58 participants completed the study(the intervention group[n=30],the control group[n=28]).Twelve weeks after the interventions,the intervention group showed statistically improvements in VO2AT(Z=2.247,P=0.025),general health(Z=2.126,P=0.033)and social functioning(Z=3.349,P=0.001)compared to the control group.At 24 weeks of follow-up,the intervention group continued to exhibit statistically significant improvements in VO2AT(Z=2.017,P=0.044)and social functioning(Z=3.126,P=0.002).The exercise duration of patients in the intervention group during the exercise test was significantly prolonged at both 4 weeks(Z=−2.420,P=0.021),12 weeks(Z=−2.240,P=0.029)and 24weeks(Z=−2.300,P=0.025)showing statistically significant differences compared to the control group.Conclusions This study provides new evidence-based support for the practical effectiveness of nurses acting as supervisors of rehabilitation implementation and coordinators of multidisciplinary teams within a remote digital cardiac rehabilitation model,underscoring their significant value in the secondary prevention management system for cardiovascular diseases in the information era.
文摘Digital twin technology,that creates virtual replicas of physical entities using real-time data and simulation models,has emerged as a transformative innovation across multiple healthcare domains.Its application in physiotherapy and rehabilitation represents a paradigm shift from traditional therapeutic approaches to personalized data-driven interventions that optimize patient outcomes.This narrative review examines the current applications,benefits,challenges,and future prospects of digital twin technology in physiotherapy and rehabilitation,providing a comprehensive analysis of the manner in which this technology is reshaping clinical practice and patient care.A narrative review approach was employed,systematically searching PubMed,IEEE Xplore,Scopus,and Web of Science databases.Studies describing digital twin applications,development methodologies,clinical implementations,and theoretical frameworks in physiotherapy and rehabilitation contexts were included.Digital twin technology demonstrates significant potential in personalizing rehabilitation programs,enabling real-time monitoring of patient progress,predicting treatment outcomes,and facilitating remote therapeutic interventions.Current applications span musculoskeletal rehabilitation,neurological recovery,post surgical care,and sports injury management.Key benefits include enhanced treatment precision,improved patient engagement,reduced healthcare costs,and accelerated recovery times.However,implementation faces challenges including technological complexity,data privacy concerns,interoperability issues,and the need for substantial infrastructure investment.Digital twin technology represents a promising frontier in physiotherapy and rehabilitation,offering unprecedented opportunities for personalized,efficient,and effective patient care.Successful integration requires addressing the current limitations while fostering interdisciplinary collaboration between clinicians,engineers,and data scientists.
文摘With the intensification of population aging,knee and hip joint replacement surgeries have become core methods for treating end-stage joint diseases,with over a million cases performed globally each year.Postoperative rehabilitation nursing,as a crucial aspect of enhancing surgical outcomes,reducing complications,and facilitating patients’return to normal life,has its scientific and effective protocols directly influencing patient prognosis.This article systematically reviews the core research findings on rehabilitation nursing after joint replacement surgery based on the concept of evidence-based medicine,aiming to provide references for the formulation of standardized and personalized rehabilitation nursing plans in clinical settings.
基金supported by the Science and Technology Development Fund,Macao SAR(0065/2023/AFJ,0116/2022/A3)the National Natural Science Foundation of China(52402166)+4 种基金the Natural Science Foundation of Guangdong Province(2025A1515011120)the Australian Research Council(DE220100154)the financial support from the Science and Technology Development Fund(FDCT),Macao SAR(No.0149/2022/A),and(No.0046/2024/AFJ)Guangdong Science and Technology Department(2023QN10C305)for this workthe financial support from the National Natural Science Foundation of China(Grant No.22305185)。
文摘Flexible and wearable sensors offer immense potential for rehabilitation medicine,but most rely solely on electrical signals,lacking real-time visual feedback and limiting trainee's interactivity.Inspired by the structural coloration of Cyanocitta stelleri feathers,we developed a dual-mode sensor by utilizing black conductive polymer hydrogel(CPH)-enhanced structural color strategy.This sensor integrates a hydroxypropyl cellulose(HPC)-based structural color interface with a designed CPH sensing component.Highly visible light-absorbing CPH(absorption rate>88%)serves as the critical substrate for enhancing structural color performance.By absorbing incoherent scattered light and suppressing background interference,it significantly enhances the saturation of structural color,thereby achieving a high contrast index of 4.92.Unlike the faint and hardly visible structural colors on non-black substrates,the HPC on CPH displays vivid,highly perceptible colors and desirable mechanochromic behavior.Moreover,the CPH acts as a flexible sensing element,fortified by hydrogen and coordination bond networks,and exhibits exceptional electromechanical properties,including 867.1 kPa tensile strength,strain sensitivity(gauge factor of 4.24),and outstanding durability(over 4400 cycles).Compared to traditional single-mode sensors,the integrated sensor provides real-time visual and digital dual feedback,enhancing the accuracy and interactivity of rehabilitation assessments.This technology holds promise for advancing next-generation rehabilitation medicine.
基金supported by the National Natural Science Foundation of China[grant numbers 82350003 and 92049201].
文摘Bioelectronic medicine is a discipline that employs various electronic devices and technologies to diagnose,treat,and monitor biological systems and diseases.With continuous technological advancement,numerous bioelectronic devices are now utilized as independent therapeutic interventions or as adjunct treatments,and their applications continue to expand.This article briefly outlines the discovery process of several common electrophysiological signals in the human body and focuses on diverse electrical stimulation technologies.Their applications in the nervous system,cancer treatment,tissue regeneration and repair,and cardiovascular therapy are discussed,along with the underlying mechanisms of action.Furthermore,the rapid development of artificial intelligence and technological innovation has significantly broadened the scope and application of bioelectronic medicine.Finally,the current limitations and future prospects of bioelectronic medicine are explored.
文摘Objective:To explore the impact of systematic stepwise rehabilitation nursing intervention on the prognosis and disease uncertainty of patients with hypertensive intracerebral hemorrhage,and to provide feasible strategies for clinical nursing.Methods:Eighty patients with hypertensive intracerebral hemorrhage admitted to our hospital from January 2023 to June 2025 were selected and randomly divided into an observation group(n=40,receiving systematic stepwise rehabilitation nursing)and a control group(n=40,receiving conventional nursing).The intervention effects were analyzed by comparing changes in the National Institutes of Health Stroke Scale(NIHSS)scores for neurological recovery,Short Form 36 Health Survey(SF-36)scores for quality of life,Exercise of Self-Care Agency Scale(ESCA)scores for self-management ability,compliance,and the Mishel Uncertainty in Illness Scale(MUIS)scores between the two groups.Results:All scores in the observation group were significantly better than those in the control group after the intervention(p<0.05).Specifically,the NIHSS scores decreased more significantly,the total SF-36 scores increased,the ESCA scores increased significantly,while the MUIS scores decreased significantly,and compliance improved markedly,indicating a reduction in disease uncertainty among patients.Conclusion:Systematic stepwise rehabilitation nursing intervention can significantly improve neurological recovery,quality of life,self-management ability,and compliance in patients with hypertensive intracerebral hemorrhage,while effectively reducing disease uncertainty.It is worthy of clinical promotion and application.
文摘[Objectives]To investigate the clinical effects of implementing structured phased rehabilitation training,in addition to conventional rehabilitation,on shoulder joint function and pain alleviation in patients with rotator cuff injuries managed conservatively.[Methods]Eighty patients diagnosed with rotator cuff injury were selected and randomly assigned to either the control group or the experimental group,each comprising 40 individuals.The control group received conventional rehabilitation treatment,whereas the experimental group underwent phased rehabilitation training in addition to the conventional treatment for 6 weeks.Assessments were conducted prior to treatment,6 weeks following treatment,and 8 weeks after the completion of treatment(follow-up period).The visual analogue scale(VAS)was employed to evaluate pain intensity,the Constant-Murley score was utilized to assess shoulder joint function,and the shoulder joint range of motion was measured.[Results]Prior to treatment,no statistically significant differences were observed between the two patient groups across all measured indicators(P>0.05).Following 6 weeks of treatment and throughout the follow-up period,both groups exhibited significant reductions in VAS scores compared to baseline measurements,alongside improvements in Constant-Murley scores and shoulder joint range of motion(P<0.05).Furthermore,the magnitude of improvement in the experimental group was significantly greater than that in the control group(P<0.05).[Conclusions]Phased rehabilitation training can enhance shoulder joint function and alleviate pain in patients with rotator cuff injuries beyond the effects of conventional rehabilitation treatment,demonstrating notable clinical application value.
基金Chongqing Education Science Planning Project.Project Name:Research on Talent Training of Community Rehabilitation Major in Higher Vocational Colleges Based on OBE Concept(Project No.:K23ZG3420222)。
文摘Objective:To analyze the improvement effect of early postoperative rehabilitation training on balance ability and quality of life in elderly patients with hip fracture.Methods:A total of 50 elderly patients with hip fracture admitted to our hospital from January 2023 to January 2024 were selected and divided into the observation group(25 cases)and the control group(25 cases)by random number table method.The control group received routine nursing,while the observation group received early rehabilitation training on the basis of routine nursing.The balance ability(Berg Balance Scale,BBS)and quality of life(SF-36)of the two groups were compared.Results:The BBS scores of the observation group at all postoperative time points were significantly higher than those of the control group(p<0.05),and the quality-of-life scores of the observation group were also significantly higher than those of the control group(p<0.05).Conclusion:Early postoperative rehabilitation training for elderly patients with hip fracture can improve their balance ability,enhance their quality of life,and reduce the incidence of postoperative complications,which is worthy of clinical promotion.
文摘Objective: To explore the application effect of pulmonary rehabilitation nursing intervention in patients with stable chronic obstructive pulmonary disease (COPD) and evaluate its impact on nursing satisfaction. Methods: A total of 120 patients with stable COPD admitted to our hospital from February 2023 to February 2025 were selected and divided into a control group and an observation group according to the order of admission, with 60 cases in each group. The control group received routine nursing care, while the observation group received systematic pulmonary rehabilitation nursing intervention on this basis. Pulmonary function indicators, 6-minute walk test (6MWT) distance, COPD Assessment Test (CAT) scores, incidence of acute exacerbations, and nursing satisfaction were compared between the two groups after nursing. Results: After nursing, the FEV1, FVC, and FEV1/FVC in the observation group were significantly higher than those in the control group, the 6MWT distance significantly increased, and the CAT scores significantly decreased, with statistically significant differences (p < 0.05). The incidence of acute exacerbations in the observation group was lower than that in the control group, and the nursing satisfaction score was higher (p < 0.05). Conclusion: Pulmonary rehabilitation nursing intervention can effectively improve pulmonary function, exercise tolerance, and symptom control in patients with stable COPD, and significantly enhance nursing satisfaction, making it worthy of further clinical promotion.
基金provided by the Joint Fund for Regional Innovation and Development(U23A20471)Beijing Natural Science Foundation(L242161,L241073,and 7232354)。
文摘The purpose is to explore the effects of Exercise rehabilitation(ER)on bone mineral density(BMD)of the knee,muscle strength(MS),and physical function(PF)after ACL rupture.Finally,A total of 58 patients were randomized into 2 groups(Control Group[CON]:conventional treatment,male=16,female=13,age=[31.63±8.01]years;Exercise rehabilitation group[ER]:6-week ER on CON basis,male=17,female=12,age=[31.26±7.07]years).At baseline and 6 weeks,the knee BMD was measured using DEXA,MS and PF measures were recorded by isokinetic strength test,IKDC,Lysholm,and VAS score.T-tests,analysis of variance(ANOVA),and Mann-Whitney tests were used for comparisons.The BMD outcomes:after a 6-week period,the BMD of the CON([1.47±0.24]g·cm^(-2))was significantly lower than that of the ER([1.65±0.37]g·cm^(-2))at lateral condyle of femur(LCF)(p=0.041).MS outcomes:at 6 weeks,the relative peak torque(RPT)of the quadriceps and hamstrings during concentric contractions in ER group were significantly higher than that in CON group(p<0.001,p=0.017).Similarly,during eccentric contractions in ER group,the RPT of the quadriceps and the H/Q ratio revealed significant variations from the CON group(p=0.033,p=0.043).PF outcomes:the IKDC,Lysholm,and VAS scores of the ER group were significantly improved compared to the CON group(p<0.001,p<0.001,p=0.002).The conclusion is that 6 weeks of ER intervention for patients with ACL rupture can effectively delay the decline of BMD in the LCF of the knee joint,and enhance the restoration of MS and PF.This provides guidance for clinical rehabilitation.
文摘It explores the integration of rehabilitation and palliative care in cancer management,advocating for a holistic approach that addresses the diverse needs of patients throughout their treatment journey.Traditional cancer care often prioritizes curative interventions at the expense of overall well-being,leading to a fragmented experience for patients.By combining rehabilitation-focused on restoring function and improving physical health-with palliative care-emphasizing symptom management and quality of life-healthcare providers can create a comprehensive support system.The essay highlights the importance of interdisciplinary collaboration among healthcare professionals,as well as the need for education and training to implement this integrated model effectively.Additionally,it addresses potential barriers such as funding limitations and institutional resistance.Ultimately,the integration of these two disciplines represents a critical evolution in cancer care,enhancing patient outcomes and ensuring that individuals receive compassionate,patient-centered support throughout their journey.
文摘Cancer rehabilitation is a critical component of comprehensive cancer care,aiming to improve the quality of life for cancer survivors by addressing physical,psychological,and social challenges following treatment.In India,with rising cancer incidence and a growing survivor population,the need for effective rehabilitation services is more pronounced than ever.However,despite significant progress in cancer treatment,rehabilitation remains an underdeveloped and underutilized area of care in the country.This mini-review explores the current status of cancer rehabilitation in India,highlighting existing gaps in healthcare infrastructure,access,and awareness.It examines the scope of rehabilitation services-including physical therapy,psychosocial support,palliative care,and vocational rehabilitation-and identifies regional variations in service availability.Furthermore,the mini-review outlines challenges faced by healthcare providers,such as a shortage of trained professionals,limited funding,and cultural stigmas surrounding cancer.Future perspectives on cancer rehabilitation in India emphasize the need for policy reforms,integration of rehabilitation into national cancer care programs,and promotion of multidisciplinary care teams.The article concludes with recommendations for expanding cancer rehabilitation services to meet the evolving needs of survivors and to enhance their long-term well-being in India.
文摘Early intervention for sensorineural hearing loss(SNHL)in childhood is crucial for auditory and language development.In recent years,innovative auditory stimulation techniques and speech therapy strategies,such as middle ear implants,cochlear implants,auditory brainstem implants,and midbrain implants,have provided new avenues for improving patient outcomes.Additionally,basic research advancements in cell reprogramming and regeneration,stem cell therapy,and targeted drug delivery offer promising approaches to meet the individualized needs of children with SNHL.However,many challenges and unresolved issues remain in the treatment of SNHL.This article comments on the case report,which describes a female pediatric patient with SNHL who underwent foot reflexology which led to the normalization of hearing thresholds.Reflexology is considered to have potential benefits in physical rehabilitation,but its efficacy in hearing restoration requires further scientific validation through rigorous clinical trials and large-scale prospective studies.
基金Changzhou Applied Basic Research Program(Project No.:CJ20241042)。
文摘Objective:To explore the rehabilitation effect of upper limb rehabilitation robots combined with isokinetic muscle strength training on hemiplegic patients in the recovery phase of stroke,and to provide a more effective intervention plan for clinical rehabilitation treatment.Methods:One hundred and sixty type 2 stroke patients with hemiplegia in recovery phase treated at Jintan First People’s Hospital from May 2020 to May 2025 were selected as the research subjects.They were divided into a control group(n=80)and an observation group(n=80)using a random number table method.The control group received isokinetic muscle strength training,while the observation group received additional upper limb rehabilitation robot-assisted intervention based on the control group’s treatment.The general information(age,gender,course of disease),Brunnstrum staging,Barthel index,FMA score,and facial expression pain score were compared between the two groups.Results:After treatment,the indicators of both groups improved compared to before treatment.The observation group showed significant advantages in improving various indicators.In terms of Brunnstrum staging,the number of patients in stage IV and above was significantly higher than that in the control group;in terms of the Barthel index,the increase was more significant than that of the control group(P=0.000<0.001).In terms of the FMA score,the increase was more pronounced(P=0.000<0.001);and in terms of facial expression pain assessment,the decrease was more evident(P=0.000<0.01).Conclusion:The combination of upper limb rehabilitation robots and isokinetic muscle strength training can significantly improve the recovery of limb function and activities of daily living in hemiplegic patients during the recovery phase of stroke,and reduce pain.Compared with simple isokinetic muscle strength training,the rehabilitation effect is better,and it is worthy of clinical application.
基金The Hospital-level Project of Shiyan Taihe Hospital(Project No.:2022JJXM144)Hubei Provincial Health Commission Scientific Research Project(Project No.:WJ2021M058)。
文摘Objective:To analyze the impact of the predictive rehabilitation nursing model on the quality of emergency transport and rehabilitation outcomes for patients with acute cerebral hemorrhage(ICH).Methods:A total of 62 patients with acute cerebral hemorrhage admitted to the hospital from January 2022 to December 2024 were selected as the study subjects.The observation group(n=31)received conventional nursing combined with the predictive rehabilitation nursing model during the emergency process,while the control group(n=31)received conventional nursing.The recovery conditions(Fuel-Meyer Assessment(FMA)score,Barthel Index(BI)),incidence of complications,nursing satisfaction,and time to regain consciousness were compared between the two groups.Results:After the intervention,the FMA and BI scores of the observation group were significantly higher than those of the control group,with statistically significant differences.The incidence of complications in the observation group was significantly lower than that in the control group.In terms of nursing satisfaction,the scores of various indicators in the observation group were higher than those in the control group,with statistically significant differences.The time to regain consciousness in the observation group was(48.72±11.76)minutes,compared to(64.29±14.58)minutes in the control group,with the observation group regaining consciousness earlier than the control group.Conclusion:The application of the predictive rehabilitation nursing model in the emergency transport process of patients with acute cerebral hemorrhage can reduce the incidence of complications,shorten the duration of consciousness disorder,improve the quality of transport,and enhance functional rehabilitation levels.
文摘Bronchiectasis is a chronic inflammatory airway disease,and patients often suffer from recurrent airway infections leading to decreased lung function and impaired quality of life.In this study,the effects of supervised pulmonary rehabilitation training on pulmonary function,training compliance,and quality of life in patients with bronchiectasis under home rehabilitation mode are investigated.Ninety stable patients were selected,and the observation group adopted the home-supervised mode of pulmonary rehabilitation training.The results showed that the observation group’s pulmonary function indexes,quality of life,and training adherence were better than those of the control group.The differences were statistically significant(P<0.05).The supervised pulmonary rehabilitation training in home rehabilitation mode can effectively improve patients’pulmonary function and quality of life,and improve training compliance,which has good clinical application value.
文摘BACKGROUND Telerehabilitation can help overcome geographic barriers and expand access to physical rehabilitation for patients with chronic liver disease.AIM To evaluate the impact of adherence to a videoconference-supervised telerehabilitation programme on frailty,functional capacity,and quality of life in pre-frail or frail cirrhotic patients awaiting liver transplantation.METHODS We conducted a non-randomised controlled clinical trial involving patients listed for liver transplantation from January 2021 to May 2023.Frailty was assessed using the Liver Frailty Index(LFI).Participants were enrolled in a 12-week telerehabilitation programme and classified as adherent(≥50%sessions)or nonadherent.Functional capacity was measured using the 4-minute step test(4MST),and quality of life was evaluated with the 36-Item Short Form Health Survey(SF-36)questionnaire.RESULTS Fifty-seven pre-frail or frail patients were included in the study and enrolled in the telerehabilitation programme.Adherence was observed in 29.8%of participants.At baseline,non-adherent patients had higher mean LFI scores(4.24 vs 4.03,P<0.001).Over time,the LFI score increased by 0.11 in non-adherent patients,while adherent patients experienced a mean score reduction of 0.54(final mean LFI score:3.2).Adherent patients also demonstrated enhanced heart rate responses in the 4MST(P<0.001)and greater improvements in the physical functioning,vitality,and mental health domains of the SF-36.No serious adverse events were reported.CONCLUSION The videoconference-supervised telerehabilitation programme was safe and effective in reducing frailty and improving functional outcomes and quality of life in adherent cirrhotic patients on the liver transplant waitlist.
文摘BACKGROUND Rotator cuff tears are a chief cause of shoulder pain and disability,and surgical repair is often required when conservative management fails.As digital health technologies have expanded,especially since the coronavirus disease 2019 pandemic,digitally augmented rehabilitation programs emerged as a potential alternative to conventional physical therapy.AIM To determine if digitally assisted rehabilitation could be as practical,or even more effective,than the traditional methods most patients currently follow.METHODS Six electronic databases,including PubMed,Scopus,Cochrane Library,Google Scholar,EMBASE,and Web of Science,were searched to find articles that compare digital-based rehabilitation and conventional treatment.Outcomes of interest were Disabilities of the Arm,Shoulder and Hand(DASH)score and range of motion.The quality assessment of the included studies was performed using the risk-of-bias tool for randomized trials tool.RESULTS Three randomized controlled trial studies were enrolled in this study,including 195 cases.We did not find any significant differences between the two groups in terms of DASH score,flexion range of motion,and external rotation range of motion.There was a significant difference between the two groups for abduction range of motion.CONCLUSION Digital home-based rehab seems to be a strong alternative to traditional methods,offering similar results for people recovering from rotator cuff surgery.This approach might also make rehab more accessible and engaging for patients.That said,further research is needed to fully understand the potential of digital rehabilitation and ensure it works effectively for everyone.
文摘Severe aortic stenosis has increased exponentially as a result of the aging of the population.Transcatheter aortic valve replacement(TAVR)procedures increase by 20%-30%per year in Spain.Referred patients are increasingly older,have comorbidities,and frailty.TAVR cardiac rehabilitation(CR)programs significantly improve both functional capacity and quality of life of patients.However,there are no guidelines on how to carry out them and few elderly patients are referred to CR.Furthermore,mortality in women who undergo TAVR is higher than in men and even fewer are referred to CR programs.Multidisciplinary patient care,including comorbidities and frailty,is essential.It is necessary to ensure exquisite continuity of care during TAVR,CR,and the rest of the patient's life.Telerehabilitation could be an option in some lower-risk patients to include more patients in CR programs after TAVR,given the high demand.This article reviews the evidence on why CR should be performed in post-TAVR patients and proposes a practical and novel approach to the care process and the recommended aspects and components of the CR program.
