Rehabilitation Journals Research Articles

North American Brain Injury Society

The North American Brain Injury Society is entirely responsible for the scientific content of these abstracts. These abstracts have undergone peer review by NABIS to determine suitability for their national conference. No additional peer review of these abstracts was performed by the editor or editorial board of Journal of Head Trauma Rehabilitation.

An exploration of the knowledge structure in studies on old people physical activities in Journal of Exercise Rehabilitation: by semantic network analysis.

Physical activity, a key component of maintaining health, is becoming an essential alternative in reducing medical expenses for the old people. This research was intended to analyze 51 research papers published in the Journal of Exercise Rehabilitation (JER) through semantic network analysis. The subjects of the study were the keywords that the authors of each paper used in journal search sites from 2013 to 2019. The present researcher analyzed the frequency, density, and centrality of the keywords of the indicators through semantic network analysis and then visualized them on the basis of findings using UCINET6 and the NetDraw program. Also, the researcher classified the hidden clusters by CONCOR (Convergence of iterated Correlations) analysis, which is a kind of cluster analysis. As a result, it was found that the keyword with the highest frequency was “exercise,” followed by “cognition, “physicalactivity,” “old-women,” “Korean,” “fall,” and “training.” It was also found that most of the high-frequency keywords, such as “exercise,” “cognition,” “old-women,” “program” and “depression” had high centrality. These keywords were classified into four clusters: (a) mental health research, (b) physical health research, (c) social behavior research, and (d) leisure efficacy research. This suggests that the old people-related research papers published in the JER have derived effective methods of maintaining physical and mental health using scientific exercise programs, and especially address the effects of exercise intervention for old women.

Rehabilitation Is a Global Health Priority

Rehabilitation Is a Global Health Priority

Development of the Rehabilitation Health Policy, Systems, and Services Research field: Quantitative Analyses of Publications over Time (1990-2017) and across Country Type.

Background: Health policy, systems and services research (HPSSR) is increasingly needed to enable better access to, and value of, rehabilitation services worldwide. We aim to quantify the growth of Rehabilitation HPSSR publications since 1990, compared to that of overall rehabilitation research and overall HPSSR. Methods: Quantitative, comparative analysis of publication trends using the PubMed database and its indexation system. Comprehensive search filters, based on Medical Subject Headings (MeSH), were built and calibrated to locate research articles with content on HPSSR and rehabilitation of physical impairments. Additional filters were used for locating research publications declaring funding support, publications in rehabilitation journals, and finally publications focused on high-income (HICs) or low- and middle-income countries (LMICs). The same approach was used for retrieving data on comparator fields—overall HPSSR and overall rehabilitation research. Linear regressions, with ANOVA, were used for analyzing yearly publication growths over the 28-year time frame. Results: Rehabilitation HPSSR publications in PubMed have grown significantly from 1990 to 2017 in the percentage of all rehabilitation research (from 11% to 18%) and all HPSSR (from 2.8% to 3.9%; both p < 0.001). The rate of Rehabilitation HPSSR published in rehabilitation journals did not change significantly over time (p = 0.47). The rates of publications with declared funding support increased significantly, but such growth did not differ significantly from that of the comparator fields. Finally, LMICs accounted for 9.3% of the country-focused rehabilitation HPSSR since 1990, but this percentage value increased significantly (p < 0.001) from 6% in 1990 to 13% in 2017. Conclusion: Rehabilitation HPSSR publications, i.e., those indexed in PubMed with related MeSH terms, have grown in both absolute and relative values. Rehabilitation HPSSR publications focused on LMICs also grew significantly since 1990, but still remained a tiny portion of the Rehabilitation HPSSR publications with country-specific MeSH terms.

Growing Academic Physiatry: The Impact of the Baruch's Grants on Harvard Medical School and Columbia College of Physicians and Surgeons. Part II.

Growing Academic Physiatry: The Impact of the Baruch's Grants on Harvard Medical School and Columbia College of Physicians and Surgeons. Part II.

Understanding perceptions and expectations of studying radiotherapy: mature students compared to school-leavers

Introduction: Recruitment and retention for pre-registration radiotherapy courses in the U.K. has posed a difficulty for workforce planning within cancer care for many years 1, 2, 3, 4, 5, 6, 7, 8 ,9 ,10. Mature students have traditionally made up a high proportion of students, but there has been a large decline in them starting the course since 2017 11,. There is a broad understanding of the market for mature students in general 12, 13, 14, but little research on why mature students choose radiotherapy specifically. This study explores mature students’ views on radiotherapy as a course and a career, in comparison to the views of students who had joined the course straight from school. Method: A focus group of mature students and one of school-leavers all from one institution were conducted with semi-structured questions. Focus groups were recorded, transcribed verbatim and coded by one researcher. Ethical approval was obtained via Sheffield Hallam University. Results: Both groups were attracted by hands-on learning, close patient care of cancer patients and secure job opportunities, but were concerned by the physics content. School-leaver students expected a traditional University experience, where mature students were expecting a more structured training course. Mature students required more detail on the practicalities of placement living and location as they were more limited. Both groups felt disappointed in the job opportunities from before the course compared to starting it, but it was a more of a concern for mature students due to their settled lives. Mature students were more anxious about their choice to study radiotherapy and were more interested in the ability to plan, as they had made an active choice to return to education, where school-leavers were going to go to University at this point anyway. Conclusion: More detailed information on the course and the job prospects may help mature student recruitment and retention. Similarly, policies which allowed for more job security earlier in the course should be looked at. These ideas should then be put back to prospective mature students in further research. Numerical References 1 Department of Health (DoH) (2000) Meeting the Challenge: A Strategy for the Allied Health Professions. The Stationary Office. London. 2 Department of Health (DoH) (2017) Smaller and Specialist Allied Health Professions Final Report. The Stationary Office. London. Retrieved from https://www.healthcareers.nhs.uk/sites/default/files/documents/Smaller%20and%20Specialist%20Allied%20Health%20Professions%20Final%20Report%20-%20June%202017.pdf 3 Higher Education Funding Council for England (HEFCE) (2018) Strategic Interventions in Health Education Disciplines. Retrieved from http://www.hefce.ac.uk/media/HEFCE,2014/Content/Pubs/2018/201802/HEFCE2018_02.pdf 4 Hutton, & Eddy. (2012). How was it for you? What factors influence job satisfaction for band 5 and 6 therapeutic radiographers. Radiography, Radiography. 5 McNamara, J. (2010). The recruitment and retention of therapy radiographers. International Journal of Therapy and Rehabilitation, 17(5), 225. 6 Probst, H., & Griffiths, S. (2007). Retaining therapy radiographers: What’s so special about us? Journal of Radiotherapy in Practice, 6(1), 21-32. 7 Society of Radiographers (2009). Improving Student Retention: Guidelines and Good Practice. Retrieved from https://www.sor.org/printpdf/book/export/html/5971 8 Society of Radiographers (2017). The College of Radiographers Research Priorities for the Radiographic Profession. Retrieved from: https://www.sor.org/learning/document-library/college-radiographers-research-priorities-radiographic-profession 9 South West London Strategic Health Authority (SWLSHA) (2006) Student Recruitment and Retention Guide for Diagnostic and Therapeutic Radiography. Retrieved from https://www.sharedsolutions.net/app/download/5779480454/Student+Recruit.++Ret.+Guide+2006-02-09.pdf 10 Wharton D, Green D. Therapeutic Radiography Students—Why Become One? An Investigation of Motives Behind the Choice to Become a Therapeutic Radiography Student and Some Implications of These Motives for the Profession. Research Report. Leeds: Cookridge Hospital, 2000. 11 University and Colleges Admission System (UCAS) (2017) End of Cycle Report. UCAS. London 12 MillionPlus and National Union of Students (2012). Never Too Late To Learn. MillionPlus. London. Retrieved from http://www.millionplus.ac.uk/documents/Never_Too_Late_To_Learn_-_FINAL_REPORT.pdf 13 MillionPlus (2018). Forgotten Learners: building a system that works for mature students. MillionPlus. London. Retrieved from http://www.millionplus.ac.uk/documents/Forgotten_learners_building_a_system_that_works_for_mature_students.pdf 14 Office For Fair Access (2017). Topic briefing: mature and part-time students. Retrieved from https://www.offa.org.uk/universities-and-colleges/guidance/topic-briefings/offa-topic-briefing-mature-learners/

Editorial Note: Journal of Physiotherapy and Physical Rehabilitation

Journal of Physiotherapy and Physical Rehabilitation (JPPR) has successfully completed 4 years of successful Journey and is all set for the running year. It provides quarterly publication of articles in all the areas related to Addiction Rehabilitation, Alternative medicine, Cardiac Rehabilitation, Clinical Reflexology, Exercise, Hemipelvectomy, Multiple Sclerosis, Musculoskeletal Pain, and Myofascial Pain including all current researches. We are highly glad to mention that during the year 2019, all issues (4 issues) of Volume 4 were published online within the given time frame and print issues were also brought out and dispatched within 30 days of publishing the issue online. Journal impact factor of 2019 was approximately calculated by dividing the number of articles published in 2017 and 2018 with the number of times they are cited in the Google Scholar citation database. The current NLM ID is 101695557.

Musculoskeletal Ultrasound Publications in Rehabilitation Journals

Background: The utility of musculoskeletal ultrasound (US), both in the clinical settings and scientific arena, has significantly increased in recent years. Aims: The aim of this study was to report and analyze the publications on musculoskeletal US in top rehabilitation journals (indexed by the 'Rehabilitation' category of Journal Citation Reports (JCR), Clarivate Analytics). Methods: The search was carried out up to July 2018 through Web of Science (Science Citation Index-Expanded). The literature search comprised all 65 journals listed in the 2017 category “Rehabilitation” according to the JCR. Results: A total of 971 papers published in 39 different journals from 1989 to 2018 were analyzed. The top three publishing countries (in decreasing order) appeared as the United States of America (USA), Turkey and Taiwan. The American Journal of Physical Medicine and Rehabilitation, PM&R and the Archives of Physical Medicine and Rehabilitation were the top three journals (in decreasing order) publishing about topics on musculoskeletal US. The most commonly studied diseases in humans were musculoskeletal conditions, followed by neurological disorders. Physiatrists and PRM departments (46.9%) prevail as far as publishing specialties were concerned. Although the use of interventional US seems to have increased after 2000, diagnostic US is still ranked the first, when the purpose of the conducted study is taken into consideration. Conclusion: Accordingly, we believe that this scientific output might help to raise awareness as regards the potential role of US in Physical and Rehabilitation Medicine.

Design Attributes for Adaptive Tool’s Innovation in Rehabilitation Setting: A Scoping Research

Innovation in rehabilitation represents creative design which involve adaptive tool (AT) for patients in the occupational therapy department. Earlier, an online survey on innovative activities among OT has been conducted on thirty Malaysian occupational therapists. Findings indicate that 80% of the occupational therapists innovate new tools during rehabilitation. The purpose of this study is to identify design attributes of AT as issues highlighting the low rate of AT usage based on several factors; non-compliance, uncomfortable design, insufficient instruction and training, and also due to user’s personality i.e. lack of personal acceptance and confidence in using AT. A scoping review of 20 relevant literatures related to the usage, effectiveness and barriers of AT are drawn widely from the rehabilitation journal in the period between 1968 – 2018, and from design psychology journals to support the findings. A summary of each themes that has been highlighted from this review are AT prescribe factors, AT equipment factors and AT education factors. This review suggests that future research for creative activities in rehabilitation shall be provided with design consideration in order to bring better AT creation. The implications of these findings for the effects of innovation are discussed.

The Emphasis on Secondary Transition Services in Rehabilitation Counseling Journals Revisited

A content analysis was conducted of articles (n = 1,024) published between 2010-2017 in five major rehabilitation counseling journals, pertaining to transition-age students and youth with disabilities, in order to extend the findings of Plotner, Shogren, and Strauser (2011). Specifically, there was a focus on quantifying the number of publications in each of the five journals to determine how existing transition-focused publications are related to the seven domains within the Vocational Rehabilitation Transition Process Domain Structure (Plotner, Trach, &amp; Strauser, 2012), and to measure the change in transition-focused publications within all five journals compared to the findings of the previous analysis. Four out of five journals showed a slight increase in the amount of transition-focused articles compared to the previous analysis. Frequencies of transition-specific articles by journal were as follows: Journal of Vocational Rehabilitation (16%), Journal of Rehabilitation (10%), Journal of Applied Rehabilitation Counseling (8%), Rehabilitation Counseling Bulletin (5%), and Rehabilitation Research, Policy, and Education (1%). Transition-focused articles were then categorized into one of the following domains: Career Planning and Counseling, Career Preparation Experiences, Access and Opportunity for Success, Program Improvement Activities, Nonprofessional Support and Relationships, and Collaborative Partnerships. Developing and Maintaining Collaborative Partnerships accounted for the greatest overall frequency of each of the domains (n = 21). The largest gaps in the literature were observed in Facilitating Nonprofessional Support and Relationships and Facilitating Allocation of Resources, which had the fewest articles (n = 2, 3, respectively). Aligning and prioritizing the domains, needs, and research efforts can target areas of high priority. The information generated is timely and pertinent for transition services for out-of-school youth and students with disabilities, including the delivery of preemployment transition services. Implications for practice and recommendations for future research directions are presented.

Compassion in research: helping others to help themselves

International Journal of Therapy and RehabilitationVol. 26, No. 11 EditorialCompassion in research: helping others to help themselvesVicki WilliamsVicki WilliamsEmail:E-mail Address: [email protected]Editor, International Journal of Therapy and Rehabilitation, MA Healthcare, Mark Allen Group, London, UKSearch for more papers by this authorVicki WilliamsPublished Online:29 Nov 2019https://doi.org/10.12968/ijtr.2019.0146AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Ballantine R, Strassheim V, Newton J. Gravity induced exercise intervention in an individual with chronic fatigue syndrome/myalgic encephalomyeltis and postural tachycardia syndrome: a case report. Int J Ther Rehabil. 2019;26(5):1–13. https://doi.org/10.12968/ijtr.2016.0035 Link, Google ScholarFisher A, Bellon M, Lawn S, Lennon S. The development of a positive behaviour support programme for families following acquired brain injury. Int J Ther Rehabil. 2018;25(10):538–551. https://doi.org/10.12968/ijtr.2018.25.10.538 Link, Google ScholarKellett N, Drummond AER, Palmer T, Munshi S, Lincoln NB. Impact of transient ischaemic attack and minor stroke on daily life. nt J Ther Rehabil. 2014;21(7):318–323. https://doi.org/10.12968/ijtr.2014.21.7.318 Link, Google ScholarMiziara OC, Oliveira VR, Gasparini ALP, Souza BC, Santos A, Shimano SGN, Souza LAPS. Virtual reality in vestibular rehabilitation: a pilot study. Int J Ther Rehabil. 2019;26(7):1–13. https://doi.org/10.12968/ijtr.2018.0056 Link, Google ScholarPerkins N, Skrypak M, Barron S, Kilbride C, Simister R, Walker H. Hyper acute stroke unit patient suitability for early supported discharge: Coordination and data analysis project. Int J Ther Rehabil. 2016(23)11:S536–S538. https://doi.org/10.12968/ijtr.2016.23.Sup11.S536 Link, Google ScholarRutherford SJ, Hocking C, Theadom A, McPherson KM. Exploring challenges at 6 months after stroke: what is important to patients for self-management? Int J Ther Rehabil. 2018;25(11):565–575. https://doi.org/10.12968/ijtr.2018.25.11.565 Link, Google Scholar FiguresReferencesRelatedDetailsCited byHow to keep your editor happy? Keep it simpleLauren Newman1 August 2019 | British Journal of Midwifery, Vol. 27, No. 8 2 November 2019Volume 26Issue 11ISSN (online): 1759-779X Metrics History Published online 29 November 2019 Published in print 2 November 2019 Information© MA Healthcare LimitedPDF download

Unsafe Chewing: Choking and Other Risks

Unsafe Chewing: Choking and Other Risks

From the Editor.

Greetings. Our Journal of Cardiopulmonary Rehabilitation and Prevention (JCRP) Editor group and also our JCRP Editorial Board had the opportunity to meet in September while attending the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) Annual Meeting. Our editorial meetings provided the opportunity for our Wolters Kluwer representative, Senior Publisher Andrea Allison-Williams, to provide the 2019 Publisher report; our Managing Editor Kate Maude to provide feedback from the JCRP Editorial Office; discussions with AACVPR Executive Director Megan Cohen and Operations Manager Mollie Corbett; overviewing JCRP operations with the Associate Editors; and providing information and getting feedback from our Editorial Board. The discussions provided valuable information for our Editorial group and included a range of factors that could further improve the Journal. I think we all came away from the meetings with a sense that 2019 has been a good year for JCRP. Personally, I am thankful for the excellent people who are working with JCRP and are dedicated to providing a journal that is focused on improving multidisciplinary clinical practice and expanding research evidence specific to both cardiovascular and pulmonary rehabilitation, as well as prevention. Next year will bring Volume 40 of JCRP and with it will be a number of initiatives to celebrate our 40th anniversary. Each of the first 3 issues will begin with an Invited Commentary that will provide an overview of the past work that has been in JCRP related to Cardiac Rehabilitation (Issue 1), Pulmonary Rehabilitation (Issue 2), and Prevention (Issue 3). These commentaries will provide excellent perspectives on these 3 key areas of focus for JCRP. We are also discussing other ways to celebrate 40 years of JCRP, including some sessions at next year's AACVPR Annual Meeting that will take place September 30-October 3, 2020 in West Palm Beach, Florida. One of the highlights you will find in the 6th issue of JCRP Volume 39 are 5 articles that are related to depression and cardiovascular disease.1–5 Depression is recognized as a risk factor for cardiovascular disease and has been reported to have a prevalence between 15-30% in patients with coronary heart disease. According to the World Health Organization, more than 300 million people are affected by depression. Interestingly, these JCRP articles originate from author groups in 4 different countries, which demonstrates the global nature of this condition. This last JCRP issue of 2019 provides a number of excellent Original Investigations and Brief Reports related to both Cardiac Rehabilitation and Pulmonary Rehabilitation. Again, I ask for your assistance in sharing the information from this issue with your colleagues and collaborators, particularly via your social media outlets. I know the authors of these reviews and studies would be most grateful for your assistance in helping disseminate their research. Also, patients may benefit from the findings of these studies which are advancing the evidence-base of both cardiac and pulmonary rehabilitation programs. I hope you find the information provided in this issue to be useful in your work with patients in your rehabilitative programs, your research, or both. Lenny Kaminsky, PhD, FAACVPR, FACSM, FAHA Editor-in-Chief Journal of Cardiopulmonary Rehabilitation and Prevention

Involvement of Japanese researchers in predatory rehabilitation journals

Involvement of Japanese researchers in predatory rehabilitation journals

Academic Review and Perspectives on Robotic Exoskeletons.

Since the first robotic exoskeleton was developed in 1960, this research field has attracted much interest from both the academic and industrial communities resulting in scientific publications, prototype developments and commercialized products. In this article, to document the progress in and current status of this field, we performed a bibliometric analysis. This analysis evaluated the publications in the field of robotic exoskeletons from 1990 to July 2019 that were retrieved from the Science Citation Index Expanded database. The bibliometric analyses were presented in terms of author keywords, year, country, institution, journal, author, and the citation. Results show that currently the United States has taken the leading position in this field and has built the largest collaborative network with other countries. The Massachusetts Institute of Technology (MIT) made the greatest contribution to the field of robotic exoskeleton investigations in terms of the number of publications, average citations per publication and the h-index. In addition, the Journal of NeuroEngineering and Rehabilitation ranks first among the top 20 academic journals in terms of the number of publications related to robotic exoskeletons during the period investigated. Author keyword analysis indicates that most research has focused on rehabilitation robotics. Biomedical engineering, rehabilitation and the neurosciences are the most common disciplines conducting research in this area according to the Web of Science (WoS). Our study comprehensively assesses the current research status and collaboration network of robotic exoskeletons, thus helping researchers steer their projects or locate potential collaborators.

Introducing the New Journal in Physical Medicine and Rehabilitation

It gives us great pleasure to introduce readers with our international peer-reviewed, open access journal. Journal of Physical Medicine and Rehabilitation is devoted to publish original research, reviews, and clinical reports on key areas of Physical Medicine and Rehabilitation and related fields.

Expression of Concern.

American Journal of Physical Medicine & Rehabilitation: November 2019 - Volume 98 - Issue 11 - p 1043 doi: 10.1097/PHM.0000000000001297

Opioid Use among Individuals with Traumatic Brain Injury: A Perfect Storm?

Journal of NeurotraumaVol. 37, No. 1 Short CommunicationOpioid Use among Individuals with Traumatic Brain Injury: A Perfect Storm?Rachel Sayko Adams, John D. Corrigan, and Kristen Dams-O'ConnorRachel Sayko AdamsInstitute for Behavioral Health, The Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts.VHA Rocky Mountain Mental Illness Research Education and Clinical Center, Aurora, Colorado.Search for more papers by this author, John D. CorriganDepartment of Physical Medicine and Rehabilitation, The Ohio State University Wexner Medical Center, Columbus, Ohio.Search for more papers by this author, and Kristen Dams-O'ConnorAddress correspondence to: Kristen Dams-O'Connor, PhD, Department of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, Box 1163, New York, NY 10029 E-mail Address: Kristen.Dams-O'Connor@mountsinai.orgDepartment of Rehabilitation Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York.Search for more papers by this authorPublished Online:11 Dec 2019https://doi.org/10.1089/neu.2019.6451AboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View articleFiguresReferencesRelatedDetailsCited byCaring again: Support for parent caregivers of wounded, ill, and/or injured adult children veteransNeuroRehabilitation, Vol. 52, No. 1Associations between early sleep-disordered breathing following moderate-to-severe traumatic brain injury and long-term chronic pain status: a Traumatic Brain Injury Model Systems studyJournal of Clinical Sleep Medicine, Vol. 19, No. 1Association between traumatic brain injury and suicidality using a mediation approach and MarketScan5 December 2022 | Injury Prevention, Vol. 26Association of pre-admission opioid abuse and/or dependence on major complications in traumatic brain injury (TBI) patientsJournal of Clinical Anesthesia, Vol. 79Peer Support at the Intersection of Disability and Opioid (Mis)Use: Key Stakeholders Provide Essential Considerations5 August 2022 | International Journal of Environmental Research and Public Health, Vol. 19, No. 15Preinjury Health Status of Adults With Traumatic Brain Injury: A Preliminary Matched Case-Control Study15 June 2021 | Journal of Head Trauma Rehabilitation, Vol. 37, No. 3Repeated blast mild traumatic brain injury and oxycodone self‐administration produce interactive effects on neuroimaging outcomes18 January 2022 | Addiction Biology, Vol. 27, No. 2Impact of opioid use disorder on resource utilization and readmissions after operative traumaSurgery, Vol. 171, No. 2Pregnancy, Fetal, and Neonatal Outcomes Among Women With Traumatic Brain Injury14 October 2022 | Journal of Head Trauma Rehabilitation, Vol. Publish Ahead of PrintExamining differences in prescription opioid use behaviors among U.S. adults with and without disabilitiesPreventive Medicine, Vol. 153Reported History of Traumatic Brain Injury Among Suicide Decedents: National Violent Death Reporting System, 2003–2017American Journal of Preventive Medicine, Vol. 61, No. 4When triggers become tigers: taming the autonomic nervous system via sensory support system modulation7 September 2021 | Journal of Social Work Practice in the Addictions, Vol. 37Risk Factors Associated With the Prescription of Opioids Among Service Members Following a First Mild Traumatic Brain InjuryJournal of Head Trauma Rehabilitation, Vol. 36, No. 5Opioid and Sedative-Hypnotic Prescriptions Among Post-9/11 Veteran VA Users Nationwide With Traumatic Brain Injury, 2012-2020Journal of Head Trauma Rehabilitation, Vol. 36, No. 5Scoping Review of Opioid Use After Traumatic Brain InjuryJournal of Head Trauma Rehabilitation, Vol. 36, No. 5Receipt of Concurrent VA and Non-VA Opioid and Sedative-Hypnotic Prescriptions Among Post-9/11 Veterans With Traumatic Brain InjuryJournal of Head Trauma Rehabilitation, Vol. 36, No. 5Association of Lifetime History of Traumatic Brain Injury With Prescription Opioid Use and Misuse Among AdultsJournal of Head Trauma Rehabilitation, Vol. 36, No. 5Traumatic Brain Injury and Opioid Use: Additional Evidence Supporting the “Perfect Storm” of Cascading VulnerabilitiesJournal of Head Trauma Rehabilitation, Vol. 36, No. 5Association between Lifetime History of Traumatic Brain Injury, Prescription Opioid Use, and Persistent Pain: A Nationally Representative Study Raj G. Kumar, Katherine A. Ornstein, John D. Corrigan, Rachel Sayko Adams, and Kristen Dams-O'Connor26 July 2021 | Journal of Neurotrauma, Vol. 38, No. 16Addressing Pain for a Proper Rehabilitation Process in Patients With Severe Disorders of Consciousness17 February 2021 | Frontiers in Pharmacology, Vol. 12 Volume 37Issue 1Jan 2020 InformationCopyright 2020, Mary Ann Liebert, Inc., publishersTo cite this article:Rachel Sayko Adams, John D. Corrigan, and Kristen Dams-O'Connor.Opioid Use among Individuals with Traumatic Brain Injury: A Perfect Storm?.Journal of Neurotrauma.Jan 2020.211-216.http://doi.org/10.1089/neu.2019.6451Published in Volume: 37 Issue 1: December 11, 2019Online Ahead of Print:August 16, 2019Online Ahead of Editing: July 23, 2019PDF download

Clinical replicability of rehabilitation interventions in randomized controlled trials reported in main journals is inadequate

ObjectiveThe objective of this study was to study if randomized controlled trials (RCTs) in rehabilitation (a field where complex interventions prevail) published in main journals include all the details needed to replicate the intervention in clinical practice (clinical replicability). Study Design and SettingForty-seven rehabilitation clinicians of 5 professions from 7 teams (Belgium, Italy, Malaysia, Pakistan, Poland, Puerto Rico, the USA) reviewed 76 RCTs published by main rehabilitation journals exploring 14 domains chosen through consensus and piloting. ResultsThe response rate was 99%. Inter-rater agreement was moderate/good. All clinicians considered unanimously 12 (16%) RCTs clinically replicable and none not replicable. At least one “absent” information was found by all participants in 60 RCTs (79%), and by a minimum of 85% in the remaining 16 (21%). Information considered to be less well described (8–19% “perfect” information) included two providers (skills, experience) and two delivery (cautions, relationships) items. The best described (50–79% “perfect”) were the classic methodological items included in CONSORT (descending order: participants, materials, procedures, setting, and intervention). ConclusionClinical replicability must be considered in RCTs reporting, particularly for complex interventions. Classical methodological checklists such as CONSORT are not enough, and also Template for Intervention Description and Clinical replication do not cover all the requirements. This study supports the need for field-specific checklists.

The Effects of Virtual Reality on Upper Limb Function in Chronic Stroke Patients: A Clinical Trial

Objectives: Stroke is one of the main causes of disability and mortality worldwide. Most survivors experience impairments in their upper limb motor function. Methods: This experimental study was performed as a clinical trial on 30 chronic stroke patients who experienced stroke from 6 to 96 months ago. Patients were non-randomly divided into the intervention (Virtual Reality besides conventional occupational therapy) and control (conventional occupational therapy) groups. Each treatment session lasted for one hour which was divided into conducting conventional occupational therapy techniques and Virtual Reality (VR) for the intervention group, and routine techniques for the control group. The intervention effectiveness was evaluated by the Fugl-Meyer Upper Extremity Scale, Stroke Impact Scale, Chedoke Arm and Hand Activity Inventory, Motricity Index, Modified Ashworth Scale and goniometer. Results were analyzed by SPSS and one-sample Kolmogorov-Smirnov, Shapiro- Wilk test, Independent Samples t-test and Mann Whitney U test were applied to assess the normality of data and to detect significant differences between study variables. Results: The results suggested that investigated parameters such as upper limb motor function, muscle tone and the range of motion were significantly different in the intervention group, compared to control group; however, there was no significant changes in none of the group's daily living activities. Discussion: VR-based computer games in combination with routine occupational therapy interventions could improve upper extremities functional impairments in chronic stroke patients. However, it seems the mechanisms behind the effectiveness of video games and their impact on brain cortex as well as upper limbs function need to be further investigated. © 2019, Iranian Rehabilitation Journal.