Lightnews — Scholar-powered news

Clinical Rehabilitation

@clinicalrehab.bsky.social

100 followers 6 following 71 posts

Clinical Rehabilitation is a highly ranked, peer-reviewed, multi-professional journal covering the whole field of disability and rehabilitation. https://journals.sagepub.com/home/cre

journals.sagepub.com

Posts Media Videos Starter Packs

Clinical Rehabilitation @clinicalrehab.bsky.social · 18d

DW. Jeanne Hoffman et al undertook a huge randomised trial in 925 people with moderate/severe traumatic brain injury investigating added support for 6 months after discharge. Amazing follow-up success. Disappointing that no effect was detected. www.liebertpub.com/doi/pdf/10.1... #neurorehabilitation

www.liebertpub.com

Clinical Rehabilitation @clinicalrehab.bsky.social · 24d

DW. A useful study on predicting which individuals are likely to experience prolonged problems after a mild head injury. Unfortunately, statistically significant but not sufficiently specific to triage patients. bmjopen.bmj.com/content/15/9...

The prognostic value of a screening tool for psychological risk factors after mild traumatic brain injury: prospective studies in Canada and New Zealand

Objective To investigate the prognostic value of the Subgroups for Targeted Treatment (STarT) Screening Tool adapted for concussion (STarT-C) on persistent symptoms and disability at 6–9 months follow...

bmjopen.bmj.com

Clinical Rehabilitation @clinicalrehab.bsky.social · Jul 21

DW. Two vital aspects of rehabilitation are the professional-patient relationship and teaching self-management; a recent study investigated both, highlighting practical challenges. We must train therapists/nurses/doctors how to develop therapeutic relationships. doi.org/10.1177/0269... #neurorehab

Sage Journals: Discover world-class research

Subscription and open access journals from Sage, the world's leading independent academic publisher.

Clinical Rehabilitation @clinicalrehab.bsky.social · Jul 21

DW. Are we too afraid to recommend more activity after stroke (and in most other conditions)? Gert Kwakkel thinks so; I agree. He has commented on a recent trial of increased walking exercise after stroke. A short, easy read: doi.org/10.1016/S147... #neurorehabilitation

Clinical Rehabilitation @clinicalrehab.bsky.social · Jul 21

DW. Practice improves function; this is a central tenet of rehabilitation. A recent trial demonstrates that a protocol to increase walking practice after stroke is effective. We must help patients practice independently without professional supervision. doi.org/10.1016/S147... #neurorehabilitation

Clinical Rehabilitation @clinicalrehab.bsky.social · Jul 15

DW. An updated Cochrane systematic review of virtual reality in stroke rehabilitation identified 190 trials; however, the evidence only allowed for weak conclusions. www.cochranelibrary.com/cdsr/doi/10..... Why was this? My editorial discusses reasons www.cochranelibrary.com/cdsr/doi/10.....

Virtual reality for stroke rehabilitation - Laver, KE - 2025 | Cochrane Library

Select your preferred language for Cochrane reviews and other content. Sections without translation will be in English.

www.cochranelibrary.com

Clinical Rehabilitation @clinicalrehab.bsky.social · Jul 14

DW. The probability of spontaneous regression of lumbar herniated disc: a systematic review. Ten years after publication, this article is 'trending' on Altimetric. Why such a delay? 2
doi.org/10.1177/0269...

The probability of spontaneous regression of lumbar herniated disc: a systematic review - Chun-Chieh Chiu, Tai-Yuan Chuang, Kwang-Hwa Chang, Chien-Hua Wu, Po-Wei Lin, Wen-Yen Hsu, 2015

Objective: To determine the probability of spontaneous disc regression among each type of lumbar herniated disc, using a systematic review. Data sources: Medli...

Clinical Rehabilitation @clinicalrehab.bsky.social · Jul 14

DW. A new paper exploring the concept of financial capability in people with cognitive impairment, a significant issue in #neurorehabilitation. There are many ideas about what it is and how to assess it. doi.org/10.1177/0269... A Rehabilitation in Theory paper journals.sagepub.com/topic/collec...

Sage Journals: Discover world-class research

Subscription and open access journals from Sage, the world's leading independent academic publisher.

Clinical Rehabilitation @clinicalrehab.bsky.social · Jul 7

When offered weekend speech therapy, patients valued the different, more social environment. We should pay more attention to a rehabilitation environment that facilitates adaptation and practice rather than direct therapy. pmc.ncbi.nlm.nih.gov/articles/PMC... #neurorehabilitation

Speech and Language Therapy Weekend Service in Inpatient Rehabilitation: A Qualitative Study Exploring Perspectives of People With Stroke

An allied health weekend service in subacute inpatient stroke rehabilitation can improve patient and organisational outcomes. However, there is insufficient evidence to justify the role of a speech an...

pmc.ncbi.nlm.nih.gov

Clinical Rehabilitation @clinicalrehab.bsky.social · Jun 3

DW. Technological aids in rehabilitation need as much research and evaluation for effectiveness and harm as drugs and other interventions. A study has evaluated an iPad programme to aid goal setting; this is the second evaluation, showing improvement from the first. st
doi.org/10.1177/0269...

Clinical utility, validity and reliability of the IPad application for goal-setting: The aid for decision-making in occupation choice-2 - Kounosuke Tomori, Tatsunori Sawada, Yuho Okita, William WMM Le...

Objective To evaluate the clinical utility, reliability, and validity of the second-generation aid for decision-making in occupation choice-2 (ADOC2), an iPad a...

Clinical Rehabilitation @clinicalrehab.bsky.social · Jun 1

DW. Self-rehabilitation is practising and adapting without a professional present; it typically follows advice from a professional. A systematic review finds individual practice as effective as practising with a therapist. doi.org/10.1177/1545... This is part of adaptation doi.org/10.1177/0269...

Sage Journals: Discover world-class research

Subscription and open access journals from Sage, the world's leading independent academic publisher.

Clinical Rehabilitation @clinicalrehab.bsky.social · May 31

DW. We fail to identify most people who are unable to make sound healthcare decisions. Routine screening might be helpful if it is simple and short. The Mental Capacity Screening Assessment Tool (MCScreen) should be considered. doi.org/10.1016/j.cl... #neurorehabilitation

Clinical Rehabilitation @clinicalrehab.bsky.social · May 27

DW. This randomised trial of exoskeletons for people with spinal cord injury is impressive, with two weaknesses: unequal allocation (68v47) despite block allocation, and selective loss from the control arm. However, there was no difference between the groups. doi.org/10.1016/j.ap... #neurorehab

Clinical Rehabilitation @clinicalrehab.bsky.social · May 27

DW. Does 'cognitive retraining' after stroke have an impact on functional activities? Probably not. The evidence is suggestive, not conclusive. doi.org/10.1177/0269... Task-specific training is likely more effective. #neurorehabilitation

Sage Journals: Discover world-class research

Subscription and open access journals from Sage, the world's leading independent academic publisher.

Clinical Rehabilitation @clinicalrehab.bsky.social · May 27

DW. Non-pharmacological treatment for depression after stroke would avoid the cognitive side effects of drugs, if it helps. A systematic review identifies many techniques tried, but the evidence base is too small to enable any recommendation.
doi.org/10.1177/0269...

Effectiveness of non-pharmacological interventions for post-stroke depression in stroke survivors: A systematic review with meta-analysis - Dan Shi, Yuen Yu Chong, Yating LI, Ho Yu Cheng, 2025

Objectives To evaluate the effectiveness of non-pharmacological interventions for managing post-stroke depression and identify the characteristics of optimal in...

Clinical Rehabilitation @clinicalrehab.bsky.social · May 26

DW. An observational study in Canada suggests that delays in providing wheelchairs to patients who need them may increase length of stay. The delays were between 1 and 9 days. The UK would have a bigger delay and should replicate this. doi.org/10.1016/j.ap... #neurorehabilitation

Clinical Rehabilitation @clinicalrehab.bsky.social · May 24

DW. The classification of traumatic brain injury severity has been based on the initial Glasgow Coma Scale score for decades. It was simple and applied widely, A new system has been developed. I suspect it is too complex for general use. It focuses only on pathology. doi.org/10.1016/S147...

Clinical Rehabilitation @clinicalrehab.bsky.social · May 22

DW. A significant study on somatic symptoms following concussive head injury. Suggests that psychological factors are a significant contributing factor. doi.org/10.1097/HTR....

Somatic Symptom Disorder After Mild Traumatic Brain Injury : The Journal of Head Trauma Rehabilitation

care centers. Participants: Adults with mTBI (N = 476). Design: Secondary analysis of a clinical trial (Clinicaltrials.gov NCT04704037). Main Measures: Early illness beliefs (Illness Percepti...

Clinical Rehabilitation @clinicalrehab.bsky.social · May 19

DW. People with a prolonged disorder of consciousness have lost extensive networks that underlie consciousness. Surprisingly, repetitive transcranial magnetic stimulation (rTMS) may increase recovery; a randomised trial in 48 people suggests it may. doi.org/10.1016/j.ni... It may simply speed change

Clinical Rehabilitation @clinicalrehab.bsky.social · May 7

DW. Patient education may improve outcomes if (a) education succeeds and (b) the learned knowledge leads to action that helps. A trial of education about osteoarthritis gave information but had no clinical effect. Maybe surgery is needed to reduce pain. doi.org/10.1016/j.pe... #neurorehabilitation

Clinical Rehabilitation @clinicalrehab.bsky.social · May 4

DW. A novel, non-surgical non-pharmacological treatment for chronic pain: EEG entrapment. A well-designed study was conducted on 24 people with fibromyalgia. It is feasible; further trials are essential. doi.org/10.1016/j.jp...

Clinical Rehabilitation @clinicalrehab.bsky.social · Apr 29

DW. Enablement theory (doi.org/10.1016/j.ap...) underlies the analysis of clinical rehabilitation data within the holistic biopsychosocial model of illness. (doi.org/10.1177/0269...) Treatment theory is sometimes separated, but the two are completely interwoven. Enablement theory is a better term.

Clinical Rehabilitation @clinicalrehab.bsky.social · Apr 14

DW. Do people with a prolonged disorder of consciousness (PDOC) experience feelings of pain? In 1991, Michael McQillen said, "we do not know that they do not". A new paper suggests they probably do, with evidence and outlining consequences. journals.sagepub.com/doi/10.1177/... #neurorehab

Do some people with a prolonged disorder of consciousness experience pain? A clinically focused narrative review and synthesis - Derick T Wade, Andrew Hanrahan, 2025

Objective To investigate the hypothesis that people with a prolonged disorder of consciousness experience nociceptive pain. Method A non-systematic literature ...

journals.sagepub.com

Clinical Rehabilitation @clinicalrehab.bsky.social · Apr 11

DW. A meta-analysis comparing group and individual therapy for the affected arm after stroke found no difference (currently a weak conclusion). But we should also investigate broader psychological and social effects, and cost-effectiveness. doi.org/10.1177/0269...

Sage Journals: Discover world-class research

Subscription and open access journals from Sage, the world's leading independent academic publisher.

Clinical Rehabilitation @clinicalrehab.bsky.social · Apr 11

DW. We fail to use meals as an active rehabilitation intervention combining many skills with social benefits. This qualitative study of breakfast clubs in a nursing home exposes several avenues for all residential or day units including lunch to explore.
doi.org/10.1177/0269... #neurorehabilitation

Facilitating involvement of nursing home residents in food-related activities in breakfast clubs: A qualitative inquiry - Lise Justesen, Søren Tange Kristensen, Ute Walter, Niels Heine Kristensen, 202...

Objective To explore how healthcare professionals facilitate nursing home residents’ involvement in food-related activities in two breakfast clubs based on a ho...