THE INDEX

Every paper we have read

Each one summarised from the full article, not its abstract, and kept only if it speaks to physical therapy, occupational therapy, speech-language pathology or nursing. Newest first.

35,183 PAPERS · PAGE 385 OF 704 · NEWEST FIRST

• SLPOther2021Intelligibility in Context Scale: Sensitivity and specificity in the Jamaican context.Clinical linguistics & phoneticsParent ratings on the Intelligibility in Context Scale helped screen English-Jamaican Creole bilingual preschoolers for suspected speech sound disorders. Scores below 4.12 flagged concern, but some typically developing children were also flagged, so use it to guide further assessment.
• Cohort2021Patient-Centered Outcomes in an Interdisciplinary Clinic for Complex Children with Autism.Journal of developmental and behavioral pediatrics : JDBPCaregivers of children with autism in an interdisciplinary Medicaid-funded clinic reported significantly higher rates of shared decision-making, family-centered care, and care coordination than a national sample. The clinic served older children with more severe autism and co-occurring conditions.
• PTOTSLPNarrative Review2021Prenatal cytomegalovirus, rubella, and Zika virus infections associated with developmental disabilities: past, present, and future.Developmental medicine and child neurologyPrenatal rubella, cytomegalovirus and Zika can cause developmental disability even when maternal illness is mild. Timing matters, and hearing loss or subtle delays may appear after birth.
• SLPCohort2021Zenker's Diverticulum: Can Protocolised Measurements with Barium SWALLOW Predict Severity and Treatment Outcomes? The "Zen-Rad" Study.DysphagiaIn 67 patients with Zenker's diverticulum treated by endoscopic division, durable remission after one procedure occurred in 64.2%. Some barium measurements were associated with success only before adjusting for age, sex and prior surgery.
• PTOTRCT2021HoMEcare aRm rehabiLItatioN (MERLIN): telerehabilitation using an unactuated device based on serious games improves the upper limb function in chronic stroke.Journal of neuroengineering and rehabilitationChronic stroke patients improved arm function after six weeks of home training with the MERLIN device and serious games. Gains lasted six weeks after stopping, but quality of life did not change. Only ten of twelve participants completed the training.
• PTSurvey2021Factors associated with musculoskeletal pain in the past 12 months amongst female miners in a South African goldmine.The South African journal of physiotherapyAbout 50.0% of female miners reported musculoskeletal pain over the past 12 months. Higher education and good self-rated health were associated with less pain when other factors were included, while workplace factor links were not.
• PTOther2021Prevalence of concussion and adherence to return-to-play guidelines amongst male secondary school rugby and hockey players.The South African journal of physiotherapyNearly a third of male secondary school rugby and hockey players had sustained a concussion, but only 30.4% of those injured followed return-to-play guidelines. Players cited peer pressure and fear of losing their spot on the team as reasons for returning too soon.
• PTNarrative Review2021Hip and Groin Injury Prevention in Elite Athletes and Team Sport - Current Challenges and Opportunities.International journal of sports physical therapyHip and groin pain prevention in elite team sport is not well supported by screening alone. Balanced, sport-specific exercise programmes with education, mobility, strength, motor control and load monitoring are proposed, not isolated risk-factor cutoffs.
• PTOTSLPOther2021Expectations of individuals with neurological conditions from rehabilitation: A mixed-method study of needs.The South African journal of physiotherapyAdults with stroke, spinal cord injury or traumatic brain injury in Nigeria reported unmet needs across all life domains. Social and recreational needs were most prevalent, followed by rehabilitation and medical needs. Those with spinal cord injury reported the highest needs across seven domains.
• SLPOther2021Effects of Signal Type and Noise Background on Auditory Evoked Potential N1, P2, and P3 Measurements in Blast-Exposed Veterans.Ear and hearingBlast-exposed veterans reported more hearing difficulties and had slower P3 brain responses to tones, but did not perform worse on speech-in-noise tests. Complex noise and speech did not make the group differences larger.
• PTRCT2021Dual-Task Effects During a Motor-Cognitive Task in Parkinson's Disease: Patterns of Prioritization and the Influence of Cognitive Status.Neurorehabilitation and neural repairWalking while responding to tones slowed gait in mild to moderate Parkinson's disease, especially in those with mild cognitive impairment. Those with mild cognitive impairment prioritized the tone task over walking; those without prioritized walking speed.
• PTOTSLPRCT2021A rehabilitation programme focussing on pelvic floor muscle training for persistent lumbopelvic pain after childbirth: A randomized controlled trial.Journal of rehabilitation medicineAdding biofeedback-assisted pelvic floor muscle training to standard stabilization exercises reduced pain and disability more than standard care alone at 12 weeks. However, the mental component of quality of life did not improve, suggesting physical symptoms respond better than psychological well-being.
• PTOTSLPOther2021Latarjet Procedure for the Treatment of Anterior Glenohumeral Instability in the Athlete - Key Considerations for Rehabilitation.International journal of sports physical therapyThis is a proposed five-phase rehab protocol for athletes after Latarjet shoulder surgery, moving from protection to power. It relies on expert opinion and clinical experience, not trial data, so it offers a framework to discuss with your surgeon rather than proven outcomes.
• OTSLPCase Report2021Information, communication, advocacy, and complaint: how the spouse of a man with aphasia managed his discharge from hospital.AphasiologyA spouse of a man with aphasia said she was not told what aphasia meant, was given changing discharge plans, and had to write a complaint letter after a registrar dismissed her concerns. This is one account, not proof that advocacy changes care.
• PTOTRCT2021Rehabilitation with accurate adaptability walking tasks or steady state walking: A randomized clinical trial in adults post-stroke.Clinical rehabilitationBoth accuracy-based adaptability tasks and steady-state walking improved walking speed similarly in adults post-stroke. Neither training style was superior for functional recovery. However, the adaptability group showed a larger reduction in prefrontal brain activity during dual-task walking, suggesting improved automaticity despite identical functional gains.
• SLPSurvey2021Perceptions of Families of Individuals with Autism Spectrum Disorder during the COVID-19 Crisis.Journal of autism and developmental disordersFamilies of people with autism reported high stress and disruption during early Michigan shutdowns. Higher caregiver-rated symptom severity was associated with more stress and disruption for caregivers and individuals.
• Cohort2021Identifying Children and Youth With Autism Spectrum Disorder in Electronic Medical Records: Examining Health System Utilization and Comorbidities.Autism research : official journal of the International Society for Autism ResearchChildren and youth with autism in Ontario family medicine records used significantly more health services than peers without autism. They were more likely to visit psychiatrists, neurologists, and geneticists, undergo surgeries, and be hospitalized for psychiatric reasons.
• SLPOther2021Conversational correlates of rapid social judgments of children and adolescents with and without ASD.Clinical linguistics & phoneticsOnline listeners judged young people with ASD more positively when their first 30 seconds had wider pitch range and pauses within their own turns. Longer silence after questions, less speech, and faster speech were linked with lower ratings.
• PTOther2021Time to re-think our strategy with musculoskeletal disorders and workstation ergonomics.The South African journal of physiotherapyComputer users at work in South Africa with work-related musculoskeletal pain had similar workstation risk scores to those without work-related pain, but reported more trouble switching off from work and a stronger need for approval. Ergonomic advice alone may miss this.
• SLPOther2020Prevalence of hearing loss among noise-exposed workers within the services sector, 2006-2015.International journal of audiologyHearing loss is highly prevalent among noise-exposed service workers, not just in traditional industrial jobs. Specific office and administrative roles, such as those in credit unions, software publishing, and public administration, showed prevalence rates between 26% and 33%, indicating a need for broader hearing conservation in the service sector.
• SLPOther2020An exploratory model of speech intelligibility for healthy aging based on phonatory and articulatory measures.Journal of communication disordersHealthy older adults speak with less intelligible voices than younger adults in noise. The main drivers are reduced voice variability and slower tongue movements. Clinicians should treat voice quality and articulatory speed as primary targets for maintaining clear communication in aging.
• SLPCase-Control2020Face individual identity recognition: a potential endophenotype in autism.Molecular autismFace-blindness affects 36% of autistic adults, compared to 6% of controls. In this subgroup, poor face memory predicts difficulty reading mental states from eyes. Self-reported face difficulties did not match test results, so patients may not know they have this deficit.
• Other2020Targeting of δ-catenin to postsynaptic sites through interaction with the Shank3 N-terminus.Molecular autismThe Shank3 protein anchors δ-catenin to synapses via its N-terminus. Removing this anchor reduces δ-catenin at postsynaptic sites in mouse brain and cultured neurons, without changing total δ-catenin levels. This identifies a specific molecular mechanism linking two autism-related proteins.
• Other2021Psychometric testing of a set of patient-reported instruments to assess healthcare interventions for autistic adults.Autism : the international journal of research and practiceSix patient-reported tools for autistic adults showed strong reliability and validity. The self-efficacy scale splits into two parts: skills the patient controls, and those depending on the provider. These tools help evaluate healthcare interventions but do not yet prove an intervention works.
• PTOTSLPSystematic Review2021Rehabilitation to enable recovery from COVID-19: a rapid systematic review.PhysiotherapyRehabilitation for severe respiratory illness improves walking and muscle strength, but evidence for post-ICU recovery is weak. No studies exist for COVID-19 specifically, so generalising requires caution. Individualised programmes are valued by patients, though quality of life results remain inconclusive.
• PTOTSLPOther2021A Multi-Faceted Strategy for Evidence Translation Reduces Healthcare Waiting Time: A Mixed Methods Study Using the RE-AIM Framework.Frontiers in rehabilitation sciencesAbout half of surveyed services adopted the STAT waiting time reduction model. Managers and staff support were key facilitators. Large existing waitlists and resource shortages were main barriers. Early adopters reported reduced waiting times, but data was anecdotal.
• PTOTQualitative2021Pre-operative physiotherapy following unilateral ankle fractures at a tertiary hospital in South Africa: Perceptions of patients and nurses.The South African journal of physiotherapyPatients and nurses valued pre-operative physiotherapy for building confidence and independence while waiting for ankle surgery. Fear, pain, and staff shortages were key barriers. Participants requested more education on surgery and recovery timelines, plus daily monitoring to maintain motivation.
• PTRCT2021The influence of powered prostheses on user perspectives, metabolics, and activity: a randomized crossover trial.Journal of neuroengineering and rehabilitationThe powered prosthesis did not significantly improve metabolic cost, daily step counts, walking speed, or overall mobility perception compared to the unpowered device. Individual responses varied widely, with some users preferring the powered device and others finding it harder to walk with.
• PTOTSurvey2021Anthropometric determinants of lung function in apparently healthy individuals.The South African journal of physiotherapyLung volumes were larger in men and in people with more muscle mass, but smaller with age and central abdominal fat. The ratio of forced expiratory volume to vital capacity showed no gender difference, though it was lower with greater abdominal fat.
• SLPOther2021Accuracy of the Language Environment Analyses (LENATM) system for estimating child and adult speech in laboratory settings.Journal of child languageLENA accurately ranked which caregivers talked more, but overestimated their absolute word counts by about 25%. It poorly estimated child vocalizations, undercounting them at 1;7 and failing to capture developmental growth. Use it for relative adult speech, not absolute numbers.
• OTCase Series2021Stable, simultaneous and proportional 4-DoF prosthetic hand control via synergy-inspired linear interpolation: a case series.Journal of neuroengineering and rehabilitationTwo upper-limb amputees used implanted EMG to control virtual prosthetic hands with four movements at once. They matched all 3-DoF targets and up to 100% of 4-DoF targets, with stability up to 10 months.
• SLPCase-Control2021Sound discrimination and explicit mapping of sounds to meanings in preschoolers with and without developmental language disorder.International journal of speech-language pathologyPreschoolers with developmental language disorder were worse than typical peers at matching pitch sounds to objects and at telling sounds apart. They were not worse for duration sounds. Discrimination and mapping were linked for pitch, but not firmly.
• PTCohort2021Early post-immobilization pain at rest, movement evoked pain, and their ratio as potential predictors of pain and disability at six- and 12-months after distal radius fracture.Archives of physiotherapyAt two months after distal radius fracture, pain at rest ≥3/10 and pain with movement ≥6/10 predicted persistent pain, while pain with movement ≥7/10 predicted disability; their ratio did not.
• PTOTSLPOther2021The modified Shriners Hospitals for Children Greenville (mSHCG) multi-segment foot model provides clinically acceptable measurements of ankle and midfoot angles: A dual fluoroscopy study.Gait & postureSkin-marker gait analysis closely matches bone-level dual fluoroscopy for ankle and midfoot angles in healthy adults. Differences were mostly under 4 degrees, which is clinically acceptable. However, accuracy dropped as midfoot motion increased, and one forefoot marker shifted significantly during loading.
• SLPCohort2021Selection Criteria for Cochlear Implantation in the United Kingdom and Flanders: Toward a Less Restrictive Standard.Ear and hearingRelaxing UK and Flanders cochlear implant criteria to include patients with better residual hearing increased the number of candidates by 30%. These newly accepted patients still showed significant speech improvement, though less than those with more severe loss. Only 0.2% of this new group failed to improve.
• Other2021Education in the Time of COVID: At-a-Distance Training in Neuromusculoskeletal Ultrasonography.Archives of rehabilitation research and clinical translationA single PM&R resident learned neuromusculoskeletal ultrasound using a portable device and remote guidance during COVID-19 restrictions. The report describes the method and the resident's subjective confidence, but provides no objective data on skill acquisition or patient outcomes.
• SLPOther2021Comparison of Disfluent and Ungrammatical Speech of Preadolescents with and without ASD.Journal of autism and developmental disordersBoys with high-functioning ASD spent more time producing disfluent and ungrammatical speech than controls. Their disfluencies were complex, involving word searches and grammatical errors that disrupted conversation, unlike the simple pauses seen in typical peers.
• PTOTCohort2021Recovery of arm function during acute to chronic stage of stroke quantified by kinematics.Journal of rehabilitation medicineArm movement speed and smoothness improved most in the first 4 weeks after stroke, but continued to get better between 3 and 6 months. Younger age, milder stroke, and ischaemic type predicted faster recovery. Peak velocity did not improve over time.
• SLPNarrative Review2021Moving Forward with Dysphagia Care: Implementing Strategies during the COVID-19 Pandemic and Beyond.DysphagiaThis paper offers clinical guidelines and algorithms for performing swallowing assessments safely during the pandemic. It does not report original patient data or outcomes, so there are no findings here to change clinical practice.
• SLPOther2021Better Hearing in Norway: A Comparison of Two HUNT Cohorts 20 Years Apart.Ear and hearingNorwegian adults in 2017 had better hearing than those in 1996. Disabling hearing loss dropped from 7.7% to 5.3%. Men aged 60 to 70 showed the biggest gain at high frequencies. This suggests occupational noise controls worked. Update your baseline expectations for hearing thresholds.
• PTOther2021Worldwide Sports Injury Prevention.International journal of sports physical therapy
• Cohort2021CIM6P/IGF-2 Receptor Ligands Reverse Deficits in Angelman Syndrome Model Mice.Autism research : official journal of the International Society for Autism ResearchIn mice with Angelman syndrome, a single injection of IGF-2 or M6P reversed memory, motor, and repetitive behavior deficits. IGF-2 also reduced seizures. These findings are preclinical and have not been tested in humans.
• PTOTSLPMeta-Analysis2021Effects of robot-assisted training on balance function in patients with stroke: A systematic review and meta-analysis.Journal of rehabilitation medicineRobot-assisted training improved balance scores in stroke patients compared to conventional therapy. The benefit was significant in the acute and subacute phase, but not in chronic patients. Exoskeleton devices showed better results than end-effector devices.
• SLPOther2021Validity of Parent Ratings of Speech Intelligibility for Children with Cerebral Palsy.Developmental neurorehabilitationParent ratings of speech intelligibility are valid for children at the extremes of severity but unreliable for those in the middle. A parent rating of 3 or 4 could correspond to intelligibility scores ranging from 4% to 98%. Use objective measures alongside parent report.
• PTCase-Control2021Evaluation of oxygen uptake adjusted by skeletal muscle mass in cardiovascular disease patients with type 2 diabetes.Journal of physical therapy scienceMale cardiac patients with type 2 diabetes had lower peak oxygen uptake when adjusted for skeletal muscle mass than those without diabetes, despite having similar muscle mass. This suggests their reduced exercise capacity stems from muscle quality issues rather than muscle quantity.
• PTOTSLPOther2020Physical health of autistic girls and women: a scoping review.Molecular autismAutistic girls and women report more physical health problems than autistic boys and men, with epilepsy and endocrine issues like PCOS standing out. This pattern may reflect under-diagnosis in males or higher biological risk in females, rather than a simple prevalence difference.
• SLPCase Report2020Using AAC to unlock communicative potential in late-talking toddlers.Journal of communication disordersTwo late-talking toddlers who did not improve with input-based therapy alone showed immediate gains in spoken words and multi-word phrases when low-tech AAC devices and output demands were added. This suggests AAC may help non-responders bypass speech motor difficulties.
• Cohort2020The Familial Risk of Autism Spectrum Disorder with and without Intellectual Disability.Autism research : official journal of the International Society for Autism ResearchFamily history of autism spectrum disorder was more strongly linked to autism without intellectual disability than to autism with it, especially when the affected relative was a parent.
• Case-Control2021Prolonged Auditory Brainstem Response in Universal Hearing Screening of Newborns with Autism Spectrum Disorder.Autism research : official journal of the International Society for Autism ResearchNewborn hearing screening brainstem responses were longer in infants later diagnosed with autism in both ears. The screening did not show enough difference to identify individual newborns.
• PTOTOther2021Effects of the posterior pelvic tilt sitting posture on thoracic morphology and respiratory function.Journal of physical therapy scienceSitting with a 30-degree posterior pelvic tilt significantly reduced lung function measures (FVC, FEV1, PFR) in healthy young men. Milder tilts up to 20 degrees did not impair these respiratory outcomes. The 30-degree posture also restricted lower thoracic expansion.