The rehabilitation management of sexuality and fertility issues in people with disabling health conditions.

Sexual health is a state of physical, emotional, mental and social well-being in relation to sexuality. Disabling health conditions can impact sexual function, identity, self-esteem and self-image, fertility and pregnancy. People can experience primary impairments such as a loss of sensibility or erectile dysfunction, but also consequences of secondary impairments like incontinence, pain, fatigue, or spasticity.

Sexual and reproductive health in neurological disorders: recommendations from the Fifth International Consultation on Sexual Medicine (ICSM 2024).

Introduction: Neurological disorders impact both the central and peripheral nervous systems, often leading to sexual dysfunction (SD). These conditions affect not only genital function but also sensory and motor abilities, pain perception, bladder and bowel control, mood, and hormonal balance. Despite the significance of sexual health for overall quality of life, SD in individuals with neurological conditions remains an under addressed issue.

Evaluating ChatGPT-4.0's accuracy and potential in idiopathic scoliosis conservative treatment: a preliminary study on clarity, validity, and expert perceptions.

Purpose: This study aimed to evaluate the scientific accuracy, content validity, and clarity of ChatGPT-4.0's responses on conservative management of idiopathic scoliosis. The research explored whether the model could effectively support patient education in an area where non-surgical treatment information is crucial.

Empowering lives of people with SCI: unlocking the transformative potential of the World Health Assembly's resolution on rehabilitation - the 2024 ISCoS lecture.

Study Design: Narrative review.

Objectives: To summarize the key messages presented during the ISCoS lecture at the 63rd ISCoS Annual Meeting, focusing on the global rehabilitation landscape, particularly regarding spinal cord injury.

Setting: Not applicable.

The overview reporting map: a visual tool for overviews of systematic reviews.

Objectives: This study aims to present the Overview Reporting Map (ORMap), a structured approach for summarizing and visually representing results from overviews of Cochrane Systematic Reviews (CSRs). The goal is to address the difficulty in effectively reporting information from overviews of reviews.

Study Design And Setting: ORMap was developed progressively and applied through two projects with the World Health Organization (WHO): Best Evidence for Rehabilitation and Rehabilitation COVID-19 Evidence Response.

The new rehabilitation definition for research purposes could improve rehabilitation description in Cochrane Systematic Reviews.

Introduction: In 2022, Cochrane Rehabilitation developed a new definition of rehabilitation for research purposes with 80 global stakeholders, aiming to support and improve the production and reporting of primary and evidence-synthesis rehabilitation studies.

Objective: 1.To compare how Cochrane Systematic Review (CSR) authors describe rehabilitation interventions against criteria derived from the new rehabilitation definition.

Safety and tolerability of kinesiotaping as add-on treatment of pressure injuries.

Objective: The aim of this study was to evaluate the safety and tolerability of kinesiotaping (KT) as an adjunctive treatment of medium-to-severe sacral or heel pressure injuries (PIs) in patients with spinal cord injury (SCI), and to explore the effects of tape application in promoting the healing process.

Method: This pilot study was conducted in a tertiary specialised rehabilitation hospital in Italy. Patients with SCI within three months of an acute traumatic or non-traumatic event; any neurological level; complete or incomplete lesion; stage 3 or 4, sacral and/or heel PI for ≥1 month were included in the study.

Overview of Cochrane Systematic Reviews for rehabilitation interventions in persons with amputation: a mapping synthesis.

Introduction: This review aimed to collect the current evidence from the Cochrane systematic reviews (CSRs) concerning interventions for rehabilitation of people with amputation, in the context of the World Health Organization - Package of Interventions for Rehabilitation.

Evidence Acquisition: The Cochrane Rehabilitation team led the CSRs' search. Search strings were composed of "amputation" and "rehabilitation" and run in the Cochrane Library.

Artificial intelligence in clinical medicine: a state-of-the-art overview of systematic reviews with methodological recommendations for improved reporting.

Medicine has become increasingly receptive to the use of artificial intelligence (AI). This overview of systematic reviews (SRs) aims to categorise current evidence about it and identify the current methodological state of the art in the field proposing a classification of AI model (CLASMOD-AI) to improve future reporting. PubMed/MEDLINE, Scopus, Cochrane library, EMBASE and Epistemonikos databases were screened by four blinded reviewers and all SRs that investigated AI tools in clinical medicine were included.

Evidence synthesis of health policy and systems research in rehabilitation: a protocol for Cochrane overviews of systematic reviews on delivery, governance, financial arrangements, and implementation strategies.

Cochrane Rehabilitation and the World Health Organization (WHO) Rehabilitation Program are collaborating to produce four Cochrane overviews of systematic reviews that synthesize the current evidence from health policy and systems research (HPSR) in rehabilitation. They will focus on the four pillars of HPSR identified by the Cochrane Effective Practice and Organization of Care (EPOC) taxonomy: delivery arrangements, financial arrangements, governance arrangements, and implementation strategies. The protocol describes why HPSR is currently needed in rehabilitation, provides detailed information on the four EPOC pillars in interaction with rehabilitation and reports the Cochrane methods that will be followed to produce the overviews.

The Spine Lengthens During Walking in Healthy Participants, with Age-Related Changes in Kinematic Parameters.

While the importance of the upper and lower limbs in locomotion is well understood, the kinematics of the trunk during walking remains largely unexplored. Two decades ago, a casual observation was reported indicating spine lengthening in a small sample of mostly children during walking, but this observation was never replicated. Objectives: This study aims to verify the preliminary observation that spine lengthening occurs during walking and to explore changes in spine kinematics across three different age groups.

Overview of Cochrane Systematic Reviews on Interventions for Rehabilitation in People with Ischemic Heart Disease: A Mapping Synthesis.

This overview of Cochrane Systematic Reviews (CSRs) reports on current evidence and its certainty of the effectiveness of interventions for the rehabilitation of people with ischemic heart disease (IHD), included in the World Health Organization Rehabilitation Programme Package of Interventions for Rehabilitation. We included all the CSRs relevant to people with IHD. We used a mapping synthesis to group outcomes and comparisons of included CSRs, indicating the effectiveness of interventions for rehabilitation and the certainty of evidence.

Lumbar braces and other assistive devices for treatment of chronic low back pain.

This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To assess the benefits and harms of assistive technologies (i.e.

Designing studies and reviews to produce informative, trustworthy evidence about complex interventions in rehabilitation: a narrative review and commentary.

According to Cochrane Rehabilitation's recently published definition for research purposes, rehabilitation is inherently complex. Rehabilitation teams frequently implement multiple strategies concurrently, draw on input from a range of different health professionals, target multiple outcomes, and personalize therapeutic plans. The success of rehabilitation lies not only in the specific therapies employed, but also in how they are delivered, when they are delivered, and the capability and willingness of patients to engage in them.

Nerve transfer for upper extremity reanimation in people with spinal cord injury: A 2-year follow-up case series.

Objective: To describe the 2-year functional outcomes of nerve transfer (NT) for upper extremity reanimation.

Study Design: A prospective case series.

Setting: A highly specialized rehabilitation hospital for spinal cord injury (SCI) in Italy.

Overview of Cochrane Systematic Reviews for Rehabilitation Interventions in Individuals with Upper Limb Fractures: A Mapping Synthesis.

. This overview of Cochrane systematic reviews (CSRs) reports on current evidence on the effectiveness of rehabilitation interventions for persons with upper limb fractures (ULFs), and the quality of the evidence. .

Introduction to target trial emulation in rehabilitation: a systematic approach to emulate a randomized controlled trial using observational data.

Rehabilitation providers and policymakers need valid evidence to make informed decisions about the healthcare needs of the population. Whenever possible, these decisions should be informed by randomized controlled trials (RCTs). However, there are circumstances when evidence needs to be generated rapidly, or when RCTs are not ethical or feasible.

Evidence-based position paper on physical and rehabilitation medicine professional practice for persons with COVID-19, including post COVID-19 condition: the European PRM position (UEMS PRM Section).

Although multiple factors still pose challenges to inpatient/outpatient rehabilitation for survivors of COVID-19, rehabilitation plays a key role for this patient population. This study aimed to improve Physical and Rehabilitation Medicine (PRM) physician's professional practice for persons with COVID-19-related functioning limitations, to promote functional recovery and reduce activity limitations and/or participation restrictions. A systematic review of the scientific literature was performed from December 2019 to August 2022, followed by production of recommendations through 5 Delphi rounds, by consensus among the delegates of all European countries represented in the Union of European Medical Specialists PRM Section.

Improving the quality of evidence production in rehabilitation. Results of the 5th Cochrane Rehabilitation Methodological Meeting.

The paper introduces the Special Sections of the European Journal of Physical and Rehabilitation Medicine dedicated to the 5 Methodological Meeting of Cochrane Rehabilitation. It introduces Cochrane Rehabilitation; its vision, mission and goals; discusses why the Methodological Meetings were created; and reports on their organisation and previous outcomes. The core content of this editorial is the 5 Methodological Meeting held in Milan in September 2023.