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Journal of Rehabilitation Medicine

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Uppsala
Journal of Rehabilitation Medicine

Journal of Rehabilitation Medicine (JRM) is an international, non-profit, Open Access journal, publishing articles on a broad range of topics within the field.

The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation. The journal is read by a wide group of healthcare profess

ionals including specialists in rehabilitation medicine, neurology, clinical neurophysiology, general medicine, psychologists, physiotherapists, occupational therapists and social workers.

07/09/2026

Inpatient rehabilitation after acute injury or illness for patients with and without mental health disorders: service utilization, functional improvement, and pain

Authors: Anja S. Sundet, Solveig L. Hauger, Ingrid A. Havnes, Nada Andelic, Caroline Ustvedt, Grethe Månum, Jeanette Kleven, Catrine Brunborg, Charles H. Bombardier, Jennie Ponsford, Marianne Løvstad

This study examined whether and how having a comorbid mental health disorder is related to the inpatient rehabilitation process after an acute physical injury or illness. A total of 130 patients participated. Data were collected through medical charts, a trauma registry, diagnostic interviews with patients, and information from members of the multiprofessional teams. The results indicate that patients with mental health disorders report higher levels of pain, greater pain interference, and less tapering of opioids during inpatient rehabilitation compared with patients without comorbid mental health conditions. Having a mental health disorder was also associated with a need for closer follow-up from the rehabilitation team and more collaboration with external agencies. However, no difference between groups was found regarding functional outcomes or patient satisfaction, indicating equal profit from rehabilitation. Integrated mental health care and targeted interventions for pain management for patients with comorbid mental health disorders are warranted.

https://doi.org/10.2340/jrm.v58.45007

07/09/2026

Validation of heart rate measurements from the polar verity sense during the submaximal Ekblom-Bak test in adult individuals with obesity

Authors: Grete Rudi Onstad, Fredrik Klæboe Lohne , Marius Steiro Fimland

This study tested whether the Polar Verity Sense, a heart rate monitor worn on the arm, can accurately measure heart rate in people with obesity during the Ekblom-Bak cycle test, often used in rehabilitation. Traditionally, heart rate is measured using a chest strap, which some people may find uncomfortable. In this study, participants wore both the standard chest strap (Polar H10) and the Polar Verity Sense on the forearm and upper arm. The results showed that the Verity Sense measured heart rate almost identically to the chest strap. It also gave reliable estimates of fitness level (VO2max). In addition, most participants reported preferring the arm-worn device over the chest strap. These findings suggest that the Polar Verity Sense is an accurate, comfortable, and user-friendly alternative to chest strap monitors for people with obesity, making it easier to complete fitness tests and control exercise intensity in exercise rehabilitation programmes.

https://doi.org/10.2340/jrm.v58.44975

04/09/2026

Relative fat mass predicts symptomatic knee osteoarthritis in older adults with metabolic syndrome: a longitudinal cohort study

Authors: Lei Huang, Yuhui Wang, Yuhao Chen, Weilong Yao, Xianxu Zhang, Shicheng Li; Yong Sun, Changlin Zhou, Bin Qian; Zhiqiang Luo, Pandeng Wei

Body fat affects health. Relative fat mass – calculated from height and waist – estimates fat better than BMI. We studied 3,301 Chinese middle-aged/older adults with metabolic syndrome (high blood pressure, sugar, and lipids). Over time, those with higher relative fat mass had a 50% greater risk of developing symptomatic knee osteoarthritis, especially in rural areas. relative fat massoutperformed BMI in predicting this risk. Relative fat mass is a simple, lowcost tool to identify high-risk metabolic syndrome patients for early prevention.

https://doi.org/10.2340/jrm.v58.45354

02/09/2026

Rehabilitation in Gaza: a call to the rehabilitation community and to the European Union of Medical Specialists (UEMS)

Authors: Paul Carroll, Fahim Anwar, Christoph Gutenbrunner, Karol Hornáček, Ingebjørg Irgens, Carlotte Kiekens, Jorge Lains, Thierry Lejeune, Stefano Negrini, Erik Vikane, Maria Gabriella Ceravolo

https://doi.org/10.2340/jrm.v58.46725

02/09/2026

Identifying classes with different disability profiles amongst patients with persistent neck pain

Authors: Konsta Koivunen, Mikhail Saltychev, Juhani Juhola

In patients suffering from persistent neck pain, the underlying causes of pain are diverse and so are the symptoms. Among these patients, not all may have the same limitations in their daily lives. However, it is not yet known whether some patient groups can be distinguished in which these limitations differ from average patients. In this study, a research method called latent class analysis was used to identify these groups among approximately a thousand patients suffering from persistent neck pain. Three distinguishable groups were found in which the severity of the patients’ overall limitations in functioning differed. Differences were also observed between the groups in which areas of everyday life were most likely to have problems. It was also found that some factors increased the likelihood of poorer functioning. Identifying these groups can help target rehabilitation and treatment interventions to the right patients.

https://doi.org/10.2340/jrm.v58.46022

02/09/2026

Home-based digital exercise versus hospital physiotherapy for plantar fasciitis: a propensity-score-matched retrospective cohort study with dual-perspective cost-utility evaluation

Authors: Wenbo Xu, Lufeng Yao, Haigang Wang, Chenqin Xu, Pinpin He, Yi Zhang, Jiasong Pan, Shengdi Lu, Lei Huang

Plantar fasciitis causes heel pain that is worst on the first steps of the morning. It is usually treated with exercises, which in China are often taught during repeated hospital visits costing time and money. We reviewed the records of 587 adults treated at one Chinese hospital from 2022 to 2024. Some followed a 12-week exercise programme at home using a smartphone app; others attended hospital physiotherapy. We compared 384 patients who were similar to one another. After 3 months, morning heel pain had improved at least as much in the app group, at lower cost to both the health insurer and society. This is the first such comparison in China, and suggests app-based care could widen access where therapists are scarce. Because patients chose their own treatment, the 2 groups still differed in important ways. A randomized study is needed before app-based care replaces hospital physiotherapy.

https://doi.org/10.2340/jrm.v58.45974

24/08/2026

Explaining rehabilitation as an intervention to students, patients, and the public: the “rehabilitation chocolate cake”

Authors: Stefano Negrini, Carlotte Kiekens

https://doi.org/10.2340/jrm.v58.46458

17/08/2026

Mapping the commonalities of rehabilitation: using GUIDE-rehab to open the black box of programmes across diverse health conditions

Authors: Stefano Negrini, Helena Burger, Paolo Capodaglio, Maria Gabriella Ceravolo, Lisa Hoogendam, Esther Janssen, Greta Jurenaite, Calogero Malfitano, Federico Pennestri, Ruud Selles, Gianluca Martino Tartaglia, Charlotte Kiekens

Rehabilitation helps people regain their daily functioning after illness, injury, or surgery. However, rehabilitation programmes are often described in vague ways, making it difficult for clinicians to compare them and to know exactly how to use them. In this study, we applied a new tool (GUIDE-Rehab) to clearly describe and compare seven different rehabilitation programmes across Europe. We found that, while these programmes cover many areas, they often focus more on physical issues (such as pain and strength) and less on patients’ daily lives and social activities. We also observed that the same treatments, such as exercises, are used in different ways depending on the programmes’ goals. This work suggests that using a consistent, structured approach to describe rehabilitation can help clinicians choose and adapt the best treatments for their patients. In the future, digital tools may make this process even faster and easier to use in daily care.

https://doi.org/10.2340/jrm.v58.46211

17/08/2026

Survey on stroke rehabilitation in Europe (SUSTAIN-EU) to evaluate European stroke rehabilitation services

Authors: Guna Bērziņa, Katharina S. Sunnerhagen, Ayse A. Küçükdeveci, Mauro Zampolini, Volodymyr Golyk, Yvona Angerova, Marco Franceschini, Daiana Popa, Catarina Aguiar Branco, Markos Sgantzos, Paolo Boldrini, Dominic Perennou, Thierry Lejeune, Xiaolei Hu

Stroke is a major health issue in Europe, and many people need rehabilitation to recover and regain independence. However, the way rehabilitation services are organized and provided after a stroke varies widely between countries. To better understand this, we asked experts from 30 European countries about the services available in their regions. Most countries offer hospital-based rehabilitation, but many lack support for recovery at home or in the community. Services like home visits, online therapy, and help after leaving the hospital are not available everywhere. Countries that joined the European Rehabilitation Society more recently tend to have fewer of these services. This means that stroke survivors in some places may not get the help they need to recover fully. Our study highlights the need for better planning, training, and funding to make sure everyone in Europe has equal access to high-quality stroke rehabilitation, no matter where they live.

https://doi.org/10.2340/jrm.v58.44888

17/08/2026

Clinical factors associated with motor imagery ability in individuals with subacute stroke

Authors: Yuki Fukumoto, Tsubasa Kawasaki, Takanao Shirai, Tomomi Hase, Hinata Chiyo, Hiroyuki Hamada, Katsuya Sakai, Junpei Tanabe, Kota Sawa, Toshiaki Suzuki

After a stroke, many people experience difficulties in recovering fine motor skills in their hands despite improvements in overall motor function. One contributing factor is difficulty in accurately predicting and imagining movements. In this study, we examined how motor recovery, body sensation, and memory are associated with motor imagery ability. We evaluated 40 individuals with subacute stroke using a simple peg task. Motor recovery and body sensation were associated with motor imagery ability when examined individually. However, no single factor stood out when these factors were considered together. An exploratory analysis further suggested that combining motor recovery, body sensation, and memory allowed classification of motor imagery ability above chance. These findings suggest that motor imagery ability may be related to a combination of motor, sensory, and cognitive functions. Assessing these domains together may help personalize rehabilitation.

https://doi.org/10.2340/jrm.v58.46042

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