پزشکی توانبخشی
مقالهها، منابع و پژوهشهای تازه حوزه پزشکی توانبخشی
ورود به زیرشاخهنقشه موضوعی
جستوجوی دقیقتوانبخشی
بازیابی عملکرد، توانبخشی جسمی، ذهنی و گفتاری
زیرشاخهها
برای رسیدن به فهرست متمرکزتر، یک مسیر تخصصی را انتخاب کنید.
فیزیوتراپی
مقالهها، منابع و پژوهشهای تازه حوزه فیزیوتراپی
ورود به زیرشاخهکاردرمانی
مقالهها، منابع و پژوهشهای تازه حوزه کاردرمانی
ورود به زیرشاخهگفتاردرمانی
مقالهها، منابع و پژوهشهای تازه حوزه گفتاردرمانی
ورود به زیرشاخهشنواییشناسی
مقالهها، منابع و پژوهشهای تازه حوزه شنواییشناسی
ورود به زیرشاخهارتز و پروتز
مقالهها، منابع و پژوهشهای تازه حوزه ارتز و پروتز
ورود به زیرشاخهفناوریهای توانبخشی
مقالهها، منابع و پژوهشهای تازه حوزه فناوریهای توانبخشی
ورود به زیرشاخهتازهترین رکوردها
شواهد توانبخشی
PubMed2026
'…but look how many lives would have been saved if this was available then' Exploring the acceptability of future Human Papillomavirus self-sampling, and the barriers and facilitators of cervical cancer screening for those with intellectual disabilities in Scotland.
BACKGROUND: Cervical cancer screening attendance among women with intellectual disabilities (ID) in Scotland is approximately 30%, significantly below the general population rate of 69% and the WHO's recommended 70% target. HPV self-sampling could provide a more accessible screening option for this underserved population. This study aimed to understand the views and experiences of women with ID regarding cervical cancer screening and the acceptability of HPV self-sampling. METHODS: A qualitative study using focus groups was conducted with women with ID who attended third-sector community groups across Scotland, along with their carers. Four focus groups were held between September and October 2024, with a total of 13 participants (11 women with ID, 2 carers). Data were analysed using reflexive thematic analysis. RESULTS: Five main themes emerged: (1) National Health Service (NHS) communication as a source of distress; (2) power imbalances between health care providers and women with ID: feeling unheard, dismissed and out of control; (3) enduring consequences of inadequate care; (4) past trauma shapes future avoidance; and (5) self-sampling as a pathway to empowerment. Participants demonstrated high acceptability of self-sampling, viewing it as a potential solution to overcome barriers to traditional screening. CONCLUSION: This research reveals significant systemic inadequacies in current cervical cancer screening services for women with ID, whilst highlighting self-sampling's transformative potential. Successful implementation requires comprehensive accessible information, enhanced health care professional training and trauma-informed care approaches. Self-sampling could significantly advance health equity goals whilst improving health care outcomes for this underserved population.
PubMed2026
Cushioned Insoles for First Metatarsophalangeal Joint Osteoarthritis: Protocol for the SOLE Randomised Controlled Trial.
INTRODUCTION: First metatarsophalangeal (MTP) joint osteoarthritis (OA) is a common and disabling condition that causes substantial pain and impairs quality of life. Cushioned insoles have the potential to lower plantar pressures beneath the hallux and possibly reduce pain, but their clinical effectiveness has not been investigated. This study describes the protocol for a randomised controlled trial (RCT) assessing whether daily use of cushioned insoles produces greater reductions in first MTP joint walking pain, and other symptoms, over 12 weeks than sham insoles. METHODS AND ANALYSIS: This two-arm, parallel group, superiority RCT will recruit 108 community-dwelling adults aged 45 years and older with symptomatic radiographic first MTP joint OA. Participants will be randomised to receive three pairs of either cushioned insoles (6 mm low-density ethyl vinyl acetate (EVA)) or visually similar thin sham insoles (2 mm high-density EVA), to be worn for 12 weeks. The primary outcome is the 12-week change in first MTP joint pain during walking, assessed using an 11-point numerical rating scale (0-10, higher scores worse pain). Secondary outcomes include 12-week changes in physical function, other measures of first MTP joint pain, health-related quality of life, physical activity, and fear of movement. Global ratings of change in pain and function will also be assessed at 12 weeks. Other measures will also be collected. Analyses will include all participants as randomised using linear and log-binomial regression adjusted for baseline values. Prespecified sensitivity and moderator analyses will also be conducted. ETHICS AND DISSEMINATION: This study has been approved by the University of Melbourne Greater than Low Risk Human Research Ethics Committee. Findings will provide the first evidence regarding the efficacy of cushioned insoles for the management of first metatarsophalangeal joint OA. Results will be disseminated via peer-reviewed journals, scientific conferences, information on our website and lay summaries for participants. TRIAL REGISTRATION: Prospectively registered on the 14 of December 2023 with the Australian New Zealand Clinical Trials Registry, reference ACTRN12623001304628.
PubMed2026
Effect of Multimodal Physiotherapy on Sleep Quality and Architecture in Patients With Chronic Neck Pain With Sleep Disturbance: A Randomised Clinical Trial.
BACKGROUND: Chronic neck pain is frequently associated with disturbed sleep, yet evidence on physiotherapy's impact on objective sleep parameters remains limited. To our knowledge, this study is the first to evaluate the effects of exercises, interferential current therapy (IFT) and myofascial release therapy on sleep quality and polysomnographic parameters in this population. METHODS: Thirty adult men with chronic neck pain and poor sleep were randomised (1:1) in a two-arm, assessor-blinded trial. Group 1 received therapeutic exercise plus interferential current therapy; Group 2 received the same plus myofascial release (MFR), 7 weeks. Outcomes included subjective sleep quality as a primary outcme, polysomnographic (PSG) architecture and pain as secondary outcomes. RESULTS: Sleep quality improved significantly in both groups (time effect p < 0.001), with greater overall improvement in Group 2 (group effect p = 0.003). For PSG parameters, both groups improved. Compared with exercise + IFT, adding MFR produced greater changes in PSG N1% and REM% (Time × Group interaction), while other PSG parameters showed similar improvements across groups. CONCLUSION: Physiotherapy significantly improved pain and sleep outcomes in patients with chronic neck pain. Exercise with IFT enhanced sleep continuity, while combining exercise with myofascial release further optimized sleep architecture, particularly N1% and REM%. These findings highlight the added value of multimodal physiotherapy for pain management and sleep improvement. TRIAL REGISTRATION: This clinical trial was registered at the Clinical Trials Registry of India under the registration number CTRI/2019/09/021028.
PubMed2026
Lateral Wedge Insoles With and Without Contoured Arch Support for People With Knee Osteoarthritis and Foot Pain: A Pilot, Feasibility Randomized Controlled Trial.
BACKGROUND: Lateral wedge insoles (LWIs) are a non-surgical adjunct treatment for knee osteoarthritis (OA) that has been shown to reduce the knee adduction moment-a biomechanical risk factor for knee OA disease progression. Though worn in one's shoes, little is known of the effects of LWIs use on the foot or ankle. Importantly, it unknown whether their use enhances foot symptoms in people with knee OA and concomitant foot pain, thus questioning the general appropriateness of their use in this subgroup. METHODS: We conducted a pilot, feasibility randomized controlled trial to assess study approaches and general effects of LWIs use in people with knee OA and foot pain. 30 individuals with foot pain and radiographically-confirmed knee OA were randomized to a 12-week intervention using either standalone 6-degree LWIs or LWIs integrated with custom foot and arch support. Feasibility outcomes included: recruitment and retention outcomes; insoles usage, reporting, and comfort; and adverse events. We also examined foot (Foot Function Index pain and difficulty subscales) and knee symptoms (Knee Osteoarthritis Outcomes Severity Score pain and daily function subscales), and gait biomechanics (knee adduction and flexion moment peaks and impulses, ankle/subtalar eversion peaks) before and after the 12-week intervention. RESULTS: All feasibility criteria were met, and no major adverse events were reported. Participants found the insoles moderately comfortable (7/10), and most weeks (278/336, 83%) met the acceptable 30 min per day wear time threshold. Though no statistical comparisons were made, changes in clinical and biomechanical outcomes were consistent with previous research; specifically, trends toward improvement in knee pain and function, as well as knee adduction moment magnitudes, in both groups. CONCLUSION: Lateral wedge insoles, with or without support, appear safe for people with knee OA and concomitant foot pain. Given positive feasibility and efficacy observations, future research in this area is warranted.
PubMed2026
Occupational Therapy Services Provided to Adults Diagnosed With Kidney Disease: A Scoping Review.
BACKGROUND: Chronic kidney disease and treatment have a severe and detrimental impact on life participation, reducing independence, autonomy, physical and cognitive function requiring a multidisciplinary approach. Occupational therapists have comprehensive skills in enabling independence and quality of life, yet the role in a kidney team is poorly understood. OBJECTIVES: To identify occupational therapy services for adults diagnosed with kidney disease which will inform future practice, service planning and role definition. METHODS: Following Joanna Briggs Institute methodology for scoping reviews and the PRISMA-ScR guidelines, PubMed, Scopus, PsycINFO-OVID, ProQuest, and CINAHL were searched from inception to 15 December 2025. The population of interest was adults at any grade of kidney disease, the concept being occupational therapy services/models of care, and the context of any service setting. Results were transferred from Endnote to Covidence, duplicates removed and the title and abstract of articles screened. The full text of the remaining articles was assessed by two researchers, and themes were identified in alignment with the research questions. RESULTS: The search provided 1603 results, with 434 duplicates removed leaving 1169 articles. Following title and abstract screening, 40 papers remained for full text review, resulting in 23 studies for data extraction and analysis. Themes identified included types of occupational therapy interventions, grade of disease progression when interventions were undertaken, models of care and service location. The most reported occupational therapy roles related to activities of daily living, equipment prescription and mental health interventions. CONCLUSIONS: While the occupational therapy role for patients with kidney disease is evolving worldwide, notably over the past 5 years, it is still underutilised. Further research is required to inform the development of clinical practice guidelines for clear role delineation.
PubMed2026
Reporting Completeness of Usual Care Comparator Groups in Exercise-Based Trials for Knee Osteoarthritis: A Meta-Research Systematic Review.
BACKGROUND: Exercise-based randomized controlled trials are essential for guiding the management of knee osteoarthritis, but their interpretability depends on transparent reporting of both intervention and comparator groups. The term usual care (UC) is frequently used as a comparator, yet its reporting quality remains unclear. OBJECTIVE: To evaluate the reporting completeness of UC comparator groups in randomized controlled trials (RCTs) of exercise-based interventions for knee osteoarthritis. METHODS: This systematic review included RCTs of exercise-based interventions for adults with knee osteoarthritis that used UC as a comparator. Searches were conducted in MEDLINE, EMBASE, CENTRAL, PEDro, CINAHL, and SPORTDiscus up to December 2024. Reporting completeness was assessed using the Template for Intervention Description and Replication (TIDieR) checklist and analysed using continuous and dichotomised approaches. RESULTS: Sixty-seven RCTs were included. Reporting completeness of UC interventions was consistently low. Median TIDieR scores (range 0-12) were higher for exercise interventions (4.0; IQR 3-5) than for UC comparators (1.0; IQR 1-2). Continuous analyses detected significant differences between groups, whereas dichotomised analyses did not. Only 22.3% of exercise-based interventions achieved high reporting completeness. No improvement was observed after publication of the TIDieR checklist, and no meaningful association was found between methodological quality and reporting completeness. CONCLUSIONS: Reporting of UC comparator groups in exercise-based RCTs for knee osteoarthritis is poor and has not improved over time. Although exercise interventions are better reported, overall completeness remains low, highlighting the need for improved reporting practices to support clearer interpretation of clinical trial evidence.
PubMed2026
The Global Mode of Experience in Psychodynamic Movement and Dance Therapy - Bodily Awareness as a Therapeutic Factor: Effects and Clinical Considerations.
Bodily awareness has become a central therapeutic factor in psychodynamic and body-oriented psychotherapies, yet its clinical effects and theoretical status remain insufficiently integrated. This paper offers a clinically grounded account of bodily awareness work in Psychodynamic Movement and Dance Therapy (PMT), conceptualising the body as the primary medium of lived experience rather than as an object of intervention. Drawing on phenomenology, developmental psychoanalysis, and clinical theory, the paper argues that therapeutic change in PMT unfolds through prereflective, embodied processes that precede verbal reflection and symbolic articulation. To integrate these perspectives, it introduces the concept of the global mode of experience, defined as an amodal, prereflective organisation of experience in which bodily sensation and affective vitality are lived as an integrated whole. Rooted in Daniel Stern's work, this mode is understood as a stable, activatable capacity rather than a regressive state, with orientation to the reality of the here-and-now fundamentally preserved. The paper positions the global mode of experience as a clinically orienting framework for understanding both the therapeutic effects and the limitations of bodily awareness work, highlighting the importance of timing, containment, and indication in psychodynamic movement and dance therapy. (Neuropsychopharmacol Hung 2026; 28(3): 141-154)
PubMed2026
Critical thinking in occupational therapy education: A mixed-methods study.
INTRODUCTION: Critical thinking is widely recognised as essential for occupational therapy education and practice, yet its conceptualisation, teaching, and assessment remain inconsistent across international contexts. Existing literature highlights a lack of clarity regarding effective pedagogical approaches and a limited understanding of how educators make sense of critical thinking within occupational therapy curricula. This study examined how occupational therapy educators across different countries conceptualise critical thinking and how it features in the programmes they teach. METHODS: A convergent mixed-methods design was used. Occupational therapy educators completed an online survey (available in Spanish, Portuguese, and English) containing 28 quantitative items and six open-ended qualitative questions. Quantitative data were analysed using descriptive statistics, and group comparisons were made using the Kruskal-Wallis and Dunn tests. Qualitative data underwent inductive content analysis within language groups and were later synthesised across datasets through reflexive, collaborative analysis. CONSUMER AND COMMUNITY INVOLVEMENT: No consumers were involved in the study conceptualisation or analysis. RESULTS: Responses revealed a spectrum of conceptualisations of critical thinking, ranging from concrete, pragmatic, and clinically focused understandings to abstract, socially oriented, and transformative perspectives. English-language responses tended to emphasise clinical reasoning, evidence use, and decision-making, whereas Portuguese and Spanish responses more strongly foregrounded reflection on knowledge, sociopolitical structures, and critical action. Teaching practices mirrored this spectrum: Critical thinking was taught unevenly across curricula, most commonly within clinical reasoning or foundational occupational therapy subjects, with fewer programmes explicitly addressing broader sociocultural or transformative dimensions. CONCLUSION: Findings highlight significant epistemological variation shaping how critical thinking is conceptualised and enacted in occupational therapy education. Recognising these epistemological foundations, rather than seeking a universal definition, may support more intentional, inclusive, and socially responsive curriculum design.
PubMed2026
Failure of Wide-Diameter Dental Implants (Predominantly 5.0 mm) Show Distinct Risk Profiles-A Large Cohort Study.
AIM: To evaluate survival rates and identify temporally distinct risk factors for early and late failure of wide-diameter dental implants (≥ 5.0 mm) in a large real-world cohort using landmark analysis. MATERIALS AND METHODS: This retrospective cohort study analyzed 12 041 wide-diameter implants (≥ 5.0 mm), predominantly 5.0 mm, placed in 9247 patients at a single center between January 2014 and December 2023. Implant survival was defined as the fixture remaining in situ without clinical loss or replacement at the same site. Failures were classified as early (≤ 1 year) or late (> 1 year). Kaplan-Meier survival curves and a multivariable Cox proportional hazards model clustered by patient were generated. Schoenfeld residuals revealed time-varying effects for penicillin allergy, implant length, and kidney disease, prompting a landmark analysis at 365 days with separate multivariable logistic regression models for early and late failure. RESULTS: Overall implant survival was 97.5%. Kaplan-Meier estimates were 98.1% (95% CI: 97.9%-98.4%) at 1 year, 97.8% (95% CI: 97.5%-98.0%) at 3 years, and 97.6% (95% CI: 97.4%-97.9%) at 5 years. Of 301 failures, 225 (74.8%) were early and 76 (25.2%) were late. In the Cox model, short implants (≤ 8 mm; HR = 1.94, 95% CI: 1.43-2.62, p < 0.001), maxillary placement (HR = 2.13 vs. mandible, p < 0.001), male sex (HR = 1.39, p = 0.010), penicillin allergy (HR = 1.66, p = 0.014), and older age (HR = 0.84 per SD, p = 0.008) independently predicted failure; smoking was borderline (HR = 1.33, p = 0.065). Landmark analysis showed that early failure was driven by penicillin allergy (OR = 2.26, p < 0.001), maxillary placement (OR = 2.42, p < 0.001), male sex (OR = 1.40, p = 0.016), and short length (OR = 1.70, p = 0.007), whereas late failure was driven by short length (OR = 3.19, p < 0.001) and kidney disease (OR = 6.11, p = 0.003). CONCLUSIONS: Wide-diameter implants achieve excellent long-term survival. Early and late failures arise from distinct mechanisms: perioperative, anatomical, and sex-related factors predominate early, while short implant length and renal disease predominate late. These findings support tailored perioperative protocols, individualized risk stratification, and targeted long-term surveillance.
PubMed2026
Intraarticular Distal Humerus With Anconeus Pedicle and Olecranon Osteotomy.
This review details an open reduction internal fixation technique of a comminuted, intraarticular Y-type bicolumnar distal humerus fracture using supplemental minifragment plating in addition to dual locking plates. Owing to significant articular comminution, an olecranon osteotomy with an anconeus pedicle flap was used to facilitate exposure to achieve an accurate articular reduction to restore elbow function.
PubMed2026
Occupational resilience: Scoping review of conceptualisations and applications in contexts of adversity.
INTRODUCTION: Occupational resilience has emerged as a construct that links the capacity to face adversity with the role of meaningful occupations in the adaptation and recovery of individuals, groups, and communities. However, its definition, theoretical frameworks, and applications remain heterogeneous and partial. This lack of systematisation hinders its integration into occupational therapy and occupational science. OBJECTIVE: The objective of this study is to map and synthesise the scientific literature on occupational resilience, identifying how it is conceptualised and operationalised. METHODS: Using established scoping review frameworks, publications from 2000 to 2025 were searched in databases and through manual searching, including empirical studies and conceptual literature that addressed occupational resilience and its relationship with occupational participation in contexts of adversity. CONSUMER AND COMMUNITY INVOLVEMENT: There was no direct participation of consumers or community representatives in the design, conduct, or interpretation of the findings of this study. RESULTS: Thirty-seven studies were included that show diverse uses of the term occupational resilience and related concepts, tending to conceptualise it as a trait, an individual capacity, a dynamic process, and an adaptive outcome linked to occupational performance. The findings highlight the role of meaningful occupations in modulating suffering and emotional activation and in rebuilding purpose, agency, roles, routines, and identities after adversity. They also reveal marked differences in definitions, measures, and designs, with a predominance of approaches focussed on individual resilience, mainly in work-related contexts, and limited attention to structural dimensions and occupational justice. CONCLUSION: This review offers a structured view of occupational resilience and of the place that meaningful occupations occupy in resilience processes, proposing a process-oriented definition that articulates personal, contextual, and occupational dimensions. The results underscore the need to define integrated theoretical frameworks and occupational therapy interventions explicitly oriented towards the occupational effects of trauma, which validate pain, support the restoration and reinvention of occupational participation, and question the social conditions that make sustained resilience necessary.
PubMed2026
Occupational therapists, self-regulation, and primary schools: A scoping review.
INTRODUCTION: The primary school setting is a dynamic practice context for occupational therapists. Despite a clear interest in understanding and intervening in self-regulation in the classroom, little school-specific literature is available. METHODS: A scoping review was conducted to examine how occupational therapists understand self-regulation in the mainstream primary school setting. The literature was searched as follows: occupational therapists (population [P]); self-regulation intervention, assessment, or program (concept [C]); and education, school, and classrooms (context [C]). CONSUMER AND COMMUNITY INVOLVEMENT: No consumers were directly involved in this review. The topic was informed by occupational therapy practice with teachers and families to ensure relevance to school and community needs. RESULTS: Literature was scoped from five key health databases (CINAHL Complete, Embase via Ovid, ERIC, Ovid MEDLINE, and APA PsycInfo), with 192 papers initially identified. Two authors completed initial title and abstract screening, and full-text papers were reviewed by the entire research team. Data were charted into tables following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and JBI Manual for Evidence Synthesis. Papers were included if occupational therapists were the main population of interest; included an intervention that improved classroom self-regulation skills (student or teacher), and occurred in a mainstream primary school (public or private). CONCLUSION: Twelve papers were included in the final review. Seven papers were from a peer-reviewed source, and five papers were dissertations (i.e. grey literature). Self-regulation continues to be incompletely considered in the included papers, with papers either focussed on related constructs or on self-regulation-targeting programmes. Self-regulation was also not well understood occupationally, with little to no operationalisation in terms of students' school-related occupational performance and/or engagement outcomes. Further research is needed to appropriately conceptualise, define, and map self-regulation occupationally.
PubMed2026
Occupational therapists' experiences in Australia's primary mental health funding scheme: Navigating complexity in a constrained system.
INTRODUCTION: Occupational therapists in the Australian context provide significant value to mental health, including through Better Access, a Medicare initiative that gives individuals access to up to 10 sessions with a psychologist, social worker, or occupational therapist following a referral from a medical practitioner. However, the experiences of occupational therapists working under the initiative are not widely understood, with no recent occupational therapy-specific research. This study aims to explore the experiences of occupational therapists working under Better Access, their distinct role, and how the system shapes the care clients receive. METHODS: The study used a qualitative, inductive approach. Thirteen occupational therapists who work with people funded by Better Access participated in 30-minute, semi-structured interviews. Data were analysed via thematic analysis. CONSUMER AND COMMUNITY INVOLVEMENT: The lead researcher for this study has lived experience of mental illness and Better Access, but further consumer and community involvement was not undertaken. FINDINGS: Analysis generated themes highlighting the complexity of occupational therapy practice within a psychology-centric system. Participants described how occupational therapists drew on specialised skills to support clients with complex needs, yet worked within structural constraints such as restrictive practice rules, session caps, and limited remuneration. Themes also reflected the undervaluation of occupational therapy and the need for ongoing advocacy to ensure equitable access to services, appropriate funding, and recognition of the profession's contribution. CONCLUSION: The design of Better Access restricts the ability of occupational therapists to provide meaningful and sustainable occupational therapy services. Findings provide further evidence that longstanding issues identified in early research have persisted and that the burden occupational therapists face of consistently advocating for the profession and their clients is symptomatic of broader structural inequities. Findings highlight the need for systemic reform.
PubMed2026
Osteoimmunomodulatory Effects of Zirconia-Modified Titanium: Promoting Macrophage Activation and Osteoblast Mineralization at the Dental Implant Interface.
OBJECTIVE: Immune cells are the first to interact with implant surfaces, yet their contribution to osseointegration is often underestimated. Understanding how titanium-based and zirconia-enriched surface properties regulate macrophage polarization is essential for designing regenerative biomaterials. This study evaluates how these physicochemical characteristics modulate macrophage behavior and how macrophage-derived signals affect osteoblast mineralization, a key determinant of successful clinical outcomes. MATERIAL AND METHODS: Human monocytes were differentiated into pro-inflammatory (M1) or anti-inflammatory (M2) macrophages on hydrophobic and hydrophilic titanium (P, SLA/modSLA) or zirconia-enriched titanium (R/modR) surfaces. Macrophage polarization was assessed by Real Time-PCR, fluorescent immunoassays, and Luminex analysis of pro-/anti-inflammatory cytokines and bone-related markers. Conditioned media from M1/M2 macrophages cultured on each surface were used to culture human osteoblast-like cells, and their differentiation and mineralization were evaluated by gene expression analysis and Alizarin Red staining. RESULTS: The obtained results indicate that surface chemical composition, rather than hydrophilicity, is the main driver of early macrophage phenotype modulation. Zirconia incorporation induced effects comparable to titanium on macrophage activation while increasing transcription of pro- and anti-inflammatory genes. Moreover, zirconia enhanced M1 activation and the release of angiogenic and osteogenic mediators, including VEGF and OPN. Although seemingly contradictory, these effects contribute to an immune microenvironment favorable to bone formation by promoting a balanced macrophage response. Consistently, zirconia-enriched surfaces enhanced osteoblastic differentiation and mineralization, regardless of hydrophilic differences compared with conventional titanium surfaces. CONCLUSION: Our findings indicate that zirconia-supplemented titanium alloys may provide a useful model to elucidate the concept of osseointegration as an osteoimmune process rather than a conventional bone healing response. The data emphasize the critical role of early M1 macrophage activity controlling the release of specific cytokines, supporting the hypothesis that the use of titanium/zirconia alloys may provide an osteoiummunomodulatory advantage that may contrast peri-implant bone loss.
PubMed2026
Supination Adduction Ankle Fracture Treated With Fibular Intramedullary Screw Fixation.
This abstract describes an open reduction and internal fixation technique used for a supination adduction ankle injury. This technique demonstrates medial plafond articular disimpaction with backfilling of the bony void with cancellous allograft. The medial malleolus was then fixed with a mini fragment plate in antiglide fashion with subchondral rafting screws. The lateral malleolus fracture was addressed with use of a retrograde screw rather than a fibular plate. This technique emphasizes the importance of both recognizing and addressing the anteromedial plafond impaction of supination adduction ankle fractures.
PubMed2026
Testing the applicability of the Parenting Occupations and Purposes Framework in an Irish context.
INTRODUCTION: Understanding the form, function, and meaning of occupations is essential for effective occupational therapy practice. Parenting is widely recognised as a meaningful and valued occupation. The Parenting Occupations and Purposes (POP) Framework conceptualises parenting occupations and their underlying purposes, but its validity in real-world contexts has not been tested. This study aimed to evaluate the applicability of the POP Framework among parents in Ireland. METHODS: An exploratory descriptive design using Experience Sampling Methodology captured real-time data on parenting occupations and purposes via the Participation In Everyday Life mobile application. Data were analysed using descriptive and inferential statistics as well as deductive and inductive content analysis to assess the framework's applicability to the sample. CONSUMER AND COMMUNITY INVOLVEMENT: Collaboration with the POP Framework developers ensured accurate application of its concepts. Partnership with the developer of the Participation In Everyday Life mobile application supported correct setup and usability. RESULTS: Forty-four parents completed 1150 surveys over 7 days. All categories in the POP Framework were represented. The most frequent occupation was attending to the child's basic needs (223 occurrences) while seeking help appeared only once. Among purposes, having the child's basic needs met dominated (571 occurrences), whereas purposes related to continuous parental development were least frequent. New examples of occupations emerged, including faith-based activities, purchasing discretionary goods, and technology-mediated monitoring (e.g., texting a spouse to check on a child), suggesting areas for framework expansion. CONCLUSION: Findings support the validity of the POP Framework in a real-world context while highlighting opportunities for refinement to capture cultural and technological dimensions of parenting. Enhancing the framework may improve understanding of parenting occupations and inform more comprehensive occupational therapy services for parents.
PubMed2026
The occupational therapy role in acute psychiatric inpatient units in Australia: A mixed methods study.
INTRODUCTION: Occupational therapists are important members of mental health multidisciplinary teams. Despite aligning with mental health reform priorities, including promoting client centredness and participation, the role of occupational therapists in mental health, particularly in acute psychiatric inpatient units, is poorly understood. This study explored the role, function, and scope of practice of occupational therapists in Australian acute psychiatric inpatient units. METHODS: This mixed methods, convergent parallel design study combined in-depth interviewing and a cross-sectional survey. Qualitative and quantitative data were analysed using thematic analysis and descriptive statistics, respectively. Both forms of data were analysed separately and then integrated and merged using a contiguous approach. The Occupational Therapy Australia Mental Health Capability Framework guided survey questions and interview guide development. The Model of Human Occupation informed interview guide development, while maintaining an occupational focus across the study. CONSUMER INVOLVEMENT: Consumer involvement was not relevant for this study. FINDINGS: Fifty-nine mental health occupational therapists participated in the study. All completed the survey, and 13 also participated in interviews. Participants were mostly females (83%), aged under 30 (58%), from Victoria (70%), with less than 3 years' experience in acute psychiatric inpatient units (77%). Four themes were identified: (1) a day in the life-same same but different, (2) the underutilised potential of occupational therapy, (3) an evolving practice and increasing demand, and (4) practice shaped by and shaping the environment. Key functions of the role included assessment, completed by survey participants either once a day (37%) or more (16%); individual interventions, completed once a day (48%); group work, completed several times a day (43%); and discharge planning. CONCLUSION: Occupational therapists working in Australian acute psychiatric inpatient units share common functions, challenges, and experiences. Limited resources and challenges advocating for their role impact occupational therapists' ability to demonstrate their value within multidisciplinary teams.
PubMed2026
Transradial Amputation With Nerve Management: Case Presentation and Surgical Technique.
Transradial amputation of appropriate length preserves forearm rotation and facilitates prosthetic use; however, high rates of phantom limb pain and neuropathic medication use persist. This case describes a multidisciplinary approach to transradial amputation that integrates targeted muscle reinnervation, regenerative peripheral nerve interfaces, and bone and soft tissue management to optimize pain control and prosthetic success. A 29-year-old man with a severe ballistic injury and complex regional pain syndrome underwent transradial amputation with targeted muscle reinnervation and regenerative peripheral nerve interface. Limb length was preserved in accordance with prosthetic guidelines, and myodesis was performed to improve residual limb stability and myoelectric signal quality. This case highlights how nerve management and prosthetic-informed surgical planning optimizes functional outcomes and quality of life after traumatic transradial amputation.
PubMed2026
Day-to-day variability in resting metabolic rate in strength athletes.
BACKGROUND: Resting Metabolic Rate (RMR) is measured in sport settings for health monitoring and nutrition planning; however, interpreting repeated measures requires an understanding of typical day-to-day variability under habitual, free-living conditions. This study quantified intra-individual variability in RMR among weight-stable strength-trained athletes, examined the impact of data processing approaches, and established protocol-specific least significant change (LSC) thresholds under ecological conditions. METHODS: A repeated-measures design was used to quantify intra-individual variability in RMR in 13 weight-stable strength-trained athletes (8 male, 5 female). RMR was measured on five consecutive mornings using the Parvo Medics TrueOne 2400 metabolic cart with a Hans Rudolph mouthpiece under standardized conditions. Breath-by-breath data were processed using multiple cleaning approaches to evaluate their impact on RMR estimates, with the most reliable method retained for analysis. Intra-individual variability was quantified and used to derive protocol-specific LSC thresholds. RESULTS: Session averaging produced the lowest intra-individual variability in RMR (CV: 3.4 ± 1.4%) compared with alternative data cleaning approaches. Mean RMR was 26.9 ± 1.4 and 29.1 ± 1.7 kcal·kgFFM-1·day-1 in males and females, respectively. The group-level LSC was 2.9 ± 1.2 kcal·kgFFM-1·day-1 (10.4 ± 4.2%), representing the magnitude of change required to exceed expected within-subject variability under the conditions of this protocol. Fat-free mass (FFM) was positively associated with both absolute RMR and day-to-day variability, whereas prior-day training load and protein intake showed no clear association with RMR variability. CONCLUSIONS: Notable intra-individual variability occurs in repeated RMR measurements in strength-trained athletes under applied conditions. Meaningful interpretation of change requires protocol-specific reliability estimates to distinguish true physiological change from expected day-to-day variation. Session averaging improves measurement consistency and is recommended for mouthpiece-based indirect calorimetry systems. RMR should be interpreted relative to individual and context-specific variability rather than universal thresholds.
PubMed2026
Rotation-traction manipulation versus cervical traction for axial neck pain caused by cervical degenerative disc disease: a multicenter randomized controlled trial.
BACKGROUND: Axial neck pain is a common manifestation of cervical degenerative disc disease (CDD). Rotation-traction manipulation (RTM) is widely used in China, but its comparative effectiveness and safety versus cervical traction remain uncertain. METHODS: In this prospective multicenter randomized controlled trial, 154 adults with CDD-related axial neck pain were randomized 1:1 to receive RTM (7 sessions over 2 weeks) or cervical traction (daily for 2 weeks). Outcomes were assessed at baseline, during treatment, and at 1 and 3 months after treatment. The primary outcome was pain intensity measured by the visual analogue scale (VAS); secondary outcomes were neck tenderness score (NTS) and cervical range of motion (ROM). Intention-to-treat analyses with multiple imputation were performed. RESULTS: All 154 randomized participants were included in the analyses, and 151 completed follow-up. Both groups showed significant improvement over time in VAS and ROM (both P < 0.001). Confirmatory mixed-effects analyses did not demonstrate significant between-group differences in VAS or ROM after adjustment for multiple comparisons. Exploratory analyses suggested that RTM provided faster improvement during the treatment phase and a small cumulative advantage in pain reduction, whereas cumulative ROM improvement did not differ significantly between groups. RTM was also associated with a faster reduction in neck tenderness severity. Adverse events were mild and infrequent, and no treatment-related radiographic deterioration was observed. CONCLUSIONS: Both RTM and cervical traction were associated with clinical improvement in patients with CDD-related axial neck pain. Confirmatory analyses did not demonstrate robust superiority of RTM for pain or cervical ROM, whereas exploratory analyses suggested faster early improvement and a small cumulative pain benefit with RTM. NTS findings should be interpreted cautiously because the tenderness score has not been formally validated. No serious adverse events were observed. TRIAL REGISTRATION: Chinese Clinical Trial Registry, ChiCTR2400082667. Registered retrospectively on 4 April 2024.
PubMed2026
The global development trend of occupational therapy applied in stroke: A bibliometric study and visualized analysis via VOSviewer and CiteSpace from 2006 to 2025.
BACKGROUND: Occupational therapy (OT) is an important component of stroke rehabilitation, but the global research landscape, collaboration patterns, research hotspots, and emerging trends in OT for stroke have not been systematically mapped. This bibliometric study aimed to analyze publications on OT for stroke from 2006 to 2025 and provide evidence for future clinical practice and research planning. METHODS: English-language articles related to OT for stroke were retrieved from the Web of Science Core Collection from January 1, 2006, to October 31, 2025. After applying predefined inclusion and exclusion criteria, bibliometric and visualization analyses were performed using VOSviewer and CiteSpace 6.4.R1. Publication trends, countries, institutions, authors, journals, keyword co-occurrence, keyword clustering, timeline evolution, and burst terms were analyzed. RESULTS: A total of 770 publications were included. The annual number of publications showed a fluctuating but overall upward trend, with the highest output observed in 2021 and 2022, each with 60 publications. The United States, Australia, the United Kingdom, and China were the leading contributing countries, while Jikei University and La Trobe University were the most productive institutions. The most prolific authors were Masahiro Abo and Louise Gustafsson. The British Journal of Occupational Therapy and Topics in Stroke Rehabilitation were the leading journals in terms of publication output. Keyword analyses showed that early research mainly focused on upper-limb function, functional recovery, and basic rehabilitation interventions, whereas recent hotspots have expanded to neurorehabilitation, knowledge translation, virtual reality, clinical trials, mental health, and home-based rehabilitation. CONCLUSION: Research on OT for stroke has increased overall over the past 2 decades, with evolving hotspots from impairment-oriented rehabilitation toward broader, occupation-centered, participation-oriented, technology-assisted, and home-based rehabilitation approaches. However, collaboration among countries, institutions, and authors remains relatively fragmented. Future studies should strengthen international and interdisciplinary cooperation and generate high-quality clinical evidence to support OT practice in stroke rehabilitation.
PubMed2026
Effect of transcutaneous auricular vagus nerve stimulation on postoperative pain in patients undergoing thoracoscopic partial lung resection: a randomized, double-blind, controlled clinical trial.
BACKGROUND: Postoperative pain after thoracic surgery remains common and challenging. Transcutaneous auricular vagus nerve stimulation (taVNS) is a noninvasive neuromodulation technique with potential analgesic effects. This study aimed to evaluate the efficacy and safety of taVNS for postoperative pain management in patients undergoing thoracoscopic partial lung resection. METHODS: Adults undergoing thoracoscopic partial lung resection were randomized to active or sham taVNS. The primary outcome was cough pain intensity at 48h post-surgery, assessed by Numeric Rating Scale (NRS). Secondary outcomes included cough pain at 24h and 72h, resting pain, moderate-to-severe pain incidence, opioid consumption, quality of recovery, postoperative pulmonary complications , chest tube duration, hospital stay, postoperative nausea/vomiting, and adverse events. RESULTS: Among 119 analyzed patients (active n = 60, sham n = 59), active taVNS reduced cough pain scores at 24h, 48h, and 72h postoperatively, as well as resting pain (p < 0.05). It also lowered the incidence of moderate-to-severe cough pain at 24h and 48h, reduced cumulative postoperative opioid use at 24h and 72h, and decreased rescue analgesia on postoperative day 3 (p < 0.05). Active taVNS was associated with a lower incidence of postoperative pneumothorax (p < 0.05). No serious adverse events occurred. CONCLUSION: Perioperative taVNS was associated with a modest analgesic benefit and reduced postoperative opioid requirements after thoracoscopic partial lung resection. The observed reduction in postoperative pneumothorax requires cautious interpretation, and further multicenter trials are needed to determine its clinical utility.
PubMed2026
Effectiveness and usability of artificial intelligence-powered assistive technologies in Supporting daily activities of children with cerebral palsy: a systematic review.
BACKGROUND: Cerebral Palsy (CP) is the main cause of motor disabilities in childhood, necessitating innovative approaches to rehabilitation and assistive technology (AT). Simultaneously, artificial intelligence (AI) is increasingly being integrated into devices to create more adaptive, personalized, and effective AT. This systematic review aimed to evaluate the effectiveness and usability of AI-powered assistive technologies designed to support daily activities and rehabilitation in children with CP. MATERIALS AND METHODS: Five databases, including Scopus, Web of Science, PubMed, Embase, and IEEE Xplore, were systematically searched, and 23 articles were included in the final analysis. Articles were identified, selected, and categorized into emerging thematic areas based on the primary function and application of the technology. RESULTS: Five key thematic topics were identified: 1) AI-driven motor rehabilitation and gait training for functional mobility; 2) intelligent assessment and monitoring systems for clinical decision support; 3) AI-supported communication, social interaction, and intention recognition tools; 4) gamified and virtual reality-based interventions to enhance engagement and usability; and 5) smart assistive systems supporting daily living and independent mobility. The findings demonstrate a strong trend toward the application of AI technologies in personalized, engaging, and data-driven interventions for children with CP. However, the field is predominantly in the proof-of-concept stage, with limitations including small sample sizes, lack of long-term clinical validation, challenges in user-centered design, and usability for children with CP. CONCLUSION: AI-powered assistive technologies hold significant potential for transforming the care of children with CP by enabling highly personalized and engaging interventions. To actualize this potential, future work must realize that practical application remains challenging owing to limited clinical validation, technological integration, and usability barriers for children with CP. Future research must prioritize user-centered design and multidisciplinary collaboration to ensure that AI and robotic advancements improve the usability and quality of life for children with CP.
PubMed2026
Occupational therapists' use of digital technologies to support people with disabilities in engaging in occupation: a scoping review protocol.
INTRODUCTION: Digital tools such as virtual reality, mobile applications and digital devices are being implemented across various healthcare practice settings. Engagement in occupations is central to occupational therapy, supporting health and quality of life. Occupational therapists support people with disabilities to participate in occupations by enhancing their abilities or adapting tasks and environments. However, literature rarely specifies how digital technologies are used by occupational therapists, with whom they are implemented, when and where they are delivered, what occupations are addressed or the enablers and barriers that influence the uptake of digital technologies in practice. This scoping review will map and synthesise the existing evidence on how occupational therapists use digital technologies to support people with disabilities to engage in occupations. By identifying the types of technologies used, their purposes, target populations and practice contexts, this review will inform the effective use of digital technologies by occupational therapists and their clients. METHODS AND ANALYSIS: This review will be conducted in accordance with the Joanna Briggs Institute methodological framework for scoping reviews and reported following the Preferred Reporting Items for Systematic Review and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. To identify relevant evidence, we will search several electronic databases, including CINAHL Complete, MEDLINE, SPORTDiscus, Scopus, ERIC and OTseeker. Search limits will include full-text articles published in English from 2020 onwards. Title and abstract screening will be conducted independently by at least two reviewers against the inclusion and exclusion criteria followed by full-text review. Data extraction will use a structured form to capture key information such as study characteristics, types of digital technologies, country, participant information, occupation-based focus of intervention and reported outcomes. The extracted data will be analysed using both qualitative and quantitative approaches, with findings presented in tables, narrative summaries and other descriptive formats. ETHICS AND DISSEMINATION: Ethics approval is not required for this scoping review as it will synthesise evidence from existing literature. The review findings will be reported in peer-reviewed publications. TRIAL REGISTRATION NUMBER: https://osf.io/3dy9z.
PubMed2026
Embedding routine hearing health checks within existing Meals on Wheels services - A protocol for the SOUND-BITES Program pilot study.
INTRODUCTION: There is a high prevalence of undiagnosed and untreated hearing loss among older adults. Due to finite resources, task shifting to trained non-specialists is a strategy to improve equity of access to hearing health care. This pilot study aims to implement and evaluate a novel model of hearing care known as the SOUND-BITES program. This will leverage evidence-based mobile health technologies (Arclight otoscopy and Sound Scouts hearing screening app) and partnerships with Meals on Wheels New South Wales and Master of Clinical Audiology students. METHODS: SOUND-BITES provides a hearing health assessment involving otoscopy using Arclight, hearing screening using the Sound Scouts tablet-based app, and hearing health education to consenting Meals on Wheels clients and their household members. Volunteers from Meals on Wheels and audiology students will be trained to deliver the screening, education and referral components of this program. This pilot study utilises a mixed-methods approach to evaluation. The primary outcomes are program acceptability and feasibility; and secondary outcomes are actions taken by clients to address hearing loss, changes in hearing handicap and cost-benefits six months after program completion. Quantitative data will be collected from a pre- and post-program survey, and qualitative data from an optional post-program interview with clients and volunteers. Findings from the project will be disseminated through peer-reviewed journals and conferences as well as to relevant communities including the Meals on Wheels network.
PubMed2026
Electroacupuncture attenuates anesthesia/surgery-induced cognitive impairment in aged rats by inhibiting IL-17A mediated hippocampal synaptic dysfunction via the ERK/CREB signaling pathway.
Electroacupuncture (EA) has been identified as an effective intervention for mitigating postoperative cognitive dysfunction in the elderly; however, its underlying mechanisms remain inadequately understood. This study aimed to elucidate the neuroprotective effects of EA on anesthesia/surgery-induced cognitive impairment in aged rats through a combination of behavioral testing, RNA sequencing analysis, Golgi-Cox staining, dendritic spine analysis, Sholl analysis, immunofluorescence assays, and western blot analysis. The findings demonstrated that EA ameliorates anesthesia/surgery-induced cognitive decline by inhibiting hippocampal synaptic dysfunction, with a notable enrichment in the downregulation of IL-17A signaling and upregulation of ERK signaling. Furthermore, the study confirmed that an exogenous increase in IL-17A expression can induce hippocampal synaptic dysfunction and partially negate the neuroprotective effects of EA by inhibiting the expression of the ERK/CREB signaling pathway. In conclusion, EA attenuates anesthesia/surgery-induced cognitive impairment in aged rats by inhibiting IL-17A-mediated hippocampal synaptic dysfunction via the ERK/CREB signaling pathway.
PubMed2026
Transcutaneous auricular vagus nerve stimulation for postoperative nausea and vomiting in gynecological laparoscopic surgery: a randomized controlled trial protocol.
INTRODUCTION: Postoperative nausea and vomiting (PONV) are common adverse events following gynecological laparoscopic surgery. This study aims to evaluate the efficacy of transcutaneous auricular vagus nerve stimulation in reducing the incidence of PONV within 24 h after gynecological laparoscopic surgery. METHODS AND ANALYSIS: This single-center, prospective, double-blinded, randomized and sham-controlled trial will enroll 200 patients scheduled for gynecological laparoscopic surgery. Participants will be randomized in a 1:1 ratio to either the taVNS group or the sham group. The taVNS group will receive electrical stimulation lasting for 30 min after anesthesia induction. Sham group will not provide stimulation. The primary endpoint is the incidence of PONV within the first 24 h after surgery. Secondary endpoints include the severity of PONV, the usage of rescue antiemetics and 5-point Likert satisfaction scale. Exploratory endpoints include consumption of opioids and heart rate variability within 24 h after surgery. DISCUSSION: The results of study will provide key evidence on the efficacy and safety of intraoperative taVNS for preventing PONV after gynecologic laparoscopic surgery.Trial registration: Chinese Clinical Trial Registry (registration No. ChiCTR2600120159; registered on March 10, 2026).
PubMed2026
Gait speed and future ambulatory status in amyotrophic lateral sclerosis: a retrospective observational study with implications for power wheelchair referral.
BACKGROUND OR INTRODUCTION: Amyotrophic lateral sclerosis (ALS) causes rapid and progressive loss of ambulation resulting in immobility. A power wheelchair (PWC) increases safety, independence, and quality of life, however, the PWC referral process is lengthy and complex. When the PWC is delayed, immobility complications can occur. One barrier is the lack of a universal predictive "gait speed threshold" to help clinicians determine when to initiate the PWC referral process. OBJECTIVE OR PURPOSE: Identify a clinically relevant gait speed threshold associated with future loss of ambulation in people with ALS. METHODS: This was a retrospective chart review of a single multidisciplinary ALS Center of Excellence from July 1, 2016 - July 1, 2019 (36-months). Participants were included in this study if they were adults (age >18 years) with clinically definite ALS who were ambulatory at baseline. The primary outcome was gait speed on the 10-meter walk test. Secondary outcomes included the ALS Functional Rating Scale-Revised, forced vital capacity, falls, and ambulation status. RESULTS: Of N = 180 people with ALS identified during the study period, n = 72 met inclusion for analysis with a mean age 66.1 ± 11.9 years, 64% male, 76% with an ALS phenotype of spinal onset, and 24% bulbar onset. A gait speed threshold of 0.79 m/s maximized the combined sensitivity and specificity for classifying ambulatory status at the subsequent 6-month visit. Faster gait speeds (>1.2-1.4 m/s) were associated with greater odds of remaining ambulatory at 6-months based on Bayesian logistic regression. CONCLUSION: A gait speed threshold of 0.79 m/s was associated with increased likelihood of subsequent loss of ambulation, though modest predictive accuracy limits its use as a stand-alone indicator. Gait speed may serve as one component of clinical decision-making regarding PWC planning and referral in people with ALS. Larger multicenter studies are needed to confirm and generalize results across ALS phenotypes.
PubMed2026
Managing Everyday Life in Double Exposure: Frail Older People's Experiences During a Pandemic.
INTRODUCTION: Research has shown that older people experienced mental and physical health issues due to isolation during the Covid-19 pandemic. However, more in-depth knowledge is needed regarding the consequences for frail older people. AIM: To explore frail older people's experiences of managing everyday life in quarantine during the first year of the Covid-19 pandemic. MATERIAL AND METHODS: Twenty people were interviewed, and the data were analyzed using qualitative content analysis. RESULTS: The people experienced powerlessness under the restrictions and limitations in everyday life beyond control. To cope with these experiences, they accepted and trusted the restrictions and strived for meaningfulness in everyday life. CONCLUSIONS: Frail older people experienced managing everyday life in double exposure during the pandemic, where personal vulnerabilities and external restrictions intersected, limiting their ability to adapt and maintain autonomy in everyday life. Supporting meaningful routines and enabling participation are therefore central, underscoring the important role of occupational therapy in mitigating the impact of disrupted everyday life. SIGNIFICANCE: These findings contribute to a more nuanced understanding of the needs of frail older people. This approach is essential to sustaining leisure activities, fostering social connections, and promoting health and well-being during future disruptive events.
PubMed2026
A hybrid biofabrication platform for patient-specific aortic phantoms: from surgical rehearsal to device testing.
Fabricating high-fidelity, patient-specific aortic phantoms that possess both complex pathological features and physiological compliance remains a significant challenge for single-method manufacturing techniques. This study presents a complete virtual-to-physical prototyping workflow, enabled by a novel Hybrid Additive Manufacturing Platform (HAMP), for translating clinical imaging data into high-fidelity, patient-specific aortic phantoms. Building upon a validated brush-spin-coating technique capable of precise wall thickness control (±0.1 mm), the HAMP synergistically integrates 3D printing and casting. This integration overcomes the limitations of single-method techniques, uniquely enabling the creation of phantoms with (i) controllable interlayer delamination for mimicking dissection, (ii) enclosed multi-chamber structures for endoleak simulation, (iii) seamless integration of dissimilar materials, and (iv) the replication of complex intra-wall pathologies such as intramural hematoma. The platform's capability was rigorously demonstrated through the successful fabrication and application of four distinct classes of aortic phantoms. These high-fidelity models were directly employed in: fundamental biomechanical studies to visualize dissection propagation; advanced surgical training for complex procedures like ex vivo fenestration; emergency preoperative planning, where a patient-specific model was delivered in under 30 h; and industrial medical device testing using parametric, ISO-compliant models. In each scenario, the phantoms provided functional, anatomically accurate representations suitable for the intended evaluation-whether physical testing, surgical rehearsal, or hydrodynamic assessment. In summary, the HAMP demonstrates a rapid virtual-to-physical prototyping workflow. By enabling the on-demand creation of complex, multi-material, patient-specific phantoms, it provides a versatile tool that bridges digital data and physical reality, addressing needs across research, clinical training, and device development.