{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:41:37Z","timestamp":1777876897619,"version":"3.51.4"},"reference-count":44,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The war caused huge devastation to rehabilitation centers in Mosul City, leading to a significant gap in rehabilitation services, which was further compounded by the COVID-19 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>We sought to incorporate simple and safe clinical exercises by utilizing common household items, thereby maximizing effectiveness through a combination of psychological simulation and physical impact while ensuring safety, and evaluate its efficacy as a home telerehabilitation program (HTRP) for participants with spinal cord injury (SCI) following a 4- to 5-year rehabilitation interruption.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Eighteen volunteers, including 13 with SCI (injuries sustained 53.4\u201355 months prior), were split into an experimental group (Exp.,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20098), a first control group (first Con.,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20095), and a second control group of healthy individuals (second Con.,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20095), averaging 21.2 years old. The HTRP focused on muscles and whole-body joints, conducted with five weekly sessions gradually increasing from 45 to 120\u2009min, with sufficient rest. Assessments occurred every 3 months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The Friedman test indicated no significant effect of HTRP on weight, body mass index, 3 of 4 anthropometric measures, and 4 of 19 muscle strength tests,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &gt; 0.05, and small effect sizes (ES). However, significant effects were observed in pelvic strength (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001, ES\u2009=\u20090.73), exceeding control groups (first Con. 1.6%, second Con. 1.0%). Muscle strength in the lower extremities, head, and trunk showed significant improvements (p\u2009&lt;\u20090.05, ES\u2009=\u200918.3\u201381.8%), it is indicating functional enhancement despite morphological weaknesses, particularly in individuals with SCI.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The HTRP demonstrated weak effects on muscle morphology but strong effects on functionality, highlighting its potential for long-term management and improvement of muscle functional outcomes in individuals with SCI, even after prolonged rehabilitation interruptions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2024.0078","type":"journal-article","created":{"date-parts":[[2024,5,3]],"date-time":"2024-05-03T11:01:01Z","timestamp":1714734061000},"page":"2181-2193","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility Telerehabilitation at Home on Body Composition, Anthropometric Measures and Muscular Strength After Interruption 4\u20135 Years of Spinal Cord Injury: Serial Cases Study on Islamic State of Iraq and Syria War Survivors in Iraq"],"prefix":"10.1177","volume":"30","author":[{"given":"Munib","family":"Abdullah Fathe","sequence":"first","affiliation":[{"name":"College of Physical Education and Sport Sciences, University of Mosul, Mosul, Iraq."},{"name":"LR 19JS01 EM2S, Education, Motricity, Sport and Health, High Institute of Sport and Physical Education, University of Sfax, Sfax, Tunisia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faical","family":"Farhat","sequence":"additional","affiliation":[{"name":"LR 19JS01 EM2S, Education, Motricity, Sport and Health, High Institute of Sport and Physical Education, University of Sfax, Sfax, Tunisia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saad K.","family":"Karim","sequence":"additional","affiliation":[{"name":"Azadi Teaching Hospital, Duhok, Iraq."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6358-2544","authenticated-orcid":false,"given":"Wassim","family":"Moalla","sequence":"additional","affiliation":[{"name":"LR 19JS01 EM2S, Education, Motricity, Sport and Health, High Institute of Sport and Physical Education, University of Sfax, Sfax, Tunisia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,8,9]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.maturitas.2020.05.018"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2019.05.019"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269215520905112"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-4949.2010.00427.x"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2018.07.007"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/21514593211040293"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.2196\/rehab.5524"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmr.2014.04.006"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00008506-200307000-00009"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.sc.3101651"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30688"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-016-5133-4"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.3138\/ptc.2013-66"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-018-0954-3"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2001.26066"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41393-018-0207-7"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-27104-0"},{"issue":"21","key":"e_1_3_6_19_2","first-page":"19","article-title":"The need to report effect size estimates revisited","volume":"1","author":"Tomczak M","year":"2014","unstructured":"Tomczak M, , Tomczak E. 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