PM&R最新文献

{"title":"How do neurorehabilitation patients perceive their fundamental care needs? Findings from a qualitative study.","authors":"Carlo Alberto Camuccio, Luisa Cacciante, Enrico Dal Pozzo, Francesca Burgio, Orejeta Diamanti, Mayra Veronese, Matteo Danielis","doi":"10.1002/pmrj.70236","DOIUrl":"https://doi.org/10.1002/pmrj.70236","url":null,"abstract":"<p><strong>Background: </strong>The Fundamentals of Care (FoC) framework provides a structured model to support the delivery of person-centered nursing care by integrating physical, psychosocial, and relational dimensions. Although the framework has been widely applied in acute care, little is known about its relevance in long-term neurorehabilitation settings, where patients often face complex, prolonged, and multidimensional care needs.</p><p><strong>Objective: </strong>To explore how individuals with neurological disorders perceive their fundamental care needs during inpatient rehabilitation.</p><p><strong>Design: </strong>A qualitative secondary analysis.</p><p><strong>Setting: </strong>A rehabilitation hospital in Italy with a total capacity of 109 beds.</p><p><strong>Participants: </strong>We recruited individuals aged 18 years and older with a diagnosis of stroke, multiple sclerosis, or Parkinson disease, or who had undergone neurosurgical intervention for oncological conditions.</p><p><strong>Methods: </strong>A deductive content analysis was performed, using the FoC framework to guide coding and thematic development.</p><p><strong>Findings: </strong>The analysis identified care experiences across the three FoC dimensions. In the physical dimension, patients valued hygiene, toileting, mobility, and comfort not only as technical tasks but also as meaningful acts that contributed to dignity and recovery. The psychosocial dimension emphasized the importance of respectful communication, emotional support, privacy, and being informed, factors that fostered agency and trust. In the relational dimension, patients highlighted empathy, continuity, and presence as central to feeling emotionally safe and supported. Health care assistants emerged as key figures in delivering comfort-focused and relational care. Across all dimensions, fundamental care was perceived as deeply interconnected and resistant to rigid, task-based models.</p><p><strong>Conclusions: </strong>This study underscores the value of the FoC framework in capturing the multidimensional nature of care as experienced by neurorehabilitation patients. The findings reinforce the need for nurses and assistants to provide care that extends beyond physical tasks to include relational presence and person-centered responsiveness.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149183983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultrasound evidence of distal enlargement at entrapment sites following proximal peripheral nerve injury.","authors":"Ethan Blum, Julia M Perugini, Nathan T Olafsen, Jeremy Hartman, David M Brogan, Christopher J Dy","doi":"10.1002/pmrj.70237","DOIUrl":"https://doi.org/10.1002/pmrj.70237","url":null,"abstract":"<p><strong>Background: </strong>Proximal peripheral nerve injuries may be accompanied by structural changes along the course of the nerve, including enlargement at distal sites. Ultrasound offers a noninvasive method to assess nerve caliber at anatomic tunnels where swelling may have clinical relevance. However, the prevalence and distribution of distal enlargement after proximal traumatic injury remain poorly defined.</p><p><strong>Objective: </strong>To evaluate the frequency of distal nerve enlargement at common entrapment locations in patients with proximal upper extremity peripheral nerve injuries.</p><p><strong>Methods: </strong>We retrospectively reviewed 76 patients (140 nerves) with proximal nerve injuries who underwent ultrasound evaluation. Cross-sectional area (CSA) was measured at standard entrapment sites in the upper extremities. Enlargement was defined as CSA exceeding published reference thresholds. Distal enlargement was analyzed by entrapment site, injury pattern, and mechanism of injury.</p><p><strong>Results: </strong>Distal enlargement was identified in 66 of 140 nerve segments (47.1%) and in 44 of 76 patients (57.9%). Enlargement occurred across all injury patterns, with the highest prevalence in plexopathies (68.4%). It was also observed across all mechanisms of injury, including penetrating, blunt, and iatrogenic trauma, with the highest prevalence in iatrogenic injuries (80.0%).</p><p><strong>Conclusions: </strong>Distal nerve enlargement is a common ultrasound finding after proximal peripheral nerve injury. Although the mechanism cannot be determined from this retrospective, single-time-point dataset, the high prevalence underscores the importance of assessing for distal compression during evaluation and reconstructive planning. Future studies using standardized and serial ultrasound protocols are needed to clarify the temporal evolution of distal enlargement and its clinical significance.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introducing lifestyle medicine residency curriculum into PM&R residency training: Implementation experience and early benefits.","authors":"Matison Alderman, Sandra de Mel, Diana Molinares, Eduard Tiozzo","doi":"10.1002/pmrj.70253","DOIUrl":"https://doi.org/10.1002/pmrj.70253","url":null,"abstract":"<p><strong>Background: </strong>Lifestyle medicine (LM) aligns closely with physical medicine and rehabilitation (PM&R), emphasizing holistic, patient-centered approaches to optimize health and function. Despite this synergy, structured LM education within PM&R residencies remains limited.</p><p><strong>Objective: </strong>To describe the implementation, feasibility, and early outcomes of the American College of Lifestyle Medicine (ACLM) Lifestyle Medicine Residency Curriculum (LMRC) within a PM&R residency program consisting of 24 residents.</p><p><strong>Methods: </strong>An optional LMRC track was introduced in the 2024-2025 academic year, offering 1-year (postgraduate year [PGY]-4) and 2-year (PGY-3) completion options. The curriculum included 40 didactic hours, 60 application hours, and practicum requirements totaling 400 LM-focused encounters. Participation rates, completion status, and resident feedback were recorded. Additionally, an adapted ACLM Lifestyle Medicine Knowledge and Implementation Survey was distributed to all PGY-2-4 residents during the 2025-2026 academic year to assess LM-related knowledge, confidence, and practice behaviors. A descriptive approach was used to examine differences between individuals enrolled in LMRC and those not enrolled.</p><p><strong>Results: </strong>Seventy-five percent of eligible PGY-3 and PGY4 residents enrolled (n = 12). Among PGY-4 LMRC participants, 50% completed all requirements (n = 3); all PGY-3 participants (n = 6) remain on track for completion. Survey response rate was 88% among all PM&R residents (n = 21). Most respondents reported \"some knowledge\" of LM (40%), with the highest confidence in physical activity and lowest in nutrition. Individuals enrolled in LMRC self-reported 20.6% higher mean scores in LM overall knowledge and 30.5% higher mean scores in LM overall confidence, compared to those not enrolled.</p><p><strong>Conclusion: </strong>Integrating LMRC into PM&R residency training is feasible and aligns naturally with the specialty's mission. A 2-year structure enhances sustainability, and group learning and institutional support foster engagement. LM education may strengthen residents' holistic care competencies and advance PM&R's focus on lifestyle-driven health restoration.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149183961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social drivers of health and physical medicine and rehabilitation.","authors":"Cleo Stafford, Arpit Arora, Edmond Benedetti, Priya Chandan, Prateek Grover, Serena Satcher, Scott Laker, Devon McFedries, Melanie Dolak","doi":"10.1002/pmrj.70229","DOIUrl":"https://doi.org/10.1002/pmrj.70229","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of hyoscyamine in refractory paroxysmal sympathetic hyperactivity following severe traumatic brain injury.","authors":"Janet Mao, Sharon L Hsieh, Andrew C Dennison","doi":"10.1002/pmrj.70245","DOIUrl":"https://doi.org/10.1002/pmrj.70245","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First aggression as a planning signal in post-acute stroke rehabilitation: Service benchmarks, goal setting, and a 60-day precaution window from a comprehensive observational cohort.","authors":"Alejandro García-Rudolph, Elena Hernandez-Pena, Alicia Romero, Mark Andrew Wright, Joan Saurí, Claudia Teixido-Font, Eloy Opisso, Gunnar Cedersund, Montserrat Bernabeu","doi":"10.1002/pmrj.70225","DOIUrl":"https://doi.org/10.1002/pmrj.70225","url":null,"abstract":"<p><strong>Background: </strong>Aggressive behavior after stroke is common and linked to poorer outcomes, yet prior studies have not translated this knowledge into operational benchmarks that guide planning (time-limited risk windows, realistic goals, discharge timelines) during postacute rehabilitation.</p><p><strong>Objective: </strong>To quantify service benchmarks after the first electronic health record (EHR)-documented aggression and map them to a standardized, time-boxed response: event rates and short-horizon risks (30/60 days), functional/length-of-stay (LOS) gaps in clinical units, and practical targets for planning.</p><p><strong>Design: </strong>Retrospective observational cohort with prespecified 1:1 propensity-matched sensitivity analysis.</p><p><strong>Setting: </strong>Single tertiary neurorehabilitation hospital (postacute, inpatient).</p><p><strong>Patients: </strong>Adults with first-ever ischemic or hemorrhagic stroke admitted ≤3 months post stroke between 2005 and 2023 (N = 1683). Aggression was flagged at the first qualifying EHR annotation; 317 (18.8%) had more than one episode.</p><p><strong>Outcome measure(s): </strong>Incidence densities (per 1000 patient-days) and derived 30-/60-day risks for first aggression, urinary tract infection, and falls; between-group differences in LOS and motor Functional Independence Measure (mFIM) outcomes (gain, efficiency, effectiveness) summarized as median differences (Hodges-Lehmann).</p><p><strong>Results: </strong>Across 111,945 patient-days, first-aggression incidence was 2.83/1000 (95% CI: 2.53-3.16), implying 8.1% 30-day and 15.6% 60-day risks. Compared with nonaggressive patients, the aggressive group had higher urinary tract infection rates (rate ratio 1.92, 95% confidence interval [CI]: 1.43-2.57) and falls (rate ratio 1.28, 95% CI: 1.00-1.63). Functional gaps (median differences, Hodges-Lehmann) favored the nonaggressive group: LOS was longer (+17.9 days, 95% CI +13.8 to +22.0), mFIM efficiency and effectiveness were lower in the full cohort; in the matched subset (317 vs. 317), Hodges-Lehmann differences persisted (eg, LOS +9.8 days, 95% CI +4.1 to +15.2).</p><p><strong>Conclusions: </strong>A single EHR-documented aggression provides a planning signal: event rates and 30-/60-day risks justify a 60-day precaution window, and scaled gaps support realistic goal setting (mFIM) and discharge date updates. These benchmarks offer a framework for bedside counseling, service targets, and audit; multicenter validation is warranted.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preparation methods and clinical outcomes of platelet-rich plasma for chronic discogenic low back pain: A systematic review and meta-analysis of randomized controlled trials.","authors":"Antonio Madrazo-Ibarra, Daniel de la Huerta-Meza, Jose M Gutierrez-Naranjo, Jonathan S Kirschner","doi":"10.1002/pmrj.70216","DOIUrl":"https://doi.org/10.1002/pmrj.70216","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate platelet-rich plasma (PRP) preparation methods and composition and compare its effectiveness versus other comparative therapies in treating chronic discogenic low back pain (LBP).</p><p><strong>Type of study: </strong>Systematic review and meta-analysis.</p><p><strong>Literature survey: </strong>We searched for randomized controlled trials (RCTs) that compared PRP to either placebo, corticosteroids, or other active comparators for treating chronic discogenic LBP. The search was conducted in PubMed, Embase, Web of Science, and the Cochrane Library, from their inception through April 2025.</p><p><strong>Methodology: </strong>Two independent reviewers extracted information from the included RCTs, consisting of study characteristics, patient demographics, intervention details, PRP preparation and composition details, and patient reported outcome measures (PROMs). A series of meta-analyses were conducted, using the random-effects model for outcomes reported in at least three studies. Pain and spine-specific function PROMs were pooled and analyzed using the standardized mean difference. A p value <.05 was considered statistically significant.</p><p><strong>Synthesis: </strong>Eleven studies (623 patients) were included in this systematic review and meta-analysis. Information on PRP preparation and composition was limited and heterogeneous. Complete information about the methodology to prepare PRP that would allow replication was reported in only one (9%) study. Complete platelet yield and leukocyte counts were reported in two (18%) studies. No significant differences were found in pain and functional improvement between PRP and control groups at any time point, although there was a trend favoring PRP at 3 and 6 months. High heterogeneity was observed across all outcomes. Two serious adverse events were reported only following PRP treatment.</p><p><strong>Conclusions: </strong>PRP preparation methods and composition are inadequately reported in RCTs for chronic discogenic LBP. Although no significant differences were found between PRP and control groups for pain or function, these findings should be interpreted with caution given the very low certainty of evidence. Improved reporting standards for PRP preparation and composition, along with larger high-quality RCTs, are needed to enable meaningful comparison of outcomes.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparisons of immediate efficacy of cryoneurolysis and phenol neurolysis in spasticity reduction using Modified Ashworth Scale after brain injury: A retrospective cohort study.","authors":"Sonia Mejia, Nicholas Tan, Bei Zhang, Sheng Li","doi":"10.1002/pmrj.70230","DOIUrl":"https://doi.org/10.1002/pmrj.70230","url":null,"abstract":"<p><strong>Background: </strong>Phenol neurolysis and cryoneurolysis are nerve block procedures used to manage localized spasticity through different mechanisms, chemical and cold-induced nerve blocks, respectively. Both procedures can cause immediate reduction in spasticity.</p><p><strong>Objective: </strong>To compare the immediate efficacy of cryoneurolysis versus phenol neurolysis in reducing spasticity severity as measured by the Modified Ashworth Scale (MAS) in patients with brain injury-related spasticity across multiple muscle groups.</p><p><strong>Design: </strong>A retrospective chart review.</p><p><strong>Setting: </strong>A free-standing rehabilitation hospital.</p><p><strong>Participants: </strong>Thirty-five patients who received either cryoneurolysis or phenol neurolysis. Twenty-two patients received phenol neurolysis (mean age 36.0 ± 14.8 years) with a total of 82 nerve blocks and 13 underwent cryoneurolysis (mean age 47.8 ± 19.8 years) with a total of 35 nerve blocks.</p><p><strong>Main outcome measurements: </strong>Spasticity assessment using the MAS was performed before and immediately after each treatment session.</p><p><strong>Results: </strong>Both cryoneurolysis and phenol neurolysis resulted in a significant immediate reduction in spasticity. For cryoneurolysis, MAS scores improved from 3.7 ± 0.7 to 1.1 ± 0.6 (p < .01), and for phenol neurolysis, from 3.8 ± 0.6 to 1.2 ± 0.5 (p < .01). However, there was no statistically significant difference in MAS reduction between the two treatment modalities. Additionally, no significant differences were observed between groups in MAS reduction across specific muscle groups in both upper and lower limbs.</p><p><strong>Conclusions: </strong>Cryoneurolysis and phenol neurolysis both produced significant immediate reductions in spasticity as measured by the MAS in patients with brain injury. Cryoneurolysis and phenol neurolysis demonstrated comparable effectiveness for acute spasticity management in a rehabilitation setting. Future prospective studies should assess longer-term outcomes, tolerability profiles, and cost-effectiveness to guide optimal technique selection.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regulatory complaint patterns in physical medicine and rehabilitation: A population-based cohort study.","authors":"Nigel Ashworth, Nicole Kain, Homeira Hamayeli-Mehrabani, Kushagr Kumar, Nancy Hernandez-Ceron, Iryna Hurava","doi":"10.1002/pmrj.70228","DOIUrl":"https://doi.org/10.1002/pmrj.70228","url":null,"abstract":"<p><strong>Background: </strong>Regulatory complaints provide insight into physician performance and professionalism. Although complaint patterns have been described for the collective physician workforce, little is known about complaint risk among physical medicine and rehabilitation (PM&R) specialists (physiatrists).</p><p><strong>Objective: </strong>To examine the rate, type, and predictors of complaints among Alberta physiatrists and to compare complaint patterns across specialties.</p><p><strong>Design: </strong>Population-based cohort study using linked administrative data on physician demographics, practice characteristics, prescribing, and complaints.</p><p><strong>Setting: </strong>Province of Alberta, Canada; data from a provincial medical regulatory authority.</p><p><strong>Participants: </strong>All 11,315 physicians licensed in the province in 2025, including 114 physiatrists.</p><p><strong>Interventions: </strong>N/A.</p><p><strong>Main outcome measures: </strong>Presence of any nondismissed complaint (NDC), NDC rate per registration year, and distribution of complaint types.</p><p><strong>Results: </strong>Physiatrists had lower complaint rates than other physicians (10% vs. 21%). The mean NDC rate per registration year was 0.009 for physiatrists, less than half the rate observed among other physicians (0.021). Complaint rates were highest among surgical specialties and family medicine. The nature of complaints against physiatrists differed substantially from other specialties: practice management (48%) and medical reporting (19%) accounted for most complaints, whereas quality-of-care concerns predominated in other specialties. Increasing years since registration (odds ratio [OR] = 2.48, 95% confidence interval [CI] = 1.33-5.28) and international medical training (OR = 4.87, 95% CI = 1.15-20.99) were associated with higher odds of NDCs, although estimates were limited by small sample size.</p><p><strong>Conclusions: </strong>Although complaint rates were lower among physiatrists in this cohort, their complaints demonstrated a distinct pattern characterized by communication, documentation, and medicolegal interactions rather than clinical error. These findings highlight specialty-specific differences in regulatory complaints and suggest areas for targeted professional development in rehabilitation practice.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149137998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methodological quality of systematic reviews on treatments in stroke rehabilitation: A cross-sectional study.","authors":"Yin Ting Chan, Sheung Yuen Siu, Chung Hei Mak, Fai Fai Ho, Betty Huan Wang, Claire Chenwen Zhong, Daisy Dexing Zhang, Vincent Chi Ho Chung","doi":"10.1002/pmrj.70202","DOIUrl":"https://doi.org/10.1002/pmrj.70202","url":null,"abstract":"<p><strong>Objective: </strong>Although high-quality systematic reviews (SRs) could provide reliable evidence on the effectiveness of stroke rehabilitation treatments, methodological flaws may weaken their trustworthiness. This study aimed to evaluate the methodological quality of an up-to-date sample of SRs on stroke rehabilitation treatments.</p><p><strong>Literature survey: </strong>A comprehensive search was conducted in four electronic databases (MEDLINE, EMBASE, PsycINFO, and Cochrane Database of Systematic Reviews) for SRs published between January 2021 and September 2023. Eligible SRs focused on randomized controlled trials and included at least one meta-analysis assessing the effectiveness of stroke rehabilitation treatments.</p><p><strong>Methodology: </strong>After systematic screening, bibliographical data were extracted from included SRs using a predesigned form. The methodological quality was assessed using the 16-item A MeaSurement Tool to Assess systematic Reviews 2 (AMSTAR 2) instrument. Associations between characteristics and methodological quality were examined using Kruskal-Wallis rank test, Spearman's rank correlation coefficient, and multivariable logistic regression models. Meta-analysis was not performed.</p><p><strong>Synthesis: </strong>A total of 140 SRs were appraised. Only two (1.4%) SRs were rated as having high overall methodological quality. The remaining SRs were rated as moderate (n = 2, 1.4%), low (n = 6, 4.3%), or critically low quality (n = 130, 92.9%). Cochrane SRs, SRs led by a corresponding author from the United States or Europe, SRs supported by European funding or those without funding support, SRs reporting intervention harms, and SRs published in journals with higher journal impact factors had a higher overall methodological quality than their counterparts. Only 4.3% of SRs conducted a comprehensive literature search, 12.9% provided a list of excluded studies with justifications, 7.1% explained study design selection for inclusion, 10.7% described the included primary studies in adequate detail, and 7.9% reported funding sources of primary studies.</p><p><strong>Conclusions: </strong>The methodological quality of SRs on stroke rehabilitation treatment is unsatisfactory. Findings of this study can shed light on potential areas of methodological improvements for future review authors.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}