PM&R最新文献

{"title":"Feasibility of a mat-based Pilates program for community dwelling seniors to improve balance and core strength.","authors":"Luigi Gonzales, Katrina Ngo, Perri Kraus, Yueni Zander, Maya N Hatch","doi":"10.1002/pmrj.13358","DOIUrl":"https://doi.org/10.1002/pmrj.13358","url":null,"abstract":"<p><strong>Background: </strong>Popular programs to combat the increased rates of falls and improve overall balance and strength in the aging population are limited by accessibility or focus on distal movements, thereby limiting gains from the programs. The use of an age-appropriate, community-based Pilates program focusing on core strengthening for improved balance is proposed.</p><p><strong>Objective: </strong>The primary objective was to test the feasibility, acceptability, and appropriateness of a mat-based, core strengthening Pilates program (aka Pilates Gold). The secondary objective was to investigate changes in balance and core strength for participating seniors.</p><p><strong>Design: </strong>Prospective pre-post, observational study.</p><p><strong>Setting: </strong>Classes were on site at two retirement community centers.</p><p><strong>Participants: </strong>Males and females (65 years old and older) were recruited from two different senior community centers on a first-come first-serve basis. Participants had to be (1) English speaking, (2) an existing resident at one of the retirement communities, and (3) considered healthy by common standards.</p><p><strong>Interventions: </strong>Mat-based Pilates program for 8 consecutive weeks. Movement difficulty and pace were slowly increased over the 8-week program, with a maximum of 17 different movements.</p><p><strong>Main outcome measures: </strong>Primary outcomes for feasibility of the Pilates program were the Acceptability of Intervention Measure, Intervention Appropriateness Measure, and Feasibility of Intervention Measure. Secondary outcomes included the Sitting-Rising test, Activities Balance Confidence, and Patient Global Impression of Change.</p><p><strong>Results: </strong>The Pilates program was deemed appropriate, acceptable, and feasible by >80% of senior participants. Over 80% also reported some level of change in overall health due to the program. No significant differences were observed in balance outcomes, although there were individual improvements.</p><p><strong>Conclusions: </strong>Community-based Pilates programs are highly desired, feasible, and acceptable. These results justify further studies, of longer training periods and perhaps increasing difficult levels, to determine if core strengthening mat-based Pilates is truly capable of improving balance, strength, and fall risks in seniors.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743415","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":"Interventions to help adults with concussion return to work: A systematic review.","authors":"Mikaela Ethier-Gagnon, Alexander Lithopoulos, Mackenna Pattison, Dorothyann Curran, Carolina Cancelliere, Lisa Fischer, Noah Silverberg, Carmela Tartaglia, Charles Tator, Aaron Thompson, Penny Welch-West, Shawn Marshall","doi":"10.1002/pmrj.13359","DOIUrl":"https://doi.org/10.1002/pmrj.13359","url":null,"abstract":"<p><strong>Objective: </strong>Clinicians require guidance to aid patients who are attempting to return to work (RTW) after concussion. This systematic review synthesizes the results of interventions to determine what types of interventions (ie, early education and intervention, psychological, rehabilitative, and interdisciplinary) are effective, what behavior change techniques (BCTs) are most frequently used, and which BCTs are most promising.</p><p><strong>Literature survey: </strong>MEDLINE ALL, PsycINFO, and CINAHL databases were searched for literature published January 2000 to the end of December 2023.</p><p><strong>Methodology: </strong>Peer-reviewed adult concussion intervention studies of any design with RTW measurements were included. A narrative review describes the effectiveness of intervention type. For BCTs, the frequency of BCTs used in experimental conditions is provided. In addition, promise ratios were calculated to establish which BCTs are most effective.</p><p><strong>Synthesis: </strong>Psychotherapy, neuropsychological training, vestibular rehabilitation, vision rehabilitation, exercise, compensatory strategies, cognitive training, vocational support, and interpersonal training may be efficacious. The BCT information about health consequences was used frequently in experimental conditions. Effective BCTs provided instruction on how to perform the behavior, reduce negative emotions, and action planning; participants were also provided information about health consequences and encouraged to do problem solving.</p><p><strong>Conclusions: </strong>The promising interventions and BCTs identified in this article may be considered by qualified practitioners when helping patients with concussion RTW (PROSPERO: CRD42022384151).</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731353","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":"Optimizing health through education: The Adaptive Health Education on Activity and Diet (AHEAD) program.","authors":"Olumide Sokunbi, Kevin Ozment, Kelsey LeFevour, Derek Daniels, Melissa Kolski, Jessica Curran, Rebecca Housh, Lexi Thornton, Christine M Gagnon, Manasi Sheth, Prakash Jayabalan","doi":"10.1002/pmrj.13364","DOIUrl":"https://doi.org/10.1002/pmrj.13364","url":null,"abstract":"<p><strong>Background: </strong>Studies have shown that athletes with disabilities (AWDs) are often not provided with injury prevention and health promotion strategies via educational programs.</p><p><strong>Objective: </strong>To assess the impact of a novel educational interventional workshop on the healthy lifestyle knowledge and implementation in a cohort of AWDs using a community-based participatory research approach. We hypothesized that the Adaptive Health Education on Activity and Diet workshop would increase the participation of AWDs in healthy exercise and diet.</p><p><strong>Methods: </strong>Participants enrolled in this educational interventional prospective cohort study consisted of AWDs participating in an urban adaptive sports program. The intervention included eight virtual educational sessions regarding nutrition, strength training, cardiovascular exercise, and health optimization taught by a multidisciplinary team. The outcome measures were participation in healthy lifestyle regarding diet and exercise, Patient-Reported Outcomes Measurement Information System (PROMIS)-29, and Godin Exercise scores.</p><p><strong>Results: </strong>The mean age of the adaptive athletes (n = 26) was 50.1 years (SD 15.4), with 50% male and 50% female. Primary disability diagnoses included spinal cord injury, brain injury, stroke, amputation, and cerebral palsy. The baseline physical function level PROMIS-29 scores had a sustained increase (increase from pre to post to follow-up) after the intervention (p < .05). There was a nonsustained increase from pre to post intervention (p < .05) in frequency of meal preparation and discussion of diet and exercise with a primary care physician. There was an overall increase in frequency of weight training three or more times a week (p < .05).</p><p><strong>Discussion: </strong>Our findings were consistent with our hypothesis that the workshop would increase participation in healthy diet and exercise. The significant improvements were in frequency of meal prep, weight training, and discussions of diet and exercise with primary care physicians.</p><p><strong>Conclusion: </strong>Providing healthy lifestyle information through an educational workshop tailored to the community's needs, using a community-based participatory research approach, can improve nutrition and exercise participation of AWDs.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721131","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":"Early neurobehavioral outcomes in patients with suspected abusive head trauma receiving inpatient neurorehabilitation.","authors":"Ashley Fournier-Goodnight, Haley Bednarz Holm, Laura Jones, Andrew Jergel","doi":"10.1002/pmrj.13367","DOIUrl":"https://doi.org/10.1002/pmrj.13367","url":null,"abstract":"<p><strong>Background: </strong>Patients with suspected abusive head trauma have worse neurobehavioral outcomes than patients with accidental mechanisms of brain injury and at times receive inpatient rehabilitation. However, precise information regarding outcomes among this patient population prior to discharge from an inpatient rehabilitation unit is largely unavailable.</p><p><strong>Objective: </strong>To describe neurobehavioral outcomes using a standardized and norm referenced measure and examine factors related to these outcomes among patients with presumed abusive head trauma who were receiving inpatient rehabilitation.</p><p><strong>Design: </strong>This study involved retrospective review/analysis.</p><p><strong>Setting: </strong>Participants were assessed during their admission to a large inpatient rehabilitation unit housed within an academic medical center.</p><p><strong>Participants: </strong>Participants included 45 pediatric patients admitted and evaluated between 2016 and 2022.</p><p><strong>Interventions: </strong>This study did not investigate intervention(s).</p><p><strong>Main outcome measure(s): </strong>The participants' neurobehavioral outcomes were assessed via the Mullen Scales of Early Learning, American Guidance Service (AGS) Edition.</p><p><strong>Results: </strong>The sample's global neurobehavioral functioning was below average, which was also the case for early visuospatial processing, receptive language, and gross motor abilities. Expressive language and fine motor abilities were comparatively intact. Developmental/age- and time-based variables were the best predictors of global neurobehavioral outcomes. Older age at injury and assessment, lengthier inpatient rehabilitation unit admission, and longer time between injury and assessment were predictive of worse outcomes.</p><p><strong>Conclusions: </strong>These findings are somewhat discrepant from the brain injury literature but may be associated with two, possibly interrelated, factors including age-based performance expectations on assessment and high medical morbidity specific to this patient population. These findings are consistent with the well-documented tendency for infants and toddlers with early brain pathology to exhibit increased neurobehavioral deficits over time.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721126","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":"Trajectories of poststroke depression among older adults.","authors":"Roland P Hart, Mark Shuquan Chen, George A Bonanno","doi":"10.1002/pmrj.13365","DOIUrl":"https://doi.org/10.1002/pmrj.13365","url":null,"abstract":"<p><strong>Background: </strong>Depression, a common outcome following stroke, has been repeatedly associated with poststroke cognitive deficits and is inversely associated with prestroke cognitive functioning or cognitive reserve. In particular, affected executive functioning has been linked to poststroke depression severity whereas preserved executive functioning is associated with poststroke recovery. Moreover, a growing body of research has demonstrated distinct prototypical trajectories of depression following major medical events. This work has consistently indicated that resilience, or a stable trajectory of healthy adjustment following adverse or potentially traumatic events, is the most common outcome.</p><p><strong>Objective: </strong>To examine trajectories of poststroke depression and their associations with prestroke cognitive functioning.</p><p><strong>Design: </strong>Secondary longitudinal data analysis of a large cohort study.</p><p><strong>Setting: </strong>Institutional; RAND Health and Retirement Study sponsored by the University of Michigan and the National Institute on Aging.</p><p><strong>Participants: </strong>Participants (N = 2298) were drawn from a national, longitudinal dataset of older adults who experienced a stroke and survived for at least 2 years afterward.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>Depression was assessed via a modified version of the Center for Epidemiologic Studies Depression Scale Short Form.</p><p><strong>Results: </strong>Results showed that resilience was the most common outcome (65.5% of the sample) following stroke and was associated with greater prestroke working memory (p < .001), age (p < .001), and gender (p < .001).</p><p><strong>Conclusions: </strong>Stroke survivors demonstrate the same depression trajectory patterns as observed following other major medical events. These results help illuminate the longitudinal relationship between working memory and poststroke depression and potentially inform interventions. Additional research is required to understand how these findings may be applied in clinical settings.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711086","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":"Re: Letter to the editor on \"A novel (seeding) technique for ultrasound-guided botulinum toxin injections\".","authors":"Kristen A Harris, Steven V Escaldi","doi":"10.1002/pmrj.13369","DOIUrl":"https://doi.org/10.1002/pmrj.13369","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701338","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":"A single-arm feasibility study protocol for a multiphasic multimodal exercise prehabilitation intervention in individuals receiving allogeneic stem cell transplant.","authors":"Chad W Wagoner, Julia T Daun, Jocelyn Cannon, Jessica Danyluk, David Langelier, George J Francis, S Nicole Culos-Reed, Sarah Perry","doi":"10.1002/pmrj.13351","DOIUrl":"https://doi.org/10.1002/pmrj.13351","url":null,"abstract":"<p><strong>Background: </strong>Allogeneic hematopoietic stem cell transplantation (allo-HSCT) can be a life-saving treatment for individuals diagnosed with acute leukemia. However, allo-HSCT can lead to adverse effects, such as reduced physical function. Exercise has demonstrated benefits in post-allo-HSCT recovery, but feasibility issues persist in tailored prehabilitation interventions.</p><p><strong>Objective: </strong>To present a multiphasic exercise prehabilitation protocol.The study aims to assess feasibility, safety, and impact while establishing screening and referral pathways to community-based exercise oncology resources.</p><p><strong>Design: </strong>Single arm feasibility study.</p><p><strong>Participants: </strong>Individuals diagnosed with acute leukemia and eligible for allo-HSCT will be recruited for the study.</p><p><strong>Intervention: </strong>Multimodal exercise and health behavior change support that will span across the allo-HSCT timeline (ie, pre-, during, and post-transplant phases). Clinical exercise physiologists trained in exercise oncology and health behavior change will deliver the intervention.</p><p><strong>Main outcome measures: </strong>Assessment of physical function, self-reported and objective physical activity, quality of life, fatigue, anxiety, depression, and symptom burden across four timepoints (baseline, pre-transplant, post-transplant inpatient recovery, and post-transplant outpatient recovery).</p><p><strong>Conclusions: </strong>This study is designed to address current limitations in prehabilitation literature specific to individuals with acute leukemia receiving allo-HSCT. In turn, this study may offer an approach to maintain or improve physical function and quality of life throughout the transplant continuum.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701333","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":"A novel (seeding) technique for ultrasound-guided botulinum toxin injections.","authors":"Berkay Yalçınkaya, Ahmet Furkan Çolak, Murat Kara, Levent Özçakar","doi":"10.1002/pmrj.13357","DOIUrl":"https://doi.org/10.1002/pmrj.13357","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701314","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":"Gender/sex differences: Representation of women in lateral ankle sprain research.","authors":"Nicole B Katz, Julie K Silver, Kelly C McInnis","doi":"10.1002/pmrj.13349","DOIUrl":"https://doi.org/10.1002/pmrj.13349","url":null,"abstract":"<p><strong>Background: </strong>Women have historically comprised lower percentages of sports science research participants compared to men. Lateral ankle sprains (LAS) are a common musculoskeletal injury that may affect women more than men.</p><p><strong>Objective: </strong>The primary purpose was to assess the representation of women participants in LAS research. The secondary purpose was to analyze the representation of women as authors in this same work.</p><p><strong>Design: </strong>Observational study.</p><p><strong>Setting: </strong>Systematic reviews on LAS in adults published between May 2013 and April 2023.</p><p><strong>Participants: </strong>Eleven systematic reviews on LAS with 77 unique original research studies (10, 080 participants, 335 authors) met inclusion criteria.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>The main outcomes were the proportion of women as participants and in author roles (primary, senior, and overall).</p><p><strong>Results: </strong>Women were underrepresented as participants (41%, n = 4150). Women were also the minority gender/sex for authors overall (26%, n = 86) as well as primary (32%, n = 23) and senior (29%, n = 19) authors. No clear increase in the inclusion of women as research participants was observed over time (p = .4), nor was there a significant increase in women authors (p = .1). A greater proportion of participants were women when the primary author was a woman (p = .008).</p><p><strong>Conclusion: </strong>Women are underrepresented in LAS research overall, and there is a lack of clear progress in representation over time. Similarly, women are a minority of study authors and data suggest a possible temporal trend of improvement. Efforts should be made to increase the proportion of women included in LAS research in order to support equitable evidence-based care.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677083","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":"Content evaluation of physical medicine and rehabilitation residency websites: A post-COVID update.","authors":"Tahir S Qasim, Mohammad H Tariq, Zuhair J Mohammed, Muhammad H Shamim, Mohammed S Abdullah","doi":"10.1002/pmrj.13370","DOIUrl":"https://doi.org/10.1002/pmrj.13370","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664324","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}