PM&R最新文献

{"title":"Outcomes in transhumeral upper limb amputation with osseointegration and targeted muscle reinnervation: A preliminary observational cohort study.","authors":"Joseph Webster, Jeffrey Heckman, Matthew Borgia, Jemy Delikat, Linda Resnik","doi":"10.1002/pmrj.13407","DOIUrl":"https://doi.org/10.1002/pmrj.13407","url":null,"abstract":"<p><strong>Background: </strong>Little is known about outcomes associated with the combination of osseointegration (OI) and targeted muscle reinnervation (TMR) in upper limb amputation (ULA).</p><p><strong>Objectives: </strong>To describe functional outcomes of three cases with OI and TMR who used myoelectric prostheses and compare outcomes to matched control groups.</p><p><strong>Design: </strong>An observational cohort, quasiexperimental design with nonequivalent control groups was used. Wilcoxon Mann-Whitney and Fisher's exact tests compared outcomes between OI cases, control group 1 (six myoelectric/hybrid users without TMR or OI), and control group 2 (seven myoelectric/hybrid users with TMR but not OI). Hedges' g effect sizes (ES) were calculated.</p><p><strong>Setting: </strong>Community dwelling adults.</p><p><strong>Participants: </strong>U.S. veterans and civilians with transhumeral ULA.</p><p><strong>Interventions: </strong>OI and TMR.</p><p><strong>Main outcome measures: </strong>We employed 11 dexterity measures, 5 functional measures, 5 prosthesis satisfaction measures, 4 quality of life measures, 7 patient experience measures, 4 measures of prosthesis use, and 10 pain measures.</p><p><strong>Results: </strong>Comparison 1: Cases had higher scores than controls on Brief Activity Measure for ULA (ES = 1.59; p = .08), Prosthesis Evaluation Questionnaire Residual Limb Health (ES = 1.54; p = .09), Patient Experience Measure Intuitiveness (2.33; p = .07), and h/d of prosthesis use (ES = 1.40; p = .09). Comparison 2: Cases had better prosthesis satisfaction as measured by the Trinity Amputation and Prosthesis Experience Satisfaction Scale (ES = 2.36; p = .05); Orthotics and Prosthetics User Survey Client Satisfaction with Devices (CSD) 8 (ES = -2.70; p = .08); CSD-W Comfort (ES = 3.51; p = .05); and the CSD-W Appearance (ES = 2.36; p = .09), higher scores of the Upper Extremity Functional Scale for Prosthesis Users One-handed Task scale (ES = 2.27; p = .05); the Modified Prosthesis Evaluation Questionnaire (PEQ) Residual Limb Health scale (ES = 1.95; p = .07); and Patient Experience Measure (PEM) Intuitiveness scales (ES = 2.28; p = .05). Cases had greater prosthesis use, measured by d/wk of wear, d/wk of use, h/d of wear, and h/d of use with ES ranging from 0.93 to 2.03 and p values from .05 to .08 for nonparametric tests.</p><p><strong>Conclusion: </strong>Cases with OI and TMR reported better residual limb health, greater intuitiveness, and more hours of daily prosthesis use than controls. Further study with larger samples is warranted to investigate the additive benefit of both OI and TMR.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174623","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":"Corticosteroid versus ketorolac injection for treatment of knee osteoarthritis flare.","authors":"Robert Bowers, William Berrigan, Gerardo E Miranda-Comas, Claudia Jimenez, Jennifer Soo Hoo","doi":"10.1002/pmrj.13387","DOIUrl":"https://doi.org/10.1002/pmrj.13387","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161101","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":"Sustain our subspecialty! Addressing the crisis within spinal cord injury medicine.","authors":"Jelena N Svircev, Camilo Castillo","doi":"10.1002/pmrj.13421","DOIUrl":"https://doi.org/10.1002/pmrj.13421","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144161380","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":"Telerehabilitation as an innovative strategy for the management of anxiety and dyspnea in post-COVID-19: A scoping review.","authors":"Gustavo Elias Ferreira Neto, Guilherme Diniz Prudente, Henrique Lima de Oliveira, Khissya Beatryz Alves de Lima, Antônio da Silva Menezes Junior","doi":"10.1002/pmrj.13403","DOIUrl":"https://doi.org/10.1002/pmrj.13403","url":null,"abstract":"<p><p>The COVID-19 pandemic brought challenges for everyone, especially for patients with persistent sequelae, driving interest in telerehabilitation as an alternative treatment. Additional evidence may be useful to better assess its efficacy and applicability in managing post-COVID-19 symptoms. This study aimed to enhance the understanding of telerehabilitation in the post-COVID-19 context, facilitating its integration into clinical settings and patient management. Adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines, we reviewed PubMed, Excerpta Medica, and Scopus databases until January 2024. The study included primary and secondary research evaluating the benefits and drawbacks of telerehabilitation for patients with persistent COVID sequelae. This review analyzed 19 studies on telerehabilitation for long-term COVID-19 patients. Key findings included the comparison between hospital-based and telerehabilitation and synchronous versus asynchronous telerehabilitation. The main sequelae addressed were dyspnea, quality of life, and anxiety. Limitations, particularly regarding costs, were also examined. Telerehabilitation provides psychological and social support, which is essential for managing post-COVID-19. Despite initial costs, long-term benefits include reduced anxiety and improved quality of life. More long-term research is needed to better understand the limitations and potential implications of telerehabilitation for integration into post-COVID-19 care to optimize outcomes and provide continuous support to patients and caregivers during recovery.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151481","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":"The effects of repetitive peripheral magnetic stimulation combined with repetitive transcranial magnetic stimulation on lower limb motor function and balance in patients with chronic stroke: A pilot randomized controlled trial.","authors":"Qing Cai, Xuan Zhang, Guirong Liu, Yanzhi Cai, Jing Luo, Mingyu Yin, Haiqing Zheng","doi":"10.1002/pmrj.13391","DOIUrl":"https://doi.org/10.1002/pmrj.13391","url":null,"abstract":"<p><strong>Background: </strong>In the chronic phase of stroke, repetitive transcranial magnetic stimulation (rTMS) exhibits limited effectiveness in improving motor recovery due to reduced brain plasticity. Patients with chronic stroke also typically present with lower limb motor dysfunction and disability. Recent studies suggest that repetitive peripheral magnetic stimulation (rPMS) can promote brain plasticity and potentially offer additional improvement in patients with chronic stroke.</p><p><strong>Objective: </strong>To investigate whether combining a designed rPMS program with rTMS could further improve lower limb motor function, mobility, and balance function in patients with chronic stroke.</p><p><strong>Design: </strong>Two-arm randomized controlled trial.</p><p><strong>Setting: </strong>Inpatient clinic.</p><p><strong>Participants: </strong>20 patients with chronic stroke with lower limb hemiparesis were recruited.</p><p><strong>Interventions: </strong>One group received ipsilateral rTMS, and the other received rTMS and rPMS designed based on the lower limb myofascial chain and neural pathways.</p><p><strong>Main outcome measures: </strong>The primary outcome measure was the lower extremity motor section of the Fugl-Meyer Assessment (FMA-LE), evaluating lower limb motor function. Secondary outcomes included the timed up and go test (TUG), the 10-meter walking test (10MWT), the 6-minute walking test (6MWT), Berg balance scale (BBS), and parameters measured by the balance training and evaluation system (Rx, mediolateral sway; Ry, anteroposterior sway; and RecArea, total sway area). All outcome assessments were conducted at baseline, 2 weeks post intervention, and 4 weeks post intervention. Two-way repeated measures analysis of variance (ANOVA) was then performed to analyze any group differences over time.</p><p><strong>Results: </strong>Two-way ANOVA revealed a significant interaction effect between time and group for FMA-LE (p = .001), 6MWT (p < .001), TUG (p = .015), BBS (p = .046), Rx (p = .008), Ry (p = .009), and RecArea (p < .001). Effect size (the value of partial ɳ²) of FMA-LE was 0.40.</p><p><strong>Conclusions: </strong>This study provides evidence that combining rTMS with rPMS may be a more practical approach for improving lower limb motor function, ambulation, and balance in patients with chronic stroke compared to rTMS alone.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143396","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":"Integrating modified constraint-induced movement therapy with sensory threshold somatosensory electrical stimulation in stroke rehabilitation: A randomized controlled clinical trial.","authors":"Emel Mete, Zübeyir Sari, Hasan Hüseyin Karadeli, Ayşenur Avarisli","doi":"10.1002/pmrj.13394","DOIUrl":"https://doi.org/10.1002/pmrj.13394","url":null,"abstract":"<p><strong>Background: </strong>Sensory threshold somatosensory electrical stimulation (St-SES) enhances sensory functions and promotes cortical plasticity in people with stroke by increasing motor cortex excitability.</p><p><strong>Objective: </strong>To investigate the effects of St-SES during modified constraint-induced movement therapy (M-CIMT) on upper extremity muscle mechanical properties and sensory and motor functions in participants with stroke.</p><p><strong>Design: </strong>This study is a single-blinded randomized controlled clinical trial.</p><p><strong>Participants: </strong>Sixty participants with stroke were invited to the study. A total of 48 participants met the inclusion criteria.</p><p><strong>Interventions: </strong>Participants were randomly assigned to three groups: St-SES + M-CIMT, M-CIMT, and a control. All groups received conventional physiotherapy three times per week for 4 weeks. In addition, one of the intevention groups underwent M-CIMT three times per week, while the other group received St-SES concurrently with M-CIMT.</p><p><strong>Outcome measures: </strong>The participants' upper extremity sensory functions were assessed using the Semmes-Weinstein Monofilaments test battery, motor performance was evaluated using the Wolf Motor Function Test and Motor Activity Log, muscle mechanical properties (muscle tone and stiffness) were measured with the MyotonPRO system.</p><p><strong>Results: </strong>As a result of a 6.2% dropout rate, the final analysis included 45 participants. The St-SES + M-CIMT group showed a significant improvement in sensory functions of upper extremity compared to other groups (p < .001). However, significant differences were not observed between the St-SES + M-CIMT and M-CIMT groups in the Motor Activity Log-28 and Wolf Motor Function Test. The St-SES + M-CIMT group showed a significant decrease in muscle tone and stiffness of the distal muscles compared to other groups (p < .001), but no significant difference was observed in the proximal muscle properties compared to the M-CIMT group (p > .05).</p><p><strong>Conclusion: </strong>This study has demonstrated that incorporating St-SES as an adjunctive therapy to neurorehabilitation techniques can be beneficial for participants with stroke.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136273","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":"Practice patterns and experiences of pediatric rehabilitation medicine physicians in cancer rehabilitation.","authors":"Elaine Ya-Wei Tsao, Jared Levin, Joslyn Gober, Mary Elizabeth Lynch, Kelli Noelle Chaviano, Vera Tsetlina, Simra Javaid","doi":"10.1002/pmrj.13395","DOIUrl":"https://doi.org/10.1002/pmrj.13395","url":null,"abstract":"<p><strong>Background: </strong>Pediatric cancer rehabilitation is a growing field, and pediatric rehabilitation medicine physicians play an important role in the care continuum for children and adolescents with cancer. However, the current practice patterns and experiences of pediatric physiatrists in cancer rehabilitation are not well known.</p><p><strong>Objective: </strong>To evaluate the status of pediatric cancer rehabilitation care by board-certified pediatric physiatrists in the United States, including their practice pattern, experience, and comfort level in cancer-related conditions.</p><p><strong>Design: </strong>An online 37-question Research Electronic Data Capture survey was developed by members of a pediatric cancer rehabilitation committee of a national physiatry organization. Descriptive data analysis was performed.</p><p><strong>Setting: </strong>Survey invitations were sent via email to potential participants and posted on social media sites, including an online physiatry community forum and a pediatric physiatrist private group.</p><p><strong>Patients (or participants): </strong>Targeted participants were board-certified pediatric physiatrists who treat pediatric patients with cancer diagnoses.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measure(s): </strong>Survey questions pertained to respondents' practice setting and patient population, type of cancer rehabilitation provided, presence of a cancer rehabilitation program at their institution, and their learning experience in pediatric cancer rehabilitation.</p><p><strong>Results: </strong>A total of 107 board-certified pediatric physiatrists completed the survey, representing 57 institutions in the United States, the majority of which were academic centers (n = 95; 88.8%). Ninety-seven (90.7%) reported their practice consisted of >75% pediatric patients, and 95 (88.8%) indicated <25% pediatric patients in the practice have cancer diagnoses. Forty respondents representing 19 institutions (33.3%) reported an established cancer rehabilitation program at their institution, though of these, 23 (57.5%) indicated that more improvement to their program was needed. Sixty-three respondents (58.9%) gained experience in cancer rehabilitation from fellowship, 51 (47.7%) from residency, and 47 (43.9%) from mentorship; majority (n = 102; 95.3%) also learned from self-study or on the job. Participants' comfort level on cancer-related conditions varied.</p><p><strong>Conclusions: </strong>This survey, aimed at board-certified pediatric physiatrists who practice pediatric cancer rehabilitation, highlights the variety in training experiences and practice exposure among respondents. Concomitant with this was a variance in reported comfort levels in treating the different cancer-related diagnoses. This raises for discussion what training opportunities might be strengthened as the subspeciality continues to grow.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136321","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":"An innovative prehabilitation approach for lung transplant candidates.","authors":"Karen P Barr, George Tankosich, Bryan Willey","doi":"10.1002/pmrj.13410","DOIUrl":"https://doi.org/10.1002/pmrj.13410","url":null,"abstract":"<p><strong>Background: </strong>Frailty is a risk factor for poor outcomes in lung transplantation. Identifying the causes of frailty and addressing reversible risk factors that contribute to poor outcomes in this population is complex.</p><p><strong>Objective: </strong>To describe the results of frailty measures associated with poor outcomes and the prehabilitation plan prescribed for patients at their initial assessment for lung transplantation at our institution. We describe how a prehabilitation approach to improve function and mitigate risk factors can be incorporated into lung transplant selection committee recommendations.</p><p><strong>Methods: </strong>Data were analyzed from 186 patients seen in an outpatient physical medicine and rehabilitation (PM&R) clinic as part of their initial assessment for lung transplantation and their lung selection committee recommendations.</p><p><strong>Results: </strong>All 186 patients who initiated evaluation for lung transplant were evaluated by PM&R during their transplant initial evaluation period. Low objective and self-reported physical function were present in the majority of patients. All patients received a multimodal prehabilitation plan to address these reversible risk factors. Prehabilitation recommendations were integrated into their lung selection committee recommendations.</p><p><strong>Conclusion: </strong>A comprehensive physiatric assessment for the purpose of identifying reversible risk factors for poor outcomes such as frailty and prescribing interventions to improve function is a feasible addition to the lung transplant evaluation process. This patient population has high prehabilitation needs.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127790","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":"Effectiveness and reporting quality of blood flow restriction training in the rehabilitation of patients with upper limb musculoskeletal disorders: A systematic review.","authors":"Felipe Ponce-Fuentes, Iván Cuyul-Vásquez, Joaquín Salazar-Méndez, José Casaña, Joaquín Calatayud, Enrique Lluch, Eoin Ó Conaire, Filip Struyf","doi":"10.1002/pmrj.13396","DOIUrl":"https://doi.org/10.1002/pmrj.13396","url":null,"abstract":"<p><strong>Background: </strong>Blood flow restriction training (BFRT) is a widely studied strategy in lower limb pathology; however, BFRT research in upper limb disorders is limited.</p><p><strong>Objective: </strong>To evaluate the effectiveness of BFRT programs on skeletal muscle mass, strength, pain, and function in upper limb musculoskeletal disorders rehabilitation and to analyze the reporting quality of the exercise content.</p><p><strong>Methods: </strong>A literature search of the PubMed, Web of Science, Scopus, Scientific Electronic Library Online, SPORTDiscus, Cumulative Index to Nursing and Allied Health Literature, and Physiotherapy Evidence Database was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines from inception to May 2023. The results included randomized controlled trials (RCTs) and non-RCTs, prospective and retrospective cohort studies, case series, and case report studies of patients with upper limb musculoskeletal disorders treated with resistance exercise enhanced with BFRT and reporting at least one outcome related to skeletal muscle mass, strength, pain or function/disability. The risk of bias of the included studies was assessed using the Risk of Bias 2.0, and the reporting quality was evaluated with the Consensus on Exercise Reporting Template (CERT).</p><p><strong>Results: </strong>Four RCTs, one case series, and four case report studies were included. Very low-quality studies showed a pattern of clinical improvements surpassing the minimal clinically important difference in most patient-reported outcome and physical function measures. The risk of bias in the included studies was high. The CERT revealed poor description of the BFRT programs.</p><p><strong>Conclusions: </strong>This systematic review identified limited and low-quality evidence that BFRT is effective in the physical rehabilitation of patients with upper limb musculoskeletal disorders. Additionally, the reporting of BFRT content in patients with upper limb disorders is poor. We recommend that authors use the CERT guideline when reporting the exercise protocols and results of trials investigating BFRT interventions.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128045","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":"Effectiveness of a multimodal physiotherapy program in fighter pilots with flight-related neck pain: A randomized controlled trial.","authors":"Carlos Fernández-Morales, Manuel Albornoz-Cabello, María de Los Ángeles Cardero-Durán, Juan Manuel Moreno-Vázquez, Luis Espejo-Antúnez","doi":"10.1002/pmrj.13399","DOIUrl":"https://doi.org/10.1002/pmrj.13399","url":null,"abstract":"<p><strong>Background: </strong>Flight-related neck pain constitutes a clinical entity related to the performance, occupational health, and flight safety of fighter pilots.</p><p><strong>Objective: </strong>To investigate whether a multimodal physiotherapy program combining supervised motor control exercises with laser-guided feedback and interferential current therapy with electromassage improves cervical pain and function outcomes in fighter pilots with flight-related neck pain compared to their usual operational routines.</p><p><strong>Design: </strong>Thirty-one pilots participated in the study, divided into two groups: intervention group (n = 14), who received eight sessions of a multimodal physiotherapy program (twice a week for 4 weeks), and a control group (n = 17), who did not receive any intervention and maintained their usual operational routines. Primary outcome measures were perceived pain intensity (Numeric Pain Rating Scale) and Joint Position Sense Error. The secondary outcome measures were neck disability (Neck Disability Index), cervical range of motion, and pressure pain threshold. Measurements were taken at baseline and immediately after treatment. An intention-to-treat analysis was carried out. To quantify the effect size of the interventions, the relative risk, the absolute and relative risk reduction, and the number needed to treat were calculated.</p><p><strong>Results: </strong>Statistically significant changes were observed between groups in favor of the intervention group in both primary outcomes measures: Numeric Pain Rating Scale (mean difference: 2.5 [1.5-3.5]; p < .001; d = 0.7); Joint Position Sense Error (mean difference: 2 [1.5-2.5]; p < .001; d = 0.8), and secondary outcomes measures (p < .05), with large effect sizes (d ≥ 0.8) in cervical range of motion and pressure pain threshold and moderate (d ≥ 0.6) in Neck Disability Index. In the analysis for treatment benefit, the number needed to treat was 2 (95% confidence interval, 2-3, p < .001) for neck pain and proprioceptive acuity.</p><p><strong>Conclusions: </strong>A multimodal physiotherapy program based on supervised exercises with laser-guided feedback and interferential current therapy improves the symptoms and cervical function of fighter pilots with flight-related neck pain.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128131","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}