PM&R最新文献

{"title":"Successful neurorehabilitation 2 years post-COVID-19 cerebellitis.","authors":"Stéphanie Flageol, Nicholas Sequeira, Meiqi Guo","doi":"10.1002/pmrj.13061","DOIUrl":"10.1002/pmrj.13061","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"794-795"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10056292","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":"Home schooling during the COVID-19 pandemic: A randomized controlled trial of online exercise and ergonomics advice protocols on upper body symptoms.","authors":"Razieh Karimian, Kim Burton, Mohammad Mehdi Naghizadeh, Maryam Karimian, Chrisa Eleni Xirouchaki, Mostafa Sobhanipur, Tahereh Gholami","doi":"10.1002/pmrj.13102","DOIUrl":"10.1002/pmrj.13102","url":null,"abstract":"<p><strong>Background: </strong>Understanding of students' musculoskeletal health under home-schooling during the COVID-19 pandemic is limited.</p><p><strong>Objectives: </strong>(1) To investigate the prevalence and severity of musculoskeletal symptoms in home-schooled adolescents during the COVID-19 pandemic. (2) To evaluate the effect of an online exercise + ergonomics advice protocol on symptoms, compared with ergonomics advice alone.</p><p><strong>Design: </strong>Cross-sectional symptom survey identifying eligible participants, followed by a pragmatic randomized controlled trial.</p><p><strong>Setting: </strong>Online classes.</p><p><strong>Participants: </strong>Survey: 354 students (mean 16.6 years).</p><p><strong>Trial: </strong>188 students with upper body musculoskeletal symptoms.</p><p><strong>Interventions: </strong>Randomization to three groups (physical therapy exercises + ergonomics postural advice, ergonomics postural advice alone, nonintervention control) stratified by the site of symptoms (neck, shoulder, upper back). Interventions were orally delivered online (via WhatsApp) supplemented with written/illustrative material. Follow-up occurred at 8 weeks.</p><p><strong>Outcome measures: </strong>Survey: prevalence of symptoms (Nordic Questionnaire).</p><p><strong>Trial: </strong>primary outcome = change in intensity of upper body symptoms (visual analogue scale); secondary outcome = number of participants reporting improvement in upper body symptoms.</p><p><strong>Results: </strong>The 12-month prevalence of musculoskeletal disorders in the survey was 38% neck, 28% shoulder, and 35% upper back, with mean pain intensity of 3.6, 3.9, and 3.8, respectively, on 0-10 visual analogue scale: Two-thirds reported symptoms in multiple anatomical regions. In the trial, there was no statistically significant difference between the exercise + ergonomics group and ergonomics alone group on the primary outcome, yet both groups showed reduced symptom intensity compared with control (p < .001). More participants in the exercise + ergonomics group reported improvement than in the ergonomics advice alone group (p < .02).</p><p><strong>Conclusions: </strong>The prevalence of musculoskeletal symptoms was relatively high in home-schooled adolescents. Symptoms can be reduced by ergonomics advice with or without exercises, but the effect is enhanced by the addition of physical therapy exercises. The latter approach may be considered for improving schoolchildren's musculoskeletal health in the usual classroom setting.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"723-731"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71485195","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":"Curriculum for training in orthobiologics.","authors":"Michael Auriemma, Haylee Borgstrom, David Itskevich, Ryan Kruse, Erek Latzka, Josh Martin, Brittany Moore, Marc Gruner, Marko Bodor, John Cianca, Prathap Jayaram, Karen Knight, Walter I Sussman, Christine Townsend, Joanne Borg-Stein","doi":"10.1002/pmrj.13249","DOIUrl":"10.1002/pmrj.13249","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"769-771"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141627423","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":"Simulation-based mastery learning for intrathecal baclofen pump management in physical medicine and rehabilitation: A pilot study.","authors":"Emily Kivlehan, Dana Branch, Christopher Reger, Ana-Marie Rojas","doi":"10.1002/pmrj.13101","DOIUrl":"10.1002/pmrj.13101","url":null,"abstract":"<p><strong>Background: </strong>Simulation-based mastery learning (SBML) has demonstrated superiority as a procedural learning method. Implementation of SBML in Physical Medicine and Rehabilitation (PM&R) education has not been described and there is a paucity of literature regarding standardized procedural learning in this specialty.</p><p><strong>Objective: </strong>To evaluate if implementation of intrathecal baclofen pump management SBML affects knowledge, attitudes, and skills in PM&R residents.</p><p><strong>Design: </strong>Pretest-posttest design.</p><p><strong>Setting: </strong>Academic rehabilitation hospital.</p><p><strong>Participants: </strong>Twenty-two PM&R residents.</p><p><strong>Interventions: </strong>Participants engaged in SBML steps: pre-test, demonstration of proper technique, deliberate practice, and a post-test.</p><p><strong>Main outcome measures: </strong>Ability to achieve minimum passing score, quiz scores, and survey scores. Pre- and post-test results were compared using Wilcoxon signed-rank tests. Post graduate year (PGY)-3 and PGY-4 resident results were compared using Mann-Whitney U tests.</p><p><strong>Results: </strong>Based on institutional expert consensus, a simulation procedural checklist was created with a minimum passing score set at correctly performing 30 of 31 items. On pre-test, no learners achieved the minimum passing score (22.5, interquartile range [IQR] 17.0-23.0). Initial post-test score for all learners was 30 (IQR 29.8-31.0). Six learners required additional attempts to reach mastery as defined by reaching the minimum passing score. Quiz scores significantly improved from 9 to 11 (pre-test IQR 9-10; post-test IQR 10-11; p < .05). Confidence in procedure significantly improved (pre-test 2.7/5.9, IQR 2.2-3.8; post-test 4.1/5.0, IQR 3.7-4.5; p < .01). Likelihood to perform procedure in future practice did not change (pre-test 2.2, IQR 1.0-3.8; post-test 3.0, IQR 1.0-4.0; p = .89).</p><p><strong>Conclusion: </strong>SBML is an effective tool to improve multiple domains of learning in PM&R residents.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"732-737"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71485197","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":"Twists and turns: Intrathecal pump Twiddler's syndrome causing baclofen withdrawal spanning years.","authors":"Siulam Koo, Jason Kessler, Azadeh Shafieesabet, Konstantinos Margetis, Heidi Fusco","doi":"10.1002/pmrj.13035","DOIUrl":"10.1002/pmrj.13035","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"792-793"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10004433","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":"Bidirectional temporal associations between sleep and affect and cognitive symptoms among community-dwelling stroke survivors: An ecological momentary assessment study.","authors":"Stephen C L Lau, Martica L Hall, Lauren Terhorst, Elizabeth R Skidmore","doi":"10.1002/pmrj.13108","DOIUrl":"10.1002/pmrj.13108","url":null,"abstract":"<p><strong>Introduction: </strong>Sleep plays a critical role in daily functioning and stroke recovery but receives little attention in stroke rehabilitation. Sleep disturbances are linked to affective and cognitive impairments, but temporal associations between sleep and affect and cognitive symptoms are less clear. Understanding these temporal associations may inform new directions in intervention and prevention to support continued stroke recovery.</p><p><strong>Objective: </strong>To examine the bidirectional temporal associations between sleep and affect and cognitive symptoms among community-dwelling stroke survivors.</p><p><strong>Design: </strong>A secondary analysis of a longitudinal observational study involving 7 days of ecological momentary assessment (EMA), during which participants completed eight EMA surveys and a sleep diary per day. Multilevel modeling was used to analyze data.</p><p><strong>Setting: </strong>Community.</p><p><strong>Participants: </strong>Community-dwelling stroke survivors (N = 40).</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>EMA measures of depressed affect, cheerful affect, and cognitive symptoms. Sleep quality and duration as measured using a sleep diary.</p><p><strong>Results: </strong>Between-person sleep quality was negatively associated with next-day depressed affect (B = -.16; p = .028) and positively associated with next-day cheerful affect (B = .63; p < .001). Inversely, between-person depressed affect was negatively associated with next night sleep quality (B = -.77; p = .015), and vice versa for cheerful affect (between-person: B = .45; p < .001; within-person: B = .09; p = .008). Long sleep (>9 hours) was positively associated with next-day cognitive symptoms (B = .13; p = .002), whereas cognitive symptoms were associated with a higher odds of long sleep the following night (odds ratio [OR] = 0.25; p = .047).</p><p><strong>Conclusions: </strong>This study identified the bidirectional associations of sleep with affect and cognitive symptoms in the context of the everyday life of stroke survivors. The findings suggest that interventions addressing sleep quality and duration may impact affect and cognitive symptoms, and vice versa.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"669-678"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89719289","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":"Current practice focus trends in physical medicine and rehabilitation.","authors":"Carolyn L Kinney, David W Pruitt, Gerard E Francisco, Mikaela M Raddatz, Sunil Sabharwal","doi":"10.1002/pmrj.13119","DOIUrl":"10.1002/pmrj.13119","url":null,"abstract":"<p><strong>Background: </strong>Physical medicine and rehabilitation (PM&R) is a diverse specialty, growing and evolving over a variety of subspecialty and practice focus areas. Accurate data regarding practice patterns of physiatrists are essential for updating requirements in training and certification, particularly as the Accreditation Council for Graduate Medical Education begins its process to update of the PM&R core residency training requirements. This study analyzes practice trends for nearly 98% of physiatrists in active practice, the largest study to date.</p><p><strong>Objective: </strong>To update current demographics of physicians specializing in PM&R, including current areas of practice focus, to analyze the alignment of practice focus with subspecialty certification, and to determine the extent that electromyography is a component of current physiatric practice.</p><p><strong>Design: </strong>Retrospective analysis of deidentified responses from American Board of Physical Medicine and Rehabilitation (ABPMR) board-certified PM&R physicians (diplomates) on annual enrollment in the ABPMR Continuing Certification program.</p><p><strong>Participants: </strong>A total of 9543 ABPMR diplomates.</p><p><strong>Main outcome measures: </strong>Demographics - age, gender, years in practice, practice setting(s) and area(s). Practice focus, subspecialty certifications.</p><p><strong>Results: </strong>The majority of practicing physiatrists are men (62%) although the percentage of women in the field is growing (38%). Nearly 80% of physiatrists report more than one practice focus area, with pain medicine and sports medicine/musculoskeletal practices most commonly reported.</p><p><strong>Conclusions: </strong>This study confirms the growth trends in PM&R in pain and sports medicine but also highlights the substantial number of physiatrists focusing their practices in areas related to neurorehabilitation and medical rehabilitation. The large majority of physiatrists incorporate multiple focus areas into their practices. Electromyography is a focus for a declining percentage of practicing physiatrists.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"738-744"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138800481","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":"Pediatric basilar invagination: Unveiling a rare complication of inflammatory bowel disease unclassified.","authors":"Pavla Slivkova, Filip Jevic, Barbora Schmidtova, Jana Smetanova, Martin Kyncl, Jakub Jacisko, Alena Kobesova","doi":"10.1002/pmrj.13203","DOIUrl":"10.1002/pmrj.13203","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"789-791"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318124","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":"Responding to \"Telehealth in PM&R: Past, present and future in clinical practice and opportunities for translational research\".","authors":"Susan Hubbell","doi":"10.1002/pmrj.13180","DOIUrl":"10.1002/pmrj.13180","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"796"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140330072","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":"Revisions to Accreditation Council for Graduate Medical Education's program requirements for Physical Medicine & Rehabilitation: Input from the Tri-Organizational Graduate Medical Education Committee.","authors":"David W Pruitt, Joseph E Burris, Greg M Worsowicz, Carolyn L Kinney","doi":"10.1002/pmrj.13212","DOIUrl":"10.1002/pmrj.13212","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"779-784"},"PeriodicalIF":2.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141262568","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}