PM&R最新文献

{"title":"Correspondence on \"Advancements in large language model accuracy for answering physical medicine and rehabilitation board review questions\".","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1002/pmrj.13450","DOIUrl":"https://doi.org/10.1002/pmrj.13450","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609184","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":"Association between concussion-reporting intention and reporting behavior in a simulated game setting.","authors":"Niki Konstantinides, Christine M Baugh, Amy Bugwadia, Emily Kroshus, Sean Schowalter, Brian Hainline, Roy D Pea, Ross D Zafonte, Piya Sorcar, Daniel H Daneshvar","doi":"10.1002/pmrj.13441","DOIUrl":"10.1002/pmrj.13441","url":null,"abstract":"<p><strong>Background: </strong>Efforts to assess concussion-reporting efficacy face logistical challenges relying on behavioral intentions. Self-report surveys often lack correlation with actual behavior. Simulated in-game behavioral observation may offer a better evaluation method when data on actual behavior are not feasibly collected.</p><p><strong>Objective: </strong>To examine the association between concussion-reporting intentions and concussion-reporting behavior in a novel simulated in-game experience.</p><p><strong>Design: </strong>This study was performed as a secondary analysis of a larger study that assessed the efficacy of concussion education in concussion-reporting intention among high school athletes. High school football players (n = 313) from seven Colorado high schools completed reporting intention questionnaires. Athletes were randomized to either receive standard concussion education from the Centers for Disease Control and Prevention (n = 167) or not (n = 146). Subsequently, all participants were given a baseline assessment in which they were asked to assess concussion-reporting intention. To test concussion-reporting behavior, all participants watched a novel first-person, 2-minute video in which a simulated concussion occurred. When the simulated concussion occurs, participants are then asked whether they would like to seek evaluation or continue playing. Logistic regression assessed the relationship between concussion-reporting intention and concussion-reporting behavior during the simulated game experience.</p><p><strong>Results: </strong>Athletes who reported their concussion in the simulated game had higher baseline concussion-reporting intention (U = 8669.5, p < .001). Across both the educated and noneducated groups, each one-point increase in baseline reporting intention was associated with 1.99× (95% confidence interval [CI]: 1.11-3.60, p = .02) and 1.53× (95% CI: 1.07-2.30, p = .026) increased odds of reporting the simulated concussion, respectively.</p><p><strong>Conclusions: </strong>Concussion-reporting behavior in a novel, first-person simulated in-game experience is higher among individuals with higher baseline concussion-reporting intention. This approach may offer promise for evaluating concussion-reporting intention and concussion-reporting behavior via interactive video simulation.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectivity of neuro-visual processing rehabilitation using prisms for a patient with chronic traumatic brain injury.","authors":"Veselý Viktor, Sayyed Ayra, Padula William, Kolář Pavel","doi":"10.1002/pmrj.13431","DOIUrl":"https://doi.org/10.1002/pmrj.13431","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609186","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":"Statistics to analyze the effects of botulinum toxin doses on Modified Ashworth Scale scores.","authors":"Abraham Alfaro","doi":"10.1002/pmrj.13445","DOIUrl":"https://doi.org/10.1002/pmrj.13445","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144609187","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":"Cross-lagged assessment between indices of leisure time physical activity and domains of quality of life after electrical stimulation training in persons with spinal cord injury: An exploratory trial.","authors":"Ashraf S Gorgey, Refka E Khalil, David R Dolbow, William Carter, Paul B Perrin","doi":"10.1002/pmrj.13422","DOIUrl":"https://doi.org/10.1002/pmrj.13422","url":null,"abstract":"<p><strong>Background: </strong>An existing association was noted between leisure time physical activity (LTPA) and quality of life (QOL) after spinal cord injury (SCI). Furthermore, electrical stimulation exercise program has been shown to improve domains of QOL. However, the relative causality between indices of LTPA and domains of QOL are not well studied before or after a regimen of electrical stimulation program in persons with SCI.</p><p><strong>Objective: </strong>To examine the relationships between levels of weekly leisure-time physical activity (LTPA) and quality of life (QOL) domains before and after 24 weeks of an electrical stimulation exercise program in persons with spinal cord injury (SCI).</p><p><strong>Design: </strong>Longitudinal exploratory trial as part of a randomized clinical trial.</p><p><strong>Setting: </strong>Veterans Affairs medical center and SCI center.</p><p><strong>Participants: </strong>A convenience sample of 31 participants with chronic SCI were randomized into two groups of 15 and 16, respectively.</p><p><strong>Interventions: </strong>The first group underwent twice weekly sessions of lower extremity neuromuscular electrical stimulation-resistance training (NMES-RT) for 12 weeks and a subsequent 12 weeks of twice-per-week functional electrical stimulation lower extremity cycling. The second group underwent an identical regimen with the exception that NMES-RT was substituted for passive movement training.</p><p><strong>Main outcome measures: </strong>Outcome measures included the QOL Short Form and the LTPA Questionnaire that were conducted at baseline (T1); post intervention one (T2) and post intervention two (T3). A series of cross-lagged panel models was run with Amos Version 29.0 to test relative directional effects of LTPA and QOL on each other over time.</p><p><strong>Results: </strong>After combining both groups, psychological and social QOL tended to have a stronger directional effect on LTPA, but after the intervention the directional effect reversed. Although LTPA had no directional effect on physical health QOL, it became more dominant in the psychological health domain from T2 to T3. The cross-lagged effect from LTPA to psychological health QOL was either larger or demonstrated a more positive effect relative to the cross-lagged effect from psychological health QOL to LTPA.</p><p><strong>Conclusions: </strong>Twenty-four weeks of an electrical stimulation program did not directly enhance indices of LTPA after SCI. However, suggested improvements in psychological and social domains may be due in part to LTPA following an electrical stimulation exercise program.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144601347","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":"Risk of septic arthritis after corticosteroid joint injections: A retrospective propensity score-matched cohort analysis.","authors":"Claire Cooper, Reuben Horace, Richard Wilson","doi":"10.1002/pmrj.13414","DOIUrl":"https://doi.org/10.1002/pmrj.13414","url":null,"abstract":"<p><strong>Background: </strong>Septic arthritis (SA) is a rare but serious complication of corticosteroid joint injections (CSI) that can lead to joint damage and possible mortality. There is limited research defining the true risk of SA following large joint corticosteroid injection.</p><p><strong>Objective: </strong>To determine the absolute and risks difference of SA after large joint corticosteroid injection.</p><p><strong>Design: </strong>A retrospective cohort study of electronic health records identified patients from a multicenter and nationwide database in the United States who had an ambulatory visit with a diagnosis of arthritis. The absolute risk of SA after a large joint corticosteroid injection was calculated, as was the risk difference based on presence or absence of large joint corticosteroid injection. To calculate the risk difference, patients were propensity-score matched (1:1) based on risk factors such as demographics, comorbidities, or nonhealth-related risk factors. The primary outcome was SA diagnosis between 1 and 21 days after the large joint corticosteroid injection. The risk of SA was compared between matched cohorts with 95% confidence intervals (CIs).</p><p><strong>Results: </strong>The absolute risk for SA was found to be 0.0018, whereas the risk difference of SA after major joint corticosteroid injection was 0.0010 and the risk without major joint corticosteroid injection was 0.0017. The risk difference for those with a large joint corticosteroid injection compared to the control group was -0.0007 (95% CI, -0.0009 to -0.0005, p < .0001).</p><p><strong>Conclusion: </strong>Current standard practices related to major joint corticosteroid injection do not increase the risk of SA.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144554208","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":"Transcranial direct current stimulation combined with isokinetic strength training to improve lower limb motor function in chronic stroke survivors: A randomized controlled study.","authors":"Fengming Chu, Ling Gao, Jingjie Zhou, Fan Jia, Jie Chen, Wei Tang, Ming Zhang","doi":"10.1002/pmrj.13429","DOIUrl":"https://doi.org/10.1002/pmrj.13429","url":null,"abstract":"<p><strong>Background: </strong>Lower limb motor dysfunction is a common sequela of stroke. Further research is needed to identify effective rehabilitation methods to improve motor function.</p><p><strong>Objective: </strong>To investigate the therapeutic effects of transcranial direct current stimulation (tDCS) and isokinetic strength training (IST), both individually and in combination, on two primary outcomes: lower limb motor function and lower limb muscle strength in individuals with chronic stroke. Additionally, it also explored the effects on balance, gait, and muscle tone as secondary outcomes.</p><p><strong>Design: </strong>Randomized controlled trial.</p><p><strong>Setting: </strong>Inpatient department of university hospital.</p><p><strong>Participants: </strong>A total of 56 individuals with chronic stroke (aged 35 to 77 years) were selected and randomly divided into four groups: control group (n = 14), tDCS group (n = 14), IST group (n = 13), and combined group (n = 15).</p><p><strong>Intervention: </strong>Two intervention techniques were employed: (1) 20 minutes of 2 mA tDCS, and (2) 20 minutes of IST. In addition, all participants received 80 minutes of standard rehabilitation therapy.</p><p><strong>Outcome measures: </strong>The primary outcomes were peak torque (PT) of knee flexion and extension and the Fugl-Meyer Assessment of Lower Extremity (FMA-LE) score. The secondary outcomes included the Berg Balance Scale, the 10-meter Walk Test, and the Modified Ashworth Scale scores. Data were collected at baseline and 4 weeks after the treatment.</p><p><strong>Results: </strong>After 4 weeks of treatment, the tDCS group showed a significant increase in knee extension PT and FMA-LE scores compared to baseline data by 3.59 (p = .009) and 2.07 (p = .009) respectively. In the IST group, knee flexion, extension PT, and FMA-LE scores were significantly higher than baseline data by 5.67 (p = .001), 7.18 (p < .001), and 3.00 (p = .007), respectively. The combined group showed significant increases in knee flexion, extension PT, and FMA-LE scores compared to baseline data by 10.13 (p < .001), 13.04 (p < .001), and 5.27 (p < .001). The combined group showed significantly superior treatment effects compared to the control group, tDCS group, and IST group.</p><p><strong>Conclusion: </strong>Both tDCS and IST were effective in improving lower limb muscle strength and motor function in individuals with chronic stroke, but the combination of these two techniques was more effective.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144542015","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":"Spanish Translated Abstracts.","authors":"","doi":"10.1002/pmrj.13457","DOIUrl":"https://doi.org/10.1002/pmrj.13457","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":"17 7","pages":"873-880"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592026","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":"Successful ventilator weaning via unilateral phrenic nerve stimulation in a patient with C1 complete tetraplegia.","authors":"Jing Chen, Janet Dean, Kofi Anoh, Philippines Cabahug","doi":"10.1002/pmrj.13327","DOIUrl":"10.1002/pmrj.13327","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"861-864"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143503554","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":"Impact of motor imagery-based brain-computer interface combined with virtual reality on enhancing attention, executive function, and lower-limb function in stroke: A pilot study.","authors":"Chunli Wan, Wenting Zhang, Yao Nie, Yingzhou Qian, Jian Wang, Haifeng Xu, Zhongxuan Li, Bin Su, Yuting Zhang, Yongqiang Li","doi":"10.1002/pmrj.13324","DOIUrl":"10.1002/pmrj.13324","url":null,"abstract":"<p><strong>Background: </strong>Brain-computer interface combined with virtual reality (BCI-VR) can reduce the difficulty of motor imagery execution and improve training performance. Few studies have focused on the effects of BCI-VR on attention, executive function, and lower-limb function in stroke.</p><p><strong>Objective: </strong>To evaluate feasibility and preliminary efficacy of BCI-VR pedaling training on the attention, executive function, and lower-extremity function in people after stroke. It will also provide data support for future research, especially sample size calculations.</p><p><strong>Design: </strong>A single group before-after trial design was used. All participants had a stable level of function over a 2-week period to ensure that their functional recovery was all attributable to BCI-VR training.</p><p><strong>Setting: </strong>The study was conducted in a specialized rehabilitation hospital.</p><p><strong>Participants: </strong>Twelve participants with stroke, a certain level of motor imagery ability, capable of walking 10 meters continuously.</p><p><strong>Interventions: </strong>All participants received a 4-week BCI-VR pedaling training program, 5 days per week, 30 minutes each session.</p><p><strong>Outcome measures: </strong>Primary outcomes are feasibility and safety. Secondary outcomes were lower-extremity mobility, attention, and executive functions.</p><p><strong>Results: </strong>Twelve patients were recruited from inpatient rehabilitation and nine completed the study (six males/three females; 56.6 ± 11.6 years). Recruitment and retention rates were 34% and 75%, respectively. Excellent adherence rate (97.7%) was obtained. No adverse events or equipment issues were reported. Following the intervention, significant improvements were found in the lower-extremity strength, balance, walking stability, attention, and general cognitive function (p < .05). A significant correlation was found between improved Berg balance scale change values and symbol digit modalities test change values (p < .05, r = 0.677).</p><p><strong>Conclusions: </strong>BCI-VR pedaling training provides a depth of feasibility and safety data, methodological detail, and preliminary results. This could provide a useful basis for future studies of BCI-VR pedaling training for stroke rehabilitation.</p><p><strong>Clinicaltrials: </strong>gov registration number: ChiCTR2300071522 (http://www.chictr.org.cn).</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"811-821"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483507","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}