PM&R最新文献

{"title":"Efficacy of mirror neuron system-based therapy for rehabilitation of upper limb orthopedic conditions: A systematic review and meta-analysis.","authors":"Chernkhuan Stonsaovapak, Nantawan Koonalinthip, Wasuwat Kitisomprayoonkul","doi":"10.1002/pmrj.13239","DOIUrl":"10.1002/pmrj.13239","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this systematic review and meta-analysis is to assess the efficacy of mirror neuron system-based therapy for managing pain and improving motor and upper limb function in patients with upper limb orthopedic conditions.</p><p><strong>Literature survey: </strong>Systematic bibliographical searches of the PubMed, SCOPUS, and CENTRAL registries and databases up to September 2023 were conducted to find randomized controlled trials (RCTs) assessing the efficacy of mirror neuron system-based therapy for rehabilitation of upper limb orthopedic conditions.</p><p><strong>Methodology: </strong>Two reviewers assessed the RCTs using a Cochrane risk-of-bias tool and extracted data from studies with similar outcome measures in the domains of pain, motor function, or functional score, which were pooled into meta-analyses.</p><p><strong>Synthesis: </strong>The review included 13 studies to compare the efficacy of mirror neuron system-based therapy with that of conventional rehabilitation programs. The therapy reduced pain intensity (mean difference [MD] 2.04, 95% confidence interval [CI] 1.46-2.63) and kinesiophobia (MD 8.43, 95% CI 6.98 to 9.88), and increased grip strength (MD 1.86, 95% CI 0.28-3.45). The therapy also improved upper limb functional outcomes as assessed by the 30-item Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire score (MD 13.52, 95% CI 10.63-16.41). However, the outcomes as assessed by the 11-item QuickDASH questionnaire and the Shoulder Pain and Disability Index (SPADI) were not superior to conventional rehabilitation.</p><p><strong>Conclusions: </strong>Mirror neuron system-based therapy for rehabilitation of upper limb orthopedic conditions may reduce pain intensity and kinesophobia, and improve grip strength and DASH scores compared with conventional rehabilitation programs. However, this interpretation is limited by the heterogeneity and various quality of the RCTs included in our meta-analysis.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"59-75"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141760570","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":"Self-perceived preparedness for practice among graduating physical medicine & rehabilitation residents.","authors":"Nathan A Wasserman, Laura Y Huang, Diana M Molinares, Timothy Tiu","doi":"10.1002/pmrj.13246","DOIUrl":"10.1002/pmrj.13246","url":null,"abstract":"<p><strong>Background: </strong>There is little research regarding the self-perceived preparedness of residents to enter independent practice after training. Given the vast breadth of physical medicine & rehabilitation (PM&R) and the increasingly complex and wide-ranging responsibilities and roles of physiatrists, this study is necessary to evaluate residents' perspectives of how programs are preparing them in the face of the changing practice environment.</p><p><strong>Objective: </strong>To identify how graduating PM&R residents perceived their training to prepare them for future practice. The researchers assessed perceived preparedness in six domains: (1) evaluation and management of conditions, (2) settings and responsibilities of practice, (3) familiarity with administrative processes, (4) physiatric-specific prescriptions, (5) performing procedures, and (6) interpretation of diagnostic studies.</p><p><strong>Design: </strong>Survey.</p><p><strong>Setting: </strong>Virtual.</p><p><strong>Participants: </strong>Graduating PM&R residents in their final year of training in the United States were invited to complete the survey. Of 415 graduating residents, 54 accessed the survey, and 40 (9.6%) fully completed questions relating to preparation by residency.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measure: </strong>Self-perceived preparedness for practice among graduating residents across 70 subdomains of practice.</p><p><strong>Results: </strong>Mean preparedness was highest in the domain of physiatric prescription (3.45/5), and preparedness for administrative processes was significantly lower than all other domains (mean 2.25/5, p < .001). Across subdomains, the highest preparedness was in performing electromyography (4.48/5). Medical skills rated less than 2.50/5 included interpreting urodynamics (1.93/5), performing osteopathic manipulative therapy (1.57/5), and performing unguided peripheral nerve injections (2.25/5).</p><p><strong>Conclusions: </strong>Ultimately, residency programs should increase administrative training and identify internal strengths and weaknesses by polling their residents.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"24-31"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666693","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":"Departments.","authors":"","doi":"10.1002/pmrj.13338","DOIUrl":"https://doi.org/10.1002/pmrj.13338","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":"17 1","pages":"E1-E9"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984524","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":"2023-2024 Reviewer Thank You.","authors":"","doi":"10.1002/pmrj.13346","DOIUrl":"https://doi.org/10.1002/pmrj.13346","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":"17 1","pages":"117-119"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984553","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":"Letter to the editor regarding \"Hydrodilatation versus corticosteroid injection in treatment for adhesive capsulitis\" by Latzka et al.","authors":"Rick Schneider, Jennifer Cheng, Jo Hannafin, James Wyss","doi":"10.1002/pmrj.13244","DOIUrl":"10.1002/pmrj.13244","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"112-113"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142293739","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":"Latzka and Cali reply.","authors":"Erek Latzka, Malia Cali","doi":"10.1002/pmrj.13302","DOIUrl":"10.1002/pmrj.13302","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"114-115"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142823473","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 importance of language in describing concussions: A qualitative analysis.","authors":"Peter Knowles, Katherine Schneider, Amy K Bugwadia, Piya Sorcar, Roy D Pea, Daniel H Daneshvar, Christine M Baugh","doi":"10.1002/pmrj.13256","DOIUrl":"10.1002/pmrj.13256","url":null,"abstract":"<p><strong>Background: </strong>Concussions are mild traumatic brain injuries that are often undiagnosed due to difficulties in identifying symptoms. To minimize the negative sequelae associated with undiagnosed concussion, efforts have targeted improving concussion reporting. However, knowing more about concussions does not indicate how likely an athlete is to report their concussion. Alternatively, the attitudes and beliefs of athletes and surrounding stakeholders have shown to be a better indication of whether an athlete intends to report their concussion. Prior research has shown that athletes report concussions less often when the injury is described using language that minimizes their severity, such as when it is referred to as a \"ding.\" This study evaluated whether describing concussions using the word \"brain\" was associated with individuals' underlying attitudes and beliefs about the injury's severity.</p><p><strong>Objective: </strong>To measure the relationship between perceived concussion severity and the language used to describe concussions, specifically whether participants used the word \"brain\" in describing the injury.</p><p><strong>Methods: </strong>One-on-one semi-structured telephone interviews were conducted, and a cross sectional secondary qualitative analysis was performed to assess participants' perceived concussion severity and their use of the word \"brain\" to describe concussions.</p><p><strong>Design: </strong>Cross-sectional secondary qualitative analysis.</p><p><strong>Setting: </strong>One-on-one semistructured telephone interviews.</p><p><strong>Participants: </strong>In 2017, 94 individuals involved in high school sports, including athletes, coaches, educators, parents of athletes, and athletic directors were recruited via convenience sampling.</p><p><strong>Main outcome measures: </strong>Respondents' perceived severity of concussions.</p><p><strong>Results: </strong>Individuals who used a brain phrase to describe concussion also perceived concussions as more severe (p < .001). Specifically, those who described concussions with maximum severity had higher odds of using brain phrases than those who described concussions as having minimum (odds ratio [OR] = 0.05, 95% confidence interval [CI] = 0.002-0.299, p < .001) or moderate severity (OR = 0.24, 95% CI = 0.086-0.647, p = .003), with the most significant relationship found among coaches.</p><p><strong>Conclusions: </strong>These findings demonstrate the relationship between medical terminology and perceived severity of concussions. This relationship may play a role in concussion reporting behavior for coaches, athletes, and parents. Education programs using similar medical terminology may promote concussion reporting behaviors.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"6-13"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142073699","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":"Academy News - January 2025 PM&R.","authors":"","doi":"10.1002/pmrj.13337","DOIUrl":"https://doi.org/10.1002/pmrj.13337","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":"17 1","pages":"116"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984461","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":"Autonomic dysreflexia with relative tachycardia: Potential physiologic pathways for this head scratching clinical finding.","authors":"Ryan Solinsky, Wolfgang Singer","doi":"10.1002/pmrj.13247","DOIUrl":"10.1002/pmrj.13247","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"54-58"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11735299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141913735","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":"Medical schools producing the most physical medicine and rehabilitation residents: An analysis of matriculating residents from 2017 to 2021.","authors":"Devon T Shannon, Paige M Chase, Bailey W Frei, Trevor Anesi, Aaron J Yang","doi":"10.1002/pmrj.13216","DOIUrl":"10.1002/pmrj.13216","url":null,"abstract":"<p><strong>Background: </strong>Residency choice is often influenced by experiences in medical school. It is unclear what potential factors contribute to medical schools producing higher numbers of physical medicine & rehabilitation (PM&R) residents.</p><p><strong>Objective: </strong>To identify the medical schools producing the most PM&R residents from 2017 to 2021 and potential influencing factors toward this production.</p><p><strong>Design: </strong>Descriptive, cross-sectional study.</p><p><strong>Setting: </strong>Accreditation Council for Graduate Medical Education accredited PM&R programs; allopathic/osteopathic/international medical schools.</p><p><strong>Interventions: </strong>REDCap Survey.</p><p><strong>Participants: </strong>Representatives from medical schools producing the most PM&R residents.</p><p><strong>Methods: </strong>The medical schools that produced the most PM&R residents from 2017 to 2021 were identified using publicly available information on the internet. A subgroup of the highest producing schools were surveyed to determine potential factors that contributed to production of PM&R residents.</p><p><strong>Main outcome measure: </strong>Medical schools with the highest number of matriculated PM&R residents from 2017 to 2021; potential factors influencing matriculating PM&R residents.</p><p><strong>Results: </strong>The medical school that produced the most PM&R residents from 2017 to 2021 was New York Institute of Technology College of Osteopathic Medicine. Nine of the 11 medical schools producing the most PM&R residents were osteopathic. Of osteopathic graduates applying to residency, 2.87% matriculated into PM&R residencies compared to 1.21% of allopathic graduates (p < .001), though a greater number of allopathic graduates overall were represented. Among survey respondents 93.3% (14/15) attributed exposure to PM&R faculty/residents and exposure to PM&R through medical school curriculum as perceived factors contributing to production of PM&R residents.</p><p><strong>Conclusion: </strong>Osteopathic medical schools accounted for most of the schools producing the highest number of PM&R residents. A statistically significant higher percentage of osteopathic graduates were found to pursue PM&R as a career compared to allopathic counterparts although the total number of students entering PM&R was greater from allopathic schools. Potential factors contributing to medical students pursuing PM&R included faculty/resident involvement with medical students, and PM&R exposure through curriculum or interest groups.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"14-23"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11733863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634325","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}