PM&R最新文献

{"title":"A goal-directed rehabilitation protocol for people with transfemoral amputation receiving osseointegration prostheses.","authors":"Kristin Reeves, Shuyang Han, Matthew Cao, David B Doherty, Lauren Haney, Felix K Mintah, Vinay P Vanodia","doi":"10.1002/pmrj.13385","DOIUrl":"https://doi.org/10.1002/pmrj.13385","url":null,"abstract":"<p><strong>Background: </strong>Osseointegration (OI) has become an increasingly popular option for people with amputations around the world. However, limited information is available regarding the rehabilitation protocols before and after OI surgery, particularly for the civilian population who face several constraints.</p><p><strong>Objective: </strong>To evaluate the effectiveness of a civilian-focused, goal-directed rehabilitation protocol for patients with transfemoral amputation receiving a screw-type OI prosthesis to optimize functional outcomes.</p><p><strong>Design: </strong>A retrospective cohort study of patients with transfemoral amputation who received OI surgery.</p><p><strong>Setting: </strong>A national rehabilitation innovation center.</p><p><strong>Patients: </strong>Ten patients treated by the same orthopedic surgeon using the Osseoanchored Prostheses for the Rehabilitation of Amputees (OPRA) system were included in this study.</p><p><strong>Methods: </strong>Prehabilitation and rehabilitation protocols for the civilian population were developed, which outlined week-by-week, progressive rehabilitation goals before and longitudinally after the OI surgery. After Stage 2 of the surgery, patient outcome was evaluated using outcome measures at 6 months and 1 year.</p><p><strong>Results: </strong>On average, the number of rehabilitation sessions received by the patients was 15.9 ± 4.5 at 6 months, which increased to 26.7 ± 10.2 at 1 year. There were significant improvements in the Amputee Mobility Predictor (37.9 ± 5.0 vs. 38.9 ± 4.8, p = .003), 6-Minute Walk Test (225.3 ± 118.5 vs. 264.0 ±143.3 m, p = .02), and 10 M fast walk (11.9 ± 3.5 vs. 9.3 ± 2.4 seconds, p = .03). The 10-M self-paced walk test reduced from 19.5 ± 9.9 seconds at 6 months to 12.1 ± 4.7 seconds at 1 year, although the difference was insignificant (p = .20). At the conclusion of the study, all patients were walking post OI surgery.</p><p><strong>Conclusions: </strong>Given the constraints faced by civilians with transfemoral amputation, we proposed a rehabilitation protocol for the population who received OI prostheses. Critical clinical milestones were presented to guide rehabilitation progression. Initial results showed improvements in certain outcome measures between 6 months and 12 months following Stage 2 surgery. However, long-term randomized control studies are needed to further validate its efficacy.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016800","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":"Factors influencing active participation in cardiac rehabilitation among patients with cardiovascular disease: A nationwide cohort study.","authors":"Chul Kim, Jung Hwa Hong, Jang Woo Lee","doi":"10.1002/pmrj.13392","DOIUrl":"https://doi.org/10.1002/pmrj.13392","url":null,"abstract":"<p><strong>Background: </strong>Cardiac rehabilitation (CR) is a well-established program for improving exercise capacity, quality of life, and long-term outcomes in patients with cardiovascular disease (CVD). Despite its proven benefits, CR participation rates remain low in many countries. Identifying the barriers to CR participation is crucial for developing effective strategies to enhance patient engagement in these programs.</p><p><strong>Objective: </strong>To analyze the barriers to CR participation among patients with CVD. To analyze the barriers to cardiac rehabilitation (CR) participation among patients with cardiovascular disease (CVD).</p><p><strong>Design: </strong>A nationwide cohort study using data from the Korean National Health Insurance Database.</p><p><strong>Setting: </strong>South Korea.</p><p><strong>Patients: </strong>In 2019, patients who received coronary revascularization at hospitals operating CR program.</p><p><strong>Interventions: </strong>Comparison of the demographic, socioeconomic, and medical status between patients who actively participated in CR and those who did not.</p><p><strong>Main outcome measures: </strong>The analysis considered potential influencing factors such as gender, age, residence area, income level, disability status, medical comorbidities, accompanying disease, cigarette smoking, alcohol consumption, physical activity levels, and obesity.</p><p><strong>Results: </strong>The CR participation rate was low among women, older adults, rural residents, and low-income families. In addition, the participation rate was low when there was a disability or medical comorbidity, such as hypertension, diabetes, and musculoskeletal disorders. CR participation rate was also low in patients who experienced CVD recurrence within 10 years.</p><p><strong>Conclusion: </strong>CR participation is affected by medical comorbidities, in addition to gender, age, income level, and residence. In particular, participation rate is lower in patients with a high risk of CVD recurrence due to medical comorbidities.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035497","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":"Developing an intensive aerobic exercise program after stroke: A pilot study.","authors":"Brian Schibler, Michael Spinner, Imama A Naqvi, Joel Stein, Scott Barbuto","doi":"10.1002/pmrj.13374","DOIUrl":"https://doi.org/10.1002/pmrj.13374","url":null,"abstract":"<p><strong>Background: </strong>Stroke is a major cause of disability. Exercise is associated with reduced stroke recurrence and improved function. Most interventions have focused on supervised training in clinical settings rather than unsupervised home exercise.</p><p><strong>Objective: </strong>To determine the feasibility of conducting a randomized trial comparing unsupervised, high-intensity home aerobic training to a waitlist control group in survivors of stroke.</p><p><strong>Design: </strong>Assessor blinded randomized controlled pilot study.</p><p><strong>Setting: </strong>Assessments in medical center, home training.</p><p><strong>Participants: </strong>Twenty-three participants who sustained a mild-moderate stroke (National Institutes of Health Stroke Scale score <15) at least 3 months prior were randomized to home aerobic training or waitlist control.</p><p><strong>Intervention: </strong>Aerobic training consisted of 8 weeks of stationary bicycle training, five times per week for 30 minutes with heart rate-guided intensity. Control group maintained their normal activities.</p><p><strong>Outcome measures: </strong>Adherence and retention were the primary focus of this evaluation. Secondary outcomes (aerobic capacity VO₂max, gait, balance, and functional tests) were included for initial efficacy.</p><p><strong>Results: </strong>Of the 23 participants, only 15 were retained in the study. Dropouts were predominantly in the waitlist control group (3/13 in aerobic group, 5/10 in control group). No serious adverse events occurred. Self-efficacy and adherence to training duration and frequency was high, but only 50% achieved exercise intensity goals. Training benefits were modest with a VO₂max increase of 1.7 mL/kg/min in the intervention group. The only statistical improvement in outcomes was with box and block testing, likely due to baseline intergroup differences.</p><p><strong>Conclusions: </strong>Before conducting a larger trial, challenges with home aerobic training in the stroke population must be addressed. Despite high exercise self-efficacy, there was high attrition, particularly in the waitlist control group. Future study design should implement an active control. Benefits were limited, likely due to low training intensity, and efforts should be made to improve quality of unsupervised training, such as providing motivational coaching and wearable exercise trackers.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027753","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":"Advancements in large language model accuracy for answering physical medicine and rehabilitation board review questions.","authors":"Jason Bitterman, Alexander D'Angelo, Alexandra Holachek, James E Eubanks","doi":"10.1002/pmrj.13386","DOIUrl":"https://doi.org/10.1002/pmrj.13386","url":null,"abstract":"<p><strong>Background: </strong>There have been significant advances in machine learning and artificial intelligence technology over the past few years, leading to the release of large language models (LLMs) such as ChatGPT. There are many potential applications for LLMs in health care, but it is critical to first determine how accurate LLMs are before putting them into practice. No studies have evaluated the accuracy and precision of LLMs in responding to questions related to the field of physical medicine and rehabilitation (PM&R).</p><p><strong>Objective: </strong>To determine the accuracy and precision of two OpenAI LLMs (GPT-3.5, released in November 2022, and GPT-4o, released in May 2024) in answering questions related to PM&R knowledge.</p><p><strong>Design: </strong>Cross-sectional study. Both LLMs were tested on the same 744 PM&R knowledge questions that covered all aspects of the field (general rehabilitation, stroke, traumatic brain injury, spinal cord injury, musculoskeletal medicine, pain medicine, electrodiagnostic medicine, pediatric rehabilitation, prosthetics and orthotics, rheumatology, and pharmacology). Each LLM was tested three times on the same question set to assess for precision.</p><p><strong>Setting: </strong>N/A.</p><p><strong>Patients: </strong>N/A.</p><p><strong>Interventions: </strong>N/A.</p><p><strong>Main outcome measure: </strong>Percentage of correctly answered questions.</p><p><strong>Results: </strong>For three runs of the 744-question set, GPT-3.5 answered 56.3%, 56.5%, and 56.9% of the questions correctly. For three runs of the same question set, GPT-4o answered 83.6%, 84%, and 84.1% of the questions correctly. GPT-4o outperformed GPT-3.5 in all subcategories of PM&R questions.</p><p><strong>Conclusions: </strong>LLM technology is rapidly advancing, with the more recent GPT-4o model performing much better on PM&R knowledge questions compared to GPT-3.5. There is potential for LLMs in augmenting clinical practice, medical training, and patient education. However, the technology has limitations and physicians should remain cautious in using it in practice at this time.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008745","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":"Correlating autonomic physiology with symptoms of autonomic dysreflexia after spinal cord injury.","authors":"Jennifer Dens Higano, Kathryn Burns, Geoffrey Smith, Ryan Solinsky","doi":"10.1002/pmrj.13295","DOIUrl":"10.1002/pmrj.13295","url":null,"abstract":"<p><strong>Background: </strong>Individuals with spinal cord injury (SCI) commonly have autonomic dysreflexia (AD) with increased sympathetic activity. After SCI, individuals have decreased baroreflex sensitivity and increased vascular responsiveness.</p><p><strong>Objective: </strong>To evaluate the relationship between baroreflex and blood vessel sensitivity with AD symptoms.</p><p><strong>Design: </strong>Case control.</p><p><strong>Setting: </strong>Tertiary academic center.</p><p><strong>Patients: </strong>14 individuals with SCI, 17 matched uninjured controls.</p><p><strong>Interventions: </strong>All participants quantified AD symptoms using the Autonomic Dysfunction Following SCI (ADFSCI)-AD survey. Participants received three intravenous phenylephrine boluses, reproducibly increasing systolic blood pressure (SBP) 15-40 mmHg. Continuous heart rate (R-R interval, ECG), beat-to-beat blood pressures (Finapres), and popliteal artery flow velocity were recorded. Vascular responsiveness (α1 adrenoreceptor sensitivity) and heart rate responsiveness to increased SBP (baroreflex sensitivity) were calculated.</p><p><strong>Main outcome measures: </strong>Baroreflex sensitivity after increased SBP; Vascular responsiveness through quantified mean arterial pressure (MAP) 2-minute area under the curve and change in vascular resistance.</p><p><strong>Results: </strong>SCI and control cohorts were well matched with mean age 31.9 and 29.6 years (p = .41); 21.4% and 17.6% female, respectively. Baseline MAP (p = .83) and R-R interval (p = .39) were similar. ADFSCI-AD scores were higher following SCI (27.9 ± 22.9 vs. 4.2 ± 2.9 in controls, p = .002). To quantify SBP response, MAP area under the curve was normalized to dose/body weight. Individuals with SCI had significantly larger responses (0.26 ± 0.19 mmHg*s/kg*μg) than controls (0.06 ± 0.06 mmHg*s/kg*μg, p = .002). Similarly, leg vascular resistance increased after SCI (24% vs. 6% to a normalized dose, p = .007). Baroreflex sensitivity was significantly lower after SCI (15.0 ± 8.3 vs. 23.7 ± 9.3 ms/mmHg, p = .01). ADFSCI-AD subscore had no meaningful correlation with vascular responsiveness (R² = 0.008) or baroreflex sensitivity (R² = 0.092) after SCI.</p><p><strong>Conclusions: </strong>Although this confirms smaller previous studies suggesting increased α1 adrenoreceptor sensitivity and lower baroreflex sensitivity in individuals with SCI, contrary to our hypothesis these differences lacked correlation to increased symptoms of AD. Further research into physiologic mechanisms is needed to explain why some individuals with SCI develop symptoms.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"478-484"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010271","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":"Multicomponent telerehabilitation program for veterans with multimorbidity: A randomized controlled feasibility study.","authors":"Michelle R Rauzi, Lauren M Abbate, Laura Churchill, Alexander J Garbin, Jeri E Forster, Cory L Christiansen, Jennifer E Stevens-Lapsley","doi":"10.1002/pmrj.13299","DOIUrl":"10.1002/pmrj.13299","url":null,"abstract":"<p><strong>Background: </strong>Older veterans with multimorbidity experience physical and social vulnerabilities that complicate receipt of and adherence to physical rehabilitation services. Thus, traditional physical rehabilitation programs are insufficient to address this population's heterogenous clinical presentation.</p><p><strong>Objective: </strong>To evaluate the feasibility and acceptability of a MultiComponent TeleRehabilitation (MCTR) program for older veterans with multimorbidity.</p><p><strong>Design: </strong>Randomized controlled cross-over feasibility study.</p><p><strong>Setting: </strong>Telehealth from Veterans Affairs Medical Center to participants' homes.</p><p><strong>Participants: </strong>Fifty U.S. military veterans, age ≥60 years (mean ± SD; 69.2 ± 6.7) with ≥3 comorbidities (6.0 ± 1.9), and impaired physical function were randomized and allocated equally to two groups.</p><p><strong>Intervention: </strong>The MCTR program consisted of high-intensity rehabilitation, coaching, social support, and technologies. Physical therapists delivered 12 individual and 20 group telerehabilitation sessions/participant. Participants in the education group started the MCTR program after 12 weeks.</p><p><strong>Main outcome measures: </strong>The primary outcome was combined adherence (>75% of participants attending ≥80% sessions). Acceptability was measured by the Acceptability of Intervention Measure. Secondary outcomes included safety, participant surveys, and physical function. Patient-level outcomes were collected at baseline, 12 (primary time point), and 24 weeks.</p><p><strong>Results: </strong>Of 50 participants, 39 adhered to total session attendance (0.78 [95% confidence interval: 0.64-0.88], p = .76), 45 adhered to individual sessions (0.90 [95% confidence interval: 0.78-0.97], p = .01), and 48 rated the program as acceptable (0.96 [95% confidence interval: 0.85-0.99], p < .001). Thirty-five participants reported 78 safety events, and 12 (15%) had some degree of relatedness to the protocol. Most patient-level outcomes were similar between groups at 12-weeks.</p><p><strong>Conclusions: </strong>The MCTR program was feasible based on high adherence to individual sessions and high acceptability. Adherence results were consistent with previous exercise studies in older adults. Most in-session safety events were related to underlying medical conditions and consistent with in-person physical rehabilitation safety events. These results can inform use of telerehabilitation for similar populations.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"548-562"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142953847","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":"Differences in content of care and outcomes between a clinical practice guideline adherent program and usual care for patellofemoral pain: A retrospective pilot study.","authors":"Shawn Farrokhi, Sara Gorczynski, Emma Beisheim-Ryan, Sara R Piva, Daniel I Rhon, Richard W Willy, Marisa Pontillo","doi":"10.1002/pmrj.13298","DOIUrl":"10.1002/pmrj.13298","url":null,"abstract":"<p><strong>Background: </strong>Patellofemoral pain (PFP) is a common knee condition in young and active individuals that is managed with highly variable treatment strategies.</p><p><strong>Objective: </strong>To determine whether the length, number of visits, and content of physical therapy care for patients with PFP differ between a Clinical Practice Guidelines (CPG) adherent program and usual care. Additionally, the percentage of patients reporting clinically important improvements in patient-reported outcomes in each group was evaluated as an exploratory aim.</p><p><strong>Design: </strong>Retrospective analysis of clinical data.</p><p><strong>Setting: </strong>Military outpatient physical therapy clinics.</p><p><strong>Patients: </strong>Thirty-two patients who received CPG-adherent care and 46 patients who received usual care.</p><p><strong>Interventions: </strong>Patients in the CPG-adherent group were classified into overuse/overload, movement coordination deficits, muscle performance deficits, or mobility impairments subcategories based on CPG-recommended examination procedures and received the CPG-recommended interventions. Patients in the usual care group received interventions based on clinical expertise and organizational practice standards.</p><p><strong>Main outcomes measures: </strong>Length of care, number of visits, and intervention content were used as primary outcomes. The Anterior Knee Pain Scale (AKPS), Defense and Veterans Pain Rating Scale (DVPRS), and Global Rating of Change (GROC) scores were used as secondary outcomes. These scores were extracted from routinely collected health data available in medical records; as a result, not all patients completed these outcomes during the follow-up time points because they were optional.</p><p><strong>Results: </strong>The number of physical therapy visits and percentage of patients receiving knee-targeted exercises, soft tissue mobility interventions, neuromuscular reeducation, patient education, patellar taping, and foot orthoses were greater in the CPG-adherent group compared to usual care (p < .05). Additionally, most patients in the CPG-adherent group reported clinically meaningful improvements in secondary outcomes: AKPS (1 month: 13/23; 3 months: 11/16), DVPRS (1 month: 11/20; 3 months: 8/14), and GROC (1 month: 14/22; 3 months: 11/16). In contrast, fewer than half of the patients in the usual care group reached clinically meaningful thresholds: AKPS (1 month: 1/17; 3 months: 3/8), DVPRS (1 month: 3/15; 3 months: 3/7), and GROC (1 month: 2/12; 3 months: 2/7).</p><p><strong>Conclusion: </strong>The content of the CPG-adherent care was significantly different versus usual care and associated with meaningful changes in outcomes. Several CPG-recommended interventions appeared to be underused in usual care, underscoring the value of further CPG adoption.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"485-495"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142922618","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 - May 2025 PM&R.","authors":"","doi":"10.1002/pmrj.13425","DOIUrl":"https://doi.org/10.1002/pmrj.13425","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":"17 5","pages":"587-588"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975831","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":"Effects of mirror therapy on motor and functional recovery of the upper extremity in subacute stroke: Systematic review and meta-analysis.","authors":"Yuan-Lun Hsieh, Tzu-Ying Yang, Zi-You Peng, Ray-Yau Wang, Hui-Ting Shih, Yea-Ru Yang","doi":"10.1002/pmrj.13316","DOIUrl":"10.1002/pmrj.13316","url":null,"abstract":"<p><strong>Objective: </strong>To review and synthesize existing evidence on the effect of mirror therapy (MT) on motor and functional recovery and the effect of unimanual and bimanual MT in individuals with subacute stroke.</p><p><strong>Methodology: </strong>PubMed, Physiotherapy Evidence Database, Cochrane, and Airiti Library were searched for relevant studies. Randomized and pilot randomized controlled trials comparing MT with sham MT or conventional therapy were included. Three researchers independently reviewed eligible studies for study design, participants' characteristics, intervention, and outcome measures and assessed study quality. The Physiotherapy Evidence Database scale was used to evaluate the methodological quality of included studies, and the Cochrane Risk of Bias Tool was used to assess the risk of bias.</p><p><strong>Synthesis: </strong>Fifteen studies with 546 participants were included. An overall effect of MT was found for motor impairment (effect size [95% confidence interval]: 0.473 [0.274-0.673], p < .001), motor function (0.266 [0.059-0.474], p = .012), and activities of daily living (ADL) (0.461 [0.25-0.671], p < .001), compared with controls. There was a significant difference in motor impairment (0.39 [0.134-0.647], p = .003), motor function (0.298 [0.003-0.593], p = .048), and ADL (0.461 [0.157-0.766], p = .003) in favor of bimanual MT compared with controls. No significant effect was found for unimanual MT.</p><p><strong>Conclusion: </strong>MT, specifically bimanual MT, is an effective intervention for improving motor recovery, motor function, and ADL in individuals with subacute stroke, whereas unimanual MT does not show significant benefits in these areas.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"567-581"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143033854","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":"Neuromuscular ultrasound in delayed sciatic neuropathy following hamstring tear.","authors":"Jasmina Solankee, Srivats Srinivasan, Russell Payne, Haibi Cai","doi":"10.1002/pmrj.13294","DOIUrl":"10.1002/pmrj.13294","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"582-584"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142780880","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}