PM&R最新文献

{"title":"Reply to: Anomalous education: You can't bypass electrodiagnostic training in PM&R residency.","authors":"David W Pruitt, Joseph E Burris, Greg M Worsowicz, Carolyn L Kinney","doi":"10.1002/pmrj.13280","DOIUrl":"10.1002/pmrj.13280","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"349-350"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142506489","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":"Faculty diversity trends in physical medicine and rehabilitation by gender, race, and ethnicity in the United States, 1977-2021.","authors":"Jad Lawand, Leena Mazhar, Ali Rauf, Jeffrey Ding, Javed Siddiqi, Sabeen Tiwana, Naznin Virji-Babul, Faisal Khosa","doi":"10.1002/pmrj.13291","DOIUrl":"10.1002/pmrj.13291","url":null,"abstract":"<p><strong>Background: </strong>This study describes the gender and racial/ethnic trends in academic physical medicine and rehabilitation (PM&R) and the shifts that have taken place in more than 4 decades.</p><p><strong>Objective: </strong>To gauge the diversity in gender and race/ethnicity across academic degrees, academic ranks, chair positions, and tenure status in the academic workforce of PM&R.</p><p><strong>Design: </strong>Surveillance study.</p><p><strong>Setting and methods: </strong>The data for academic PM&R faculty were self-reported and obtained from the annual Faculty Roster report of the Association of American Medical Colleges from 1977 to 2021.</p><p><strong>Main outcome measures: </strong>To compare the distribution of academic degree, rank, chair position, and tenure status over time, the percentage composition for each category was calculated for a period of 45 years. The temporal trends were depicted by plotting the counts and proportion changes, and the progress in terms of racial representation was illustrated by graphing the absolute changes in the percentage composition.</p><p><strong>Results: </strong>Despite an overall increase in the representation of women, women remained underrepresented in the full professor rank in 2021, at only 32.1% of full professors. The instructor category was the only category in which the proportion of women faculty was higher in 2021 (62.8%) than in 1977 (58.5%). Asian faculty had the greatest increase in representation at all ranks, with the proportion of Asian full professors increasing from 1.8% to 11.4%, associate professors increasing from 7.4% to 14.4%, and assistant professors increasing from 11.2% to 20.2%. Women's representation as department chairs increased from 12.5% to 23.7% and Asians from 2.5% to 15.3%.</p><p><strong>Conclusion: </strong>Overall, although there was an increase in the number of women and underrepresented minority faculty in academic PM&R over the study period, disparities based on gender and ethnicity/race persisted, particularly in higher academic ranks and leadership positions.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"319-329"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11889525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886086","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":"Autonomic rehabilitation: Vagal and sympathetic impacts of modified occipitomastoid suture V-spread.","authors":"Austin Miller, Daniel Gustin, Jonathan Wilson, Jeffery Johns, James Burch, Thomas Fotopoulos, Rahul Garg, Audrey Vasauskas","doi":"10.1002/pmrj.13268","DOIUrl":"10.1002/pmrj.13268","url":null,"abstract":"<p><strong>Background: </strong>Autonomic rehabilitation using osteopathic manipulative treatment (OMT) to stimulate the vagus nerve may be a good adjunct therapy by physiatrists who treat dysautonomia. Heart rate variability (HRV) may provide quantitative evidence for the benefits of OMT on autonomic nervous system function. Elevated HRV indicates optimal health and reduced mortality risk, whereas low HRV is associated with stress, pain, and chronic disease pathology.</p><p><strong>Objective: </strong>To analyze the impact of modified occipitomastoid suture v-spread OMT technique on vagal tone by measuring HRV.</p><p><strong>Design: </strong>Within-participant design with 5-minute HRV measurement pre- and post-OMT treatment.</p><p><strong>Setting: </strong>Clinical examination suites.</p><p><strong>Participants: </strong>Thirty healthy osteopathic medical students.</p><p><strong>Interventions: </strong>A modified occipitomastoid suture v-spread treating somatic dysfunction by osteopathic physicians trained in osteopathic neuromusculoskeletal medicine.</p><p><strong>Main outcome measures: </strong>HRV variables related to vagal tone including root mean square of successive differences (RMSSD), percentage of successive normal sinus RR intervals >50 ms (pNN50), high frequency (HF), Parasympathetic Nervous System Index (PNSI), and Sympathetic Nervous System Index (SNSI). Repeated measures t-test analyzed the difference in mean HRV values after OMT.</p><p><strong>Results: </strong>There were statistically significant increases in each of the HRV measures after OMT. Participants had a mean (95% confidence interval) RMSSD of 50.5 ms (38.3-62.8) at baseline and 55.0 ms (41.2-68.7, p = .013) post-OMT. pNN50 was 24.5% (17.6-31.3, n = 30) at baseline and 28.2% (20.8-35.6, p = .003) post-OMT. HF was 1549.6 ms² (389.8-2709.4) at baseline and 1901.8 ms² (618.2-3185.4, p = .103) post-OMT. PNSI was -0.1 (-0.5 to 0.2) at baseline and 0.1 (-0.3 to 1.5, p < .01) post-OMT, and SNSI was 0.2 (-0.1 to 0.6) at baseline and 0.05 (-0.3 to 0.4, p < .01) post-OMT. Normalization, due to high baseline variance, results include RMSSD 1.1 ms (1.0 to 1.1, p = .012), pNN50 1.3 (1.1 to 1.4, p = .011), and HF 1.2 ms² (1.1 to 1.4, p = .018).</p><p><strong>Conclusions: </strong>Modified occipitomastoid suture v-spread may provide clinical benefit through increased vagal tone and decreased sympathetic activity.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"300-309"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142506486","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":"Knee joint mechanics during gait after anterior cruciate ligament reconstruction using a partial or full thickness quadriceps tendon autograft at 2 years after surgery.","authors":"Zachary Ripic, Michael Letter, Rosalia Parrino, William Adams, Lee D Kaplan, Michael G Baraga, Thomas M Best, Joseph F Signorile, Moataz Eltoukhy","doi":"10.1002/pmrj.13278","DOIUrl":"10.1002/pmrj.13278","url":null,"abstract":"<p><strong>Background: </strong>Despite quadriceps weakness in individuals after quadriceps tendon anterior cruciate ligament reconstruction (QT-ACLR), and its association with knee joint mechanics, no studies have addressed gait mechanics in both partial-thickness (PT-Q) and full-thickness (FT-Q) options for QT-ACLR.</p><p><strong>Objective: </strong>To assess gait mechanics across a QT-ACLR cohort. We hypothesized that QT-ACLR would show changes in knee joint mechanics compared to control participants (CON) and nonoperated limbs. Additionally, we hypothesized that FT-Q operated limbs would show greater changes compared to PT-Q and CON.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>University-affiliated sports medicine institute.</p><p><strong>Participants: </strong>Sixteen patients who underwent QT-ACLR (7 FT-Q: Age (years) = 28.6 ± 7.3, post-op (months) = 23.5 ± 10.7, 9 PT-Q: Age = 25.2 ± 4.3, post-op = 24.4 ± 11.7) were recruited and compared to 11 CON (age = 23.4 ± 4.8).</p><p><strong>Intervention: </strong>Participants underwent gait testing with force plate integrated motion capture.</p><p><strong>Main outcome measures: </strong>Mixed repeated-measures analyses of covariance, adjusted for gait speed, were used to determine significant main effects or interactions in peak knee flexion angle, sagittal knee range of motion, peak internal knee extension moment (KEM), and peak internal knee flexion moment.</p><p><strong>Results: </strong>When measured an average of 2 years after surgery, no main effect for limb or limb by depth interaction were detected. A significant effect by group was observed for peak KEM (p = .03, η² = .27) and peak knee flexion angle (p = .04, η² = .24) in the loading response phase. FT-Q (p = .02) and PT-Q (p = .03) showed lower KEM compared to the CON group in both limbs. The FT-Q group showed lower peak knee flexion angle compared to the CON group (p = .01).</p><p><strong>Conclusions: </strong>Knee joint symmetry may be recovered 2 years following QT-ACLR, but lower KEM compared to CON for both graft options and lower peak knee flexion angle than CON for the FT-Q group may indicate a need for further investigation in QT-ACLR.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"310-318"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11889528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142644428","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":"Physical medicine and rehabilitation clerkships in medical school: A valuable and integrated addition to the advanced clerkships.","authors":"Leslie Rydberg, Priya Mhatre, Allison Kessler, Elliot Roth","doi":"10.1002/pmrj.13293","DOIUrl":"10.1002/pmrj.13293","url":null,"abstract":"<p><p>The medical specialty of physical medicine and rehabilitation (PM&R) focuses on quality of life, function, ability, and interdisciplinary care. PM&R clerkships are uniquely qualified to teach medical students about rehabilitation and the spectrum of postacute care, medical knowledge, and medical decision making related to health care affecting people with disabilities, health care disparities affecting people with disabilities, and the communication and teamwork strategies to provide a patient-centered approach to optimize function and outcomes. PM&R clerkships can be used to fulfill stakeholder and governing body requirements, such as medical knowledge, rehabilitation, critical judgment, health disparities, ethics, communication, teamwork, and patient-centered medical care, in order to maintain accreditation and provide a high-quality education This review provides both a rationale for a medical student clerkship in PM&R and an effective example of such an experience that has been implemented during medical school training.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"330-336"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710769","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":"https://doi.org/10.1002/pmrj.13327","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-26","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":"Correlation between aspiration of calcific rotator cuff tendinopathy and morphology on imaging.","authors":"Heidi Chen, Jennifer Cheng, Jefferson Tsai, Rachel D Rothman, Joseph Bonanno, Douglas N Mintz, Jonathan S Kirschner, James F Wyss","doi":"10.1002/pmrj.13347","DOIUrl":"https://doi.org/10.1002/pmrj.13347","url":null,"abstract":"<p><strong>Background: </strong>Calcific rotator cuff (RTC) tendinopathy is a self-limited, atraumatic cause of shoulder pain. Ultrasound-guided percutaneous needling and aspiration (USPNA) can be used when other nonoperative treatments fail.</p><p><strong>Objective: </strong>To determine if there is an association between morphology of RTC calcifications on imaging and the ability to aspirate calcifications.</p><p><strong>Design: </strong>Case series.</p><p><strong>Setting: </strong>Tertiary orthopedic institution.</p><p><strong>Patients: </strong>A total of 272 patients who underwent USPNA for symptomatic calcific RTC tendinopathy and had available imaging and clinical data.</p><p><strong>Interventions: </strong>Imaging was categorized using Gärtner-Heyer (x-ray), Farin-Jaroma (ultrasound), and Chiou (ultrasound) morphological classifications.</p><p><strong>Main outcome measures: </strong>Percentages of successful and unsuccessful aspirations were calculated.</p><p><strong>Results: </strong>There were 292 USPNA cases; 170 (58.2%) aspirations were successful. Inter-rater reliability was almost-perfect for Farin-Jaroma and Chiou classifications (kappa: 0.92-1.00; p < .001) and fair-to-moderate for Gärtner-Heyer classifications (kappa: 0.38-0.74; p < .001). When applying the Gärtner-Heyer classification, 92/134 (68.7%) type I, 65/117 (55.6%) type II, and 10/35 (28.6%) type III calcifications were successfully aspirated (p < .001). Six calcifications could not be classified. No statistical difference was appreciated when using Farin-Jaroma (p = .939) or Chiou (p = .524) classifications. The mean calcification size for successful aspirations was significantly larger than that for unsuccessful aspirations (16.7 ± 6.4 mm vs. 13.4 ± 7.5 mm; p < .001), although there was no difference in ability to aspirate single versus multiple calcifications. The regression analysis showed an association between increasing calcification size and greater odds of aspiration success (10% increase; p < .001). Compared with type I Gärtner-Heyer classifications, type II and type III were associated with decreased odds of aspiration success (64% and 91% decreases, respectively; p ≤ .003).</p><p><strong>Conclusions: </strong>Gärtner-Heyer classification was associated with the ability to successfully aspirate calcifications; type I calcifications were most frequently aspirated. Larger calcifications were also more frequently aspirated successfully. These factors may improve patient selection for USPNA. Further studies are needed to explore whether imaging classifications of RTC calcifications are correlated with patient-reported outcomes following USPNA.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143503547","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":"Prevalence of function-limiting late effects in survivors of head and neck cancer.","authors":"Yu Hui Won, Michael D Stubblefield","doi":"10.1002/pmrj.13340","DOIUrl":"https://doi.org/10.1002/pmrj.13340","url":null,"abstract":"<p><strong>Background: </strong>Survivors of head and neck cancer (HNC) are commonly affected by multiple complex and interrelated long-term and late effects that can adversely affect their function and quality of life.</p><p><strong>Objective: </strong>To define the prevalence of neuromuscular, musculoskeletal, visceral, oncologic, and other late effects affecting function and quality of life in survivors of HNC.</p><p><strong>Design: </strong>Retrospective cohort analysis.</p><p><strong>Setting: </strong>Outpatient cancer rehabilitation clinic at a physical medicine and rehabilitation hospital that includes a freestanding inpatient rehabilitation unit along with an outpatient clinic.</p><p><strong>Participants: </strong>One hundred thirty survivors of HNC who sought specialized cancer rehabilitation services to address complex functional impairments.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>Prevalence of neuromuscular, musculoskeletal, visceral, oncologic, and other late effects affecting function and quality of life in survivors of HNC.</p><p><strong>Results: </strong>The majority underwent surgery (53.8%), chemotherapy (22.3%), and radiation therapy (93.8%) as part of their treatment. Neuromuscular complications such as myelopathy (45.4%), radiculoplexopathy (58.5%), mononeuropathy (84.6%), and myopathy (57.7%) were prevalent. Musculoskeletal impairments included dysphagia (92.3%), dysarthria (60.8%), trismus (40.8%), cervical dystonia (47.7%), and shoulder dysfunction (27.7%). Visceral disorders encompassed lymphedema (86.2%), hypothyroidism (26.2%), and baroreceptor failure (19.2%). Additionally, oncologic complications, including recurrence (18.5%), metastasis (5.4%), and secondary malignancies (8.5%) were observed. Pain (74.6%) and fatigue (31.5%) were reported as major function-limiting impairments. Most survivors (96.9%) were referred to therapy including physical therapy (85.4%), occupational therapy (13.1%), speech-language pathology (84.6%), and lymphedema therapy (72.3%). Most (85.4%) required two or more therapy disciplines.</p><p><strong>Conclusion: </strong>Survivors of HNC accessing cancer rehabilitation services commonly present with diverse, complex, and interrelated neuromuscular, musculoskeletal, visceral, and oncologic late effects that can severely affect function and quality of life. Comprehensive rehabilitation should include evaluation and management of these complex and interrelated late effects by a rehabilitation team that includes cancer rehabilitation physicians, physical therapists, occupational therapists, lymphedema therapists, and speech-language pathologists, among others.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143503550","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":"https://doi.org/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":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-24","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}

{"title":"Self-reported sleep disturbances and its determinants in people 1 year or more after stroke: A cross-sectional study.","authors":"Hanna M Nilsson, Maria Kähler, Lina Rosengren, Lars Jacobsson, Jan Lexell","doi":"10.1002/pmrj.13329","DOIUrl":"https://doi.org/10.1002/pmrj.13329","url":null,"abstract":"<p><strong>Background: </strong>Survivors of stroke commonly report sleep disturbances. Studies of sleep disturbances after stroke are mostly performed in the acute phase. An increased knowledge of sleep disturbances and its determinants a longer time after stroke is needed to improve treatment and rehabilitation.</p><p><strong>Objective: </strong>To assess survivors of stroke more than 1 year after stroke onset and (1) investigate self-reported sleep disturbances and (2) explore the association between self-reported sleep disturbances, gender, age, time since stroke, other stroke characteristics, and sociodemographic data.</p><p><strong>Design: </strong>Cross-sectional survey.</p><p><strong>Setting: </strong>Community setting.</p><p><strong>Participants: </strong>Participants (n = 160) in the Life After Stroke In Northern Sweden Study (LASINS) (46% women, mean age 73 years, mean time since stroke 35 months).</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measurements: </strong>Pittsburgh Sleep Quality Index (PSQI), stroke characteristics (time since stroke, first time stroke, type of stroke, location of stroke, stroke treatment and comorbidities) and sociodemographic data (gender, age, marital status, vocational situation, need for home help, and use of mobility devices).</p><p><strong>Results: </strong>A total of 84 participants (53%) rated 6 points or more on the PSQI (mean 6.5 points, SD: ±4.2, min-max 0-18), indicating sleep disturbances. Gender (p = .002) and use of mobility devices (p = .036) explained 9.5% of the variance in PSQI.</p><p><strong>Conclusion: </strong>Survivors of stroke report sleep disturbances even several years after stroke onset. Women and those using mobility devices, indicating less recovery after stroke, report sleep disturbances to a higher degree, regardless of chronological age, time since stroke onset, other stroke characteristics, comorbidities, and sociodemographic data. Further studies with a longitudinal design are needed to gain a comprehensive understanding of how stroke-related factors and other reasons account for poststroke sleep disturbances in order to improve treatment and rehabilitation.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483534","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}