PM&R最新文献

{"title":"Electrophysiologically negative ultrasonographically positive sural nerve entrapment.","authors":"Büşra Çulha, Hilmi Berkan Abacıoğlu, Murat Kara, Levent Özçakar","doi":"10.1002/pmrj.70018","DOIUrl":"https://doi.org/10.1002/pmrj.70018","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144965998","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":"Identifying malaligned knee screw during ultrasound examination.","authors":"Pelin Türkekul, Jakub Jačisko, Filip Jevič, Alena Kobesova, Levent Özçakar","doi":"10.1002/pmrj.13344","DOIUrl":"10.1002/pmrj.13344","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"1120-1121"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12434212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415033","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":"Effects of intermittent pneumatic compression on delayed onset muscle soreness and recovery of muscular fatigue.","authors":"Zhongke Gu, Jiansong Dai, Kai Xu, Gangrui Chen, Xuchen Yang, Ying Shen, Zhifei Yin, Sisi Huang","doi":"10.1002/pmrj.13377","DOIUrl":"10.1002/pmrj.13377","url":null,"abstract":"<p><strong>Background: </strong>Delayed-onset muscle soreness (DOMS) is a prominent factor that contributes to the decline in athletic performance. However, there is an ongoing debate regarding the efficacy of intermittent pneumatic compression (IPC) in preventing or treating exercise-induced muscle injuries such as DOMS.</p><p><strong>Objective: </strong>To characterize the therapeutic effect of IPC on DOMS induced by plyometric exercise.</p><p><strong>Design: </strong>Randomized controlled trial.</p><p><strong>Setting: </strong>Department of Sport and Health Sciences, Nanjing Sport Institute.</p><p><strong>Participants: </strong>Twenty healthy untrained male college students.</p><p><strong>Intervention: </strong>Participants were randomized into an IPC group (n = 10) and a control group (n = 10). DOMS was induced by performing lower limb plyometric exercises. After exercise, the IPC group was treated for 15 minutes with the same built-in protocol of the IPC device immediately and 24, 48, and 72 hours after exercise. Muscle soreness and condition were measured 1 hour before, immediately after, and at intervals of time following exercise: 24, 48, 72, and 96 hours.</p><p><strong>Main outcome measures: </strong>Muscle soreness was measured using the visual analog scale (VAS) and muscle condition was measured using tensiomyography.</p><p><strong>Results: </strong>Compared to control conditions, participants in the IPC group demonstrated significantly improved recovery in muscle soreness (VAS), maximal radial displacement (Dm) and contraction time (Tc) in single muscle contractions of lower limb muscle performance. Compared to the control group, the IPC group showed significant differences in VAS, Dm, and Tc (all p < .05 at 48  and 72 hours post exercise), and sustain time (Ts) (p < .05, 72 hours after exercise). Moreover, 48 hours after exercise, the VAS score was strongly negatively correlated with Dm and positively correlated with Tc, delay time, relaxation time, and Ts.</p><p><strong>Conclusions: </strong>IPC may mitigate exercise-induced DOMS following plyometric exercise. These findings suggest that the peak therapeutic effects appear 48-72 hours after exercise.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"1080-1090"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649981","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":"Clinical impact of a poststroke depression screening program.","authors":"Lai Gwen Chan, Matthew Hok Shan Ng, Olivia Harmony Chan, Juan Lih Eu, Ram Bajpai","doi":"10.1002/pmrj.13372","DOIUrl":"10.1002/pmrj.13372","url":null,"abstract":"<p><strong>Background: </strong>The potential clinical impact of routine proactive detection and early intervention for poststroke depression (PSD) is currently unknown, despite broad evidence of the adverse impact of PSD on stroke outcomes.</p><p><strong>Objective: </strong>To measure the impact of a clinical service for routine poststroke depression (PSD) screening and intervention (Effective Mood Management After Stroke [EMMAS]) on the long-term outcomes of survivors of stroke.</p><p><strong>Design: </strong>Cross-sectional case-control comparison of propensity-score matched samples of patients with stroke.</p><p><strong>Setting: </strong>Tertiary hospital inpatient rehabilitation setting.</p><p><strong>Patients: </strong>A sample of patients with a diagnosis of stroke from preimplementation and a sample from postimplementation of EMMAS.</p><p><strong>Outcome measure: </strong>Poor long-term outcome was defined as a composite of death, institutionalization, requiring a full-time caregiver, or screening positive for depression at >5 years after stroke.</p><p><strong>Results: </strong>Matched samples (n=115) were identified and matched on demographics and stroke characteristics including severity. In the fully adjusted logistic regression for poor outcomes, patients from the EMMAS program were found to have a significantly lower odds of developing poor outcomes in the long term (odds ratio [OR], 0.37 [95% CI, 0.203-0.654], p < .001).</p><p><strong>Conclusion: </strong>Routine in-hospital screening and early intervention for PSD has the potential to improve long-term outcomes of survivors of stroke regardless of PSD diagnosis. All patients with stroke can potentially benefit from such an integrated model of care. Further cost-effectiveness analyses are required.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"1034-1041"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995016","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 - September 2025 PM&R.","authors":"","doi":"10.1002/pmrj.70035","DOIUrl":"https://doi.org/10.1002/pmrj.70035","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":"17 9","pages":"1124-1125"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065230","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 kilohertz versus low-frequency electrical stimulation of the wrist extensors in patients after stroke: A randomized crossover trial.","authors":"Sarah Tenberg, Jonas Weinig, Daniel Niederer, Lutz Vogt, Markus Leisse, Steffen Müller","doi":"10.1002/pmrj.13368","DOIUrl":"10.1002/pmrj.13368","url":null,"abstract":"<p><strong>Background: </strong>Electrical stimulation is an effective treatment method for improving motor function after stroke, but the optimal current type for patients with stroke and arm paresis remains unclear.</p><p><strong>Objective: </strong>To compare the effects of kilohertz frequency with low-frequency current on stimulation efficiency, electrically induced force, discomfort, and muscle fatigue in patients with stroke.</p><p><strong>Design: </strong>A randomized crossover study.</p><p><strong>Setting: </strong>Neurological inpatient rehabilitation clinic in Germany.</p><p><strong>Participants: </strong>A total of 23 patients with arm paresis after stroke within the last 6 months were recruited, 21 were enrolled, and 20 completed the study (7 females; mean ± SD: 66 ± 12 years; 176 ± 11 cm; 90 ± 19 kg; 57 ± 34 days since stroke).</p><p><strong>Intervention: </strong>All patients underwent both kilohertz and low-frequency stimulation in a randomized order on 2 days (48-hour washout). Each day included a step protocol with a gradual increase in stimulation intensity, starting at the first measurable force (up to 12 steps, 1 mA increments, 8 seconds stimulation, 60 second rest) and a fatigue protocol (30 repetitions, 8 second stimulation, 3 second rest).</p><p><strong>Main outcome measure: </strong>Primary outcome was stimulation efficiency (electrically induced force/stimulation intensity) [N/mA], measured during each step of the stepwise increase in current intensity protocol.</p><p><strong>Results: </strong>Linear-mixed-effects models showed significantly higher stimulation efficiency for low-frequency stimulation (mean difference 0.14 [95% confidence interval, 0.01-0.27 N/mA], p = .031). However, current type did not significantly affect electrically induced force, level of discomfort, or muscle fatigue (p > .05).</p><p><strong>Conclusion: </strong>The findings suggest that low-frequency stimulation is more efficient than kilohertz-frequency stimulation. However, both current types yield similar effects on force, discomfort, and fatigue, making them both viable options for wrist extensor stimulation in patients after stroke. Considering the variability among individuals, customizing the current type based on electrically induced force and perceived discomfort may enhance therapeutic outcomes. Further research on the long-term treatment effects of both current types is warranted.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"1055-1068"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12434222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008882","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":"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":"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":"1026-1033"},"PeriodicalIF":2.8,"publicationDate":"2025-09-01","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":"Association of body mass index and pressure injuries in persons with traumatic spinal cord injury.","authors":"Alvin Wang, Yu-Ying Chen, Huacong Wen, John Scott Richards","doi":"10.1002/pmrj.70009","DOIUrl":"https://doi.org/10.1002/pmrj.70009","url":null,"abstract":"<p><strong>Background: </strong>There are conflicting findings in the literature about the association of body mass index (BMI) and pressure injury (PI) development in the population with traumatic spinal cord injury (SCI). It is important to investigate the relationship between BMI and risk of PI in persons with SCI because chronic PIs are associated with decreased participation in daily and community activities as well as the greatest average decline in life expectancy compared to other secondary health conditions.</p><p><strong>Objective: </strong>To determine the relationship between BMI (kg/m²) and self-reported PI in the traumatic SCI population.</p><p><strong>Design: </strong>Cross-sectional survey across 18 SCI Model Systems in the United States.</p><p><strong>Setting: </strong>Institutional.</p><p><strong>Participants: </strong>2218 participants enrolled in the National SCI Model Systems Database age ≥20 years were divided into 8 BMI groups (<18.5, 18.5-19.9, 20-22.49, 22.5-24.9, 25-27.49, 27.5-29.9, 30-34.49, and ≥35 kg/m²).</p><p><strong>Interventions: </strong>Not applicable MAIN OUTCOME MEASURE: The percentage of individuals reporting ≥1 PI with broken skin over the last 12 months.</p><p><strong>Results: </strong>The prevalence for underweight (<18.5 kg/m²), normal (20-22.49 kg/m²), and severe high BMI (≥35 kg/m²) was 6.6%, 15.1%, and 10.2%, respectively. Overall, 29.8% of the sample experienced a PI within the 12 months prior to the interview. Individuals who were underweight had a higher rate of PI (43.2%) when compared to those in the normal range (31.7%) and severe high BMI (29.2%; p = .02). In subgroup analyses, this was significant in the groups who were 1-5 years since injury (41.2% underweight vs. 29.1% normal; p = .04), age 40-64 (57.5% underweight vs. 33.8% normal; p = .01) and male (48.4% underweight vs. 33.6% normal; p = .01).</p><p><strong>Conclusion: </strong>Our study highlights the need for resources dedicated to PI prevention and surveillance in underweight individuals with SCI.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966100","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":"Complications, health care utilization, and costs in dual diagnosis of traumatic spinal cord injury and traumatic brain injury compared to traumatic spinal cord injury alone.","authors":"Elsa Alvarez-Madrid, Julian Marcet, McKenna Hamm, Axler Jean Paul, Kelly E Gartner, Darryl Kaelin, Beatrice Ugiliweneza, Camilo Castillo","doi":"10.1002/pmrj.13447","DOIUrl":"https://doi.org/10.1002/pmrj.13447","url":null,"abstract":"<p><strong>Background: </strong>Traumatic spinal cord injury (TSCI) and traumatic brain injury (TBI) present their own health challenges and socioeconomic impact. Individuals with dual diagnosis (DD) of the two traumas may have different impacts on outcomes, health care utilization, and costs.</p><p><strong>Objective: </strong>To evaluate the outcomes of DD compared to isolated TSCI at initial acute hospital stay and 12 months after discharge across TSCI level and completeness.</p><p><strong>Design: </strong>Observational longitudinal study.</p><p><strong>Setting: </strong>Merative MarketScan Research Database, 2000-2022.</p><p><strong>Participants: </strong>Data were extracted for individuals with TSCI alone and DD who were over 18 years of age. The study cohort was composed of 20,212 individuals with either TSCI alone or DD (TSCI+TBI). Injury level groups consisted of cervical incomplete TSCI (CI: 6310 alone, 3962 with TBI); cervical complete TSCI (CC: 393 alone, 269 with TBI); thoracic incomplete TSCI (TI: 3542 alone, 1014 with TBI); thoracic complete TSCI (TC: 508 alone, 210 with TBI); and lumber/sacral/cauda equina TSCI (LSCE: 3227 alone, 777 with TBI).</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>Demographics, initial acute hospital outcomes (length of stay, index payments, complications, discharge disposition), and 12-month postdischarge outcomes (rehabilitation services, complications, overall health care utilization, and 12-month payments).</p><p><strong>Results: </strong>Individuals with DD were predominantly younger, male, and commercially insured . During acute hospitalization, outcomes were worse for cervical and thoracic incomplete injuries and LSCE with DD compared to TSCI alone; CI-DD had 9% higher rates of overall complications, and LSCE-DD had 2-day longer hospital stay. Median hospital payments were 1.5- to 2.7-fold higher across most groups with DD, except for CC. One year after injury, overall complications were 5%-15% higher across all DD groups, with most differences in respiratory, cardiovascular, metabolic, and psychiatric complications. Health care utilization of rehabilitation services, emergency room visits, and 12-month payments were similar or worse in DD groups compared to TSCI alone.</p><p><strong>Conclusion: </strong>Individuals with DD had worse outcomes and higher health care utilization compared to those with isolated TSCI, including increased hospital payments, rehabilitation use, and overall complications in the first year after injury. Our findings highlight the increased burden of DD and contribute knowledge for future treatment decision-making, resource allocation, and research initiatives.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966095","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":"Clinical examination and dynamic ultrasound overriding MRI in Achilles tendon injury: Case of a recreational athlete.","authors":"Selin Demirel, Sercan Mısırlı, Batuhan Erhan Aktaş, Hilmi Berkan Abacıoğlu, Burkay Utku","doi":"10.1002/pmrj.70017","DOIUrl":"https://doi.org/10.1002/pmrj.70017","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144966085","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}