PM&R最新文献

{"title":"Re: Letter to the editor on \"A novel (seeding) technique for ultrasound-guided botulinum toxin injections\".","authors":"Kristen A Harris, Steven V Escaldi","doi":"10.1002/pmrj.13369","DOIUrl":"https://doi.org/10.1002/pmrj.13369","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701338","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":"A single-arm feasibility study protocol for a multiphasic multimodal exercise prehabilitation intervention in individuals receiving allogeneic stem cell transplant.","authors":"Chad W Wagoner, Julia T Daun, Jocelyn Cannon, Jessica Danyluk, David Langelier, George J Francis, S Nicole Culos-Reed, Sarah Perry","doi":"10.1002/pmrj.13351","DOIUrl":"https://doi.org/10.1002/pmrj.13351","url":null,"abstract":"<p><strong>Background: </strong>Allogeneic hematopoietic stem cell transplantation (allo-HSCT) can be a life-saving treatment for individuals diagnosed with acute leukemia. However, allo-HSCT can lead to adverse effects, such as reduced physical function. Exercise has demonstrated benefits in post-allo-HSCT recovery, but feasibility issues persist in tailored prehabilitation interventions.</p><p><strong>Objective: </strong>To present a multiphasic exercise prehabilitation protocol.The study aims to assess feasibility, safety, and impact while establishing screening and referral pathways to community-based exercise oncology resources.</p><p><strong>Design: </strong>Single arm feasibility study.</p><p><strong>Participants: </strong>Individuals diagnosed with acute leukemia and eligible for allo-HSCT will be recruited for the study.</p><p><strong>Intervention: </strong>Multimodal exercise and health behavior change support that will span across the allo-HSCT timeline (ie, pre-, during, and post-transplant phases). Clinical exercise physiologists trained in exercise oncology and health behavior change will deliver the intervention.</p><p><strong>Main outcome measures: </strong>Assessment of physical function, self-reported and objective physical activity, quality of life, fatigue, anxiety, depression, and symptom burden across four timepoints (baseline, pre-transplant, post-transplant inpatient recovery, and post-transplant outpatient recovery).</p><p><strong>Conclusions: </strong>This study is designed to address current limitations in prehabilitation literature specific to individuals with acute leukemia receiving allo-HSCT. In turn, this study may offer an approach to maintain or improve physical function and quality of life throughout the transplant continuum.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701333","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":"A novel (seeding) technique for ultrasound-guided botulinum toxin injections.","authors":"Berkay Yalçınkaya, Ahmet Furkan Çolak, Murat Kara, Levent Özçakar","doi":"10.1002/pmrj.13357","DOIUrl":"https://doi.org/10.1002/pmrj.13357","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701314","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":"Gender/sex differences: Representation of women in lateral ankle sprain research.","authors":"Nicole B Katz, Julie K Silver, Kelly C McInnis","doi":"10.1002/pmrj.13349","DOIUrl":"https://doi.org/10.1002/pmrj.13349","url":null,"abstract":"<p><strong>Background: </strong>Women have historically comprised lower percentages of sports science research participants compared to men. Lateral ankle sprains (LAS) are a common musculoskeletal injury that may affect women more than men.</p><p><strong>Objective: </strong>The primary purpose was to assess the representation of women participants in LAS research. The secondary purpose was to analyze the representation of women as authors in this same work.</p><p><strong>Design: </strong>Observational study.</p><p><strong>Setting: </strong>Systematic reviews on LAS in adults published between May 2013 and April 2023.</p><p><strong>Participants: </strong>Eleven systematic reviews on LAS with 77 unique original research studies (10, 080 participants, 335 authors) met inclusion criteria.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>The main outcomes were the proportion of women as participants and in author roles (primary, senior, and overall).</p><p><strong>Results: </strong>Women were underrepresented as participants (41%, n = 4150). Women were also the minority gender/sex for authors overall (26%, n = 86) as well as primary (32%, n = 23) and senior (29%, n = 19) authors. No clear increase in the inclusion of women as research participants was observed over time (p = .4), nor was there a significant increase in women authors (p = .1). A greater proportion of participants were women when the primary author was a woman (p = .008).</p><p><strong>Conclusion: </strong>Women are underrepresented in LAS research overall, and there is a lack of clear progress in representation over time. Similarly, women are a minority of study authors and data suggest a possible temporal trend of improvement. Efforts should be made to increase the proportion of women included in LAS research in order to support equitable evidence-based care.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677083","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":"Content evaluation of physical medicine and rehabilitation residency websites: A post-COVID update.","authors":"Tahir S Qasim, Mohammad H Tariq, Zuhair J Mohammed, Muhammad H Shamim, Mohammed S Abdullah","doi":"10.1002/pmrj.13370","DOIUrl":"https://doi.org/10.1002/pmrj.13370","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664324","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":"Geographic impact on relative locations of interventional spine and musculoskeletal medicine fellowships relative to residency and first job placement.","authors":"Jimmy Wen, Ubaid Ansari, Mouhamad Shehabat, Burhaan Syed, Shannon Dwyer, Denise Nadora, Daniel Razick, Muzammil Akhtar, Joshua Levin","doi":"10.1002/pmrj.13360","DOIUrl":"https://doi.org/10.1002/pmrj.13360","url":null,"abstract":"<p><strong>Background: </strong>Interventional spine and musculoskeletal medicine (ISMM) is a relatively new and rapidly evolving field that utilizes minimally invasive and novel techniques to treat spine and musculoskeletal pain.</p><p><strong>Objective: </strong>To analyze recent geographical trends of ISMM fellows since these fellowships became recognized by the North American Spine Society (NASS) in 2020 (2020 to 2024).</p><p><strong>Methods: </strong>The relative distance from residency to fellowship, residency to first job, and fellowship to first job were analyzed. Relative locations were categorized as within 100 miles, same state, same region, or different region. Odds ratios (ORs) were calculated for the relative locations of each geographical region.</p><p><strong>Results: </strong>A total of 136 fellows from 26 of 28 (93%) NASS ISMM fellowship programs were included. The majority of fellows stayed within the same region from residency to fellowship (63%), residency to first job (67%), and fellowship to first job (65%). Fellows from the Northeast were more likely to stay within 100 miles (OR: 1.8), same state (OR: 2.1), and same region (OR: 2.6) as their residency. From residency/fellowship to first job, Northeast fellows had an increased likelihood of staying within 100 miles (p < .001/p = .021), same state (p < .001/p = .022), and same region (p = .002 for both). Fellows from the West, Midwest, and Southeast had a decreased likelihood of remaining nearby.</p><p><strong>Conclusion: </strong>ISMM fellows were more likely to stay within the same region as their residency and for their first job placement. Fellows from the Northeast had a greater likelihood of staying within 100 miles, same state, and in the same region.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649985","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":"Ultrasound examination following a suboptimal thoracic outlet syndrome surgery.","authors":"Alpaslan Fatih Kaynar, Abdullah Emre Uğur, Beytullah Yazar, Levent Özçakar","doi":"10.1002/pmrj.13375","DOIUrl":"https://doi.org/10.1002/pmrj.13375","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649987","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 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":"https://doi.org/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":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-17","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":"Gender composition of spasticity-related clinical practice guideline authorship positions.","authors":"Hannah Uhlig-Reche, Jeremy W Jacobs, Christine S Gaspard, Julie K Silver, Monica Verduzco-Gutierrez","doi":"10.1002/pmrj.13355","DOIUrl":"https://doi.org/10.1002/pmrj.13355","url":null,"abstract":"<p><strong>Background: </strong>The authors of clinical practice guidelines (CPGs) are considered topic experts and specialists. Studies to date have disproportionately found that women are underrepresented in CPG authorship, but no studies have investigated CPGs on spasticity published in the recent literature.</p><p><strong>Objective: </strong>To determine the gender composition of author positions on spasticity-related CPGs published from 2014 to 2023.</p><p><strong>Design: </strong>Retrospective review of literature.</p><p><strong>Setting: </strong>Systematic literature search using PubMed, SCOPUS, and CINAHL databases for spasticity-related CPGs available in English and published between 2014 and 2023.</p><p><strong>Participants: </strong>Authorship positions on spasticity-related CPGs published during the defined study period.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>Gender composition of all author positions and physician author positions on spasticity-related CPGs published from 2014 to 2023 were compared with parity and equity benchmarks. The binomial test was used to assess for a difference in the observed versus expected distribution (parity) and the N - 1 χ² test was used to compare the gender proportions of authorship positions with the gender proportions of the equity benchmarks.</p><p><strong>Results: </strong>Six CPGs on spasticity were published during the study period. Most author positions were held by women (54.5%), whereas most physician author positions were held by men physicians (63%). Men physicians held significantly more positions compared with parity (p = .016). Women were overrepresented among all author positions compared with equity using total U.S. academic medicine faculty in neurology/physical medicine and rehabilitation (PM&R) at all benchmark years (95% confidence interval [CI]: 2014: 7.7-23.5; 2018: 4.2-20.0; 2022: 1.4-17.2). There was no difference in the gender composition of physician authors compared with academic medicine physicians in neurology/PM&R for any benchmark year (95% CI: 2014: -8.3 to 11.6; 2018: -2.0 to 7.9; 2022: -4.7 to 5.2).</p><p><strong>Conclusions: </strong>Physician authorship of recent spasticity-related CPGs comprises mostly men, a significant difference from parity but not from equity benchmarks. Women are overrepresented among total authorship positions (including nonphysicians) compared with equity, but not parity. Editorial boards should actively promote authorship diversity of these influential guidelines to minimize gender bias in health care delivery.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649983","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 association between chronic pain and metabolic syndrome: A scoping review.","authors":"Sebastian Encalada, James W Atchison, Cara C Prideaux, Samer Narouze, Johanna Mosquera-Moscoso, Laura Furtado Pessoa de Mendonca, Alejandro Hallo-Carrasco, Larry Prokop, Christine Hunt","doi":"10.1002/pmrj.13361","DOIUrl":"https://doi.org/10.1002/pmrj.13361","url":null,"abstract":"<p><p>Metabolic syndrome (MetS) is a prevalent comorbidity in patients with chronic pain conditions. Emerging evidence suggests that the relationship between MetS and chronic pain is bidirectional. This interplay involves complex mechanisms, including proinflammatory mediators in nociceptive modulation and pain-induced lifestyle changes affecting metabolic function. This scoping review examines the association between MetS and chronic pain. We conducted a scoping review, including 28 studies. This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. We included observational studies (cross-sectional, case-control, and cohort studies) from the following databases: Ovid MEDLINE, EMBASE, Cochrane Central, Cochrane Database of Systematic Reviews, and Scopus. We identified studies on migraine (n = 9), spinal pain (n = 8), general chronic pain (n = 4), fibromyalgia syndrome (n = 3), carpal tunnel syndrome (n = 1), osteoarthritis (n = 1), shoulder pain (n = 1), and neuropathic pain (n = 1). Most studies used a cross-sectional design and standard criteria to define MetS, with some exceptions. Individuals with MetS and spinal pain, fibromyalgia, or general chronic pain showed higher pain scores and increased functional limitations. MetS was common in patients with migraine, but its effect on pain severity was inconclusive. The relationship between MetS and other pain conditions requires further investigation to clarify the association and potential mechanisms. MetS is prevalent in patients with chronic pain and is associated with worse pain and functional outcomes. Health care providers should acknowledge the wide spectrum of MetS beyond obesity. This understanding may help identify those at risk for more severe chronic pain.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634217","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}