PM&R最新文献

{"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":"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":"811-821"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","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":"Academy News - July 2025 PM&R.","authors":"","doi":"10.1002/pmrj.13456","DOIUrl":"https://doi.org/10.1002/pmrj.13456","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":"17 7","pages":"871-872"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592025","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 animal-assisted intervention on therapy engagement in hospitalized children with traumatic brain injuries.","authors":"Miranda Yelvington, Beverly Spray, Frank Bregy, Amy Ramick, Austin Lovenstein, Marlene Walden","doi":"10.1002/pmrj.13335","DOIUrl":"10.1002/pmrj.13335","url":null,"abstract":"<p><strong>Background: </strong>Individuals who sustained traumatic brain injuries in childhood may experience global challenges including disorders of consciousness, motor dysfunctions, and sensory impairments. Occupational and physical therapy are important parts of recovery from an acute brain injury, addressing deficits that directly affect functional recovery and return to age-appropriate activities of daily living. Difficulty with active engagement in therapy tasks can limit the effectiveness of therapeutic interventions. Therapists search for methods to increase patient engagement to bolster patient progress.</p><p><strong>Objective: </strong>To examine the effect of animal-assisted interventions on patient engagement and therapy participation in children with traumatic brain injuries.</p><p><strong>Design: </strong>Prospective, crossover design observational study with each patient serving as their own control.</p><p><strong>Setting: </strong>This study was conducted in a pediatric acute rehabilitation unit.</p><p><strong>Participants: </strong>Nine participants completed all study sessions.</p><p><strong>Intervention: </strong>Study participants completed four visits, two with animal-assisted intervention and two without animal-assisted intervention.</p><p><strong>Outcomes and measures: </strong>The Pediatric Rehabilitation Intervention Measure of Engagement, length of session, breaks needed.</p><p><strong>Results: </strong>The use of animal-assisted intervention resulted in significantly greater mean engagement scores and significantly greater affective and behavioral engagement scores. No significant differences were found with cognitive engagement score, length of session tolerated, or number of breaks required. No participants had decreased engagement when animal-assisted intervention was used.</p><p><strong>Conclusions: </strong>Animal-assisted intervention has the potential to increase therapy engagement in acute rehabilitation with children recovering from traumatic brain injuries.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"804-810"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415034","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":"Interventions to help adults with concussion return to work: A systematic review.","authors":"Mikaela Ethier-Gagnon, Alexander Lithopoulos, Mackenna Pattison, Dorothyann Curran, Carolina Cancelliere, Lisa Fischer, Noah Silverberg, Carmela Tartaglia, Charles Tator, Aaron Thompson, Penny Welch-West, Shawn Marshall","doi":"10.1002/pmrj.13359","DOIUrl":"10.1002/pmrj.13359","url":null,"abstract":"<p><strong>Objective: </strong>Clinicians require guidance to aid patients who are attempting to return to work (RTW) after concussion. This systematic review synthesizes the results of interventions to determine what types of interventions (ie, early education and intervention, psychological, rehabilitative, and interdisciplinary) are effective, what behavior change techniques (BCTs) are most frequently used, and which BCTs are most promising.</p><p><strong>Literature survey: </strong>MEDLINE ALL, PsycINFO, and CINAHL databases were searched for literature published January 2000 to the end of December 2023.</p><p><strong>Methodology: </strong>Peer-reviewed adult concussion intervention studies of any design with RTW measurements were included. A narrative review describes the effectiveness of intervention type. For BCTs, the frequency of BCTs used in experimental conditions is provided. In addition, promise ratios were calculated to establish which BCTs are most effective.</p><p><strong>Synthesis: </strong>Psychotherapy, neuropsychological training, vestibular rehabilitation, vision rehabilitation, exercise, compensatory strategies, cognitive training, vocational support, and interpersonal training may be efficacious. The BCT information about health consequences was used frequently in experimental conditions. Effective BCTs provided instruction on how to perform the behavior, reduce negative emotions, and action planning; participants were also provided information about health consequences and encouraged to do problem solving.</p><p><strong>Conclusions: </strong>The promising interventions and BCTs identified in this article may be considered by qualified practitioners when helping patients with concussion RTW (PROSPERO: CRD42022384151).</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"830-849"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143731353","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":"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":"782-792"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12240715/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients' real-world engagement with movement pattern modifications for nonarthritic hip-related pain.","authors":"Abby L Cheng, Austin J Hannemann, Brian K Brady, Madeline M Pashos, Julia B Huecker, Karen Steger-May, Heidi Prather, John C Clohisy, Marcie Harris-Hayes","doi":"10.1002/pmrj.13343","DOIUrl":"10.1002/pmrj.13343","url":null,"abstract":"<p><strong>Background: </strong>Nonarthritic hip-related pain can cause chronic pain and disability. Movement pattern training is an effective nonoperative treatment when delivered via formal physical therapy, but some patients have limited access to physical therapy. Discussion of movement pattern training during a patient's initial visit to a medical provider could be a valuable addition to first-line management of hip pain. However, the general acceptability of movement pattern related activity modification is not yet known.</p><p><strong>Objective: </strong>To understand the real-world willingness of patients with nonarthritic hip-related pain to implement movement pattern modifications. A secondary goal was to explore adherence to movement pattern related activity modification after a single instructional session.</p><p><strong>Design: </strong>Prospective cohort study.</p><p><strong>Setting: </strong>Outpatient clinics of two U.S. tertiary care academic medical centers.</p><p><strong>Participants: </strong>Eighty-eight 15-40-year-old patients who were diagnosed by a musculoskeletal clinician with nonarthritic hip-related pain and advised to pursue nonoperative management.</p><p><strong>Interventions: </strong>Participants received a single instructional session of movement pattern training principles, in addition to usual nonoperative care.</p><p><strong>Main outcome measures: </strong>The primary outcome was the proportion of participants who reported implementing one or more movement pattern related activity modifications during the 12-week follow-up period. The secondary outcome was participants' self-reported proportion of time that movement pattern related activity modifications were implemented.</p><p><strong>Results: </strong>Eighty-eight participants enrolled (mean 27 [SD 8] years old, 81% (n = 71) female). By 12-week follow-up, 100% of the 80 retained participants implemented one or more movement pattern related activity modifications. Participants incorporated movement pattern modifications a median of 73% (interquartile range 50%-85%) of the time.</p><p><strong>Conclusions: </strong>Participants with nonarthritic hip-related pain demonstrated high willingness to engage in movement pattern related activity modification, even after a single instructional session. Instruction in movement pattern training principles during an initial medical visit for nonarthritic hip-related pain may be a valuable, well-received addition to traditional first-line management.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"761-770"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12240717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425951","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":"Etiological factors and clinical outcomes in extracapsular and intracapsular hip fractures among older adults: A gender-specific analysis.","authors":"Radcliffe Lisk, Keefai Yeong, David Fluck, Jonathan Robin, Christopher H Fry, Thang S Han","doi":"10.1002/pmrj.13326","DOIUrl":"10.1002/pmrj.13326","url":null,"abstract":"<p><strong>Background: </strong>Compared to patients with intracapsular fractures (ICFs), those with extracapsular fractures (ECFs) had worse outcomes. However, most studies of risk factors for these fractures lacked relevant potential reasons, particularly nutritional status, and adjustment for confounding factors. Furthermore, less is known about their effects on clinical outcomes.</p><p><strong>Objective: </strong>To conduct a gender-specific analysis of community-dwelling individuals admitted with hip fractures to examine the association of clinical risk factors and health care measures.</p><p><strong>Design: </strong>Monocentric cross-sectional study.</p><p><strong>Setting: </strong>Orthopedic trauma department.</p><p><strong>Participants: </strong>A total of 787 women and 318 men of similar mean age (±SD): 83.1 years (±8.6) and 82.5 years (±9.0), respectively.</p><p><strong>Main outcome measures: </strong>Multivariable logistic regression analyzed risk factors including age, gender, dementia, stroke, ischemic heart disease, diabetes, prefracture mobility, alcohol consumption, American Society of Anesthesiologists grades, drug history, and nutrition status for assessing risk factors and outcomes associated with ECFs and ICFs.</p><p><strong>Results: </strong>Compared to ICFs, for each additional year of age, women had a 3% and men 4% greater association with ECFs. Among women only, ECFs were associated with risk of malnutrition: odds ratio [OR] = 1.70 (95% CI, 1.17-2.48) or malnourishment: OR = 1.93 (95% CI, 1.06-3.52), stroke: OR = 1.85 (95% CI, 1.16-2.97), and diabetes: OR = 1.92 (95% CI, 1.21-3.06). Women with ECFs were less likely to be discharged to their own homes: OR = 0.56 (95% CI, 0.38-0.83); but more likely to be discharged to a rehabilitation unit: OR = 1.81 (95% CI, 1.21-2.71) and readmitted to hospital within 30 days of discharge ≥1 time: OR: 2.39 (95% CI, 1.27-4.50) or ≥2 times: OR = 3.48 (95% CI, 1.05-11.57): they did not differ in discharge to residential or nursing care or in-hospital mortality. Among men, there were no differences in discharge destinations or readmissions between types of fractures.</p><p><strong>Conclusions: </strong>Compared to ICFs, a greater number of risk factors associated with ECFs were identified more often in women than in men, and ECFs also have greater influences on clinical outcomes in women.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"793-803"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190265","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":"High-voltage pulsed radiofrequency of the suprascapular nerve for the treatment of chronic shoulder pain.","authors":"Javier García-Amigo, B Cabaleiro-Burguillos, Carlos Cordero-García","doi":"10.1002/pmrj.13319","DOIUrl":"10.1002/pmrj.13319","url":null,"abstract":"","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"865-867"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142971777","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 function and perceived pain following inpatient intensive interdisciplinary pain treatment for children and adolescents.","authors":"Mayank Seth, Kate Vieni, Kathryn Hottinger, Katherine Bentley","doi":"10.1002/pmrj.13325","DOIUrl":"10.1002/pmrj.13325","url":null,"abstract":"<p><strong>Background: </strong>Chronic pain among children and adolescents negatively impacts overall functioning and quality of life. Although Intensive Interdisciplinary Pain Treatment (IIPT) programs aim to reduce functional impairment and perceived pain, overall evidence is limited and restricted by small sample sizes and limited diversity in pain diagnoses.</p><p><strong>Objective: </strong>To determine whether children and adolescents with chronic pain participating in an inpatient IIPT program experience improvements in their physical function and perceived pain.</p><p><strong>Design: </strong>Cross-sectional, secondary analysis.</p><p><strong>Setting: </strong>Inpatient acute rehabilitation.</p><p><strong>Participants: </strong>Children and adolescents with chronic pain (n = 258; females/males = 204/54; age = 16.5 ± 2.6) admitted to a 4-week inpatient IIPT program from November 2011 to January 2023.</p><p><strong>Intervention: </strong>Participants attended individual and group sessions involving physical therapy, occupational therapy, aquatic therapy, cognitive behavioral therapy, school-related tasks, and meditation. The sessions focused on improving strength, endurance, and function, while helping participants modify physical sensations, catastrophic thinking, and maladaptive behaviors.</p><p><strong>Main outcome measures: </strong>Collected at admission and discharge: pain intensity (Numerical Pain Rating Scale; scale: 0-10), lower extremity function (Lower Extremity Functional Scale [LEFS]; scale: 0-80), upper extremity function (Upper Extremity Functional Index [UEFI]; scale: 0-80), motor proficiency (Bruininks-Oseretsky Test of Motor Proficiency, Second Edition short form [BOT-2 SF]; scale: 0-70), and occupational performance and satisfaction (Canadian Occupational Performance Measure [COPM]; scale: 0-10 for both).</p><p><strong>Results: </strong>Overall, participants reported significant improvements (p < .05) in median LEFS (median change [MC] = +30.5; 25th, 75th percentile range [PR] = 19, 42), UEFI (MC = +21; PR = 12.8, 31), BOT-2 SF (MC = +9; PR = 5, 15), COPM performance (MC = +4; PR = 2.8, 5.4), and COPM satisfaction (MC = +5.6; PR = 3.8, 7.2). Moreover, participants reported significant reduction (p < .05) in median pain intensity (MC = -3; PR = 1, 5). For a majority of participants, MC surpassed previously reported minimally clinical important difference thresholds.</p><p><strong>Conclusions: </strong>Findings highlight the relevance of inpatient IIPT programs in enhancing physical function and reducing perceived pain in children and adolescents with chronic pain.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"752-760"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142953779","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":"Efficacy of conservative intervention for kinesiophobia in individuals with a history of ankle sprain: A systematic review.","authors":"Takumi Kobayashi, Yuta Koshino","doi":"10.1002/pmrj.13328","DOIUrl":"10.1002/pmrj.13328","url":null,"abstract":"<p><strong>Objective: </strong>To determine the effect of conservative interventions on kinesiophobia, a fear-avoidance belief regarding exercise, in individuals who have had a lateral ankle sprain.</p><p><strong>Literature survey: </strong>Systematic computerized literature search was performed using PubMed, CINAHL, Web of Sciences, and Cochrane Library databases. Randomized controlled trials investigating the effects of conservative interventions on kinesiophobia in individuals with a history of lateral ankle sprain, including chronic ankle instability, compared to those of control, sham, or different conservative interventions were included. They were written in English and published prior to December 2023.</p><p><strong>Methodology: </strong>Two independent reviewers screened the studies using specific eligibility criteria. Study characteristics, patients, intervention and comparator, and outcome were extracted. Outcomes were defined as kinesiophobia observed using a questionnaire (eg, Tampa Scale for Kinesiophobia-11) or other means. The risk of bias was assessed using the Revised Cochrane risk of bias tool for randomized trials.</p><p><strong>Synthesis: </strong>Five randomized controlled trials were included. These studies examined the effects of transcranial direct current stimulation, joint mobilization, balance and strength training, visual biofeedback during multimodal training, and low-friction patches attached to the outside of shoes, respectively. Limited evidence from single studies showed that the visual biofeedback during walking and low-friction patches attached on the outside of shoes were significantly more effective than the control and other treatments for kinesiophobia in individuals with a history of a lateral ankle sprain. Because the intervention and control groups differed between studies, data synthesis through meta-analysis was not performed.</p><p><strong>Conclusions: </strong>Visual biofeedback during walking and low-friction patches attached on the outside of shoes may improve kinesiophobia in patients with a history of lateral ankle sprains. An approach to sensory-perceptual impairment in individuals with a history of lateral ankle sprains may be more effective in improving kinesiophobia. These conservative interventions may have an effect on kinesiophobia, but the evidence is limited.</p>","PeriodicalId":20354,"journal":{"name":"PM&R","volume":" ","pages":"822-829"},"PeriodicalIF":2.2,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12238745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143449810","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}