Annals of Rehabilitation Medicine-ARM最新文献

{"title":"M-Wave and F-Wave Parameters in Relation to Recording Electrode Placement.","authors":"Masataka Kurobe, Naoki Kado, Toshiaki Suzuki","doi":"10.5535/arm.260035","DOIUrl":"https://doi.org/10.5535/arm.260035","url":null,"abstract":"<p><strong>Objective: </strong>To clarify the influence of recording electrode placement on F-wave parameters, we investigated F-wave parameters recorded from the abductor pollicis brevis muscle using different recording electrode positions.</p><p><strong>Methods: </strong>Thirteen healthy volunteers participated. Recording electrodes were placed at four locations (20, 30, 40, and 50 mm from the reference electrode). The stimulating electrode was positioned over the median nerve at the wrist, and the reference electrode was placed on the distal tendon of the abductor pollicis brevis muscle. Stimulation intensity was set at 1.2 times that required to elicit the maximal M-wave amplitude. Thirty stimuli were delivered at 0.5 Hz. Outcome measures included M-wave latency and amplitude, F-wave mean latency and amplitude, F/M amplitude ratio, and F-wave persistence. Data were analyzed using one-way repeated-measures analysis of variance, and effect sizes were calculated using partial η².</p><p><strong>Results: </strong>M-wave amplitude varied substantially according to recording electrode position (partial η²=0.50). In contrast, effect sizes were small for most F-wave parameters. The F/M amplitude ratio did not reach statistical significance but demonstrated a moderate-to-large effect size (partial η²=0.24).</p><p><strong>Conclusion: </strong>Recording electrode placement substantially affected M-wave amplitude and may also influence the F/M amplitude ratio. Therefore, consistent electrode placement should be maintained when interpreting these parameters in clinical or research settings. However, given the relatively small sample size, clinically meaningful effects on other F-wave parameters cannot be excluded and should be investigated in larger studies.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multidomain Response Patterns Following Focused Extracorporeal Shockwave Therapy in Diabetic Adhesive Capsulitis: A Secondary Analysis of a Randomized Controlled Trial.","authors":"Siddharth Rai, Mallikarjun Gunjiganvi, Rupali Awale, Suruchi","doi":"10.5535/arm.260066","DOIUrl":"https://doi.org/10.5535/arm.260066","url":null,"abstract":"<p><strong>Objective: </strong>To characterize multidomain response patterns following focused extracorporeal shockwave therapy (fESWT) in patients with diabetic adhesive capsulitis across pain, functional, and mobility domains.</p><p><strong>Methods: </strong>This secondary exploratory analysis included 100 patients with type 2 diabetes mellitus and adhesive capsulitis who received active fESWT in a randomized controlled trial and completed 4-week follow-up. Clinically meaningful improvement was defined as a ≥2-point reduction in Visual Analogue Scale score, a ≥13-point improvement in Shoulder Pain and Disability Index score, and a ≥10° increase in active external rotation. Participants were classified according to combinations of domain-specific responses.</p><p><strong>Results: </strong>Global response, defined as concurrent improvement in pain, function, and mobility, was observed in 52.0% of patients. An additional 34.0% demonstrated improvement in pain and function without corresponding gains in external rotation, while 12.0% were classified as minimal or non-responders. Other discordant response patterns were uncommon (2.0%). Domain-specific response rates were 86.0% for pain, 88.0% for function, and 53.0% for external rotation, indicating that symptomatic and functional improvements occurred more frequently than recovery of shoulder mobility.</p><p><strong>Conclusion: </strong>Short-term response to fESWT in diabetic adhesive capsulitis demonstrates variable concordance across pain, functional, and mobility domains. Recognition of these multidomain response patterns may assist clinicians in interpreting early treatment effects and guiding rehabilitation planning.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immediate Effects of Walking Training With Elastic Ankle Support Devices on Walking and Mobility of Ambulatory Individuals With Stroke.","authors":"Thaksin Chanata, Sugalya Amatachaya, Teerawat Nithiatthawanon, Jirabhorn Wannapakhe, Wannapai Chanwised, Arpassanan Wiyanad, Thiwabhorn Thaweewanakij, Wilairat Namwong","doi":"10.5535/arm.260074","DOIUrl":"https://doi.org/10.5535/arm.260074","url":null,"abstract":"<p><strong>Objective: </strong>To compare the immediate effects of walking training without or with an ankle support device (ASD) on spatiotemporal gait parameters, mobility, and satisfaction among 20 ambulatory participants with chronic stroke.</p><p><strong>Methods: </strong>This crossover design required the participants to complete the four 30-minute walking training conditions in a randomized order: without ASD, with ankle-foot orthosis (AFO), with long ankle sling made from 3- to 4-inch elastic bandage, and with elastic ankle support equipment (EASE) developed from elastic bands with buttonholes and plastic rivets, with a 7-day washout period. Gait parameters and Timed Up and Go test (TUG) were measured before and after each training program, and satisfaction with the three ASDs was assessed upon completion.</p><p><strong>Results: </strong>Spatiotemporal parameters (except walking cadence and symmetry) and TUG after training with a long ankle sling and EASE were significantly better than those following training without ASD and with AFO (p<0.001). Participants satisfied with both elastic ASDs in terms of dimensions, weight, safety, comfort, and effectiveness (p<0.001). The EASE was also satisfied for its ease of application and adjustment. The AFO was durable and easy to use but heavy, uncomfortable, and unsafe.</p><p><strong>Conclusion: </strong>The elastic ASDs were designed to assist ankle movements during the stance and swing phases. Thus, they improved walking and mobility of the participants significantly greater than the training with AFO and without ASD. The findings suggest the use of a long ankle sling and EASE as an alternative ASD to promote mobility of ambulatory individuals with chronic stroke.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation, Cross-Cultural Adaptation, and Validation of the Malay Version of the Roland-Morris Disability Questionnaire for Low Back Pain.","authors":"Nur Sakinah Mohd Yasin, Erna Faryza Mohd Poot, Husna Ahmad Ainuddin, Noor Aziella Mohd Nayan, Mohammed Alrashdi, Nizam Baharom, Ahmad Zamir Che Daud","doi":"10.5535/arm.250173","DOIUrl":"10.5535/arm.250173","url":null,"abstract":"<p><strong>Objective: </strong>To translate, culturally adapt, and validate the Roland-Morris Disability Questionnaire (RMDQ) for Malay-speaking individuals with low back pain (LBP) in Malaysia.</p><p><strong>Methods: </strong>A methodological study was conducted following established international guidelines for cross-cultural adaptation and psychometric validation. The process included forward-backward translation, expert review, content validation, face validation, and psychometric testing among individuals with LBP. Content and face validity indices were evaluated by rehabilitation professionals (n=8) and individuals with LBP (n=9). Psychometric testing was conducted with 102 participants to assess internal consistency, test-retest reliability (n=31), concurrent validity using the Malay Oswestry Disability Index, and known-groups validity.</p><p><strong>Results: </strong>All items demonstrated excellent content and face validity (I-CVI, I-FVI, S-CVI/Ave, and S-FVI/Ave=1.00). The Malay RMDQ showed high internal consistency (Cronbach's α=0.932) and excellent test-retest reliability (ICC=0.996). Concurrent validity with the Malay Oswestry Disability Index was moderate (r=0.742, p<0.001). A preliminary known-groups comparison showed a statistically significant difference in the Malay RMDQ scores between participants with LBP and those without LBP (p=0.03).</p><p><strong>Conclusion: </strong>The Malay RMDQ demonstrated preliminary psychometric support, including evidence of reliability, validity, and cultural appropriateness, for assessing disability in individuals with LBP. Future research should explore its responsiveness and utility in broader populations.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"188-195"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13329519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148302947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adding Extracorporeal Shockwave Therapy to Conventional Treatment Improves Pain, Function, and Electrophysiological Function in Females With Carpal Tunnel Syndrome: A Randomized Controlled Trial.","authors":"Doha H Al-Afify, Doaa Saeed, Fatma S Zidan, Mina Magdy Wahba, Omnya Samy A Ghoneim, Eman Naser Eid Sayed, Hanaa S Mohamed","doi":"10.5535/arm.260009","DOIUrl":"10.5535/arm.260009","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether adding extracorporeal shockwave therapy (ESWT) to conventional treatment enhances pain, function, and electrophysiological functionality in females with carpal tunnel syndrome (CTS).</p><p><strong>Methods: </strong>One hundred females (25-40 years) diagnosed with CTS were randomly allocated to a control group that received conventional therapy and an experimental group that received the same program augmented with ESWT. Outcome measures included the symptom severity scale (SSS), function severity scale (FSS), pain intensity assessed using the visual analog scale (VAS). In addition, distal sensory latency/distal motor latency (DSL/DML), and sensory nerve conduction velocity/motor nerve conduction velocity (SNCV/MNCV) were measured using a nerve conduction velocity study.</p><p><strong>Results: </strong>The experimental group exhibited significantly greater improvements in SSS, VAS, DSL, DML, SNCV, compared to controls (all p≤0.05). However, changes in MNCV and FSS were non-significant (p>0.05).</p><p><strong>Conclusion: </strong>Integrating ESWT into rehabilitation enhances function, pain, and electrophysiological recovery in females with CTS.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"179-187"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13329520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reconnecting Minds to the World: Patient Perspectives on Brain-Computer Interface After High Cervical Spinal Cord Injury.","authors":"Youho Myong, Eunkyung Kim, Gain Shin, Eunseo Oh, Byung-Mo Oh","doi":"10.5535/arm.260018","DOIUrl":"10.5535/arm.260018","url":null,"abstract":"<p><strong>Objective: </strong>To explore the perspectives of individuals with high cervical spinal cord injury (C-SCI) regarding expectations, concerns, and desired applications of brain-computer interface (BCI).</p><p><strong>Methods: </strong>A structured focus group interview was conducted with four individuals with chronic high cervical spinal cord injury, all with neurological levels of C4 or above. Pre- and post-interview questionnaires were administered to assess expectations, concerns, and acceptance of BCI before and after discussion. The interview was facilitated by experts in rehabilitation medicine and biomedical engineering, and qualitative data were analyzed inductively to identify key themes.</p><p><strong>Results: </strong>Five major themes emerged: digital accessibility, offline physical activity, social interactions and psychological health, usability, and acceptance. Participants expressed strong interest in using BCI to improve digital independence, particularly for messaging, online banking, internet use, and smart home control. They also viewed BCI as a potential tool to enhance autonomy in daily activities and reduce reliance on caregivers. Most participants were open to training and, in some cases, invasive procedures; however, concerns regarding surgical safety, device maintenance, reliability, and practical usability were frequently raised. Views on the emotional and social impact of BCI varied across individuals. Questionnaire responses showed increased willingness to undergo invasive procedures after the focus group interview, while expected functional outcomes became more realistic, suggesting that structured group discussion may have shaped participants' understanding of BCI.</p><p><strong>Conclusion: </strong>BCI was perceived as a promising pathway to greater independence, participation, and autonomy among individuals with high C-SCI. These findings emphasize user-centered design and demonstrate how lived experience can guide assistive neurotechnology development in rehabilitation research.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"168-178"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13329517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148302899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying the Factors With Later Standing Acquisition in Patients With a Right-Hemisphere Stroke: A Cross-Sectional Study Using POSTIM Data.","authors":"Karim Jamal, Stéphanie Leplaideur, Chloé Rousseau, Etienne Foussat, Solène Painchaud, Lisa Viallard, Isabelle Bonan","doi":"10.5535/arm.250125","DOIUrl":"10.5535/arm.250125","url":null,"abstract":"<p><strong>Objective: </strong>To identify factors associated with later standing acquisition in subacute post-stroke patients with right-hemisphere stroke.</p><p><strong>Methods: </strong>This cross-sectional study used baseline data from the POSTIM multicenter randomized controlled trial (ClinicalTrials.gov: NCT01677091), involving eight rehabilitation units in France. Included patients were patient aged 18-80 with a first right supratentorial stroke (within 9 months), who could stand unassisted for at least 30 seconds with eyes closed but had <40% body weight bearing on the paretic leg during posturography. Evaluations included motor weakness, spasticity (triceps surae, quadriceps, adductors), epicritic and arthrokinetic sensitivity, spatial neglect, body representation, and balance. Logistic regression identified factors associated with later standing acquisition (>3 months).</p><p><strong>Results: </strong>Among 86 participants (mean age 59.7±10.3 years; 68.6% male), 49 (57%) acquired standing capacity within 3 months, while 37 (43%) did so later. Those with later standing acquisition showed greater spasticity in all muscle groups (p<0.02), more severe motor weakness (p=0.003), and impaired arthrokinetic sensitivity (p=0.02). Balance was significantly worse in this group (p<0.005). Multivariate analysis identified three independent factors of later standing acquisition: spatial neglect (odds ratio [OR]=3.22; 95% confidence interval [CI], 1.09-9.51; p=0.03), ischemic stroke (OR=3.27; 95% CI, 1.08-9.90; p=0.04), and quadriceps spasticity (OR=1.98; 95% CI, 1.17-3.35; p=0.01).</p><p><strong>Conclusion: </strong>In right-hemisphere stroke, ischemic etiology, quadriceps spasticity, and spatial neglect are significantly associated with later standing acquisition. These factors may be useful for identifying patients at risk of later standing acquisition and for guiding future interventional research.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":"50 3","pages":"160-167"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13329523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148376353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Diagnostic Precision and Treatment Effectiveness Using Indocyanine Green Lymphography in Lymphedema.","authors":"Hiroo Suami, Jin A Yoon","doi":"10.5535/arm.260020","DOIUrl":"10.5535/arm.260020","url":null,"abstract":"<p><p>Indocyanine green (ICG) lymphography has rapidly emerged as a key imaging modality for improving the diagnosis and management of lymphedema. ICG lymphography offers superior sensitivity and detailed assessment of dermal backflow patterns, functional lymphatic channels, and collateral drainage routes. Evidence also supports its role in guiding targeted rehabilitation, including ICG-guided lymphedema treatment. Clinicians can enhance diagnostic precision and potentially improve therapeutic effectiveness by integrating ICG lymphography into clinical practice. This review summarizes current evidence on its clinical utility, highlighting how real-time visualization of superficial lymphatic pathways and lymph nodes allows for detection of dysfunction, and improved treatment planning. Future work should focus on standardizing protocols and developing quantitative metrics to expand its values in comprehensive lymphedema care.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"150-159"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13329518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hormonal Shifts and Structural Strain: A Literature Review of Menopause and Perimenopause in Relation to Overuse Injuries and Stress Fractures.","authors":"Mustafa Ansari, Faisal Hussain, Mutasem Shopon, Hanfa Ajmal, Mueez Asif, Sharon David","doi":"10.5535/arm.250134","DOIUrl":"10.5535/arm.250134","url":null,"abstract":"<p><p>Musculoskeletal injury risk in midlife women has traditionally been attributed to estrogen decline, but this narrow focus overlooks the broader biomechanical, neuromuscular, and structural changes associated with menopause. Estrogen plays a multisystem role in maintaining trabecular bone integrity, collagen turnover, and neuromuscular coordination. Its abrupt loss causes bone demineralization (2%-5% annually in early menopause), impairs tendon repair, and contributes to sarcopenia. Fluctuating estradiol levels during perimenopause may transiently increase ligament laxity, further destabilizing joints. Common injuries such as Achilles and rotator cuff tendinopathies, plantar fasciitis, and stress fractures are amplified by low bone mineral density, prior fracture history, aromatase inhibitor use, and rapid increases in physical activity. Although early initiation of hormone replacement therapy reduces fracture risk by 20%-40%, it is not appropriate for all patients due to contraindications and individualized risk-benefit profiles. Non-hormonal strategies-including resistance training, nutritional optimization, and early screening with dual-energy X-ray absorptiometry and peripheral quantitative computed tomography-remain underutilized, particularly among marginalized populations. This structured narrative review synthesizes evidence from endocrinology, biomechanics, and musculoskeletal epidemiology to evaluate limitations in current research, including reliance on observational data, homogeneous cohorts, and technocentric approaches with limited generalizability. Future efforts should prioritize personalized, hormone-informed exercise prescriptions, biomarker-guided monitoring, and community-based prevention strategies. The prevailing estrogen-centric paradigm may benefit from a broader multidisciplinary framework integrating biological, mechanical, and social determinants of injury risk. We propose a hormone-tissue-load mismatch model that reframes menopause as a modifiable biomechanical window for injury prevention.</p>","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"139-149"},"PeriodicalIF":2.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13329522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Swallowing Disturbance Questionnaire: Clinimetrics and Global Validation.","authors":"Han Gil Seo","doi":"10.5535/arm.260038","DOIUrl":"10.5535/arm.260038","url":null,"abstract":"","PeriodicalId":47738,"journal":{"name":"Annals of Rehabilitation Medicine-ARM","volume":" ","pages":"91-93"},"PeriodicalIF":2.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13136044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}