Annals of Physical and Rehabilitation Medicine最新文献

{"title":"Frequencies of transcutaneous electrical nerve stimulation and interferential current for chronic low back pain: a network meta-analysis","authors":"Jyun-Jhe Wang ,&nbsp;Yi-No Kang ,&nbsp;Tomáš Kvasnička ,&nbsp;Wen-Hsuan Hou","doi":"10.1016/j.rehab.2025.102056","DOIUrl":"10.1016/j.rehab.2025.102056","url":null,"abstract":"<div><h3>Background</h3><div>Chronic low back pain (CLBP) is a prevalent musculoskeletal disorder. Electrotherapy modalities such as high-frequency transcutaneous electrical nerve stimulation (HF-TENS), low-frequency transcutaneous electrical nerve stimulation (LF-TENS), and interferential current (IFC) are commonly used, yet their comparative effectiveness remains unclear.</div></div><div><h3>Objectives</h3><div>This systematic review and network meta-analysis aimed to evaluate the comparative efficacy of HF-TENS, LF-TENS, and IFC on pain relief and functional improvement in people with CLBP.</div></div><div><h3>Methods</h3><div>We systematically searched PubMed, Embase, and Scopus from database inception to 31 July 2025 for randomized controlled trials evaluating pain intensity and functional outcomes in adults with CLBP receiving HF-TENS, LF-TENS, or IFC compared to control. Data were extracted independently by two reviewers, and methodological quality was assessed using Cochrane Risk of Bias (RoB) 2 and Confidence in Network Meta-Analysis (CINeMA) framework. Network meta-analysis employed a random-effects model, with sensitivity analyses and publication bias assessment.</div></div><div><h3>Results</h3><div>15 randomized controlled trials were analyzed using a frequentist network meta-analysis. IFC showed the greatest pain reduction (standardized mean difference, SMD -0.96; 95 % confidence interval, CI -1.49 to -0.43) and functional improvement (Oswestry Disability Index, ODI, Mean difference, MD -7.28; Roland-Morris Disability Questionnaire, RBDQ, MD -3.13) compared to controls. HF-TENS also significantly reduced pain (SMD -0.81), while LF-TENS had a non-significant effect. IFC ranked highest by P-score across outcomes. No significant inconsistency was detected, and sensitivity analyses confirmed robustness.</div></div><div><h3>Conclusions</h3><div>This network meta-analysis indicates that IFC and HF-TENS are likely more effective in reducing pain in people with chronic low back pain, with IFC also showing a potential advantage in improving function. These results should be interpreted with caution, given the low certainty of evidence. Nevertheless, the findings provide clinically relevant insights and support further investigation through well-designed, head-to-head trials.</div></div><div><h3>Data registration</h3><div>This review was prospectively registered in the International Prospective Register of Systematic Reviews (PROSPERO; CRD420251000528).</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"69 3","pages":"Article 102056"},"PeriodicalIF":4.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145572093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Established from five reference assessments of post-stroke spatial neglect, the cutoff is seven points for the Catherine Bergego Scale","authors":"Eugénie Lhommée ,&nbsp;Aurélien Hugues ,&nbsp;Philippe Azouvi ,&nbsp;Adélaïde Marquer ,&nbsp;Dominic Pérennou","doi":"10.1016/j.rehab.2025.102078","DOIUrl":"10.1016/j.rehab.2025.102078","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"69 3","pages":"Article 102078"},"PeriodicalIF":4.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146173308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Induced forward-tilt training restoring ambulation from inability to stand in refractory post-stroke retropulsion: A single-case study","authors":"Shota Ueno ,&nbsp;Shogo Kimura ,&nbsp;Masaharu Yoshio ,&nbsp;Shigetoshi Takaya","doi":"10.1016/j.rehab.2025.102079","DOIUrl":"10.1016/j.rehab.2025.102079","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"69 3","pages":"Article 102079"},"PeriodicalIF":4.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146173396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of standing 1 month after stroke in a large cohort: motor weakness, lateropulsion, and hypoesthesia","authors":"Aurélien Hugues,&nbsp;Stéphanie Dehem,&nbsp;Rémi Lafitte,&nbsp;Jean-Pierre Karam,&nbsp;Eugénie Lhommée,&nbsp;Adélaïde Marquer ,&nbsp;Dominic Pérennou","doi":"10.1016/j.rehab.2025.102077","DOIUrl":"10.1016/j.rehab.2025.102077","url":null,"abstract":"<div><h3>Background</h3><div>Recovering standing balance after a stroke is an important milestone. However, the factors that affect post-stroke quiet standing balance remain unclear.</div></div><div><h3>Objectives</h3><div>To determine the clinical profile of individuals according to their standing ability.</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted as part of the DOBRAS (Determinants of Balance Recovery After Stroke) cohort, which included individuals aged 18 to 80 years who had experienced a first unilateral hemisphere stroke. Three groups were formed based on the Postural Assessment Scale for Stroke score at 30 days post-stroke (D30): those unable to stand alone, those able to stand alone with difficulty, and those able to stand alone rather well. Sensorimotor and cognitive impairments were comprehensively assessed at D30. Data were analyzed by multivariate regression (14 impairments + age).</div></div><div><h3>Results</h3><div>We analyzed data for 221 individuals (median age 67 years; 67 % male). Almost half (103/221, 47 %) could stand rather well, 33 % (73/221) could stand with difficulty, and 20 % (45/221) could not stand at all. The probability of being unable to stand alone increased with the severity of motor weakness (standardized logistic regression coefficient β₀ = 6.4), lateropulsion (β₀ = 4.4), and hypoesthesia (β₀ = 3.3). The probability of standing with difficulty increased with the severity of motor weakness (β₀ = 3.7), lateropulsion (β₀ = 2.1), and hypoesthesia (β₀ = 1.3) as well as with age (β₀ = 0.7).</div></div><div><h3>Conclusion</h3><div>One month after a hemisphere stroke, 53 % (118/221) of individuals do not stand or stand with difficulty, a proportion stable for 20 years. The standing posture should be considered more explicitly in modern post-stroke balance assessments, with more manageable postural tasks. The clinical profile of individuals with difficulty standing or inability to stand combines impairments in the elementary motor command (weakness), vertical orientation (lateropulsion), and somatosensory perception (hypoesthesia). They are also older. Focusing on these impairments and balance training could help people recover their standing posture after a stroke. Older individuals require more balance training.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"69 2","pages":"Article 102077"},"PeriodicalIF":4.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physician agreement on messages related to imaging findings in low back pain: a cross-sectional study","authors":"Christophe Demoulin ,&nbsp;Stéphane Genevay ,&nbsp;Gilles Avenel ,&nbsp;Marco Tomasella ,&nbsp;Camille Delaunoy ,&nbsp;Katarina Destrée ,&nbsp;Marc Vanderthommen ,&nbsp;Florian Bailly","doi":"10.1016/j.rehab.2025.102065","DOIUrl":"10.1016/j.rehab.2025.102065","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"69 2","pages":"Article 102065"},"PeriodicalIF":4.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146022961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of manual therapy in people with chronic non-specific low back pain: an umbrella review with meta-analysis","authors":"Orlando Conde-Vázquez ,&nbsp;José García-Cancela ,&nbsp;Santiago Navarro-Ledesma ,&nbsp;Leo Pruimboom","doi":"10.1016/j.rehab.2025.102049","DOIUrl":"10.1016/j.rehab.2025.102049","url":null,"abstract":"<div><h3>Background</h3><div>Chronic nonspecific low back pain (CNLBP) is a widely recognized condition worldwide. Its clinical management must be based on the best current evidence to achieve optimal outcomes, yet there is still a lack of consensus on its clinical approach.</div></div><div><h3>Objective</h3><div>To evaluate the effectiveness of manual therapy (MT) on pain intensity, frequency, disability, and quality of life in adults with chronic nonspecific low back pain (CNLBP).</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted in 8 databases, covering January 2014 to October 2024. Inclusion criteria included adults with CNLBP, MT interventions provided by healthcare professionals, and systematic reviews (SRs) of randomized controlled trials (RCT). Data on pain intensity, pain frequency, disability, and quality of life measured using validated scales were extracted. The results were shown according to the type of intervention and the period evaluated (short, medium, or long term).</div></div><div><h3>Results</h3><div>About 21 SRs with 35,711 participants were included. MT included spinal manipulation, soft-tissue techniques, myofascial techniques, massage, and neuromeningeal techniques. MT outperforms other interventions regarding pain (MD −10.52; 95% CI −13.71 to −7.33) and disability (SMD −0.60; 95% CI−0.80 to −0.40) in the short term, and this effect diminishes over time.</div></div><div><h3>Conclusions</h3><div>MT offers significant short-term benefits in reducing pain and disability in individuals with CNLBP. Like most interventions for CNLBP, the effects of MT tend to diminish over time. Nevertheless, MT may serve as a valuable treatment option for short-term pain relief and functional improvement. Limitations in the methodological quality and long-term follow-up of included studies constrain the conclusions that can be drawn about long-term efficacy.</div><div>Registration: PROSPERO, CRD42023382825.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"69 2","pages":"Article 102049"},"PeriodicalIF":4.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145607638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telephone-based validation of the Duke Activity Status Index in cardiac rehabilitation participants","authors":"Tamara Costábile Sant’Anna ,&nbsp;Júlia Isaac Bernardes ,&nbsp;Janaine Cunha Polese ,&nbsp;Maria da Glória Rodrigues-Machado","doi":"10.1016/j.rehab.2025.102072","DOIUrl":"10.1016/j.rehab.2025.102072","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"69 2","pages":"Article 102072"},"PeriodicalIF":4.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between additional non-weekday rehabilitation and discharge function after hip fracture, modified by age and admission function: a retrospective study","authors":"Tsubasa Bito ,&nbsp;Shinji Takahashi ,&nbsp;Ryota Kawai ,&nbsp;Ayumi Shintani","doi":"10.1016/j.rehab.2025.102035","DOIUrl":"10.1016/j.rehab.2025.102035","url":null,"abstract":"<div><h3>Background</h3><div>Hip fractures are a significant health concern, particularly among elderly individuals. Postoperative rehabilitation, including additional non-weekday rehabilitation, plays a crucial role in improving functional outcomes.</div></div><div><h3>Objectives</h3><div>To explore the factors that modify the association between additional non-weekday rehabilitation and the activities of daily living (ADL) levels at discharge in people with hip fractures.</div></div><div><h3>Methods</h3><div>A retrospective study was conducted using administrative claims data to analyze people aged ≥ 60 years with hip fractures who underwent surgery. The primary outcome was the Barthel Index as ADL scores at hospital discharge. Multivariable non-linear regression models were used to assess the modification of the association between additional non-weekday rehabilitation and ADL scores by different characteristics such as age, body mass index, ADL scores at admission, dementia, and surgery the day before or not before the non-weekday.</div></div><div><h3>Results</h3><div>A total of 77 947 people were included. People who received additional non-weekday rehabilitation had significantly better ADL scores at discharge than those who received weekday-only rehabilitation. The association between additional non-weekday rehabilitation and better ADL scores at hospital discharge was greater in older people (mean differences between the rehabilitation groups [95% CI] at ages 60 were 2.53 [0.50–4.56], and at ages 90 were 5.47 [4.89–6.05]), and in those with lower ADL scores at admission. Furthermore, people without dementia had significantly better ADL scores at discharge than those with dementia, and people who underwent additional non-weekday rehabilitation had better ADL scores at discharge than those who underwent weekday-only rehabilitation, regardless of dementia.</div></div><div><h3>Conclusions</h3><div>Tailoring rehabilitation strategies for individual characteristics, particularly age and baseline functional status, may optimize outcomes in people with hip fractures. Additional non-weekday rehabilitation may be particularly beneficial for older people and those with lower ADL scores at admission.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"69 2","pages":"Article 102035"},"PeriodicalIF":4.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deficit of the thenar muscles does not contribute to outcomes after intra-articular botulinum neurotoxin-A for base-of-thumb osteoarthritis","authors":"Francesca Milone ,&nbsp;Raphaël Campagna ,&nbsp;Henri Guerini ,&nbsp;Camille Daste ,&nbsp;Antoine Feydy ,&nbsp;Marie-Martine Lefèvre-Colau ,&nbsp;François Rannou ,&nbsp;Christelle Nguyen","doi":"10.1016/j.rehab.2025.102054","DOIUrl":"10.1016/j.rehab.2025.102054","url":null,"abstract":"","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"69 2","pages":"Article 102054"},"PeriodicalIF":4.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of preoperative maximal strength training on muscle strength and function in total knee arthroplasty: A randomized controlled trial","authors":"Mani Izadi ,&nbsp;Tiril Tøien ,&nbsp;Frank-David Øhrn ,&nbsp;Otto Schnell Husby ,&nbsp;Vigdis Kvitland Schnell Husby ,&nbsp;Siri Bjørgen Winther ,&nbsp;Ronan Sherman ,&nbsp;Mathias Forsberg Brobakken ,&nbsp;Eivind Wang ,&nbsp;Ole Kristian Berg","doi":"10.1016/j.rehab.2025.102067","DOIUrl":"10.1016/j.rehab.2025.102067","url":null,"abstract":"<div><h3>Background</h3><div>The efficacy of prehabilitation through preoperative strength training for individuals undergoing total knee arthroplasty (TKA) remains inconclusive.</div></div><div><h3>Objective</h3><div>The present study aimed to evaluate the effects of maximal strength training (MST) before operation on muscle strength and physical function 3 weeks following TKA.</div></div><div><h3>Methods</h3><div>48 individuals scheduled for fast-track unilateral primary TKA were randomized to MST (<em>n</em> = 24), performing 4 sets at 4 repetition maximum in seated leg press 3 times per week for 8 weeks, or control usual care (CON, <em>n</em> = 24). The primary outcome was bilateral leg press maximal strength. Secondary outcomes were performance-based physical function, including 10-step stair climbing, 30 s sit-to-stand, 40 m fast-paced walking, and unipedal stance tests, and self-reported physical function as knee injury and osteoarthritis outcome score-physical function short form (KOOS-PS), European quality of life 5 dimension, 5 Level, and forgotten joint score.</div></div><div><h3>Results</h3><div>MST improved bilateral leg press 1RM relative to body weight after intervention (mean change 0.45, <em>P</em> &lt; 0.0001), and there were between-group differences in the delta changes from baseline to preoperation (mean difference 0.43, <em>P</em> &lt; 0.0001) and postoperation (mean difference 0.27, <em>P</em> &lt; 0.001), favoring MST. MST also led to better maintenance of postoperative stair climbing (mean difference −3.38 s, <em>P</em> = 0.0013). Although the MST group experienced a significant preoperative improvement in sit-to-stand (mean change 2 repetitions, <em>P</em> = 0.0019), walking ability (mean change −2.28 s, <em>P</em> &lt; 0.001), and KOOS-PS (mean change 8, <em>P</em> &lt; 0.0001), these effects did not extend to postoperative outcomes.</div></div><div><h3>Conclusions</h3><div>The findings indicate that preoperative MST is safe and effective in improving muscle strength and preserving stair-climbing ability for individuals undergoing TKA, positioning MST as a pragmatic prehabilitation strategy.</div></div><div><h3>Clinical trial registration</h3><div>NCT05892133.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"69 2","pages":"Article 102067"},"PeriodicalIF":4.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}