American Journal of Physical Medicine & Rehabilitation最新文献

A Comparative Analysis of Women's Experiences in Physical Medicine and Rehabilitation versus Orthopaedic Surgery. 女性物理医学康复与骨科经验的比较分析。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-06-04 DOI: 10.1097/PHM.0000000000002768

Jenna Kwiecinski, Ashley Amundson, Corinna Franklin, Rey Ramirez, Michael Saulino

{"title":"A Comparative Analysis of Women's Experiences in Physical Medicine and Rehabilitation versus Orthopaedic Surgery.","authors":"Jenna Kwiecinski, Ashley Amundson, Corinna Franklin, Rey Ramirez, Michael Saulino","doi":"10.1097/PHM.0000000000002768","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002768","url":null,"abstract":"Objective: This study aims to understand positive and negative experiences shared between women in PM&R and orthopaedic surgery to uncover pervasive issues within two male-dominated specialties with the end goal of improving both interest and representation of women.Design: Surveys were distributed to women practicing PM&R and to women practicing orthopaedic surgery. Questions included close-ended, open-ended, and identifiers on a 4-point modified Likert scale. Data was anonymously collected using REDCap electronic data capture tools.Results: Negative experiences were much more common within orthopaedics, which also has a lower percentage of women. 7.3% of PM&R respondents versus 28.2% of orthopaedics respondents reported experiencing sexual harassment. 11.5% of PM&R respondents versus 79.2% of orthopaedics respondents reported witnessing sexist comments or behaviors. Furthermore, 13.7% of PM&R respondents versus 60.6% of orthopaedics respondents reported an unwelcoming environment. Regarding positive experiences, 68.6% of PM&R respondents versus 71.6% of orthopaedics respondents found exposure to the field encouraging. 69.6% of PM&R respondents versus 87.4% of orthopaedics respondents reported having a mentor in the field encouraging.Conclusion: Stark differences were reported regarding sexist comments or behaviors, illustrating a dichotomous environment between PM&R and orthopaedic surgery. Although PM&R has significantly lower percentages of these behaviors, there is still ample room for improvement.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224068","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}

引用次数: 0

Is Ultrasound-Guided Steroid Injection Less Effective in Carpal Tunnel Syndrome Patients with Bifid Median Nerve?: A Focus on Short-Term Efficacy. 超声引导下类固醇注射治疗双正中神经裂的腕管综合征患者效果较差吗？：关注短期效果。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-06-04 DOI: 10.1097/PHM.0000000000002771

Büşra Şirin Ahisha, Nurdan Paker

{"title":"Is Ultrasound-Guided Steroid Injection Less Effective in Carpal Tunnel Syndrome Patients with Bifid Median Nerve?: A Focus on Short-Term Efficacy.","authors":"Büşra Şirin Ahisha, Nurdan Paker","doi":"10.1097/PHM.0000000000002771","DOIUrl":"10.1097/PHM.0000000000002771","url":null,"abstract":"Objective: To evaluate the impact of bifid median nerve (BMN) on treatment response to ultrasound-guided corticosteroid injection in patients with carpal tunnel syndrome (CTS).Design: This observational study included 50 patients with mild to moderate CTS undergoing ultrasound-guided corticosteroid injection. During the procedure, 25 patients with a BMN and 25 with a normal median nerve (NMN) were consecutively selected. 21 from each group completed the 4-week follow-up. Symptom severity, functional status, and disability were assessed using the Visual Analog Scale (VAS), the Boston Carpal Tunnel Syndrome Questionnaire (BCTQ), and the Quick Disabilities of the Arm, Shoulder, and Hand Questionnaire (Quick-DASH). Treatment response was defined as a ≥ 50% reduction in VAS at 4 weeks post-injection.Results: Pre-treatment VAS, BCTQ-SSS, BCTQ-FSS, and Quick-DASH scores did not differ between groups (p > 0.05). At 4 weeks, 76.19% of NMN patients achieved a ≥ 50% VAS reduction versus 33.33% in the BMN group (p = 0.005). While both groups improved post-injection (p < 0.05), the BMN group showed significantly lower improvement in VAS (p = 0.004), BCTQ-SSS (p = 0.015), BCTQ-FSS (p = 0.008), and Quick-DASH (p = 0.013).Conclusions: Ultrasound-guided corticosteroid injection was effective in both groups, but response was significantly lower in BMN patients. BMN may be a risk factor for treatment failure, highlighting the need for alternative injection strategies or combination therapies to optimize outcomes.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224071","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}

引用次数: 0

A Unique Interdisciplinary Approach to the Rehabilitation of Two Spouses Involved in Concurrent Trauma: A Case Report. 一个独特的跨学科的方法来康复两个配偶参与并发创伤：一个案例报告。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-06-04 DOI: 10.1097/PHM.0000000000002767

Torrance Wang, Megan Nosek, Candace Rebuck, Gwendolyn Svehlak, Peter Gorman

{"title":"A Unique Interdisciplinary Approach to the Rehabilitation of Two Spouses Involved in Concurrent Trauma: A Case Report.","authors":"Torrance Wang, Megan Nosek, Candace Rebuck, Gwendolyn Svehlak, Peter Gorman","doi":"10.1097/PHM.0000000000002767","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002767","url":null,"abstract":"Abstract: A married couple presented to our acute inpatient rehabilitation unit after involvement in a motorcycle accident. The 32-year-old male sustained a traumatic spinal cord injury (i.e., T5 ASIA impairment scale B paraplegia), and the 29-year-old female suffered a traumatic brain injury resulting in left spastic hemiplegia, increased emotional lability, and cognitive deficits. To facilitate the concurrent rehabilitation of the couple, our spinal cord and brain injury rehabilitation teams worked together to create a joint rehabilitation program for optimal recovery. This included co-habitation in a shared hospital room, combined therapy sessions, and joint family meetings. By coordinating their care, our rehabilitation team was able to better prepare the patients for the collective challenges they would face upon returning home. This allowed for increased awareness of each other's limitations as well as opportunity to support and encourage one another. The model also led to reportedly decreased anxiety, increased participation in therapy, improved safety compliance, and more opportunities for family training. In the rehabilitation of family members with concurrent injuries, it is important to acknowledge the increased psychosocial challenges and discharge barriers. Rehabilitation teams should aim to coordinate care during inpatient rehabilitation to maximize emotional well-being and functional outcomes at time of discharge.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224069","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}

引用次数: 0

Feasibility and Outcomes of Gait Training with a Powered Exoskeleton in Individuals with Multiple Sclerosis. 用动力外骨骼对多发性硬化症患者进行步态训练的可行性和结果。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-06-03 DOI: 10.1097/PHM.0000000000002772

Samantha J Stallkamp Tidd, Nicolas R Thompson, Susan M Linder, Randy Karim, Francois Bethoux

{"title":"Feasibility and Outcomes of Gait Training with a Powered Exoskeleton in Individuals with Multiple Sclerosis.","authors":"Samantha J Stallkamp Tidd, Nicolas R Thompson, Susan M Linder, Randy Karim, Francois Bethoux","doi":"10.1097/PHM.0000000000002772","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002772","url":null,"abstract":"Objective: To report on real-world use of a powered exoskeleton (PES) for outpatient gait training in MS.Design: Retrospective chart review on 21 patients with MS who completed physical therapy gait training sessions using a PES. Training descriptors, PES parameters, adverse events (AE), and performance on mobility tests without PES were compared between first and last session.Results: The median number of gait training sessions was 11. There was a statistically significant increase in walk time (p = 0.008), number of steps (p = 0.011), and programmed step length (p < 0.001) while using PES. Three patients exhibited a greater than 20% increase in walking speed on the Timed 25 Foot Walk. The time to complete the Timed Up and Go (TUG) increased (p = 0.029), although patients who did not use a wheelchair outdoors showed a smaller mean increase in TUG time (0.59 s vs. 8.69 s, p = 0.050). Five patients had one mild AE without impact on training participation.Conclusion: Our findings suggest that gait training with a PES is safe and feasible in individuals with MS. Changes in mobility outcomes without PES were highly variable between patients. Further research is needed to establish the value of PES gait training and predictors of response to gait training.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224070","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}

引用次数: 0

Effects of Robot-Assisted Gait Training on Balance and Fear of Falling in Patients With Stroke: A Randomized Controlled Clinical Trial. 机器人辅助步态训练对脑卒中患者平衡和跌倒恐惧的影响：一项随机对照临床试验。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-06-01 Epub Date: 2024-12-03 DOI: 10.1097/PHM.0000000000002674

Merve Sevinc Gunduz, Rustem Mustafaoglu, Ibrahim Halil Ural

{"title":"Effects of Robot-Assisted Gait Training on Balance and Fear of Falling in Patients With Stroke: A Randomized Controlled Clinical Trial.","authors":"Merve Sevinc Gunduz, Rustem Mustafaoglu, Ibrahim Halil Ural","doi":"10.1097/PHM.0000000000002674","DOIUrl":"10.1097/PHM.0000000000002674","url":null,"abstract":"Objective: The aim of this study was compare the effects of combined training, which included robot-assisted gait training in addition to traditional balance training, and traditional balance training alone on balance and fear of falling in patients with stroke based on objective assessment methods.Design: Patients were randomized into combined training group ( n = 21) and traditional balance training group ( n = 21) for duration of 5 wks. Balance were assessed with EncephaLog App recorded stand-up time, sit-down time, and directional sways during walking, Berg Balance Scale, and Timed Up and Go Test. International Fall Efficacy Scale measured fear of falling. Fugl-Meyer Assessment-Lower Extremity assessed limb impairment. Foot posture was assessed with Foot Posture Index.Results: After the treatments, EncephaLog sways (anterior, medial, lateral: P = 0.04, P = 0.01, P = 0.02), stand-up time ( P = 0.006), sit-down time ( P = 0.002), Berg Balance Scale ( P < 0.001), and International Fall Efficacy Scale ( P = 0.002) improved in combined training group. Timed Up and Go Test ( P = 0.01) and Fugl-Meyer Assessment-Lower Extremity ( P < 0.001) improved in traditional balance training group. Stand-up time ( P = 0.01) and sit-down time ( P = 0.04) showed statistically significant improvement in combined training group compared to traditional balance training group; Fugl-Meyer Assessment-Lower Extremity ( P = 0.002) demonstrated statistically significant improvement in traditional balance training group compared to combined training group.Conclusions: Objective assessment indicated that combined treatments in subacute and chronic stroke rehabilitation enhance balance and reduce fear of falling more effectively than isolated approaches.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"558-566"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789491","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}

引用次数: 0

Predicting Performance in the Physical Medicine and Rehabilitation Part II Certification Oral Examination Based on Milestone Ratings. 基于里程碑评分的物理医学和康复第二部分认证口试成绩预测。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-06-01 Epub Date: 2024-12-03 DOI: 10.1097/PHM.0000000000002670

Gerard E Francisco, Mikaela M Raddatz, Kenji Yamazaki, Sunil Sabharwal, Keneshia Kirksey, Carolyn Kinney, Eric Holmboe

{"title":"Predicting Performance in the Physical Medicine and Rehabilitation Part II Certification Oral Examination Based on Milestone Ratings.","authors":"Gerard E Francisco, Mikaela M Raddatz, Kenji Yamazaki, Sunil Sabharwal, Keneshia Kirksey, Carolyn Kinney, Eric Holmboe","doi":"10.1097/PHM.0000000000002670","DOIUrl":"10.1097/PHM.0000000000002670","url":null,"abstract":"Abstract: The Accreditation Council for Graduate Medical Education introduced the Milestones to document learner development within a competency-based framework. On the other hand, board certifying examinations serve as a summative evaluation of a learner's readiness for independent medical practice. Scores in Part I of the American Board of Physical Medicine and Rehabilitation examination, which measures medical knowledge, has been shown to correlate only with Milestones ratings in medical knowledge. We hypothesized that combined ratings of various Milestone competencies can predict subsequent performance in related American Board of Physical Medicine and Rehabilitation Part II certifying examination domains. Milestones data and American Board of Physical Medicine and Rehabilitation Part II Examination scores of trainees in 3-yr PM&R residency programs in the United States from academic years 2014-2016 who sat for the American Board of Physical Medicine and Rehabilitation Parts I and II Examinations, immediately after completion of training, were reviewed. Regression analysis showed that Milestone subcompetencies, alone or in combination, did not correlate with Part II domain scaled scores. Medical Knowledge was the only Milestone subcompetency that was correlated with performance in the American Board of Physical Medicine and Rehabilitation Part I certifying examination. This current study found that no similar association exists between any of the Milestones Competencies and the American Board of Physical Medicine and Rehabilitation Part II certifying examination, suggesting that the two assessment tools measure different attributes.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"581-584"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789438","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}

引用次数: 0

Overview of Medical, Surgical, and Rehabilitation Outcome Measures Used in Randomized Controlled Trials of Moderate to Severe Traumatic Brain Injury. 中度至重度创伤性脑损伤随机对照试验中使用的医学、外科和康复结果指标综述

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-06-01 Epub Date: 2024-11-14 DOI: 10.1097/PHM.0000000000002656

Cecilia Flores-Sandoval, Emma A Bateman, Heather M MacKenzie, Keith Sequeira, Shannon Janzen, Robert Teasell

{"title":"Overview of Medical, Surgical, and Rehabilitation Outcome Measures Used in Randomized Controlled Trials of Moderate to Severe Traumatic Brain Injury.","authors":"Cecilia Flores-Sandoval, Emma A Bateman, Heather M MacKenzie, Keith Sequeira, Shannon Janzen, Robert Teasell","doi":"10.1097/PHM.0000000000002656","DOIUrl":"10.1097/PHM.0000000000002656","url":null,"abstract":"Abstract: Optimal reporting of outcomes is critical for the interpretation of research findings. This review aimed to examine the utilization of outcome measures in randomized controlled trials of moderate to severe traumatic brain injury. Systematic searches were conducted up to December 2022 in MEDLINE, PubMed, Scopus, CINAHL, Embase, and PsycINFO, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Randomized controlled trials were included if the population studied had ≥18 yrs and ≥50% had moderate to severe traumatic brain injury. A total of 662 met inclusion criteria. There was a total of 839 unique outcome measures across all included randomized controlled trials. Of these, only 195 (23.2%) were used in ≥4 randomized controlled trials. On average, randomized controlled trials included 1.26 outcome measures (range 1-23). A total of 495 (59%) of outcome measures were classified in the recovery and rehabilitation category, and 344 (41%) in the medical and surgical measures category. There was a more equal representation of outcome measures in high-income countries compared to low to middle income countries, with the latter using fewer recovery and rehabilitation outcome measures. Outcome measures used in randomized controlled trials of moderate to severe traumatic brain injury have significant heterogeneity and variable clinical relevance, which limits the impact and generalizability of research in moderate to severe traumatic brain injury, and the ability to compare across studies.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"585-592"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942827","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}

引用次数: 0

Effectiveness of Amnion Allograft Injections in Patients With Degenerative Musculoskeletal Diseases: A Systematic Review and Meta-analysis. 羊膜异体注射治疗退行性肌肉骨骼疾病的有效性：系统回顾和荟萃分析。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-06-01 Epub Date: 2025-01-03 DOI: 10.1097/PHM.0000000000002687

Wen-Hsuan Hou, Pi-Chu Lin, Kuang-Mou Tung, Su-Ru Chen

{"title":"Effectiveness of Amnion Allograft Injections in Patients With Degenerative Musculoskeletal Diseases: A Systematic Review and Meta-analysis.","authors":"Wen-Hsuan Hou, Pi-Chu Lin, Kuang-Mou Tung, Su-Ru Chen","doi":"10.1097/PHM.0000000000002687","DOIUrl":"10.1097/PHM.0000000000002687","url":null,"abstract":"Objective: Amnion allograft injections have emerged as potential regenerative therapy for degenerative musculoskeletal diseases. In this study, we conducted a systematic review and meta-analysis to evaluate the effectiveness of amnion allograft injections in patients with degenerative musculoskeletal diseases.Design: A search was conducted across the PubMed, Embase, Cochrane, and Web of Science databases to identify studies reporting on amnion allograft injections in patients with degenerative musculoskeletal diseases. The outcomes assessed were pain reduction at different time points, physical functional improvements, and quality of life.Results: In total, seven studies were included. The quality assessment indicated that only three studies had a low overall risk of bias. Pooled effect sizes indicated significant improvements in overall pain of -0.959 (95% confidence interval: -1.483 to -0.435, P < 0.001), pain at 2-4 wks of -2.609 (95% confidence interval: -3.334 to -1.884, P < 0.001), at 3-6 mos of 0.834 (95% confidence interval: -1.077 to -0.590, P < 0.001), and at 1-2 yrs of -0.518 (95% confidence interval: -1.025 to -0.011, P = 0.045), physical function of 0.679 (95% confidence interval: 0.202 to 1.156, P = 0.005), and quality of life of 1.407 (95% confidence interval: 0.273 to 2.541, P = 0.015). No significant covariant was identified by subgroup analyses.Conclusions: Results indicated that amnion allograft injections produced significant pain reduction, functional improvement, and quality of life enhancement in patients receiving injections compared to control groups, particularly in terms of pain reduction.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"567-575"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942852","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}

引用次数: 0

Fellowship Training in Geriatric Rehabilitation: A Proposal. 老年康复研究培训：建议。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-06-01 DOI: 10.1097/PHM.0000000000002756

Walter R Frontera, Jonathan F Bean

引用次数: 0

Physical Activity and Exercise Interventions in Abdominal Wall Hernia Patients: Impact on Quality of Life and Health Outcomes-A Systematic Review and Meta-analysis. 腹壁疝患者的身体活动和运动干预：对生活质量和健康结果的影响——系统回顾和荟萃分析

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-06-01 Epub Date: 2024-11-18 DOI: 10.1097/PHM.0000000000002657

José Luis Gil Delgado, Gonzalo Reverte Pagola, Francisco Javier Pecci Barea, Adrián Feria Madueño, Alejandro Sánchez Arteaga, Borja Sañudo Corrales

{"title":"Physical Activity and Exercise Interventions in Abdominal Wall Hernia Patients: Impact on Quality of Life and Health Outcomes-A Systematic Review and Meta-analysis.","authors":"José Luis Gil Delgado, Gonzalo Reverte Pagola, Francisco Javier Pecci Barea, Adrián Feria Madueño, Alejandro Sánchez Arteaga, Borja Sañudo Corrales","doi":"10.1097/PHM.0000000000002657","DOIUrl":"10.1097/PHM.0000000000002657","url":null,"abstract":"Objective: Abdominal wall hernias are a common pathology in the surgical field, often leading to symptoms such as pain and tightness that can significantly reduce quality of life. Some studies have suggested that exercise and physical activity may improve both quality of life and health outcomes. This study aimed to evaluate the impact of exercise on quality of life and health outcomes in abdominal wall hernia patients through a qualitative systematic review and a quantitative meta-analysis.Design: The systematic review identified six studies ( N = 2409) that met the inclusion criteria, all demonstrating that exercise and physical activity positively affected health outcomes in abdominal wall hernia patients. Because of the limited number of studies available, the meta-analysis focused specifically on the effects of exercise and physical activity on quality of life and pain.Results: The meta-analysis results indicated significant improvements in quality of life between presurgery and postsurgery after a physical exercise intervention. However, no significant differences were found in pain levels between presurgery and postsurgery after the exercise program.Conclusions: This systematic review and meta-analysis offer promising insights into the potential benefits of physical activity and exercise interventions on health outcomes for abdominal wall hernia patients.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"519-526"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942835","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}

引用次数: 0