American Journal of Physical Medicine & Rehabilitation最新文献

{"title":"Assistive Technology in ALS: A Scoping Review of Devices for Limb, Trunk, and Neck Weakness.","authors":"Katherine M Burke, Vishni Arulanandam, Erica Scirocco, Timothy Royse, Sydney Hall, Harli Weber, James Arnold, Prabhat Pathak, Conor Walsh, Sabrina Paganoni","doi":"10.1097/PHM.0000000000002742","DOIUrl":"10.1097/PHM.0000000000002742","url":null,"abstract":"<p><strong>Abstract: </strong>Amyotrophic lateral sclerosis is a progressive neurodegenerative disease affecting upper and lower motor neurons that control voluntary muscles. With no known cure, clinical care is focused on symptom management to maximize function and quality of life. Assistive technology plays a crucial role and enables some restoration of movement and function despite disease progression. This scoping review assesses the effectiveness of assistive technologies tested in people living with amyotrophic lateral sclerosis, specifically those designed to compensate for upper and lower extremity, trunk, and cervical muscle weakness. A comprehensive search was conducted across PubMed, CINAHL, ERIC, and Google Scholar and through citation chasing. We included 26 articles that tested an assistive device on at least one person living with amyotrophic lateral sclerosis and evaluated the device's effectiveness in restoring movement or providing stabilization to support functional mobility or activities of daily living. Most studies were pilot feasibility or usability trials, with small numbers of amyotrophic lateral sclerosis participants. The devices showed various benefits, including improved range of motion, function, and participation in daily activities. This review highlights the potential for assistive devices to enhance function in people living with amyotrophic lateral sclerosis and underscores the need for comprehensive studies involving larger cohorts of individuals at different stages of amyotrophic lateral sclerosis.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e115-e124"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Rare Nonathletic Tear of the Semitendinosus in a Woman: A Visual Vignette.","authors":"Raktim Swarnakar, Menhaj Ahmed, Sohini Datta, Ankit Sarkar","doi":"10.1097/PHM.0000000000002688","DOIUrl":"10.1097/PHM.0000000000002688","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e113"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827127","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 Oral Sensory Function Including Proprioception on Swallowing in Patients With Stroke.","authors":"So-Hyun Park, Dae-Hoon Ham, Joon-Ho Shin","doi":"10.1097/PHM.0000000000002702","DOIUrl":"10.1097/PHM.0000000000002702","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to assess oral sensory deficits and their correlation with mastication and swallowing in patients with stroke.</p><p><strong>Design: </strong>This prospective observational study was conducted in the stroke unit of a rehabilitation hospital. The inclusion criterion was first occurrence of stroke with a unilateral lesion. Patients underwent oral sensory tests, including tactile sensation (light touch, two-point discrimination) and proprioception, along with mastication and swallowing assessments via videofluoroscopic swallowing study and Test of Masticating and Swallowing Solids.</p><p><strong>Results: </strong>Among 36 patients, contralesional sides exhibited reduced oral sensory function (light touch, two-point discrimination, and proprioception of lips) compared with ipsilesional sides ( P = 0.003, P = 0.001, P = 0.046, respectively). Oral proprioception was negatively correlated with mastication and swallowing. Proprioception of tongue showed negative correlation with mastication ( P = 0.035), while combined value of proprioception of teeth, lip, and tongue showed negative correlation with time per swallow. Contralesional light touch and two-point discrimination influenced swallow items in Test of Masticating and Swallowing Solids and pharyngeal phase items in videofluoroscopic swallowing study.</p><p><strong>Conclusions: </strong>Patients with stroke demonstrated contralesional oral sensory deficits, which were associated with impaired mastication and swallowing. Oral proprioception was correlated with mastication and swallowing, whereas tactile sensation correlated with the pharyngeal phase.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"709-716"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405467","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":"Clinical Effectiveness of a Functional Restoration Program Compared to Conventional Medical Management in Patients With Chronic Pain: A Multicenter, Retrospective Observational Analysis.","authors":"Angela Giertych, Jessica Crane, Sarah Goozeé, Iris Maoz, Nader Mehri, Kasra Amirdelfan, Annu Navani","doi":"10.1097/PHM.0000000000002713","DOIUrl":"10.1097/PHM.0000000000002713","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The aim of the study was to determine clinical effectiveness of an 8-wk functional restoration program compared with conventional medical management in patients with chronic pain after work-related injury in the workers' compensation system.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;This is an observational retrospective chart review of 485 patients treated between January 1, 2020, and December 31, 2022. Included patients with chronic pain after work-related injury who participated in a multidisciplinary evaluation and were considered appropriate for functional restoration program. Outcomes were analyzed for two groups: functional restoration program group completed an 8-wk program, and conventional medical management group did not receive functional restoration program treatment. The ordinary least squares regression model was used to control confounding factors, and an independent t test was performed to assess functional restoration program effectiveness.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Functional restoration program graduates demonstrated improvements in depression, anxiety, self-efficacy, and physical function; Center for Epidemiologic Studies Depression Scale ( P &lt;0.001), Generalized Anxiety Disorder Scale ( P &lt; 0.01), Pain Self-Efficacy Questionnaire ( P &lt; 0.001), Neck Disability Index ( P &lt; 0.001), and Oswestry Low Back Disability Index ( P &lt; 0.001) scores were statistically significant compared to conventional medical management. The Lower Extremity Functional Scale and Quick Disabilities of Arm, Shoulder & Hand scores did not show statistically significant improvement with functional restoration program.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Functional restoration program offers a clinically effective treatment option to improve self-efficacy, anxiety, depression, and physical function in patients with chronic pain associated with work-related injury. Prospective, randomized control trials could be key in validating and identifying further variability in outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;To claim cme credits: &lt;/strong&gt;Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Cme objectives: &lt;/strong&gt;Upon completion of this article, the reader should be able to: ○ Describe the benefits of a functional restoration program (FRP); ○ Provide additional options to improve function for patients with chronic pain associated with work-related injury; and ○ Enhance clinical applications of multidisciplinary treatment for treating delayed recovery from chronic pain in individuals with work-related injuries.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Level: &lt;/strong&gt;Advanced.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Accreditation: &lt;/strong&gt;The Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The Association of Academic Physiatrists designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s) ™","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"735-742"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555565","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":"What Is the Diagnostic Accuracy of CAM-ICU in Diagnosing Delirium in Adult Patients in Critical Care Settings? A Cochrane Review Summary With Commentary.","authors":"Nurul Firdausi Hasnol Basri, Julia Patrick Engkasan","doi":"10.1097/PHM.0000000000002760","DOIUrl":"10.1097/PHM.0000000000002760","url":null,"abstract":"<p><strong>Abstract: </strong>The aim of this commentary is to discuss from a rehabilitation perspective the Cochrane Review \"CAM-ICU for the diagnosis of delirium in adults in critical care settings\" by Miranda F, Gonzalez F, Plana MN, Zamora J, Quinn TJ, Seron P. published by Cochrane Dementia and Cognitive Improvement Group. This Cochrane Corner is produced in agreement with American Journal of Physical Medicine and Rehabilitation by Cochrane Rehabilitation with views of the review summary authors in the \"implications for practice\" section.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"748-749"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143969771","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":"Diagnostic Performance of Spurling's Test for the Assessment Subacute and Chronic Cervical Radiculopathy: A Systematic Review and Meta-analysis.","authors":"Long-Huei Lin, Ting-Yu Lin, Ke-Vin Chang, Chih-Chen Tzang, Wei-Ting Wu, Levent Özçakar","doi":"10.1097/PHM.0000000000002707","DOIUrl":"10.1097/PHM.0000000000002707","url":null,"abstract":"<p><strong>Objective: </strong>Spurling's test is commonly used to diagnose cervical radiculopathy (CR); however, its diagnostic accuracy varies across studies. This systematic review and meta-analysis aim to evaluate the diagnostic performance of Spurling's test for cervical radiculopathy.</p><p><strong>Design: </strong>A systematic search of PubMed, ClinicalTrials.gov , Cochrane Library, and Physiotherapy Database was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies assessing Spurling's test against imaging or electrodiagnostic tests were included. A bivariate random-effects model calculated pooled sensitivity, specificity, likelihood ratios, and log diagnostic odds ratios.</p><p><strong>Results: </strong>Eight studies met the inclusion criteria. The pooled sensitivity of Spurling's test was 0.53 (95% confidence interval: 0.29-0.78), higher with imaging (0.67) than with electrodiagnostic testing (0.31) as the reference standard. Combining neck rotation or extension increased sensitivity to 0.67, compared to 0.31 without. The pooled specificity was 0.92 (95% confidence interval: 0.88-0.96), 0.93 with imaging and 0.91 with electrodiagnostic testing as the reference standard. The pooled positive likelihood ratio was 3.28, negative likelihood ratio was 0.28, and the log diagnostic odds ratio was 2.74.</p><p><strong>Conclusions: </strong>Spurling's test is highly specific but has low sensitivity for cervical radiculopathy diagnosis, making it better suited for confirmation than screening. Sensitivity may improve with added maneuvers and imaging as a reference.</p><p><strong>To claim cme credits: </strong>Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME.</p><p><strong>Cme objectives: </strong>Upon completion of this article, the reader should be able to: 1) Understand the diagnostic performance of Spurling's test for cervical radiculopathy. 2) Identify strategies to improve diagnostic performance during clinical testing. 3) Recognize the clinical role of Spurling's Test in the diagnosis and management of cervical radiculopathy.</p><p><strong>Level: </strong>Advanced.</p><p><strong>Accreditation: </strong>The Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The Association of Academic Physiatrists designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s) ™. Physicians should only claim credit commensurate with the extent of their participation in the activity.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"717-723"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405415","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":"Rare Bilateral Trifid Median Nerve Causing Bilateral Carpal Tunnel Syndrome: A Visual Vignette.","authors":"Raktim Swarnakar, Anoovab Saha, Ankit Sarkar","doi":"10.1097/PHM.0000000000002699","DOIUrl":"10.1097/PHM.0000000000002699","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e114"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920346","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":"Determining the Incidence of Concomitant Traumatic Brain Injury in Patients With Acute Spinal Cord Injury: A 10-Year Cross-sectional Study.","authors":"Antoine Dionne, Marie-Michèle Briand, Andréane Richard-Denis, Victor Lim, Minh Tri Le, Jean-Marc Mac-Thiong","doi":"10.1097/PHM.0000000000002708","DOIUrl":"10.1097/PHM.0000000000002708","url":null,"abstract":"<p><strong>Objective: </strong>A concomitant traumatic brain injury is often seen in patients with acute traumatic spinal cord injury. Unfortunately, the exact epidemiology of concomitant traumatic brain injury-traumatic spinal cord injury remains unknown. Our objective was to determine the incidence of concomitant traumatic brain injury-traumatic spinal cord injury and identify clinical factors associated with its occurrence.</p><p><strong>Design: </strong>A prospective cross-sectional study of 476 traumatic spinal cord injury patients was conducted. In all patients, baseline characteristics were routinely collected and the presence of a traumatic brain injury was sought prospectively by a specialized neurosurgeon using standardized diagnostic criteria based on clinical and radiological variables.</p><p><strong>Results: </strong>Of the 476 included patients, 250 (53%) had isolated traumatic spinal cord injury and 226 (47%) had concomitant traumatic brain injury-traumatic spinal cord injury. Almost 85% of diagnosed traumatic brain injuries were mild. At the univariate level, patients with concomitant traumatic brain injury-traumatic spinal cord injury were more likely to present a history of drug/alcohol abuse ( P = 0.014), be involved in a motor vehicle accident ( P < 0.001), sustain a high energy mechanism ( P < 0.001), or present tetraplegia rather than paraplegia ( P = 0.021). These factors all remained significant at the multivariate level.</p><p><strong>Discussion: </strong>A concomitant traumatic brain injury can be found in around 50% of traumatic spinal cord injury individuals. There are several clinical variables that should increase clinical suspicion of underlying traumatic brain injury and warrant further investigation to facilitate prompt identification and treatment of affected patients.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"730-734"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405410","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":"Effect of Electroacupuncture on Delayed-Onset Muscle Soreness Induced by Eccentric Exercise in Young Untrained Men: Randomized Controlled Trial.","authors":"Shoichi Komine, Ikuru Miura, Teng Hu, Akihiro Ogata, Shinsuke Tamai, Katsuyuki Tokinoya, Sechang Oh, Shota Wada, Kazuhiro Takekoshi, Go Ito, Tomonori Isobe, Takashi Matsui, Hajime Ohmori","doi":"10.1097/PHM.0000000000002698","DOIUrl":"10.1097/PHM.0000000000002698","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the effects of ipsilateral electroacupuncture at the site of exercise-induced pain and those of contralateral electroacupuncture on delayed-onset muscle soreness, muscle injury markers, and oxidative stress after eccentric exercise.</p><p><strong>Design: </strong>Nineteen young men were randomly assigned to receive either contralateral electroacupuncture or ipsilateral electroacupuncture. All participants performed eccentric exercise using the biceps brachii muscle of the nondominant arm to induce muscle damage. Six sets of five repetitions were completed at 70% of maximal muscle strength. Electroacupuncture stimulation was applied to the dominant arm in the contralateral electroacupuncture group and the nondominant arm in the ipsilateral electroacupuncture group. Electroacupuncture stimulation was applied in both groups from 7 days before exercise to 4 days after exercise.</p><p><strong>Results: </strong>Palpation pain was significantly lower in the ipsilateral electroacupuncture group than the contralateral electroacupuncture group at 72 and 96 hours after exercise. The muscle injury markers increased after exercise, but these changes were not significantly influenced by ipsilateral electroacupuncture stimulation. Ipsilateral electroacupuncture suppressed exercise-induced oxidative stress at 72 hours after exercise.</p><p><strong>Conclusions: </strong>This study suggests that the direct electroacupuncture on the damaged muscle before and after eccentric exercise effectively reduces delayed-onset muscle soreness. Electroacupuncture might suppress increases in oxidative stress elicited by eccentric exercise.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"693-701"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Botulinum Neurotoxin on Muscle Mass and Volume in Individuals With Spastic Cerebral Palsy: A Systematic Review and Meta-analysis.","authors":"Ai-Chieh Lin, Yu-Chi Su, Yu-Ching Lin","doi":"10.1097/PHM.0000000000002705","DOIUrl":"10.1097/PHM.0000000000002705","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to comprehensively survey the impact of botulinum neurotoxin on muscle volume or mass in treating lower limb spasticity in individuals with spastic cerebral palsy.</p><p><strong>Design: </strong>We searched PubMed, Embase, Web of Science, and the Cochrane Library up to May 15, 2024. We focused on changes in the volume or mass of the gastrocnemius, triceps surae, or entire distal lower limb muscles at various follow-up periods. Meta-regression analysis was conducted to assess the moderating effects of age and gross motor function classification system level.</p><p><strong>Results: </strong>Our analysis included 11 cohort studies. A significant decrease in gastrocnemius muscle volume or mass was observed 2-3 mos after botulinum neurotoxin treatment (standardized mean difference -0.496, 95% confidence interval [-0.810, -0.181]) but not at earlier (standardized mean difference -0.134, [-0.397, 0.129]) or later (standardized mean difference -0.223, [-1.199, 0.752]) periods. The triceps surae and entire distal lower limb muscles showed no changes. Older patients ( P = 0.026) and those with Gross Motor Function Classification System I-II levels ( P = 0.0191) had more pronounced decreases.</p><p><strong>Conclusion: </strong>The present study showed a decrease in muscle volume or mass of the botulinum neurotoxin-injected gastrocnemius after a short follow-up period but not in the triceps surae or the distal lower limb in individuals with spastic cerebral palsy.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"724-729"},"PeriodicalIF":2.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405426","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}