American Journal of Physical Medicine & Rehabilitation最新文献

{"title":"Dropouts in Exercise Rehabilitation Program in Patients With Long COVID: A Systematic Review.","authors":"Adão Luis Monte, Jéssika Karla Tavares do Nascimento Faustino da Silva, Max Duarte de Oliveira, Breno Quintella Farah, Hélcio Kanegusuku, Marilia Almeida Correia, Raphael Mendes Ritti-Dias","doi":"10.1097/PHM.0000000000002719","DOIUrl":"10.1097/PHM.0000000000002719","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to describe dropout rates, reasons, and factors associated with dropout during rehabilitation programs for patients with long COVID.</p><p><strong>Design: </strong>A search was conducted in PubMed, Embase, and Web of Science. Clinical trials were included that involved exercise programs lasting at least 4 weeks and focused on long-COVID patients aged 18 or older of both sexes, reporting on dropouts and their reasons. The TESTEX scale assessed study quality. Data on patients, interventions, and dropout rates were extracted and presented as frequencies.</p><p><strong>Results: </strong>Twenty-three studies with 1523 patients (mean age 53.0 ± 6.4 yrs, 51% female) were included. Overall, 14% ( n = 216) of long-COVID patients dropped out. Reasons included health problems (23%), incomplete assessments (19%), loss of interest (16%), lack of adherence (7%), adherence to other interventions (4%), and 31% unreported. The dropout rate was significantly higher in 2020 compared to 2021 ( P = 0.039), while no significant associations were observed between the dropout rate and other variables.</p><p><strong>Conclusions: </strong>Exercise rehabilitation studies for long-COVID patients show a 14% dropout rate, with the most common reasons being health-related issues and incomplete assessments.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"883-889"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555566","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":"Measuring the Efficacy of Percutaneous Cryoneurolysis in Participants With Refractory or Plateaued Shoulder, Elbow, Wrist, or Finger Spasticity.","authors":"Mahdis Hashemi, Fraser MacRae, Ève Boissonnault, Daniel Vincent, Jia Song, Sandy Shi, Paul Winston","doi":"10.1097/PHM.0000000000002728","DOIUrl":"10.1097/PHM.0000000000002728","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to investigate novel, minimally invasive cryoneurolysis for refractory or plateaued upper limb spasticity.</p><p><strong>Design: </strong>This was a repeated-measures, single-center, observational pilot study (NCT04670783). Percutaneous cryoneurolysis was applied to the upper limb nerves and intramuscular branches of 59 adults with upper limb spasticity refractory to or plateaued on botulinum therapies. Maximal passive range of motion (V1), active ROM, and modified Ashworth scale score were measured during shoulder flexion, abduction, and external rotation and elbow and wrist extension at baseline and follow-up to 1 yr. Additional outcomes included pain, participant satisfaction, and upper limb disability.</p><p><strong>Results: </strong>Overall, 59 participants received cryoneurolysis in ≥1 region targeting nerves that innervate muscles supporting shoulder ( n = 47), elbow ( n = 33), wrist ( n = 18), and fingers/thumb ( n = 29) movement. At 12 mos, there was significant change from baseline in V1, active ROM, and modified Ashworth scale score for shoulder flexion and abduction and in V1 and modified Ashworth scale score for external rotation. Similar results were observed for elbow extension V1, active ROM, and modified Ashworth scale score and wrist extension modified Ashworth scale score. Average daily pain, participant satisfaction, and upper limb disability improved.</p><p><strong>Conclusions: </strong>Participants with plateaued or refractory spasticity had improvements in upper limb regions; future evaluations of cryoneurolysis treatment for spasticity are warranted.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"896-905"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12435237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143727632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Performance Differences in Para Taekwondo by Impairment Profile and Sex: Implications for Evidence-Based Classification.","authors":"Guilherme Cezário Felix, Elisa Pilarski, Rodrigo Ferla Martins, Alan Edmilson do Nascimento, Michel Milistetd, Rafael Lima Kons","doi":"10.1097/PHM.0000000000002797","DOIUrl":"10.1097/PHM.0000000000002797","url":null,"abstract":"<p><strong>Abstract: </strong>Para taekwondo has become a prominent sport within the adapted community, especially since its inclusion in the Tokyo 2020 + 1 Paralympic Games. This study aimed to explore the distribution of female and male Para taekwondo athletes across body region-specific impairments (wrist, elbow, shoulder impairment, and limbs without amputation) considering different performance outcomes (gold, silver, bronze, and nonmedalists) in international competitions from 2021 to 2024. A total of 902 matches were analyzed, comprising 450 female and 452 male matches, with multiple combats per athlete across 11 World Para Taekwondo events, representing 902 individual para athletes. χ 2 tests were used to assess associations between the body region-specific impairments and performance outcomes, with significance set at P < 0.05. The findings showed that Para taekwondo athletes with more body region-specific impairments had a significantly lower percentage of gold and silver medals compared with those with less body region-specific impairments (female: χ 2 = 26.13; P = 0.002; male: χ 2 = 36.04; P < 0.001). Additionally, a significant increase in participation was observed across both sexes over the past 4 yrs (χ 2 = 172.25; P < 0.001). These results highlight the need to refine the Para taekwondo classification system to ensure fairness, particularly concerning the impact of upper limb impairments on performance outcomes.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"933-937"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726581","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 Wearable Robot-Assisted Gait Training on Balance and Walking Ability in Subacute Stroke Patients.","authors":"Yonghoon Kim, Suhyeon Baek, Reema Priyanka Suram, Rida Fatima, Sun-Joung Leigh An, Yonggeun Hong","doi":"10.1097/PHM.0000000000002735","DOIUrl":"10.1097/PHM.0000000000002735","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the effectiveness of wearable robot-assisted gait training compared to treadmill gait training for improving balance and walking ability in stroke patients.</p><p><strong>Design: </strong>Sixty stroke patients (67.13 ± 11.36 yrs; 37 males and 23 females) undergoing physical therapy were recruited from C Hospital in Seoul, Korea. Patients were randomly assigned to either the wearable robot-assisted gait training group ( n = 30) or the treadmill gait training group ( n = 30). Both groups received 30-min training sessions 3 times a week for 8 weeks. Balance ability was assessed using the L-symmetry, and Berg Balance Scale and motor recovery by Fugl-Meyer Assessment of the Lower Extremity. Cadence, step length, and stride length were measured to evaluate walking ability. Follow-up assessments were conducted at 16 wks.</p><p><strong>Results: </strong>After 8 wks of treatment, the wearable robot-assisted gait training group demonstrated significant functional improvements in motor ability and balance (Fugl-Meyer Assessment of the Lower Extremity, P < 0.001; L-symmetry, P = 0.049; Berg Balance Scale, P < 0.001) and walking ability (cadence, P = 0.017; step length, P = 0.038; stride length, P = 0.042). At the 16-wk follow-up, the wearable robot-assisted gait training group maintained significant gains in motor ability and balance (Fugl-Meyer Assessment of the Lower Extremity, P < 0.001; L-symmetry, P = 0.025; Berg Balance Scale, P = 0.011) and walking ability (cadence, P < 0.001; step length, P = 0.025; stride length, P = 0.001).</p><p><strong>Conclusions: </strong>The overground wearable robotic device used in this study, wearable robot-assisted gait training was found to be more effective than treadmill gait training in improving motor ability and balance, and walking ability in stroke patients.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"859-868"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555624","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":"Unilateral Abdominal Wall Atrophy Due to Intercostal Nerve Injury After Rib Fractures A Rare Clinical Presentation.","authors":"Yakup Erden, Gizem Özçıbık Işık","doi":"10.1097/PHM.0000000000002737","DOIUrl":"10.1097/PHM.0000000000002737","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e141"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555626","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":"Shear-Wave Elastography Supports That Muscle Stiffness Should Not Be Considered a Criterion to Determine the Presence of Myofascial Trigger Points in the Infraspinatus Muscle.","authors":"Mateusz D Kobylarz, Sebastian Klich, Sandra Sánchez-Jorge, Jorge Buffet-García, Ricardo Ortega-Santiago, Juan Antonio Valera-Calero","doi":"10.1097/PHM.0000000000002721","DOIUrl":"10.1097/PHM.0000000000002721","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to determine latent myofascial trigger points and asymptomatic surrounding areas differences in pain pressure thresholds and shear-wave elastography metrics differences.</p><p><strong>Design: </strong>Latent myofascial trigger points and asymptomatic control points were identified within the infraspinatus muscle. A blinded examiner assessed the pain pressure thresholds and acquired three shear-wave elastography images of each location. Pain pressure threshold and shear-wave elastography scores were compared by location (myofascial trigger point and control) and gender. Finally, correlations among demographics, pain pressure thresholds, and shear-wave elastography data were calculated.</p><p><strong>Results: </strong>Forty participants were analyzed. Pain pressure thresholds were significantly lower in latent myofascial trigger points compared with control points in males ( P = 0.003) and females ( P < 0.001), and lower in females compared with males (myofascial trigger point P < 0.001; control point P = 0.006). No significant shear-wave elastography differences were found between myofascial trigger points and control points ( P > 0.05) nor between males and females (myofascial trigger point and control points, P > 0.05). In contrast with the accepted myofascial trigger point definition, those areas with greater pain pressure thresholds exhibited greater stiffness via shear-wave elastography ( P < 0.01).</p><p><strong>Conclusions: </strong>Although pain pressure threshold scores indicated significant differences in hyperirritability between latent myofascial trigger points and control points, shear-wave elastography measurements revealed no significant differences in muscle stiffness. Furthermore, muscle stiffness was significantly associated with greater pain pressure threshold scores, challenging the hypothesis that stiffer areas can be identified as myofascial trigger points or sources of pain.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"890-895"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968421","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":"71-Year-Old Man With Subacute Forearm Pain Associated With Numbness and Tingling: A Clinical Vignette.","authors":"Raymond C Guo, Hye Chang Rhim, Lindsey S Caldwell, David M Robinson","doi":"10.1097/PHM.0000000000002730","DOIUrl":"10.1097/PHM.0000000000002730","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e150-e152"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655931","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":"Obstructive Sleep Apnea and Risk of Cardiovascular Events or All-Cause Mortality in Patients With Spinal Cord Injuries: A Descriptive Study.","authors":"Julie Di Maria, Jonathan Levy, Djamel Bensmail, Omar Ben Hadj Salem, Thibaud Lansaman, Hélène Prigent, Sarah Hartley, Antoine Léotard","doi":"10.1097/PHM.0000000000002739","DOIUrl":"10.1097/PHM.0000000000002739","url":null,"abstract":"<p><strong>Objective: </strong>Obstructive sleep apnea is associated with an increased risk of cardiovascular morbi-mortality, but this relationship has never been studied in patients with spinal cord injury. Our objective was to describe the impact of obstructive sleep apnea on the risk of major adverse cardiovascular events and all-cause mortality in patients with spinal cord injury.</p><p><strong>Design: </strong>This is a retrospective, descriptive, single-center study.</p><p><strong>Results: </strong>Out of 269 spinal cord injury patients, 177 had obstructive sleep apnea and 32 experienced a major adverse cardiovascular events-all-cause mortality. Univariate analysis shows that age, sex, hypertension, diabetes, dyslipidemia and Apnea Hypopnea Index were associated with major adverse cardiovascular events-all-cause mortality occurrence. Age, sex, diabetes, and dyslipidemia but not hypertension nor Apnea Hypopnea Index was independently associated with major adverse cardiovascular events-all-cause mortality in multivariate analysis. Log rank test suggest a significant impact of obstructive sleep apnea on major adverse cardiovascular events-all-cause mortality occurrence during spinal cord injury follow-up ( P = 0.047).</p><p><strong>Conclusions: </strong>Obstructive sleep apnea severity was not independently associated with major adverse cardiovascular events-all-cause mortality in spinal cord injury, but our descriptive study suggests that larger prospective studies are required. These could potentially use the national health data hub to maximize inclusions and restrain the selection bias due to our mono centric (and highly specialized) design.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"919-926"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965283","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":"Adapting an Intensive Interdisciplinary Chronic Pain Rehabilitation Program to Address Long COVID in Youth: A Pilot Study.","authors":"Nicole Whiston Andrejow, Teressa Garcia Reidy, Katlyn Billups, Ifigenia D Mougianis, Kathryn A Birnie, Danielle Ploetz, Joan Carney","doi":"10.1097/PHM.0000000000002807","DOIUrl":"10.1097/PHM.0000000000002807","url":null,"abstract":"<p><strong>Abstract: </strong>During the COVID-19 pandemic, an established interdisciplinary pain program pivoted to address the emerging needs of youth with long COVID. The program used a rehabilitation model with an overarching goal of supporting youth in their return to school, activities of daily living, and social-emotional functioning by learning to cope with chronic pain and mitigate its impact on daily life. This article describes that protocol and uses three patient cases to illustrate positive clinical changes in function and the lessons learned from adapting the Interdisciplinary Pain Program to pediatric patients with long COVID.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e153-e156"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726578","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":"Telerehabilitation of the Shoulder Using a Low-Cost Locally Developed Motion-Tracking Wearable Device From the Philippines: A Clinical Vignette.","authors":"Carl Froilan D Leochico, Angelo S Marasigan, Edmon O Fernandez, Nilo M Arago, Sharon D Ignacio, Jose Alvin P Mojica","doi":"10.1097/PHM.0000000000002683","DOIUrl":"10.1097/PHM.0000000000002683","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e146-e149"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942840","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}