American Journal of Physical Medicine & Rehabilitation最新文献

Early Application of Cervical and Thoracic Transcutaneous Spinal Cord Stimulation During Acute Inpatient Rehabilitation for High Cervical Spinal Cord Injury: A Case Report. 颈胸经皮脊髓刺激（tSCS）在高位颈脊髓损伤急性住院康复中的早期应用：1例报告。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-05-01 Epub Date: 2025-12-12 DOI: 10.1097/PHM.0000000000002920

Danyal Tahseen, Halle Flate, Hilary Osterman, Cory Wernimont

引用次数: 0

Optimal Strategy of Resistance Training Combined With Other Rehabilitation Interventions for Lower-Limb Dysfunction in Stroke Patients: A Systematic Review and Network Meta-Analysis. 抗阻训练联合其他康复干预对脑卒中患者下肢功能障碍的最佳策略：系统综述和网络荟萃分析。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-05-01 Epub Date: 2026-04-21 DOI: 10.1097/PHM.0000000000002919

Siduo Chen, Kaiqi Zheng Mm Aojie Li, Weidong Liang, Pengcheng Liu, Shirui Sun, Liang Guo

{"title":"Optimal Strategy of Resistance Training Combined With Other Rehabilitation Interventions for Lower-Limb Dysfunction in Stroke Patients: A Systematic Review and Network Meta-Analysis.","authors":"Siduo Chen, Kaiqi Zheng Mm Aojie Li, Weidong Liang, Pengcheng Liu, Shirui Sun, Liang Guo","doi":"10.1097/PHM.0000000000002919","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002919","url":null,"abstract":"Objective: Stroke frequently results in lower-limb dysfunction, severely limiting independence. This study compared the effectiveness of resistance training alone and resistance training combined with other rehabilitation modalities in improving poststroke lower-limb function.Design: A systematic review and Bayesian network meta-analysis were conducted following PRISMA guidelines. Randomized controlled trials involving resistance training alone or in combination with other therapies versus daily care or resistance training alone were included. The primary outcomes were balance, lower-limb motor function, and walking ability.Results: Forty-seven trials with 2448 participants were analyzed. Resistance training combined with electrical stimulation therapy produced the greatest improvements in balance and lower-limb motor function, while resistance training combined with stretching training showed the best enhancement in walking ability. Surface Under the Cumulative Ranking Curve rankings indicated resistance training plus electrical stimulation therapy as most effective for balance (91.13%) and lower-limb motor function (79.70%), and resistance training plus stretching training for walking ability (96.34%).Conclusions: Resistance training remains fundamental in stroke rehabilitation. Integrating resistance training with targeted adjunctive training particularly electrical stimulation therapy or stretching training yields superior therapeutic outcomes and supports individualized, evidence-based strategies for optimizing lower-limb recovery after stroke.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":"105 5","pages":"428-438"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147760215","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

Synergistic Effects of Vitamin D Supplementation and Resistance Training on Insulin-Like Growth Factor 1 and Muscle Health: A Systematic Review. 维生素D补充和抗阻训练对IGF-1和肌肉健康的协同作用：系统综述。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-05-01 Epub Date: 2025-10-30 DOI: 10.1097/PHM.0000000000002892

Heng Lin, Yu Ke, Mehak Mobin, Hafiza Qurat Ul Ain, Inshal Jawed, Wajeeha Imam, Mohammad Tufail, Kainaat Zahid, Abu Huraira Bin Gulzar, Ahmed Al-Emam

{"title":"Synergistic Effects of Vitamin D Supplementation and Resistance Training on Insulin-Like Growth Factor 1 and Muscle Health: A Systematic Review.","authors":"Heng Lin, Yu Ke, Mehak Mobin, Hafiza Qurat Ul Ain, Inshal Jawed, Wajeeha Imam, Mohammad Tufail, Kainaat Zahid, Abu Huraira Bin Gulzar, Ahmed Al-Emam","doi":"10.1097/PHM.0000000000002892","DOIUrl":"10.1097/PHM.0000000000002892","url":null,"abstract":"Background: The interaction between vitamin D and insulin-like growth factor 1 in resistance-power training is not fully elucidated, despite their established roles in muscle physiology. Research compiles data about how resistance training and vitamin D supplementation affect the results of muscle parameters alongside serum insulin-like growth factor 1 concentrations.Methods: The research analysis utilized PRISMA guidelines. Seventeen studies were reviewed, including 11 randomized controlled trials and six observational studies. The included studies examined children, adults, the elderly, and patients with metabolic or hormonal disorders. The primary outcomes were serum insulin-like growth factor 1 and insulin-like growth factor-binding proteins, as well as muscle strength and physical function.Results: Seventeen studies were included in the systematic review. Voluntary muscle expression of insulin-like growth factor 1 increased by at least 20%-30% in elderly women through resistance training ( P < 0.01) though combined training increased muscle insulin-like growth factor 1 levels and functional capacity by 22% ( P = 0.01). Data confirm a positive association between serum 25(OH)D and insulin-like growth factor 1 levels, while limited evidence suggests a moderate reduction in insulin-like growth factor-binding proteins.Conclusions: The combination and individual effects of vitamin D supplementation with resistance training systems enhance insulin-like growth factor 1 bioavailability and muscle health in vitamin D-deficient adults.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"404-411"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145538651","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

SwiSCI Study: A Decade of Transforming Spinal Cord Injury Research. SwiSCI研究：十年脊髓损伤转化研究。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-05-01 Epub Date: 2026-04-21 DOI: 10.1097/PHM.0000000000002869

Marija Glisic, Carla Sabariego, Mirjam Brach, Patrick Freund, Margret Hund-Georgiadis, Luca Jelmoni, Xavier Jordan, Laurent Prince, Gerold Stucki

{"title":"SwiSCI Study: A Decade of Transforming Spinal Cord Injury Research.","authors":"Marija Glisic, Carla Sabariego, Mirjam Brach, Patrick Freund, Margret Hund-Georgiadis, Luca Jelmoni, Xavier Jordan, Laurent Prince, Gerold Stucki","doi":"10.1097/PHM.0000000000002869","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002869","url":null,"abstract":"Objective: The aims of the study were to reflect on the methodological and conceptual evolution of the Swiss Spinal Cord Injury Cohort Study, summarize its key scientific contributions, and illustrate how such a cohort can shape future directions in spinal cord injury research, care, and policy.Design: We conducted a bibliometric analysis to examine the Swiss Spinal Cord Injury Cohort Study's publication trends, leading authors, thematic areas, influential papers, and landmark findings related to morbidity, mortality, and functioning among individuals with spinal cord injury in Switzerland.Results: The Swiss Spinal Cord Injury Cohort Study comprises two components: the community survey, collecting self-reported data on functioning, morbidity, and mortality in chronic spinal cord injury, and the inception cohort, which enables long-term clinical and biological monitoring of newly injured individuals. Since its inception, the Swiss Spinal Cord Injury Cohort Study has generated 174 publications, primarily from the community survey, with increasing contributions from the inception cohort. Notably, 34% of publications stem from the Swiss Spinal Cord Injury Cohort Study nested projects, highlighting the study's capacity to support additional targeted research. Key themes included secondary health conditions, mental health, healthcare use, and social participation, with growing interest in lifestyle and behavioral factors.Conclusions: The Swiss Spinal Cord Injury Cohort Study has become a key resource for advancing spinal cord injury research. Its robust, interprofessionnal design provides a foundation for translating research into improved care, policy, and quality of life for individuals with SCI.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":"105 5","pages":"377-385"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147760231","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

Impact of the Accreditation Council of Graduate Medical Education/ American Osteopathic Association Single Accreditation System Merger on PM&R Applications and Match Rates: An Analysis From 2012 to 2024. ACGME/AOA单一认证体系合并对PM&R申请和匹配率的影响：2012 - 2024年分析

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-05-01 Epub Date: 2025-10-20 DOI: 10.1097/PHM.0000000000002887

Abigail Joy Garcia, Nikola Dragojlovic, Monica Verduzco-Gutierrez

{"title":"Impact of the Accreditation Council of Graduate Medical Education/ American Osteopathic Association Single Accreditation System Merger on PM&R Applications and Match Rates: An Analysis From 2012 to 2024.","authors":"Abigail Joy Garcia, Nikola Dragojlovic, Monica Verduzco-Gutierrez","doi":"10.1097/PHM.0000000000002887","DOIUrl":"10.1097/PHM.0000000000002887","url":null,"abstract":"Objective: The aim of the study was to assess whether the 2020 ACGME/AOA Single Accreditation System merger affected the proportion of osteopathic and allopathic students applying and matching into physical medicine and rehabilitation.Design: Using publicly available Association of American Medical Colleges and National Resident Matching Program data from 2012 to 2024, this retrospective study analyzed (1) the physical medicine and rehabilitation application proportion out of the total pool of allopathic or osteopathic students entering the match for any specialty and (2) the match share of allopathic and osteopathic residents among all physical medicine and rehabilitation matches. Linear regression compared premerger (2012-2019 applications; 2014-2020 matches) and postmerger (2020-2023 applications; 2021-2024 matches) trends.Results: The physical medicine and rehabilitation application proportion of osteopathic students declined premerger (slope = -0.11) and rose postmerger (0.19). Allopathic application proportions remained stable premerger and increased slightly postmerger. Allopathic match share decreased premerger (-0.41) but increased postmerger (0.77), while osteopathic match share rose faster premerger (1.44) than postmerger (0.57). None of these slope changes reached significance.Conclusions: Following the single accreditation system merger, there was an increase in osteopathic application proportions, and allopathic match share rebounded while osteopathic gains slowed. These trends suggest the merger influenced application and match dynamics but coincided with other shifts in medical education.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"396-400"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145538669","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

Editorial: The Swiss Spinal Cord Injury Survey (SwiSCI). 瑞士脊髓损伤调查（SwiSCI）。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-05-01 Epub Date: 2026-03-31 DOI: 10.1097/PHM.0000000000002819

Gerold Stucki, Walter R Frontera, Jerome Bickenbach

引用次数: 0

Exploring the Integration of Immersive Virtual Reality With Adapted Neuromuscular Stimulation Rowing for Individuals With Spinal Cord Injury. 探索沉浸式虚拟现实与适应神经肌肉刺激划船对脊髓损伤患者的整合。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-05-01 Epub Date: 2026-04-21 DOI: 10.1097/PHM.0000000000002938

C Eric Heidorn, Kevin M Foglyano, Ronald J Triolo, Lisa M Lombardo, Michael J Fu

{"title":"Exploring the Integration of Immersive Virtual Reality With Adapted Neuromuscular Stimulation Rowing for Individuals With Spinal Cord Injury.","authors":"C Eric Heidorn, Kevin M Foglyano, Ronald J Triolo, Lisa M Lombardo, Michael J Fu","doi":"10.1097/PHM.0000000000002938","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002938","url":null,"abstract":"People with a spinal cord injury (SCI) are more susceptible to adopting a sedentary lifestyle, which increases the risk for further health complications such as cardiovascular disease. Exercise has proven beneficial for the improvement of overall health; however, options can be limited following SCI, especially for engaging paralyzed muscles. Using neuromuscular electrical stimulation (NMES) to produce contractions of the paralyzed musculature following SCI is one strategy for increasing physical work during exercise, but NMES can be disengaging. Previous reports indicate that the introduction of virtual reality games to exercise has the potential to improve perception, adherence, and physiological responses to exercise programs. Two individuals with complete paraplegia completed 4 bouts of NMES hybrid rowing exercise for 2 separate conditions, without VR and using an immersive VR task-oriented game. Cardiovascular measurements, rowing metrics, and ratings of engagement and perceived effort were collected. A tendency for a higher exercising heart rate was observed during the VR condition, which aligned with a higher perception of exercise effort. These pilot data suggest a tendency for increased cardiovascular response during VR exercise, which warrants further investigation in a larger trial to better understand the acute and chronic cardiovascular, metabolic, and exercise adherence impacts over time.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":"105 5","pages":"456-460"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147760244","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

Rare Culprit of a Shoulder Pain: Musculotendinous and Intramuscular Extension of Calcific Subscapularis Tendinopathy. 肩部疼痛的罕见罪魁祸首：钙化肩胛下肌的肌肉肌腱和肌肉内延伸。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-05-01 Epub Date: 2026-04-21 DOI: 10.1097/PHM.0000000000002881

Mustafa Kemal Demir

引用次数: 0

Employment and Social Integration Failures in Spinal Cord Injury Rehabilitation Across Arabic-Speaking Countries: A Narrative Review. 就业和社会融合失败在脊髓损伤康复在阿拉伯语国家：叙述回顾。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-05-01 Epub Date: 2026-04-21 DOI: 10.1097/PHM.0000000000002940

Ahmad Jasem Abdulsalam, Maher S Al Jadid, Diaa Shehab, Andrei Krassioukov

{"title":"Employment and Social Integration Failures in Spinal Cord Injury Rehabilitation Across Arabic-Speaking Countries: A Narrative Review.","authors":"Ahmad Jasem Abdulsalam, Maher S Al Jadid, Diaa Shehab, Andrei Krassioukov","doi":"10.1097/PHM.0000000000002940","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002940","url":null,"abstract":"Although medical care for spinal cord injury (SCI) has progressed substantially over recent decades, Arabic-speaking countries still confront major challenges in facilitating meaningful employment and social integration for persons with SCI. This narrative review analyzed manuscripts addressing employment and social integration outcomes for individuals with SCI across Arabic-speaking countries published between 1997 and 2025. We searched PubMed, Embase, and regional databases using terms related to SCI, employment, rehabilitation, and Arabic-speaking countries. Our analysis reveals persistent discrimination, infrastructure deficiencies, and cultural barriers that commonly lead to social exclusion and economic dependency. Employment rates drop dramatically from 58% preinjury to 16.5% postinjury in Saudi Arabia, while 78% of individuals with SCI remain unaware of vocational rehabilitation services. Educational exclusion affects 32.5% of children with disabilities in Palestine, and women with disabilities in rural Yemen show literacy rates of only 6.7%. Based on available evidence, predominantly from Saudi Arabia and Lebanon, where recent data exist, current outcomes appear inadequate and may represent significant human rights and economic concerns, though data limitations preclude definitive regional conclusions. Evidence-based interventions, such as supported employment, can achieve 30.8% employment rates compared with 2.3% with standard care, demonstrating that effective solutions exist but require systematic implementation and evaluation in regional contexts.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":"105 5","pages":"461-468"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147760224","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

Prestroke Frailty and Functional Outcomes After Inpatient Stroke Rehabilitation: A Retrospective Cohort Study. 卒中前虚弱与卒中康复结果的关系：一项回顾性研究。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-05-01 Epub Date: 2025-11-24 DOI: 10.1097/PHM.0000000000002902

Ramez Michail, Bahareh Yavarizadeh, Anita Mountain

{"title":"Prestroke Frailty and Functional Outcomes After Inpatient Stroke Rehabilitation: A Retrospective Cohort Study.","authors":"Ramez Michail, Bahareh Yavarizadeh, Anita Mountain","doi":"10.1097/PHM.0000000000002902","DOIUrl":"10.1097/PHM.0000000000002902","url":null,"abstract":"Objective: Stroke is a leading cause of long-term disability, often requiring inpatient rehabilitation. Frailty, characterized by reduced physiological reserve and vulnerability to stressors, is associated with poorer outcomes. This study examined the association between prestroke frailty and functional recovery during inpatient rehabilitation.Design: Retrospective cohort study of 224 stroke patients admitted between 2020 and 2022; 206 were included in the analysis. Prestroke frailty was assessed using the Clinical Frailty Scale, and rehabilitation outcomes were measured using Functional Independence Measure gain and efficiency. Associations were evaluated using Spearman correlations and linear regression.Results: Of 206 patients, 42.7% were female and 75.7% were aged ≥60. Functional Independence Measure gain and efficiency did not differ significantly across Clinical Frailty Scale categories ( P > 0.05). Clinical Frailty Scale was not correlated with Functional Independence Measure gain ( r = -0.07, P = 0.316) or efficiency ( r = 0.02, P = 0.755). Admission and discharge Functional Independence Measure scores differed across Clinical Frailty Scale categories ( P = 0.041 and P = 0.002).Conclusions: Although patients with higher prestroke frailty had lower functional scores at admission and discharge, functional improvement and efficiency did not differ significantly. However, the small number of patients with moderate to severe frailty (6.8%) may have limited the ability to detect a difference.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"420-427"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145984174","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