American Journal of Physical Medicine & Rehabilitation最新文献

Extracorporeal Shock Wave Therapy for Limb Dysfunction after Stroke: A Systematic Review and Meta-analysis.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-01-03 DOI: 10.1097/PHM.0000000000002694

Wen-Fang Liu, Shuang-Mei Zhang

{"title":"Extracorporeal Shock Wave Therapy for Limb Dysfunction after Stroke: A Systematic Review and Meta-analysis.","authors":"Wen-Fang Liu, Shuang-Mei Zhang","doi":"10.1097/PHM.0000000000002694","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002694","url":null,"abstract":"Objective: Recently, extracorporeal shock wave therapy (ESWT) has emerged as a novel and noninvasive approach for alleviating spasticity and pain, improving motor dysfunction after stroke. To determine the effectiveness of ESWT and the effects of shock wave parameters in relieving spasticity, pain, and motor dysfunction following stroke.Design: We conducted a systematic search of PubMed, EBSCOhost, Embase, Cochrane Library, and Web of Science databases for randomized controlled trials on ESWT for limb dysfunction after stroke from inception until February 1, 2023. Two researchers independently searched and screened articles identified from each database, used RevMan v.5.4 analyzing data.Results: This review included nine articles and 327 patients. ESWT improved the spasticity, pain, and motor function following stroke. They also improved the passive range of motion in the lower limbs. The treatment effect was highest when the shock wave frequency was <8 Hz and pressure was <2 bar. However, the effect was not significantly affected by treatment duration. Compared to focused extracorporeal shock waves, released extracorporeal shock waves were associated with better outcomes.Conclusion: The treatment outcomes are optimal when a shock wave frequency < 8 Hz, pressure < 2 bar, and released extracorporeal shock waves are used.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920419","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

Demographic and clinical factors associated with functional changes in Long-Covid.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-01-03 DOI: 10.1097/PHM.0000000000002686

Barbara Mazer, Debbie Ehrmann Feldman

{"title":"Demographic and clinical factors associated with functional changes in Long-Covid.","authors":"Barbara Mazer, Debbie Ehrmann Feldman","doi":"10.1097/PHM.0000000000002686","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002686","url":null,"abstract":"Abstract: Many people experience symptoms months or years following COVID-19 infection. The impact of these symptoms on daily functioning and factors associated with functional decline are not well understood. This study aimed to describe functional changes among persons with Long-Covid and explore associated sociodemographic and clinical factors. 2764 adults who tested positive for COVID-19 were recruited at >12 weeks after diagnosis. Participants responded to an electronic survey [Newcastle Post-COVID Syndrome Questionnaire (symptoms); COVID-19 Yorkshire Rehabilitation Screen (activities; perceived global health, mobility, personal care, daily activities)]. 37.8% were classified as having Long-Covid based on the positive response to \"Are you still troubled by symptoms?\". The majority of them reported a decline in global health, mobility, and participation in daily activities. Common changes in function included fatigue, breathlessness upon climbing stairs and when dressing, decline in participation in usual activities, anxiety, pain/discomfort, and reduced concentration. Having COVID-19 > 1 year prior was associated with change in perceived global health (OR = 1.5). Being infected >12 months prior (OR = 1.5), hospitalized for COVID-19 (OR = 2.2-2.4), >1 chronic comorbid conditions (OR = 1.6), and obesity (OR = 1.6) were associated with functional decline. Many of those infected with COVID-19 experience long-lasting symptoms impacting daily functioning. Multidisciplinary medical and rehabilitation services are needed to help improve recovery and maximize functioning.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920401","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

Exploring Rehabilitation Protocols for Primary Anterior Cruciate Ligament Repair: Insights from a Scoping Review.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-01-03 DOI: 10.1097/PHM.0000000000002681

Alan Chang, Cheng-Yen Chan, Meng-Tin Lin, Chueh-Hung Wu, Levent Özçakar

{"title":"Exploring Rehabilitation Protocols for Primary Anterior Cruciate Ligament Repair: Insights from a Scoping Review.","authors":"Alan Chang, Cheng-Yen Chan, Meng-Tin Lin, Chueh-Hung Wu, Levent Özçakar","doi":"10.1097/PHM.0000000000002681","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002681","url":null,"abstract":"Objectives: The primary repair of the anterior cruciate ligament (ACL) has re-emerged as a treatment for acute ruptures. While numerous studies have investigated rehabilitation after ACL reconstruction, few have focused on primary repair. We aimed to describe the rehabilitation protocols for primary ACL repair, and to identify knowledge gaps and differences between primary ACL repair and reconstruction.Design: A scoping review design was selected due to the descriptive and exploratory nature, aiming to identify and map available research evidence from various databases relevant to the research question. Evaluation of study quality and risk of bias is not required in scoping reviews.Results: A comprehensive search of PubMed, Embase, Cochrane Library, and Web of Science identified a total of 66 studies involving over 3,100 participants. No randomized controlled trials directly comparing postoperative rehabilitation protocol were identified. Eight items of the rehabilitation protocols were analyzed, based on existing clinical practice guidelines for ACL reconstruction. This review highlights the inadequacy and heterogeneity of the available data.Conclusions: This review revealed a lack of consistent evidence and call for the development of standardized, technique-specific rehabilitation guidelines after primary ACL repair. Clinical trials and transparent reporting are needed to establish validated protocols.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920415","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 body-height increase on gastrocnemius muscle stiffness in children with cerebral palsy: A one-year prospective cohort study.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-01-03 DOI: 10.1097/PHM.0000000000002684

Shinya Nakamura, Minoru Kimoto, Masahiko Wakasa, Akira Saito, Hitoshi Sakamoto, Akiko Misawa, Uki Kawanobe, Kyoji Okada

{"title":"Impact of body-height increase on gastrocnemius muscle stiffness in children with cerebral palsy: A one-year prospective cohort study.","authors":"Shinya Nakamura, Minoru Kimoto, Masahiko Wakasa, Akira Saito, Hitoshi Sakamoto, Akiko Misawa, Uki Kawanobe, Kyoji Okada","doi":"10.1097/PHM.0000000000002684","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002684","url":null,"abstract":"Objective: To investigate whether the impacts of height increase on gastrocnemius muscle (GM) stiffness are greater in children with spastic cerebral palsy (CP) than in those with typical development (TD).Design: This one-year cohort study enrolled children (CP, 23; TD, 23) who underwent two measurements conducted at entry and after one year. Lateral and medial GM-strain ratios representing muscle stiffness were obtained using elastography.Results: All regression equations (dependent variable, rate of change [RoC] of height; independent variable, RoC of the GM-strain ratios) were significant and all R2s in children with CP (all p < 0.001; lateral GM's R2 = 0.81; medial GM's R2 = 0.74) were greater than those in children with TD (p < 0.001 and R2 = 0.49; medial GM's R2 = 0.49). The coefficients of equations in children with CP were significantly larger than those in TD (p < 0.05).Conclusion: The greater R2 values in CP than TD could explain how the variation in height predicts the variations in GM stiffness more accurately in CP than in TD. GM stiffness worsens more in children with CP than that in TD.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920428","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

Ultrasound Guided Greater Trochanteric Bursa Injection Technique.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-01-03 DOI: 10.1097/PHM.0000000000002627

Chaitanya Konda, Travis Cleland, Renee Enriquez, Mahmood Gharib, Donald Kasitinon, Stephen Schaaf, Amos Song, Reed Williams, Levent Özçakar, Nitin B Jain

引用次数: 0

Association Between Average Daily Activity Counts and Knee Osteoarthritis Progression.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-01-03 DOI: 10.1097/PHM.0000000000002697

Xiaozhen Tang, Dongze Li, Haishan Yao, Xuanchen Chen, Liangquan Fan, Zhenhai Hou

{"title":"Association Between Average Daily Activity Counts and Knee Osteoarthritis Progression.","authors":"Xiaozhen Tang, Dongze Li, Haishan Yao, Xuanchen Chen, Liangquan Fan, Zhenhai Hou","doi":"10.1097/PHM.0000000000002697","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002697","url":null,"abstract":"Objective: To explore the relationship between daily activity counts and knee osteoarthritis (OA) progression.Design: A cohort study using Osteoarthritis Initiative (OAI) data included 610 participants aged 45-79 years with knee OA or at risk. Daily activity counts were measured using ActiGraph GT1M accelerometers. OA progression was assessed via Kellgren-Lawrence (KL) grade and joint space narrowing (JSN) scores over two years. Cox proportional hazard and Restricted Cubic Spline models identified the dose-response relationship and optimal activity threshold.Results: The average age of participants was 63.7 years, with 44.8% male. A U-shaped relationship was observed between daily activity counts and OA progression. Moderate activity levels could be associated with a reduced risk of KL-grade (adjusted HR: 0.33; 95% CI: 0.24-0.44) and JSN-score progression (HR: 0.31; 95% CI: 0.25-0.38) for activity below 3263.3 counts/min. However, higher activity levels may increase KL-grade (HR: 1.57; 95% CI: 1.40-2.75) and JSN-score progression risk (HR: 1.27; 95% CI: 1.13-1.43).Conclusion: Moderate activity may protect against knee OA progression, while low and high levels may increase risk. Tailored activity recommendations are needed for individuals with or at risk for OA. Future research should investigate the mechanisms and refine activity thresholds for OA management.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920396","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

The Effects of Ultrasound-guided Corticosteroid Injection Compared to Mesenchymal Stem Cell Injection in Patients with Grade II and III Knee Osteoarthritis: A Randomized Double-blind Controlled Trial.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-01-03 DOI: 10.1097/PHM.0000000000002691

Masoumeh ZoghAli, Naser Amini, Arash Babaei-Ghazani, Bijan Forogh, Mohammad Taghi Joghataei, Mohammad Reza Babaei, Masih Rikhtehgar, Khatereh Abdolmaleki

{"title":"The Effects of Ultrasound-guided Corticosteroid Injection Compared to Mesenchymal Stem Cell Injection in Patients with Grade II and III Knee Osteoarthritis: A Randomized Double-blind Controlled Trial.","authors":"Masoumeh ZoghAli, Naser Amini, Arash Babaei-Ghazani, Bijan Forogh, Mohammad Taghi Joghataei, Mohammad Reza Babaei, Masih Rikhtehgar, Khatereh Abdolmaleki","doi":"10.1097/PHM.0000000000002691","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002691","url":null,"abstract":"Objective: This study investigated the effects of a single dose injection of mesenchymal stem cells (MSCs) under ultrasound guidance for knee osteoarthritis (KOA).Design: The study included 30 subjects in the intervention group, who received the MSC injection and 27 in the control group who received triamcinolone. Various outcome measures, including pain levels, range of motion (ROM), and MRI parameters, were evaluated before the intervention and at different time points after treatment.Result: The results showed that the MSC group experienced more effective improvements in outcome measures compared to the control group. Pain improvement was significantly different in the MSC group at 2 weeks, 4 weeks, and 24 weeks after the treatment. ROM in extension improved significantly in the MSC group after 4 weeks. Physical function improved significantly in both groups at different time points. Furthermore, the MSC group showed some positive changes in MRI parameters, but it can't be said definitively that they led to an increase in cartilage thickness.Conclusion: In conclusion, the study suggests that a single dose injection of MSCs is safe and holds promise for long-term treatment of KOA. No significant negative effects were reported in either group as a result of the study.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920433","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 Rare Bilateral Trifid Median Nerve Causing Bilateral Carpal Tunnel Syndrome: A Visual Vignette.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-31 DOI: 10.1097/PHM.0000000000002699

Raktim Swarnakar, Anoovab Saha, Ankit Sarkar

引用次数: 0

How Effective are Current Interventions to Prevent and Reduce the Use of Physical Restraints for Older People in Long-Term Care Settings? A Cochrane Review Summary with Commentary. 当前预防和减少在长期护理环境中对老年人使用人身限制措施的效果如何？带评论的科克伦综述摘要》。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-18 DOI: 10.1097/PHM.0000000000002693

Sakinah Sabirin, Julia Patrick Engkasan

引用次数: 0

A Rare Non-Athletic Tear of the Semitendinosus in a Woman: A Visual Vignette.