American Journal of Physical Medicine & Rehabilitation最新文献_第10页

Mechanisms of Post-Stroke Stiff Knee Gait: A Narrative Review. 脑卒中后膝关节僵硬步态的机制：叙述性回顾。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-01-16 DOI: 10.1097/PHM.0000000000002678

Kellen T Krajewski, J Sebastian Correa, Ricardo Siu, David Cunningham, James S Sulzer

{"title":"Mechanisms of Post-Stroke Stiff Knee Gait: A Narrative Review.","authors":"Kellen T Krajewski, J Sebastian Correa, Ricardo Siu, David Cunningham, James S Sulzer","doi":"10.1097/PHM.0000000000002678","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002678","url":null,"abstract":"Abstract: Stiff-Knee gait (SKG) is a dysfunction commonly observed post-stroke characterized by a decreased swing phase knee flexion angle. Importantly, SKG can impair walking, ultimately reducing overall activity and participation. Interventions for SKG have shown mixed results, and combined with more recent observational evidence, suggest that there are other potential causes requiring the need to re-examine the etiology of SKG. The aim of this review is to compile and appraise the current state of the science regarding the neurophysiological and biomechanical impairments of individuals post-stroke with SKG. This narrative review will address the following topics to better understand SKG: operationally define SKG and further detail its presentation, describe the potential neurophysiological and biomechanical mechanisms of SKG, and synthesize findings. We explore evidence for quadriceps hyperreflexia, abnormal tone, motor incoordination, and impaired propulsion. We conclude that SKG needs a commonly accepted definition, that more attention needs to be devoted to understanding its mechanisms, and that in prospective designs, larger sample sizes are needed to account for the heterogeneity of the condition.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998796","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 model of fear of movement/(re)injury runs clockwise from catastrophizing: evidence from a sample of outpatients with chronic non-specific low back pain. 对运动/（再）损伤的恐惧模型从灾难化顺时针运行：来自慢性非特异性腰痛门诊患者样本的证据。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-01-13 DOI: 10.1097/PHM.0000000000002659

Marco Monticone, Federico Arippa, Luca Frigau, Calogero Foti, Silvano Ferrari, Marco Guicciardi, Barbara Rocca

{"title":"The model of fear of movement/(re)injury runs clockwise from catastrophizing: evidence from a sample of outpatients with chronic non-specific low back pain.","authors":"Marco Monticone, Federico Arippa, Luca Frigau, Calogero Foti, Silvano Ferrari, Marco Guicciardi, Barbara Rocca","doi":"10.1097/PHM.0000000000002659","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002659","url":null,"abstract":"Objective: To provide evidence that catastrophizing is the primer of the cognitive-behavioural model of fear of movement/(re)injury (FAM).Design: A cross-sectional analysis of 180 outpatients with chronic non-specific low back pain who completed the Pain Catastrophizing Scale (PCS), the Tampa Scale of Kinesiophobia (TSK), the Roland-Morris Disability Questionnaire (RMDQ), the Hospital Anxiety and Depression Scale - Depression (HADS-D), and a pain intensity numerical rating scale (NRS). The intercorrelations of the outcome measures were estimated using Pearson's correlation coefficient (r), and regression analyses were used to examine their predictive values by following the left side of the FAM clockwise from the PCS (p = 0.05). A postdictive analysis dichotomizing the sample into high- and low-level catastrophizers evaluated the effects of addressing catastrophizing on disability and pain.Results: The intercorrelations of the PCS with the TSK, RMDQ, HADS-D and NRS were respectively r = 0.59, r = 0.54, r = 0.18, and r = 0.44. PCS was a significant predictor of TSK; PCS and TSK significantly predicted RMDQ and HADS-D; and PCS, TSK, RMDQ and HADS-D significantly predicted NRS. The postdictive analysis showed that addressing catastrophizing reduces disability and pain experience by 14% in high-level catastrophizers and 86% in low-level catastrophizers.Conclusion: Our findings provide evidence that catastrophizing is the primer of the FAM.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142977149","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 Natural History of an L5-S1 Disc Extrusion. L5-S1圆盘挤压的自然历史。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-01-11 DOI: 10.1097/PHM.0000000000002672

Austin Shokraeifard, Luis Valdez, Aditya Raghunandan

引用次数: 0

Platelet-Rich Plasma Versus Corticosteroids in the Treatment of Plantar Fasciitis: A Systematic Review and Meta-Analysis. 富血小板血浆与皮质类固醇治疗足底筋膜炎：系统回顾和荟萃分析。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-01-08 DOI: 10.1097/PHM.0000000000002677

Ankai Zuo, Chengfei Gao, Qiufeng Jia, Meirong Zhang, Ting Fu, Tieshan Li, Lin Wang

{"title":"Platelet-Rich Plasma Versus Corticosteroids in the Treatment of Plantar Fasciitis: A Systematic Review and Meta-Analysis.","authors":"Ankai Zuo, Chengfei Gao, Qiufeng Jia, Meirong Zhang, Ting Fu, Tieshan Li, Lin Wang","doi":"10.1097/PHM.0000000000002677","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002677","url":null,"abstract":"Objective: This study aims to compare the efficacy of platelet-rich plasma (PRP) and corticosteroids (CS) in treating plantar fasciitis, focusing on pain relief, foot function, and plantar fascia thickness to identify the optimal treatment approach.Design: A comprehensive search of medical databases was conducted following PRISMA guidelines, utilizing an extensive keyword strategy. Inclusion criteria encompassed prospective RCTs involving adult patients with plantar fasciitis treated with local PRP or CS injections, specifically assessing outcomes such as the Visual Analogue Scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) scores, and plantar fascia thickness.Results: The meta-analysis included 24 RCTs with 1653 participants. PRP injections yielded significantly better VAS scores compared to CS injections at 3 months (P = 0.03) and 6 months (P < 0.001), with no significant differences at 1 month (P = 0.12) and 12 months (P = 0.08). AOFAS scores demonstrated that PRP was superior to CS at 3 (P = 0.05), 6 (P < 0.001), and 12 months (P < 0.001), with no significant differences at 1 month (P = 0.31). Regarding plantar fascia thickness, there were no significant differences between PRP and CS at 1-1.5 months (P = 0.18), 3 months (P = 0.64), and 6 months (P = 0.05).Conclusions: PRP injections offer superior pain control compared to corticosteroids in the medium term (3-6 months) but not in the short term or at one year.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142941556","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

Medical Student Confidence in Meeting Disability Competencies: Results of a national survey-based study. 医学生对满足残疾能力的信心：一项全国性调查研究的结果。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-01-07 DOI: 10.1097/PHM.0000000000002704

Lauren Clarke, Zainub Dhanani, Louis Tan, Jonathan Altamirano, Magali Fassiotto, Peter Poullos

{"title":"Medical Student Confidence in Meeting Disability Competencies: Results of a national survey-based study.","authors":"Lauren Clarke, Zainub Dhanani, Louis Tan, Jonathan Altamirano, Magali Fassiotto, Peter Poullos","doi":"10.1097/PHM.0000000000002704","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002704","url":null,"abstract":"Abstract: People with disabilities have recently been declared a population at increased risk of health disparities, and research has cited a lack of physician training as a cause of that increased risk. Prior studies demonstrate that physicians lack confidence in caring for people with disabilities, but there is little research on disability competency among medical students. This study assessed medical students' confidence in six disability-related competencies and tested for associations between perceived confidence and students' personal demographics and institutional characteristics. A cross-sectional survey was administered to measure student confidence, and students' perceived confidence was calculated using a 5-point Likert scale. Mean confidence ranged from 2.35 - 3.43, suggesting that most students felt either \"slightly confident\" or \"somewhat confident\" in their ability to meet the selected competencies. Confidence did not differ based on disability exposure or level of training; however, there was a significant positive relationship between attending a public (state) medical school and students' confidence in listing community-based services for people with disabilities. This study highlights that future physicians are not confident in their ability to meet the needs of people with disabilities. Additional training is needed to teach future physicians the skills necessary to provide this population with high-quality clinical care.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942854","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

Emerging Therapy: Extracorporeal Shockwave Therapy for Musculoskeletal Conditions. 新兴疗法：肌肉骨骼疾病的体外冲击波疗法。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-01-07 DOI: 10.1097/PHM.0000000000002703

Colton Besett, Kemly Philip

引用次数: 0

Move Better, Live Better: A novel supervised combined training for peripheral arterial disease: A quasi-experimental approach. 运动得更好，生活得更好：一种针对外周动脉疾病的新型监督联合训练：一种准实验方法。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-01-06 DOI: 10.1097/PHM.0000000000002706

Saúl Peñín-Grandes, Susana López-Ortiz, Montserrat de la Fuente Gómez, José Pinto-Fraga, Simone Lista, Sergio Maroto-Izquierdo, Alejandro Lucia, Mª Lourdes Del Río Solá, Juan Martín-Hernández, Alejandro Santos-Lozano

{"title":"Move Better, Live Better: A novel supervised combined training for peripheral arterial disease: A quasi-experimental approach.","authors":"Saúl Peñín-Grandes, Susana López-Ortiz, Montserrat de la Fuente Gómez, José Pinto-Fraga, Simone Lista, Sergio Maroto-Izquierdo, Alejandro Lucia, Mª Lourdes Del Río Solá, Juan Martín-Hernández, Alejandro Santos-Lozano","doi":"10.1097/PHM.0000000000002706","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002706","url":null,"abstract":"Objective: This study aimed to analyze the effect of a novel supervised exercise therapy (SET) program based on intermittent treadmill walking and circuit-based moderate-intensity functional training (MIFT) on walking performance and HRQoL in PAD patients.Design: All participants underwent a 12-week SET that involved 15 to 30 minutes of treadmill walking followed by a 15-minute moderate-intensity functional training (MIFT) continued by 12-week of follow-up. Maximum walking distance (MWD), pain-free walking distance (PFWD), gait speed and estimated peak oxygen uptake (peak VO2) were calculated through the 6-minute walk test (6-MWT) and HRQoL through the Short Form-36 (SF-36) and the Vascular Quality of Life Questionnaire-6 (VascuQol-6).Results: There were statistically significant differences (p < 0.05) between baseline and post-intervention for walking performance outcomes [MWD (MD: 88.53 m), PFWD (MD: 62.89 m), gait speed (MD: 0.24 m·s-1) and peak VO2 (MD: 2.04 ml·kg-1·min-1)] and for HRQoL [physical functioning in SF-36 (MD: 6.93 points) and VascuQol-6 (MD: 1.46 points)]; while no differences were found between baseline and 12-week follow-up.Conclusion: Results seem to show that 12-week of novel SET based on intermittent walking and MIFT induced significant clinical improvements in key functional variables of PAD while cessation of exercise leads to significant negative clinical changes in subsequent weeks of follow-up.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942855","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 allograph 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 : 2025-01-03 DOI: 10.1097/PHM.0000000000002687

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

{"title":"Effectiveness of amnion allograph 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":"https://doi.org/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 allograph 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 (QoL).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 (CI): -1.483 ~ -0.435, p < 0.001), pain at 2-4 weeks of -2.609 (95% CI: -3.334 ~ -1.884, p < 0.001), at 3-6 months of 0.834 (95% CI: -1.077 ~ -0.590, p < 0.001), and at 1-2 years of -0.518 (95% CI: -1.025 ~ -0.011, p = 0.045), physical function of 0.679 (95% CI: 0.202 ~ 1.156, p = 0.005), and QoL of 1.407 (95% CI: 0.273 ~ 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 QoL 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":""},"PeriodicalIF":2.2,"publicationDate":"2025-01-03","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

Demographic and clinical factors associated with functional changes in Long-Covid. 与长冠病毒功能改变相关的人口统计学和临床因素。

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. 探索初级前交叉韧带修复的康复方案：来自范围回顾的见解。

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