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

Diagnostic Ultrasound in the Evaluation of Stiff Shoulder: Association of Axillary Recess Thickness With Standard Clinical Measures. 超声诊断评估肩关节僵硬：腋窝厚度与标准临床测量的关联。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-05-06 DOI: 10.1097/PHM.0000000000002517

Buwen Yao, Yanyan Yang, Shawn C Roll, Zhuohua Lin, Yuanmingfei Zhang, Jie Jiang, Mouwang Zhou

{"title":"Diagnostic Ultrasound in the Evaluation of Stiff Shoulder: Association of Axillary Recess Thickness With Standard Clinical Measures.","authors":"Buwen Yao, Yanyan Yang, Shawn C Roll, Zhuohua Lin, Yuanmingfei Zhang, Jie Jiang, Mouwang Zhou","doi":"10.1097/PHM.0000000000002517","DOIUrl":"10.1097/PHM.0000000000002517","url":null,"abstract":"Objectives: Stiff shoulder, including primary and secondary types, poses diagnostic challenges due to vague definitions and criteria. This study evaluates the diagnostic potential of ultrasound-measured axillary recess thickness in shoulder stiffness.Designs: In this cross-sectional study, 35 patients with unilateral shoulder stiffness were assessed. Axillary recess thickness was measured using high-resolution ultrasound. Parameters like passive range of motion, Numerical Rating Scale, and Constant-Murley score were evaluated to find correlations with axillary recess thickness.Results: The average age was 50.7 yrs, and mean body mass index was 22.7. Axillary recess thickness in stiff shoulders (average 3.19 mm) was significantly higher than in unaffected shoulders (average 1.93 mm, P < 0.001). A cutoff of 3.0 mm for axillary recess thickness yielded 73.3% sensitivity and 84.6% specificity for primary stiffness; 2.6 mm cutoff resulted in 57.9% sensitivity and 88.2% specificity for secondary stiffness. Significant correlations were found between axillary recess thickness and passive range of motion, especially in shoulder external rotation and extension.Conclusions: Axillary recess thickness measured by ultrasound might serve as a valuable diagnostic and evaluation parameter in shoulder stiffness.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"1117-1122"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847258","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

Nothing About Us Without Us: Improving Representation of Disability in Medical School Curriculum Through Explicit Inclusion. 没有我们，就没有我们：通过明确的包容改善残疾在医学院课程中的代表性。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-06-03 DOI: 10.1097/PHM.0000000000002561

John Waters, Charles Siegel, David O'Connell, Joel Sacris, Michael Mallow, Deborah Ziring, Nethra Ankam

{"title":"Nothing About Us Without Us: Improving Representation of Disability in Medical School Curriculum Through Explicit Inclusion.","authors":"John Waters, Charles Siegel, David O'Connell, Joel Sacris, Michael Mallow, Deborah Ziring, Nethra Ankam","doi":"10.1097/PHM.0000000000002561","DOIUrl":"10.1097/PHM.0000000000002561","url":null,"abstract":"Abstract: Medical school curricula across the United States fail to adequately prepare students to provide high-quality care to and advocate for patients with disabilities. To address this shortcoming at one large, urban medical school, the Curriculum Committee at Sidney Kimmel Medical College formed a taskforce of students and faculty to evaluate the degree and quality of disability representation in its undergraduate medical education curriculum. Taskforce members solicited input from five community members in various fields of disability advocacy to craft recommendations that reflected this community's vision for disability education in undergraduate medical education. Community partners suggested areas of focus including clinical skills, accessibility of healthcare facilities, awareness of intersectionality with other identities, acknowledgment of bias, and respect for the patient's autonomy via their \"right to risk.\" The taskforce report to the curriculum committee included nine recommendations for curricular revision based on community partner suggestions, six of which were accepted and are being implemented into the curricular content for the class of 2026 and beyond. This novel approach to implementing curricular change could encourage other medical schools to evaluate their own curricula through the lens of disability and prompt curricular revision with the input of community partners with disabilities, students, and, faculty.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"1137-1141"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141247312","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

Robot-Assisted Gait Training Plus Conventional Rehabilitation for a Patient With Chronic Neurologic and Functional Impairments: A Clinical Vignette. 机器人辅助步态训练加常规康复治疗慢性神经和功能障碍患者：临床小故事。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-04-30 DOI: 10.1097/PHM.0000000000002508

Niña Ricci C Reyes, Carl Froilan D Leochico, Reykjavik S Ramirez, Reynaldo R Rey-Matias

引用次数: 0

Prediction of 6-Mo Poststroke Spasticity in Patients With Acute First-Ever Stroke by Machine Learning. 通过机器学习预测急性首次脑卒中患者卒中后 6 个月的痉挛情况。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-05-07 DOI: 10.1097/PHM.0000000000002495

Lilin Chen, Shimei Cheng, Shouyi Liang, Yonghao Song, Jinshuo Chen, Tingting Lei, Zhenhong Liang, Haiqing Zheng

{"title":"Prediction of 6-Mo Poststroke Spasticity in Patients With Acute First-Ever Stroke by Machine Learning.","authors":"Lilin Chen, Shimei Cheng, Shouyi Liang, Yonghao Song, Jinshuo Chen, Tingting Lei, Zhenhong Liang, Haiqing Zheng","doi":"10.1097/PHM.0000000000002495","DOIUrl":"10.1097/PHM.0000000000002495","url":null,"abstract":"Objective: Poststroke spasticity reduces arm function and leads to low levels of independence. This study suggested applying machine learning from routinely available data to support the clinical management of poststroke spasticity.Design: One hundred seventy-two patients with acute first-ever stroke were included in this prospective cohort study. Twenty clinical information and rehabilitation assessments were obtained to train various machine learning algorithms for predicting 6-mo poststroke spasticity defined by a modified Ashworth scale score ≥1. Factors significantly relevant were also defined.Results: The study results indicated that multivariate adaptive regression spline (area under the curve value: 0.916; 95% confidence interval: 0.906-0.923), adaptive boosting (area under the curve: 0.962; 95% confidence interval: 0.952-0.973), random forest (area under the curve: 0.975; 95% confidence interval: 0.968-0.981), support vector machine (area under the curve: 0.980; 95% confidence interval: 0.970-0.989), and outperformed the traditional logistic model (area under the curve: 0.897; 95% confidence interval: 0.884-0.910) ( P < 0.05). Among all of the algorithms, the random forest and support vector machine models outperformed the others ( P < 0.05). Fugl-Meyer Assessment score, days in hospital, age, stroke location, and paretic side were the most important features.Conclusions: These findings suggest that machine learning algorithms can help augment clinical decision-making processes for the assessment of poststroke spasticity occurrence, which may enhance the efficacy of management for patients with poststroke spasticity in the future.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"1123-1129"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140875690","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 Plantar Fascia (Perifascial) Injection Technique. 超声引导足底筋膜（筋膜周围）注射技术。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 DOI: 10.1097/PHM.0000000000002631

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

引用次数: 0

Examination of Pain Comorbid Diagnoses in the Inpatient Rehabilitation Population Across All Impairment Groups. 对所有损伤组别中住院康复人群的疼痛合并诊断进行检查。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-04-30 DOI: 10.1097/PHM.0000000000002512

Zachary A Curry, Michael N Andrew, Michael C Chiang, Richard Goldstein, Ross Zafonte, Colleen M Ryan, Brian C Coleman, Jeffrey C Schneider

{"title":"Examination of Pain Comorbid Diagnoses in the Inpatient Rehabilitation Population Across All Impairment Groups.","authors":"Zachary A Curry, Michael N Andrew, Michael C Chiang, Richard Goldstein, Ross Zafonte, Colleen M Ryan, Brian C Coleman, Jeffrey C Schneider","doi":"10.1097/PHM.0000000000002512","DOIUrl":"10.1097/PHM.0000000000002512","url":null,"abstract":"Objective: Pain is common in inpatient rehabilitation patients; however, the prevalence of pain diagnoses in this population is not well-defined. This study examines comorbid pain diagnoses in inpatient rehabilitation patients across impairment groups.Design: Adult inpatient rehabilitation patients discharged from January 2016 through December 2019 were identified in the Uniform Data System for Medical Rehabilitation database using a literature-established framework containing International Classification of Diseases, Tenth Revision, Clinical (ICD-10-CM) pain diagnoses. Demographic data, clinical data, and pain diagnoses were compared across the 17 rehabilitation impairment groups.Results: Of 1,925,002 patients identified, 1,347,239 (70.0%) had at least one International Classification of Diseases, Tenth Revision (ICD-10) pain diagnosis. Over half of all patients in each impairment group had at least one pain diagnosis. The most common pain diagnoses were limb/extremity and joint pain, with variation between impairment groups. Female sex and being in the arthritis, major multiple trauma, and pain syndrome impairment groups were associated with a greater odds of a pain diagnosis.Conclusions: Over half of all patients in each rehabilitation impairment group have a pain diagnosis, which varies between impairment groups. Because of the high prevalence of pain diagnoses, a new focus on pain management in inpatient rehabilitation patients is needed. Rehabilitation outcomes may also be affected by pain.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"1065-1072"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847195","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}

引用次数: 0

Preventing Poststroke Spasticity: A Goal for Precision Rehabilitation. 预防中风后痉挛：精准康复的目标

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-10-16 DOI: 10.1097/PHM.0000000000002652

Preeti Raghavan

引用次数: 0

Neuromuscular Electrical Stimulation of Peroneal Longus Improve Balance Control Ability in Young Adults With Chronic Ankle Instability: A Randomized Controlled Trial. 神经肌肉电刺激腓肠肌对慢性踝关节不稳的年轻人平衡控制能力的影响：随机对照试验

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-04-30 DOI: 10.1097/PHM.0000000000002510

Yueping Wang, Huifen Zheng, Jiangna Wang, Peiming Xu, Wei Sun

{"title":"Neuromuscular Electrical Stimulation of Peroneal Longus Improve Balance Control Ability in Young Adults With Chronic Ankle Instability: A Randomized Controlled Trial.","authors":"Yueping Wang, Huifen Zheng, Jiangna Wang, Peiming Xu, Wei Sun","doi":"10.1097/PHM.0000000000002510","DOIUrl":"10.1097/PHM.0000000000002510","url":null,"abstract":"Objective: This study aimed to investigate the effects of 6 wks of peroneal longus neuromuscular electrical stimulation on the balance control ability in young adults with chronic ankle instability.Design: This study is a double-blind randomized controlled trial. Six weeks of neuromuscular electrical stimulation and placebo intervention were conducted in the neuromuscular electrical stimulation and control groups for 20 mins, three times a week, respectively. Thirty-eight participants successfully completed the whole intervention and single-leg standing tests. The kinetics data of the center of pressure trajectory during static single-leg stance were measured using a Kistler force platform. Two-way repeated measures analysis of variance was used to analyze the electrical stimulation effects.Results: Significant interactions were detected in Cumberland Ankle Instability Tool scores and all balance parameters including displacement X, displacement Y, 95% confidence ellipse area, root-mean-square, and center of pressure mean displacement velocity ( P < 0.05, 0.103 ≤ η 2 ≤ 0.201). Significant between-group differences were found in Cumberland Ankle Instability Tool scores ( P = 0.003, Cohen's d = 0.215), displacement X ( P = 0.045, Cohen's d = 0.107), root-mean-square ml ( P = 0.019, Cohen's d = 0.143), and 95% confidence ellipse area ( P = 0.031, Cohen's d = 0.123) after the 6-wk interventions.Conclusions: Six weeks of neuromuscular electrical stimulation on the peroneus longus can improve static balance control ability in young adults with chronic ankle instability, especially the stability of ankle frontal plane.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"1088-1093"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140849010","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

Can Pharmaceutical Care Interventions Improve the Appropriate Use of Polypharmacy in Older Adults?-A Cochrane Review Summary With Commentary. 药物护理干预能否改善老年人对多种药物的合理使用？- 带评论的 Cochrane 综述摘要。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-09-25 DOI: 10.1097/PHM.0000000000002647

Vanessa M Young

引用次数: 0

Bobbing and Weaving During "Sono-Boxing": Ultrasound Imaging and Guidance Revisited. 超声波拳击 "过程中的晃动和穿梭：重新审视超声波成像和引导。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-07-16 DOI: 10.1097/PHM.0000000000002595

Berkay Yalçınkaya, Ahmad J Abdulsalam, Levent Özçakar

引用次数: 0