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

Advancing Competency: Current Evidence and Future Directions for Mastery Learning in PM&R Residency Education. 提升能力：PM&R住院医师教育中掌握学习的当前证据和未来方向。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-07-24 DOI: 10.1097/PHM.0000000000002827

Leslie Rydberg, Dana Branch, Samuel K Chu, Emily Kivlehan, Jacqueline Neal

引用次数: 0

Accuracy and Efficacy of Intra-Articular Knee Injections/Aspirations Under Ultrasound versus Landmark Guidance: A Systematic Review. 超声引导下膝关节内注射/穿刺的准确性和有效性与里程碑式指导：一项系统综述。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-07-23 DOI: 10.1097/PHM.0000000000002803

Donald Kasitinon, Reed Williams, Veena Peraka, Levent Özçakar, Nitin B Jain

{"title":"Accuracy and Efficacy of Intra-Articular Knee Injections/Aspirations Under Ultrasound versus Landmark Guidance: A Systematic Review.","authors":"Donald Kasitinon, Reed Williams, Veena Peraka, Levent Özçakar, Nitin B Jain","doi":"10.1097/PHM.0000000000002803","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002803","url":null,"abstract":"Purpose: To review the current literature on the accuracy and efficacy of ultrasound (US)- and landmark (LM)-guided intra-articular knee injections.Methods: A systematic review was performed following the Cochrane process from April 2023 to August 2023 utilizing PubMed, Embase, Web of Science, and Scopus. Branched logic was used to include articles containing terms regarding the knee AND ultrasound AND injections. Two authors screened studies for eligibility, and any disagreement was resolved through discussion with a third reviewer. Risk-of-bias assessments were performed.Results: A total of 13 studies were included in the review. Cumulative accuracies amounted to 95.4% (356/373) versus 82.0% (268/327) for US-guided and LM-guided intra-articular knee injections/aspirations, respectively. All but one study looking at efficacy showed significantly improved outcomes in the US-guided injection/aspiration groups.Conclusions: This systematic review provides data to support that US-guided intra-articular knee injections/aspirations are more accurate and efficacious than LM-guided intra-articular knee injections/aspirations.Level of evidence: Level I - systematic review.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144740994","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

Healthcare Provider Factors Affecting Access to Nerve Transfer Surgery to Improve Upper Extremity Function in Individuals with Cervical Spinal Cord Injury. 影响颈脊髓损伤患者接受神经移植手术以改善上肢功能的医疗保健提供者因素

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-07-23 DOI: 10.1097/PHM.0000000000002801

Jana Dengler, Maytal Perlman, Michelle Jennett, Melanie Barwick, Kristin E Musselman, Anita Kaiser, Edyta Marcon, Sander L Hitzig

{"title":"Healthcare Provider Factors Affecting Access to Nerve Transfer Surgery to Improve Upper Extremity Function in Individuals with Cervical Spinal Cord Injury.","authors":"Jana Dengler, Maytal Perlman, Michelle Jennett, Melanie Barwick, Kristin E Musselman, Anita Kaiser, Edyta Marcon, Sander L Hitzig","doi":"10.1097/PHM.0000000000002801","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002801","url":null,"abstract":"Objective: Nerve and tendon transfer surgery has restored upper extremity (UE) function in cervical spinal cord injury (SCI) but is not universally accessible to all eligible individuals. The purpose of this exploratory qualitative study was to understand the healthcare provider factors that are associated with access to nerve transfer surgery for people with SCI.Design: Semi-structured interviews explored healthcare provider knowledge and practices regarding nerve and tendon transfer surgery to improve UE function in cervical SCI. An inductive, iterative, constant comparative process involving descriptive and interpretive data analyses was used to identify themes, guided by the Consolidated Framework for Implementation Research (CFIR).Results: Interviews were conducted with healthcare providers (n = 10 UE surgeons, n = 10 SCI physiatrists/hospitalists, n = 6 occupational therapists, n = 6 physical therapists). Nine themes were identified as barriers to accessing care: (1) lack of awareness; (2) lack of sufficient knowledge; (3) lack of buy-in as a priority; (4) lack of collaboration; (5) misperceptions; (6) lack of resources; (7) lack of evidence; (8) lack of ownership amongst rehabilitation specialists; and (9) hesitancy.Conclusion: This study identified barriers limiting equitable access to nerve transfer surgery. These barriers highlight the need for a multi-modal multidisciplinary approach to address individual-, provider- and system-level barriers.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144939414","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

Peroneal Neuropathy from a Ganglion Cyst in the Proximal Tibiofibular Syndesmosis: A Visual Vignette. 胫腓联合近端神经节囊肿引起的腓神经病变：视觉影像。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-07-22 DOI: 10.1097/PHM.0000000000002825

John Defant, Michael Baria, Shelby Lewis

引用次数: 0

Shoulder overuse injury history is associated with imbalanced strength functional ratio and bilateral asymmetry in overhead male Para athletes in resting and fatigued conditions. 在休息和疲劳状态下，头顶男残奥运动员的肩部过度使用损伤史与力量功能比失衡和双侧不对称有关。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-07-17 DOI: 10.1097/PHM.0000000000002818

Alexis Dupuy, Marine Sorg, Claire Morel, Audrey Rudewicz, Etienne Colin, Anthony J Blazevich, Mélanie Rance, Sébastien Ratel

{"title":"Shoulder overuse injury history is associated with imbalanced strength functional ratio and bilateral asymmetry in overhead male Para athletes in resting and fatigued conditions.","authors":"Alexis Dupuy, Marine Sorg, Claire Morel, Audrey Rudewicz, Etienne Colin, Anthony J Blazevich, Mélanie Rance, Sébastien Ratel","doi":"10.1097/PHM.0000000000002818","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002818","url":null,"abstract":"Objective: The present study aimed to compare shoulder functional ratio and bilateral strength asymmetry between overhead Para athletes and able-bodied peers, and ascertain whether those factors could be associated with shoulder injury history in Para athletes under resting and fatigued conditions.Design: Sixteen sitting volleyball Para athletes and 12 able-bodied volleyball players were evaluated. The shoulder functional ratio was measured at rest and after a fatiguing shoulder internal-external rotation exercise on dominant and non-dominant shoulders. Imbalanced muscle strength profiles were identified as a functional ratio < 0.7 and bilateral peak torque asymmetry either >10% or > 15%. All injuries incurred over the past 2-months prior testing were reported.Results: No injury was surveyed in able-bodied athletes while 9 dominant shoulder overuse injuries were reported in 9 Para athletes. Functional ratio and bilateral asymmetry were not significantly different between groups at rest or after exercise in either shoulder(p > 0.05). Functional ratio < 0.7 and bilateral asymmetry of either >10% or > 15% were statistically associated with shoulder overuse injury history in the dominant limb in Para athletes(p < 0.05), but with a higher relative risk under fatiguing-conditions(p < 0.01).Conclusion: External rotator muscle conditionning should be implemented in overhead Para athlete regular training to alleviate shoulder imbalance and bilateral asymmetry, especially in fatigued conditions.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144740998","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

Cancer Cachexia Rehabilitation in a Novel Outpatient Clinical Program. 癌症恶病质康复在一个新的门诊临床项目。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-07-16 DOI: 10.1097/PHM.0000000000002817

Kelly Dong, Kathryn Abplanalp, Ishan Roy

{"title":"Cancer Cachexia Rehabilitation in a Novel Outpatient Clinical Program.","authors":"Kelly Dong, Kathryn Abplanalp, Ishan Roy","doi":"10.1097/PHM.0000000000002817","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002817","url":null,"abstract":"Abstract: Cancer cachexia is a tumor-induced muscle wasting syndrome that has a debilitating impact on patient functional status, quality of life, and cancer prognosis. This brief report summarizes a retrospective cohort study that aims to describe the oncological histories, functional co-impairments, therapy referral patterns, and physical therapy (PT) outcomes of 163 patients who were evaluated at a novel physiatry-led outpatient cancer cachexia clinic (2021-2023). 49% of the cohort that met Fearon consensus criteria for cachexia demonstrated increased odds of experiencing multiple impairments [OR = 7.4, p < 0.0001], specifically gluteal weakness [OR = 2.6, p = 0.0078], and 4 times the odds of receiving a walking program intervention [OR = 4.1, p = 0.0004]. PT was prescribed for 71% of the cohort, with no significant difference between cachexia and non-cachexia groups in PT order frequency [OR = 0.9, p = 0.7307] or PT initiation [OR = 0.8, p = 0.5419]. However, cachexia patients trended toward lower odds of meeting PT long-term goals or having these goals reassessed [OR = 0.2, p = 0.0032]. This study highlights cachexia prevalence, rehabilitation challenges, and the need for standardized, evidence-based treatment protocols. Gluteal weakness assessment may improve referrals to cachexia rehabilitation.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144939282","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 Imaging/Guidance for Anterolateral Ankle Pain: Gruberi Bursitis Not Sidelined. 超声成像/指导前外侧踝关节疼痛：格鲁伯氏囊炎不排除。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-07-15 DOI: 10.1097/PHM.0000000000002798

Arianna Pesaresi, Vincenzo Ricci, Levent Özçakar

引用次数: 0

Two Cases of Flexor Hallucis Longus Tenosynovitis with Highly Viscous Fluid Accumulation: the Role of Ultrasound Imaging. 2例幻觉长屈肌腱鞘炎伴高粘稠积液的超声显像分析。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-07-15 DOI: 10.1097/PHM.0000000000002812

Flynn McGuire, Andrea Carefoot, Skyler Blair, Daniel M Cushman

引用次数: 0

Inter-limb strength asymmetry and risk of total knee replacement: a survival analysis. 全膝关节置换术中肢间力量不对称与风险：生存分析。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-07-04 DOI: 10.1097/PHM.0000000000002775

Carson Halliwell, Sophie Rayner, Janie Astephen Wilson, Derek Rutherford, Brett Feltmate, Heather Neyedli, Rebecca Moyer

{"title":"Inter-limb strength asymmetry and risk of total knee replacement: a survival analysis.","authors":"Carson Halliwell, Sophie Rayner, Janie Astephen Wilson, Derek Rutherford, Brett Feltmate, Heather Neyedli, Rebecca Moyer","doi":"10.1097/PHM.0000000000002775","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002775","url":null,"abstract":"Objective: The current study explored the association between knee extensor strength asymmetry and the risk of total knee arthroplasty (TKA) in individuals with or at risk of knee osteoarthritis.Design: This longitudinal cohort study analyzed data from the Osteoarthritis Initiative, including 3,860 individuals with or at risk for knee osteoarthritis. Participants were categorized as having symmetrical or asymmetrical knee extensor strength based on a 10% difference between limbs. Kaplan-Meier curves and Cox regression assessed the risk of TKA over 10-years, adjusting for age, sex, body mass index (BMI), baseline Kellgren-Lawrence grade, absolute weakness, and baseline pain.Results: Participants with asymmetrical knee extensor strength had a 30% greater risk of undergoing TKA over 10-years compared to those with symmetrical strength (hazard-ratio: 1.30, 95%CI [1.05,1.62]). Limb-specific analyses revealed that a 10% reduction in right and left knee extensor strength were associated with a 40% and 80% increased risk of right and left TKA, respectively.Conclusion: Knee extensor strength asymmetry was associated with the risk of TKA in individuals with or at risk for knee osteoarthritis. Findings support the need to further examine if an intervention targeted at quadriceps strengthening aimed at achieving and maintaining strength symmetry can reduce TKA risk.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726580","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

Forced-rate aerobic cycling improves locomotor function and gait biomechanics in individuals with chronic stroke: A randomized controlled trial. 强制速率有氧循环改善慢性中风患者的运动功能和步态生物力学：一项随机对照试验。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-07-04 DOI: 10.1097/PHM.0000000000002785

Susan M Linder, Ryan Rilinger, Ken Learman, Mandy Miller Koop, Matt Streicher, Sara Davidson, Courtney Miller, Donayja Harris, Patrick Corrigan, Francois Bethoux, Jay L Alberts

{"title":"Forced-rate aerobic cycling improves locomotor function and gait biomechanics in individuals with chronic stroke: A randomized controlled trial.","authors":"Susan M Linder, Ryan Rilinger, Ken Learman, Mandy Miller Koop, Matt Streicher, Sara Davidson, Courtney Miller, Donayja Harris, Patrick Corrigan, Francois Bethoux, Jay L Alberts","doi":"10.1097/PHM.0000000000002785","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002785","url":null,"abstract":"Objective: While cycling and walking are different motor tasks, both require the rapid reciprocal activation and relaxation of lower extremity muscles in a synergistic manner, promoting coordination patterns similar to walking. The aim of this secondary analysis was to examine the effects of forced-rate cycling on gait biomechanics post-stroke.Design: A randomized controlled trial was conducted investigating the neuroplastic effects of forced-rate cycling on upper extremity motor recovery in individuals (n = 60) post-stroke. In this secondary analysis, a subset of participants (n = 45) completed biomechanical gait assessment at baseline and post-intervention.Results: Gait velocity increased in the cycling group by 0.08 m/s and in the control group by 0.02 m/s, though a group difference was not observed (p = 0.195). Walking capacity (6-minute walk test) significantly improved by 53.3 m for the cycling group versus 15.6 m for the control group (p = 0.0036). Improvements in spatiotemporal characteristics in the cycling group included increased step length, cadence, and time spent in single-limb support, in addition to paretic limb kinetics.Conclusion: Improvements in gait velocity following forced-rate cycling were accompanied by normalization of gait biomechanics rather than exaggerated compensatory strategies, supporting the use of aerobic cycling as a viable and safe intervention to improve locomotor control post-stroke.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726579","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