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

IMPLICIT RACIAL ASSOCIATIONS AMONG ACADEMIC PHYSIATRISTS AND TRAINEES: IMPLICATIONS FOR EQUITABLE HEALTHCARE. 学术物理医生和实习生之间的隐性种族联系：对公平医疗保健的影响。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-04-23 DOI: 10.1097/PHM.0000000000002765

Ton La, Unoma Akamagwuna, Donna Huang, Casey Hines-Munson, Larissa Grigoryan, Emmanuel Achilike, Felicia Skelton

{"title":"IMPLICIT RACIAL ASSOCIATIONS AMONG ACADEMIC PHYSIATRISTS AND TRAINEES: IMPLICATIONS FOR EQUITABLE HEALTHCARE.","authors":"Ton La, Unoma Akamagwuna, Donna Huang, Casey Hines-Munson, Larissa Grigoryan, Emmanuel Achilike, Felicia Skelton","doi":"10.1097/PHM.0000000000002765","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002765","url":null,"abstract":"Abstract: This study investigated the prevalence of implicit racial associations among academic physiatrists and trainees. We administered the Harvard Implicit Association Test (IAT) on race (Black/White) to 71 participants from a national academic physiatry association. The survey gathered demographic data (age, gender, ethnicity, race, professional role, and years of experience) and IAT results, where participants reported a preference for Black race, White race, or no race preference. The majority of respondents (54.5%) displayed a preference for White race, with regression analysis revealing that participant race was the only significant predictor of this bias (p = 0.03), No associations were found between age, gender, ethnicity, or trainee status and the IAT results. The results indicated a significant pattern of implicit bias favoring White race among academic physiatrists and trainees, consistent with findings in other medical fields. The study emphases the need for ongoing efforts to be aware of and manage implicit biases in the field of physician medicine and rehabilitation, aiming to enhance patient outcomes and reduce healthcare disparities.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143957620","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

SELF-REPORTED DEMOGRAPHICS OF 154 HYPERMOBILE EHLERS-DANLOS SYNDROME PATIENTS. 154例多动性埃尔-丹洛斯综合征患者自我报告的人口统计资料。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-04-23 DOI: 10.1097/PHM.0000000000002766

Allegra N Ploeg, Jacques Courseault, W Susan Cheng

{"title":"SELF-REPORTED DEMOGRAPHICS OF 154 HYPERMOBILE EHLERS-DANLOS SYNDROME PATIENTS.","authors":"Allegra N Ploeg, Jacques Courseault, W Susan Cheng","doi":"10.1097/PHM.0000000000002766","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002766","url":null,"abstract":"Abstract: Demographic data for patients with Hypermobile Ehlers-Danlos Syndrome (hEDS) has not been well established. hEDS patients often present with a constellation of symptoms; it is important to update clinical criteria for diagnosis and provide a framework for common co-morbidities. The primary objective of this study was to identify the prevalence of co-morbidities in hEDS patients to allow clinicians to better identify patients and their most common symptoms. The goal is to use this information to augment diagnostic and clinical demographic data to more accurately represent hEDS patients. This retrospective chart review utilized patient intake forms from 154 patients diagnosed with Hypermobile Ehlers-Danlos Syndrome in a clinic. Patient intake forms included responses to questions about the presence of various current and previous conditions. Our study revealed numerous co-morbidities with increased prevalence that differed from the current diagnostic criteria including Postural Orthostatic Tachycardia Syndrome, Mast Cell Activation Syndrome, anxiety, depression, Temporomandibular Joint Syndrome, headaches, and Gastroesophageal Reflux Disease. These findings will help inform clinicians of prevalent co-morbidities among hEDS patients and encourage further evaluation for screening and diagnosis. Hypermobile Ehlers-Danlos Syndrome patients presented with a wide range of co-morbidities not listed on current clinical criteria. Future studies are warranted across diverse and larger patient populations and beyond self-reported data.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143962796","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 Paraspinal Fibroadipose Vascular Anomaly in a Young Lady: A Visual Vignette. 一位年轻女士罕见的脊柱旁纤维脂肪血管异常：一个视觉小插曲。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-04-23 DOI: 10.1097/PHM.0000000000002763

Raktim Swarnakar, Alhat Vineet Peter

引用次数: 0

Improving Patient Care through a Standardized Laboratory-Clinician Communication Quality Improvement Project: Experiential Learning for Resident Physicians. 通过标准化的实验室-临床医生沟通质量改进项目改善患者护理：住院医师体验式学习。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-04-08 DOI: 10.1097/PHM.0000000000002753

Miriam Alpert, Madeline Miller, Olumide Sokunbi, James Sliwa, Priya Mhatre

{"title":"Improving Patient Care through a Standardized Laboratory-Clinician Communication Quality Improvement Project: Experiential Learning for Resident Physicians.","authors":"Miriam Alpert, Madeline Miller, Olumide Sokunbi, James Sliwa, Priya Mhatre","doi":"10.1097/PHM.0000000000002753","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002753","url":null,"abstract":"Abstract: Education in quality improvement (QI) is linked to high-quality health care, and involving residents as key leadership in QI projects ensures a level of engagement to reinforce principles in practice. Obtaining timely laboratory data in inpatient settings is critical to decision making. This resident-led group identified that the established forms of communication regarding uncollected laboratory draws at this inpatient rehabilitation facility were not standardized. There was significant variance in communication between phlebotomists and clinicians. Based on a root cause analysis, the QI team concluded that a single unified email notifying clinicians about uncollected labs would be an effective and efficient communication method. A standardized email template was created and sent to the resident physicians and advanced practice providers during a two-week feasibility pilot. After a successful pilot intervention, the communication email was expanded to include attending physicians. The standardized weekday email was distributed 100% of the time during both two-week interventions. The residents leading the project gained a better understanding of the dynamics of interdisciplinary collaboration required within hospital operations to facilitate the success of a QI intervention.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143965356","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

Predicting Early Mortality in the Inpatient Cancer Rehabilitation Population Using Admission Performance Status Score. 利用入院表现状态评分预测癌症康复住院患者的早期死亡率。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-04-08 DOI: 10.1097/PHM.0000000000002754

Keara McNair, Aaron Dallman, Steven Kirshblum, Michael D Stubblefield

{"title":"Predicting Early Mortality in the Inpatient Cancer Rehabilitation Population Using Admission Performance Status Score.","authors":"Keara McNair, Aaron Dallman, Steven Kirshblum, Michael D Stubblefield","doi":"10.1097/PHM.0000000000002754","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002754","url":null,"abstract":"Objective: To determine if a low admission Karnofsky Performance Scale (KPS) score is indicative of a higher likelihood of death within three months of discharge from inpatient rehabilitation with an active cancer diagnosis.Design: A retrospective, observational design was employed to analyze electronic medical records of 385 patients with a primary or concurrent diagnosis of cancer admitted from a multi-center, acute inpatient rehabilitation hospital system between January 1, 2020, and December 31, 2020.Results: Of the 385 patients, a total of 77 patients (20%) had an observed death within 3 months. Out of the sample of patients with an observed death within a 15-month window (n = 157), 49% died within 3 months of discharge from the IRF. Patients with a KPS score of 40 or less had a significantly higher risk of mortality within three months of discharge (Hazard ratio = 1.49, 95% CI 1.09-2.04, p = 0.013). For those surviving less than three months, average survival was 32 days. Improvements in KPS score during the inpatient stay were linked to better survival outcomes.Conclusion: These findings provide insight into the prognosis of patients with cancer in inpatient rehabilitation, emphasizing the importance of functional assessment in predicting mortality within three months of discharge.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143959547","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

Shear-Wave Elastography Supports that Muscle Stiffness Should NOT be Considered a Criterion to Determine the Presence of Myofascial Trigger Points in the Infraspinatus Muscle. 剪切波弹性成像支持肌肉刚度不应该被认为是确定冈下肌肌筋膜触发点存在的标准。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-04-08 DOI: 10.1097/PHM.0000000000002721

Mateusz D Kobylarz, Sebastian Klich, Sandra Sánchez-Jorge, Jorge Buffet-García, Ricardo Ortega-Santiago, Juan Antonio Valera-Calero

{"title":"Shear-Wave Elastography Supports that Muscle Stiffness Should NOT be Considered a Criterion to Determine the Presence of Myofascial Trigger Points in the Infraspinatus Muscle.","authors":"Mateusz D Kobylarz, Sebastian Klich, Sandra Sánchez-Jorge, Jorge Buffet-García, Ricardo Ortega-Santiago, Juan Antonio Valera-Calero","doi":"10.1097/PHM.0000000000002721","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002721","url":null,"abstract":"Abstract: Objective: This study aimed to determine latent Myofascial trigger points (MTrPs) and asymptomatic surrounding areas differences in pain pressure thresholds (PPTs) and shear-wave elastography (SWE) metrics differences. Design: Latent MTrPs and asymptomatic control points were identified within the infraspinatus muscle. A blinded examiner assessed the PPTs and acquired three SWE images of each location. PPT and SWE scores were compared by location (MTrP and control) and gender. Finally, correlations among demographics, PPTs and SWE data were calculated. Results: Forty participants were analyzed. PPTs were significantly lower in latent MTrPs compared with control points in males (p=0.003) and females (p<0.001), and lower in females compared with males (MTrP p<0.001; control point p=0.006). No significant SWE differences were found between MTrPs and control points (p>0.05) nor between males and females (MTrP and control points, p>0.05). In contrast with the accepted MTrP definition, those areas with greater PPTs exhibited greater stiffness via SWE (p<0.01). Conclusion: Although PPT scores indicated significant differences in hyperirritability between latent MTrPs and control points, SWE measurements revealed no significant differences in muscle stiffness. Furthermore, muscle stiffness was significantly associated with greater PPT scores, challenging the hypothesis that stiffer areas can be identified as MTrPs or sources of pain.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968421","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

Effect of cognitive training on sleeping disorders in Stroke: a randomized controlled trial. 认知训练对中风患者睡眠障碍的影响：一项随机对照试验。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-04-08 DOI: 10.1097/PHM.0000000000002755

Lama Saad El-Din Mahmoud, Maged Aladrousy Gomaa, Ahmed Magdy Alshimy

引用次数: 0

Aquatic Treadmill Walking Lowers Pelvic Motion Irregularity in Typically Developing and Children with Cerebral Palsy. 水上跑步机行走降低典型发育和脑瘫儿童盆腔运动不规律。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-04-02 DOI: 10.1097/PHM.0000000000002750

Oluwaseye P Odanye, Joseph W Harrington, Aaron D Likens, Brian A Knarr, David C Kingston

{"title":"Aquatic Treadmill Walking Lowers Pelvic Motion Irregularity in Typically Developing and Children with Cerebral Palsy.","authors":"Oluwaseye P Odanye, Joseph W Harrington, Aaron D Likens, Brian A Knarr, David C Kingston","doi":"10.1097/PHM.0000000000002750","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002750","url":null,"abstract":"Objective: Evaluate the impact of aquatic treadmill walking on the pelvic dynamics of children with cerebral palsy (CP).Design: The study is a block-randomized cross-over design with 8 children with CP and 15 typically developing (TD) children. All participants walked at fast, normal, and slow speeds on an aquatic (WET) treadmill and conventional (DRY) treadmill. Inertial measurement units recorded the participants' pelvic angles in the mediolateral, anteroposterior, and axial angles from which sample entropy values were determined.Results: A multilevel model showed decreased irregularity in the pelvic dynamics of both CP and TD groups in WET conditions compared to DRY and at slower compared to higher speeds in the mediolateral and axial planes. For the anteroposterior plane, the irregularity of the pelvic motion decreased at the slow speed-WET condition compared to the fast trial.Conclusion: The study shows the potential of the aquatic treadmill environment to induce more typical postural dynamics for children with CP compared to conventional dry treadmills. Postural dynamics also had decreased irregularity at slower walking speeds. A longitudinal study would show the retention tendencies of observed impacts on children with CP.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143958206","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

Virtual Reality-Assisted Rehabilitation for Patients Undergoing Total Knee Arthroplasty: A Systematic Review and Meta-Analysis. 全膝关节置换术患者的虚拟现实辅助康复：系统回顾和荟萃分析。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-04-02 DOI: 10.1097/PHM.0000000000002747

Hsuan-Wei Liu, Shin-Da Lee

{"title":"Virtual Reality-Assisted Rehabilitation for Patients Undergoing Total Knee Arthroplasty: A Systematic Review and Meta-Analysis.","authors":"Hsuan-Wei Liu, Shin-Da Lee","doi":"10.1097/PHM.0000000000002747","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002747","url":null,"abstract":"Objective: To assess the effectiveness of virtual reality-assisted rehabilitation (VRehab) in postoperative rehabilitation following total knee arthroplasty (TKA).Design: Systematic review and meta-analysis of randomized controlled trials evaluating VRehab in patients who have undergone TKA. The literature search included multiple databases, including PubMed, Embase, Web of Science, Cochrane, Scopus, PsycINFO, PEDro, CNKI, and Wanfang, with the final search date being May 20, 2024.Results: VRehab for patients undergoing TKA showed lower Visual Analog Scale pain scores, better Western Ontario and McMaster Universities Osteoarthritis Index scores, improved Hospital for Special Surgery scores, shorter Timed Up and Go times, higher Berg Balance Scale scores, and greater knee range of motion than those of the control group.Conclusions: VRehab effectively reduced postsurgical pain and enhanced the recovery of function, mobility, balance, and range of motion in patients undergoing TKA. Integrating VRehab into standard rehabilitation programs can optimize the outcomes of patients undergoing TKA.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810391","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 Subtalar Joint (Posterior Peri-Achilles Approach) Injection Technique. 超声引导距下关节（跟腱周围后入路）注射技术。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-04-01 Epub Date: 2024-09-16 DOI: 10.1097/PHM.0000000000002633

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