American Journal of Physical Medicine & Rehabilitation最新文献_第2页

PLUS-M Mobility Values of Osseointegration Patients: How do Osseointegration Limb Replacement Prosthesis Users Compare to Traditional Socket Amputee Prosthesis Users?

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-09 DOI: 10.1097/PHM.0000000000002685

Brian Joseph Page, Gerard A Sheridan, Michael D Greenstein, Jason S Hoellwarth, Taylor J Reif, S Robert Rozbruch

{"title":"PLUS-M Mobility Values of Osseointegration Patients: How do Osseointegration Limb Replacement Prosthesis Users Compare to Traditional Socket Amputee Prosthesis Users?","authors":"Brian Joseph Page, Gerard A Sheridan, Michael D Greenstein, Jason S Hoellwarth, Taylor J Reif, S Robert Rozbruch","doi":"10.1097/PHM.0000000000002685","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002685","url":null,"abstract":"Objective: The primary aim of this study was to compare osseointegration limb replacement prosthesis users (OI-LRPU) to normative published PLUS-M values for traditional socket prosthesis users (TSPU). The secondary aim was to investigate whether patient factors were predictive of PLUS-M scores.Design: Retrospective review of all patients who underwent OI maintained in a prospectively maintained registry. All patients (N = 63) were invited to complete a PLUS-M survey. 30 patients completed the survey (15 femoral OI, 15 tibial OI).Results: The OI-LRPU cohort's composite median scores and inter-quartile ranges for the PLUS-M Raw Score, PLUS-M T-score, and PLUS-M percentile score were 57 (46-60), T-score 62.5 (51.275 - 71.4) and 89.5 (54.95 - 98.4). PLUS-M T-scores were higher in the OI-LRPU compared with the age and etiology matched literature-reported outcomes in TSPU for above-knee (p = 0.027) and below-knee (p = 0.029) amputees. Tibial OI scores were slightly higher than femur OI scores but did not reach statistical significance. PLUS-M raw (p = 0.047) and PLUS-M percentile scores (p = 0.041) were significantly improved for younger patients at the time index amputation. Regression analysis supported this finding.Conclusions: OI-LRPU demonstrate improved functional mobility outcome scores relative to TSPU. PLUS-M functional scores were improved for younger patients at time of index amputation.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827130","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 Performance in the Physical Medicine and Rehabilitation Part II Certification Oral Examination Based On Milestone Ratings.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-03 DOI: 10.1097/PHM.0000000000002670

Gerard E Francisco, Mikaela Raddatz, Kenji Yamazaki, Sunil Sabharwal, Keneshia Kirksey, Carolyn Kinney, Eric Holmboe

{"title":"Predicting Performance in the Physical Medicine and Rehabilitation Part II Certification Oral Examination Based On Milestone Ratings.","authors":"Gerard E Francisco, Mikaela Raddatz, Kenji Yamazaki, Sunil Sabharwal, Keneshia Kirksey, Carolyn Kinney, Eric Holmboe","doi":"10.1097/PHM.0000000000002670","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002670","url":null,"abstract":"Abstract: The Accreditation Council for Graduate Medical Education (ACGME) introduced the Milestones to document learner development within a competency-based framework. On the other hand, board certifying examinations serve as a summative evaluation of a learner's readiness for independent medical practice. Scores in Part I of the American Board of Physical Medicine and Rehabilitation (ABPMR) examination, which measures medical knowledge, has been shown to correlate only with Milestones ratings in medical knowledge. We hypothesized that combined ratings of various Milestone competencies can predict subsequent performance in related ABPMR Part II certifying examination domains. Milestones data and ABPMR Part II examination scores of trainees in 3-yr PM&R residency programs in the United States from academic years (AY) 2014-2016 who sat for the ABPMR Parts I and II Examinations, immediately after completion of training, were reviewed. Regression analysis showed that Milestone sub-competencies, alone or in combination, did not correlate with Part II domain scaled scores. Medical Knowledge was the only Milestone sub-competency that was correlated with performance in the ABPMR Part I certifying examination. This current study found that no similar association exists between any of the Milestones Competencies and the ABPMR Part II certifying examination, suggesting that the two assessment tools measure different attributes.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789438","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 Robot-Asssissted Gait Training on Balance and Fear of Falling in Patients with Stroke: A Randomized Controlled Clinical Trial.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-03 DOI: 10.1097/PHM.0000000000002674

Merve Sevinc Gunduz, Rustem Mustafaoglu, Ibrahim Halil Ural

{"title":"The Effects of Robot-Asssissted Gait Training on Balance and Fear of Falling in Patients with Stroke: A Randomized Controlled Clinical Trial.","authors":"Merve Sevinc Gunduz, Rustem Mustafaoglu, Ibrahim Halil Ural","doi":"10.1097/PHM.0000000000002674","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002674","url":null,"abstract":"Objective: The aim of this study was compare the effects of Combined Training (CombT), which included Robot-Assisted Gait Training in addition to Traditional Balance Training (TBT), and TBT alone on balance and fear of falling (FoF) in patients with stroke based on objective assessment methods.Design: Patients were randomized into CombT Group (CombTG) (n = 21) and TBT Group (TBTG) (n = 21) for duration of 5-weeks. Balance were assessed with EncephaLog App recorded stand-up time (SUT), sit-down time (SDT), and directional sways during walking, Berg Balance Scale (BBS) and Timed Up and Go Test (TUG). International Fall Efficacy Scale (FES-I) measured fear of falling (FoF). Fugl Meyer Assessment-Lower Extremity (FMA-LE) assessed limb impairment. Foot posture were assessed with Foot Posture Index (FPI-6).Results: After the treatments, EncephaLog sways (anterior, medial, lateral: P = 0.04, P = 0.01, P = 0.02), SUT (P = 0.006), SDT (P = 0.002); BBS (P < 0.001); FES-I (P = 0.002) improved in CombTG. TUG (P = 0.01) and FMA-LE (P < 0.001) improved in TBTG. SUT (P = 0.01) and SDT (P = 0.04) showed statistically significant improvement in CombTG compared to TBTG; FMA-LE (P = 0.002) demonstrated statistically significant improvement in TBTG compared to CombTG.Conclusion: Objective assessment indicated that combined treatments in subacute and chronic stroke rehabilitation enhance balance and reduce FoF more effectively than isolated approaches.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789491","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

High-intensity interval training effects on people with multiple sclerosis; a systematic review and meta-analyses for exercise capacity and fatigue.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-03 DOI: 10.1097/PHM.0000000000002676

Javier Martín-Núñez, Sheila Gómez de Castro, Alejandro Heredia-Ciuró, Alba Navas-Otero, Irene Cabrera-Martos, Araceli Ortiz-Rubio, Marie Carmen Valenza

{"title":"High-intensity interval training effects on people with multiple sclerosis; a systematic review and meta-analyses for exercise capacity and fatigue.","authors":"Javier Martín-Núñez, Sheila Gómez de Castro, Alejandro Heredia-Ciuró, Alba Navas-Otero, Irene Cabrera-Martos, Araceli Ortiz-Rubio, Marie Carmen Valenza","doi":"10.1097/PHM.0000000000002676","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002676","url":null,"abstract":"Objective: This study was to examine the effects of high-intensity interval training (HIIT) interventions on exercise capacity and fatigue in people with MS.Design: We performed a systematic review and meta-analysis. PubMed/Medline, Web of Science, Scopus and Google Scholar databases were systematically searched from inception to January 2024. We reviewed randomized controlled trials (RCTs) that focused their intervention on HIIT for people with MS to improve exercise capacity or fatigue. Two researchers performed the search process independently in the different databases and assessed methodological quality and risk of bias.Results: Eleven studies were included in the systematic review and seven of them were meta-analyzed. The overall pooled effect favored HIIT interventions in improving exercise capacity (SMD = 0.29; 95% CI = 0-05,0.53; p = 0.02) and reducing fatigue (SMD = -0.26; 95% CI = -0.50, -0.02; p = 0.03) in people with MS. We generally found a low risk of bias and a good methodological quality.Conclusion: The results of this review and meta-analysis provide evidence that HIIT interventions improved and reduced fatigue in people with MS. HIIT intervention may be a good option to improve exercise capacity and reduce fatigue of these people.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789434","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

Fostering Inclusivity in PM&R: A National Survey.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-03 DOI: 10.1097/PHM.0000000000002671

Adedeji Adeniyi, Shane Fuentes, Raysha Farah, Sahadah Lawani, Oliver Sosa, Mikaili Puckerine, Joel Stein, Kristian J von Rickenbach

{"title":"Fostering Inclusivity in PM&R: A National Survey.","authors":"Adedeji Adeniyi, Shane Fuentes, Raysha Farah, Sahadah Lawani, Oliver Sosa, Mikaili Puckerine, Joel Stein, Kristian J von Rickenbach","doi":"10.1097/PHM.0000000000002671","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002671","url":null,"abstract":"Abstract: There is a persistent underrepresentation of women and multiple ethnic minority groups among medical school and residency applicants and trainees, particularly in Physical Medicine and Rehabilitation (PM&R). There is limited information on what causes these demographic disparities in PM&R and on strategies to increase interest in the field. To address this gap and improve early recruitment efforts, the authors conducted the first-ever national survey to gather information on pre-medical students' perceived barriers to medical school admissions, career interests, perceptions of PM&R, and strategies to increase interest in PM&R. The survey received 1093 responses from 236 colleges with a diverse representation of participants, including 53.3% (n = 583) from historically underrepresented groups such as those Underrepresented in Medicine (URiM), and those from rural communities, and/or low socioeconomic backgrounds. Only 31.2% (n = 313) knew the existence of PM&R. However, 60.0% (n = 568) of respondents were interested in learning more about PM&R through shadowing a PM&R physician (82.2%, n = 780), attending workshops (75.9%, n = 720), and mentorship (58.9%, n = 559). The national survey revealed limited exposure to PM&R at the pre-medical level but a strong interest in dedicated mentorship and workshops, suggesting effective strategies to address underrepresentation.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789431","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

Comparison of Ultrasound-Guided Hydrodissection with Various Volumes of 5% Dextrose for Carpal Tunnel Syndrome: A Prospective Randomized Controlled Double-Blind Trial.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-03 DOI: 10.1097/PHM.0000000000002675

Nuran Eyvaz, Sevda Adar, Ali İzzet Akçin, Ümit Dündar, Hasan Toktaş, Selma Eroğlu

{"title":"Comparison of Ultrasound-Guided Hydrodissection with Various Volumes of 5% Dextrose for Carpal Tunnel Syndrome: A Prospective Randomized Controlled Double-Blind Trial.","authors":"Nuran Eyvaz, Sevda Adar, Ali İzzet Akçin, Ümit Dündar, Hasan Toktaş, Selma Eroğlu","doi":"10.1097/PHM.0000000000002675","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002675","url":null,"abstract":"Objective: Ideal volume of 5% dextrose (D5W) for median nerve hydrodissection (HD) for treating carpal tunnel syndrome (CTS) is still unknown. This study assessed the efficacy of nerve hydrodissection using varying volumes of D5W for treating mild to moderate CTS.Design: Eighty participants with unilateral mild to moderate CTS were randomized into groups to receive either 5 ml of normal saline (NS), 5 ml of D5W, 10 ml of NS, and 10 ml of D5W, with each group undergoing one session of ultrasound-guided HD. Visual Analogue Scale (VAS), Boston Carpal Tunnel Syndrome Questionnaire (BCTQ), grip and pinch strength, cross-sectional area (CSA) of median nerve, and electrophysiological assessment were performed at baseline and weeks 4 and 12.Results: In the 10 ml D5W group, VAS scores considerably improved compared with those in the NS groups. Although nerve CSA values decreased in all groups during follow-ups, the 10 mL D5W group showed a statistically significant improvement compared to the NS groups by the 12th week (p ≤ 0.01).Conclusion: Ultrasound-guided median nerve HD with 10 ml D5W was more effective in reducing pain and nerve size than the NS groups at the 12th week.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789505","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

Examination of pain comorbid diagnoses in the inpatient rehabilitation population across all impairment groups: Erratum.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-11-05 DOI: 10.1097/PHM.0000000000002596

引用次数: 0

A Hunt for the Etiology of Lumbar Radiculopathy: A Clinical Vignette. 寻找腰椎病的病因：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.0000000000002506

Annmarie Jaghab, Aaron Yearsley, Aditya Raghunandan

引用次数: 0

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