{"title":"How Effective Are Current Interventions to Prevent and Reduce the Use of Physical Restraints for Older People in Long-Term Care Settings? A Cochrane Review Summary With Commentary.","authors":"Sakinah Sabirin, Julia Patrick Engkasan","doi":"10.1097/PHM.0000000000002693","DOIUrl":"10.1097/PHM.0000000000002693","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"374-375"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142845644","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}
{"title":"Chronic Low Back Pain in a Trapeze Artist-No More \"Mousing\" Around.","authors":"Chantal Nguyen, Robert C Oh","doi":"10.1097/PHM.0000000000002615","DOIUrl":"10.1097/PHM.0000000000002615","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e61-e62"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141909750","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}
Sercan Mısırlı, Berkay Yalçınkaya, Ahmet Furkan Çolak, Murat Kara
{"title":"Isolated Extensor Carpi Ulnaris Tenosynovitis: 'Ultra'simple Diagnosis With Ultrasound.","authors":"Sercan Mısırlı, Berkay Yalçınkaya, Ahmet Furkan Çolak, Murat Kara","doi":"10.1097/PHM.0000000000002621","DOIUrl":"10.1097/PHM.0000000000002621","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e64-e65"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142575237","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}
Lindong Yuan, Lihai Zhang, Yan Wang, Peige Zhao, Xiang Xie, Dongming Cao
{"title":"Impact of Leisure-Time Physical Activity and Sedentary Behavior on Mortality in Patients With Chronic Obstructive Pulmonary Disease.","authors":"Lindong Yuan, Lihai Zhang, Yan Wang, Peige Zhao, Xiang Xie, Dongming Cao","doi":"10.1097/PHM.0000000000002612","DOIUrl":"10.1097/PHM.0000000000002612","url":null,"abstract":"<p><strong>Objective: </strong>This study sought to examine the association between inactive time, leisure-time physical activity and mortality in individuals diagnosed with chronic obstructive pulmonary disease.</p><p><strong>Design: </strong>This study utilized a nationally representative sample of patients with chronic obstructive pulmonary disease from National Health and Nutrition Examination Survey ( n = 1817; weighted population, 23,698,840). Mortality was tracked from the date of interview and examination. Leisure-time physical activity and sedentary time were assessed using a Global Physical Activity Questionnaire.</p><p><strong>Results: </strong>The study found that only 28% of patients with chronic obstructive pulmonary disease achieved sufficient leisure-time physical activity (leisure-time physical activity ≥150 mins/wk), while 58% reported no physical activity and 47% sat for over 6 hrs per day. Over a 9-yr follow-up period, 501 deaths occurred, with 101 due to heart diseases. Adequate leisure-time physical activity levels were associated with a decreased risk of mortality from any cause. Moreover, patients who engaged in sufficient leisure-time physical activity and reduced sitting time had a lower risk of mortality from any cause compared to those who did not engage in sufficient leisure-time physical activity.</p><p><strong>Conclusions: </strong>Participating in an adequate amount of leisure-time physical activity was linked to a reduced risk of death from any cause in patients with chronic obstructive pulmonary disease. However, irrespective of the extent of the leisure-time physical activity, there was no significant correlation between sedentary behavior and the risk of mortality.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e49-e57"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139055","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}
Mohamad R Safaei-Qomi, Sarvenaz Mehrabi, Jamie L Fleet, Sue Peters, Ricardo Viana, Michael W Payne, Ada Tang, Robert Teasell
{"title":"Systematic Review of Worldwide Female Enrollment in Randomized Controlled Trials of Poststroke Lower Extremity Rehabilitation.","authors":"Mohamad R Safaei-Qomi, Sarvenaz Mehrabi, Jamie L Fleet, Sue Peters, Ricardo Viana, Michael W Payne, Ada Tang, Robert Teasell","doi":"10.1097/PHM.0000000000002638","DOIUrl":"10.1097/PHM.0000000000002638","url":null,"abstract":"<p><strong>Abstract: </strong>This review systematically examined the reporting of sex and female participation in poststroke lower extremity motor rehabilitation randomized controlled trials over time and identified differences in female participation across randomized controlled trials conducted in low- and middle-income countries, high-income countries, and high-income country regions. Systematic searches were conducted of MEDLINE, Embase, CINAHL, and PsycINFO from 1970 to May 2022. Randomized controlled trials in English were included if they examined poststroke LE motor rehabilitation interventions in adults diagnosed with stroke. A total of 1283 randomized controlled trials were analyzed; 4.5% of randomized controlled trials did not report sex, and the overall female participation was 39.5%. The percentage of female participants did not significantly differ between high-income countries and low- and middle-income countries. Within high-income countries, the percentage of female participants was significantly higher in European randomized controlled trials than randomized controlled trials in Asia and Oceania ( P = 0.01). No significant changes in female participation were found for any of the countries or regions over the last two decades. Female participation was significantly higher in randomized controlled trials conducted in the acute phase compared to those in the chronic phase ( P < 0.001). More research is needed to understand the reasons behind female underenrollment and further efforts are required to ensure adequate enrollment of males and females.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"383-389"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142891238","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}
Abu Zeeshan Bari, Naveed Ahmed, Muhannad Farhan, Abdullah Al-Shenqiti, Muhammad Sohail Zafar
{"title":"Comparing Prefabricated and 3D-Printed Foot Orthoses for the Management of Flat Foot Condition: A Randomized Controlled Trial.","authors":"Abu Zeeshan Bari, Naveed Ahmed, Muhannad Farhan, Abdullah Al-Shenqiti, Muhammad Sohail Zafar","doi":"10.1097/PHM.0000000000002585","DOIUrl":"10.1097/PHM.0000000000002585","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study is to investigate the short-term effects of 3D-printed and prefabricated foot orthoses on the management of flat feet.</p><p><strong>Design: </strong>In this single-blinded study, 63 patients with flat feet were enrolled via convenience sampling. They were randomly assigned to the control and experimental groups, receiving prefabricated and customized 3D-printed foot orthoses, respectively. The assessment tools included a visual analog scale and a modified Quebec User Evaluation of Satisfaction with Assistive Technology questionnaire. The patients scored their pain at weeks 0 and 4 using the visual analog scale. At the end of week 4, patients completed the modified version of the Quebec User Evaluation of Satisfaction with Assistive Technology questionnaire to record their satisfaction with the orthosis.</p><p><strong>Results: </strong>Visual analog scale scores at week 0 for the two groups were not statistically significant ( P > 0.05). At week 4, the visual analog scale scores of the experimental group reduced significantly ( P < 0.001), whereas the visual analog scale scores of the control group remained statistically insignificant ( P > 0.05). Modified Quebec User Evaluation of Satisfaction with Assistive Technology questionnaire analysis revealed higher satisfaction with orthosis comfort and effectiveness in the experimental group than in the control, while factors like orthosis dimensions, weight, and durability did not differ significantly between groups.</p><p><strong>Conclusions: </strong>Customized 3D-printed orthoses effectively reduced pain and enhanced patient satisfaction with comfort and effectiveness in 4 wks.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"298-304"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141490567","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}
Shangge Jiang, Dalia Othman, Laura Kathleen Langer, Mark Bayley, Christian Fortin, Amanda Mayo, Jordan Pelc, Lawrence R Robinson, Christine Soong, Meiqi Guo
{"title":"Incidence and Nature of Adverse Events During Inpatient Rehabilitation: A Retrospective Case Series.","authors":"Shangge Jiang, Dalia Othman, Laura Kathleen Langer, Mark Bayley, Christian Fortin, Amanda Mayo, Jordan Pelc, Lawrence R Robinson, Christine Soong, Meiqi Guo","doi":"10.1097/PHM.0000000000002614","DOIUrl":"10.1097/PHM.0000000000002614","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study is to describe and compare adverse event incidence, type, severity, and preventability in the Canadian inpatient rehabilitation setting.</p><p><strong>Design: </strong>In this retrospective case series, adverse events were identified through chart reviews from two Canadian academic tertiary postacute care hospitals. Adverse events were characterized through descriptive statistics and compared using the Mantel-Haenszel and Fisher's exact tests.</p><p><strong>Results: </strong>During the study period, one site ( n = 120) had 28 adverse events and an incidence of 9.7 (95% CI = 6.1-13.3) per 1000 patient days, and the other ( n = 48) had 15 adverse events and an incidence of 13.9 (95% CI = 6.9-21) per 1000 patient days ( P = 0.82). The two sites differed significantly in adverse event type ( P = 0.033) and preventability ( P = 0.002) but not severity. The most common adverse event type was medication/intravenous fluids-related (16/28, 57%) at one site and patient incidents (e.g., falls, pressure ulcers) at the other. Four percent (1/28) of adverse events were preventable at one site, and 53% (8/15) at another. Most adverse events at both sites were mild in severity.</p><p><strong>Conclusions: </strong>Adverse events significantly differed in type and preventability between the two sites. These results suggest the importance of context and the need for an organization-specific and tailored approach when addressing patient safety in inpatient rehabilitation settings.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"364-368"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142131660","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}
{"title":"Impact of Body Mass Index on Opioid Prescriptions After Lumbar Spine Surgery.","authors":"Nafis B Eghrari, Matthew Chen, Chong H Kim","doi":"10.1097/PHM.0000000000002598","DOIUrl":"10.1097/PHM.0000000000002598","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the association between body mass index and postoperative opioid use within 2 yrs after lumbar spine surgery using a national database.</p><p><strong>Methods: </strong>TriNetX, a national network of deidentified patient records, was retrospectively queried from 2003 to 2021 using International Classification of Disease 10, Current Procedural Terminology, and Veterans Affairs codes. Propensity score matching analysis was performed based on demographics, comorbidities, anxiety disorders, and mood disorders.</p><p><strong>Results: </strong>A total of 21,997 patients were included in our analysis. Patients with body mass index ≥ 30 were more likely to be prescribed opioids postoperatively (odds ratio: 1.30; 95% confidence interval: 1.18-1.42). Patients with body mass index ≥ 40 were more likely to be prescribed opioids when compared to patients with body mass index < 30 (odds ratio: 1.94; 95% confidence interval: 1.48-2.56), body mass index 30-34.9 (odds ratio: 2.06; 95% confidence interval: 1.57-2.70), body mass index 35-39.9 (odds ratio: 1.50; 95% confidence interval: 1.13-2.00), and body mass index < 40 (odds ratio: 2.06; 95% confidence interval: 1.57-2.70). The body mass index ≥ 40 group had an increased number of opioid prescriptions within 2 yrs after lumbar surgery compared to patients with body mass index 30-34.9 ( P = 0.0113) and body mass index < 30 ( P = 0.0018).</p><p><strong>Conclusions: </strong>Opioid prescription after lumbar spine surgery is associated with an elevated body mass index. Patients with class III obesity seem to be at the highest risk of increased opioid prescriptions after lumbar surgery. Physicians should consider the patient's body mass index when deciding postoperative pain management.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"335-340"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141854468","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}
{"title":"Perceptions of Telemedicine Among Physical Medicine and Rehabilitation Patients and Healthcare Providers.","authors":"Gabrielle Gilmer, Gwendolyn Sowa","doi":"10.1097/PHM.0000000000002608","DOIUrl":"10.1097/PHM.0000000000002608","url":null,"abstract":"<p><strong>Objective: </strong>Our purpose was to assess perceptions of telemedicine among physical medicine and rehabilitation patients and healthcare providers.</p><p><strong>Design: </strong>A 28-question online survey was conducted. Patients had to be 18 yrs or older who used telemedicine for a physical medicine and rehabilitation visit. Providers had to be a board-certified physical medicine and rehabilitation provider who has used telemedicine in their practice.</p><p><strong>Results: </strong>Sixty-eight patients and 46 providers completed the survey. Patients and providers reported an intention to continue using telemedicine, regardless of insurance coverage/reimbursement. Patients and providers reported circumstances, such as needing a physical examination or a first-time visit, as being preferable for an in-person visit. Patients who were younger or a caretaker were more likely to report being willing to change providers if telemedicine was no longer offered than older or noncaretaker patients. Patients who made less than $30,000 annually or who did not own a car were more likely to report comfortability with telemedicine than patients who made more than $30,000 annually or who owned a car.</p><p><strong>Conclusions: </strong>Telemedicine will continue as a staple of physical medicine and rehabilitation health care and is a particularly important resource for patients who are younger, caretakers, make less than $30,000 annually, or do not own a car.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":"104 4","pages":"349-356"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143662093","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}
{"title":"Prehabilitation Research: A Bibliometric Analysis of Past Trends and Future Directions.","authors":"Myungeun Yoo, Chan Woong Jang","doi":"10.1097/PHM.0000000000002611","DOIUrl":"10.1097/PHM.0000000000002611","url":null,"abstract":"<p><strong>Objective: </strong>This study investigates the global research landscape of prehabilitation, identifying current trends, dominant disciplines, collaborative networks, and prominent articles in the field.</p><p><strong>Design: </strong>For our analysis, we employed the published prehabilitation literature indexed in the Web of Science Core Collection database, spanning from 2002 to 2022. In addition, we utilized CiteSpace (version 6.2; Drexel University), a widely used information visualization software to perform bibliometric analysis.</p><p><strong>Results: </strong>Analyzing 553 research articles, we observe a consistent upward trend in prehabilitation publication and citation activity. Interdisciplinary co-occurrence analysis highlights strong connections with fields such as surgery, rehabilitation, oncology, sports sciences, orthopedics, gastroenterology, and hepatology. Initially centered around postoperative outcomes in major abdominal surgeries, particularly for colorectal, pancreatic, and prostate cancers, prehabilitation research expanded to include thoracic surgeries, focusing on conditions like lung cancer and aortic valve replacement. Preoperative exercise remains a core area, with increasing interest in multimodal prehabilitation and its effectiveness based on patient group characteristics. North America and Western Europe emerge as primary contributors to prehabilitation research.</p><p><strong>Conclusions: </strong>Current research concentrates on tailoring prehabilitation programs for specific groups, and broadening their geographical scope would enhance the studies, contributing valuable insights for medical practitioners shaping future research efforts.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"357-363"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139053","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}