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

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 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-10-01 Epub 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":"10.1097/PHM.0000000000002766","url":null,"abstract":"Abstract: Demographic data for patients with hypermobile Ehlers-Danlos syndrome have not been well established. Hypermobile Ehlers-Danlos syndrome patients often present with a constellation of symptoms; it is important to update clinical criteria for diagnosis and provide a framework for common comorbidities. The primary objective of this study was to identify the prevalence of comorbidities in hypermobile Ehlers-Danlos syndrome 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 hypermobile Ehlers-Danlos syndrome 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 comorbidities 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 comorbidities among hypermobile Ehlers-Danlos syndrome patients and encourage further evaluation for screening and diagnosis. Hypermobile Ehlers-Danlos syndrome patients presented with a wide range of comorbidities 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":"927-932"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","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

Concussion Reporting Critical Among Football Players Surveyed for Short-Term Management and Lifelong Functioning. 脑震荡报告在足球运动员短期管理和终身功能调查中至关重要。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-10-01 Epub Date: 2025-03-06 DOI: 10.1097/PHM.0000000000002725

Dean E Jacks, Meg Small, Rebecca A Martin, Justin B Moore

{"title":"Concussion Reporting Critical Among Football Players Surveyed for Short-Term Management and Lifelong Functioning.","authors":"Dean E Jacks, Meg Small, Rebecca A Martin, Justin B Moore","doi":"10.1097/PHM.0000000000002725","DOIUrl":"10.1097/PHM.0000000000002725","url":null,"abstract":"Objective: The present study aims to explore the impact of unreported concussions of former contact football players' short-term management, and lifelong functioning. The purpose is to understand the prevalence of unreported concussions, acute healthcare management of these injuries, and the long-term implications of former players' neurologic health.Design: We surveyed 282 former high school and college contact football players. The survey retrospectively assessed diagnosed, self-reported head injuries, nonfootball concussions, acute healthcare management, acute unreported concussion, concealing long-term symptoms, and long-term neurologic implications.Results: Analyses revealed that 36.5% of the participants did not report a head injury to their peers or their sport leadership. Respondents who did not report a head injury, characterized as meeting one or more of the criteria for a concussion were 4 times more likely to experience acute neurologic symptoms and 3.3 times more likely to have late-onset neurologic symptoms compared to respondents who did not report concealing their head injuries.Conclusions: The most at-risk group of respondents with head injuries that may have resulted in concussion are those who conceal their symptoms. This study demonstrates the prevalence of unreported concussions among football players and the need for improved healthcare management. Policy changes are required to reduce the number of athletes who are concealing their symptoms.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"869-874"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655868","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

Promoting Early Aerobic Exercise Initiation After Concussion: A Pilot Study Examining How Prescription Method Can Influence Recovery in a Non-athlete, Adult Population. Results From the Toronto Concussion Study. 促进脑震荡后早期有氧运动：一项实验性研究，研究处方方法如何影响非运动员成年人群的康复。来自多伦多脑震荡研究的结果。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-10-01 Epub Date: 2025-03-07 DOI: 10.1097/PHM.0000000000002732

Evan Foster, Laura Langer, Mark Bayley, Paul Comper, Tharshini Chandra, Aidan Snaiderman, Ainsley Kempenaar, Elizabeth L Inness, Cynthia Danells, David W Lawrence

{"title":"Promoting Early Aerobic Exercise Initiation After Concussion: A Pilot Study Examining How Prescription Method Can Influence Recovery in a Non-athlete, Adult Population. Results From the Toronto Concussion Study.","authors":"Evan Foster, Laura Langer, Mark Bayley, Paul Comper, Tharshini Chandra, Aidan Snaiderman, Ainsley Kempenaar, Elizabeth L Inness, Cynthia Danells, David W Lawrence","doi":"10.1097/PHM.0000000000002732","DOIUrl":"10.1097/PHM.0000000000002732","url":null,"abstract":"Objective: Research on aerobic exercise post-concussion has focused on athletes recovering from sport-related concussion. The goal of this pilot study was to examine the feasibility and preliminary efficacy of three aerobic exercise prescription methods in a general adult population.Design: This pilot study involves three cohorts of participants, including a nested randomized component. Participants who were not in the nested randomized component were followed regularly by the clinic physician (\"usual care\"). Participants in the nested randomized component were randomly assigned to either \"exercise testing + usual care\" or \"exercise testing + individualized prescription.\" All randomized participants completed a Buffalo Concussion Treadmill Test. Exercise testing + usual care received usual care aerobic exercise recommendations, while exercise testing + individualized prescription received an individualized prescription based on their Buffalo Concussion Treadmill Test performance.Results: Seventy-five participants were included in this analysis. There was an observed longer time to recovery of usual care compared to exercise testing ( P = 0.046). There was no significant difference in time to recovery between exercise testing + usual care and exercise testing + individualized prescription ( P = 0.35).Conclusions: Supervised initiation of aerobic exercise early after concussion appears to be feasible and improve outcomes compared to standard exercise recommendations. Individualized aerobic exercise prescription offered no additional recovery benefit in this sample; however, this finding is likely underpowered because of a small sample.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"875-882"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655869","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

Assessment of Interrater Reliability for Interpretation of Musculoskeletal Ultrasound Imaging of the Quadriceps Femoris. 股四头肌超声图像解释的可信度评估。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-10-01 Epub Date: 2025-03-06 DOI: 10.1097/PHM.0000000000002731

Daniel P McGurren, Kaycee E Glattke, Anikar Chhabra, Sayi P Boddu, Steven K Poon, Jonathan A Flug, Joseph C Brinkman, Sara Goetzinger, Jedediah E Lee, Alyssa Nocella, Jeffrey Rogge, Arthur J De Luigi

{"title":"Assessment of Interrater Reliability for Interpretation of Musculoskeletal Ultrasound Imaging of the Quadriceps Femoris.","authors":"Daniel P McGurren, Kaycee E Glattke, Anikar Chhabra, Sayi P Boddu, Steven K Poon, Jonathan A Flug, Joseph C Brinkman, Sara Goetzinger, Jedediah E Lee, Alyssa Nocella, Jeffrey Rogge, Arthur J De Luigi","doi":"10.1097/PHM.0000000000002731","DOIUrl":"10.1097/PHM.0000000000002731","url":null,"abstract":"Objective: The aim of the study was to assess the interrater reliability between seven individuals assessing quadriceps femoris cross-sectional area, echo intensity, and corrected echo intensity.Design: A retrospective subanalysis of data collected in a randomized controlled clinical trial (IRB 19-008473. NCT ID NCT04302558). Patients aged 13-50 yrs with an anterior cruciate ligament tear requiring surgical reconstruction were assessed for cross-sectional area of the rectus femoris, vastus intermedius, vastus lateralis, vastus medialis, and vastus medialis obliquis, and echo intensity of the rectus femoris. Musculoskeletal ultrasound imaging of the quadriceps was performed by one physical therapist, and quantitative assessments were performed by four physicians and three physical therapists.Results: Physicians and physical therapists had good reliability for cross-sectional area of the rectus femoris (median interclass correlation 0.86 doctor of medicine (MD) and 0.84 physical therapist), cross-sectional area of the vastus medialis obliquis (0.82 and 0.82), and echo intensity mean (0.92 and 0.92). Rectus femoris cross-sectional area had the smallest coefficient of variation (26.512.7%), whereas subcutaneous fat had the largest coefficient of variation (93.3% left, 86.4% middle, 86.1% right).Conclusions: These findings demonstrate reliability between physicians and physical therapists in interpretation of ultrasound images of the quadriceps. The inconsistency demonstrates the need for a consistent training across disciplines to ensure accurate image interpretation.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"906-910"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655933","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

Acute Impact of Lower Body Positive Pressure Treadmill Walking in Individuals With Knee Osteoarthritis: A Pilot Study. 下肢正压跑步机行走对膝骨关节炎患者的急性影响：一项初步研究。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-10-01 Epub Date: 2025-03-26 DOI: 10.1097/PHM.0000000000002733

Prakash Jayabalan, Chad Hanaoka, Sanchita Sen, Sarah Libfraind, Avraham Eisenstein, Vikram Darbhe

{"title":"Acute Impact of Lower Body Positive Pressure Treadmill Walking in Individuals With Knee Osteoarthritis: A Pilot Study.","authors":"Prakash Jayabalan, Chad Hanaoka, Sanchita Sen, Sarah Libfraind, Avraham Eisenstein, Vikram Darbhe","doi":"10.1097/PHM.0000000000002733","DOIUrl":"10.1097/PHM.0000000000002733","url":null,"abstract":"Objective: The aim of the study was to determine acute symptomatic, gait, and biological effects of lower extremity loading during lower body positive pressure (lower body positive pressure) treadmill walking in individuals with knee osteoarthritis.Methods: Participants with knee osteoarthritis ( N = 32) above the age of 50 performed two 45-min walking sessions at least 1 wk apart. Individuals walked at self-selected speed on the treadmill at 100% bodyweight or 50% bodyweight. The primary outcome was change in serum cartilage oligomeric matrix protein, with other outcome measures including change in knee joint pain, exercise intensity, gait parameters, and the concentration of other serum biomarkers of joint disease.Results: Across all time points, 50% bodyweight walking was associated with significant reductions in knee pain compared to 100% bodyweight ( P < 0.05 for all) with no significant difference in duration of moderate-intensity exercise. Fifty percent bodyweight was associated with significant decreases in cadence ( P < 0.001) and increased stride length ( P = 0.008). Biomarker analyses demonstrated 100% bodyweight walking was associated with a significant increase in cartilage oligomeric matrix protein at 45 mins compared to baseline ( P = 0.032), not observed with 50% bodyweight.Conclusions: Fifty percent bodyweight walking in knee osteoarthritis using a lower body positive pressure treadmill acutely reduces joint pain, improves gait parameters, and does not increase markers of cartilage turnover. Future studies should investigate the longitudinal benefits of this rehabilitation approach.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"911-918"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12227086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810387","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

Physical Medicine and Rehabilitation Residency Training in Taiwan and the United States: A Comparison Between National Taiwan University Hospital and Virginia Commonwealth University. 台湾与美国PM&R住院医师培训：台湾大学附属医院与弗吉尼亚联邦大学之比较。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-10-01 Epub Date: 2025-07-16 DOI: 10.1097/PHM.0000000000002806

Chien-Ping Chen, William Carter, Huey-Wen Liang, David X Cifu, Henry L Lew

{"title":"Physical Medicine and Rehabilitation Residency Training in Taiwan and the United States: A Comparison Between National Taiwan University Hospital and Virginia Commonwealth University.","authors":"Chien-Ping Chen, William Carter, Huey-Wen Liang, David X Cifu, Henry L Lew","doi":"10.1097/PHM.0000000000002806","DOIUrl":"10.1097/PHM.0000000000002806","url":null,"abstract":"Abstract: In response to the growing need, physical medicine and rehabilitation residency programs have continued to expand significantly in both the United States and Taiwan. While Taiwan's physical medicine and rehabilitation approach was initially modeled after the US system, substantial differences have evolved, shaped by distinct medical systems and cultural contexts. This article compares similarities and differences between representative physical medicine and rehabilitation residency training programs in Taiwan and the US, using National Taiwan University Hospital and Virginia Commonwealth University as examples. The core components of both programs are examined and compared. Key differences in subspecialty training, team collaboration models, cultural influences, and reimbursement systems are explored in detail. These comparisons offer actionable insights for program development. US programs may consider enhancing musculoskeletal ultrasound training and specifying required subspecialty exposures during inpatient and outpatient rotations, while Taiwan may explore implementing structured subspecialty fellowships. Despite the differences, both systems share a commitment to comprehensive physiatric education and interdisciplinary teamwork. Scholarly exchange between National Taiwan University Hospital and Virginia Commonwealth University has enriched residents' experiences and is expected to foster lasting international collaborations that contribute to the continued clinical and academic advancement of physical medicine and rehabilitation.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"944-949"},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144939460","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

Opioid prescriptions for older adults discharged after inpatient orthopedic rehabilitation: a retrospective study. 阿片类药物处方对住院骨科康复出院的老年人：一项回顾性研究。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-09-03 DOI: 10.1097/PHM.0000000000002822

Stephanie Cullen, Carolyn M Tan, Qixuan Li, Ella Huszti, Richard E Norman, Aaron J Bilek

{"title":"Opioid prescriptions for older adults discharged after inpatient orthopedic rehabilitation: a retrospective study.","authors":"Stephanie Cullen, Carolyn M Tan, Qixuan Li, Ella Huszti, Richard E Norman, Aaron J Bilek","doi":"10.1097/PHM.0000000000002822","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002822","url":null,"abstract":"Objective: To guide efforts in reducing discharge opioid prescribing, we aimed to investigate the rate of discharge with opioids for opioid-naïve older adults in Inpatient Orthopedic Rehabilitation (IOR) and to identify factors associated with this outcome.Design: Single-centre case-control study of opioid-naïve older adults participating in IOR, with patients grouped based on whether they received an opioid prescription upon discharge. Patient data were collected through the electronic health record. Logistic regression was used to assess for variables that were associated with discharge with an opioid prescription.Results: 391 patients were included, with 238 (60.9%) discharged with an opioid prescription. Factors predicting receiving an opioid prescription included longer acute care length of stay, admission for knee replacement, higher pain scores, higher opioid dose, a shorter rehab length of stay, and the absence of a dementia diagnosis. Rates were highest in patients aged 65-74 (77.17%) and lowest in patients aged 85+ (49.59%) however age was not an independent predictor when all other factors were considered.Conclusions: A large proportion of older patients were discharged from IOR with an opioid prescription, which may be linked to intrinsic and extrinsic patient factors that influence opioid prescribing.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144991181","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 Neurophysiological Effects of Dry Needling: An Update of a Narrative Review. 干针的神经生理作用：一篇叙述性综述的更新。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-09-02 DOI: 10.1097/PHM.0000000000002855

Indra De Greef, Marjolein Chys, Robert D Gerwin, Kayleigh De Meulemeester, Barbara Cagnie

引用次数: 0

Avoiding Missed Minutes: Improving Therapy Participation in Brain Injury Rehabilitation, A Quality Improvement Initiative. 避免错过的分钟：提高治疗参与脑损伤康复，质量改进倡议。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-09-02 DOI: 10.1097/PHM.0000000000002856

Ally T Ferber, Yi Zhou, Hayk Petrosyan, Kristen A Harris

{"title":"Avoiding Missed Minutes: Improving Therapy Participation in Brain Injury Rehabilitation, A Quality Improvement Initiative.","authors":"Ally T Ferber, Yi Zhou, Hayk Petrosyan, Kristen A Harris","doi":"10.1097/PHM.0000000000002856","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002856","url":null,"abstract":"Abstract: Patient participation in therapy sessions during inpatient rehabilitation is essential to maximize recovery. While specific reasons for missed therapies have not been studied in the brain injury population, individuals with brain injuries are often medically complex, which may impact participation. This quality improvement (QI) study aimed to deepen the understanding of reasons for missed therapy and design an intervention to improve therapy participation in an inpatient brain injury rehabilitation unit. Over two consecutive years, data on missed therapies were collected in a rehabilitation unit. Pre-intervention analysis established three categories of missed therapy, including medical complications (67.4%), routine medical testing (20.9%), and nursing care (11.6%). Therapy was commonly missed on Mondays (21%) and often missed for the entire day (35%). An intervention was designed and implemented to improve communication of weekend medical events, aimed at reducing missed therapies on Mondays. After implementation, there was a statistically significant decrease in missed or rescheduled therapies on Mondays (p = 0.017) and in the number of \"all day\" missed sessions (p = 0.018). This QI study provides valuable data on trends in missed therapy sessions for individuals with brain injury during inpatient rehabilitation, as well as a successful intervention.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144999471","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

Medical Student Confidence in Meeting Disability Competencies: Results of a National Survey-Based Study. 医学生对满足残疾能力的信心：一项全国性调查研究的结果。

IF 2.4 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-09-01 Epub Date: 2025-01-07 DOI: 10.1097/PHM.0000000000002704

Lauren Clarke, Zainub Dhanani, Louis Tan, Jonathan Altamirano, Magali Fassiotto, Peter Poullos

{"title":"Medical Student Confidence in Meeting Disability Competencies: Results of a National Survey-Based Study.","authors":"Lauren Clarke, Zainub Dhanani, Louis Tan, Jonathan Altamirano, Magali Fassiotto, Peter Poullos","doi":"10.1097/PHM.0000000000002704","DOIUrl":"10.1097/PHM.0000000000002704","url":null,"abstract":"Abstract: People with disabilities have recently been declared a population at increased risk of health disparities, and research has cited a lack of physician training as a cause of that increased risk. Prior studies demonstrate that physicians lack confidence in caring for people with disabilities, but there is little research on disability competency among medical students. This study assessed medical students' confidence in six disability-related competencies and tested for associations between perceived confidence and students' personal demographics and institutional characteristics. A cross-sectional survey was administered to measure student confidence, and students' perceived confidence was calculated using a 5-point Likert scale. Mean confidence ranged from 2.35 to 3.43, suggesting that most students felt either \"slightly confident\" or \"somewhat confident\" in their ability to meet the selected competencies. Confidence did not differ based on disability exposure or level of training; however, there was a significant positive relationship between attending a public (state) medical school and students' confidence in listing community-based services for people with disabilities. This study highlights that future physicians are not confident in their ability to meet the needs of people with disabilities. Additional training is needed to teach future physicians the skills necessary to provide this population with high-quality clinical care.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"839-843"},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942854","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