American Journal of Physical Medicine & Rehabilitation最新文献

{"title":"Soft or Nonosseous Cam Lesion of the Hip in Femoroacetabular Impingement: Spectrum of Features Across Multiple Modalities.","authors":"Shuliang Ge, Ming Wang, Jinhang Wen, Wilson Ying Fa Ong, Edmund Wei Chieh Soh, Sterling Ellis Eide","doi":"10.1097/PHM.0000000000002885","DOIUrl":"10.1097/PHM.0000000000002885","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e66-e67"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145984293","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":"Effectiveness of a m-Health-Delivered Home-Based Exercise Program for Self-management of Chronic Low Back Pain: PainReApp Randomized Controlled Trial.","authors":"Marta Moreno-Ligero, María Dueñas, Inmaculada Failde, Rogelio Del Pino, M Carmen Coronilla, Jose A Moral-Munoz","doi":"10.1097/PHM.0000000000002829","DOIUrl":"10.1097/PHM.0000000000002829","url":null,"abstract":"<p><strong>Objective: </strong>To compare the effectiveness of a mobile health application versus the booklet-based modality for delivering a self-managed home exercise program in terms of pain, health-related quality of life, and biopsychosocial outcomes in people with chronic low back pain in outpatient settings.</p><p><strong>Design: </strong>This is a single-blinded randomized controlled trial involving 99 adults (≥18 yrs) with chronic low back pain. Participants in the intervention group performed an home exercise program via mobile health (PainReApp), while the control group received the same booklet-based home exercise program. Sociodemographic, anthropometric, pain-related, health-related quality of life, and biopsychosocial outcomes were measured at baseline, 3 (T1), and 6 mos (T2).</p><p><strong>Results: </strong>Within-group improvements ( P  < 0.05) were statistically significant for body mass index and physical functioning tests (T1, T2) in the intervention group, and for physical functioning tests (T1, T2), physical component of health-related quality of life and sleep quality (T1) in the control group. A significant between-group difference was observed for 30-sec arm curl ( P  = 0.038) at T1, favoring the intervention group. The evolution of the effect did not differ significantly for any of the outcomes.</p><p><strong>Conclusions: </strong>Self-managed home exercise program could slightly improve anthropometric, physical functioning, health-related quality of life, and sleep quality in both groups of people with chronic low back pain. Nevertheless, there were not consistent differences between mobile health and booklet-based modalities for delivering a home exercise program.</p><p><strong>Trial registration: </strong>Australian New Zealand Clinical Trials Registry (ACTRN12621000783820).</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"386-395"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144939462","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":"Evaluating Musculoskeletal Anatomy Knowledge Among Medical Students: Comparison of Anatomy Examination Scores Between Three Cohorts.","authors":"Eli M Snyder, Mikayla L Sonnleitner, William J Lew, Brent Shimoda Ba, Hyeong Jun Ahn, Christopher Stickley, Gunes Aytac, Elliott Oshiro, Stephanie Nishimura, David X Cifu, Henry L Lew","doi":"10.1097/PHM.0000000000002888","DOIUrl":"10.1097/PHM.0000000000002888","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to evaluate the impact of different teaching interventions on musculoskeletal anatomy knowledge among first-year medical students.</p><p><strong>Design: </strong>Three sequential cohorts of first-year medical students received different musculoskeletal anatomy teaching interventions: a pre-examination review session by the anatomy department (Cohort A), a clinical skills session taught by a physiatrist (Cohort B), or both (Cohort C). Outcome measures included (1) scores from a 30-question multiple-choice anatomy final examination and (2) scores from 10 of the 30 questions relevant to the anatomy concepts covered in the clinical teaching session.</p><p><strong>Results: </strong>Data were collected from all students in each cohort ( N  = 231); outliers were removed using the 1.5× interquartile range method before all analyses. Cohort C scored significantly higher than Cohort B on the full examination ( P  < 0.05). On the 10-question subset, Cohort C outperformed both Cohorts A and B ( P  < 0.05). No other comparisons reached statistical significance.</p><p><strong>Conclusions: </strong>A combined approach using both pre-examination review by the anatomy department and clinical teaching led by a physiatrist (intervention C) significantly improved musculoskeletal anatomy examination performance. These findings support synchronized, multimodal teaching to enhance anatomy knowledge. Future studies should assess long-term effects on clinical skills and knowledge retention.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"401-403"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145538634","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":"A Clinical Vignette: Resolving a 10-Year History of Neuropsychiatric Symptoms After Traumatic Brain Injury.","authors":"Tyler Shick, Justin Weppner","doi":"10.1097/PHM.0000000000002948","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002948","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":"105 5","pages":"e68-e70"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147760087","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":"Future of the SwiSCI: Perspectives of the First National Cohort Study Built on a 360° Research Model.","authors":"Carla Sabariego, Marija Glisic, Mirjam Brach, Patrick Freund, Margret Hund-Georgiadis, Luca Jelmoni, Xavier Jordan, Laurent Prince, Jerome Bickenbach, Gerold Stucki","doi":"10.1097/PHM.0000000000002917","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002917","url":null,"abstract":"<p><strong>Abstract: </strong>The Swiss Spinal Cord Injury Cohort Study is a national longitudinal study applying a comprehensive model of research to understand the lived experience of individuals with spinal cord injury. Built on the framework of the International Classification of Functioning, Disability and Health and supported by an inclusive, multistakeholder governance structure, the Swiss Spinal Cord Injury Cohort Study enables biological, clinical, psychosocial, and policy-relevant research. This article presents its governance, delineates why the Swiss Spinal Cord Injury Cohort Study serves as a foundation for a learning health system, identifies emerging research needs in the context of the Swiss National SCI Strategy 2025-2034, and discusses key methodological challenges and opportunities of the Swiss Spinal Cord Injury Cohort Study. The Swiss Spinal Cord Injury Cohort Study represents a pioneering and sustainable model for data-driven, person-centered research, which has positioned itself as a cornerstone of evidence-based policy and practice in Switzerland to foster health, functioning and inclusion of persons with spinal cord injury. Its foundational role in shaping the Swiss National SCI Strategy 2025-2034-and its mandate to support its implementation, monitoring and evaluation-underscore its strategic value. Beyond its national impact, the Swiss Spinal Cord Injury Cohort Study showcases how longitudinal cohort studies can support comprehensive research that tackles aspects relevant to the lives of persons with chronic diseases.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":"105 5","pages":"448-455"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147760165","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":"International Analysis of Para Versus Able-Bodied Sport Medical and Executive Governing Boards: Exploring the Impact of Physiatry.","authors":"Chantal Nguyen, Katherine Kim, Matthew Kaufman, Miriam Agaibi, Vishal Kathardekar, Francesca Johnson, Steven Luu, Melissa Tinney","doi":"10.1097/PHM.0000000000002854","DOIUrl":"10.1097/PHM.0000000000002854","url":null,"abstract":"<p><strong>Objective: </strong>The goal of this paper is to analyze the composition of all 2024 Olympic and Paralympic international sport federations (medical and executive governing boards) and to assess the involvement of physical medicine & rehabilitation physicians (physiatry) on these boards.</p><p><strong>Design: </strong>A comprehensive Google search was performed in December 2024 to analyze all Olympic and Paralympic 2024 sport medical and executive governing boards. Differences in gender, geography, and medical training were assessed.</p><p><strong>Results: </strong>There were more able-bodied medical (29) and executive (43) boards than para medical (4) and executive (29) boards. The majority of able-bodied and para medical board members were physicians specializing in sports medicine. There were significantly more physical medicine & rehabilitation physicians on para medical boards than able-bodied medical boards (odds ratio = 11.2, P  = 0.005). The odds of a physician being a physiatrist was eight times higher in a para medical board than in an able-bodied medical board.</p><p><strong>Conclusions: </strong>International sport federations include medical and/or executive boards which govern safety and logistics of sport participation. There are more physical medicine & rehabilitation physicians involved at the para medical board level, which is in line with an inherent physiatric training background focused on optimizing function and managing medical/sport-related considerations for individuals with disabilities.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"439-447"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145249300","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":"Comparison of Preinjury and Clinical Characteristics Between Adolescents With Sport-Related Concussion and Nonsport-Related Concussion Presenting to a Specialty Concussion Clinic.","authors":"Shan Patel, Aaron J Zynda, Christopher Burley, Bindal Makwana Mehmel, Faith Kehinde, Nathan Kegel, Michael W Collins, Alicia M Trbovich, Anthony P Kontos","doi":"10.1097/PHM.0000000000002898","DOIUrl":"10.1097/PHM.0000000000002898","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to compare preinjury and initial subacute clinical characteristics of adolescents with sport-related concussion to those with nonsport-related concussion who present to a specialty concussion clinic.</p><p><strong>Design: </strong>This is a cross-sectional analysis of 136 adolescents 10-18 (mean = 14.4 ± SD = 2.3) yrs presenting to a specialty concussion clinic 2-30 (M = 9.25 ± SD = 6.3) days after injury. Main measures included 1) clinical interview, 2) Immediate Post-Concussion Assessment and Cognitive Test, 3) Post-Concussion Symptom Scale, 4) Vestibular/Ocular-Motor Screening, 5) Screen for Child Related Anxiety Disorders-Child Version, and 6) Generalized Anxiety Disorder Assessment.</p><p><strong>Results: </strong>One hundred one (74.3%) participants reported a sport-related concussion, and 35 (25.7%) reported a nonsport-related concussion. Adolescents presenting to the clinic with nonsport-related concussion were older, more likely to be female, presented to the clinic later, and reported headache/migraine and depression history ( P  < 0.05). These adolescents also reported a higher PCSS symptom severity and GAD-7 total score compared to their sport-related concussion counterparts ( P  < 0.01). Forward stepwise logistic regression revealed significant associations between nonsport-related concussion and headache/migraine history (adjusted adjusted odds ratio = 2.95, 95% confidence interval = 1.17-7.47, P  = 0.022), Post-Concussion Symptom Scale total score (adjusted odds ratio = 1.04, confidence interval = 1.02-1.06, P  < 0.001), and days to clinic (odds ratio = 1.08, 95% confidence interval = 1.01-1.15, P  = 0.029).</p><p><strong>Conclusions: </strong>The most salient factors associated with nonsport-related concussion patients presenting to a specialty concussion clinic were a headache/migraine history, a longer time to clinic, and greater initial visit symptoms. These findings suggest that the factors that lead patients with sport-related concussion and nonsport-related concussion to present to a specialty clinic differ, and that studies that are interested in differences in clinical characteristics based on mechanism of injury will need to address substantial referral differences between these two populations that would confound such findings.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"412-419"},"PeriodicalIF":2.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145538676","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":"Analysis of Candidate Performance in the Brain Injury Medicine Subspecialty Certification Examination.","authors":"Gerard E Francisco, Mikaela Raddatz, Michael Armstrong, Brian D Greenwald, Michael S Jaffee, Gregory O'Shanick, Ronald Paolini, Jack W Tsao, Carolyn Kinney","doi":"10.1097/PHM.0000000000003011","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003011","url":null,"abstract":"<p><p>The Brain Injury Medicine (BIM) subspecialty certification examination has been administered by the American Board of Physical Medicine and Rehabilitation (ABPMR) since 2014. This retrospective review is the first publication on the administration of the BIM examination and candidate performance. Data were gathered from de-identified records in the ABPMR database on the characteristics and performance of candidates who took the 2014-2024 examinations. A total of 1197 candidates, including 74.4% ABPMR and 25.1% American Board of Psychiatry and Neurology (ABPN) diplomates, took the BIM exam during the study period. The overall pass rate was 97.2%. About 96% of first-time exam takers passed. A trend emerged indicating a decline in performance as the number of attempts increased. Generally, the mean scaled subscores of ABPMR diplomates were higher across all exam item categories except for \"other neurologic disorders.\" While over 90% of candidates agreed that the exam was relevant to BIM, only 77% believed the content reflected the scope of the training. The exam's item reliability is high, ranging from 0.83 to 0.97. The study provides information that may guide prospective BIM Examination candidates and the examination developers.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147687632","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":"Lower Positive Body Pressure Walking Significantly Improves Pain And Function In Individuals With Knee Osteoarthritis: A Pilot Randomized Clinical Trial.","authors":"Prakash Jayabalan, Yelyzaveta Merenzon, Audrey Lazar, Sanchita Sen, Vikram Darbhe, Elizabeth Gray, Thomas Schnitzer, Leah Welty","doi":"10.1097/PHM.0000000000003007","DOIUrl":"10.1097/PHM.0000000000003007","url":null,"abstract":"<p><strong>Objectives: </strong>Body weight-supported (BWS) walking therapies, lower body positive pressure (LBPP) treadmills or aquatic pool walking could provide a treatment to reduce pain in individuals with knee osteoarthritis (OA). Our objective was to examine the potential benefits of BWS for individuals with knee OA.</p><p><strong>Design: </strong>Parallel group randomized clinical trial. Forty-nine (n=49) participants, aged>50 with knee OA, randomly assigned to one of three groups: (1)Control (n=16), (2)Aquatic (n=17), and (3)LBPP (n=16). Interventional groups had two 30-minute walking sessions for eight weeks. The control group received no active treatment. Primary outcome was change in Knee Injury and Osteoarthritis Outcome Score (KOOS)-Pain from baseline to 8 weeks. Secondary outcomes included other KOOS subscales, six-minute walk test (6-MWT), joint kinematics, and serum cytokine concentration.</p><p><strong>Results: </strong>Forty-one participants completed the trial. Changes in KOOS-Pain from baseline to 8 weeks were statistically significant and clinically relevant in the LBPP group (15.3,95% CI 5.0,25.6). Changes in the other groups were not statistically significant (Aquatic 0.9(95% CI -7.8,9.6); and Control -3.3(95% CI -12.3,5.7). Post-hoc analyses indicated improvements were significantly larger with LBPP. This group improved in 6-MWT(58.9m, 95% CI 26.1,91.7) and most KOOS sub-scales. Improvements in KOOS-Pain at 8 weeks in the LBPP group were associated with increased knee flexion(P=0.02). Only the control group had significant increases in IL-1β(P=0.04) and IL-1RA(P=0.02) concentration at 8 weeks.</p><p><strong>Conclusions: </strong>This is the first randomized controlled trial of BWS for knee OA and showed benefits of LBPP treadmill walking. Future, larger studies should assess effect size, sustained benefits and cost-effectiveness.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147687654","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":"The Effect of Multimodal Prehabilitation on Functional Capacity and Postoperative Complications in Gastrointestinal Cancer Surgery: A Systematic Review and Meta-analysis.","authors":"Li Zheng, Xinxin Zhu, Yijing Chen, Ye Ding","doi":"10.1097/PHM.0000000000003006","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003006","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluated multimodal perioperative prehabilitation - combining exercise, nutrition, and psychological interventions - on functional capacity (6MWT distance, reflecting cardiopulmonary fitness) and clinical outcomes (postoperative complications, hospital stay, mortality, readmission rates) in gastrointestinal cancer surgery.</p><p><strong>Methods: </strong>We conducted a systematic review and meta-analysis of 12 prospective trials (n=1,229) identified via the PubMed, Web of Science, Cochrane Library and Embase databases from their inception to 20 March 2025. Heterogeneity was evaluated with I² and Q tests; random- or fixed-effects models were applied.</p><p><strong>Results: </strong>Multimodal prehabilitation significantly improved the 6MWT preoperatively (mean difference [MD] 30.1 m; 95% CI: 14.8-45.4) and at 4 weeks (MD 21.5 m; 95% CI: 14.1-28.9) and 8 weeks postoperatively (MD 38.7 m; 95% CI: 1.9-75.4). It was associated with a 0.86 days (95% CI: -1.43--0.30) shorter hospital stay and lowered overall (risk ratio [RR] 0.67; 95% CI: 0.57-0.79) and severe complications (RR 0.77; 95% CI: 0.61-0.97), with no effect on operative time, mortality or readmission.</p><p><strong>Conclusion: </strong>This study shows patients receiving multimodal prehabilitation achieve better functional recovery (6MWT) and fewer complications, supporting its integration into perioperative care.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147687825","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}