American Journal of Physical Medicine & Rehabilitation最新文献_第3页

Sex Differences in Wheelchair Marathon Performance. 轮椅马拉松成绩的性别差异。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-11-01 Epub Date: 2026-10-16 DOI: 10.1097/PHM.0000000000002927

Matthew M Hanks, Joshua M Leonardis, Adam W Bleakney, Sarah Bruch Bs, Jonathon W Senefeld

{"title":"Sex Differences in Wheelchair Marathon Performance.","authors":"Matthew M Hanks, Joshua M Leonardis, Adam W Bleakney, Sarah Bruch Bs, Jonathon W Senefeld","doi":"10.1097/PHM.0000000000002927","DOIUrl":"10.1097/PHM.0000000000002927","url":null,"abstract":"Objective: The aim of the study was to evaluate the historical trends of sex differences in athletic performance and participation among male and female wheelchair marathon athletes.Design: This retrospective, observational study utilized secondary, publicly available data of the Boston, Chicago, and New York City marathons within the wheelchair division from 1984 to 2023. Athletic performance and participation were evaluated across all marathon events and over time using univariate analysis of variance and Pearson correlations.Results: Sex differences in athletic performance were observed with males outperforming females in all marathon events over time ( P < 0.001). The sex difference among first place finishers was 20% and increased to 33% for tenth place finishers. Although sex differences decreased over time ( P < 0.001), large sex differences in performance remain. Female athlete participation in wheelchair marathon events significantly increased over time ( P < 0.001) and the ratio of male athletes to female athletes in these events significantly decreased over time ( P < 0.001). Overall participation and male athlete participation also generally increased over time.Conclusions: Significant sex differences were observed in wheelchair marathon performance and participation. These findings highlight the importance of sex as a key biological variable related to human health and performance, especially among wheelchair athletes.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"1066-1071"},"PeriodicalIF":2.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146058560","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

Occult Bilateral Lipofibromatous Hamartoma of the Median Nerve Presenting as Carpal Tunnel Syndrome. 隐匿性双侧正中神经脂肪纤维瘤错构瘤表现为腕管综合征。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-11-01 Epub Date: 2026-03-26 DOI: 10.1097/PHM.0000000000002994

Il-Jung Park, Sinje Kim, Myoungkeun Lee, Youn-Tae Roh

引用次数: 0

Complexity, Multimorbidity, Polypharmacy and Disability in People With Multiple Sclerosis Seen by a Canadian Specialist in Physical Medicine and Rehabilitation: A Retrospective Chart Review. 加拿大物理医学和康复专家观察多发性硬化症患者的复杂性、多发病、多种药物和残疾。回顾图表回顾。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-11-01 Epub Date: 2026-04-02 DOI: 10.1097/PHM.0000000000002985

Jillian Scandiffio, Ashvene Sureshkumar, Brenna Schmitt, Mikayla Speranza, Laura Langer, Sarah Donkers, Jiwon Oh, Sarah Munce, Mark Bayley, Tania Bruno, Robert Simpson

{"title":"Complexity, Multimorbidity, Polypharmacy and Disability in People With Multiple Sclerosis Seen by a Canadian Specialist in Physical Medicine and Rehabilitation: A Retrospective Chart Review.","authors":"Jillian Scandiffio, Ashvene Sureshkumar, Brenna Schmitt, Mikayla Speranza, Laura Langer, Sarah Donkers, Jiwon Oh, Sarah Munce, Mark Bayley, Tania Bruno, Robert Simpson","doi":"10.1097/PHM.0000000000002985","DOIUrl":"10.1097/PHM.0000000000002985","url":null,"abstract":"Objective: To describe the characteristics and needs of people with multiple sclerosis (PwMS) seen by specialist physical medicine and rehabilitation (PM&R).Methods: A retrospective chart review of all PwMS seen by physiatry (n = 477) at the largest Canadian MS clinic between December 2021 and December 2023 was conducted. Demographic characteristics, symptoms, comorbidities, medications, health service use, MRI findings, and physical examination findings were collected. Log-binomial regressions were conducted to examine the association between symptoms and health services.Results: Participants had a high number of symptoms (M = 6.55, SD = 2.22), with most reporting fatigue (78.6%), spasticity (78.2%), pain (74.4%), bladder dysfunction (75.7%), and emotional symptoms (59.5%). Cognitive (PR = 1.23, 95% CI = 1.12-1.36), emotional (PR = 1.13, 95% CI = 1.02-1.26), and swallowing (PR = 1.14, 95% CI = 1.02-1.28) symptoms were significantly associated with multiple health services use. Comorbidity count was high (Mdn = 3, IQR = 1 to 4), with the most common being depression (23.7%), hypertension (22.2%), anxiety (13.2%), hyperlipidemia (13.2%), and osteoporosis (10.9%). PwMS had high levels of polypharmacy, with an average of 7.3 (SD = 4.1) medications used.Conclusion: PwMS seen by specialty PM&R are clinically complex, with high symptom and comorbidity burden, polypharmacy, and disability. Physiatrists working with PwMS should be trained to manage common symptoms, comorbidities, and high levels of polypharmacy for optimal care.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"991-997"},"PeriodicalIF":2.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147643774","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

Crossroads in Spinal Cord Injury Treatment: A Multidisciplinary Conference at a Pivotal Moment. 脊髓损伤治疗的十字路口：关键时刻的多学科会议。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-11-01 Epub Date: 2026-06-16 DOI: 10.1097/PHM.0000000000003067

Radha Korupolu, Dennis Bourbeau, Anne M Bryden, Rory Cooper, James Guest, Candace Tefertiller, Lisa Wenzel, Susan Robinson-Whelen, Argy Stampas

{"title":"Crossroads in Spinal Cord Injury Treatment: A Multidisciplinary Conference at a Pivotal Moment.","authors":"Radha Korupolu, Dennis Bourbeau, Anne M Bryden, Rory Cooper, James Guest, Candace Tefertiller, Lisa Wenzel, Susan Robinson-Whelen, Argy Stampas","doi":"10.1097/PHM.0000000000003067","DOIUrl":"10.1097/PHM.0000000000003067","url":null,"abstract":"The Crossroads in Spinal Cord Injury Treatment: Present and Future conference, held in Houston, Texas, in January 2026, brought together a multidisciplinary group of clinicians, researchers, engineers, and individuals living with spinal cord injury (SCI) to examine future directions of SCI care and research. This narrative summarizes themes, emphasizing the need to align scientific innovation with implementation in clinical settings. The conference was structured around priorities from individuals with SCI, including upper limb function, bowel and bladder management, pain, independence, and psychosocial well-being. Across sessions, speakers highlighted gaps in translation into practice. Major topics included challenges in clinical trial design, advocacy efforts to address policy barriers and inequities, and emerging approaches in neuromodulation, surgical reconstruction, and rehabilitation technologies. Additional focus areas included underresearched domains such as neurogenic bowel and bladder, disparities in care for women, and the clinical impact of autonomic dysfunction. Psychosocial health, pain, mental health, and sexuality were emphasized as central to quality of life. Engineering discussions underscored interdisciplinary collaboration and user-centered design. Overall, the conference highlighted that the field of SCI is at a critical crossroads, where progress will depend on effective implementation, equitable access, and integration of lived experience into research and clinical care.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"S932-S936"},"PeriodicalIF":2.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148262824","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 Foot Drop and Calf Edema. 急性足下垂和小腿水肿。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-11-01 Epub Date: 2026-04-10 DOI: 10.1097/PHM.0000000000003009

Onurhan Apaydin, Selma Eroğlu, Ümit Dündar

引用次数: 0

The Cheapest Prescription We Never Write. 我们从不开的最便宜的处方。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-11-01 Epub Date: 2026-06-24 DOI: 10.1097/PHM.0000000000003076

Ahmad Jasem Abdulsalam, Ahmed S BaHammam

引用次数: 0

Barriers to Improving Diversity in Physical Medicine and Rehabilitation Residency Programs: A National Survey of Program Directors. 提高物理医学和康复住院医师项目多样性的障碍：一项对项目主任的全国调查。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-11-01 Epub Date: 2026-05-01 DOI: 10.1097/PHM.0000000000003026

Bernardo Gonzalez, Selena Lugosi, Monica Verduzco-Gutierrez, Bei Zhang

{"title":"Barriers to Improving Diversity in Physical Medicine and Rehabilitation Residency Programs: A National Survey of Program Directors.","authors":"Bernardo Gonzalez, Selena Lugosi, Monica Verduzco-Gutierrez, Bei Zhang","doi":"10.1097/PHM.0000000000003026","DOIUrl":"10.1097/PHM.0000000000003026","url":null,"abstract":"Diversity within the physician workforce is essential to improving patient outcomes, fostering cultural competence, and advancing health equity, yet Physical Medicine & Rehabilitation (PM&R) continues to lag behind other specialties in representation of underrepresented in medicine (URiM) individuals and women. This study aimed to determine the extent to which perceived barriers prohibit residency programs from improving diversity in their programs. A cross-sectional, web-based survey was distributed to program directors at Physiatry '24 and via e-mail, collecting demographic and geographic data, as well as ratings of potential barriers on a 10-point scale. Sixty responses were obtained (~55% response rate). Visa-related challenges received the highest level of concern (median=6.0), followed by faculty diversity (mean=5.3), and Step 2CK scores (median=5.0). Subgroup analyses revealed notable variation: older directors showed greater concern about faculty and regional diversity, males expressed higher concerns over limited PM&R exposure among URiM applicants, and geographic regions differed significantly in perceptions of faculty and population diversity. These findings highlight persistent structural barriers that vary across demographic and regional contexts. Addressing them will require targeted, region-specific, and data-informed approaches that strengthen recruitment pipelines, support URiM applicant exposure to PM&R, and encourage institutional practices that promote a more inclusive and representative workforce.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"1072-1079"},"PeriodicalIF":2.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969836","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

Where Pain Hides Deep: Ultrasound-Guided Management of a Rare Brachialis Myotendinous Cyst. 疼痛隐藏在何处：超声引导下治疗罕见的肱肌腱鞘囊肿。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-11-01 Epub Date: 2026-03-26 DOI: 10.1097/PHM.0000000000002997

Berkay Yalçınkaya, Ahmet Furkan Çolak, Harun Kürşat Karademir, Murat Kara

引用次数: 0

Response to the Letter to the Editor on "Comparison of Preinjury and Clinical Characteristics Between Adolescents With Sport-Related Concussion and Non-Sport-Related Concussion Presenting to a Specialty Concussion Clinic". 关于“青少年运动相关脑震荡和非运动相关脑震荡在脑震荡专科诊所的损伤前和临床特征比较”的致编辑信的回复。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-11-01 Epub Date: 2026-06-29 DOI: 10.1097/PHM.0000000000003085

Alicia M Trbovich, Aaron J Zynda

引用次数: 0

Positive Response to Rehabilitation Initiated 18 Months After Penetrating Cranial Injury With a Screwdriver Involving the Temporal Lobe and Brain Stem. 颞叶及脑干刺穿性颅骨损伤18个月后的康复效果。