American Journal of Physical Medicine & Rehabilitation最新文献

{"title":"Acute Left-Sided Weakness in Inpatient Rehabilitation: A Clinical Vignette.","authors":"Carsen Cash, Jack Kilgore, Vartgez Mansourian","doi":"10.1097/PHM.0000000000002975","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002975","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147687645","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 Systematic Review of Dry Needling Parameters for Improvements in Muscle Performance.","authors":"Yifan Liu, Yongni Zhang, Susan Falsone, RobRoy L Martin","doi":"10.1097/PHM.0000000000002974","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002974","url":null,"abstract":"<p><strong>Background: </strong>Despite strong physiological evidence supporting dry needling (DN), clinical findings on muscle performance remain inconsistent, likely due to treatment parameter variability.</p><p><strong>Objective: </strong>To evaluate the evidence for the effect of DN on muscle performance and identify parameters associated with improvement.</p><p><strong>Methods: </strong>This systematic review followed PRISMA guidelines. PubMed, CINAHL, Embase, and SPORTDiscus were searched through April 2025. Randomized controlled trials (RCTs) of DN for musculoskeletal dysfunction were synthesized by subject characteristics, muscle performance measures, follow-up, and DN parameters. Methodological quality was assessed using the PEDro scale, and certainty of evidence via GRADE.</p><p><strong>Results: </strong>Eleven RCTs met the inclusion criteria (PEDro 5-8); nine reported improvements in local muscle performance. Heterogeneity in DN protocols and patient characteristics precluded meta-analysis. LTR elicitation in the targeted muscle was reported in eight of the nine studies demonstrating improvement. GRADE certainty was low for immediate outcomes and moderate for short- and mid-term outcomes.</p><p><strong>Conclusion: </strong>Evidence from the included trials suggests that DN intended to improve muscle performance may be effective when delivered as a localized, muscle‑specific intervention targeting MTrPs with the goal of eliciting an LTR. DN may serve as an effective adjunct to therapeutic exercise to enhance muscle performance in select musculoskeletal conditions.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147643764","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":"Semaglutide-Associated Sequential Unilateral Transient Osteoporosis of The Hip: A Case Report.","authors":"Aslınur Keles, Kemal Sari, Esra Giray, Ozge Gulsum Illeez","doi":"10.1097/PHM.0000000000003003","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003003","url":null,"abstract":"<p><p>Transient osteoporosis of the hip (TOH) is a rare, self-limiting bone marrow edema syndrome characterized by acute hip pain. Although metabolic, mechanical, and vascular factors have been proposed, the underlying cause remains unclear.1 We report a case of sequential unilateral TOH episodes, temporally related to semaglutide exposure and re-exposure, in a healthy middle-aged man with symptom resolution following drug discontinuation and conservative treatment. Semaglutide, a glucagon-like peptide-1 receptor agonist increasingly used off-label for weight loss, has not previously been linked to musculoskeletal complications. Although causality cannot be definitively established, the consistent temporal relationship between semaglutide exposure and symptom onset suggests a possible association. Given the growing use of semaglutide, clinicians should consider TOH in the differential diagnosis of acute atraumatic hip pain, and further studies are warranted to elucidate the underlying mechanisms of this association.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147643548","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":"Complexity, Multi-Morbidity, 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":"https://doi.org/10.1097/PHM.0000000000002985","url":null,"abstract":"<p><strong>Objective: </strong>To describe the characteristics and needs of people with multiple sclerosis (PwMS) seen by specialist physical medicine and rehabilitation (PM&R).</p><p><strong>Design: </strong>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 service.</p><p><strong>Results: </strong>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=1-4) 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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-04-02","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}

{"title":"Can the 1-Min Sit-to-Stand Test Be an Alternative for Assessing Physical Capacity in Patients Enrolled in a Hematopoietic Stem Cell Transplantation Program?","authors":"Lilian Solis-Navarro, Yolanda Torralba-García, Rodrigo Torres-Castro, Ivana González, Isabel Margarita Muñoz-Muñoz, Francis-Édouard Gravier, Isabel Blanco, Luz Alejandra Lorca","doi":"10.1097/PHM.0000000000002879","DOIUrl":"10.1097/PHM.0000000000002879","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to evaluate the correlation between the performance of the 6-min walk test and the 1-min sit-to-stand test in patients enrolled in a hematopoietic stem cell transplantation (HSCT) program.</p><p><strong>Methods: </strong>We conducted a cross-sectional analysis of patients enrolled in a hematopoietic stem cell transplantation program. Anthropometric and demographic characteristics, along with comorbidities, were recorded. We analyzed oxygen saturation, heart rate, and the modified Borg scale in the 6-min walk test and 1 min-sit-to-stand test. Additionally, correlations between the two tests were evaluated.</p><p><strong>Results: </strong>A total of 46 patients (22 females [48%]), with a mean age of 34.7 ± 14.0 yrs were included. Of these, 25 (54.3%) were assessed before, and 21 (45.7%) after HSCT. The primary diagnoses were acute lymphoblastic leukemia (41.3%) and multiple myeloma (26.0%). The mean distance walked during the 6-min walk test was 501 ± 126 m while the median number of repetitions in the 1 min sit-to-stand test was 26.5 (22-30). A significant correlation was observed between the 6-min walk test and the 1 min-sit-to-stand test in HSCT patients (r = 0.678, P < 0.001).</p><p><strong>Conclusions: </strong>This research demonstrated a significant correlation between the 1 min-sit-to-stand test and the 6-min walk test in patients enrolled in a HSCT program. The 1-min sit-to-stand test may serve as a viable alternative for evaluating functional capacity when the 6-min walk test is not feasible.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"348-352"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145984200","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":"Does Resistance Training Improve Fatigue and Quality of Life During and After Cancer Treatment?: A Cochrane Review Summary With Commentary.","authors":"Fatma Merih Akpinar","doi":"10.1097/PHM.0000000000002935","DOIUrl":"10.1097/PHM.0000000000002935","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"353-355"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146058610","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":"Guitarist's Thumb: Echoes Beneath the Strings.","authors":"Hilmi Berkan Abacıoğlu, Ahmet Furkan Çolak, Berkay Yalçınkaya, Murat Kara","doi":"10.1097/PHM.0000000000002883","DOIUrl":"10.1097/PHM.0000000000002883","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e50-e51"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145984308","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":"Developing a Novel, Accessible Method for Estimating Cervical Muscle Volume in Adolescent Athletes.","authors":"Quintin D Peters, Yumeng Wang, Hogene Kim, Corrie Yablon, Jon Jacobson, Anita Vasavada, Xuming He, James Ashton-Miller, James T Eckner","doi":"10.1097/PHM.0000000000002916","DOIUrl":"10.1097/PHM.0000000000002916","url":null,"abstract":"<p><strong>Abstract: </strong>Magnetic resonance imaging is the current \"gold standard\" for measuring cervical muscle volume, but the associated time and cost may be prohibitive in numerous environments. This study sought to develop a novel and accessible model for estimating cervical muscle volume in adolescent athletes. It was hypothesized that cervical muscle volume could be accurately predicted using a combination of clinically accessible variables. This secondary analysis of clinical trial data utilized 78 sets of biomechanics lab measurements and neck magnetic resonance imaging scans collected in a total of 42 adolescent athletes to develop a multiple linear regression model for predicting total cervical muscle volume. The final regression model was significant ( R2 = 0.7644, F = 78.94, P < 0.001) and successfully predicted total cervical muscle volume using body weight, sex, and neck circumference as model inputs. These variables can be easily obtained using simple measurement tools that are available across most clinical and research environments. This model may be used by medical professionals and researchers to estimate total cervical muscle volume when magnetic resonance imaging measurements are unavailable.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"370-373"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146058541","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":"Ultrasonographic and Electrophysiologic Assessment of Radial Tunnel Syndrome in Patients With Treatment-Resistant Lateral Epicondylitis: Insights into Diagnostic Utility and Clinical Implications.","authors":"Aslinur Keles, Deniz Palamar, Aysegul Gunduz, Ulku Akarirmak","doi":"10.1097/PHM.0000000000002877","DOIUrl":"10.1097/PHM.0000000000002877","url":null,"abstract":"<p><strong>Objectives: </strong>The aims of the study were to evaluate radial tunnel syndrome in patients with treatment-resistant lateral epicondylitis and to assess the diagnostic utility of ultrasonographic, electrophysiologic, and clinical evaluations.</p><p><strong>Design: </strong>In this cross-sectional study, 32 patients with lateral epicondylitis persisting for at least 6 mos underwent comprehensive clinical, electrophysiological, and ultrasonographic assessments. Radial tunnel syndrome diagnosis was established using an ultrasound-guided posterior interosseous nerve block as the reference standard and compared with diagnostic criteria based on nerve cross-sectional area threshold values and side-to-side cross-sectional area comparison. Preblock and postblock pain levels during clinical tests were also analyzed.</p><p><strong>Results: </strong>Radial tunnel syndrome was diagnosed in 44% of patients using the injection test. The mean cross-sectional area of the posterior interosseous nerve was larger on the symptomatic side but did not differ significantly between radial tunnel syndrome-positive and radial tunnel syndrome-negative cases. Electrophysiological findings were normal in all patients, and lateral epicondylitis ultrasound findings did not vary based on the presence of radial tunnel syndrome. Agreement between radial tunnel syndrome diagnosis and ultrasound-cross-sectional area comparison with the contralateral side was slight (κ = 0.138; P = 0.4024), while threshold values showed no agreement (κ = 0.098; P = 0.118). Cozen's test demonstrated the highest reliability, with significant pain reduction following the block.</p><p><strong>Conclusions: </strong>Radial tunnel syndrome frequently coexists with treatment-resistant lateral epicondylitis. Comparing posterior interosseous nerve-cross-sectional area with the asymptomatic side, along with the ultrasound-guided posterior interosseous nerve block, enhances diagnostic accuracy.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"330-337"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145285472","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":"Enhancing Physical Activity in Health-Impaired Individuals Through Telecoaching: A Systematic Review of Evidence and Practical Applications.","authors":"Ignazio Leale, Valerio Giustino, Marianna Alesi, Manuel Gómez-López, Giuseppe Battaglia","doi":"10.1097/PHM.0000000000002850","DOIUrl":"10.1097/PHM.0000000000002850","url":null,"abstract":"<p><strong>Background: </strong>Increasing physical activity levels among people with disabilities requires innovative and accessible interventions. Telecoaching represents an innovative training approach that uses technological and digital tools, including computers, mobile devices, video tutorials, and training manuals, to remotely manage and deliver training programs. This study aimed to evaluate the safety, feasibility, and effectiveness of the telecoaching across various functional limitations and health conditions, providing practical insights into its applications for promoting physical activity in various populations.</p><p><strong>Methods: </strong>This study adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. The following databases were utilized to analyze the scientific literature: Scopus, NLM PubMed, and Web of Science. Included studies examined the effects of telecoaching on individuals with different functional limitations and health conditions. Quality assessment was conducted using an adapted version of the \"Downs and Black Checklist.\"</p><p><strong>Results: </strong>A total of 17 articles involving 1469 individuals (sample sizes 5-343) met inclusion criteria telecoaching intervention ranged from 8 to 36 weeks. Quality assessment rated studies from \"fair\" to \"excellent.\" Telecoaching training was associated with improvements in quality of life, physical activity levels, physical fitness, and exercise tolerance.</p><p><strong>Conclusions: </strong>Telecoaching is a safe, effective, and injury-free modality for secondary prevention. Future studies should identify optimal duration (in weeks), frequency (sessions per week), and intensity of telecoaching training, and expand evaluation across a broader range of functional limitations and health conditions.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e39-e48"},"PeriodicalIF":2.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144999486","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}