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

Recalcitrant Ulnar-Sided Hand Pain in a Collegiate Golfer: A Case Report. 一名大学生高尔夫球手顽固性尺侧手痛：病例报告

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-07-08 DOI: 10.1097/PHM.0000000000002534

Daniel M Cushman, John Leach, Justin Foley, Stuart E Willick

引用次数: 0

Robot-Assisted Gait Training Plus Conventional Rehabilitation for a Patient With Chronic Neurologic and Functional Impairments: A Clinical Vignette. 机器人辅助步态训练加常规康复治疗慢性神经和功能障碍患者：临床小故事。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-04-30 DOI: 10.1097/PHM.0000000000002508

Niña Ricci C Reyes, Carl Froilan D Leochico, Reykjavik S Ramirez, Reynaldo R Rey-Matias

引用次数: 0

Prediction of 6-Mo Poststroke Spasticity in Patients With Acute First-Ever Stroke by Machine Learning. 通过机器学习预测急性首次脑卒中患者卒中后 6 个月的痉挛情况。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-05-07 DOI: 10.1097/PHM.0000000000002495

Lilin Chen, Shimei Cheng, Shouyi Liang, Yonghao Song, Jinshuo Chen, Tingting Lei, Zhenhong Liang, Haiqing Zheng

{"title":"Prediction of 6-Mo Poststroke Spasticity in Patients With Acute First-Ever Stroke by Machine Learning.","authors":"Lilin Chen, Shimei Cheng, Shouyi Liang, Yonghao Song, Jinshuo Chen, Tingting Lei, Zhenhong Liang, Haiqing Zheng","doi":"10.1097/PHM.0000000000002495","DOIUrl":"10.1097/PHM.0000000000002495","url":null,"abstract":"Objective: Poststroke spasticity reduces arm function and leads to low levels of independence. This study suggested applying machine learning from routinely available data to support the clinical management of poststroke spasticity.Design: One hundred seventy-two patients with acute first-ever stroke were included in this prospective cohort study. Twenty clinical information and rehabilitation assessments were obtained to train various machine learning algorithms for predicting 6-mo poststroke spasticity defined by a modified Ashworth scale score ≥1. Factors significantly relevant were also defined.Results: The study results indicated that multivariate adaptive regression spline (area under the curve value: 0.916; 95% confidence interval: 0.906-0.923), adaptive boosting (area under the curve: 0.962; 95% confidence interval: 0.952-0.973), random forest (area under the curve: 0.975; 95% confidence interval: 0.968-0.981), support vector machine (area under the curve: 0.980; 95% confidence interval: 0.970-0.989), and outperformed the traditional logistic model (area under the curve: 0.897; 95% confidence interval: 0.884-0.910) ( P < 0.05). Among all of the algorithms, the random forest and support vector machine models outperformed the others ( P < 0.05). Fugl-Meyer Assessment score, days in hospital, age, stroke location, and paretic side were the most important features.Conclusions: These findings suggest that machine learning algorithms can help augment clinical decision-making processes for the assessment of poststroke spasticity occurrence, which may enhance the efficacy of management for patients with poststroke spasticity in the future.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"1123-1129"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140875690","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

Ultrasound-Guided Plantar Fascia (Perifascial) Injection Technique.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 DOI: 10.1097/PHM.0000000000002631

Reed Williams, Travis Cleland, Renee Enriquez, Mahmood Gharib, Donald Kasitinon, Chaitanya Konda, Stephen Schaaf, Amos Song, Levent Özçakar, Nitin B Jain

引用次数: 0

Examination of Pain Comorbid Diagnoses in the Inpatient Rehabilitation Population Across All Impairment Groups. 对所有损伤组别中住院康复人群的疼痛合并诊断进行检查。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-04-30 DOI: 10.1097/PHM.0000000000002512

Zachary A Curry, Michael N Andrew, Michael C Chiang, Richard Goldstein, Ross Zafonte, Colleen M Ryan, Brian C Coleman, Jeffrey C Schneider

{"title":"Examination of Pain Comorbid Diagnoses in the Inpatient Rehabilitation Population Across All Impairment Groups.","authors":"Zachary A Curry, Michael N Andrew, Michael C Chiang, Richard Goldstein, Ross Zafonte, Colleen M Ryan, Brian C Coleman, Jeffrey C Schneider","doi":"10.1097/PHM.0000000000002512","DOIUrl":"10.1097/PHM.0000000000002512","url":null,"abstract":"Objective: Pain is common in inpatient rehabilitation patients; however, the prevalence of pain diagnoses in this population is not well-defined. This study examines comorbid pain diagnoses in inpatient rehabilitation patients across impairment groups.Design: Adult inpatient rehabilitation patients discharged from January 2016 through December 2019 were identified in the Uniform Data System for Medical Rehabilitation database using a literature-established framework containing International Classification of Diseases, Tenth Revision, Clinical (ICD-10-CM) pain diagnoses. Demographic data, clinical data, and pain diagnoses were compared across the 17 rehabilitation impairment groups.Results: Of 1,925,002 patients identified, 1,347,239 (70.0%) had at least one International Classification of Diseases, Tenth Revision (ICD-10) pain diagnosis. Over half of all patients in each impairment group had at least one pain diagnosis. The most common pain diagnoses were limb/extremity and joint pain, with variation between impairment groups. Female sex and being in the arthritis, major multiple trauma, and pain syndrome impairment groups were associated with a greater odds of a pain diagnosis.Conclusions: Over half of all patients in each rehabilitation impairment group have a pain diagnosis, which varies between impairment groups. Because of the high prevalence of pain diagnoses, a new focus on pain management in inpatient rehabilitation patients is needed. Rehabilitation outcomes may also be affected by pain.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"1065-1072"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847195","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

Preventing Poststroke Spasticity: A Goal for Precision Rehabilitation. 预防中风后痉挛：精准康复的目标

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-10-16 DOI: 10.1097/PHM.0000000000002652

Preeti Raghavan

引用次数: 0

Neuromuscular Electrical Stimulation of Peroneal Longus Improve Balance Control Ability in Young Adults With Chronic Ankle Instability: A Randomized Controlled Trial. 神经肌肉电刺激腓肠肌对慢性踝关节不稳的年轻人平衡控制能力的影响：随机对照试验

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-04-30 DOI: 10.1097/PHM.0000000000002510

Yueping Wang, Huifen Zheng, Jiangna Wang, Peiming Xu, Wei Sun

{"title":"Neuromuscular Electrical Stimulation of Peroneal Longus Improve Balance Control Ability in Young Adults With Chronic Ankle Instability: A Randomized Controlled Trial.","authors":"Yueping Wang, Huifen Zheng, Jiangna Wang, Peiming Xu, Wei Sun","doi":"10.1097/PHM.0000000000002510","DOIUrl":"10.1097/PHM.0000000000002510","url":null,"abstract":"Objective: This study aimed to investigate the effects of 6 wks of peroneal longus neuromuscular electrical stimulation on the balance control ability in young adults with chronic ankle instability.Design: This study is a double-blind randomized controlled trial. Six weeks of neuromuscular electrical stimulation and placebo intervention were conducted in the neuromuscular electrical stimulation and control groups for 20 mins, three times a week, respectively. Thirty-eight participants successfully completed the whole intervention and single-leg standing tests. The kinetics data of the center of pressure trajectory during static single-leg stance were measured using a Kistler force platform. Two-way repeated measures analysis of variance was used to analyze the electrical stimulation effects.Results: Significant interactions were detected in Cumberland Ankle Instability Tool scores and all balance parameters including displacement X, displacement Y, 95% confidence ellipse area, root-mean-square, and center of pressure mean displacement velocity ( P < 0.05, 0.103 ≤ η 2 ≤ 0.201). Significant between-group differences were found in Cumberland Ankle Instability Tool scores ( P = 0.003, Cohen's d = 0.215), displacement X ( P = 0.045, Cohen's d = 0.107), root-mean-square ml ( P = 0.019, Cohen's d = 0.143), and 95% confidence ellipse area ( P = 0.031, Cohen's d = 0.123) after the 6-wk interventions.Conclusions: Six weeks of neuromuscular electrical stimulation on the peroneus longus can improve static balance control ability in young adults with chronic ankle instability, especially the stability of ankle frontal plane.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"1088-1093"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140849010","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

Can Pharmaceutical Care Interventions Improve the Appropriate Use of Polypharmacy in Older Adults?-A Cochrane Review Summary With Commentary. 药物护理干预能否改善老年人对多种药物的合理使用？- 带评论的 Cochrane 综述摘要。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-09-25 DOI: 10.1097/PHM.0000000000002647

Vanessa M Young

引用次数: 0

Bobbing and Weaving During "Sono-Boxing": Ultrasound Imaging and Guidance Revisited. 超声波拳击 "过程中的晃动和穿梭：重新审视超声波成像和引导。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-07-16 DOI: 10.1097/PHM.0000000000002595

Berkay Yalçınkaya, Ahmad J Abdulsalam, Levent Özçakar

引用次数: 0

Exploring Research on Competitive Para-cyclists and Its Related Factors: A Scoping Review. 探索有关竞技辅助自行车运动员及其相关因素的研究：范围审查。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-06-03 DOI: 10.1097/PHM.0000000000002528

Gerardo Villa Del Bosque, Daniel González-Devesa, José Gerardo Villa-Vicente, Adrián García-Fresneda, David Suárez-Iglesias, Carlos Ayán-Pérez

{"title":"Exploring Research on Competitive Para-cyclists and Its Related Factors: A Scoping Review.","authors":"Gerardo Villa Del Bosque, Daniel González-Devesa, José Gerardo Villa-Vicente, Adrián García-Fresneda, David Suárez-Iglesias, Carlos Ayán-Pérez","doi":"10.1097/PHM.0000000000002528","DOIUrl":"10.1097/PHM.0000000000002528","url":null,"abstract":"Abstract: This scoping review aimed to explore the characteristics and performance factors of competitive para-cyclists. A systematic search for studies on competitive para-cycling on WOS, PubMed, SPORTDiscus, and Scopus was performed until December 2023. The following five methodological phases were followed: (i) identifying the research question, (ii) identifying relevant studies, (iii) study selection, (iv) charting the data, and (v) collating, summarizing, and reporting the results. A systematic search across multiple databases was performed until March 2024. Five methodological phases were employed: identifying the research question, relevant studies, study selection, charting data, and summarizing results. A total of 36 relevant studies were selected. Three main research themes emerged: sport performance ( n = 15), biomechanics ( n = 12), and physical and mental health ( n = 9). Despite progress, gaps were identified, particularly in physiological response to exercise, fitness, and training. Biomechanics studies focused on prosthetic use and aerodynamics, mostly involving lower-limb amputees and simulated tandem competition. Injury risk in para-cycling appeared comparable to able-bodied cycling, but comprehensive studies considering confounding variables are needed. Overall, while research on para-cycling is growing, more studies with larger and diverse samples across all sport classes are essential to advance scientific understanding in this field.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"1145-1151"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141417353","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