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

Assistive Technology in ALS: A Scoping Review of Devices for Limb, Trunk, and Neck Weakness.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-03-21 DOI: 10.1097/PHM.0000000000002742

Katherine M Burke, Vishni Arulanandam, Erica Scirocco, Timothy Royse, Sydney Hall, Harli Weber, James Arnold, Prabhat Pathak, Conor Walsh, Sabrina Paganoni

{"title":"Assistive Technology in ALS: A Scoping Review of Devices for Limb, Trunk, and Neck Weakness.","authors":"Katherine M Burke, Vishni Arulanandam, Erica Scirocco, Timothy Royse, Sydney Hall, Harli Weber, James Arnold, Prabhat Pathak, Conor Walsh, Sabrina Paganoni","doi":"10.1097/PHM.0000000000002742","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002742","url":null,"abstract":"Abstract: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease affecting upper and lower motor neurons that control voluntary muscles. With no known cure, clinical care is focused on symptom management to maximize function and quality of life. Assistive technology plays a crucial role and enables some restoration of movement and function despite disease progression. This scoping review assesses the effectiveness of assistive technologies tested in people living with ALS, specifically those designed to compensate for upper and lower extremity, trunk, and cervical muscle weakness. A comprehensive search was conducted across PubMed, CINAHL, ERIC, Google Scholar, and through citation chasing. We included 26 articles that tested an assistive device on at least one person living with ALS and evaluated the device's effectiveness in restoring movement or providing stabilization to support functional mobility or activities of daily living. Most studies were pilot feasibility or usability trials, with small numbers of ALS participants. The devices showed various benefits, including improved range of motion, function, and participation in daily activities. This review highlights the potential for assistive devices to enhance function in people living with ALS and underscores the need for comprehensive studies involving larger cohorts of individuals at different stages of ALS.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699226","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

Ultrasonographic Measurement of Severe Sarcopenia in the Elderly Subject.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-03-21 DOI: 10.1097/PHM.0000000000002743

Emeline Michel, Vincent Sarrazy, Fréderic Chorin, Charles Raffaelli, Olivier Guerin, Raphael Zory, Guillaume Sacco

{"title":"Ultrasonographic Measurement of Severe Sarcopenia in the Elderly Subject.","authors":"Emeline Michel, Vincent Sarrazy, Fréderic Chorin, Charles Raffaelli, Olivier Guerin, Raphael Zory, Guillaume Sacco","doi":"10.1097/PHM.0000000000002743","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002743","url":null,"abstract":"Objective: Sarcopenia is a progressive muscular disease. The European Working Group on Sarcopenia in Older People revised protocols to include the F-A-C-S procedure. Sarcopenia severity is assessed by physical performance tests. However, these tests can be influenced by various factors. Ultrasound offers a more objective method for measuring muscle mass and assessing sarcopenia severity. This study aims to determine reliable ultrasound measurements for objectively evaluating sarcopenia severity in older adults.Design: A prospective study was conducted, assessing 200 patients over 75, with sarcopenia identified via SARC-F questionnaire, grip strength, and chair stand test. Ultrasound measured muscle thickness in the rectus femoris and other muscles. Comparative analyses divided patients into non-severe sarcopenia and severe sarcopenia groups, with ROC curves and logistic regression to evaluate ultrasound measurements' discriminative power.Results: Muscle thickness, particularly of the rectus femoris, significantly correlated with sarcopenia severity. Ultrasound measurements accurately discriminated sarcopenia severity with a ROC curve AUC of 0.629. Logistic regression confirmed rectus femoris thickness as a predictive measure for severe sarcopenia.Conclusion: Ultrasound measurement of rectus femoris muscle thickness is a promising tool for diagnosing sarcopenia severity, enhancing early identification and improving management strategies for the elderly.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699233","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 Imaging and Guidance for Bell's Palsy: EURO-MUSCULUS/USPRM Approach.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-03-13 DOI: 10.1097/PHM.0000000000002729

Murat Kara, Ahmad J Abdulsalam, Mahmud Fazıl Aksakal, Kübranur Demirel, Vincenzo Ricci, Levent Özçakar

{"title":"Ultrasound Imaging and Guidance for Bell's Palsy: EURO-MUSCULUS/USPRM Approach.","authors":"Murat Kara, Ahmad J Abdulsalam, Mahmud Fazıl Aksakal, Kübranur Demirel, Vincenzo Ricci, Levent Özçakar","doi":"10.1097/PHM.0000000000002729","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002729","url":null,"abstract":"Abstract: Bell's palsy, or idiopathic peripheral facial nerve palsy, is characterized by the sudden onset of facial muscle paralysis resulting from damage to the facial nerve fibers. The diagnosis is typically established through clinical evaluation, although in cases with atypical features, imaging modalities like magnetic resonance imaging (MRI) or computed tomography (CT) are indicated to rule out underlying lesions or temporal bone abnormalities compressing the facial nerve. High-resolution ultrasound (US) has emerged as a promising modality for evaluating peripheral neuropathies, including cranial nerve disorders. Recent studies have highlighted its potential in measuring facial nerve diameter, detecting nerve edema, and predicting clinical prognosis in Bell's palsy. Beyond its diagnostic role, US also facilitates precise perineural corticosteroid injections, offering an alternative to systemic corticosteroid therapy, which is commonly associated with adverse effects such as hyperglycemia and hypertension. US also plays a crucial role in guiding botulinum toxin (BoNT) injections, which are used to manage synkinesis and facial asymmetry in chronic Bell's palsy cases.This review discusses the role of US in the diagnosis and management of Bell's palsy, emphasizing its advantages in visualizing facial nerve edema and guiding perineural corticosteroid and intramuscular BoNT injections.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655872","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 Post-Concussion: A pilot study examining how prescription method can influence recovery in a non-athlete, adult population. Results from the Toronto Concussion Study.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub 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 Post-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":"https://doi.org/10.1097/PHM.0000000000002732","url":null,"abstract":"Objective: Research on aerobic exercise (AEx) 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 AEx prescription methods in a general adult population.DESIGNThis 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\" [UC]). Participants in the nested randomized component were randomly assigned to either \"Exercise Testing (ET) + UC\", or \"Exercise Testing + Individualized Prescription (IP)\". All randomized participants completed a Buffalo Concussion Treadmill Test (BCTT). ET + UC received usual care AEx recommendations, while ET + IP received an individualized prescription based on their BCTT performance.Results: 75 participants were included in this analysis. There was an observed longer time to recovery of UC compared to ET (p = 0.046). There was no significant difference in time to recovery between ET + UC and ET + IP (p = 0.35).Conclusion: Supervised initiation of AEx early after concussion appears to be feasible and improve outcomes compared to standard exercise recommendations. Individualized AEx prescription offered no additional recovery benefit in this sample; however, this finding is likely underpowered due to a small sample.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-07","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

71-year-old man with subacute forearm pain associated with numbness and tingling: a clinical vignette.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-03-06 DOI: 10.1097/PHM.0000000000002730

Raymond C Guo, Hye Chang Rhim, Lindsey S Caldwell, David M Robinson

引用次数: 0

Comparing the Characteristics of Randomized Controlled Trials of Post-Stroke Upper Extremity Rehabilitation in Low-Middle-Income and High-Income Countries.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-03-06 DOI: 10.1097/PHM.0000000000002726

Robert Teasell, Mohamad R Safaei-Qomi, Jamie L Fleet, Sean P Dukelow, Manuel Murie-Fernandez, Amber Harnett, Sarvenaz Mehrabi

{"title":"Comparing the Characteristics of Randomized Controlled Trials of Post-Stroke Upper Extremity Rehabilitation in Low-Middle-Income and High-Income Countries.","authors":"Robert Teasell, Mohamad R Safaei-Qomi, Jamie L Fleet, Sean P Dukelow, Manuel Murie-Fernandez, Amber Harnett, Sarvenaz Mehrabi","doi":"10.1097/PHM.0000000000002726","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002726","url":null,"abstract":"Abstract: This review aimed to systematically identify and compare randomized controlled trials (RCTs) of post stroke upper extremity (UE) rehabilitation interventions conducted in low-middle-income countries (LMICs) and high-income countries (HICs) over time and their differences in study characteristics and quality. Searches were conducted in CINAHL, Embase, PubMed, Scopus and Web of Science up to April 1, 2021. RCTs were included if ≥50% of the study population had stroke, if participants were adults (≥18 yr), and if the RCT examined an intervention to the hemiparetic UE. 1,276 RCTs met inclusion criteria, and of these, 978 RCTs were conducted in HICs and 298 in LMICs. The number of RCTs increased at a comparable rate to HICs since 2011 although from a lower baseline. A higher percentage of RCTs in HICs were conducted in the chronic post stroke phase, and a higher percentage of RCTs in LMICs were conducted in the subacute phase. While the RCTs in LMICs were found to have comparable quality to RCTs of HICs, they were published in aggregate in journals with lower IFs. It is important to better understand the potential barriers to publication in higher impact journals for RCTs conducted in LMICs.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655934","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.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub 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":"https://doi.org/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, non-football 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":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-06","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

Assessment of Interrater Reliability for Interpretation of Musculoskeletal Ultrasound Imaging of the Quadriceps Femoris.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub 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":"https://doi.org/10.1097/PHM.0000000000002731","url":null,"abstract":"Objective: To assess the interrater reliability between seven individuals assessing quadriceps femoris cross sectional area (CSA), echo intensity (EI), and corrected echo intensity (C-EI).Design: A retrospective subanalysis of data collected in a randomized controlled clinical trial (IRB 19-008473. NCT ID NCT04302558). Patients aged 13 to 50 years with an anterior cruciate ligament (ACL) tear requiring surgical reconstruction were assessed for cross-sectional area of the rectus femoris (RF), vastus intermedius (VI), vastus lateralis (VL), vastus medialis (VM), and vastus medialis obliquis (VMO), and EI of the RF. 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 CSA of the RF (median ICC 0.86 MD and 0.84 PT), CSA of the VMO (0.82 and 0.82), and EI mean (0.92 and 0.92). RF CSA had the smallest CV (26.512.7%), whereas subcutaneous fat had the largest CV (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":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-06","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

A Rare Ganglionic Cyst of Medial Collateral Ligament of Knee: A Visual Vignette.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-03-05 DOI: 10.1097/PHM.0000000000002734

Poulami Ghosh, Raktim Swarnakar, Soumyadipta Ghosh, Pankaj Kumar Mandal

引用次数: 0

The Effect of Wearable Robot-Assisted Gait Training on Balance and Walking Ability in Subacute Stroke Patients.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-03-05 DOI: 10.1097/PHM.0000000000002735

Yonghoon Kim, Suhyeon Baek, Reema Priyanka Suram, Rida Fatima, Sun-Joung Leigh An, Yonggeun Hong

{"title":"The Effect of Wearable Robot-Assisted Gait Training on Balance and Walking Ability in Subacute Stroke Patients.","authors":"Yonghoon Kim, Suhyeon Baek, Reema Priyanka Suram, Rida Fatima, Sun-Joung Leigh An, Yonggeun Hong","doi":"10.1097/PHM.0000000000002735","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002735","url":null,"abstract":"Objective: This study investigated the effectiveness of wearable robot-assisted gait training (W-RAGT) compared to treadmill gait training (TGT) for improving balance and walking ability in stroke patients.Design: Sixty stroke patients (67.13 ± 11.36 years; 37 males and 23 females) undergoing physical therapy were recruited from C Hospital in Seoul, Korea. Patients were randomly assigned to either the W-RAGT group (n = 30) or the TGT group (n = 30). Both groups received 30-minute training sessions three times a week for eight weeks. Balance ability was assessed using the L-symmetry, and BBS and motor recovery by FMA-LE. Cadence, step length, and stride length were measured to evaluate walking ability. Follow-up assessments were conducted at 16 weeks.Results: After 8 weeks of treatment, the W-RAGT group demonstrated significant functional improvements in motor ability and balance (FMA-LE, p < 0.001; L-symmetry, p = 0.049; BBS, p < 0.001) and walking ability (cadence, p = 0.017; step length, p = 0.038; stride length, p = 0.042). At the 16 weeks follow-up, the W-RAGT group maintained significant gains in motor ability and balance (FMA-LE, p < 0.001; L-symmetry, p = 0.025; BBS, p = 0.011) and walking ability (cadence, p < 0.001; step length, p = 0.025; stride length, p = 0.001).Conclusion: The overground wearable robotic device used in this study, W-RAGT was found to be more effective than TGT in improving motor ability and balance, and walking ability in stroke patients.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555624","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