American Journal of Physical Medicine & Rehabilitation最新文献_第4页

Unilateral Abdominal Wall Atrophy Due to Intercostal Nerve Injury Following Rib Fractures: A Rare Clinical Presentation.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-03-05 DOI: 10.1097/PHM.0000000000002737

Yakup Erden, Gizem Özçıbık Işık

引用次数: 0

Inclusion in Medical Education: Integrating the Disability Perspective.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-03-05 DOI: 10.1097/PHM.0000000000002727

Kristen Milleville, Jessica A Prokup, Jean-Luc Banks, Michael C Granovetter, Nathan Hyre, Maya Muenzer, Alan Cuevas Villagomez, Amy Houtrow, Max Hurwitz

{"title":"Inclusion in Medical Education: Integrating the Disability Perspective.","authors":"Kristen Milleville, Jessica A Prokup, Jean-Luc Banks, Michael C Granovetter, Nathan Hyre, Maya Muenzer, Alan Cuevas Villagomez, Amy Houtrow, Max Hurwitz","doi":"10.1097/PHM.0000000000002727","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002727","url":null,"abstract":"Abstract: Disability education is limited in medical training, leading to physician misconceptions and discomfort when caring for patients with disabilities. The team sought to develop an elective course to improve medical students' disability cultural competency and advocacy skills. The team performed a targeted needs assessment including curriculum mapping and interviews with community members with disabilities to develop course learning objectives based on gaps in the medical school curricula and identified themes from the interviews. The elective course entitled Justice, Equity, Diversity, and Inclusion (JEDI)-Minded for Disability included five sessions and was administered in 2023 and 2024 with eleven participants. The team administered an eleven item pre- and post-course self-assessment on a five-point Likert scale as well as free response questions. Improvement in self-reported confidence was noted on all post-course assessment items. Student takeaways included increased understanding of barriers to care and health disparities and ways to advocate for their future patients with disabilities. Through the novel inclusion of community members with disabilities in course development, the team ensured content remained relevant and highlighted the lived expertise of people with disabilities. Importantly, this elective increased student knowledge of disability and health disparities and empowered students to advocate for people with disabilities.","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":"143699229","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

Subscapularis Recess Ganglion Cyst: An Uncommon Cause for Anterior Shoulder Pain in a Recreational Tennis Player. 肩胛骨下凹陷神经节囊肿：网球运动员肩关节前部疼痛的罕见病因

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-03-01 Epub Date: 2024-05-10 DOI: 10.1097/PHM.0000000000002546

Chantal Nguyen, Katherine Lumetta, Raymond Chou

引用次数: 0

Paratriathlon Race Performance in Elite Ambulatory Athletes With Physical Impairments. 有身体缺陷的非卧床精英运动员的准铁人三项比赛成绩。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-03-01 Epub Date: 2024-09-04 DOI: 10.1097/PHM.0000000000002640

Rachel L Bevins

{"title":"Paratriathlon Race Performance in Elite Ambulatory Athletes With Physical Impairments.","authors":"Rachel L Bevins","doi":"10.1097/PHM.0000000000002640","DOIUrl":"10.1097/PHM.0000000000002640","url":null,"abstract":"Objective: The aim of this study was to compare overall performance and performance within the individual disciplines (e.g., swim) in elite paratriathlon between the ambulatory classes PTS2-5 in men and women.Design: Data were acquired from the official results of 31 International paratriathlon competitions between 2018 and 2021. A total of 1094 results (men n = 774; women n = 320) were analyzed. One-way analysis of variance was used to compare overall performance time, absolute time spent in each discipline, and percentage of performance time spent in each discipline between sports classes. Pearson's correlation between segment times and overall times were explored.Results: Overall time was significantly quicker in PTS5 than PTS4 and PTS3 ( P < 0.05), and between PTS4 and PTS3 ( P < 0.05), but no differences were found between PTS3 and PTS2. PTS5 was also quicker than PTS4 and PTS3 ( P < 0.05) across most of the individual discipline times. Cycling comprised the highest percentage of race time in all classes (47.1%-49.6%) and was strongly correlated to overall performance ( r = 0.72-0.91).Conclusions: Hierarchy in performance times was demonstrated between the less impaired paratriathlon classes, but not between the most impaired PTS2 and PTS3 classes. It may be appropriate for PTS2 and PTS3 to compete together.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"280-285"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142139052","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

Knee Contact Forces of Individuals With Osteoarthritis and Those With Lower Limb Amputation: A Systematic Review. 骨关节炎患者和下肢截肢者的膝关节接触力：系统综述。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-03-01 Epub Date: 2024-06-24 DOI: 10.1097/PHM.0000000000002567

Lizanne Andrag, Lovemore Kunorozva, Wayne Derman, Phoebe Runciman

{"title":"Knee Contact Forces of Individuals With Osteoarthritis and Those With Lower Limb Amputation: A Systematic Review.","authors":"Lizanne Andrag, Lovemore Kunorozva, Wayne Derman, Phoebe Runciman","doi":"10.1097/PHM.0000000000002567","DOIUrl":"10.1097/PHM.0000000000002567","url":null,"abstract":"Objective: Osteoarthritis is a major cause of impairment. Research has shown that individuals with unilateral lower limb amputation are 17 times more likely to develop osteoarthritis on their sound side limb. Therefore, this review aimed to describe similarities and differences in the biomechanical loading variables of individuals with osteoarthritis and those with unilateral lower limb amputation.Design: Researchers systematically searched PubMed-Medline, EBSCOhost, and Web of Science for articles published between January 1990 and February 2022. Included studies investigated the biomechanical profiles (peak external knee adduction moment; peak external knee flexion moment; ground reaction force; external knee adduction moment loading rate; external knee adduction moment impulse) of both population groups.Results: A total of 31 articles were included in this review. Only knee adduction moment and knee flexion moment presented similar profiles in both groups, while all other variables were dissimilar. The use of advanced prostheses reduced the loading on the sound side of individuals with unilateral lower limb amputation.Conclusions: As both knee adduction moment and knee flexion moment are surrogate measures for knee contact forces, interventions need to target these variables to help manage and prevent the development of osteoarthritis. Interventions, particularly for addressing these variables in individuals with unilateral lower limb amputation, should be further investigated in future research.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"210-218"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141449357","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

First-in-Human Demonstration of High-Frequency Electrical Motor Nerve Block: Case Report. 高频电运动神经阻滞的首次人体演示：病例报告。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-03-01 Epub Date: 2024-07-03 DOI: 10.1097/PHM.0000000000002577

Jayme S Knutson, Kyle J Chepla, Richard D Wilson, Michael J Fu, Emily C Imka, Shane A Bender, John Chae, Kevin L Kilgore, Niloy Bhadra

{"title":"First-in-Human Demonstration of High-Frequency Electrical Motor Nerve Block: Case Report.","authors":"Jayme S Knutson, Kyle J Chepla, Richard D Wilson, Michael J Fu, Emily C Imka, Shane A Bender, John Chae, Kevin L Kilgore, Niloy Bhadra","doi":"10.1097/PHM.0000000000002577","DOIUrl":"10.1097/PHM.0000000000002577","url":null,"abstract":"Abstract: This feasibility study tested the capability of high-frequency stimulation to block muscle contractions elicited by electrical stimulation of the same nerve proximally. During a tendon lengthening surgery in the forearm, the anterior interosseous nerve was exposed. A specialized nerve cuff electrode was placed around the nerve, and a stimulating probe held on the nerve 1 cm proximal to the cuff electrode delivered pulses of current causing the pronator quadratus muscle to contract. Through the cuff electrode, 20-kHz high-frequency stimulation was delivered to the nerve for 10 secs during proximal stimulation. High-frequency stimulation amplitudes between 5 and 10 mA peak-to-peak were tested to determine which produced complete and partial block of the electrically induced contractions. The minimum high-frequency stimulation amplitude that produced complete block was 8 mA, with lower amplitudes producing partial block. In all trials, muscle contractions resumed immediately after high-frequency stimulation was turned off. This demonstration of high-frequency electrical nerve block is a milestone in the road to clinical implementation of high-frequency stimulation mediated motor block for spasticity.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e37-e40"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141490573","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

Focal Shock Waves Increase Efficacy and Prolong the Effect of Botulinum Toxin on Spasticity in Patients With Brain Injury From Stroke and Multiple Sclerosis. 局灶性冲击波提高了肉毒毒素对中风和多发性硬化症脑损伤患者痉挛的疗效并延长了疗程。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-03-01 Epub Date: 2024-06-27 DOI: 10.1097/PHM.0000000000002575

Antonio Déniz, Pedro Saavedra, Isabel Marrero, Jaime Hernández

{"title":"Focal Shock Waves Increase Efficacy and Prolong the Effect of Botulinum Toxin on Spasticity in Patients With Brain Injury From Stroke and Multiple Sclerosis.","authors":"Antonio Déniz, Pedro Saavedra, Isabel Marrero, Jaime Hernández","doi":"10.1097/PHM.0000000000002575","DOIUrl":"10.1097/PHM.0000000000002575","url":null,"abstract":"Objective: The aim of the study is to assess the effects on spasticity reduction of the association between focal extracorporeal shock wave therapy and botulinum toxin type A, versus the toxin only in brain injury patients.Design: Eighteen patients were included. The study had two phases: the first phase was observational, and botulinum toxin type A was used. The second was a prospective, deliberate intervention phase in which the toxin was injected and focal extracorporeal shock wave treatment was added (1 sessions/week, for 3 wks). The patients were followed up in the 1st, 4th, and 6th month, the Ashworth Scale criterion was applied, and for those with lower limb involvement and changes in walking, the 10-meter walk test was used.Results: Patients treated with toxin only showed a statistically significant improvement in spasticity, with 1 point on the Ashworth Scale from week 5, which disappeared at week 17. However, the combined therapy reduced spasticity by 2 points from week 1 to week 25 ( P < 0.001), with a faster result in the 10-meter gait test ( P = 0.004).Conclusions: Combined and simultaneous treatment with botulinum toxin and focal extracorporeal shock wave reduced spasticity in a more effective and prolonged way than treatment with botulinum toxin only.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"226-230"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141454694","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 Iliopsoas Bursa Injection Technique.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-03-01 Epub Date: 2025-02-03 DOI: 10.1097/PHM.0000000000002628

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

引用次数: 0

Effectiveness of Rehabilitation Interventions in Adults With Asthma: A Systematic Review and Meta-analysis. 成人哮喘患者康复干预的有效性：系统回顾和荟萃分析。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-03-01 Epub Date: 2024-07-03 DOI: 10.1097/PHM.0000000000002552

Elisabetta Zampogna, Federico Mattia Oliva, Matteo Johann Del Furia, Claudio Cordani, Stefano Giuseppe Lazzarini, Chiara Arienti

{"title":"Effectiveness of Rehabilitation Interventions in Adults With Asthma: A Systematic Review and Meta-analysis.","authors":"Elisabetta Zampogna, Federico Mattia Oliva, Matteo Johann Del Furia, Claudio Cordani, Stefano Giuseppe Lazzarini, Chiara Arienti","doi":"10.1097/PHM.0000000000002552","DOIUrl":"10.1097/PHM.0000000000002552","url":null,"abstract":"Objective: The aim of the study is to evaluate the effectiveness of pulmonary rehabilitation programs and other rehabilitation interventions in adults with asthma.Design: This is a systematic review and meta-analysis.Results: MEDLINE (PubMed), Embase, Cumulative Index to Nursing & Allied Health Literature, and CENTRAL were searched from inception to 31 May 2023. PROSPERO registration number: CRD42022331440. Thirty-six randomized controlled trials were analyzed, and only 26 were pooled in the meta-analysis because of the heterogeneity of comparisons and outcomes across the studies. Pulmonary rehabilitation, compared with education associated with breathing exercises, may result in little to no difference in the Asthma Quality of Life Questionnaire (mean difference 0.01 score, 95% confidence interval = -0.48 to 0.50, 163 participants, three studies, low certainty).Conclusions: Our findings show that pulmonary rehabilitation, compared with education associated with breathing exercises, may result in little to no difference in the impact of asthma on health-related quality of life. Overall, the certainty of evidence was low or very low preventing any firm conclusion on the effects of single or combined rehabilitation interventions.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e28-e36"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141490570","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

Letter to the Editor: Relationship of Body Mass Index on Patient-Reported Outcomes After Platelet-Rich Plasma Versus Microfragmented Adipose Tissue for Knee Osteoarthritis A Secondary Analysis of a Randomized Controlled Trial. 致编辑的信：一项随机对照试验的二次分析：体重指数与膝关节骨关节炎患者报告的富血小板血浆与微碎片化脂肪组织的结局之间的关系。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-03-01 Epub Date: 2024-12-12 DOI: 10.1097/PHM.0000000000002689

Cumhur Deniz Davulcu

引用次数: 0