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

Comparison of Preinjury and Clinical Characteristics Between Adolescents With Sport-Related Concussion and Nonsport-Related Concussion Presenting to a Specialty Concussion Clinic. 致编辑的信“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的比较”。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-11-01 Epub Date: 2026-07-06 DOI: 10.1097/PHM.0000000000003088

Vaishali Gupta, Amita Aggarwal, Akanksha Sharma

引用次数: 0

Multisite Cross-sectional Evaluation of Musculoskeletal Knowledge and Confidence in Musculoskeletal Medicine Among Recent Medical School Graduates. 近期医学院毕业生肌肉骨骼知识和对肌肉骨骼医学信心的多点横断面评估。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-11-01 Epub Date: 2026-03-16 DOI: 10.1097/PHM.0000000000002986

Taylor Orchard, Alexa Hryniuk, Everett Claridge, Steve Mann, Jaime C Yu, Jason Peeler

{"title":"Multisite Cross-sectional Evaluation of Musculoskeletal Knowledge and Confidence in Musculoskeletal Medicine Among Recent Medical School Graduates.","authors":"Taylor Orchard, Alexa Hryniuk, Everett Claridge, Steve Mann, Jaime C Yu, Jason Peeler","doi":"10.1097/PHM.0000000000002986","DOIUrl":"10.1097/PHM.0000000000002986","url":null,"abstract":"Objective: To examine musculoskeletal (MSK) knowledge among physicians who completed different MSK curricula during their undergraduate medical training.Methods: A multisite survey-based investigation was completed across 3 Canadian medical programs. Physicians who graduated from these programs over a 6-year period were invited to complete a standardized musculoskeletal examination.Results: A total of 327 physicians (15.9% response rate) completed the examination, achieving a mean score of 74.6% (±9.6, range: 50% to 100%). Despite high levels of knowledge, the mean self-reported confidence among respondents was only 2.73/5.0, with no significant difference between programs. While physicians in musculoskeletal specialties performed significantly better than other specialties on the examination ( P < 0.05), the impact of MSK electives during clerkship varied, with elective participation resulting in significantly higher knowledge of graduates from only one of the programs ( P < 0.05). Family physicians who completed their training at two of the programs performed significantly better compared with nonmusculoskeletal specialists ( P < 0.05).Conclusion: Despite the heterogeneity within the musculoskeletal training environment across medical programs in Canada, no significant differences in MSK knowledge were detected among physicians. Despite higher MSK examination scores than previous literature, physicians reported low confidence in managing MSK conditions in the clinical setting.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"998-1005"},"PeriodicalIF":2.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147643761","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

Is Spasticity a Syndrome? A Historical Perspective on Spasticity Definitions and Descriptions. 痉挛是一种综合症吗？痉挛的定义和描述的历史观点。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-11-01 Epub Date: 2026-07-10 DOI: 10.1097/PHM.0000000000003094

Gerard E Francisco, Thierry Deltombe, Stefano Carda, Rajiv Reebye, Nathalie Draulans, Alessandro Picelli, Bo Biering-Sørensen, Djamel Bensmail, Monica Verduzco-Gutierrez, Michael O'Dell, Francesca Bianchi, Steven Escaldi, Luis Jorge Jacinto, Heather Walker, Alexander Balbert, Alessio Baricich, Raphaël Gross, Franco Molteni, Andrea Santamato, Fabienne Schillebeeckx, Maximo Zimerman, Carlos Cordero-García, Jörg Wissel

{"title":"Is Spasticity a Syndrome? A Historical Perspective on Spasticity Definitions and Descriptions.","authors":"Gerard E Francisco, Thierry Deltombe, Stefano Carda, Rajiv Reebye, Nathalie Draulans, Alessandro Picelli, Bo Biering-Sørensen, Djamel Bensmail, Monica Verduzco-Gutierrez, Michael O'Dell, Francesca Bianchi, Steven Escaldi, Luis Jorge Jacinto, Heather Walker, Alexander Balbert, Alessio Baricich, Raphaël Gross, Franco Molteni, Andrea Santamato, Fabienne Schillebeeckx, Maximo Zimerman, Carlos Cordero-García, Jörg Wissel","doi":"10.1097/PHM.0000000000003094","DOIUrl":"10.1097/PHM.0000000000003094","url":null,"abstract":"\"Spasticity\" has long been used as a generalized term for a constellation of distinct positive motor signs arising from a central nervous system lesion, creating ambiguity in identifying individual impairments. These include spasticity sensu stricto - the velocity-dependent increase in tonic stretch reflexes (muscle tone) with exaggerated tendon jerks, resulting from hyperexcitability of the stretch reflex, as defined by Lance in 1980 - as well as spastic dystonia, spastic co-contraction, and spasms. Drawing on our clinical experience and collaborative work within the Toxnet group ( www.toxnet.net ), we believe that using \"spasticity\" as a broad diagnostic label creates ambiguity and may obscure the specific impairments contributing to the clinical presentation. Such generalization may compromise treatment decisions and outcomes and is compounded by using manual tools like the Tardieu and modified Tardieu Scales, which lack evidence of validity and reliability, and the Ashworth and modified Ashworth Scales, which do not measure the velocity-dependent nature of spasticity or provide dependable insights into the mechanisms driving the torque changes. To optimize clinical assessment precision and treatment outcomes, we propose \"spasticity syndrome\" as a new umbrella term encompassing the spectrum of clinical manifestations and underlying pathologies associated with upper motor neuron injury, alongside non-neural peripheral changes and patient-reported symptoms.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"S917-S925"},"PeriodicalIF":2.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13657386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148417881","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

Aerobic Versus Core‑Stabilization Training After Caudal Epidural Steroid Injection for Lumbar Disc Herniation: A Single Blind Parallel Group Randomized Controlled Trial. 有氧 与硬膜外类固醇İnjection后核心稳定训练治疗腰椎间盘突出症：单盲平行组随机对照试验。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-11-01 Epub Date: 2026-08-26 DOI: 10.1097/PHM.0000000000002971

Serpil Arslan, Ceyhun Türkmen, Kenan Şimşek, Tülin Düger

{"title":"Aerobic Versus Core‑Stabilization Training After Caudal Epidural Steroid Injection for Lumbar Disc Herniation: A Single Blind Parallel Group Randomized Controlled Trial.","authors":"Serpil Arslan, Ceyhun Türkmen, Kenan Şimşek, Tülin Düger","doi":"10.1097/PHM.0000000000002971","DOIUrl":"10.1097/PHM.0000000000002971","url":null,"abstract":"Objective: To compare the effects of adding supervised aerobic or core stabilization exercise to physiotherapy on pain and function after caudal epidural steroid injection (CESI) in individuals with lumbar disc herniation (LDH) and radicular pain.Design: Three-arm parallel-group randomized controlled trial with 12-week follow-up. Thirty-five individuals were divided into 3 groups. For 6 weeks, the control group received physiotherapy. The aerobic and stabilization groups received the same program, plus 20 minutes of exercise. The primary outcome was pain (Visual Analog Scale, VAS). Secondary outcomes included disability (Oswestry Disability Index, ODI), quality of life (SF-12), and back awareness (FreBAQ).Results: Both exercise groups showed significantly greater improvement in VAS and secondary outcomes at 6 weeks compared with the control ( P <0.05). The stabilization group achieved faster pain reduction by week 6 than the aerobic group. By 12 weeks, aerobic and stabilization outcomes were comparable and remained superior to those of the control group.Conclusions: In patients with LDH, adding aerobic or core stabilization to CESI produced greater pain relief and functional improvement than CESI with physiotherapy alone. Core stabilization yielded quicker initial pain relief, though both approaches were similarly effective by week 12. These findings underscore the clinical value of exercise programs following CESI.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"983-990"},"PeriodicalIF":2.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148817178","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

Optimum Sonoanatomical Approach for Selective Cervical Nerve Root Block: Evaluation of Three Different Needle Pathways in Cadavers and Volunteers. 选择性颈神经根阻滞的最佳声解剖入路：三种不同针路在尸体和志愿者中的评估。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-11-01 Epub Date: 2026-04-16 DOI: 10.1097/PHM.0000000000003014

Damla Yürük, Ömer Taylan Akkaya, Mehmet Yilmaz, Yiğit Güngör, Ayhan Cömert

{"title":"Optimum Sonoanatomical Approach for Selective Cervical Nerve Root Block: Evaluation of Three Different Needle Pathways in Cadavers and Volunteers.","authors":"Damla Yürük, Ömer Taylan Akkaya, Mehmet Yilmaz, Yiğit Güngör, Ayhan Cömert","doi":"10.1097/PHM.0000000000003014","DOIUrl":"10.1097/PHM.0000000000003014","url":null,"abstract":"Objective: To identify the safest approach for selective cervical spinal nerve block (SCSNB) using sonoanatomic evaluation of spinal nerves (SNs) and adjacent vascular structures.Methods: This study included 50 healthy volunteers and 7 cadavers. In volunteers, C5 to C7 SNs were evaluated using ultrasound. Three virtual needle trajectories posterior-to-anterior (P-A), anterior-to-posterior (A-P), and lateral-to-medial (L-M) were assessed within a region of interest. Cadaveric dissections examined morphometric relationships between the vertebral artery (VA), ascending cervical artery (ACA), deep cervical artery (DCA), and SNs.Results: Vascular structures increased from C5 to C7 ( P < 0.001), and the L-M trajectory contained fewer vessels than the A-P and P-A trajectories ( P < 0.001). Cadaveric findings demonstrated caudal increases in SN thickness and arterial diameters, with the VA, ACA, and DCA positioned closer to spinal grooves at lower levels.Conclusion: Lower cervical levels show increased vascular density and vessel proximity to SNs. The L-M trajectory has the fewest vessels and appears safest for SCSNB. The L-M trajectory demonstrated the lowest vascular density and may represent a relatively safer anatomic corridor for SCSNB; however, its clinical performance should be confirmed by future interventional studies.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"1039-1045"},"PeriodicalIF":2.3,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147969829","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

Multivariate Analysis of the Relationships among Muscle Strength, Muscle Endurance, and Muscle Oxygenation Dynamics During Incremental Exercise. 增量运动中肌肉力量、肌肉耐力和肌肉氧合动力学关系的多变量分析。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-10-19 DOI: 10.1097/PHM.0000000000003184

Shinji Nemoto, Tohru Nakabo, Akira Yoshikawa, Naonori Tashiro, Yuki Kuroyama, Daisuke Nakamura, Yoshinori Kagaya, Eiichi Geshi

{"title":"Multivariate Analysis of the Relationships among Muscle Strength, Muscle Endurance, and Muscle Oxygenation Dynamics During Incremental Exercise.","authors":"Shinji Nemoto, Tohru Nakabo, Akira Yoshikawa, Naonori Tashiro, Yuki Kuroyama, Daisuke Nakamura, Yoshinori Kagaya, Eiichi Geshi","doi":"10.1097/PHM.0000000000003184","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003184","url":null,"abstract":"Objective: We aimed to clarify whether having both high leg muscle strength (MS) and leg muscle endurance (ME) contributes to optimal muscle oxygenation dynamics during incremental exercise, regardless of related factors.Design: A prospective cross-sectional study. Thirty healthy young individuals were categorized into low leg MS (Low-MS group: n=15), high leg MS but low leg ME (High-MS/Low-ME group: n=8), and both high leg MS and leg ME (High-MS/High-ME group: n=7) groups. Muscle oxygen saturation (SmO2) at the vastus lateralis was measured during incremental exercise. Whole-body oxygen uptake (VO2), total hemoglobin (THb) at the vastus lateralis, sex, leg muscle mass, and adipose tissue thickness (ATT) were considered related factors.Results: The multivariate mixed regression model, with SmO2 change from rest to 30-100% peak VO2 as the dependent variable; individual as a random effect; and sex, group, leg muscle mass, ATT, THb change from rest to 30-100% peak VO2, and peak VO2 as fixed effects, revealed that group (High-MS/High-ME group vs. High-MS/Low-ME group) significantly predicted SmO2 change from rest to 30-100% peak VO2 (estimates=26.2, P<0.001).Conclusion: Having both high leg MS and ME may contribute to optimal leg muscle oxygenation dynamics during incremental exercise, regardless of related factors.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149219814","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 79-Year-Old Man With Encephalopathy, Ataxia, and Severe Functional Decline After Influenza Infection: A Clinical Vignette. 一名79岁男性流行性感冒感染后伴有脑病、共济失调和严重的功能下降：临床小插曲。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-10-15 DOI: 10.1097/PHM.0000000000003183

Bilaal Hassan, Marisol Tarin, Shaquila Sarapao, Robert J Balch

引用次数: 0

Systematic CRS-R-based Evaluation of Disorders of Consciousness in the ICU: Development and Evolution of a Multidisciplinary Program. 基于crs - r的ICU意识障碍系统评估：多学科项目的发展与演变。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-10-15 DOI: 10.1097/PHM.0000000000003185

Peter A Gaibrois, Sherri L Feenstra, Alison S Rondon, Justine E Cormier, Matthew N Jaffa

{"title":"Systematic CRS-R-based Evaluation of Disorders of Consciousness in the ICU: Development and Evolution of a Multidisciplinary Program.","authors":"Peter A Gaibrois, Sherri L Feenstra, Alison S Rondon, Justine E Cormier, Matthew N Jaffa","doi":"10.1097/PHM.0000000000003185","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003185","url":null,"abstract":"Evaluation and prognostication following disorders of consciousness (DoC) is a complex task with significant implications. The Coma Recovery Scale, Revised (CRS-R) is a standardized neurobehavioral assessment that enables clinicians to accurately differentiate between coma, unresponsive wakefulness syndrome (UWS), minimally conscious state (MCS), and emergence from MCS. Newly described paradigms present ambitious programs utilizing multidisciplinary clinical teams working in sync with new technologies to optimize and improve a systematic approach to prognostication following DoC. We developed a DoC program at a level 1 trauma and comprehensive stroke center to optimize diagnosis and management of DoC patients. Through an iterative approach our program developed a DoC team to standardize the use of the CRS-R for patients with DoC and formalize a training program for its use. In addition, a formal DoC consult group was created incorporating the neurocritical care faculty to provide expertise and to assist with collaborative decision making. We detail our program's development, barriers, outcomes, and future directions. The core features of this novel clinical paradigm-structured assessment, interdisciplinary collaboration, and iterative re-evaluation-can be adapted to more resource-limited settings to improve outcomes, communication, and the consistency and transparency of prognostication in disorders of consciousness.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149178888","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

Artificial Intelligence Segmentation In Musculoskeletal Ultrasound: A Novel Study Across Five Joints Using Expert Ground Truth. 肌肉骨骼超声中的人工智能分割：一种跨五个关节的新研究。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-10-14 DOI: 10.1097/PHM.0000000000003181

Fatih Tok, Michael Dakkak, Gary S Schwartz, Mark Kronenfeld, Levent Özçakar

{"title":"Artificial Intelligence Segmentation In Musculoskeletal Ultrasound: A Novel Study Across Five Joints Using Expert Ground Truth.","authors":"Fatih Tok, Michael Dakkak, Gary S Schwartz, Mark Kronenfeld, Levent Özçakar","doi":"10.1097/PHM.0000000000003181","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003181","url":null,"abstract":"Objective: To evaluate the performance of an artificial intelligence (AI) technology in recognizing and segmenting anatomical structures across five joints (shoulder, elbow, wrist/hand, knee, and ankle/foot) in musculoskeletal ultrasound (US).Design: This cross-sectional study included 79 adults. Software segmentations were compared to ground truth annotations provided by four experts. Performance was assessed using positive predictive agreement (PPA) and negative predictive agreement (NPA), with a true/false threshold defined as a dice similarity coefficient (DSC) ≥0.50. Subjects with and without sonographic disorders were evaluated to assess robustness.Results: 3017 cine clips (15600 frames) covering 120 anatomical structures were analyzed. PPA and NPA exceeded 0.90 for most structures; tendons, muscles, and nerves showed near-perfect agreement (≥0.97). Similar performance was observed in healthy subjects (PPA: 0.93-0.96; NPA: 0.94-0.99) and subjects with sonographic disorders (PPA: 0.91-0.96; NPA: 0.91-0.99) (P<0.001).Conclusion: This first large-scale study demonstrates the high accuracy and reliability of AI-based segmentation. By improving anatomical identification consistency during image acquisition, the software may help reduce technical operator dependency. The results further indicate strong potential for real-time assistance, supporting clinicians and trainees, and underscore the broader applicability of AI-based software in musculoskeletal US.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149178905","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

Diagnostic Performance of Ultrasonographic Median Nerve Cross-Sectional Area for Carpal Tunnel Syndrome in Wheelchair Users With Spinal Cord Injury. 超声检查正中神经截面积对轮椅使用者伴脊髓损伤的腕管综合征的诊断价值。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-10-08 DOI: 10.1097/PHM.0000000000003174

Montana Buntragulpoontawee, Siam Tongprasert, Jiraporn Khorana, P T Kittipong Kitisak, Waris Karinuntakul, Pratchayapon Kammuang-Lue, Sineenard Pornjaksawan, Phichayut Phinyo

{"title":"Diagnostic Performance of Ultrasonographic Median Nerve Cross-Sectional Area for Carpal Tunnel Syndrome in Wheelchair Users With Spinal Cord Injury.","authors":"Montana Buntragulpoontawee, Siam Tongprasert, Jiraporn Khorana, P T Kittipong Kitisak, Waris Karinuntakul, Pratchayapon Kammuang-Lue, Sineenard Pornjaksawan, Phichayut Phinyo","doi":"10.1097/PHM.0000000000003174","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003174","url":null,"abstract":"Objective: To evaluate the diagnostic performance of ultrasonographic median nerve cross-sectional area (CSA-M) for carpal tunnel syndrome (CTS) in wheelchair users with spinal cord injury (SCI), and to identify clinically relevant diagnostic cutoff values.Design: Prospective, cross-sectional diagnostic accuracy study using registry data from Thai wheelchair users with SCI receiving outpatient rehabilitation care at a tertiary university hospital. Ultrasonographic CSA-M (index test) and electrodiagnostic studies (reference standard) were performed by blinded examiners.Results: Sixty-seven participants were included, of whom 25(37.3%) had CTS. Among 126 wrists analyzed, 42(33.3%) had electrodiagnostically confirmed CTS. Mean CSA-M was significantly larger in CTS compared with non-CTS wrists (14.4±4.4 vs. 10.7±3.3 mm²; P<0.001). The AuROC was 0.76(95% CI, 0.67-0.84). At a 10 mm² cutoff sensitivity was 90.5%, and specificity was 45.2%. At 15 mm², sensitivity was 33.3%, and specificity was 91.7%. Age, sex, and body mass index did not influence diagnostic performance. The wrist-to-forearm ratio showed comparable, but not superior, diagnostic performance to CSA-M.Conclusions: Ultrasonographic CSA-M demonstrates moderate diagnostic accuracy for CTS in wheelchair users with SCI. Lower cutoffs favor screening sensitivity, whereas higher cutoffs improve diagnostic specificity.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149126513","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