American Journal of Physical Medicine & Rehabilitation最新文献

{"title":"\"Effects of Low Intensity Extracorporeal Shockwave Therapy and Low Intensity Laser Therapy on Shoulder Adhesive Capsulitis: A Randomized Controlled Trial\".","authors":"Furkan Erdinc, Figen Tuncay, İsmail Ceylan, Basak Cigdem Karacay, Nazife Kapan","doi":"10.1097/PHM.0000000000002831","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002831","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate the effects of extracorporeal shock wave therapy (ESWT) and low-level laser therapy (LLLT) on pain, functional status and quality of life (QoL) in shoulder adhesive capsulitis (SAC).</p><p><strong>Design: </strong>This single-centre, prospective, single-blind randomized controlled trial included patients with SAC randomly assigned to ESWT, LLLT, or control groups. The ESWT group received 3 ESWT sessions plus 15 sessions of hot pack and exercise; the LLLT group received 15 LLLT sessions with hot pack and exercise. Outcomes (Constant Murley Score-CMS, Visual Analogue Scale-VAS, short form SF-36) were assessed at baseline, 3, and 12 weeks).</p><p><strong>Results: </strong>Sixty SAC patients were randomized equally into ESWT (n = 20), LLLT (n = 20), and control (n = 20) groups. By week 3, both ESWT and LLLT showed significant improvements in VAS-pain and CMS-pain versus control (p < 0.05), while only LLLT improved SF-36 physical limitation scores (p < 0.05). At week 12, the LLLT group showed greater improvements in CMS-ROM, CMS-total, and SF-36 subdomains related to physical and emotional role limitations (p < 0.05).Conclusions: In patients with SAC both ESWT and LLLT added to exercises therapy positively affected pain and ROM.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144939254","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 Spinal Twist: Unusual Sequelae of CREST Syndrome.","authors":"Saadiq Garba, Anne Kuwabara, Anandh Ganapathy Rajamohan, Ethan Benjamin Rand","doi":"10.1097/PHM.0000000000002816","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002816","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144939278","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":"Accuracy and Efficacy of Ultrasound Guided Glenohumeral Joint Injections: A Systematic Review.","authors":"Renee Enriquez, Eric Jones, Levent Özçakar, Nitin B Jain","doi":"10.1097/PHM.0000000000002786","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002786","url":null,"abstract":"<p><strong>Objective: </strong>To perform a systematic review comparing the accuracy and the efficacy of ultrasound-guided versus landmark-guided and other image-guided glenohumeral joint injections.</p><p><strong>Methods: </strong>Embase, PubMed, Scopus, Web of Science were searched up to June 24, 2023. Independent authors reviewed and selected qualifying randomized controlled studies, cohort studies, and case control/case series comparing either the accuracy and/or clinical efficacy of ultrasound-guided versus landmark-guided and other image-guided glenohumeral joint injections. Two independent authors extracted and synthesized the data. Quality appraisal of the studies was performed using the Cochrane Assessment of Bias tool (RoB2) and Newcastle-Ottawa Quality Assessment Scale, where applicable.</p><p><strong>Results: </strong>A total of nine studies were included in the review, which included eight live human studies and one cadaveric study. Eight studies assessed for accuracy of ultrasound-guided glenohumeral joint injections. Cumulatively, there was a 63-100% accuracy rate with ultrasound-guided injections compared to 40-76.19% accuracy rate with blind injections and 72-100% with fluoroscopic guided injections. The accuracy rate of ultrasound-guided glenohumeral joint aspirations was 69.4% compared to the accuracy rate of other image-guided modalities, which was 70.6%. Three randomized control studies evaluated the efficacy of ultrasound-guided injections compared to landmark guided injections by examining pain, range of motion, and function. All three studies did not show a statistically significant difference in the either group in all measures, although one study did show a statistically significant improvement in pain reduction sooner in the ultrasound-guided group.</p><p><strong>Conclusion: </strong>Ultrasound-guided glenohumeral joint injections are more accurate than landmark guided injections and have similar accuracy rates compared to other imaging modalities. Ultrasound-guided injections are efficacious in treating glenohumeral joint disorders but not superior to landmark-guided injections. Future research should focus on standardized protocols, larger sample sizes, and long-term follow-up to obtain more robust evidence to determine the superiority of ultrasound-guided injections.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144939182","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":"Physiologic Differences in Vital Signs and Urine Tests in Spinal Cord Injury and the Effects on Urinary Tract Infection Diagnosis.","authors":"Ashley Collazo, Larissa Grigoryan, Cheng Jiang, Roger Zoorob, Barbara W Trautner, Felicia Skelton","doi":"10.1097/PHM.0000000000002820","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002820","url":null,"abstract":"<p><strong>Objective: </strong>To establish the physiologic baseline (person's physiologic state when their health is stable) for vital signs and urine lab measurements after spinal cord injury (SCI).</p><p><strong>Design: </strong>This case-control study using outpatient data from the national Veteran's Health Administration Corporate Data Warehouse included 2,000 Veterans with SCI (cases) and 2,000 Veterans without SCI (controls) between 2018-2019. Cases and controls were randomly selected, and frequency matched for age, sex, race, ethnicity, and Deyo comorbidity index.</p><p><strong>Results: </strong>SCI patients had lower temperature, heart rate, respiratory rate, and systolic and diastolic blood pressures than non-SCI (p < 0.05). Pyuria and hematuria were higher in SCI patients, with approximately 73% of tetraplegic and paraplegic patients having urine white blood cells above 10 HPF. Tetraplegic patients had lower heart rate, systolic and diastolic blood pressure than both paraplegic patients and non-SCI patients (p < 0.001).</p><p><strong>Conclusions: </strong>Baseline vital signs were lower in SCI patients compared to non-SCI patients. Lower systolic blood pressure, diastolic blood pressure, and heart rate were associated with higher levels of SCI. Tetraplegic and paraplegic patients had baseline pyuria above 10 HPF suggesting the criteria for pyuria as a positive indicator of UTI should be different in patients with SCI than those without SCI.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144939477","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":"Sarcopenia + Ultrasound = ISarcoPRM: Keeping the Feet on the Ground for Correct Diagnosis.","authors":"Hilmi Berkan Abacıoğlu, Ahmet Furkan Çolak, Murat Kara, Levent Özçakar","doi":"10.1097/PHM.0000000000002837","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002837","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144999452","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":"Hip Pain in a Patient With Traumatic Brain Injury and Complex Fractures: A Clinical Vignette.","authors":"Harrison Jordan, Ryan Brady, Lindsay Ellson, David Salchert, Robert Lombard","doi":"10.1097/PHM.0000000000002836","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002836","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144939386","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":"Is there any difference between high-intensity laser and low-level laser in the treatment of tennis elbow? A Meta-analysis of randomized controlled trials.","authors":"Minhui Zhang, Zhengyang Zhao, Zhijian Wu, Fanghui Li","doi":"10.1097/PHM.0000000000002834","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002834","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy of laser therapy (high-intensity vs. low-level) in treating tennis elbow.</p><p><strong>Design: </strong>PubMed, Scopus, Embase, and Web of Science were systematically searched for RCTs up to February 2025. Cochrane risk-of-bias tool was used for quality assessment. Data were analyzed via RevMan 5.4.</p><p><strong>Result: </strong>Twelve randomized controlled trials were included. Laser therapy demonstrates significant improvements in pain, grip strength, and functional outcomes for tennis elbow patients. Subgroup analysis reveals that both high-intensity laser therapy (HILT, P = 0.01) and low-level laser therapy(LLLT, P < 0.00001) effectively reduce pain versus baseline with comparable efficacy, though HILT shows non-significant improvement versus placebo(P = 0.07). Regarding functional improvement, HILT is similar to LLLT (both significant, P < 0.05). For grip strength, both modalities show significant improvement(P < 0.05), with HILT exhibiting superior effects. Further analysis of combination therapies showed that laser combined with bandage demonstrates more significant pain relief and functional improvement.</p><p><strong>Conclusion: </strong>HILT and LLLT are both effective modalities for improving symptoms of tennis elbow (pain, function, and grip strength). LLLT demonstrates more consistent significance in pain relief, while HILT shows greater advantages in enhancing grip strength. More importantly, laser therapy combined with bandage produces synergistic effects, highlighting its value as a key complementary component within multimodal rehabilitation programs.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144939384","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":"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":"10.1097/PHM.0000000000002742","url":null,"abstract":"<p><strong>Abstract: </strong>Amyotrophic lateral sclerosis 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 amyotrophic lateral sclerosis, specifically those designed to compensate for upper and lower extremity, trunk, and cervical muscle weakness. A comprehensive search was conducted across PubMed, CINAHL, ERIC, and Google Scholar and through citation chasing. We included 26 articles that tested an assistive device on at least one person living with amyotrophic lateral sclerosis 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 amyotrophic lateral sclerosis 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 amyotrophic lateral sclerosis and underscores the need for comprehensive studies involving larger cohorts of individuals at different stages of amyotrophic lateral sclerosis.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e115-e124"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","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}

{"title":"Ultrasound-Guided Intra-articular Knee Injection.","authors":"Donald Kasitinon, Travis Cleland, Renee Enriquez, Mahmood Gharib, Chaitanya Konda, Stephen Schaaf, Amos Song, Reed Williams, Levent Özçakar, Nitin B Jain","doi":"10.1097/PHM.0000000000002630","DOIUrl":"10.1097/PHM.0000000000002630","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":"104 8","pages":"e125"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144658173","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 Rare Nonathletic Tear of the Semitendinosus in a Woman: A Visual Vignette.","authors":"Raktim Swarnakar, Menhaj Ahmed, Sohini Datta, Ankit Sarkar","doi":"10.1097/PHM.0000000000002688","DOIUrl":"10.1097/PHM.0000000000002688","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e113"},"PeriodicalIF":2.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142827127","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}