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

Predictors of Spasticity 3-6 Mos After Stroke: A 5-Yr Retrospective Cohort Study. 中风后 3-6 个月痉挛的预测因素：一项为期 5 年的回顾性队列研究

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-10-07 DOI: 10.1097/PHM.0000000000002496

Amanda McIntyre, Robert Teasell, Marcus Saikaley, Thomas Miller

{"title":"Predictors of Spasticity 3-6 Mos After Stroke: A 5-Yr Retrospective Cohort Study.","authors":"Amanda McIntyre, Robert Teasell, Marcus Saikaley, Thomas Miller","doi":"10.1097/PHM.0000000000002496","DOIUrl":"10.1097/PHM.0000000000002496","url":null,"abstract":"Objective: The aim of the study is to identify predictors of poststroke spasticity (modified Ashworth Scale scores, ≥1) at 3-6 mos after stroke.Design: A 5-yr (2015-2020) retrospective cohort of patients who attended inpatient stroke rehabilitation in Southwestern Ontario, Canada, were included. Sociodemographic, clinical, stroke-related, rehabilitation-related, and outcome measure data were extracted from paper charts and electronic databases.Results: Of the 922 individuals attending inpatient stroke rehabilitation, 606 (55.8% males; mean age = 70.9 ± 14.2 yrs) returned for an outpatient visit. Most patients had a first ever ( n = 518; 85.5%), ischemic ( n = 470; 77.6%) stroke with hemiplegia ( n = 449, 74.1%). A total of 20.3% ( n = 122) of patients had developed poststroke spasticity by 4 mos after stroke. A binary logistic regression significantly predicted poststroke spasticity (χ 2 (6) = 111.696, P < 0.0001) with good model fit (χ 2 (8) = 12.181, P = 0.143). There were six significant poststroke spasticity predictors: hemorrhagic stroke ( P = 0.049), younger age ( P < 0.001), family history of stroke ( P = 0.015), Functional Independence Measure admission score ( P < 0.001), use of selective serotonin reuptake inhibitors ( P = 0.044), and hemiplegia ( P < 0.001).Conclusions: Patients should be monitored closely for poststroke spasticity after discharge from stroke rehabilitation and throughout the care continuum.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"1130-1134"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140875691","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

Correlation Between Self-reported or Supervised Physical Activity in Noncommunicable Diseases and Comorbidities During COVID-19 Pandemic: A Systematic Review.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 DOI: 10.1097/PHM.0000000000002520

Snehil Dixit, Saumya Srivastava, Ravi Shankar Reddy, M A Faghy, Jaya Shanker Tedla, Venkata Nagaraj Kakaraparthi, Kumar Gular, Kanishk Gupta

{"title":"Correlation Between Self-reported or Supervised Physical Activity in Noncommunicable Diseases and Comorbidities During COVID-19 Pandemic: A Systematic Review.","authors":"Snehil Dixit, Saumya Srivastava, Ravi Shankar Reddy, M A Faghy, Jaya Shanker Tedla, Venkata Nagaraj Kakaraparthi, Kumar Gular, Kanishk Gupta","doi":"10.1097/PHM.0000000000002520","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002520","url":null,"abstract":"Objective: The aim of the study is to systematically identify the protective and ameliorative effects of physical activity among people with noncommunicable diseases such as diabetes, cancer, chronic respiratory disease, chronic vascular disease, hypertension, and existing comorbidities during the coronavirus disease (COVID-19) pandemic.Methods: The trial is registered in the PROSPERO registry and used the PICO (population, intervention, comparison, and outcomes) strategy to perform the search strategy. Assessors analyzed related studies in the MEDLINE, PROQUEST, PubMed, Cochrane Library, CINAHL, Embase, Google Scholar, Physiotherapy Evidence, and Science Direct databases between December 2022 and January 2023. Researchers independently conducted a quality assessment of each study using a predeveloped quality assessment tool adapted from established tools for quantitative studies.Results: Eighteen trials were included (chronic vascular disease-7, diabetes-4, hypertension-1, cancer-3, and chronic respiratory disease-3). The total number of individuals included in the systematic review was 780,003, and the total with or without COVID-19 was 188,435. Qualitative rating by the Newcastle-Ottawa Score for cross-sectional and cohort studies and the Physiotherapy Evidence Database scale revealed fair to good evidence for physical activity as a tool to reduce complications.Conclusions: There is evidence that exercise can protect people with noncommunicable diseases during the COVID-19 pandemic.Registration: Registered with Prospero registry.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":"103 12","pages":"1073-1080"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142821631","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

The Association of Interlimb Coordination and Temporal Symmetry With Walking Function and Motor Impairment After Stroke. 肢体间协调性和颞叶对称性与中风后行走功能和运动障碍的关系。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-05-06 DOI: 10.1097/PHM.0000000000002522

Brice Thomas Cleland, Sangeetha Madhavan

{"title":"The Association of Interlimb Coordination and Temporal Symmetry With Walking Function and Motor Impairment After Stroke.","authors":"Brice Thomas Cleland, Sangeetha Madhavan","doi":"10.1097/PHM.0000000000002522","DOIUrl":"10.1097/PHM.0000000000002522","url":null,"abstract":"Objective: Interlimb coordination during walking is impaired after stroke, with unknown effects on walking function. This cross-sectional study determined associations of interlimb coordination and temporal symmetry with walking function and motor impairment.Design: During walking, participants wore wireless sensors to detect heel strikes. We calculated interlimb coordination as the phase coordination index and temporal symmetry as the ratio of contralesional (i.e., paretic) to ipsilesional (i.e., nonparetic) stance times. Associations with walking speed (10-meter walk test), walking endurance (6-min walk test), dynamic balance (Mini-Balance Evaluation Systems Test), and motor impairment (Fugl-Meyer Lower Extremity assessment) were assessed.Results: Fifty-six individuals with chronic stroke were tested. Worse interlimb coordination was correlated with slower comfortable ( R = -0.38, P = 0.004) and maximal ( R = -0.36, P = 0.006) walking speed and worse motor function ( R = -0.45, P = 0.001). Worse temporal symmetry was correlated with worse motor function ( R = 0.39, P = 0.004). Interlimb coordination had stronger associations than temporal symmetry with comfortable ( R = -0.38 vs. 0.08) and maximal walking speeds ( R = -0.36 vs. 0.12).Conclusions: Poor interlimb coordination was associated with slow walking and motor impairment and had stronger associations with walking speeds than temporal symmetry did. Interlimb coordination may provide unique insights into walking function and a target for walking rehabilitation after stroke.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"1104-1109"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140848094","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

Dry Needling Plus Cervical Interlaminar Epidural Steroid Injections: Do We Have More Favorable Results in Cervical Disc Herniation? A Randomized Sham-Controlled Clinical Study.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-12-01 DOI: 10.1097/PHM.0000000000002509

Günay Yolcu, Canan Sanal Toprak, Savas Sencan, Osman Hakan Gunduz

{"title":"Dry Needling Plus Cervical Interlaminar Epidural Steroid Injections: Do We Have More Favorable Results in Cervical Disc Herniation? A Randomized Sham-Controlled Clinical Study.","authors":"Günay Yolcu, Canan Sanal Toprak, Savas Sencan, Osman Hakan Gunduz","doi":"10.1097/PHM.0000000000002509","DOIUrl":"10.1097/PHM.0000000000002509","url":null,"abstract":"Objective: Trigger point-related myofascial pain commonly accompanies cervical disc herniation. The aim of the study is to investigate the effect of dry needling for accompanying trigger points on cervical interlaminar epidural steroid injection treatment outcomes.Design: Among the patients scheduled for interlaminar epidural steroid injection for cervical disc herniation, those with active trigger points were randomly divided into three groups: interlaminar epidural steroid injection + dry needling, interlaminar epidural steroid injection + sham dry needling, and only interlaminar epidural steroid injection group. Outcome measures were determined as the change in Numeric Rating Scale, number of active trigger points, and the pressure-pain threshold measurement.Results: A total of 66 patients, 22 per group, were included in the final evaluation. While significant decrease in Numeric Rating Scale scores was observed in all three groups at 3rd week and 3rd month, this decrease was significantly more pronounced in the interlaminar epidural steroid injection + dry needling group (P < 0.001). There was a significant decrease in the number of active trigger points in all three groups (P < 0.001). While a significant increase was observed in the pressure-pain threshold value only in the interlaminar epidural steroid injection + dry needling group at the 3rd week, this increase was found to be significant in all three groups at the 3rd month (P < 0.001).Conclusions: Combination therapy with dry needling has superiority to interlaminar epidural steroid injection + sham dry needling and only interlaminar epidural steroid injection groups in reducing pain and increasing pressure-pain threshold values.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":"103 12","pages":"1081-1087"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142821634","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

Nerve Transfers in the Management of Femoral Nerve Palsy: A Systematic Review. 股神经麻痹治疗中的神经移植：系统回顾

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.0000000000002535

Alyssa Lee, Larry Robinson, Heather Baltzer, Jordan Farag

{"title":"Nerve Transfers in the Management of Femoral Nerve Palsy: A Systematic Review.","authors":"Alyssa Lee, Larry Robinson, Heather Baltzer, Jordan Farag","doi":"10.1097/PHM.0000000000002535","DOIUrl":"10.1097/PHM.0000000000002535","url":null,"abstract":"Abstract: The primary objective of this systematic review is to describe the effectiveness of nerve transfers for restoring quadriceps motor function in patients with femoral nerve palsy. MEDLINE, Embase, and CENTRAL were searched from their inception to June 2023 for any English language, primary literature investigating nerve transfers for femoral nerve palsy. Data were extracted for study and intervention characteristics, as well as clinical outcomes, including preoperative and postoperative knee extension strength, electrodiagnostic studies, functional outcomes, adverse events, and donor site morbidity. The primary outcome was defined as return of knee extension equivalent to or greater than a grade 4-on the Medical Research Council scale. Eighteen studies with a total of 40 patients were included. The most common nerve donor was the obturator nerve in 17 studies with 37 patients, followed by the nerve to sartorius in two studies (10 patients). Significant variations in procedures and outcomes reported were observed. There were no studies that reported an effect on ambulation due to donor weakness. Based on the available literature, nerve transfer appears to be an effective treatment for restoring quadriceps function in this population, with 79% of patients in our study achieving at minimum 4-/5 Medical Research Council grade power.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"1152-1158"},"PeriodicalIF":2.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141562455","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

Bihemispheric Transcranial Direct Current Stimulation over Primary Motor Cortex Potentiates Improvement of Neurological but not Upper Limb Motor Functions in Ischemic Stroke Patients Treated with Routine Physical Therapy: A Randomized, Double-Blind, Sham-Controlled Trial.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-11-28 DOI: 10.1097/PHM.0000000000002669

Niloufar Balikshahi, Sara Ramezani, Babak Bakhshayesh Eghbali, Mozaffar Hosseininezhad, Kamran Ezzati, Amirhomayoun Atefi, Mohammad Ali Yazdanipour, Sina Sedaghat Herfeh, Mohammad Shabani Chobe, Masoud Shabani Chobe

{"title":"Bihemispheric Transcranial Direct Current Stimulation over Primary Motor Cortex Potentiates Improvement of Neurological but not Upper Limb Motor Functions in Ischemic Stroke Patients Treated with Routine Physical Therapy: A Randomized, Double-Blind, Sham-Controlled Trial.","authors":"Niloufar Balikshahi, Sara Ramezani, Babak Bakhshayesh Eghbali, Mozaffar Hosseininezhad, Kamran Ezzati, Amirhomayoun Atefi, Mohammad Ali Yazdanipour, Sina Sedaghat Herfeh, Mohammad Shabani Chobe, Masoud Shabani Chobe","doi":"10.1097/PHM.0000000000002669","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002669","url":null,"abstract":"Objectives: We investigated the therapeutic effect of transcranial direct current stimulation (tDCS) combined with routine physiotherapy on the neurological and upper limb motor function in ischemic stroke patients with hemiplegia.Methods: In a Randomized double-blind controlled trial study, 52 eligible stroke patients were assigned to real tDCS receiving bihemispheric electrical current with 1.5 mA for 30 minutes over the primary motor cortex, and sham tDCS with a current intensity of 0.5 mA for 30 seconds. Both groups received routine physiotherapy, 5 sessions per week for two weeks. The National Institute of Health Stroke Scale (NIHSS) and the Medical Research Council Scale for Muscle Strength were used to assess the neurological and upper limb motor functions, respectively.Results: Both therapeutic approaches begot a significant improvement in upper limb motor function and neurological impairment at the last session of therapy and follow-up study. However, the treatment-induced neurological amelioration at the last session of therapy in real tDCS was significantly more than sham, especially in those identified as female and under 60 years old.Conclusions: A gender and age-specific protocol of real tDCS combined with routine physiotherapy might be beneficial to improve neurological impairment but not upper limb motor dysfunction after stroke.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789504","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

Systematic Review and Meta-Analysis of Radiofrequency Ablation for Morton's Neuroma: Outcomes and Predictors of Success.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-11-28 DOI: 10.1097/PHM.0000000000002668

Rafael Llombart, Gonzalo Mariscal, María Benlloch, Carlos Barrios, Rafael Llombart-Ais

{"title":"Systematic Review and Meta-Analysis of Radiofrequency Ablation for Morton's Neuroma: Outcomes and Predictors of Success.","authors":"Rafael Llombart, Gonzalo Mariscal, María Benlloch, Carlos Barrios, Rafael Llombart-Ais","doi":"10.1097/PHM.0000000000002668","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002668","url":null,"abstract":"Objective: Morton's neuroma presents a challenge in terms of pain management. This study aimed to evaluate the available evidence on the efficacy and safety of radiofrequency ablation for Morton's neuroma.Design: PRISMA guidelines were followed. Prospective clinical trials, cohort studies, and case series were also included. Data analysis was performed using Review Manager 5.4. Meta-analysis applied fixed- or random-effects models depending on the heterogeneity. Sensitivity analyses were performed to assess the effects of temperature, radiofrequency cycles, and imaging guidance.Results: Eight studies (n = 237) were included. Significant pain reduction was observed at the final follow-up (MD5.74, 95%CI 5.58, 5.90). At the final follow-up, 47.57% (95%CI 25.13%-70.00%) experienced complete pain relief, while 16.40% (95%CI 11.86%-20.94%) reported no benefit at final follow-up. Sensitivity analyses found higher temperature settings (≥85 °C) conferred greater relief on VAS (MD-6.97, 95%CI -6.75 to -7.18) compared to temperatures <85 °C (MD-3.94, 95%CI -3.68 to -4.19). Fewer radiofrequency cycles (≤3) also demonstrated significantly greater VAS improvement (MD-6.97, 95%CI -6.75 to -7.18) versus >3 cycles (MD-4.79, 95%CI -3.02 to -6.57). Complications were minimal (2.1%), and most resolved without significant interventions.Conclusion: Radiofrequency ablation, particularly at specific temperatures and cycle thresholds, is effective and safe for the management of Morton's neuroma.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789473","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

The Effect of Graded Motor Imagery on Pain and Function in Individuals with Knee Osteoarthritis: A Comparative Randomized Controlled Trial.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-11-28 DOI: 10.1097/PHM.0000000000002663

Zeynep Yıldız Kızkın, Semra Oğuz, Semih Ak

{"title":"The Effect of Graded Motor Imagery on Pain and Function in Individuals with Knee Osteoarthritis: A Comparative Randomized Controlled Trial.","authors":"Zeynep Yıldız Kızkın, Semra Oğuz, Semih Ak","doi":"10.1097/PHM.0000000000002663","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002663","url":null,"abstract":"Objective: To examine whether graded motor imagery (GMI) was as effective as transcutaneous electrical nerve stimulation (TENS) in improving pain and functionality in patients with knee osteoarthritis (PwKOA).Design: Forty-six PwKOA were randomized (1:1) into the GMI and the TENS groups. Both groups participated in home-based and functional exercises. A visual analog scale (VAS), the pressure pain threshold, range of motion (ROM), muscle strength, the Timed Up and Go Test, and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) were evaluated at baseline, after 8 weeks of treatment, and after a 6-week follow-up period.Results: The within-group comparisons showed significant improvements in outcomes for both treatments. However, the difference between the groups was significant in favor of the GMI group in knee flexion ROM, knee extensor muscle strength, and WOMAC-pain and WOMAC-function parameters at the end of the treatment, and VAS-activity, knee flexor muscle strength, and WOMAC-stiffness values showed greater improvement in the GMI group compared with the TENS group at the end of the 6-week follow-up (for all, p < 0.05).Conclusions: GMI seems to be a more effective adjuvant than TENS. If applied in PwKOA, pain and functional recovery improved, and results were maintained for up to 6 weeks.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789474","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

The Impact of Unilateral Transfemoral Amputation on Lumbar Bone and Muscle Quality.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-11-26 DOI: 10.1097/PHM.0000000000002667

Hannah A Levy, Marisa N Ulrich, Caden Messer, Andrew Pumford, Brian Kelley, Peter S Rose, Bradford Currier, Ahmad N Nassr, Brett A Freedman, Melvin Helgeson, Matthew Houdek, Fantley Smither, Brian A Karamian, Arjun S Sebastian

{"title":"The Impact of Unilateral Transfemoral Amputation on Lumbar Bone and Muscle Quality.","authors":"Hannah A Levy, Marisa N Ulrich, Caden Messer, Andrew Pumford, Brian Kelley, Peter S Rose, Bradford Currier, Ahmad N Nassr, Brett A Freedman, Melvin Helgeson, Matthew Houdek, Fantley Smither, Brian A Karamian, Arjun S Sebastian","doi":"10.1097/PHM.0000000000002667","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002667","url":null,"abstract":"Objective: To examine the long-term perioperative changes in lumbar bone density, muscle size and fatty atrophy, and facet degeneration after transfemoral amputation (TFA).Design: All patients who underwent TFA at an academic center between 2002-2022 were retrospectively identified. Patients were required to have preoperative and postoperative CT (>1 year) and regularly utilize a prosthesis. Preoperative to postoperative changes in lumbar and muscular vertebral Hounsfield units (HU), facet degeneration, and bilateral psoas, quadratus lumborum, multifidus, and erector spinae cross-sectional area (CSA) were determined.Results: A total of 42 patients met the inclusion criteria. There were significant preoperative to postoperative decreases in HUs in the L1 and L3 vertebral bodies were -17.69 and -25.35, respectively. There were significant pre- to post-operative increases in L4-5 and L5-S1 facet degeneration grade. There were significant pre- to post-operative decreases in amputated side psoas HU and CSA. There were also significant pre- to post-operative HU decreases in the bilateral multifidus and erector spinae muscles, where the changes were more pronounced on the contralateral side.Conclusion: TFA was associated with progression of lumbar facet degeneration, small scale decreases in lumbar bone quality, amputated side psoas atrophy, and bilateral fatty infiltration of the multifidus and erector spinae.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789543","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

The impact of stroke impairment and phases in daily steps of stroke survivors living in community: a systematic review with meta-analysis.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-11-20 DOI: 10.1097/PHM.0000000000002649

Amine Guediri, Stéphane Mandigout, Kokouvi Geovani Agbohessou, Jean-Christophe Daviet, Maxence Compagnat

{"title":"The impact of stroke impairment and phases in daily steps of stroke survivors living in community: a systematic review with meta-analysis.","authors":"Amine Guediri, Stéphane Mandigout, Kokouvi Geovani Agbohessou, Jean-Christophe Daviet, Maxence Compagnat","doi":"10.1097/PHM.0000000000002649","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002649","url":null,"abstract":"Objectives: to provide detailed information about the number of steps taken by stroke survivors based on their level of impairment in order to guide recommendations for PA.Design: A meta-analysis was conducted, including studies that assessed daily steps and stroke impairment in community-dwelling stroke patients. Participants were categorized into three groups based on stroke impairment severity (minor, minor and moderate, moderate and severe) and into two groups based on stroke phase (subacute and chronic).Results: A total of 47 studies were included, encompassing 1749 participants. There were 494 in the minor stroke group, 1097 in the minor and moderate group, and 158 in the moderate and severe group. A significant difference in daily steps was observed across these groups (P < 0.01), with the first group averaging 4645 steps/day, the second 3610 steps/day, and the third 1990 steps/day. No significant difference was found between the subacute and chronic groups in terms of daily steps (3839 vs 3783 steps/day).Conclusion: The study highlights the significant impact of stroke impairment on daily step count. We recommend implementing targeted interventions, particularly during the chronic phase, to increase PA levels in stroke survivors, tailored to the specific impairments of each patient.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789530","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