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

Comparing the Characteristics of Randomized Controlled Trials of Post-Stroke Upper Extremity Rehabilitation in Low-Middle-Income and High-Income Countries. 中低收入和高收入国家脑卒中后上肢康复随机对照试验的特点比较

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. 脑震荡报告在足球运动员短期管理和终身功能调查中至关重要。

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. 股四头肌超声图像解释的可信度评估。

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. 罕见的膝关节内侧副韧带神经节囊肿：视觉影像。

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. 可穿戴机器人辅助步态训练对亚急性脑卒中患者平衡和行走能力的影响。

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

Unilateral Abdominal Wall Atrophy Due to Intercostal Nerve Injury Following Rib Fractures: A Rare Clinical Presentation. 肋骨骨折后肋间神经损伤导致单侧腹壁萎缩：一种罕见的临床表现。

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. 医学教育中的包容：整合残疾视角。

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