American Journal of Physical Medicine & Rehabilitation最新文献_第5页

Correlation of Self-efficacy with Short-term Outcome after Carpal Tunnel Release Surgery: A Prospective Multicenter Observational Cohort Study. 腕管释放手术后自我效能感与短期预后的相关性：一项前瞻性多中心观察队列研究。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-10-08 DOI: 10.1097/PHM.0000000000003176

Karolina A Protas, Mauritz Linus Püllen, Maurice Püllen, Isabella Fassola, Uwe Träger, Holger Joswig

{"title":"Correlation of Self-efficacy with Short-term Outcome after Carpal Tunnel Release Surgery: A Prospective Multicenter Observational Cohort Study.","authors":"Karolina A Protas, Mauritz Linus Püllen, Maurice Püllen, Isabella Fassola, Uwe Träger, Holger Joswig","doi":"10.1097/PHM.0000000000003176","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003176","url":null,"abstract":"Objective: Carpal tunnel release (CTR) surgery provides rapid symptom relief, however the prognostic role of cognitive factors such as self-efficacy remains unclear. The objective of this study was to examine, in an exploratory manner, whether preoperative general self-efficacy (GSE) is associated with functional outcomes, complications, and return-to-work time following CTR.Design: Prospective multicenter observational cohort study of 58 adults with clinically and electrophysiologically confirmed carpal tunnel syndrome undergoing CTR at three outpatient sites (August 2023-October 2025). Preoperative GSE (Schwarzer-Jerusalem scale, 10-40) was correlated with postoperative Boston Carpal Tunnel Syndrome Questionnaire Symptom Severity Scale (BCTSQ-SSS) and Functional Status Scale (BCTSQ-FSS) scores using Spearman's rho and linear mixed models. Secondary outcomes included complications and return-to-work time.Results: Mean preoperative GSE was 32.1 ± 5.4. Higher GSE was weakly associated with better BCTSQ outcomes in unadjusted analysis (SSS: rho=-0.29, P=0.03; FSS: rho=-0.26, P=0.04). In adjusted linear mixed models (age, sex, center), GSE remained associated with better BCTSQ-FSS (P=0.037) but not with symptom severity, magnitude of change over time or with return-to-work time (rho=0.19, P=0.34). Wound healing complications occurred in 6.9% (n=4).Conclusion: GSE alone is not an independent prognostic factor but may be one component of a multifactorial recovery process.","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":"149126485","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

Progressive Lower Extremity Weakness in a Young Adult with Cerebral Palsy. 青年脑瘫患者进行性下肢无力1例。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-10-08 DOI: 10.1097/PHM.0000000000003175

Matthew Gabriel, William Totura, Ishaan Hublikar

引用次数: 0

Comparative Effects of Schroth and Core Stabilization Exercises in Adolescent Idiopathic Scoliosis: A Randomized Controlled Trial. Schroth和核心稳定训练对青少年特发性脊柱侧凸的比较效果：一项随机对照试验。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-10-08 DOI: 10.1097/PHM.0000000000003179

Sefa Yildirim, Devrim Tarakci, Sensu Dincer, Türker Sahinkaya, Fuat Gökdemir, Aysegul Yabaci Tak, Nuh Mehmet Elmadag

{"title":"Comparative Effects of Schroth and Core Stabilization Exercises in Adolescent Idiopathic Scoliosis: A Randomized Controlled Trial.","authors":"Sefa Yildirim, Devrim Tarakci, Sensu Dincer, Türker Sahinkaya, Fuat Gökdemir, Aysegul Yabaci Tak, Nuh Mehmet Elmadag","doi":"10.1097/PHM.0000000000003179","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003179","url":null,"abstract":"Objective: To compare the effects of Schroth and core stabilization exercises on Cobb angle, angle of trunk rotation (ATR), trunk and hip muscle strength, muscle stiffness, respiratory muscle strength, and perceived cosmetic deformity in adolescents with idiopathic scoliosis (AIS).Design: This randomized controlled trial included 38 adolescents with AIS who were randomly allocated to either the Schroth exercise group or the core stabilization exercise group. Both groups participated in a 12-week exercise program. Cobb angle, ATR, trunk and hip muscle strength, muscle stiffness, respiratory muscle strength, and perceived cosmetic deformity were assessed at baseline and post-intervention.Results: Both groups demonstrated significant improvements in trunk and hip muscle strength, with no significant differences between groups. No significant within- or between-group changes were observed in muscle stiffness. The Schroth exercise group showed significantly greater improvements in Cobb angle, ATR, respiratory muscle strength, and perceived cosmetic deformity compared with the core stabilization exercise group (P <0.05).Conclusions: Schroth exercises were more effective than core stabilization exercises in reducing Cobb angle and ATR, and in improving respiratory muscle strength and perceived cosmetic deformity in AIS.","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":"149126439","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

Risk of Degenerative Spine Disease, Interventional Spine Procedures and Spine Surgery in Patients with Multiple Sclerosis: A Real-World Cohort Analysis using TriNetX. 多发性硬化症患者退行性脊柱疾病、介入性脊柱手术和脊柱手术的风险：使用TriNetX的真实世界队列分析

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-10-08 DOI: 10.1097/PHM.0000000000003180

Sebastian Encalada, Ricardo Vivanco, Paul Louigene, Misbah Azeem, Sara Shahid Salles, Nicholas Elwert

{"title":"Risk of Degenerative Spine Disease, Interventional Spine Procedures and Spine Surgery in Patients with Multiple Sclerosis: A Real-World Cohort Analysis using TriNetX.","authors":"Sebastian Encalada, Ricardo Vivanco, Paul Louigene, Misbah Azeem, Sara Shahid Salles, Nicholas Elwert","doi":"10.1097/PHM.0000000000003180","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003180","url":null,"abstract":"Objectives: To determine the association between Multiple Sclerosis (MS) and Degenerative Spine Disease (DSD) and the subsequent utilization of interventional pain (IVP) procedures and spine surgery.Design: A retrospective, active comparator cohort study using TriNetX. Adults with MS were matched to adults with migraine without aura. The primary outcome was the incidence of newly recorded composite DSD within a 5-year analysis window. Utilization of spine surgery and IVP procedures was assessed over a 1-year period in separately matched cohorts indexed at the time of incident DSD.Results: Among 288,401 matched patients per cohort, composite DSD occurred in 12.7% of patients with MS and 9.3% of comparators (risk ratio, 1.36). Cervical/thoracic DSD diagnoses were more frequent in MS, while lumbar cases were slightly less common. Spine surgery rates were lower in MS (1.9% vs. 2.4%; risk ratio, 0.82), as were interventional pain procedures (3.2% vs. 5.1%; risk ratio, 0.63).Conclusions: MS was associated with more frequent recorded DSD, with variation by anatomic region. IVP procedures were recorded less often among patients with MS, whereas evidence for lower overall spine surgery utilization varied across analyses.","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":"149126462","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

Consensus-Based Learning Objectives for PM&R Clinical Rotations. 基于共识的PM&R临床轮转学习目标。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-10-07 DOI: 10.1097/PHM.0000000000003178

Leslie Rydberg, Nethra Ankam, Ashlee Bolger, Sarah Eickmeyer, Carley Sauter, Dorothy W Tolchin, Ravi E Kasi

引用次数: 0

Effect of Short-Rest Interval versus Traditional Multiple-Set Resistance Training Combined with Endurance Training in Patients with Cardiovascular Disease: A Randomized Clinical Trial. 短休息间隔与传统多组阻力训练结合耐力训练对心血管疾病患者的影响：一项随机临床试验

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-10-07 DOI: 10.1097/PHM.0000000000003170

Alexis Gillet, Michel Lamotte, Kevin Forton, Lucille Blaise, Jonathan Strapart, Chantal Godefroid, Malko Ibrahim, Malgorzata Klass, Céline Dewachter, Gaël Deboeck, Philippe van de Borne

{"title":"Effect of Short-Rest Interval versus Traditional Multiple-Set Resistance Training Combined with Endurance Training in Patients with Cardiovascular Disease: A Randomized Clinical Trial.","authors":"Alexis Gillet, Michel Lamotte, Kevin Forton, Lucille Blaise, Jonathan Strapart, Chantal Godefroid, Malko Ibrahim, Malgorzata Klass, Céline Dewachter, Gaël Deboeck, Philippe van de Borne","doi":"10.1097/PHM.0000000000003170","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003170","url":null,"abstract":"This randomized clinical trial compared short-rest interval resistance training (3/7 RT) with traditional multiple-set resistance training (3×9 RT) during a 12-week supervised cardiac rehabilitation program in patients with cardiovascular disease. Seventy-one participants were randomized to endurance training combined with either 3/7 RT (n=37) or 3×9 RT (n=34), performed three times per week. Primary outcomes were changes in VO₂peak and quadriceps strength; secondary outcomes included 30-s sit-to-stand performance and total lean mass. VO₂peak increased similarly in both groups (+3.6±3.3 vs. +4.0±4.6 ml/kg/min; P=0.786), as did sit-to-stand performance (+2±3 vs. +2±3 repetitions; P=0.873) and total lean mass (+1.04±1.5 vs. +0.94±1.7 kg; P=0.791). Quadriceps strength increased in both groups across multiple strength assessments but improved more after 3/7 RT than after 3×9 RT (+23±20 vs. +11±22 N·m; P=0.022) for isokinetic strength. These findings suggest that both resistance training modalities are feasible and effective within a cardiac rehabilitation program. As no consistent superiority of either protocol was observed across muscle strength measures, either modality may be considered in clinical practice, with patient preference taken into account when selecting the training approach.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102820","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

Honor the Person. 尊重人。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-10-07 DOI: 10.1097/PHM.0000000000003173

Jacob Sloane

引用次数: 0

Comparison of Early Postoperative Mobilization and Electrical Stimulation-Supported Rehabilitation on Functional Recovery After Lumbar Disc Herniation Surgery: A Prospective Randomized Controlled Trial. 术后早期活动和电刺激支持康复对腰椎间盘突出症术后功能恢复的比较：一项前瞻性随机对照试验。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-10-07 DOI: 10.1097/PHM.0000000000003177

Kadir Yıldırım, Oğuz Balkış, Mehmet Salih Tan

{"title":"Comparison of Early Postoperative Mobilization and Electrical Stimulation-Supported Rehabilitation on Functional Recovery After Lumbar Disc Herniation Surgery: A Prospective Randomized Controlled Trial.","authors":"Kadir Yıldırım, Oğuz Balkış, Mehmet Salih Tan","doi":"10.1097/PHM.0000000000003177","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003177","url":null,"abstract":"Objective: To compare early mobilization alone versus early mobilization combined with electrical stimulation on functional recovery, pain, and mobility after lumbar disc herniation surgery.Design: Prospective, two-arm, parallel-group randomized controlled trial.Methods: Sixty adults undergoing primary single-level lumbar discectomy were randomized to early mobilization alone (n=30) or early mobilization combined with NMES/TENS (n=30). Sessions were delivered three times weekly for 5 weeks. Outcomes included the Oswestry Disability Index (ODI), Visual Analog Scale (VAS), Timed Up and Go test (TUG), 10-Meter Walk Test (10MWT), and Manual Muscle Testing (MMT).Results: Significant time × group interactions favored the combined group for ODI (F(1,58)=7.55, P=0.008, η²P=0.115), VAS (F(1,58)=74.53, P <0.001, η²P=0.562), TUG (F(1,58)=27.89, P <0.001, η²P=0.325), 10MWT (F(1,58)=26.71, P <0.001, η²P=0.315), and MMT (F(1,58)=15.33, P <0.001, η²P=0.209). The combined intervention produced greater improvements, especially in pain.Conclusion: Adding electrical stimulation to early mobilization significantly enhances early functional recovery, reduces pain, and improves mobility and strength after lumbar disc herniation surgery. This low-cost adjunct can be readily integrated into routine rehabilitation.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102765","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

Osteitis Condensans Ilii Presenting as Right-Sided Low Back Pain: A Visual Vignette. 髂骨性凝聚性炎表现为右侧腰痛：一个视觉上的小特写。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-10-07 DOI: 10.1097/PHM.0000000000003171

Mehtab Khara, Michael Baria

引用次数: 0

Effect of iTBS and rTMS Combined with Robotic Rehabilitation on Ambulation and Lower Extremity Motor Function in Chronic SCI Patients. iTBS和rTMS联合机器人康复对慢性脊髓损伤患者行走和下肢运动功能的影响。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-10-07 DOI: 10.1097/PHM.0000000000003167

Ayse Naz Kalem Ozgen, Gokhan Yardimci, Bilge Yilmaz

{"title":"Effect of iTBS and rTMS Combined with Robotic Rehabilitation on Ambulation and Lower Extremity Motor Function in Chronic SCI Patients.","authors":"Ayse Naz Kalem Ozgen, Gokhan Yardimci, Bilge Yilmaz","doi":"10.1097/PHM.0000000000003167","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003167","url":null,"abstract":"Objective: To investigate the effectiveness of intermittent theta-burst stimulation (iTBS) and repetitive transcranial magnetic stimulation (rTMS) combined with robotic rehabilitation on ambulation and lower-extremity motor function in patients with spinal cord injury (SCI).Design: This study was a single center, single blind, randomized controlled trial. A total of 30 patients with chronic incomplete SCI were randomly assigned in a 1:1:1 ratio to one of three intervention groups: high-frequency rTMS, iTBS, or sham iTBS. All interventions were administered in combination with robotic rehabilitation. Assessments were performed at baseline, post-treatment, and 4-week follow-up.Results: Significant between-group differences were observed at 4 weeks for LEMS, SCIM III, and 10 MWT. Median improvements were 4.0, 5.0, and 0.0 for LEMS (P=.017, q=.050); 3.0, 5.0, and 0.0 for SCIM III (P=.016, q=.050); and 6.6, 5.7, and 0.7 for 10 MWT (P=.005, q=.046) in the rTMS, iTBS, and sham groups, respectively. No significant differences were observed between the active protocols, and no intervention-related adverse events occurred.Conclusions: Both rTMS and iTBS combined with robotic rehabilitation were associated with improvements in lower-extremity function, although differences versus sham varied across outcomes. No significant differences were observed between the two active protocols.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102792","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