American Journal of Physical Medicine & Rehabilitation最新文献_第6页

Disability Competencies in Medical Education (DISCO-MED): Qualitative Study of Unmet Needs. 医学教育中的残疾能力（DISCO-MED）：未满足需求的定性研究。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-10-07 DOI: 10.1097/PHM.0000000000003172

Jennifer Crumling, Sarahrose Jonik, Daniel Bastian, Shanee Abouzaglo, Nethra Ankam, Rosemary Frasso, Thiru Annaswamy

{"title":"Disability Competencies in Medical Education (DISCO-MED): Qualitative Study of Unmet Needs.","authors":"Jennifer Crumling, Sarahrose Jonik, Daniel Bastian, Shanee Abouzaglo, Nethra Ankam, Rosemary Frasso, Thiru Annaswamy","doi":"10.1097/PHM.0000000000003172","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003172","url":null,"abstract":"Objective: To explore the lived experiences of persons with disabilities and compare to current disability medical education guidelines, and to identify gaps in medical professionals' preparedness to provide appropriate care.Design: A qualitative pilot study using semi-structured interviews with eight individuals with disabilities. Interview transcripts were analyzed using thematic analysis in Dedoose and compared to established medical education guidelines: the Core Competencies on Disability for Health Care Education (CCDHE) and the expanded Framework to End Health Disparities of People with Disabilities.Results: Six major themes emerged: (1) conceptualizing disability, (2) patient challenges and empowerment, (3) provider traits and professionalism, (4) provider-patient relationship dynamics, (5) social determinants of health and accessibility, and (6) therapeutic importance and follow-up. Prominent subthemes included empathy and support, communication and consideration, advocacy and acceptable language, accessibility and support, and differing needs. Findings largely aligned with the CCDHE and the expanded framework while revealing gaps with the patient's lived experiences.Conclusion: Despite existing competency frameworks, significant gaps remain in how medical professionals are trained to meet the needs of persons with disabilities. These findings underscore the urgent need to revise and expand disability-related education within medical curricula to improve healthcare accessibility and quality for this population.","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":"149102719","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

Comparative Efficacy of Electrical Stimulation Therapies for Bone Healing: A Network Meta-analysis of Randomized Controlled Trials. 电刺激治疗骨愈合的比较疗效：随机对照试验的网络荟萃分析。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-10-07 DOI: 10.1097/PHM.0000000000003169

Guangtao Liu, Jianfeng Sun, Wenqing Xie, Hengzhen Li, Guang Yang, Bingzhou Ji, Yuming Yao, Yusheng Li, Xucheng Yang, Wenfeng Xiao

{"title":"Comparative Efficacy of Electrical Stimulation Therapies for Bone Healing: A Network Meta-analysis of Randomized Controlled Trials.","authors":"Guangtao Liu, Jianfeng Sun, Wenqing Xie, Hengzhen Li, Guang Yang, Bingzhou Ji, Yuming Yao, Yusheng Li, Xucheng Yang, Wenfeng Xiao","doi":"10.1097/PHM.0000000000003169","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003169","url":null,"abstract":"Objective: This network meta-analysis aimed to evaluate the effectiveness of electrical stimulation (ES) in promoting bone healing and to identify the optimal modality.Design: This network meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA, Supplemental Digital Content 4, https://links.lww.com/PHM/D49) guidelines. PubMed, Cochrane, Embase, and Web of Science were searched up to January 2, 2025 for relevant RCTs. Study quality was assessed by two independent reviewers. Data were analyzed using R 4.3.1 and Stata 15.1.Results: A total of 37 RCTs (3,325 subjects) were included. Overall, ES therapy improved bone healing rates compared to controls (RR 1.18, 95% CI 1.09-1.28), with pulsed electromagnetic fields (PEMF; RR 1.20, 95% CI 1.02-1.41) and combined magnetic fields (CMF; RR 1.49, 95% CI 1.14 -1.95) being particularly effective. For functional recovery, non-invasive interactive neurostimulation (NIN) ranked highest, with a surface under the cumulative ranking curve (SUCRA) value of 95.32%, followed by PEMF (SUCRA 64.64%) and transcutaneous electrical acupoint stimulation (TEAS; SUCRA 60.54%).Conclusions: ES therapy promotes bone healing, with PEMF appearing the most effective modality. However, additional high-quality RCTs are needed to confirm these findings and guide clinical application.","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":"149102762","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

Abstracts of Scientific Papers and Posters Presented at the ISPRM 2026 World Congress & 74th Canadian Association of Physical Medicine & Rehabilitation (CAPM&R) Annual Meeting Vancouver, Canada May 17 - 21, 2026. 2026年5月17日至21日，加拿大温哥华，ISPRM 2026世界大会暨第74届加拿大物理医学与康复协会（CAPM&R）年会上发表的科学论文和海报摘要。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-10-10 DOI: 10.1097/PHM.0000000000003146

引用次数: 0

Sudden Neurological Decline Following HSV Encephalitis: A Clinical Vignette. HSV脑炎后的突然神经衰退：一个临床小插曲。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-09-29 DOI: 10.1097/PHM.0000000000003165

Paul Varghese, Nicholas Petersen, Emily N Hillaker, William W Ide

引用次数: 0

Repurposing Reserpine for the Treatment for Traumatic Spinal Cord Injury Revised: September 18, 2026. 利血平在外伤性脊髓损伤治疗中的应用2026年9月18日

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-09-29 DOI: 10.1097/PHM.0000000000003168

Shanker Nesathurai

引用次数: 0

A Composite Physical Performance Score for Predicting Discharge Functional Independence Measure motor score in Subacute Orthopedic Rehabilitation: A Retrospective Study. 预测亚急性骨科康复出院功能独立测量运动评分的综合体能表现评分：一项回顾性研究。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-09-29 DOI: 10.1097/PHM.0000000000003166

Hideaki Matsuzaki, Daisuke Furukawa, Takehiro Shirota, Masahiro Matsuo, Teppei Fukuda, Momoka Tsushima, Shiori Yoshida, Atsuhiro Takayama, Yasuhiro Fujimoto, Yuria Oishi

{"title":"A Composite Physical Performance Score for Predicting Discharge Functional Independence Measure motor score in Subacute Orthopedic Rehabilitation: A Retrospective Study.","authors":"Hideaki Matsuzaki, Daisuke Furukawa, Takehiro Shirota, Masahiro Matsuo, Teppei Fukuda, Momoka Tsushima, Shiori Yoshida, Atsuhiro Takayama, Yasuhiro Fujimoto, Yuria Oishi","doi":"10.1097/PHM.0000000000003166","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003166","url":null,"abstract":"Objective: To examine whether admission comfortable walking speed, Timed Up and Go test, and Berg Balance Scale add predictive value for discharge Functional Independence Measure motor score, and whether a composite score outperforms individual measures in older adults undergoing subacute orthopedic rehabilitation.Design: Single-center retrospective cohort study of 158 patients aged ≥65 years admitted to a Japanese subacute rehabilitation ward. Linear regression compared a base model including common clinical factors with models adding walking speed, Timed Up and Go test, Berg Balance Scale, or an equal-weight composite score. Internal predictive performance was assessed using repeated 10-fold cross-validation.Results: All three performance measures improved prediction beyond the base model. The composite score showed the best overall performance and the best cross-validated performance. The composite score remained independently associated with discharge Functional Independence Measure motor score (β=4.48, 95% confidence interval: 2.35-6.61), and adjusted mean score increased progressively across low, mid, and high score groups.Conclusions: Admission mobility and balance measures provide incremental value for predicting discharge Functional Independence Measure motor score, and a simple composite score integrating single indicators may offer a practical, clinically interpretable approach for early prediction of discharge Functional Independence Measure motor score.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149073383","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

Multidimensional Comparative Effectiveness of Extracorporeal Shock Wave Therapy and Complex Decongestive Therapy in Lipedema: A Randomized Controlled Trial. 体外冲击波治疗和综合减充血治疗对脂肪水肿的多维比较效果：一项随机对照试验。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-09-24 DOI: 10.1097/PHM.0000000000003164

Mihrinur Dilvin Türköz, Zerrin Kasap, Benay Keleş

{"title":"Multidimensional Comparative Effectiveness of Extracorporeal Shock Wave Therapy and Complex Decongestive Therapy in Lipedema: A Randomized Controlled Trial.","authors":"Mihrinur Dilvin Türköz, Zerrin Kasap, Benay Keleş","doi":"10.1097/PHM.0000000000003164","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003164","url":null,"abstract":"Objective: To compare the efficacies of extracorporeal shock wave therapy (ESWT) and complex decongestive therapy (CDT) in patients with lipedema.Design: This randomized-controlled-study included 33 patients with lipedema, with 11 patients in each of the three groups. The first group received ESWT alone, the second group received CDT alone, and the third group received ESWT followed by CDT within the session for six treatment sessions. Assessments were performed at baseline and two weeks after treatment completion. Outcome measures included total and lower extremity fat mass assessed using dual-energy X-ray absorptiometry, lower extremity volume, body mass index, pain intensity, pressure pain threshold, and quality of life.Results: Total and lower extremity fat mass decreased significantly only in the ESWT and ESWT+CDT groups (P<0.05), although the magnitude of improvement was small and not superior to that of CDT alone (P>0.05). Additionally, all three groups showed significant improvements in lower extremity volume, pain intensity, pressure pain threshold, and quality of life (P<0.05), with no significant differences between the groups (P>0.05).Conclusion: All three treatment approaches are safe and feasible options for the management of lipedema. Considering its low cost, accessibility, and ease of application, ESWT may be preferred over the other treatment modalities.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149036084","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

Team Approach to Functional Neurological Disorder with Traumatic Brain Injury in an Inpatient Rehabilitation Setting: A Case Report. 创伤性脑损伤住院患者康复环境中功能性神经障碍的团队治疗方法：一例报告。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-09-22 DOI: 10.1097/PHM.0000000000003163

Seungjae Cho, Sarah C Lidstone, Brenna Kelly, Meiqi Guo, Carl Froilan D Leochico

{"title":"Team Approach to Functional Neurological Disorder with Traumatic Brain Injury in an Inpatient Rehabilitation Setting: A Case Report.","authors":"Seungjae Cho, Sarah C Lidstone, Brenna Kelly, Meiqi Guo, Carl Froilan D Leochico","doi":"10.1097/PHM.0000000000003163","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003163","url":null,"abstract":"Functional neurological disorder (FND) is a prevalent yet underrecognized cause of neurological disability and one of the most common reasons for neurology referral, yet access to structured rehabilitation pathways remains limited. We present the case of a 63-year-old woman who developed persistent dissociative seizures and disabling multi-domain symptoms in acute care following traumatic brain injury. Following transfer to an inpatient acquired brain injury rehabilitation unit, physiatrist-led diagnostic clarification, interprofessional team training and structured interdisciplinary patient and family education on FND, and function-oriented, FND-informed rehabilitation strategies were implemented. During the rehabilitation admission, her dissociative seizures decreased in severity and frequency, medical comorbidities were managed without readmission to acute care, and she achieved meaningful gains in mobility, cognition, independence, and self-management strategies for her functional seizures, allowing safe discharge home. This case emphasizes the critical role of inpatient rehabilitation units, physiatry leadership, and interdisciplinary collaboration with neurology and psychology in managing complex FND presentations in an inpatient setting. Further, it highlights the urgent need to diagnose FND early so treatment plans can be adapted accordingly.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149015428","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

Effect of Music-Based Interventions in Cardiac Rehabilitation: A Systematic Review. 音乐干预在心脏康复中的作用：一项系统综述。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-09-18 DOI: 10.1097/PHM.0000000000003156

Seoyon Yang, Tae-Yoon Kim, Min Cheol Chang

{"title":"Effect of Music-Based Interventions in Cardiac Rehabilitation: A Systematic Review.","authors":"Seoyon Yang, Tae-Yoon Kim, Min Cheol Chang","doi":"10.1097/PHM.0000000000003156","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003156","url":null,"abstract":"Objective: Cardiac rehabilitation (CR) is a multidisciplinary program that integrates supervised exercise, education, and lifestyle modification to support recovery. Music-based interventions have gained increased attention because of their potential therapeutic effects on psychological and functional outcomes. This review was conducted to evaluate the effects of music-based interventions in CR on psychological engagement, motivation, and functional outcomes in patients with cardiac conditions.Design: A systematic search was initially conducted for articles published up to March 19, 2026, in PubMed, Embase, Scopus, the Cochrane Library, and Web of Science. Studies were included if they investigated the effects of music-based interventions in patients undergoing CR.Results: Among 1061 identified articles, 731 were excluded after title and abstract screening. Of the remaining 15 full-text articles assessed, 9 studies evaluating music-based interventions in CR were ultimately included. These studies primarily reported improvements in psychological outcomes, motivation, exercise adherence, and functional performance, rather than direct cardiovascular outcomes.Conclusion: Current evidence suggests that music-based interventions may serve as supportive adjuncts to CR by improving psychological well-being, motivation, and adherence-related outcomes rather than directly affecting cardiovascular parameters. However, further high-quality studies with larger cohorts and objective outcome measures are needed to clarify their long-term clinical impact.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148987746","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

Bilateral Hoffa's Fat Pad Ganglion Cysts with Subcutaneous Extension: A Rare Case Report. 双侧Hoffa脂肪垫神经节囊肿伴皮下扩张一例罕见报告。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-09-16 DOI: 10.1097/PHM.0000000000003160

Debasish Jena, Jyoti Ranjan Parida, Sanyal Kumar, Anurug Biswas

引用次数: 0