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

Outcomes of proprioceptive training on recovery after anterior cruciate ligament reconstruction: A systematic review and meta-analysis. 本体感觉训练对前十字韧带重建后恢复的影响：系统回顾和荟萃分析。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-09-26 DOI: 10.1097/PHM.0000000000002639

Lei Huang, Guixuan You, Minghui Li, Zhangrong Xia, Siyi Yang, Xin Zhou, Houyin Shi, Dingxuan Wang, Lei Zhang

{"title":"Outcomes of proprioceptive training on recovery after anterior cruciate ligament reconstruction: A systematic review and meta-analysis.","authors":"Lei Huang, Guixuan You, Minghui Li, Zhangrong Xia, Siyi Yang, Xin Zhou, Houyin Shi, Dingxuan Wang, Lei Zhang","doi":"10.1097/PHM.0000000000002639","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002639","url":null,"abstract":"Objective: The study was designed to explore the effect of proprioceptive training in contrast to conventional training among individuals following anterior cruciate ligament reconstruction (ACLR). It includes joint position sense (JPS), subjective functional outcomes (Cincinnati, Knee injury Osteoarthritis Outcome Score, International Knee Documentation Committee knee form), muscle strength, pain, and kinesthesia.Methods: PubMed, EMBASE, The Cochrane Library, and Web of Science databases were searched. Quality assessment was performed through the Cochrane Risk of Bias tool and GRADE system. The standardized mean deviation (SMD) was selected as the effect size.Results: Fifteen studies and 537 participants were included. Compared with conventional training, proprioceptive training may significantly enhance passive JPS (SMD = -1.87 [95%CI: -2.39 to -1.34]) and single-leg hop function test performance (SMD = 0.29 [95%CI 0.04 to 0.54]). Data also indicated that proprioceptive training can moderately improve subjective functional outcomes (SMD = 0.61 [95%CI, 0.23 to 0.99]). However, there were no significant effects on active JPS, muscle strength and VAS.Conclusion: Proprioceptive training has the potential to yield beneficial effects on knee passive JPS, hop functional test and subjective functional outcomes in patients after ACLR. However, its impact on enhancing knee active JPS and kinesthesia may not be statistically significant.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142339525","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

Subacute Girdle-Band Pain in a Chronic Tetraplegic Patient with Syringomyelia Following Traumatic Spinal Cord Injury. 创伤性脊髓损伤后患有鞘膜积液的慢性四肢瘫痪患者的亚急性腰带疼痛。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-09-26 DOI: 10.1097/PHM.0000000000002642

Ryan Shields, Vaishnavi Muqeet

引用次数: 0

Can pharmaceutical care interventions improve the appropriate use of polypharmacy in older adults? - A Cochrane Review summary with commentary. 药物护理干预能否改善老年人对多种药物的合理使用？- 带评论的 Cochrane 综述摘要。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-09-25 DOI: 10.1097/PHM.0000000000002647

Vanessa M Young

引用次数: 0

Quality indicators prospectively associated with falls in inpatient rehabilitation facilities. 与住院康复设施中跌倒相关的质量指标展望。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-09-16 DOI: 10.1097/PHM.0000000000002625

Jonathan Robert Wright, Jamie D'Ausilio, Thomas Cappaert, Jeffery D Lau

{"title":"Quality indicators prospectively associated with falls in inpatient rehabilitation facilities.","authors":"Jonathan Robert Wright, Jamie D'Ausilio, Thomas Cappaert, Jeffery D Lau","doi":"10.1097/PHM.0000000000002625","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002625","url":null,"abstract":"Objective: Retrospective studies suggest quality indicators (QI) are associated with falls in inpatient rehabilitation facilities (IRFs), but this claim has not yet been validated prospectively. The aim of this study was to analyze the associations between QI codes and falls in a prospective sample.Design: For this prospective observational cohort study, we followed 658 patients from 4 IRFs who were consecutively admitted and discharged over a 6-month period. On admission, we collected patients' QI codes, and then, tracked whether they fell during their IRF stay.Results: Univariable logistic regressions revealed that most individual QI items for communication, self-care, and mobility were significantly associated with falls. In a multivariable model with 6 different QI items, only patients' performance going up and down 1 step was significantly associated with falls. To explain this finding, we investigated the relationships between these QI items and found 3 of them to be highly correlated.Conclusions: Most individual QI items appear prospectively associated with falls. Patients with lower QI codes are more likely to fall. Combining QI items (such as expression and toileting) may improve fall-risk assessment, but some QI items may be too interrelated to use together.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142339527","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

PM&R Connections: A pilot study evaluating the adoptability and impact of a serious educational game on trainees at a Physical Medicine and Rehabilitation program. PM&R Connections：一项试点研究，评估严肃教育游戏对物理医学与康复课程学员的可接受性和影响。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-09-16 DOI: 10.1097/PHM.0000000000002620

Shane N Stone, Steven Kirshblum

引用次数: 0

Effect of adding diaphragmatic myofascial release to corrective exercise on the thoracic curvature angle and pulmonary function testing in hyperkyphotic adolescent girls: A randomized controlled trial. 在矫正运动中加入膈肌筋膜松解术对胸椎弯曲角度和肺功能测试的影响：随机对照试验。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-09-16 DOI: 10.1097/PHM.0000000000002622

Omar M Elabd, Sara A Elsamahy, Sahar M Abdelmutilibe, Amira H Mohammed, Faten Ali, Aliaa M Elabd

{"title":"Effect of adding diaphragmatic myofascial release to corrective exercise on the thoracic curvature angle and pulmonary function testing in hyperkyphotic adolescent girls: A randomized controlled trial.","authors":"Omar M Elabd, Sara A Elsamahy, Sahar M Abdelmutilibe, Amira H Mohammed, Faten Ali, Aliaa M Elabd","doi":"10.1097/PHM.0000000000002622","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002622","url":null,"abstract":"Objective: To investigate whether adding diaphragmatic release to corrective exercise could improve the Cobb angle and pulmonary function more than corrective exercise alone in hyperkyphotic adolescent girls.Design: Single-blinded, randomized, controlled trial.Methods: 118 adolescent hyperkyphotic girls were allocated randomly into two equal groups. Control group received only corrective exercise, while study group received diaphragmatic release in addition to corrective exercise. Primary outcome was Cobb angle, assessed by lateral radiographs. Secondary outcomes were pulmonary function testing, assessed by computerized spirometery. Outcomes were assessed pre- and post-treatment, after three months of interventions, in both groups.Results: Two-way ANOVA revealed that both Cobb angle and pulmonary function testing significantly improved after treatment in both groups (p < 0.001). Time*group interaction revealed that the study group had a superior improvement in Cobb angle and pulmonary function testing compared to the control group (p < 0.003 and p < 0.001, respectively).Conclusion: Adding diaphragmatic release to three months of multimodal corrective exercise program showed superior improvements in Cobb angle and pulmonary function testing than corrective exercise alone in hyperkyphotic adolescent girls within a shorter timeframe compared to previous studies. These results strengthen the hypothesis of its potential as a beneficial addition to the treatment of thoracic hyperkyphosis.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142339522","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 knee strengthening exercises and lifestyle modifications through mobile phone support in people suffering from knee osteoarthritis. 通过手机支持对膝关节骨性关节炎患者进行膝关节强化训练和生活方式调整的效果。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-09-16 DOI: 10.1097/PHM.0000000000002624

Nikhil Garg, Nikhil Gupta, Kavin Khatri, Abhinav Kanwal, Zeeshan Hussain, Jimmy Sachdeva

{"title":"Effect of knee strengthening exercises and lifestyle modifications through mobile phone support in people suffering from knee osteoarthritis.","authors":"Nikhil Garg, Nikhil Gupta, Kavin Khatri, Abhinav Kanwal, Zeeshan Hussain, Jimmy Sachdeva","doi":"10.1097/PHM.0000000000002624","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002624","url":null,"abstract":"Objective: The study aimed to evaluate the effectiveness of mobile phone-based support in improving exercise adherence and outcomes in knee OA.Designs: A prospective comparative cohort study was conducted with a follow-up at 3, 6, and 12 weeks, involving 210 participants allocated into intervention and control groups. The intervention group received knee exercise flyers and mobile phone-based adherence support, while the control group received only standard instructions after physiotherapy. Outcome measures included Western Ontario and McMaster Universities Arthritis Index (WOMAC) scores, numeric rating scale pain scores, and quality of life assessments at baseline and follow-ups at 3, 6 and 12 weeks.Results: The intervention group exhibited significant reductions in WOMAC scores, pain scores and improvement in quality of life over the 12-week follow-up compared to baseline. The intervention group exhibited significantly greater improvements in the outcomes as compared to control group.Conclusion: A combined intervention of knee exercises leaflets and SMS/phone-call adherence support led to significant improvements in pain, functional outcomes and quality of life among individuals with knee OA. These findings underscore the potential of mobile phone-based interventions as effective adjuncts to traditional therapies for knee OA.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142339523","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 the ACTN3 R577X Polymorphism on Serum Creatine Kinase and Interleukin-6 Levels after Maximal Eccentric Exercise. ACTN3 R577X多态性对最大偏心运动后血清肌酸激酶和白细胞介素-6水平的影响

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-09-16 DOI: 10.1097/PHM.0000000000002623

Minoru Deguchi, Hiroki Homma, Kathleen Y de Almeida, Ayumu Kozuma, Mika Saito, Yosuke Tsuchiya, Karina Kouzaki, Eisuke Ochi, Takanobu Okamoto, Koichi Nakazato, Naoki Kikuchi

{"title":"Effect of the ACTN3 R577X Polymorphism on Serum Creatine Kinase and Interleukin-6 Levels after Maximal Eccentric Exercise.","authors":"Minoru Deguchi, Hiroki Homma, Kathleen Y de Almeida, Ayumu Kozuma, Mika Saito, Yosuke Tsuchiya, Karina Kouzaki, Eisuke Ochi, Takanobu Okamoto, Koichi Nakazato, Naoki Kikuchi","doi":"10.1097/PHM.0000000000002623","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002623","url":null,"abstract":"Objective: This study explored the interaction among ACTN3 R577X polymorphism, muscle damage, and post-exercise inflammatory response by assessing changes over time in serum creatine kinase and interleukin-6 levels.Design: Ninety-five active Japanese participants (50 men and 45 women: 22.2 ± 2.3 years) who did not perform daily upper limb strength exercises were enrolled. Participants executed five sets of six maximal eccentric elbow flexion exercises. The exercise duration was 9 min, including rest between sets (90 s). Maximum voluntary isometric contraction, range of motion, muscle soreness, and serum creatine kinase and interleukin-6 levels were assessed pre and post and 1, 2, 3, and 5 d after exercise. Genotype groups were classified as RR + RX and XX based on the absence of ACTN3 expression.Results: A significant time and group interaction (p = 0.045) on creatine kinase levels was observed between the groups, indicating that the absence of ACTN3 significantly affects creatine kinase changes. Conversely, no significant interaction on change in interleukin-6, maximum voluntary isometric contraction, range of motion, and muscle soreness was observed between groups.Conclusion: The results highlight an interaction on creatine kinase activity post-exercise by ACTN3 R577X polymorphism, with elevated activity in the XX genotype.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142339524","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

Association of internship with performance on American Board of Physical Medicine and Rehabilitation certification examinations. 实习与美国物理医学与康复委员会认证考试成绩的关系。

IF 3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2024-09-04 DOI: 10.1097/phm.0000000000002641

Sherilyn W Driscoll,David W Pruitt,Sunil Sabharwal,Mikaela M Raddatz,Carolyn L Kinney

{"title":"Association of internship with performance on American Board of Physical Medicine and Rehabilitation certification examinations.","authors":"Sherilyn W Driscoll,David W Pruitt,Sunil Sabharwal,Mikaela M Raddatz,Carolyn L Kinney","doi":"10.1097/phm.0000000000002641","DOIUrl":"https://doi.org/10.1097/phm.0000000000002641","url":null,"abstract":"Physical Medicine and Rehabilitation (PM&R) residents must complete twelve months of fundamental skills training prior to beginning PM&R residency. The objective of this study is to determine if characteristics of the first post-graduate year (PGY-1) impact performance on American Board of PM&R (ABPMR) initial certification examinations. A retrospective review was conducted on a deidentified ABPMR database of physicians who completed PM&R residency and took the Part I Examination between 2008 and 2022. Physicians who completed categorical residency programs in PM&R had higher pass rates on Part I than physicians who completed advanced programs. Physicians who completed a categorical program had higher scaled scores on the Part II Examination than physicians who completed either a transitional or non-transitional advanced program but pass rates did not differ. Completing less than 3 months of training in internal medicine prior to starting PM&R was associated with lower Part I and Part II Examination scaled scores than completing 3 or more months. Physicians who completed six or more months of internal medicine had higher Part I and Part II Examination pass rates and scaled scores than physicians who completed six or more months in surgery.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":"24 1","pages":""},"PeriodicalIF":3.0,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142223195","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

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 : 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":"https://doi.org/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. 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).Conclusion: 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":""},"PeriodicalIF":2.2,"publicationDate":"2024-09-04","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