American Journal of Physical Medicine & Rehabilitation最新文献

{"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":"10.1097/PHM.0000000000002622","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was 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.</p><p><strong>Design: </strong>This is a single-blinded, randomized, controlled trial.</p><p><strong>Methods: </strong>One hundred eighteen 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 before and after treatment, after 3 mos of interventions, in both groups.</p><p><strong>Results: </strong>Two-way analysis of variance 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).</p><p><strong>Conclusions: </strong>Adding diaphragmatic release to 3 mos 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.</p><p><strong>To claim cme credits: </strong>Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME.</p><p><strong>Cme objectives: </strong>Upon completion of this article, the reader should be able to: (1) Recognize poor habits that play a significant role in developing hyperkyphosis in adolescents; (2) Construct the link between diaphragm malfunction and adolescent hyperkyphosis and its associated disorders of the cervical and thoracic spine and pulmonary function testing; (3) Carry out diaphragmatic myofascial release and corrective exercise for the spine; (4) Design a multimodal program to improve the Cobb angle and pulmonary function testing in hyperkyphotic adolescents; and (5) Measure the improvement of the Cobb angle and pulmonary function testing after treatment in hyperkyphotic adolescents.</p><p><strong>Level: </strong>Advanced.</p><p><strong>Accreditation: </strong>The Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The Association of Academic Physiatrists designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s) ™. Physicians should only claim credit commensurate with the extent of their ","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"203-209"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","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}

{"title":"Prevalence of Self-reported COVID-19 Infection in Persons With Complicated Mild to Severe Traumatic Brain Injury: A Traumatic Brain Injury Model Systems Study.","authors":"Shanti M Pinto, Leah M Adams, Audrie Chavez, Paul B Perrin, Thomas K Watanabe, Katherine Golden, Ally Sterling, Jeanne M Hoffman, Daniel H Daneshvar, Amanda Rabinowitz, Librada Callender, Flora M Hammond","doi":"10.1097/PHM.0000000000002587","DOIUrl":"10.1097/PHM.0000000000002587","url":null,"abstract":"<p><strong>Objectives: </strong>The aims of the study are to describe the incidence of self-reported COVID-19 history in a longitudinal cohort of individuals with complicated mild to severe traumatic brain injury and describe demographic, injury, and functional differences based on history of COVID-19 infection.</p><p><strong>Design: </strong>Individuals with complicated mild to severe traumatic brain injury aged 16 or older at time of injury who were enrolled in the Traumatic Brain Injury Model Systems longitudinal cohort study, completed a baseline or follow-up interview between October 1, 2021-March 31, 2023, and provided information about COVID-19 history and timing of COVID-19 infection was collected.</p><p><strong>Results: </strong>Of the 3627 individuals included in the analysis, 29.5% reported a history of COVID-19 infection. Those with reported COVID-19 history tended to be younger, not of a racial/ethnic minority background, and greater functional status at follow-up based on the Glasgow Outcome Scale-Extended Scale compared with those with no reported COVID-19 history ( P < 0.05). Among those with COVID-19 history, 61.8% did not receive medical care, 27.6% received medical care but no hospitalization, and 10.5% were hospitalized. Of those hospitalized, 21.4% required ventilator use.</p><p><strong>Conclusions: </strong>Incidence of COVID-19 diagnosis and related hospitalization characteristics in persons with complicated mild to severe traumatic brain injury was similar to national incidence between March 2020-2023. Secondary effects of the COVID-19 pandemic on persons with traumatic brain injury require investigation.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"243-249"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141490577","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}

{"title":"Rare Cause of Ischiofemoral Impingement Syndrome.","authors":"Mustafa Yesilyurt, Recep Sade","doi":"10.1097/PHM.0000000000002613","DOIUrl":"10.1097/PHM.0000000000002613","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e41-e43"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141854467","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}

{"title":"Response to Letter to the Editor: \"The Relationship of body Mass Index on Patient Reported Outcomes After Platelet-Rich Plasma Versus Microfragmented Adipose Tissue for Knee Osteoarthritis: A Secondary Analysis of a Randomized Controlled Trial\".","authors":"Michael Baria, Reshma George, Tyler Barker, David Flanigan, Christopher Kaeding, Robert Magnussen","doi":"10.1097/PHM.0000000000002690","DOIUrl":"10.1097/PHM.0000000000002690","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e47-e48"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942838","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}

{"title":"Dropouts in exercise rehabilitation program in patients with Long COVID: A systematic review.","authors":"Adão Luis Monte, Jéssika Karla Tavares do Nascimento Faustino da Silva, Max Duarte de Oliveira, Breno Quintella Farah, Hélcio Kanegusuku, Marilia de Almeida Correia, Raphael Mendes Ritti Dias","doi":"10.1097/PHM.0000000000002719","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002719","url":null,"abstract":"<p><strong>Objective: </strong>To describe dropout rates, reasons, and factors associated with dropout during rehabilitation programs for patients with Long COVID.</p><p><strong>Design: </strong>A search was conducted in PubMed, Embase, and Web of Science. Clinical trials were included that involved exercise programs lasting at least 4 weeks and focused on Long COVID patients aged 18 or older of both sexes, reporting on dropouts and their reasons. The TESTEX scale assessed study quality. Data on patients, interventions, and dropout rates were extracted and presented as frequencies.</p><p><strong>Results: </strong>Twenty-three studies with 1,523 patients (mean age 53.0 ± 6.4 years, 51% female) were included. Overall, 14% (n = 216) of Long COVID patients dropped out. Reasons included health problems (23%), incomplete assessments (19%), loss of interest (16%), lack of adherence (7%), adherence to other interventions (4%), and 31% unreported. The dropout rate was significantly higher in 2020 compared to 2021 (p = 0.039), while no significant associations were observed between the dropout rate and other variables.</p><p><strong>Conclusion: </strong>Exercise rehabilitation studies for Long COVID patients show a 14% dropout rate, with the most common reasons being health-related issues and incomplete assessments.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555566","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}

{"title":"The learner's perspectives of free, online, international CME in rehabilitation: a mixed methods analysis.","authors":"Britney Soll, Heather Dow, Eleanor Elisabeth Mohith-de Muinck Keizer, Paul Winston","doi":"10.1097/PHM.0000000000002723","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002723","url":null,"abstract":"<p><strong>Abstract: </strong>The COVID-19 pandemic spurred global engagement with continuing medical education (CME). The Canadian Advances in Neuro-Orthopedics for Spasticity Consortium's free online platform offering interdisciplinary expert lectures on spasticity saw parallel growth. We analysed 1733 responses from 41 post-session surveys to assess the learner's perspectives of online CME using a convergent mixed-methods design. The qualitative analysis produced four themes: [1] event value and satisfaction (subthemes: quality and impact of speakers, accessibility of the online format, discussions and interactions, and the benefits of visual learning), [2] increased competence (subthemes: increased knowledge, intent to apply, and increased confidence), [3] inspiring collaboration (subthemes: need for multidisciplinary teams, international collaboration, and effective communication tools), [4] considerations and recommendations (subthemes: relevance to developing countries, technical aspects, and academic level of content). Quantitative analyses supported these findings, showing high levels of satisfaction and perceived gains in knowledge. Notably, 88% of participants indicated intent to apply their knowledge, and 84% stated that it would enhance their competence. These results underscore the importance of interaction in online education and highlights a need for communication skills training to facilitate multidisciplinary teamwork. The findings revealed disparities in perceptions of the academic difficulty of CME, which warrants investigation into participants' CME selection.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555625","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}

{"title":"Interview Type and Signal Preferences of Interview Applicants to a Physical Medicine and Rehabilitation Residency Program: A Pilot Study.","authors":"Eduard Tiozzo, Lance Reccoppa, Gemayaret Alvarez, Tricia A Prince, Andrew L Sherman, Leslie Morse, Kerstin Yu, Diana Molinares","doi":"10.1097/PHM.0000000000002722","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002722","url":null,"abstract":"<p><strong>Abstract: </strong>This study examined preferences in interview type and signals among applicants interviewed by a non-surgical residency program during the 2023-2024 application cycle. A Qualtrics survey was sent to 88 interview applicants of a university-based Physical Medicine and Rehabilitation (PM&R) residency program. Main outcomes included interview type preference the applicants had with our PM&R program only and their interview type preference with multiple PM&R programs, and preferred number of signals. A resulting 38% of applicants completed the survey. The responders (n = 33) had a similar sex and race distribution compared to all interview applicants. Regarding preferred interview type for our single program, 42% favored in-person, while 40% favored virtual. Those geographically closer to our program had similar interview-type preferences compared to participants from other regions. For multiple program interviews, 52% preferred hybrid, 24% virtual, and 15% in-person format. For signal preferences, 70% of the applicants preferred more than five program signals. The program signaling preference was similar between those with more versus less interviews, for which the cut-off of 10 interviews during the 2023-2024 application cycle was used. Overall, respondents did not have a preferred interview format with a single program, strongly preferred the hybrid format when considering multiple programs, and preferred more program signals.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143555567","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}

{"title":"Cervical Collar Satisfaction and Functional Impact in Amyotrophic Lateral Sclerosis: A Survey Study.","authors":"Katherine M Burke, Cristina Shea, Vishni Arulanandam, Stacey Sullivan, Amy S Ellrodt, Claire MacAdam, Kendall Carney, Gabriella Casagrande, Elizabeth Christiansen, Sabrina Paganoni","doi":"10.1097/PHM.0000000000002716","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002716","url":null,"abstract":"<p><strong>Objectives: </strong>Many people with amyotrophic lateral sclerosis (ALS) develop cervical muscle weakness, often managed with cervical collars. Finding supportive and comfortable collars can be challenging. This study aimed to evaluate satisfaction with various collars and their impact on activities of daily living.</p><p><strong>Design: </strong>This electronic survey study collected demographic information, clinical status, and participant experiences with commonly used cervical collars.</p><p><strong>Results: </strong>Thirty-four participants (33 with ALS, 1 with primary lateral sclerosis) completed the survey, with 79% reporting neck weakness and 38% experiencing neck pain. Among those who tried cervical collars (65%), many had tried multiple options. The mean satisfaction across all collar types was 5.03 (SD = 2.92) out of 10.</p><p><strong>Conclusion: </strong>These findings suggest current collars do not fully meet the needs of people living with ALS, emphasizing the importance of improved treatment options. Future research should explore innovative technologies to improve cervical support, function, and quality of life.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143490449","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}

{"title":"THE EFFECTS OF NEUROMUSCULAR ELECTRICAL STIMULATION ADJUNCT TO LUMBAR STABILIZATION EXERCISES ON MULTIFIDUS MUSCLE THICKNESS, PAIN, DISABILITY, AND PSYCHOSOCIAL STATUS IN PATIENTS WITH CHRONIC LOW BACK PAIN.","authors":"Serenay Vardar, Gokcenur Yalcin, Selin Aksungur, Muhammet Ali Yavuzdemir, Tugba Ozsoy Unubol, Emre Ata","doi":"10.1097/PHM.0000000000002715","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002715","url":null,"abstract":"<p><strong>Objective: </strong>To assess the effects of neuromuscular electrical stimulation combined with lumbar stabilization exercises on lumbar multifidus muscle thickness, disability, pain, depression, anxiety, and fear-avoidance beliefs in patients with chronic low back pain; and to examine the correlation between ultrasound and magnetic resonance imaging of the lumbar multifidus.</p><p><strong>Design: </strong>Forty patients aged 18-65 years were randomized into two groups: Group 1: exercise and Group 2: exercise + neuromuscular electrical stimulation. The participants underwent 15-session electrical stimulation and/or exercise (3 days/week). All outcome measures assessed at baseline, post-treatment, and 3 months after. Multifidus cross-sectional area on magnetic resonance imaging was measured only at baseline.</p><p><strong>Results: </strong>Multifidus thickness increased, and pain decreased significantly in both groups, more prominent in Group 2. Disability, depression, and fear-avoidance beliefs scores significantly decreased in both groups, while anxiety decreased only in Group 1. Both magnetic resonance and ultrasound measurements demonstrated excellent inter-rater reliability and statistically significant correlations.</p><p><strong>Conclusion: </strong>Both groups improved in terms of pain, disability, psychological status and muscle thickness. Neuromuscular electrical stimulation adjunct to lumbar stabilization exercises demonstrated enhanced effectiveness in increasing lumbar multifidus thickness.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405040","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}

{"title":"Physical activity is associated with better cognitive measures of verbal fluency, immediate recall, delayed recall, and numeracy in older people with osteoarthritis and moderate-severe pain.","authors":"Daniel C Ogrezeanu, Rodrigo Núñez-Cortés, Lars Louis Andersen, Rubén López-Bueno, Luis Suso-Martí, Joaquín Salazar-Méndez, Carlos Cruz-Montecinos, Joaquín Calatayud","doi":"10.1097/PHM.0000000000002711","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002711","url":null,"abstract":"<p><strong>Objective: </strong>This cross-sectional study assesses the relationship between physical activity (PA) and crucial indicators of cognitive function in older adults with osteoarthritis and moderate-severe pain.</p><p><strong>Design: </strong>Data were derived from the 9th wave of the Survey of Health, Ageing and Retirement in Europe (SHARE), conducted among older people in 27 European countries and Israel. Cognitive measures of verbal fluency, immediate recall, delayed recall, and numeracy were included, as well as self-reports of PA level. Multivariable linear regression analysis was applied to test associations, adjusted for various demographic and lifestyle factors.</p><p><strong>Results: </strong>7,429 participants were included. A positive association was found between performing moderate PA more than once a week and better verbal fluency (β = 2.16; 95%CI: 1.75-2.58), immediate recall (β = 0.51; 95%CI: 0.41-0.60), delayed recall (β = 0.45; 95%CI: 0.34-0.57) and numeracy (β = 0.43; 95%CI: 0.34-0.52) compared to hardly ever or never performing PA. Additionally, a positive but weaker association was found between performing vigorous PA once a week and better verbal fluency (β = 1.52, 95%CI: 1.02-2.02), immediate recall (β = 0.29, 95%CI: 0.18-0.41), delayed recall (β = 0.41, 95%CI: 0.27-0.54) and numeracy (β = 0.33, 95%CI: 0.23-0.44).</p><p><strong>Conclusions: </strong>Regular PA, particularly moderate intensity, is positively associated with better cognitive measures of verbal fluency, immediate recall, delayed recall, and numeracy, with the strongest benefits observed for verbal fluency.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405050","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}