American Journal of Physical Medicine & Rehabilitation最新文献

{"title":"Future of International Spinal Cord Injury: Perspectives for Policy and Practice Implementation of the International Spinal Cord Injury Cohort Study.","authors":"Jerome Bickenbach, Diana Pacheco Barzallo, Mirja H Gross-Hemmi, Julia Engkasan, Reuben Escorpizo, James W Middleton, Vanessa K Noonan, Gerold Stucki","doi":"10.1097/PHM.0000000000003008","DOIUrl":"10.1097/PHM.0000000000003008","url":null,"abstract":"<p><strong>Background: </strong>The International Spinal Cord Injury (InSCI) Community Survey is the most comprehensive global data source describing the lived experience of persons with spinal cord injury or disease (SCI/D) living in the community. By collecting standardized, self-reported data across countries and health systems, InSCI operationalizes the World Health Organization's concept of functioning and provides a 360-degree perspective on health, participation, and social inclusion.</p><p><strong>Objective: </strong>This paper adopts a prospective perspective and examines how InSCI data can be implemented to inform practice and policy. It explores how InSCI can support the development of evidence-based Theories of Change (ToC) to guide implementation strategies addressing unmet needs and inequities experienced by persons with SCI/D.</p><p><strong>Methods: </strong>Building on findings from the first 2 waves of the InSCI survey, conducted between 2017-2019 and 2022-2024, this paper synthesizes methodological principles for implementation, situates InSCI within contemporary implementation science, and examines real-world applications of InSCI data at the national and international levels.</p><p><strong>Results: </strong>InSCI provides a unique evidentiary foundation for ToC development by integrating biomedical, personal, social, and environmental dimensions of functioning. Its comprehensive data model enables identification of priority gaps, formulation of realistic implementation pathways, and definition of measurable indicators for monitoring change. Existing national applications, including the Swiss National Strategy for Spinal Cord Injury, demonstrate the feasibility of translating InSCI evidence into coordinated policy and system-level reforms.</p><p><strong>Conclusion: </strong>InSCI is uniquely positioned to guide evidence-informed implementation of practice, programs, and policies for persons with SCI/D. By aligning with emerging global initiatives-particularly those led by the World Health Organization-and by grounding implementation in the concept of functioning and human rights, InSCI can support meaningful progress toward full inclusion, participation, and long-term wellbeing of persons living with SCI/D.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"844-849"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148270090","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":"Wearable Devices for Bioelectrical Stimulation in Rehabilitation: Review of the Current State.","authors":"Jason Patrick Caffrey, Won Jae Jeong, Janet Del Rosario","doi":"10.1097/PHM.0000000000003035","DOIUrl":"10.1097/PHM.0000000000003035","url":null,"abstract":"<p><p>Advancements in electrical stimulation technology, fabrication, and device design have led to the development of wearable bioelectrical stimulation devices, enabling rehabilitation in nontraditional settings. This scoping review evaluates the effectiveness of wearable bioelectrical stimulation devices for rehabilitation, providing an overview of the current state of clinical outcomes and prototype devices. A systematic search of MEDLINE was conducted on November 11, 2024, with additional relevant articles manually included. Studies were screened based on predefined inclusion and exclusion criteria. Out of 488 identified articles, 59 met the inclusion criteria. The categories represented were stroke (N = 10), cerebral palsy (N = 6), spinal cord injury (N = 5), musculoskeletal (N = 4), fibromyalgia (N = 3), and peripheral neuropathy (N = 3), in addition to other diagnoses (N = 8), healthy participants (N = 14), and nonclinically tested devices (N = 6). Reported potential benefits of the devices included improvements in gait abnormalities, knee pain, low back pain, fibromyalgia, and bladder dysfunction, while outcomes in spasticity, neurological recovery, and circulatory augmentation remain inconclusive. Wearable bioelectrical stimulation devices have gained significant interest in the field of rehabilitation, with devices spanning many form factors to target a wide array of conditions. However, until further research provides clearer evidence, wearable bioelectrical stimulation devices should be considered an adjunct to established rehabilitation interventions.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"856-869"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147939877","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":"Commentary on \"Effect of Transcranial Direct Current Stimulation at the Left Dorsolateral Prefrontal Cortex Combined With Quadriceps Strengthening Exercise in Chronic Knee Osteoarthritis: A Double-blind, Randomized, Sham-controlled Trial\".","authors":"Chakshujot Kaur, Sandeep Pattnaik","doi":"10.1097/PHM.0000000000003023","DOIUrl":"10.1097/PHM.0000000000003023","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e121"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148270073","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: Effect of Transcranial Direct Current Stimulation at the Left Dorsolateral Prefrontal Cortex Combined With Quadriceps Strengthening Exercise in Chronic Knee Osteoarthritis: A Double-Blind, Randomized, Sham-Controlled Trial.","authors":"Chernkhuan Stonsaovapak, Kanlayanee Boonprasit, Krisna Piravej","doi":"10.1097/PHM.0000000000003012","DOIUrl":"10.1097/PHM.0000000000003012","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e121-e122"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147939919","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 International Spinal Cord Injury Survey (InSCI).","authors":"Gerold Stucki, Walter R Frontera, Jerome Bickenbach","doi":"10.1097/PHM.0000000000002937","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002937","url":null,"abstract":"","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":"105 9","pages":"761-762"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148759302","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":"Current Musculoskeletal Pain and Injury History in Former NCAA Division I Female Athletes: A Cross-Sectional Survey.","authors":"Irene Kalbian, Miguel Escalon, Katharine Holmes, Rebecca Maitin","doi":"10.1097/PHM.0000000000003149","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003149","url":null,"abstract":"<p><strong>Objective: </strong>To determine the prevalence of current musculoskeletal pain among former NCAA Division I female athletes and examine associations with prior injury history, anatomical distribution of symptoms, and functional outcomes.</p><p><strong>Design: </strong>Cross-sectional web-based survey of former NCAA Division I female athletes. Participants completed questionnaires regarding athletic history, prior injuries, current pain, osteoarthritis diagnosis, physical activity, and PROMIS Pain Interference outcomes.</p><p><strong>Results: </strong>A total of 428 former NCAA Division I female athletes were included, of whom 305 (71.3%) reported current musculoskeletal pain. Athletes with pain were more likely to report injuries before college (71% vs. 46%), injuries during college (80% vs. 62%), continued training despite injury (73% vs. 55%), career-ending injuries (8.5% vs. 1.6%), and prior NSAID use (72% vs. 54%) (all P≤0.008). Pre-collegiate injury (adjusted OR 2.84, 95% CI 1.72-4.68) and career-ending injury (adjusted OR 4.85, 95% CI 1.10-21.45) independently predicted current pain. Current pain was concentrated primarily in the knee, spine, and hip/pelvis. Despite frequent symptoms, 94% of participants remained physically active.</p><p><strong>Conclusion: </strong>Persistent musculoskeletal pain is common among former NCAA Division I female athletes and is associated with cumulative injury burden. Longitudinal studies are needed to better understand musculoskeletal health across the female athletic lifespan.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863216","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":"Understanding Discordant Board Outcomes: Why Top Part I Performers Fail Part II of the ABPMR Certification Examination.","authors":"Sherilyn W Driscoll, Mikaela M Raddatz, Susan Apkon, Gerard E Francisco, Christopher Garrison, Carolyn L Kinney, Vu Q C Nguyen, David W Pruitt","doi":"10.1097/PHM.0000000000003151","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003151","url":null,"abstract":"<p><p>It is unexpected when initial certification examinees pass the American Board of Physical Medicine and Rehabilitation (ABPMR) Part I Examination with a top score and subsequently fail the Part II Examination. This study aims to determine individual and residency program factors associated with this outcome. A retrospective, observational review of ABPMR data between 1999 and 2025 identified 161 individuals (1.6% of all examinees) who passed Part I with top quartile performance but subsequently failed one or more attempt at Part II. Multinomial logistic regression models demonstrated a lower odds ratio for Part II failure among female physicians (OR=0.60, P=0.016) and those enrolled in fellowship training (OR=0.53, P=0.006). A higher odds ratio was found for physicians aged >40 years (OR=3.80, P<0.001), non-white ethnicity (OR=1.80, P=0.004), and those who completed newer (<10 years, OR=3.13, P=0.026) and smaller (2-4 and 5-7 residents per year, OR=1.98 and 2.13, P=0.009 and 0.001) residency programs. Awareness of this potential outcome should prompt rigorous preparation for the Part II Examination, even for the highest performing Part I examinees.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863251","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":"Are Cardiac Rehabilitation Programs Effective in Improving Aerobic Capacity for People With Transient Ischemic Attack and Stroke?: A Rapid Review and Meta-analysis.","authors":"Lucy Walton, Elisabeth Preston, Juliana De Mendonca, Allyson Flynn, Rachel Davey, Nicole Freene","doi":"10.1097/PHM.0000000000002912","DOIUrl":"10.1097/PHM.0000000000002912","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to evaluate the effectiveness of exercise-based cardiac rehabilitation in improving aerobic capacity for people with stroke or TIA.</p><p><strong>Design: </strong>This is a rapid review with meta-analysis.</p><p><strong>Resultsl: </strong>Four databases were searched from February 2015 to March 2025. Nine studies ( N  = 490 participants) of low-moderate quality were included (2 randomized controlled trials, 2 quasi-experimental trials, 5 pre-post studies), three of which were pooled for meta-analysis. Findings suggest cardiac rehabilitation improves aerobic capacity (28 m, 95% confidence interval = 16 m to 39 m, P  ≤ 0.00001) for people with TIA or stroke, with promising improvements also found for systolic blood pressure (95% confidence interval = -18 mmHg to -5.3 mmHg, P  = 0.0003), self-reported diet (95% confidence interval = 2.4 to 4.7, P  ≤ 0.00001), and self-reported physical activity (95% confidence interval = 1533 METmin/week to 5156 METmin/week, P  = 0.0003). No significant relationships were identified between program frequency, intensity, time, and type principles and aerobic capacity outcomes.</p><p><strong>Conclusions: </strong>Cardiac rehabilitation may be effective in improving aerobic capacity post-TIA or stroke, however current evidence is limited and of low certainty. Further high-quality research on program effectiveness, and the influence of frequency, intensity, time, and type principles is needed to support evidence-based decisions making by clinicians, researchers, and policy-makers.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"798-806"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148262905","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":"Incidence and Characteristics of Chronic Pain and Fatigue After 12 Months of Admission With Coronavirus Disease 2019: The Post-COVID-19 Syndrome.","authors":"Lobaneh Janbazi, Alireza Kazemian, Kourosh Mansouri, Seyed Pezhman Madani, Naseh Yousefi, Farzan Vahedifard, Gholamreza Raissi","doi":"10.1097/PHM.0000000000002030","DOIUrl":"10.1097/PHM.0000000000002030","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate chronic pain and fatigue in patients 12 months after hospitalization for COVID-19.</p><p><strong>Methods: </strong>We studied the COVID-19 patients discharged from the hospital on March 10, 2020 and April 20, 2020.</p><p><strong>Results: </strong>A total of 157 patients were included in this study. Forty-three patients (27.4%) complained of chronic fatigue and muscle weakness in the last 6 months. The Visual Analog Fatigue Scale (VAFS) score of 3.84 ± 1.48 was obtained. Forty patients (25.5%) were suspected of chronic fatigue syndrome (CFS).Twenty-four patients (15.3%) had severe chronic pain or exacerbation of previous chronic pain, most of which were reported in the lower back (70.8%) and lower extremities (66.7%). Pain intensity had a mean score of 2.33 ± 0.87 and was mainly described as \"muscle cramps,\" \"persistent dull pain,\" and \"boring and numbing.\" In women, chronic pain and fatigue, extended hospital stays, ICU admission, and depressed mood were common than in men.For these pains and fatigue, 37% used nonsteroidal anti-inflammatory drugs, and 16.3% used antidepressants. Only one person had applied for physiotherapy, and none of the patients had received psychotherapy.</p><p><strong>Conclusion: </strong>Fatigue and chronic pain in patients recovering from COVID-19 are common complications, even after 12 months of illness.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":"49 1","pages":"785-792"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61774039","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":"Efficacy of Medium-High-Energy Radial Pressure Wave Therapy on Rehabilitation Outcomes After Arthroscopic Rotator Cuff Repair: A Randomized Trial.","authors":"Jinghua Wang, Yufeng Song, Xingyan Du, Runjie Zhang, Jiajin Song","doi":"10.1097/PHM.0000000000002936","DOIUrl":"10.1097/PHM.0000000000002936","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the study was to evaluate the efficacy of medium-high-energy radial pressure wave therapy as an adjunct to a standardized rehabilitation protocol for patients after arthroscopic repair of full-thickness rotator cuff tears.</p><p><strong>Methods: </strong>Seventy-two patients with rotator cuff tears (3 mos postoperatively) were randomly assigned to group A (medium-high-energy radial pressure wave therapy, n  = 36) or group B (sham, n  = 36). Group A received medium-high-energy radial pressure wave therapy (0.22 mJ/mm 2 , 4000 shocks/session, twice weekly for 4 wks) plus conventional rehabilitation (5 sessions per week). Group B received sham with the same rehabilitation program. Visual analog scale, Constant-Murley score, grip strength, and range of motion were assessed before treatment and 1, 3, and 6 mos after intervention.</p><p><strong>Results: </strong>Baseline characteristics were comparable (all P  > 0.05). All follow-up results showed that visual analog scale scores significantly decreased in both groups ( P  < 0.001), but lower in group A ( P  < 0.001). Constant-Murley score scores and grip strength significantly increased (all P  < 0.001), but higher in group A ( P  < 0.01-0.001). Range of motion improved in both groups ( P  < 0.001), with group A superior at 6 mos ( P  < 0.05).</p><p><strong>Conclusions: </strong>Adjunctive medium-high-energy radial pressure wave therapy initiated at 3 mos postoperatively significantly enhances pain relief and functional recovery, demonstrating efficacy as an adjunct to conventional rehabilitation.</p>","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"823-830"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146058606","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}