American Journal of Physical Medicine & Rehabilitation最新文献_第8页

Should We Add McKenzie Exercises to Current Guidelines for the Treatment of (Sub)Acute Nonspecific Low Back Pain? A Cochrane Review Summary With Commentary. 我们是否应该将麦肯齐运动添加到目前治疗（亚）急性非特异性腰痛的指南中？Cochrane Review综述，附评论。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-05-01 Epub Date: 2024-12-26 DOI: 10.1097/PHM.0000000000002695

Carlotte Kiekens, Stefano Negrini

引用次数: 0

Factors Involved in Higher Knee Extension Torque Induced by Repetitive Peripheral Magnetic Stimulation: Erratum. 重复性外周磁刺激引起的高膝伸转矩相关因素：勘误。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-05-01 Epub Date: 2025-04-03 DOI: 10.1097/PHM.0000000000002610

Masanori Kamiue, Tomotaka Ito, Akio Tsubahara, Tomoya Kishimoto

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 : 2025-05-01 Epub 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":"10.1097/PHM.0000000000002625","url":null,"abstract":"Objective: Retrospective studies suggest quality indicators are associated with falls in inpatient rehabilitation facilities, but this claim has not yet been validated prospectively. The aim of this study was to analyze the associations between quality indicator codes and falls in a prospective sample.Design: For this prospective observational cohort study, we followed 658 patients from four inpatient rehabilitation facilities who were consecutively admitted and discharged over a 6-mo period. On admission, we collected patients' quality indicator codes, and then, tracked whether they fell during their inpatient rehabilitation facility stay.Results: Univariable logistic regressions revealed that most individual quality indicator items for communication, self-care, and mobility were significantly associated with falls. In a multivariable model with six different quality indicator items, only patients' performance going up and down one step was significantly associated with falls. To explain this finding, we investigated the relationships between these quality indicator items and found three of them to be highly correlated.Conclusions: Most individual quality indicator items seem prospectively associated with falls. Patients with lower quality indicator codes are more likely to fall. Combining quality indicator items (such as expression and toileting) may improve fall-risk assessment, but some quality indicator items may be too interrelated to use together.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"430-435"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","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

Dr Augusta Strongman Alba 1924-2024, Homage to a PM&R Legend. 奥古斯塔·强人阿尔巴博士1924年至2024年，向PM&R传奇致敬。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-05-01 Epub Date: 2024-12-26 DOI: 10.1097/PHM.0000000000002696

John R Bach

引用次数: 0

Role of Virtual Reality to Promote Mobilization in the Critical Care Setting: A Narrative Review. 虚拟现实在重症监护环境中促进动员的作用：叙述回顾。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-05-01 Epub Date: 2024-11-20 DOI: 10.1097/PHM.0000000000002648

Maxwell Li, Meaghan Race, Fanny Huang, Miguel X Escalon

{"title":"Role of Virtual Reality to Promote Mobilization in the Critical Care Setting: A Narrative Review.","authors":"Maxwell Li, Meaghan Race, Fanny Huang, Miguel X Escalon","doi":"10.1097/PHM.0000000000002648","DOIUrl":"10.1097/PHM.0000000000002648","url":null,"abstract":"Abstract: Virtual reality is an emerging technology that can be used as an early complementary intervention to promote early mobilization for critically ill patients. This narrative review examines early mobilization outcomes of virtual reality intervention for patients in the intensive care unit and pediatric critical care unit. Comprehensive medical databases were searched for publications detailing the application of virtual reality interventions in association with critical care. In total, seven studies were screened and selected for the review. Various virtual reality programs help promote early mobilization by using movement-based programs and virtual environments to encourage increased activity and heightened diversity of movements. Furthermore, virtual reality can enhance engagement and enjoyment for therapies and rehabilitation. The emergence of virtual reality modalities shows increased mobility, motivation, and treatment satisfaction among critically ill patients. However, the limited data available, vulnerability of the patient population, safety concerns, and need for more controlled studies emphasize the importance of continued research and cautious implementation of virtual reality interventions in critical care settings.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"487-494"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789548","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

Predicting Discharge Destination From Inpatient Rehabilitation Using Machine Learning. 利用机器学习预测住院患者康复的出院目的地。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-05-01 Epub Date: 2024-12-31 DOI: 10.1097/PHM.0000000000002680

Hans E Anderson, Alexandra O Polovneff, Matthew J Durand

{"title":"Predicting Discharge Destination From Inpatient Rehabilitation Using Machine Learning.","authors":"Hans E Anderson, Alexandra O Polovneff, Matthew J Durand","doi":"10.1097/PHM.0000000000002680","DOIUrl":"10.1097/PHM.0000000000002680","url":null,"abstract":"Abstract: Predicting discharge destination for patients at inpatient rehabilitation facilities is important as it facilitates transitions of care and can improve healthcare resource utilization. This study aims to build on previous studies investigating discharges from inpatient rehabilitation by employing machine learning models to predict discharge disposition to home versus nonhome and explore related factors. Fifteen machine learning models were tested. A total of 4922 patient encounters from 4401 patients undergoing inpatient rehabilitation at a Midwestern academic center's inpatient rehabilitation facilities were included. Input variables included demographic and hospital encounter-specific data. The total dataset contained 3687 discharges to home, and 1235 discharges to nonhome destinations. A bagging classifier utilizing a decision tree base classifier utilizing random undersampling and without feature selection performed the best in terms of area under the receiver operating characteristic curve with a score of 0.722. Shapley value analysis suggested that length of stay, intravenous medication administration, urinary dysfunction, age, abnormalities white blood cell count or plasma sodium, and fatigue were the factors with the greatest impact on model output. Machine learning can help predict inpatient rehabilitation discharge disposition and identify factors associated with home or nonhome discharges.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"473-477"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942837","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

Effects of Inspiratory Muscle Training in Patients With Chronic Obstructive Pulmonary Disease Exacerbations: A Randomized Controlled Trial. 吸气肌训练对COPD加重患者的影响：一项随机对照试验。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-05-01 Epub Date: 2024-11-11 DOI: 10.1097/PHM.0000000000002654

Wei-Yu Huang, Chien-Tzu Lee, Jung-Yien Chien, Miaoju Hsu, Li-Ying Wang

{"title":"Effects of Inspiratory Muscle Training in Patients With Chronic Obstructive Pulmonary Disease Exacerbations: A Randomized Controlled Trial.","authors":"Wei-Yu Huang, Chien-Tzu Lee, Jung-Yien Chien, Miaoju Hsu, Li-Ying Wang","doi":"10.1097/PHM.0000000000002654","DOIUrl":"10.1097/PHM.0000000000002654","url":null,"abstract":"Objective: Pulmonary rehabilitation (PR) is considered for patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD). However, the impact of adding inspiratory muscle training (IMT) to PR on inspiratory muscle function is underexplored. This study aimed to evaluate the effects of IMT in addition to PR on inspiratory muscle function, functional exercise capacity (FEC), and quality of life (QoL) in patients with AECOPD.Design: Sixteen patients with AECOPD and a maximal inspiratory pressure < 80 cmH 2 O were randomized into the experimental (PR + IMT) or the control (PR + sham IMT) group for an 8-wk intervention. Inspiratory muscle activation was measured using surface electromyography, FEC was examined by 6-min walk distance (6MWD), and QoL was assessed with COPD Assessment Test.Results: The experimental group showed sustained and significant improvements in inspiratory muscle function, 6MWD, and QoL after intervention (all P < 0.05). The experimental group had higher maximal inspiratory pressure with less diaphragm activation (both P < 0.001) and more improvements in 6MWD and QoL after intervention (both P < 0.05).Conclusions: Adding IMT to PR resulted in more improvements in inspiratory muscle function, FEC, and QoL for patients with AECOPD, suggesting IMT as a beneficial addition to PR.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"458-464"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142942831","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

Multisite Pain Is Longitudinally Associated With an Increased Risk of Fall Among Older Adults With or at Risk of Knee Osteoarthritis: Data From the Osteoarthritis Initiative. 来自骨关节炎倡议的数据显示，在患有或有患膝骨关节炎风险的老年人中，多部位疼痛与跌倒风险增加有纵向相关性。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-05-01 Epub Date: 2024-11-20 DOI: 10.1097/PHM.0000000000002650

Aqeel M Alenazi

{"title":"Multisite Pain Is Longitudinally Associated With an Increased Risk of Fall Among Older Adults With or at Risk of Knee Osteoarthritis: Data From the Osteoarthritis Initiative.","authors":"Aqeel M Alenazi","doi":"10.1097/PHM.0000000000002650","DOIUrl":"10.1097/PHM.0000000000002650","url":null,"abstract":"Objective: The aim of the study is to examine the association between baseline multisite pain (two and three or more sites) and longitudinal risk of fall and recurrent falls among older adults with or at risk of knee osteoarthritis.Design: This prospective longitudinal cohort study included older adults with or at risk of knee osteoarthritis. Fall, including the history of falls, number of falls, and recurrent falls, were assessed at baseline and during six follow-up visits at 12, 24, 36, 48, 72, and 96 mos. Multisite pain was categorized into the following four categories: no pain, one site, two sites, ≥three sites.Results: This study included 2585 older adults. Baseline two sites (odds ratio = 1.50, P = 0.018) and ≥three sites (odds ratio = 1.89, P < 0.001) were significantly associated with increased risk of fall over time compared to no pain sites. Baseline two sites (incidence rate ratio = 1.44, P = 0.024) and ≥three sites (incidence rate ratio = 1.73, P < 0.001) were significantly associated with an increased number of falls over time. Only ≥three sites were associated with the recurrent falls (odds ratio = 2.16, P = 0.003).Conclusions: Baseline multisite pain (≥3 sites) was longitudinally associated with increased fall incidence, number of falls, and recurrent falls over 7 yrs of follow-up.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"452-457"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142789435","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

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 : 2025-05-01 Epub 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":"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 after anterior cruciate ligament reconstruction. It includes joint position sense, 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 was selected as the effect size.Results: Fifteen studies and 537 participants were included. Compared with conventional training, proprioceptive training may significantly enhance passive joint position sense (standardized mean deviation = -1.87 [95% CI = -2.39 to -1.34]) and single-leg hop function test performance (standardized mean deviation = 0.29 [95% CI = 0.04 to 0.54]). Data also indicated that proprioceptive training can moderately improve subjective functional outcomes (standardized mean deviation = 0.61 [95% CI = 0.23 to 0.99]). However, there were no significant effects on active joint position sense, muscle strength, and visual analogue scale.Conclusions: Proprioceptive training has the potential to yield beneficial effects on knee passive joint position sense, hop functional test, and subjective functional outcomes in patients after anterior cruciate ligament reconstruction. However, its impact on enhancing knee active joint position sense and kinesthesia may not be statistically significant.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"436-444"},"PeriodicalIF":2.2,"publicationDate":"2025-05-01","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

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 : 2025-05-01 Epub Date: 2024-09-16 DOI: 10.1097/PHM.0000000000002620

Shane N Stone, Steven Kirshblum

引用次数: 0