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

Diagnostic value of median nerve cross-sectional area measured by ultrasonography for the severity of carpal tunnel syndrome: a machine learning-based approach.

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-02-03 DOI: 10.1097/PHM.0000000000002701

Fariborz Azizi, Babak Mohammadi, Mohammad Ahmadi-Dastgerdi, Neda Esfandiari

{"title":"Diagnostic value of median nerve cross-sectional area measured by ultrasonography for the severity of carpal tunnel syndrome: a machine learning-based approach.","authors":"Fariborz Azizi, Babak Mohammadi, Mohammad Ahmadi-Dastgerdi, Neda Esfandiari","doi":"10.1097/PHM.0000000000002701","DOIUrl":"https://doi.org/10.1097/PHM.0000000000002701","url":null,"abstract":"Objective: This study was conducted to evaluate the diagnostic performance and to establish cutoff values of median nerve cross-sectional area for classifying the severity of carpal tunnel syndrome.Design: The study dataset included 1069 wrists from 1034 patients with carpal tunnel syndrome (May 2017 to December 2022). A machine learning algorithm was used to predict carpal tunnel syndrome severity based on median nerve cross-sectional area, adjusting for sex, age, body mass index, and disease duration.Results: The multivariable model showed a multi-class AUC of 0.753, and single-class AUCs of 0.733, 0.635, and 0.780 for mild, moderate, and severe syndrome, respectively. Optimal cross-sectional area cutoffs were identified as <14 mm2 for mild and > 16 mm2 for severe syndrome, with AUC values of 0.773 and 0.794, respectively. The model showed high sensitivity for mild and high specificity for severe syndrome but had a low performance for moderate carpal tunnel syndrome (AUC = 0.568).Conclusion: Median nerve cross-sectional area is a valuable tool for diagnosing mild and severe carpal tunnel syndrome. While cross-sectional area provides limited accuracy for moderate carpal tunnel syndrome, it remains a useful adjunct to other diagnostic methods, potentially reducing the need for more invasive procedures.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405417","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

Feasibility of a Neurorehabilitation Pipeline and an Automated Algorithm to Select Appropriate Treatments for Upper Extremity Motor Paralysis in Individuals With Chronic Stroke. 为慢性中风患者的上肢运动麻痹选择适当治疗方法的神经康复管道和自动算法的可行性。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-02-01 Epub Date: 2024-07-03 DOI: 10.1097/PHM.0000000000002592

Wataru Kuwahara, Michiyuki Kawakami, Megumi Okawada, Kenya Tanamachi, Shun Sasaki, Takayuki Kamimoto, Yuka Yamada, Tetsuya Tsuji, Fuminari Kaneko

{"title":"Feasibility of a Neurorehabilitation Pipeline and an Automated Algorithm to Select Appropriate Treatments for Upper Extremity Motor Paralysis in Individuals With Chronic Stroke.","authors":"Wataru Kuwahara, Michiyuki Kawakami, Megumi Okawada, Kenya Tanamachi, Shun Sasaki, Takayuki Kamimoto, Yuka Yamada, Tetsuya Tsuji, Fuminari Kaneko","doi":"10.1097/PHM.0000000000002592","DOIUrl":"10.1097/PHM.0000000000002592","url":null,"abstract":"Objective: This study aimed to investigate the feasibility of a neurorehabilitation pipeline and develop an algorithm to automatically select the appropriate treatment for individuals with upper extremity motor paralysis after stroke in the chronic phase.Design: In experiment 1, eight post-stroke participants in the chronic phase who underwent treatment sustaining two to three phases were assessed before and after treatment. In experiment 2, a decision tree analysis was performed in which the dependent variable was set as the treatment option determined by a board-certified physiatrist for 95 poststroke participants; the independent variables were only motor function scores or both motor function scores and electromyogram variables.Results: In experiment 1, the clinical assessment scores were improved significantly after treatment. Experiment 2 showed that the agreements of the model with only motor function scores as the independent variable and with motor function scores and electromyogram variables as the independent variables were 75.8% and 82.1%, respectively.Conclusions: This novel treatment package is feasible for improvement of motor function in poststroke individuals with severe motor paralysis. The study also established an automated algorithm for selecting appropriate treatments for upper extremity motor paralysis after stroke, identifying standard values of key variables, including electromyography variables.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"117-126"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141490572","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 Athletes' Origin and Type of Impairment on Participation and the Likelihood of Winning a Medal in the Paralympic Games. 运动员的出身和缺陷类型对参加残奥会和获得奖牌可能性的影响。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-02-01 Epub Date: 2024-07-03 DOI: 10.1097/PHM.0000000000002548

Anna Cecilia Severin, Annemarie Kinderen, Julia Kathrin Baumgart

{"title":"Effect of the Athletes' Origin and Type of Impairment on Participation and the Likelihood of Winning a Medal in the Paralympic Games.","authors":"Anna Cecilia Severin, Annemarie Kinderen, Julia Kathrin Baumgart","doi":"10.1097/PHM.0000000000002548","DOIUrl":"10.1097/PHM.0000000000002548","url":null,"abstract":"Objective: This study investigated whether the origin (acquired or congenital) and type of impairment affect the participation and likelihood of winning a medal in different sports at the Paralympic Games.Design: We analyzed competition data and athlete biographies web scraped from the International Paralympic Committee's website ( www.Paralympic.org ).Results: In some sports, athletes with one origin or type of impairment were overrepresented. For example, 76% of Para-snowboarders had an acquired impairment. Furthermore, mixed effects logistic regression analyses showed that the origin of impairment had no effect on the likelihood of winning a medal in most sports. However, athletes with a congenital impairment had a significantly higher likelihood of winning a medal compared to those with an acquired impairment in Para-athletics, Para-alpine skiing, and Para-biathlon (odds ratio: 1.71, P < 0.01, odds ratio: 3.69, P = 0.002, and odds ratio: 3.70, P = 0.016, respectively). Athletes with a given origin-type of impairment combination also may have an advantage or disadvantage in some sports. For example, athletes with an acquired spinal cord injury win proportionally fewer medals in Para-powerlifting.Conclusions: Understanding potential effects of the origin and type of impairment on participation and medaling chances in Paralympic sports can help shape the development of Para-sports and support talent identification.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"184-192"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141496893","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

Applications of Machine Learning in Prognostication of Mild Traumatic Brain Injury: A Systematic Review. 机器学习在 mTBI 诊断中的应用：系统回顾

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-02-01 Epub Date: 2024-06-04 DOI: 10.1097/PHM.0000000000002551

Patrick F Yao, Pranjan A Gandhi, Eric P McMullen, Marlin Manka, Jason Liang

{"title":"Applications of Machine Learning in Prognostication of Mild Traumatic Brain Injury: A Systematic Review.","authors":"Patrick F Yao, Pranjan A Gandhi, Eric P McMullen, Marlin Manka, Jason Liang","doi":"10.1097/PHM.0000000000002551","DOIUrl":"10.1097/PHM.0000000000002551","url":null,"abstract":"Objective: The aim of the study is to review the literature regarding the current state and clinical applicability of machine learning models in prognosticating the outcomes of patients with mild traumatic brain injury in the early clinical presentation.Design: Databases were searched for studies including machine learning and mild traumatic brain injury from inception to March 10, 2023. Included studies had a primary outcome of predicting post-mild traumatic brain injury prognosis or sequelae. The Prediction model study Risk of Bias for Predictive Models assessment tool was used for assessing the risk of bias and applicability of included studies.Results: Out of 1235 articles, 10 met the inclusion criteria, including data from 127,929 patients. The most frequently used modeling techniques were support vector machine and artificial neural network and area under the curve ranged from 0.66 to 0.889. Despite promise, several limitations to studies exist such as low sample sizes, database restrictions, inconsistencies in patient presentation definitions, and lack of comparison to traditional clinical judgment or tools.Conclusions: Machine learning models show potential in early stage mild traumatic brain injury prognostication, but to achieve widespread adoption, future clinical studies prognosticating mild traumatic brain injury using machine learning need to reduce bias, provide clarity and consistency in defining patient populations targeted and validate against established benchmarks.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"146-151"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141247308","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

Comparison of the Consequences of Short- Versus Long-Term Intubation on Speech and Swallowing. 短期插管与长期插管对言语和吞咽的影响比较。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-02-01 Epub Date: 2024-10-31 DOI: 10.1097/PHM.0000000000002317

John R Bach, Anthariksh Nair

{"title":"Comparison of the Consequences of Short- Versus Long-Term Intubation on Speech and Swallowing.","authors":"John R Bach, Anthariksh Nair","doi":"10.1097/PHM.0000000000002317","DOIUrl":"10.1097/PHM.0000000000002317","url":null,"abstract":"Introduction: Intubated, ventilator unweanable patients with ventilatory pump failure can be extubated to continuous noninvasive positive pressure ventilatory support; however, delays may result in untoward effects on speech and swallowing.Methods: This is a retrospective chart review of ventilatory pump failure patients to determine need for postextubation gastrostomy tubes and consequences on speech for intubations less than (short) versus greater than (long) 3 wks.Results: One hundred sixty-five patients were intubated for a mean 20.7 ± 23.5 (range = 1-240) days. All recovered prehospitalization speech status within 2 hrs to 3 days. One hundred four of the short group were intubated 1.6 ± 1.3 (range = 1-9) times for 9.9 ± 5.1 (range = 1-20) days versus 61 of the long group intubated 2.4 ± 3.3 (range = 1-26) times for 39.0 ± 30.5 (range = 21-210) days, 10.6% vs. 8.2%, respectively, required postextubation gastrostomy tubes indefinitely.Discussion: There was no difference in untoward effects on speech or swallowing from short- versus long-term intubation. Had the patients undergone tracheotomies, the majority would have had gastrostomy tubes placed permanently and suffer morbidity and mortality from the tubes. Thus, an option is to permit patients to remain intubated and, even if unweanable, extubate them to continuous noninvasive positive pressure ventilatory support rather than tracheotomy.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"127-129"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142543219","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

Radial Tunnel Syndrome in a Female Collegiate Shot, Hammer, and Discus Thrower. 一名女大学生铅球、铁锤和铁饼运动员的桡骨隧道综合症。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-02-01 Epub Date: 2024-08-12 DOI: 10.1097/PHM.0000000000002606

Connor G Richmond, Allison N Schroeder

引用次数: 0

Effects of Cardiopulmonary Rehabilitation on Cardiorespiratory Fitness and Clinical Symptom Burden in Long COVID: Results From the COVID-Rehab Randomized Controlled Trial. 心肺康复对长期 COVID 患者心肺功能和临床症状负担的影响：COVID-Rehab 随机对照试验的结果。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-02-01 Epub Date: 2024-06-24 DOI: 10.1097/PHM.0000000000002559

Florent Besnier, Jacques Malo, Hânieh Mohammadi, Sarah Clavet, Chiheb Klai, Nicolas Martin, Béatrice Bérubé, Catia Lecchino, Josep Iglesies-Grau, Thomas Vincent, Christine Gagnon, Flavie Gaudreau-Majeau, Martin Juneau, François Simard, Philippe L'Allier, Anil Nigam, Mathieu Gayda, Louis Bherer

{"title":"Effects of Cardiopulmonary Rehabilitation on Cardiorespiratory Fitness and Clinical Symptom Burden in Long COVID: Results From the COVID-Rehab Randomized Controlled Trial.","authors":"Florent Besnier, Jacques Malo, Hânieh Mohammadi, Sarah Clavet, Chiheb Klai, Nicolas Martin, Béatrice Bérubé, Catia Lecchino, Josep Iglesies-Grau, Thomas Vincent, Christine Gagnon, Flavie Gaudreau-Majeau, Martin Juneau, François Simard, Philippe L'Allier, Anil Nigam, Mathieu Gayda, Louis Bherer","doi":"10.1097/PHM.0000000000002559","DOIUrl":"10.1097/PHM.0000000000002559","url":null,"abstract":"Objective: The aim of the study is to investigate the effectiveness of an 8-wk cardiopulmonary rehabilitation program on cardiorespiratory fitness (VO 2 peak) and key cardiopulmonary exercise test measures, quality of life, and symptom burden in individuals with long COVID.Design: Forty individuals with long COVID (mean age 53 ± 11 yrs), were randomized into two groups: (1) rehabilitation group: center-based individualized clinical rehabilitation program (8 wks, 3 sessions per week of aerobic and resistance exercises, and daily inspiratory muscle training) and (2) control group: individuals maintained their daily habits during an 8-wk period.Results: There was a significant difference between groups in mean VO 2 peak improvement ( P = 0.003). VO 2 peak improved significantly in the rehab group (+2.7 mL.kg.min; 95% CI = +1.6 to +3.8; P < 0.001) compared to the control group (+0.3 mL.kg.min; 95% CI = -0.8 to +1.3 P = 0.596), along with VE/VCO 2 slope ( P = 0.032) (-2.4; 95% CI = -4.8 to +0.01; P = 0.049 and +1.3; 95% CI = -1.0 to +3.6; P = 0.272, respectively) and VO 2 at first ventilatory threshold ( P = 0.045). Furthermore, all symptom impact scales improved significantly in the rehabilitation group compared to the control group ( P < 0.05).Conclusions: An individualized and supervised cardiopulmonary rehabilitation program was effective in improving cardiorespiratory fitness, ventilatory efficiency, and symptom burden in individuals with long COVID. Careful monitoring of symptoms is important to appropriately tailor and adjust rehabilitation sessions.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"163-171"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141449356","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

Corticosteroid-Induced Bilateral Avascular Necrosis of the Patella: A Rare/Atypical Clinical Presentation. 皮质类固醇诱发的双侧髌骨血管性坏死：罕见/非典型临床表现。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-02-01 Epub Date: 2024-05-10 DOI: 10.1097/PHM.0000000000002545

Alpaslan Fatih Kaynar, Ahmet Furkan Çolak, Berkay Yalçınkaya, Alp Çetin

引用次数: 0

Unilateral Trapezius Atrophy in a College Baseball Player: A Clinical Vignette. 一名大学棒球运动员的单侧斜方肌萎缩：临床小故事

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-02-01 Epub Date: 2024-08-02 DOI: 10.1097/PHM.0000000000002603

Kristen Gambardella, Elizabeth Winton, Harris Slone, Sarah Breevoort, Matthew Sherrier

引用次数: 0

Evidence Map of Clinical Practice Guideline Recommendations on Stroke Rehabilitation. 卒中康复临床实践指南建议证据图。

IF 2.2 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2025-02-01 Epub Date: 2024-01-03 DOI: 10.1097/PHM.0000000000002413

Lili Wei, Wenru Shang, Yaxing Nan, Yuming Liu, Jingyu Yang, Kehu Yang

{"title":"Evidence Map of Clinical Practice Guideline Recommendations on Stroke Rehabilitation.","authors":"Lili Wei, Wenru Shang, Yaxing Nan, Yuming Liu, Jingyu Yang, Kehu Yang","doi":"10.1097/PHM.0000000000002413","DOIUrl":"10.1097/PHM.0000000000002413","url":null,"abstract":"Abstract: The purpose of this study was to provide an evidence map for explaining research trends and gaps. Four databases and clinical practice guidelines-related Websites were searched up to March 2022. Basic information, methodological quality, reporting quality of clinical practice guidelines, and similar stroke recommendations were extracted. The methodological and reporting quality of stroke clinical practice guidelines were evaluated using the Appraisal of Guidelines Research and Evaluation (second version) instrument and the Reporting Items for Practice Guidelines in Healthcare checklist. The bubble plot format of the evidence map helped visualize the overall quality. Data management and analysis were performed using Excel 2013 and SPSS 22.0 software. A total of 12 clinical practice guidelines, published between 1997 and 2020, were included for in-depth analysis. The identified clinical practice guidelines had a mixed quality and scored poorly in the developmental rigor and applicability domains by Appraisal of Guidelines Research and Evaluation (second version). According to the Reporting Items for Practice Guidelines in Healthcare checklist, field four (clarity of expression) showed the highest (79.2%), and field three (rigor of formulation) secured the lowest (28%) reporting rates. The stroke rehabilitation recommendations primarily focused on organizational management, timing and intensity, rehabilitation and nutritional management of dysphagia, return to work, communication, speech, and language function. This would promote improvement in developing trustworthy clinical practice guidelines for stroke rehabilitation.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"193-201"},"PeriodicalIF":2.2,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139416142","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