American Journal of Physical Medicine & Rehabilitation最新文献_第9页

In the Cone of Concern: Preparing Stroke Survivors for Extreme Hurricanes. 关注焦点：让中风幸存者为极端飓风做好准备。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-09-01 Epub Date: 2023-02-23 DOI: 10.1097/PHM.0000000000002221

Sony Issac, James M Shultz, Zelde Espinel, Gemayaret Alvarez, Lauren T Shapiro

{"title":"In the Cone of Concern: Preparing Stroke Survivors for Extreme Hurricanes.","authors":"Sony Issac, James M Shultz, Zelde Espinel, Gemayaret Alvarez, Lauren T Shapiro","doi":"10.1097/PHM.0000000000002221","DOIUrl":"10.1097/PHM.0000000000002221","url":null,"abstract":"When disasters strike, individuals living with stroke-related disability experience unique challenges and hardships. Climate change is contributing to the increasing frequency and severity of extreme weather events, including major hurricanes. Cyclonic storms that threaten the health and safety of residents living in coastal and island communities may disproportionately impact stroke survivors. Stroke sequelae may impede individuals' abilities to engage in timely preparedness and self-protective actions when such storms approach. As such, it is imperative that physiatrists and other healthcare professionals caring for patients living with stroke proactively assist them in identifying their needs and in developing tailored, comprehensive emergency preparedness plans. In this article, we examine the special needs of and considerations for persons living with stroke sequelae in the times leading up to, during, and after a major hurricane. We also put forward recommendations, specific to the phases of a disaster, regarding how physiatrists can assist patients living with stroke, and their caregivers, to optimize preparedness in advance of a hurricane, and facilitate effective response during storm impact and in the aftermath.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"850-855"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9105186","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

Time-Motion Analysis of Women's Foil Bouts in Wheelchair Fencing: Categories A versus B. 轮椅击剑女子花剑比赛时间-动作分析：A组与B组。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-09-01 Epub Date: 2025-10-24 DOI: 10.1097/PHM.0000000000002886

Alfonso Gutiérrez-Santiago, Xiana Pérez-Ogando, Manuel Alberto González-Harcevnicow, Iván Prieto-Lage

{"title":"Time-Motion Analysis of Women's Foil Bouts in Wheelchair Fencing: Categories A versus B.","authors":"Alfonso Gutiérrez-Santiago, Xiana Pérez-Ogando, Manuel Alberto González-Harcevnicow, Iván Prieto-Lage","doi":"10.1097/PHM.0000000000002886","DOIUrl":"10.1097/PHM.0000000000002886","url":null,"abstract":"Purpose: This study aimed to describe, analyze, and compare the temporal and sequential structure of women's foil bouts in wheelchair fencing across categories A and B.Methods: An observational study was conducted using an adapted version of the ESGRIMOBS system, validated by expert judges. The sample comprised 44 direct elimination bouts (22 per category) from international competitions held after 2022. Variables analyzed were bout duration, number and type of pauses, action time, and distribution by periods and minutes. Data were recorded with Lince Plus software and analyzed in SPSS (v.25.0) using descriptive statistics, comparative tests (Student's t test, Mann-Whitney U , one-way analysis of variance, Kruskal-Wallis), and effect sizes.Results: All bouts ended in the second period, mostly within the first minute (68.2%). Category A showed longer average duration, though not significantly. Both categories displayed high fragmentation, with actions <3 secs. In the second period, category A had significantly more action and pause sequences than category B. Minute-by-minute analysis indicated activity concentrated at the start of both periods.Conclusions: Wheelchair fencing is characterized by fragmentation and short actions. Temporal structure models are proposed for both categories, providing useful guidance for technical-tactical training and emphasizing the need for adaptations based on functional classification.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"831-843"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145538691","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

The Inlet Cross-sectional Area: The Most Reliable Ultrasound Parameter for the Diagnosis of Carpal Tunnel Syndrome. 入口横截面积：诊断腕管综合征最可靠的超声参数。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-09-01 Epub Date: 2026-01-13 DOI: 10.1097/PHM.0000000000002930

Zahra Soleimani, Bina Eftekharsadat, Raha Markazi-Movaghar, Mehran Mohammadzadeh, Arash Babaei-Ghazani, Sanam Dolati, Fatemeh Jahanjoo

{"title":"The Inlet Cross-sectional Area: The Most Reliable Ultrasound Parameter for the Diagnosis of Carpal Tunnel Syndrome.","authors":"Zahra Soleimani, Bina Eftekharsadat, Raha Markazi-Movaghar, Mehran Mohammadzadeh, Arash Babaei-Ghazani, Sanam Dolati, Fatemeh Jahanjoo","doi":"10.1097/PHM.0000000000002930","DOIUrl":"10.1097/PHM.0000000000002930","url":null,"abstract":"Objective: Despite emerging interest in dynamic parameters like the ratio of median nerve-to-hamate distance for diagnosing carpal tunnel syndrome-particularly in selected populations such as hemodialysis patients-this study evaluates whether the inlet cross-sectional area retains diagnostic superiority in a general carpal tunnel syndrome population.Design: In this case-control study, 88 participants (44 carpal tunnel syndrome patients, 44 healthy controls) were recruited from a tertiary referral university hospital between November 2024 and March 2025. High-resolution ultrasonography measured median nerve parameters.Main outcome measures: Diagnostic accuracy (area under the curve, sensitivity, specificity) of inlet cross-sectional area versus outlet cross-sectional area, anteroposterior diameters (AP-I/O), flattening ratio at the outlet, and ratio of median nerve-to-hamate distance during rest/grip.Results: Inlet cross-sectional area demonstrated exceptional diagnostic accuracy (area under the curve = 0.93). At a cutoff of >9.5 mm 2 , inlet cross-sectional area yielded 86% sensitivity and 84% specificity. Outlet cross-sectional area showed lower accuracy (area under the curve = 0.88) and novel dynamic parameters such as ratio of median nerve-to-hamate distance performed poorly in this general population (area under the curve ≈ 0.50).Conclusion: Inlet cross-sectional area remains the most reliable sonographic parameter for diagnosing carpal tunnel syndrome in the general population. A inlet cross-sectional area value >9.5 mm 2 is recommended for routine clinical practice. Dynamic measures may retain value in specific subgroups but do not replace inlet cross-sectional area for general carpal tunnel syndrome evaluation.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"807-813"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147430313","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

Peripheral Nerve Stimulation for Axial Low Back Pain. 外周神经刺激治疗轴性腰痛。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-09-01 Epub Date: 2026-08-14 DOI: 10.1097/PHM.0000000000002962

Colton Besett, Adedeji Olusanya

引用次数: 0

From Injury to Inclusion: Evidence From the International Spinal Cord Injury Survey (InSCI). 从损伤到融合：来自国际脊髓损伤调查（InSCI）的证据。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-09-01 Epub Date: 2026-07-20 DOI: 10.1097/PHM.0000000000003091

Diana Pacheco Barzallo, Mirja Gross-Hemmi, Vanessa Noonan, Julia Engkasan, Reuben Escorpizo, James Middleton, Jerome Bickenbach, Gerold Stucki

{"title":"From Injury to Inclusion: Evidence From the International Spinal Cord Injury Survey (InSCI).","authors":"Diana Pacheco Barzallo, Mirja Gross-Hemmi, Vanessa Noonan, Julia Engkasan, Reuben Escorpizo, James Middleton, Jerome Bickenbach, Gerold Stucki","doi":"10.1097/PHM.0000000000003091","DOIUrl":"https://doi.org/10.1097/PHM.0000000000003091","url":null,"abstract":"Objective: To map the scope, thematic focus, and contribution of publications based on the International Spinal Cord Injury Community Survey (InSCI), and to identify remaining knowledge gaps in the literature.Design: We conducted a structured evidence map of peer-reviewed publications derived from InSCI. InSCI is a cross-sectional survey of adults with spinal cord injury/disease (SCI/D). Wave 1 (2017 to 2019) included 12,591 participants across 22 countries; wave 2 (2022 to 2024) included 15,249 participants across 32 countries. Publications were tracked and classified into 7 IPSCI-based domains.Results: By April 2026, InSCI generated 117 peer-reviewed publications (including 11 from wave 2). Health care needs were the largest category, followed by epidemiological studies, enabling environments, and education/employment. InSCI-based publications reported cross-country differences in quality of life, health care access, unmet needs, environmental barriers, and employment. Publications also reported a high burden of secondary health conditions, variation in health service use, and lower employment rates among persons with SCI/D compared with the general population.Conclusions: InSCI offers an expanding international data set on the lived experiences of individuals with SCI/D. Although publication activity is high across several IPSCI domains, critical research gaps remain regarding equity, gender, education, younger populations, and general population comparisons.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":"105 9","pages":"763-776"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148760548","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

Efficacy of High-Intensity Laser Therapy for Meralgia Paresthetica: A Randomized, Double-Blind, Sham-Controlled Trial. 高强度激光治疗痛觉异常的疗效：一项随机、双盲、假对照试验。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-09-01 Epub Date: 2026-06-04 DOI: 10.1097/PHM.0000000000002918

Hussein G Mogahed, Mohamed Magdy ElMeligie, Rafik E Radwan, Menan A Elmahdy, Nabil M Abdel-Aal, Mahmoud H Mohamed

{"title":"Efficacy of High-Intensity Laser Therapy for Meralgia Paresthetica: A Randomized, Double-Blind, Sham-Controlled Trial.","authors":"Hussein G Mogahed, Mohamed Magdy ElMeligie, Rafik E Radwan, Menan A Elmahdy, Nabil M Abdel-Aal, Mahmoud H Mohamed","doi":"10.1097/PHM.0000000000002918","DOIUrl":"10.1097/PHM.0000000000002918","url":null,"abstract":"Objective: The aim of the study was to evaluate high-intensity laser therapy versus sham for pain, function, and nerve conduction in meralgia paresthetica.Design: This is a randomized, double-blind, sham-controlled trial.Methods: Patients with meralgia paresthetica ( n = 62 randomized, n = 54 analyzed) received 12 sessions of high-intensity laser therapy (1064 nm, 12 W, 600 J/cm 2 ) or identical sham over 4 wks. Primary outcome is as follows: Numeric Pain Rating Scale. Secondary outcomes are as follows: Lower Extremity Functional Scale, lateral femoral cutaneous sensory nerve conduction velocity, and Short Form-36 Health Survey, assessed at baseline, weeks 4, 8, and 12.Results: At week 12, high-intensity laser therapy demonstrated significantly greater improvements versus sham in pain (Numeric Pain Rating Scale, P = 0.006), function (Lower Extremity Functional Scale, P = 0.043), and sensory nerve conduction velocity ( P = 0.027). Sensory nerve conduction velocity showed small but significant between-group differences favoring high-intensity laser therapy, although values remained within normal limits. Mild, transient adverse events occurred more frequently with high-intensity laser therapy (16.1% vs. 0%, P = 0.0525).Conclusions: High-intensity laser therapy significantly improved pain, function, and nerve conduction velocity compared with sham in meralgia paresthetica patients over 12 wks. These findings support high-intensity laser therapy as a noninvasive treatment option; neurophysiological changes were small and within normative limits, warranting cautious interpretation.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"777-784"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148262901","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

Unusual Urgent Case Presenting to the EDX Lab: Mononeuropathy Monoplex. 向EDX实验室报告的一个不寻常的紧急病例：单神经病变。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-09-01 Epub Date: 2025-08-13 DOI: 10.1097/PHM.0000000000002838

Julia Dispirito, Cole Hedden, Kendall Prowse, Shawn Jorgensen, Elie Tannous

{"title":"Unusual Urgent Case Presenting to the EDX Lab: Mononeuropathy Monoplex.","authors":"Julia Dispirito, Cole Hedden, Kendall Prowse, Shawn Jorgensen, Elie Tannous","doi":"10.1097/PHM.0000000000002838","DOIUrl":"10.1097/PHM.0000000000002838","url":null,"abstract":"Vasculitis presenting with sciatic nerve infarction is a rare and potentially urgent neuromuscular condition requiring timely diagnosis and intervention. We present the case of a previously healthy 30-yr-old female patient who developed sudden-onset left leg pain, tingling, and sensory deficits after hospitalization for presumed urosepsis. Examination revealed weakness and sensory dysfunction in the sciatic nerve distribution, and electrodiagnostic studies showed an axonal sciatic neuropathy. Given her amaurosis fugax, persistent fever, and elevated inflammatory markers, a diagnosis of emerging mononeuropathy multiplex due to systemic vasculitis was suspected. Sural nerve biopsy confirmed vasculitis, and treatment with cyclophosphamide was initiated. Delays in diagnosis or treatment of this condition may have resulted in irreversible disability and even death. This case underscores the importance of considering vasculitis in patients presenting with an unexplained focal mononeuropathy in the proper clinical context and highlights the need for urgent diagnosis and referral to prevent progressive end-organ damage and disability.","PeriodicalId":7850,"journal":{"name":"American Journal of Physical Medicine & Rehabilitation","volume":" ","pages":"e125-e128"},"PeriodicalIF":2.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144939189","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

Subdeltoid Bursitis Following a Transient Ischemic Attack. 短暂性脑缺血发作后的三角肌下滑囊炎。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-09-01 Epub Date: 2025-12-29 DOI: 10.1097/PHM.0000000000002926

Hilmi Berkan Abacıoğlu, Ahmet Furkan Çolak, Mustafa Cihad Güneş, Berkay Yalçınkaya, Murat Kara

引用次数: 0

Evidence-Based Practice Education in Physical Medicine and Rehabilitation Residency Programs: A Canadian National Survey. 物理医学与康复住院医师培训项目中的循证实践教育：加拿大全国调查。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-09-01 Epub Date: 2024-02-12 DOI: 10.1097/PHM.0000000000002455

Dinesh Kumbhare, John Ross Rizzo, Allison Bean, Thiru Annaswamy

引用次数: 0

Advanced Ultrasonographic Insights Into Neglected/Occult Achilles Tendon Rupture in Rheumatoid Arthritis. 类风湿关节炎忽视/隐匿性跟腱断裂的超声检查进展。

IF 2.3 4区医学

American Journal of Physical Medicine & Rehabilitation Pub Date : 2026-09-01 Epub Date: 2025-12-24 DOI: 10.1097/PHM.0000000000002929

Hilmi Berkan Abacıoğlu, Alp Çetin

引用次数: 0