Archives of physical medicine and rehabilitation最新文献

{"title":"Fueling Innovation: Catalyst Grants Spark Interdisciplinary Rehabilitation Research","authors":"Melissa Briody ,&nbsp;Bridget Fowler King ,&nbsp;James Silwa ,&nbsp;Richard Lieber","doi":"10.1016/j.apmr.2025.03.005","DOIUrl":"10.1016/j.apmr.2025.03.005","url":null,"abstract":"<div><div>Translational rehabilitation research and innovative thinking requires meaningful collaboration between researchers and clinicians, yet these opportunities are often not prioritized or incentivized. To address this gap, Shirley Ryan AbilityLab initiated the Catalyst Grant Program in November 2019. Our goal was to create interdisciplinary research teams throughout the organization that produce meaningful patient outcomes in the clinic and in the community. This presentation details the methods, outcomes, and lessons learned from administering this strategic initiative over the past five years. Organizational leaders designed the program to include four grant types (Project, Quality, Mentorship, and Foundational), to form a comprehensive program for all employees, including those with no research experience to career scientists. From 2019 to 2024, there were six rounds of Catalyst Grant funding. In total, 943 applicants contributed to 283 applications that resulted in 72 awards totaling $1.25M in funding. Applicants came from diverse professions, with 64% Non-researchers and 36% Researchers with further breakdown of 42% Allied Health, 36% Researchers/Engineers and 9% Physicians, 5% Nurses, and 8% Other staff (n=943). The interdisciplinary teams supported through the Catalyst Grant Program have demonstrated a high degree of scientific productivity. As of February 2024, the 55 awards in the first five cycles totaled a $980k investment that resulted in 14 publications, 12 external grant applications, and 8 external grant awards totaling $7.8M. These results demonstrate the program's effectiveness in building and sustaining productive clinical research partnerships, fostering innovation, and cultivating a research-driven culture within a rehabilitation hospital.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 5","pages":"Page e1"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building Innovative, Lasting, Interprofessional Teams: What I Have Learned from Others","authors":"Michael Boninger","doi":"10.1016/j.apmr.2025.03.021","DOIUrl":"10.1016/j.apmr.2025.03.021","url":null,"abstract":"<div><div>The talk will focus on the core elements of building innovative, lasting, interprofessional teams. It will not only reflect my own experiences, but draw on the invaluable lessons learned from my colleagues in rehabilitation research. In addition to insights on team building, the talk will showcase key findings of my colleagues; key findings that were make possible because of their ability to lead and work as a part of team.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 5","pages":"Page e6"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-disciplinary study of the neural basis of rehabilitation outcomes with virtual reality: a preliminary investigation","authors":"Neha Mehta,&nbsp;Rory O'Keeffe,&nbsp;Yair Shahar,&nbsp;Sarmad Mehrdad,&nbsp;Farokh Atashzar,&nbsp;Anat Lubetzky","doi":"10.1016/j.apmr.2025.03.022","DOIUrl":"10.1016/j.apmr.2025.03.022","url":null,"abstract":"<div><div>Virtual Reality (VR) is increasingly gaining traction as an innovative solution to enhance rehabilitation outcomes by providing a conducive environment for engaging and customizable physical activity. To harness the benefits of such technologies, it is imperative to understand their interaction at the neural level. Therefore, as a first step, we utilized Electroencephalography (EEG) to investigate the spatiotemporal dynamics of the brain in young adults with and without VR immersion. Five healthy young adults (4 males) performed boxing exercises guided by either a 3D VR-based game or an instructional video displayed on a 2D computer screen. A 64-channel EEG was recorded during 3 graded task intensity levels: (i) rest, (ii) moderate, and (iii) advanced. We calculated the mean power spectral density in the 20-100 Hz range as a proxy to the level of activation for each EEG channel. Median cortical activation in each pre-frontal, frontal, parietal, and occipital region increased in proportion to task intensity, both with and without VR. The overall cortical activation was higher with VR versus instructional video for advanced-intensity tasks (p&lt;0.001). Higher cortical activation indicates an underlying ion flow gradient for synaptic transmission, suggesting some neuroplastic changes during VR immersion. In this presentation, we will cover the implications of emerging results from the ongoing pilot randomized crossover study. We will discuss the rational for methodologies that combine VR headsets and EEG and our choice of outcome measures. This line of research holds significant potential to explain the effectiveness of VR and facilitate rehabilitation research and clinical translation.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 5","pages":"Page e6"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Novel 'Test-Drive' Strategy for Prosthetic Foot Prescription Using a Robotic Prosthetic Foot Emulator","authors":"David Morgenroth ,&nbsp;Elizabeth Halsne ,&nbsp;Andrew Hansen ,&nbsp;Lee Childers ,&nbsp;Alexandria Lloyd ,&nbsp;Josh Caputo ,&nbsp;Brian Hafner","doi":"10.1016/j.apmr.2025.03.016","DOIUrl":"10.1016/j.apmr.2025.03.016","url":null,"abstract":"<div><div>Selecting an optimal prosthetic foot is vital to maximizing mobility and achieving functional goals in people with lower limb loss. However, patients do not generally have an opportunity to provide experiential input to the foot selection process. This study aimed to assess an innovative 'test-drive' strategy for foot selection. Sixty-eight individuals with transtibial amputation each trialed three commercial prosthetic feet and three corresponding emulated feet using a robotic foot emulator capable of switching between feet via a software interface during walking on level, inclined, and stair treadmills in the laboratory. Participants then wore each commercial foot for consecutive two-week community trials. All foot conditions were randomized and participant-blinded. Foot preference was measured on a 0-10 scale. Following each community trial, participants also completed self-reported and performance-based measures. Linear mixed-effects regression was used to assess associations between outcomes. Initial foot preference scores from trials with emulated feet correlated with preference scores after community trials with the corresponding commercial feet (p&lt;.001) and with Trinity Amputation and Prosthesis Experience Scales–Functional Satisfaction score (p=.036), but not with Two Minute Walk Test, Prosthetic Limb Users Survey of Mobility, or Activity-Balance Confidence scores. The most-preferred foot after the after the in-lab trial of the emulated foot matched the most-preferred foot after the community trial of the corresponding commercial foot for 48/68 participants. These results suggest that a patient-centered 'test-drive' strategy using a prosthetic foot emulator could potentially enhance prosthetic foot prescription and lead to improved patient satisfaction outcomes in people with lower limb amputation.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 5","pages":"Page e4"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Transdisciplinary Collaborative Study of mTBI and Chronic Pain Using iTBS and Yoga","authors":"Amy Kemp ,&nbsp;Bridget Cotner ,&nbsp;Bella Etingen ,&nbsp;Iboula Kale ,&nbsp;Kelly Krese ,&nbsp;Sandra Kletzel ,&nbsp;Miriam Rafferty ,&nbsp;Amy Herrold","doi":"10.1016/j.apmr.2025.03.017","DOIUrl":"10.1016/j.apmr.2025.03.017","url":null,"abstract":"<div><div>Mild traumatic brain injury (mTBI) with comorbid chronic pain causes significant health challenges, necessitating creative treatment strategies. A transdisciplinary study team comprised of neuropsychologists, yoga instructors, health services researchers and implementation scientists, and physical, occupational, and speech therapists developed and tested a novel nonpharmacological treatment option for chronic pain. Objective: The parent pilot study (clincaltrial.gov #NCT04517604) explored the effects of intermittent theta burst stimulation (iTBS; a type of transcranial magnetic stimulation) to have an additive effect on the neural circuits with yoga on Quality of Life (QoL), function, and pain among Veterans with mTBI and chronic musculoskeletal pain. In the present sub-analysis, we focused on gaining a deeper insight into the QoL results. Methods: Utilizing an open-label trial design, 10 Veterans received iTBS before participating in a TBI-specific yoga program, LoveYourBrain Yoga. The Farmer triangulation method was used to compare qualitative and quantitative outcomes. Outcome measures included self-reported symptom scales and post-participation semi-structured qualitative interviews. Results: Participants reported that iTBS prepared their brains for yoga and increased their confidence in self-management of pain post-participation. This was confirmed with TBI QoL subscales (t(9)=2.03; p=0.02) and as reported with the participant's self-report. However, TBI QoL composite scores did not agree (t(9)=-5.17, p=0.65) nor capture the role iTBS + Yoga had on participants' increased confidence in self-management of health and non-pharmacological pain management. Conclusion: Our results suggest integrating advanced neurological technologies with complementary health therapies such as yoga presents a creative, transdisciplinary approach to nonpharmacologic rehabilitation for chronic pain.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 5","pages":"Pages e4-e5"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143887965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disparities in Access to, Use of, and Quality of Rehabilitation After Stroke in the United States: A Scoping Review","authors":"Janet K. Freburger PT, PhD ,&nbsp;Elizabeth R. Mormer MS, CCC-SLP ,&nbsp;Kristin Ressel MS ,&nbsp;Shuqi Zhang MS ,&nbsp;Anna M. Johnson PhD, MSPH ,&nbsp;Amy M. Pastva PT, MA, PhD ,&nbsp;Rose L. Turner MLIS ,&nbsp;Peter C. Coyle PhD, DPT, PT ,&nbsp;Cheryl D. Bushnell MD, MHS ,&nbsp;Pamela W. Duncan PhD, PT ,&nbsp;Sara B. Jones Berkeley PhD, MPH","doi":"10.1016/j.apmr.2024.10.010","DOIUrl":"10.1016/j.apmr.2024.10.010","url":null,"abstract":"<div><h3>Objectives</h3><div>To summarize current reports in the literature on disparities in rehabilitation after stroke; identify gaps in our understanding of rehabilitation disparities; and make recommendations for future research.</div></div><div><h3>Data Sources</h3><div>A health sciences librarian developed a search string based on an a priori protocol and searched Medline (Ovid) Embase (Elsevier), and the Cumulative Index to Nursing and Allied Health Literature (CINAHL and EBSCO).</div></div><div><h3>Study Selection</h3><div>A 2-step screening process of titles and abstracts followed by full-text review was conducted. Primary observational studies conducted in the United States that reported on disparities in rehabilitation (ie, physical, occupational, or speech therapy) among adults after stroke were retained. Eligible disparity populations included racial minorities; ethnic minorities; sex and gender minorities; older populations; socioeconomically disadvantaged populations; and geographic minorities (inner city/rural).</div></div><div><h3>Data Extraction</h3><div>Data extracted from retained articles included: aims/objectives; data source; sample characteristics, rehabilitation outcomes examined; types of disparities examined; statistical methods used; and disparity findings.</div></div><div><h3>Data Synthesis</h3><div>Seven thousand eight hundred fifty-three titles and abstracts were screened, and 473 articles underwent full-text review. Forty-nine articles were included for data extraction and analysis. Many articles examined more than 1 disparity type with most examining disparities in race and/or ethnicity (n=43, 87.7%), followed by sex (n=25, 53.0%), age (n=23, 46.9%), socioeconomic status (n=22, 44.9%), and urban/rural status (n=8, 16.3%). Articles varied widely by sample characteristics, data sources, rehabilitation outcomes, and methods of examining disparities.</div></div><div><h3>Conclusions</h3><div>Although we found some consistent evidence of disparities in rehabilitation for older individuals, non-White races, and individuals of lower socioeconomic status, the variability in methods made the synthesis of findings challenging. Further work, including additional well-designed studies and systematic reviews, and/or meta-analyses of current studies, is needed to better understand the extent of rehabilitation disparities after stroke.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 5","pages":"Pages 759-770"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Which Sex- and Gender-Based Explanatory Variables Are Associated With Memory Function Poststroke? A Cross-Sectional Analysis of the National Health and Aging Trends Study","authors":"Clare Thompson BHSc,&nbsp;Elise Wiley PhD,&nbsp;Ada Tang PT, PhD","doi":"10.1016/j.apmr.2024.11.014","DOIUrl":"10.1016/j.apmr.2024.11.014","url":null,"abstract":"<div><h3>Objective</h3><div>To identify sex- and gender-based variables associated with immediate and delayed recall in individuals with stroke.</div></div><div><h3>Design</h3><div>This was a secondary analysis of data from the National Health and Aging Trends Study (NHATS) using general linear models with a standard stepwise approach.</div></div><div><h3>Setting</h3><div>Community.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Participants</h3><div>Participants were eligible for the current analysis if they had a self-reported history of stroke at NHATS Round 1 (2011) and data available on our variables of interest. The final analyses included 366 participants for the immediate recall model and 365 participants for the delayed recall model.</div></div><div><h3>Main Outcome Measures</h3><div>Independent variables of interest included sex- (8 variables, for example biological sex, depression and anxiety, and comorbidities) and gender-related factors (14 variables, for example education, income, and independence with banking). The dependent variables of interest were the 10-word immediate and delayed recall tests, respectively.</div></div><div><h3>Results</h3><div>Higher immediate recall scores were associated with younger age, female biological sex, independence with banking, higher income, giving financial gifts, not requiring assistance with activities of daily living, and higher education (<em>P</em>&lt;.001-.04). Higher delayed recall scores were associated with younger age, higher body mass index, higher education, placing importance in socializing, and independence with banking (<em>P</em>&lt;.001-.04).</div></div><div><h3>Conclusions</h3><div>We conducted the largest analysis to date of sex- and gender-based factors associated with cognition in individuals with stroke. Stroke rehabilitation scientists and clinicians may consider both biological and sociodemographic factors associated with cognitive function, which may guide holistic poststroke assessments and interventions.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 5","pages":"Pages 713-722"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142794203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Exercise Intervention on Mobility, Postural Control, and Falls for Older Adults With Mild Cognitive Impairment: A Systematic Review and Network Meta-analysis","authors":"Ziwei Zeng MSc ,&nbsp;Cheuk-yin Ho MSc ,&nbsp;Cindy Hui-ping Sit PhD ,&nbsp;Stephen Heung-sang Wong PhD ,&nbsp;Jing Liao PhD ,&nbsp;Yijian Yang PhD","doi":"10.1016/j.apmr.2024.12.002","DOIUrl":"10.1016/j.apmr.2024.12.002","url":null,"abstract":"<div><h3>Objective</h3><div>To review and synthesize the effectiveness of exercise interventions on mobility, postural control, and falls in older adults with mild cognitive impairment (MCI).</div></div><div><h3>Data Sources</h3><div>This review was registered with PROSPERO (CRD42023453320) and adhered to the PRISMA guidelines. The PubMed, Embase, APA PsycInfo, Cochrane Library, Web of Science, CINAHL, and SPORTDiscus were searched from inception until September 2024.</div></div><div><h3>Study Selection</h3><div>Randomized controlled trials (RCTs) examining the effectiveness of exercise interventions on mobility, postural control, and falls in older adults with MCI.</div></div><div><h3>Data Extraction</h3><div>Data extraction included author names, publication years, participant characteristics, intervention details, outcomes, key results, and attrition rates. Data accuracy was verified by 2 reviewers, with discrepancies resolved through consultation with a third reviewer.</div></div><div><h3>Data Synthesis</h3><div>Thirty-two RCTs met the criteria for qualitative systematic review, with 22 RCTs included in the pairwise meta-analysis and network meta-analysis. Aerobic exercise (AE) (SMD 1.07 [95% CI, 0.62-1.52]), multicomponent exercise (SMD 0.46 [95% CI, 0.18-0.74]), and simultaneous cognitive-motor training (SMD 0.56 [95% CI, 0.23-0.89]) significantly improved gait speed during single task (<em>P&lt;.</em>05). AE was the most effective intervention for single-task walking performance (99.3%), whereas Exergaming was the most effective for timed Up and Go performance (100.0%) according to the surface under the cumulative ranking. Paddling exercise (SMD 0.42 [95% CI, 0.16-0.68]) effectively increased handgrip strength (<em>P&lt;.</em>05). However, network meta-analyses revealed no intervention demonstrating significant effects on postural control performance (Berg Balance Scale and Functional Reach Test scores). The effect of exercise on falls remained inconclusive because of the limited number of studies.</div></div><div><h3>Conclusions</h3><div>AE, multicomponent exercise, and combined cognitive-motor training significantly enhance gait speed and functional performance in older adults with MCI. However, the effect of exercise on fall risk remains unclear. These findings underscore the potential of tailored exercise interventions to improve physical function in this vulnerable population.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 5","pages":"Pages 781-800"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142823485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical and Psychosocial Consequences of Falls in Ambulatory Individuals With Cerebral Palsy by Age and Gross Motor Function","authors":"Marissa Esterley MS ,&nbsp;Linda E. Krach MD ,&nbsp;Kari Pederson MSW, LICSW ,&nbsp;Nathan G. Wandersee ABA ,&nbsp;Sandy Callen Tierney MSSW, PhD ,&nbsp;Elizabeth R. Boyer PhD","doi":"10.1016/j.apmr.2024.12.010","DOIUrl":"10.1016/j.apmr.2024.12.010","url":null,"abstract":"<div><h3>Objective</h3><div>To quantify physical and psychosocial impacts of falls by age and Gross Motor Classification System (GMFCS) level in ambulatory individuals with cerebral palsy (CP).</div></div><div><h3>Design</h3><div>Cross-sectional survey.</div></div><div><h3>Setting</h3><div>Tertiary specialty hospital and online CP communities.</div></div><div><h3>Participants</h3><div>Ambulatory individuals with CP (N=201 adults; 18-76 years old) or the caregivers of minors (N=180; 5-17 years old).</div></div><div><h3>Main Outcome Measure(s)</h3><div>Participants completed online surveys to report fall frequency, fall characteristics, injuries, concern about falling (Short Falls Efficacy Scale-International), activity avoidance due to concern about falling (Short Falls Efficacy Scale-International Avoidance Behavior), and psychosocial constructs related to perceived consequences of falling (Consequences of Falling-Damage to Identity subscale).</div></div><div><h3>Results</h3><div>Most participants fell in the past 12 months (86%). Fall frequency in the past 12 months differed by age (<em>P</em>&lt;.001) and GMFCS level (<em>P</em>=.021). Individuals aged 5-12 years or GMFCS level II reported the most falls. The percentage of participants who experienced a past serious fall-related injury (eg, head/face stitches, concussion, fractures) increased with age (<em>P</em>&lt;.001), affecting 80% of ≥50-year olds. Falls often occurred in the forward direction, when wearing shoes, and during ambulation. Uneven surfaces and fatigue were notable causes. Concern about falling and associated activity avoidance scores differed by age and GMFCS level (all <em>P</em>&lt;.01), both of which were highest for ≥50-year olds and GMFCS level III. Although psychosocial consequences of falls (eg, embarrassment, lost confidence) were elevated across all groups, they did not differ by age or GMFCS level (<em>P</em>=.130, <em>P</em>=.083). Nearly everyone (88%) wished they fell less.</div></div><div><h3>Conclusions</h3><div>Falls are common for ambulatory children and adults with CP. Physical and psychosocial consequences of falls were frequent and impacted behavior. Differences observed by age and GMFCS level should be considered in care delivery. Clinically tracking and discussing falls and their repercussions across the lifespan will aid in addressing this under-researched and under-resourced concern of people with CP.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 5","pages":"Pages 688-695"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Chronic Health Conditions Among People With Disabilities in the United States","authors":"Audrey C. Juhasz PhD,&nbsp;Rachel Byers MPH","doi":"10.1016/j.apmr.2025.02.002","DOIUrl":"10.1016/j.apmr.2025.02.002","url":null,"abstract":"<div><h3>Objective</h3><div>Report chronic health conditions are common among adults with disabilities to inform prevention and management efforts in public health.</div></div><div><h3>Design and Setting</h3><div>This article reports on secondary analysis of 2022 Behavioral Risk Factor Surveillance Survey.</div></div><div><h3>Participants</h3><div>Cases with a disability within the BRFSS 2022 dataset were identified by selecting any case that answered “yes” to any of the ACS-6. The BRFSS only includes non-institutionalized individuals 18 years or older.</div></div><div><h3>Main Outcome Measures</h3><div>Statistics reported include weighted unadjusted prevalence of any chronic health condition among adults with a disability by type of disability and other selected demographic characteristics, weighted unadjusted prevalence estimates for individuals with chronic health conditions by age group and disability type, and prevalence ratios across groups.</div></div><div><h3>Results</h3><div>Review of the proportions between disability types within demographic strata revealed those with self-care and those with independent living disabilities consistently had the highest, and those with hearing and those with vision-related disabilities had the lowest prevalence of any chronic health condition. Across all age and disability groups, arthritis and depression were among the most common chronic health conditions. Prevalence differences among racial groups in younger age groups were not present among the 65+ age group.</div></div><div><h3>Conclusion</h3><div>These prevalence estimates can inform health education and chronic health management efforts to support targeted prevention and intervention programs.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 5","pages":"Pages 805-810"},"PeriodicalIF":3.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}