Archives of physical medicine and rehabilitation最新文献

{"title":"Future Directions in Prosthetic Component Research and Clinical Prescription: A Precision Rehabilitation and Patient-Centered Care Approach","authors":"David C. Morgenroth MD, Elizabeth G. Halsne CPO, PhD, Alison W. Henderson PhD, Daniel C. Norvell PhD","doi":"10.1016/j.apmr.2024.08.016","DOIUrl":"10.1016/j.apmr.2024.08.016","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 12","pages":"Pages 2396-2399"},"PeriodicalIF":3.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142144926","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":"Letter to the Editor: Effect of a Mindfulness and Motivational Interviewing-Oriented Physical-Psychological Integrative Intervention for Community-Dwelling Spinal Cord Injury Survivors: A Mixed-Methods Randomized Controlled Trial","authors":"Rongrui Zhao MM, Hong You MM","doi":"10.1016/j.apmr.2024.07.022","DOIUrl":"10.1016/j.apmr.2024.07.022","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 12","pages":"Pages 2393-2394"},"PeriodicalIF":3.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142071886","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":"Effect of Exercise on Mental Health and Health-related Quality of Life in Adults With Spinal Cord Injury: A Systematic Review and Meta-analysis","authors":"Matteo Ponzano PhD ,&nbsp;Robert Buren MA ,&nbsp;Nathan T. Adams MA ,&nbsp;Jane Jun MLIS ,&nbsp;Arif Jetha PhD ,&nbsp;Diane E. Mack PhD ,&nbsp;Kathleen A. Martin Ginis PhD","doi":"10.1016/j.apmr.2024.02.737","DOIUrl":"10.1016/j.apmr.2024.02.737","url":null,"abstract":"<div><h3>Objectives</h3><div>To determine the effect of exercise interventions on mental health and health-related quality of life (HRQoL) in individuals with SCI.</div></div><div><h3>Data Sources</h3><div>We searched Embase, CINAHL, Medline, PsychINFO, and SPORTDiscus from inception to September 2023.</div></div><div><h3>Study Selection</h3><div>We included randomized controlled trials that (1) involved participants ≥18 years old with a SCI; (2) administered an exercise intervention; and (3) measured subjective well-being, psychological well-being, social well-being, and/or HRQoL as outcomes. We reported standardized means differences (d) with a 95% confidence interval (CI), assessed the risk of bias by using the Revised Cochrane Risk-of-bias Tool for Randomized Trials (RoB 2), and the certainty of the evidence using GRADE.</div></div><div><h3>Data Synthesis</h3><div>Nineteen studies (797 participants, mean age &lt;65 years in every study) were included. Exercise improved overall well-being (d=0.494; 95% CI 0.268, 0.720; low certainty evidence), subjective well-being (d=0.543; 95% CI 0.270, 0.816; low certainty evidence), psychological well-being (d=0.499; 95% CI 0.193, 0.805; low certainty evidence), social well-being (d=0.452; 95% CI 0.151, 0.752; low certainty evidence), and HRQoL (d=0.323; 95% CI 0.072, 0.574; low certainty evidence). Four serious adverse events probably attributable to the interventions were reported in 3 studies.</div></div><div><h3>Conclusions</h3><div>Exercise interventions can improve well-being and HRQoL in adults with SCI &lt;65 years of age. Additional research is needed to determine effectiveness in adults ≥65 years of age.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 12","pages":"Pages 2350-2361"},"PeriodicalIF":3.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140331532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Menopause and Traumatic Brain Injury: A NIDILRR Collaborative Traumatic Brain Injury Model Systems Study","authors":"Lisa J. Rapport PhD ,&nbsp;Claire Z. Kalpakjian PhD ,&nbsp;Angelle M. Sander PhD ,&nbsp;Anthony H. Lequerica PhD ,&nbsp;Tamara Bushnik PhD ,&nbsp;Elisabeth H. Quint MD ,&nbsp;Robin A. Hanks PhD","doi":"10.1016/j.apmr.2024.07.021","DOIUrl":"10.1016/j.apmr.2024.07.021","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the experience of menopause symptoms in women with traumatic brain injury (TBI).</div></div><div><h3>Design</h3><div>Cross-sectional descriptive study.</div></div><div><h3>Setting</h3><div>Five sites of the TBI Model Systems (TBIMS) program.</div></div><div><h3>Participants</h3><div>Participants were 210 women, aged 40-60 years, who were not taking systemic hormones and did not have both ovaries removed: 61 participants were enrolled in the TBIMS, who were at least 2 years post-TBI and living in the community. One hundred forty-nine participants without TBI were recruited from a research registry and the metropolitan Detroit community.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>A checklist comprised of 21 menopause symptoms assessing 4 symptom clusters (vasomotor, somatic, psychological, and cognitive).</div></div><div><h3>Results</h3><div>TBI and non-TBI groups did not significantly differ and showed small effect sizes on vasomotor symptoms. On the remaining symptom clusters, women with TBI showed greater presence and severity of symptoms than women without TBI, as well as fewer differences between premenopausal and postmenopausal women on those symptoms. A profile indicating an additive or potentiating effect of TBI on menopause symptoms was not observed.</div></div><div><h3>Conclusions</h3><div>Findings support a conceptual model of menopause and TBI indicating that symptoms most closely associated with estrogen decline are similar for women with and without TBI, whereas symptoms that overlap with common TBI sequelae are generally more frequent and severe among these women. Likely because of lower baseline of symptoms premenopause, postmenopausal women without TBI reported more numerous and severe symptoms relative to their premenopausal counterparts without TBI. Overall, it may be that women without TBI experience menopause as more of a “change” of life, whereas women with TBI chronically face significantly more of these symptoms than women without TBI.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 12","pages":"Pages 2253-2261"},"PeriodicalIF":3.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141999373","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":"Increased Auditory Dual Task Cost During Gait Initiation in Adult Patients With Persistent Concussion Symptoms","authors":"Kelsey N. Bryk PhD ,&nbsp;Scott Passalugo BS ,&nbsp;Li- Shan Chou PhD ,&nbsp;Darcy S. Reisman PT, PhD ,&nbsp;Jocelyn F. Hafer PhD ,&nbsp;Jennifer A. Semrau PhD ,&nbsp;Thomas A. Buckley EdD","doi":"10.1016/j.apmr.2024.08.007","DOIUrl":"10.1016/j.apmr.2024.08.007","url":null,"abstract":"<div><h3>Objective</h3><div>To compare dual task cost (DTC) during gait initiation (GI) between a population of patients with persistent concussion symptoms (PCS) and age-matched healthy participants.</div></div><div><h3>Design</h3><div>Cohort study.</div></div><div><h3>Setting</h3><div>University research center.</div></div><div><h3>Participants</h3><div>A cohort sample including 15 participants with PCS (43.9±11.7y, 73.3% female) and 23 age-matched healthy participants (42.1<u>±</u>10.3y, 65.2% female) as controls.</div></div><div><h3>Interventions</h3><div>Participants were tested on a single occasion where they performed 5 trials of single task and 5 trials of dual task GI with 12-camera motion capture and 3 force plates.</div></div><div><h3>Main Outcome Measures</h3><div>The dependent variables of interest were the DTC for the center of pressure (COP) displacement and velocity during the anticipatory postural adjustment (APA) phase, the COP-center of mass (COP-COM) separation, and the response accuracy during the auditory cognitive tasks.</div></div><div><h3>Results</h3><div>There were significant group differences with worse DTC for the PCS participants in anterior (A)/posterior (P) displacement (PCS, −37.5±22.1%; Control, −9.7±39.2%; <em>P</em>=.016, d=0.874), APA medial (M)/lateral (L) velocity (PCS, −34.8±28.8%; Control, −17.0±40.21%; <em>P</em>=.041, d=0.866), and the peak COP-COM separation (PCS, −7.3±6.7%; Control, 0.6±6.5%; <em>P</em>=.023, d=1.200). There were no significant group differences in the APA A/P velocity (PCS, −38.8±33.1%; Control, −19.8±43.9%; <em>P</em>=.094), APA M/L displacement (PCS, −34.8±21.8%; Control, −10.6±25.3%; <em>P</em>=.313), or cognitive task performance (PCS, −2.7±10.8%; Control, −0.2±4.3%; <em>P</em>=.321).</div></div><div><h3>Conclusions</h3><div>PCS participants had greater (worse) DTC during both the planning and execution of the task, with large effect sizes (d&gt;0.80). PCS participants also used a posture-second strategy whereby attentional resources were inappropriately allocated to the cognitive task. These deficits may challenge a patient's ability to complete activities of daily living and limit their functional independence.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 12","pages":"Pages 2262-2268"},"PeriodicalIF":3.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142071885","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":"Ed Board page","authors":"","doi":"10.1016/S0003-9993(24)01324-8","DOIUrl":"10.1016/S0003-9993(24)01324-8","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 12","pages":"Page A4"},"PeriodicalIF":3.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142759189","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":"Response to Letter to the Editor: Establishing Normative Values for Performance-Based Tests in Older Thai Adults: A Nationwide Cross-Sectional Study","authors":"Nath Adulkasem MD, PhD,&nbsp;Aasis Unnanuntana MD","doi":"10.1016/j.apmr.2024.08.020","DOIUrl":"10.1016/j.apmr.2024.08.020","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 12","pages":"Pages 2392-2393"},"PeriodicalIF":3.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142153043","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":"Effect of Adding Integrated Core and Graduated Upper Limb Exercises to Inpatient Cardiac Rehabilitation on Sternal Instability After Coronary Artery Bypass Grafting: A Randomized Controlled Trial","authors":"Sherin Hassan Mohammed Mehani PT, PhD ,&nbsp;Zeinab Mohammed Helmy PT, PhD ,&nbsp;Heba Mohammed Ali PT, PhD ,&nbsp;Mahmoud Ibrahim Mohamed Mahmoud PT, PhD","doi":"10.1016/j.apmr.2024.08.012","DOIUrl":"10.1016/j.apmr.2024.08.012","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effect of adding integrated core and graduated resistance upper limb exercises to an inpatient cardiac rehabilitation program in patients with acute sternal instability after coronary artery bypass grafting (CABG)<strong>.</strong></div></div><div><h3>Design</h3><div>This was a single-center, randomized, controlled, parallel-group intervention study.</div></div><div><h3>Setting</h3><div>This study was conducted at the National Heart Institute.</div></div><div><h3>Participants</h3><div>Forty patients with post-CABG with sternal instability aged 50-60 years completed this study and were randomized into 2 groups: an intervention group (n=20) and an active control group (n=20).</div></div><div><h3>Intervention</h3><div>The intervention group (A) received a routine inpatient rehabilitation program from the first postoperative day plus integrated core and graduated resistance upper limb exercises, which started from the seventh postoperative day for approximately 4 weeks, whereas the control group (B) received only the routine inpatient rehabilitation program.</div></div><div><h3>Main Outcome Measures</h3><div>Sternal separation measured by ultrasonography, visual analog scale for measuring pain, and activities of daily living (ADL) index were main outcome measures.</div></div><div><h3>Results</h3><div>Patients in the intervention group (A) showed a significant reduction in sternal separation from the supine and long sitting positions, whereas those in the control group (B) showed a significant increase in sternal separation (<em>P</em>=.0001). Both groups showed a reduction in pain, and an increase in the ADL score was observed in group A. There was a significant interaction between the time and group effects (<em>P</em>=.0001).</div></div><div><h3>Conclusion</h3><div>Adding integrated core and graduated upper limb exercises to inpatient cardiac rehabilitation for patients with sternal instability after coronary artery bypass grafting significantly improved sternal healing, pain, and ADL.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 12","pages":"Pages 2245-2252"},"PeriodicalIF":3.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103831","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":"Archives I/EP Guidelines","authors":"","doi":"10.1016/S0003-9993(24)01340-6","DOIUrl":"10.1016/S0003-9993(24)01340-6","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 12","pages":"Pages 2406-2408"},"PeriodicalIF":3.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142758754","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":"Neural Interface-Based Motor Neuroprosthesis in Poststroke Upper Limb Neurorehabilitation: An Individual Patient Data Meta-analysis","authors":"Yu Tung Lo MBBS ,&nbsp;Mervyn Jun Rui Lim MBBS, MPH ,&nbsp;Chun Yen Kok ,&nbsp;Shilin Wang MBBS ,&nbsp;Sebastiaan Zhiyong Blok ,&nbsp;Ting Yao Ang MBBS ,&nbsp;Vincent Yew Poh Ng MBBS ,&nbsp;Jai Prashanth Rao MBBS ,&nbsp;Karen Sui Geok Chua MBBS","doi":"10.1016/j.apmr.2024.04.001","DOIUrl":"10.1016/j.apmr.2024.04.001","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the efficacy of neural interface–based neurorehabilitation, including brain-computer interface, through conventional and individual patient data (IPD) meta-analysis and to assess clinical parameters associated with positive response to neural interface–based neurorehabilitation.</div></div><div><h3>Data Sources</h3><div>PubMed, EMBASE, and Cochrane Library databases up to February 2022 were reviewed.</div></div><div><h3>Study Selection</h3><div>Studies using neural interface–controlled physical effectors (functional electrical stimulation and/or powered exoskeletons) and reported Fugl-Meyer Assessment–upper-extremity (FMA-UE) scores were identified. This meta-analysis was prospectively registered on PROSPERO (#CRD42022312428). PRISMA guidelines were followed.</div></div><div><h3>Data Extraction</h3><div>Changes in FMA-UE scores were pooled to estimate the mean effect size. Subgroup analyses were performed on clinical parameters and neural interface parameters with both study-level variables and IPD.</div></div><div><h3>Data Synthesis</h3><div>Forty-six studies containing 617 patients were included. Twenty-nine studies involving 214 patients reported IPD. FMA-UE scores increased by a mean of 5.23 (95% confidence interval [CI]: 3.85-6.61). Systems that used motor attempt resulted in greater FMA-UE gain than motor imagery, as did training lasting &gt;4 vs ≤4 weeks. On IPD analysis, the mean time-to-improvement above minimal clinically important difference (MCID) was 12 weeks (95% CI: 7 to not reached). At 6 months, 58% improved above MCID (95% CI: 41%-70%). Patients with severe impairment (<em>P</em>=.042) and age &gt;50 years (<em>P</em>=.0022) correlated with the failure to improve above the MCID on univariate log-rank tests. However, these factors were only borderline significant on multivariate Cox analysis (hazard ratio [HR] 0.15, <em>P</em>=.08 and HR 0.47, <em>P</em>=.06, respectively).</div></div><div><h3>Conclusion</h3><div>Neural interface–based motor rehabilitation resulted in significant, although modest, reductions in poststroke impairment and should be considered for wider applications in stroke neurorehabilitation.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 12","pages":"Pages 2336-2349"},"PeriodicalIF":3.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140761344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}