Archives of physical medicine and rehabilitation最新文献

{"title":"Association Between Anterior Knee Pain and Soft Tissue Gliding of the Anterior Knee Region After Total Knee Arthroplasty: A Cross-Sectional Study","authors":"Shunto Fukuyama PT ,&nbsp;Masahiro Tsutsumi PT, PhD ,&nbsp;Kengo Kawanishi PT, PhD ,&nbsp;Takashi Kitagawa PT, MS ,&nbsp;Shintarou Kudo PT, PhD","doi":"10.1016/j.apmr.2024.12.003","DOIUrl":"10.1016/j.apmr.2024.12.003","url":null,"abstract":"<div><h3>Objective(s)</h3><div>To investigate the relationship between impaired gliding in the anterior knee region and anterior knee pain (AKP) in patients after total knee arthroplasty (TKA).</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting</h3><div>Orthopedic hospital.</div></div><div><h3>Participants</h3><div>Patients aged &gt;60 years who underwent TKA between June and September 2023 without abnormal components or postoperative infections.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Ultrasonography visualized the anterior knee soft tissues (subcutaneous tissue [SC], patellar tendon [PT], and infra-patellar fat pad [IFP]) during maximal voluntary isometric knee extension. Particle image velocimetry analyzed the SC, PT, and IFP flow velocities, organized into time-series data. Correlation coefficients of flow velocity between the SC and PT and between the PT and IFP were calculated to define the gliding coefficient. We measured AKP during walking and stair ascent and descent. Furthermore, we investigated the correlations between gliding coefficients and AKP and identified factors contributing to AKP using multiple regression analysis. The relationship between gliding coefficients and patient-reported outcomes was explored.</div></div><div><h3>Results</h3><div>In total, 20 patients (mean age, 72.9years; postoperative period, 14.9weeks) were included. A significant positive correlation was observed between the SC-PT gliding coefficients and AKP. Multiple regression analysis identified the SC-PT gliding coefficient as a significant independent variable associated with AKP during stair descent. Additionally, the SC-PT gliding coefficients were found to have a significant negative correlation with patient-reported outcomes.</div></div><div><h3>Conclusions</h3><div>The impaired gliding between the SC and PT may contribute to AKP, specifically during stair descent. This finding suggests that soft tissue gliding plays a significant role in postoperative pain and activity limitations in patients who underwent TKA.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 6","pages":"Pages 934-940"},"PeriodicalIF":3.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142891717","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 Virtual Reality-Based Cardiac Rehabilitation on Mental Health and Cardiopulmonary Function of Individuals With Cardiovascular Disease: A Systematic Review and Meta-analysis","authors":"Saikun Wang MS ,&nbsp;Junjie Jiang MS ,&nbsp;Changyue Zhang MS ,&nbsp;Mengjiao Lv MS ,&nbsp;Haiyan Xu PhD ,&nbsp;Hongli Meng BS ,&nbsp;Lirong Guo PhD","doi":"10.1016/j.apmr.2024.11.005","DOIUrl":"10.1016/j.apmr.2024.11.005","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the effect of virtual reality (VR)-based cardiac rehabilitation (CR) on the mental health and cardiorespiratory function of patients with cardiovascular disease (CVD).</div></div><div><h3>Data Sources</h3><div>The search strategy was conducted in 5 databases (PubMed, Scopus, Web of Science, Embase, and Cochrane Library databases) from inception to July 2024.</div></div><div><h3>Study Selection</h3><div>Randomized controlled trials comparing the effectiveness of standard CR and VR-based CR for patients with CVD were independently selected by multiple reviewers.</div></div><div><h3>Data Extraction</h3><div>Data were extracted independently by 2 authors. In case of disagreement, a third author was consulted for resolution.</div></div><div><h3>Data Synthesis</h3><div>Thirteen studies involving 955 patients with CVD were included in the meta-analysis. The results showed that VR-based CR reduced anxiety levels (standard mean difference [SMD]=−0.28, 95% [confidence interval] CI [−0.51 to −0.05], <em>P</em>=.020]) and depression symptoms (SMD=−0.28, 95% CI [−0.53 to −0.02], <em>P</em>=.030]) in patients with CVD compared with standard CR. However, no significant difference was observed in peak oxygen consumption (SMD=0.01, 95% CI [−0.14 to 0.16], <em>P</em>=.920]) between standard CR and VR-based CR.</div></div><div><h3>Conclusions</h3><div>VR-based CR significantly improved anxiety and depression symptoms in patients with CVD compared with standard CR. However, there was no significant difference between standard CR and VR-based CR in improving cardiorespiratory function in patients with CVD.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 6","pages":"Pages 949-960"},"PeriodicalIF":3.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142738304","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":"Effects of a Teleexercise Movement-to-Music Intervention on Health Outcomes in People with Mobility Disabilities: A Randomized Controlled Trial.","authors":"Hui-Ju Young, Byron Lai, Jereme Wilroy, Avery Vitemb, Shiori Tanaka, Tapan S Mehta, Mohanraj Thirumalai, James H Rimmer","doi":"10.1016/j.apmr.2025.05.017","DOIUrl":"https://doi.org/10.1016/j.apmr.2025.05.017","url":null,"abstract":"<p><strong>Objective: </strong>To examine the effects of a 12-week online movement-to-music (eM2M) intervention on health outcomes in people with mobility disabilities.</p><p><strong>Design: </strong>Two-arm randomized controlled trial.</p><p><strong>Setting: </strong>Synchronous, online delivery over Zoom.</p><p><strong>Participants: </strong>Participants (N=97) aged 18 to 70 and had diagnoses of traumatic brain injury, stroke, multiple sclerosis, spinal cord injury, spina bifida, Parkinson's, or cerebral palsy were randomized to eM2M (n=48) or control (n=49).</p><p><strong>Intervention: </strong>eM2M participants completed three 60-minute sessions weekly for 12 weeks, while controls maintained usual activities.</p><p><strong>Main outcome measures: </strong>Primary measures included resting heart rate, heart rate recovery, and grip strength. Secondary measures included Short Physical Performance Battery (SPPB), Timed Up and Go, PROMIS 10 Global Health Items, Ability to Participate in Social Roles and Activities Short Form 8a, and Godin Leisure Time Exercise Questionnaire. Participants were assessed at baseline and post-intervention, with intent-to-treat mixed-model ANCOVA as primary analyses.</p><p><strong>Results: </strong>After adjusting for baseline and mobility groups, there was no significant between-group difference in resting heart rate post-intervention, though eM2M had a greater reduction in heart rate at minute-1 recovery (LSM=33.7%, p=0.04). No difference was observed in dominant hand grip strength, while controls showed a significantly greater increase in non-dominant grip strength compared to eM2M (LSM=-1.76kg, p=0.03). In contrast, eM2M demonstrated significant improvements in overall SPPB (LSM=0.52, p=0.048), gait speed (LSM=0.32, p=0.02), and both physical (LSM difference=2.08, p=0.04) and mental (LSM=2.22, p=0.02) health compared to controls. No group differences were observed in social participation. After removing outliers, eM2M showed a significant increase in physical activity compared to controls (LSM=11.55, p=0.02).</p><p><strong>Conclusion: </strong>Movement-to-music delivered online may improve cardiorespiratory fitness, mobility, quality of life, and physical activity in people with mobility disabilities.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144191413","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":"Measuring health-related quality of life in upper-extremity vascularized composite allotransplantation: Development of new patient-reported outcome items for hand transplant.","authors":"Callie E Tyner, Jerry Slotkin, L Scott Levin, Scott M Tintle, Christina L Kaufman, Pamela A Kisala, David S Tulsky","doi":"10.1016/j.apmr.2025.05.014","DOIUrl":"https://doi.org/10.1016/j.apmr.2025.05.014","url":null,"abstract":"<p><strong>Objective: </strong>To develop patient-reported outcomes (PRO) items tailored for upper extremity vascularized composite allotransplantation (UE VCA), a procedure that can restore physical functioning, independence, and improve psychosocial functioning after hand or arm loss.</p><p><strong>Design: </strong>Based on prior grounded-theory-based qualitative and theoretical work, item development was led by recognized experts in psychometrics and outcomes measurement. Item refinement included item review by 17 experts in the field of UE VCA. Cognitive debriefing interviews were conducted by trained, impartial interviewers with six English-speaking UE VCA recipients. A professional translatability review was completed on the items.</p><p><strong>Setting: </strong>Academic research center.</p><p><strong>Participants: </strong>Seventeen expert and six patient stakeholders.</p><p><strong>Interventions: </strong>n/a MAIN OUTCOME MEASURE: n/a RESULTS: Fifty-six items were finalized in seven content areas: Expectations & Perceived Outcomes; Post-Transplant Challenges and Complications; Integration and Assimilation of the Transplant; Fitting In; Satisfaction with Hand Function; Satisfaction with Hand Aesthetics; and Hand Function: Sensation.</p><p><strong>Conclusion: </strong>These PRO items offer a structured way to measure HRQOL outcomes for UE VCA from the perspective of the recipients, offering an opportunity to collect reliable and quantifiable information on transplant outcomes as a path to move the field forward.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144191414","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":"Does orthosis improve outcomes of conservative treatment in trigger fingers? A three-arm prospective randomized controlled trial.","authors":"Kathryn Minkhorst, Alexandra Munn, Joy MacDermid, Ruby Grewal","doi":"10.1016/j.apmr.2025.05.015","DOIUrl":"https://doi.org/10.1016/j.apmr.2025.05.015","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this trial was to evaluate whether the addition of an orthosis improved the efficacy of cortisone injection for the non-operative management of trigger finger.</p><p><strong>Design: </strong>Block-randomized controlled trial.</p><p><strong>Setting: </strong>Outpatient hand clinic.</p><p><strong>Participants: </strong>Individuals presenting to our centre with Green severity grade 1-3 trigger finger from age 18 to 80 were eligible for inclusion. Previous treatment with either a splint or cortisone injection, trigger thumb, greater than two digits involved, grade 4 trigger or an allergy to cortisone were criteria for exclusion.</p><p><strong>Interventions: </strong>Patients' hands were randomized to night-time extension orthosis, cortisone injection, or combined treatment, stratified by Green severity score and comorbid diabetes. MAIN.</p><p><strong>Outcome: </strong></p><p><strong>Measures: </strong>Patient reported outcome measures and the number of triggering occurrences with 10 repeated grips were collected at 6-weeks, 3-, 6-, and 12-months.</p><p><strong>Results: </strong>The study includes 104 patients representing 122 trigger fingers in 115 hands, with an average follow-up of 29 months. At 6 weeks there was no significant difference in incidence of triggering, symptom relief, or PRWHE score between injection or combined treatment groups. Overall success rate with conservative treatment was high, 68.9% experience resolution or improvement of their symptoms. Grade 3 trigger fingers had a significantly higher rate of surgical release compared with lower grade trigger fingers (39.1% vs. 22.4%, p=0.05).</p><p><strong>Conclusions: </strong>Our study shows no significant benefit to adding an orthosis to cortisone injection in all trigger grades. Overall success with conservative treatment was high (68.9%) in this cohort. Conservative management of grade 1 and 2 triggers is successful in about 75% of cases, regardless of whether treatment is an orthosis, injection or both compared to 60% success rate for grade 3.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144191412","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":"Correction.","authors":"","doi":"10.1016/j.apmr.2025.05.009","DOIUrl":"https://doi.org/10.1016/j.apmr.2025.05.009","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144156036","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":"The Effects of Synchronous Versus Asynchronous Telerehabilitation Programs for Chronic Non-specific Low Back Pain: A 3-Arm randomized controlled trial.","authors":"Rayan Ahmed Tawfek, Elif Tuğçe Çil, Elif Tugce Cil","doi":"10.1016/j.apmr.2025.05.012","DOIUrl":"https://doi.org/10.1016/j.apmr.2025.05.012","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess the effectiveness of synchronous and asynchronous telerehabilitation programs in managing CNLBP.</p><p><strong>Design: </strong>A 3-Arm Parallel group randomized trial SETTING: University hospital, department of orthopedics and traumatology PARTICIPANTS: This randomized controlled trial was carried out on 72 (31 females, 41 males; mean age 41.26±10.97 years) individuals with CNLBP.</p><p><strong>Interventions: </strong>Participants were randomly assigned to three groups: synchronous telerehabilitation group (STG) (n = 24), asynchronous telerehabilitation group (ASTG) (n = 24), and a control group (CG) (n = 24). A structured exercise program was delivered in real time to the STG, via pre-recorded videos to the ASTG, and through a digital book to the CG (12 weeks).</p><p><strong>Main outcome measures: </strong>Pain levels as the prespecified primary outcome were measured using the Visual Analogue Scale (VAS). Disability was assessed with the Roland Morris Disability Questionnaire (RMDQ) and Oswestry Disability Index (ODI). Fear of movement was evaluated with the Tampa Scale (TSK), and quality of life was determined using the SF-12.</p><p><strong>Results: </strong>Pain levels, disability status, fear of movement, and quality of life showed improvement at week 12 in all groups (p<0.05). In addition, the STG showed greater improvements than the CG in VAS (mean difference: 1.28, 95% CI: 0.50-2.05). Moreover, the ASTG obtained more significant results than the CG group only in the sub-parameters of SF-12 (PCS and MCS).</p><p><strong>Conclusions: </strong>A real-time synchronous telerehabilitation program was superior in improving pain, disability, fear of movement, and quality of life, whereas the asynchronous group was superior compared to an unsupervised home exercise program in improving quality of life only. These results imply that remote therapy could be introduced in clinical practice to improve patient outcomes and resource utilization and eventually be utilized more broadly.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149037","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":"Relationships Between Wheelchair-Provision Time for Hospital Inpatients and Their Lengths of Stay and Costs of Hospitalization: A Cohort Study.","authors":"Ronald Lee Kirby, Kim Parker, Alistair Lloyd Maksym, Suzanne Patricia Frances Salsman, Christopher John Theriault, Bahareh Yavarizadeh, Fitsum Hadgu Woldeyohannes","doi":"10.1016/j.apmr.2025.04.019","DOIUrl":"10.1016/j.apmr.2025.04.019","url":null,"abstract":"<p><strong>Objectives: </strong>To test the hypotheses that wheelchair-provision time (WPT) (from when a loaner wheelchair was ordered to when the wheelchair arrived at the hospital site) has a significant relationship with length of stay (LOS) and total cost of hospitalization (COH).</p><p><strong>Design: </strong>Cohort study.</p><p><strong>Setting: </strong>Hospital inpatient units.</p><p><strong>Participants: </strong>Hospital inpatients (N=97).</p><p><strong>Intervention: </strong>Order for loaner wheelchair placed during their admissions.</p><p><strong>Main outcome measures: </strong>Demographic, clinical, and process data from 4 available databases, from which we derived WPT, LOS, and COH. To test the hypotheses, we used Spearman correlation coefficients, negative binomial regression for LOS (n=90), and linear regression for COH (n=69).</p><p><strong>Results: </strong>The median values for WPT, LOS, and total COH were 3.8 days, 51.0 days, and $43,062 Canadian dollars. Multivariable regression revealed that WPT was associated to a statistically significant extent with LOS (P=.0049) (a 18% increase in LOS for each additional day in WPT), but not with COH. However, LOS was associated to a statistically significant extent with COH (P<.0001). The Spearman correlation between LOS and COH was 0.8915 (P<.0001).</p><p><strong>Conclusions: </strong>Statistically significant associations exist between WPT and LOS and between LOS and COH. Although this study does not establish causality and further research is needed, our findings suggest that more rapid provision of loaner wheelchairs to hospital inpatients could have a positive effect on the health care system.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143960038","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":"Association of Sleep Quality with Activity and Participation in Older Adults.","authors":"Jessie M VanSwearingen, Caitlan A Tighe, Subashan Perera, Daniel E Forman, Daniel J Buysse, Jennifer S Brach","doi":"10.1016/j.apmr.2025.05.010","DOIUrl":"https://doi.org/10.1016/j.apmr.2025.05.010","url":null,"abstract":"<p><strong>Objective: </strong>To explore the relation of self-reported sleep quality with the International Classification of Functioning domains of activity (e.g., physical functioning) and participation (e.g., disability).</p><p><strong>Design: </strong>Descriptive, secondary, cross-sectional data-analysis SETTING: General community PARTICIPANTS: Community-dwelling older adult, volunteers, n=249 INTERVENTIONS: not applicable MAIN OUTCOME MEASURES: . The Pittsburgh Sleep Quality Index (PSQI), self-reported measures of activity and participation by the Late-Life Function and Disability Instrument (LLFDI), the modified Gait Efficacy Scale for confidence in walking, and performance-based measures of physical functioning (gait speed, Six Minute Walk, Figure of 8 Walk and Short Physical Performance Battery, SPPB). Measures of function were regressed on sleep quality adjusted for age, sex, and comorbidities.</p><p><strong>Results: </strong>Older adults with good (PSQI≤5) compared to poor (>5) sleep quality reported better function and disability across almost all considered domains (p< 0.05). Effect sizes for self-reported and performance-based measures were comparable and in the small to moderate range.</p><p><strong>Conclusions: </strong>Among older adults with mild to moderate functional limitations and disability, self-reported sleep quality related broadly to activity and participation. Experimental studies are needed to assess the effects of sleep interventions on activity and participation and understand if sleep quality may represent a novel treatment target in future intervention trials to improve function in older adults.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144141211","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 A PAIN INFORMED MOVEMENT PROGRAM IN POST COVID-19 CONDITION PATIENTS: A RANDOMIZED CONTROL TRIAL.","authors":"Andrés Calvache-Mateo, Alba Navas-Otero, Julia Raya-Benítez, Javier Martín-Núñez, Alejandro Heredia-Ciuró, Araceli Ortiz Rubio, Marie Carmen Valenza","doi":"10.1016/j.apmr.2025.05.008","DOIUrl":"https://doi.org/10.1016/j.apmr.2025.05.008","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the early impact of the Pain Informed Movement (PIM) program in patients with post COVID-19 condition experiencing new onset persistent pain.</p><p><strong>Design: </strong>A single-blind, 2 arm, parallel-group, randomized controlled trial.</p><p><strong>Setting: </strong>A public health sciences faculty.</p><p><strong>Participants: </strong>Fifty-seven patients (n=57) with post COVID-19 condition were randomized into the PIM (n=27) and the control (usual care and educational booklet) groups (n=30).</p><p><strong>Intervention: </strong>Patients in the intervention group received an 8-week PIM program. Each week, participants attended 2 face-to-face sessions of 1 hour per week. The first session was group-based and focused on pain neuroscience education. The second session was individual and consisted of functional exercises and relaxation techniques. Additionally, patients were required to perform these exercises and techniques at home twice a week, recording their compliance and progress.</p><p><strong>Main outcome measures: </strong>Measured outcomes include pain intensity and interference measured with the Brief Pain Inventory (BPI), catastrophizing assessed with the Pain Catastrophizing Scale (PCS), kinesiophobia measured with the Tampa Kinesiophobia Scale (TSK) and functionality assessed using World Health Organization Disability Assessment Schedule (WHODAS 2.0). Participants were assessed at baseline and post intervention.</p><p><strong>Results: </strong>The intervention group showed a significant reduction in all variables with respect to baseline values. In addition, the intervention group showed significant differences with respect to the control group in pain intensity (MD=2.84±0.62; p<.001; Cohen's d=1.21), pain interference (MD=3.10±0.70; p < .001; Cohen's d=1.18), catastrophizing (MD=12.52±2.48; p<.001; Cohen's d=1.34), kinesiophobia (MD=8.07±1.34; p<.001; Cohen's d=1.56) and functionality (MD=16.16±6.92; p=.039; Cohen's d=0.62).</p><p><strong>Conclusions: </strong>In conclusion, the PIM program suggests to be an effective intervention for the reduction of new onset persistent pain and improvement of functionality in patients with post COVID-19 condition. This study underscores the importance of multidimensional and personalized approaches to persistent pain management, although more research is needed to confirm its applicability in clinical practice.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144141217","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}