Archives of physical medicine and rehabilitation最新文献

{"title":"Effects of Oro-Esophageal Versus Nasogastric Feeding on Mental Health in Ischemic Stroke: A Randomized Controlled Study","authors":"Hongji Zeng PhD,&nbsp;Shiyu Zhang PhD,&nbsp;Teng Zuo PhD,&nbsp;Ying Yang MMed,&nbsp;Xin’ao Wang MMed,&nbsp;Pengchao Luo MMed,&nbsp;Siyu Luo Msc,&nbsp;Weijia Zhao MMed,&nbsp;Mengyu Yang PhD,&nbsp;Liugen Wang PhD, MD,&nbsp;Heping Li PhD, MD,&nbsp;Xi Zeng PhD, MD","doi":"10.1016/j.apmr.2026.05.012","DOIUrl":"10.1016/j.apmr.2026.05.012","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the effects of oro-esophageal and nasogastric feeding on mental health in ischemic stroke survivors with dysphagia.</div></div><div><h3>Design</h3><div>Open-label randomized controlled trial.</div></div><div><h3>Setting</h3><div>Department of Rehabilitation Medicine of 2 hospitals.</div></div><div><h3>Participants</h3><div>A total of 156 patients with ischemic stroke who needed enteral feeding were included and randomly divided, with 78 in the oro-esophageal group and 78 in the nasogastric group.</div></div><div><h3>Interventions</h3><div>All participants received rehabilitation therapy. The intervention lasted for 14 days for each participant. Oro-esophageal or nasogastric feeding was conducted based on the group.</div></div><div><h3>Main Outcome Measures</h3><div>The primary outcomes were the anxiety and depression symptoms assessed using the Hospital Anxiety and Depression Scale. Data were collected at baseline (day 0), after treatment (day 15), and during follow-up (day 60).</div></div><div><h3>Results</h3><div>Finally, 66 of 70 participants (94.29%) in the oro-esophageal group and 61 of 67 participants (91.04%) in the nasogastric group completed the follow-up after treatment, significant (<em>P</em>&lt;.001) interaction effects were observed in anxiety symptoms (η²=0.670), depression symptoms (η²=0.483), self-efficacy (η²=0.715), subjective social isolation (η²=0.773), and fatigue (odds ratio=0.617, 95% confidence interval: 0.548-0.694). On day 60, additional significance was observed in the time effect of perceived nausea (<em>P</em>&lt;.001). Mental health was further affected by feeding methods during the follow-up period.</div></div><div><h3>Conclusions</h3><div>Intermittent oro-esophageal feeding contributed more than nasogastric feeding to the improvement of mental health. This improvement showed long-term effects and was influenced by feeding methods after discharge.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"107 10","pages":"Pages 2779-2787"},"PeriodicalIF":4.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148004189","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":"Efficacy of a Novel Home-Based Stretching Program on Fibromyalgia Symptoms: A Randomized Controlled Trial","authors":"Morten Pallisgaard Støve MSc,&nbsp;Stig Peter Magnusson DMSc,&nbsp;Janus Laust Thomsen PhD,&nbsp;Allan Riis PhD","doi":"10.1016/j.apmr.2026.05.016","DOIUrl":"10.1016/j.apmr.2026.05.016","url":null,"abstract":"<div><h3>Objectives</h3><div>Nonpharmacological treatments are recommended for fibromyalgia but are often limited by poor adherence. This study assessed the clinical efficacy of a novel 6-week home-based, low-intensity stretching intervention compared with usual care in patients with fibromyalgia, with the Revised Fibromyalgia Impact Questionnaire (FIQ-R) total score as the primary outcome.</div></div><div><h3>Design</h3><div>Parallel, waitlist-controlled randomized trial.</div></div><div><h3>Setting</h3><div>Participants were recruited from the general community.</div></div><div><h3>Participants</h3><div>A total of 58 adults with fibromyalgia were enrolled.</div></div><div><h3>Intervention</h3><div>Participants were randomly assigned (1:1), stratified by sex, to 6 weeks of daily low-intensity home-based stretching exercises (6 min/d) or to usual care.</div></div><div><h3>Main Outcome Measures</h3><div>The primary outcome was the change in the FIQ-R total score from baseline to follow-up, analyzed under the intention-to-treat principle.</div></div><div><h3>Results</h3><div>Between October 24, 2024, and May 22, 2025, 89 patients were screened, and 58 were randomly assigned to either the intervention group (n=29) or the control group (n=29). The average self-reported adherence rate to the intervention was 83%. There was a significant group-by-time interaction for FIQ-R total score (F[1,56]=11.30; <em>P</em>&lt;.001; partial η²=0.17), indicating greater improvement in the intervention group. From baseline to follow-up, mean FIQ-R total score decreased by 9.7 points (95% confidence interval [CI], −15.0 to −4.4; <em>P</em>&lt;.001), corresponding to an 18.7% improvement in the intervention group, compared with a nonsignificant change of 0.8 points (−2.7 to 4.2; <em>P</em>=.66) in the control group.</div></div><div><h3>Conclusions</h3><div>Low-intensity, high-frequency home-based stretching produced significant, clinically meaningful improvements in the FIQ-R total score compared with usual care, suggesting its potential as a feasible, well-tolerated nonpharmacological treatment option. Future research should confirm these findings in longer-term, sex-balanced trials.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"107 10","pages":"Pages 2842-2850"},"PeriodicalIF":4.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148161596","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":"Measurement Characteristics and Clinical Utility of the 6-Minute Walk Test Among People with Stroke","authors":"","doi":"10.1016/j.apmr.2025.12.020","DOIUrl":"10.1016/j.apmr.2025.12.020","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"107 10","pages":"Pages 3053-3054"},"PeriodicalIF":4.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149093714","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(26)00929-9","DOIUrl":"10.1016/S0003-9993(26)00929-9","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"107 10","pages":"Pages 3057-3059"},"PeriodicalIF":4.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149093715","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":"Defining a Universal Measurement Scale and Standardized Unit for Fine Motor Development","authors":"Bryant A. Seamon PT, DPT, PhD,&nbsp;Cynthia L. Sears OTD, OTR/L,&nbsp;Emily Anderson OTD, OTR/L,&nbsp;Craig A. Velozo PhD, OTR/L","doi":"10.1016/j.apmr.2026.06.007","DOIUrl":"10.1016/j.apmr.2026.06.007","url":null,"abstract":"<div><h3>Objective</h3><div>To develop a construct specification equation (CSE) that identifies the task characteristics most strongly associated with fine motor item difficulty, establish a standardized unit, the fine motor unit (FMU), and define a universal measurement scale.</div></div><div><h3>Study Design</h3><div>Cross-sectional design.</div></div><div><h3>Setting</h3><div>General community.</div></div><div><h3>Participants</h3><div>Secondary analysis of a convenience sample of children (n=637) under 71 months in Brazil. Children were excluded for musculoskeletal disorders, genetic syndromes, and congenital malformation. The average age was 21.7 months (18.6mo), and 51% were female.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Peabody Developmental Motor Scales—Second edition (PDMS-2) Grasp Scale.</div></div><div><h3>Results</h3><div>Explanatory factors with corresponding ordinal rating systems for fine motor development were created from task analysis and theory. Explanatory factors included shoulder/elbow/wrist movement, hand/fingers grasp, body position, object description, and cueing. Each item on the PDMS-2 Grasping Scale was rated across all explanatory variables. Explanatory variables had strong linear associations with previously published Rasch measurement item calibrations for the PDMS-2 Grasping Scale items. Forward stepwise linear regression tested the ability of explanatory variables to explain the variance in PDSM-2 item calibrations. Three models explained between 88% and 90% of the variance in PDMS-2 Grasping Scale item calibrations. The most parsimonious model included the shoulder/elbow/wrist movement and the hand/finger explanatory factors. This model was used as the CSE and anchored to items Grasp Reflex and Dynamic Marker Grasp. This established a standardized unit, the FMU, as 1/100th of the distance between each anchor. FMUs had a positive linear association with item calibrations (<em>r</em>=.93; <em>P</em>&lt;.01).</div></div><div><h3>Conclusions</h3><div>The findings support CSE methodology for investigating explanatory factors related to fine motor development. The results of this study suggest that a CSE can provide initial support for validating a universal measurement scale and standardized unit for fine motor development.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"107 10","pages":"Pages 2915-2923"},"PeriodicalIF":4.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148589489","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":"Evolving Demographics and Injury Characteristics of US Traumatic Spinal Cord Injury, 1972-2024","authors":"Yuying Chen MD, PhD,&nbsp;Jennifer Coker PhD, MPH,&nbsp;Yue Zhang PhD, MS,&nbsp;Amanda Botticello PhD, MPH,&nbsp;Anne Deutsch PhD, RN,&nbsp;Rachel Cowan PhD,&nbsp;Ronald K. Reeves MD","doi":"10.1016/j.apmr.2026.05.017","DOIUrl":"10.1016/j.apmr.2026.05.017","url":null,"abstract":"<div><h3>Objectives</h3><div>To examine demographic and injury characteristics of new traumatic spinal cord injury (tSCI) cases from 1972 to 2024, contextualized by US population trends.</div></div><div><h3>Design</h3><div>Cross-sectional analysis of a longitudinal database.</div></div><div><h3>Setting</h3><div>Thirty-one Spinal Cord Injury Model Systems (SCIMS) centers throughout the United States.</div></div><div><h3>Participants</h3><div>A total of 37,866 SCIMS database participants grouped into 6 injury cohorts (1972-1979 to 2020-2024).</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Demographics (age, sex, race/ethnicity, education, employment, marital status) and injury characteristics (cause, level, completeness).</div></div><div><h3>Results</h3><div>Mean age at injury increased from 28.7 years in the 1970s to 44.7 years in 2020-2024, with individuals aged ≥65 years rising from 3.1% to 19.9%. This trend was consistent across sexes, race/ethnicity groups, and injury causes except violence. Hispanic ethnicity increased from 6.0% to 16.1%, and postsecondary education from 7.5% to 31.7%. The proportion retired, married, and widowed rose, while student and single status declined; however, within age groups, single/never-married proportions increased, mirroring US population trends. Vehicular crashes, though still the leading cause, declined from 47.0% to 36.0%, whereas falls nearly doubled from 16.5% to 32.5%. Violence-related injuries increased in 2020-2024, especially among individuals aged 15-44 years. High cervical injuries rose from 14.8% to 33.9%, and motor-incomplete injuries increased from 36.6% to 57.3%. Subgroup analyses of 4 continuously contributing centers confirmed these trends.</div></div><div><h3>Conclusions</h3><div>Study findings highlight the need to integrate geriatric care into acute and rehabilitative services and to prioritize fall-prevention among older adults. The recent increase in violence-related injuries warrants targeted surveillance and intervention. Rising education and motor-incomplete injuries may improve long-term outcomes. Monitoring marital status trends is important for understanding social participation and quality of life after tSCI.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"107 10","pages":"Pages 2833-2841"},"PeriodicalIF":4.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148142486","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":"Transcutaneous Auricular Vagus Nerve Stimulation Paired With Exercise Training for Upper Limb Motor Function and Activities of Daily Living After Stroke: A Systematic Review and Meta-analysis","authors":"Limei Gao BS,&nbsp;Yuwen Fan BS,&nbsp;Na Zhang PhD,&nbsp;Lu Chen PhD","doi":"10.1016/j.apmr.2026.03.008","DOIUrl":"10.1016/j.apmr.2026.03.008","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the safety and efficacy of transcutaneous auricular vagus nerve stimulation (taVNS) paired with exercise training on upper limb motor function, Activities of Daily Living (ADL) and adverse events , and to assess the impact of device parameters on rehabilitation outcomes, in patients with stroke through a meta-analysis.</div></div><div><h3>Data Sources</h3><div>A systematic literature search was conducted in PubMed, Cochrane Library, Embase, Web of Science, CINAHL, China National Knowledge Infrastructure, and Wanfang Database from inception to November 2025.</div></div><div><h3>Study Selection</h3><div>Randomized controlled trials were included to evaluate the effects of taVNS paired with exercise training in patients with stroke.</div></div><div><h3>Data Extraction</h3><div>Two researchers independently extracted relevant data (sociodemographic characteristics, study characteristics, stimulus parameters, and outcome indicators). The methodological quality of the included studies was assessed using the Cochrane Risk of Bias 2.0 tool. Any discrepancies were resolved through discussion or consultation with a third researcher.</div></div><div><h3>Data Synthesis</h3><div>Sixteen original studies involving a total of 708 patients with stroke were included. The results showed that patients receiving taVNS paired with exercise training had significant improvements in upper limb motor function, as assessed by the Fugl-Meyer Assessment Upper Extremity (standardized mean difference [SMD]=1.27; 95% confidence interval [CI], 0.89-1.66; <em>P</em>&lt;.01), Wolf Motor Function Test (SMD=1.46; 95% CI, 0.74-2.17; <em>P</em>&lt;.01), and Action Research Arm Test (SMD=4.51; 95% CI, 2.73-6.29; <em>P</em>&lt;.01). TaVNS paired with exercise also exhibited beneficial effects on ADL (SMD=1.42; 95% CI, 0.70-2.14; <em>P</em>&lt;.01). Subgroup analysis indicated that an intervention frequency of ≥4 sessions/wk had a significant effect on upper limb motor function (SMD=1.36; 95% CI, 0.90-1.82; <em>P</em>&lt;.01).</div></div><div><h3>Conclusions</h3><div>TaVNS paired with exercise training can effectively improve upper limb motor function and ADL, with a significant effect when the intervention frequency is ≥4 sessions/wk. Further research is needed to determine the optimal stimulation parameters and exercise protocols.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"107 10","pages":"Pages 2951-2962"},"PeriodicalIF":4.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147497642","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":"Letter to the Editor: Pain Catastrophization and Fear of Movement Are Potential Moderators for Response to Treatment in Women With Fibromyalgia: Secondary Analyses of Randomized Controlled Trial","authors":"Rubén Fernández-Matías PT, MSc","doi":"10.1016/j.apmr.2026.05.021","DOIUrl":"10.1016/j.apmr.2026.05.021","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"107 10","pages":"Pages 3033-3034"},"PeriodicalIF":4.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148197344","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":"Falls Prevention for Older Adults With Mental Health Conditions: A Practical Guide for Rehabilitation Professionals","authors":"Shelly Aboagye EdD,&nbsp;Olivia Crozier BHSc,&nbsp;Erica Lo BHSc,&nbsp;Julie M. Faieta PhD,&nbsp;Elizabeth Terhune MS,&nbsp;Patricia C. Heyn PhD, FGSA, FACRM,&nbsp;J. Taylor Harden PhD, RN, FGSA, FAAN","doi":"10.1016/j.apmr.2026.01.030","DOIUrl":"10.1016/j.apmr.2026.01.030","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"107 10","pages":"Pages 3041-3046"},"PeriodicalIF":4.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147484289","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":"Responsiveness, Minimal Clinically Important Difference, and Predictive Validity of the ArmCAM in Stroke Rehabilitation: A Remotely Delivered Upper Extremity Function Assessment","authors":"Chieh-ling Yang PhD,&nbsp;Chien-hung Chen MD,&nbsp;Lisa A. Simpson PhD,&nbsp;Janice J. Eng PhD","doi":"10.1016/j.apmr.2026.05.008","DOIUrl":"10.1016/j.apmr.2026.05.008","url":null,"abstract":"<div><h3>Objective</h3><div>The Arm Capacity and Movement Test (ArmCAM) is a remotely delivered measure for evaluating upper extremity motor function poststroke. This study examined the responsiveness, minimal clinically important difference (MCID), and predictive validity of the ArmCAM in individuals with stroke undergoing rehabilitation therapy.</div></div><div><h3>Design</h3><div>Secondary analysis of a multisite randomized controlled trial.</div></div><div><h3>Setting</h3><div>Participants’ homes.</div></div><div><h3>Participants</h3><div>Sixty-two individuals with stroke (mean age=62.7 years, 32.3% women, mean time poststroke=221.9 days).</div></div><div><h3>Interventions</h3><div>A 3-week virtually delivered upper extremity exercise program.</div></div><div><h3>Main Outcome Measures</h3><div>The ArmCAM, the Rating of Everyday Arm-use in the Community and Home (REACH) Scale, and the Stroke Impact Scale (SIS) were administered remotely via videoconferencing. These assessments were conducted before and after the intervention. The standardized response mean (SRM) was calculated for responsiveness. Anchor- and distribution-based methods were used to estimate the MCID. Predictive validity was assessed using the Spearman correlation coefficient (ρ).</div></div><div><h3>Results</h3><div>ArmCAM demonstrated high responsiveness to changes in upper extremity motor function after the intervention (SRM=0.92). The anchor-based MCID estimates were 3.3, 2.5, and 2.7 for the REACH Scale, the SIS Hand Function Domain, and the SIS Recovery Score, respectively. The distribution-based MCID estimate was 3.2. Baseline ArmCAM scores showed moderate predictive validity for posttest scores on the REACH Scale (ρ=0.61) and in the SIS Hand Function Domain (ρ=0.59), and fair predictive validity for SIS Recovery Scores (ρ=0.44).</div></div><div><h3>Conclusions</h3><div>The findings support the use of ArmCAM as a responsive and predictive remote assessment tool for evaluating upper extremity motor function poststroke. Its MCID estimates provide essential information for evaluating clinical benefits. ArmCAM is recommended for use in telerehabilitation contexts.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"107 10","pages":"Pages 2773-2778"},"PeriodicalIF":4.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148012757","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}