Archives of physical medicine and rehabilitation最新文献

{"title":"Neurophysiological Effects of Dry Needling: A Systematic Review and Meta-analysis.","authors":"Gabriel Rabanal-Rodríguez, Marcos José Navarro-Santana, Juan Antonio Valera-Calero, Guido Fabián Gómez-Chiguano, Magdalena Kocot-Kępska, César Fernández-de-Las-Peñas, Gustavo Plaza-Manzano","doi":"10.1016/j.apmr.2025.08.019","DOIUrl":"10.1016/j.apmr.2025.08.019","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the neurophysiological effects associated with dry needling. This review evaluates the influence of dry needling on pain-related biomarkers, conditioned pain modulation, and temporal summation to clarify the potential mechanisms underlying its therapeutic effects.</p><p><strong>Data sources: </strong>A literature search across the Physiotherapy Evidence Database, Web of Science, PubMed, Cochrane Library, and Scopus databases until October 2024 was conducted.</p><p><strong>Study selection: </strong>Studies were included if they assessed the neurophysiological effects of dry needling in animal or human models. Fourteen results were included in the qualitative synthesis (n=4 in animals, n=10 in humans) and 4 in the quantitative analysis. Selection was performed independently by 2 reviewers.</p><p><strong>Data extraction: </strong>Data were extracted independently by 2 reviewers using a standardized form. Neurophysiological outcomes included levels of biomarkers (eg, substance P [SP], cortisol, interleukins, calcitonin gene-related peptide , serotonin, and tumor necrosis factor-α) as well as measures of conditioned pain modulation and temporal summation. The methodological quality was assessed using the Physiotherapy Evidence Database, Cochrane Risk of Bias-2, and Risk of Bias in Nonrandomized Studies of Interventions scales.</p><p><strong>Data synthesis: </strong>Dry needling showed increases in microRNA-939, microRNA-25, β-endorphin, interleukin-2 (IL-2), tumor necrosis factor-α, inducible isoform of nitric oxide synthases, hypoxia-inducible factor-1α, cyclooxygenase-2, vascular endothelial growth factor, inflammatory cells, IL-6, and acetylcholinesterase, whereas decreases were observed in Myozenin 2, SP, calcitonin gene-related peptide, acetylcholine, and acetylcholine receptor. The effects on neurophysiological variables related to pain processing are limited, leading to small improvements in conditioned pain modulation (standardized mean differences, 0.36; 95% CI, 0.05-0.67) and no apparent changes in temporal summation (standardized mean difference, -0.08; 95% CI, -0.44 to 0.27).</p><p><strong>Conclusions: </strong>The application of dry needling can induce significant changes in pain-related biomarker levels in animal and human studies, providing insights into its underlying mechanisms of action and potential clinical effects.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145022777","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 Transfemoral Adjustable-Volume Sockets on Socket Comfort and Quality of Life: A Randomized Controlled Trial.","authors":"Deanna H Gates, Jeffrey Wensman, Anthony R Gutierrez, Jordan Kartes, Marco A Avalos, Noah J Rosenblatt","doi":"10.1016/j.apmr.2025.08.018","DOIUrl":"10.1016/j.apmr.2025.08.018","url":null,"abstract":"<p><strong>Objective: </strong>To determine if adjustable-volume sockets affect patient comfort and quality of life.</p><p><strong>Design: </strong>Randomized controlled trial.</p><p><strong>Setting: </strong>Two prosthetics clinics and 2 research laboratories.</p><p><strong>Participants: </strong>A convenience sample of individuals with unilateral transfemoral amputation who used prescribed conventional laminated sockets or adjustable-volume sockets (N=29).</p><p><strong>Interventions: </strong>Each participant was fitted with 3 commercially available adjustable-volume prosthetic sockets that were each used at home for separate 4-week trials. Adjustable socket styles included the Infinite Socket (LIM Innovations), CJ Sail (CJ Socket Technologies), and Quatro (Quorum).</p><p><strong>Main outcome measures: </strong>The primary outcomes were Socket Fit Comfort Score, Prosthetic Evaluation Questionnaire (PEQ) subscales, socket-specific individual questions from the PEQ, and health-related quality of life (36-Item Short-Form Health Survey). Assessments were conducted after at least 3 weeks of socket use.</p><p><strong>Results: </strong>Participants abandoned a large number of sockets during the acclimation due to discomfort or instability: CJ (41%), Infinite Socket (25%), and Quatro (24%). When successful, CJ and Quatro sockets improved the Utility, Ambulation, and Social Burden PEQ subscales as well as fit, feel, and sitting comfort compared with the laminated socket. There were a few differences in the Infinite Socket, though it was perceived as having a poorer appearance. Participants who selected adjustable designs at the conclusion of the study reported measurable improvements in socket comfort.</p><p><strong>Conclusions: </strong>Adjustable-volume sockets offer an alternative to conventional laminated sockets that can positively affect comfort, perceived mobility, and prosthetic utility. Future work should identify the characteristics of individuals that predict success with different socket designs.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145022748","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":"Acoustic Measures of Voice Perturbation Offer Limited Value as Standalone Indicators of Laryngeal Penetration or Aspiration.","authors":"Lindsay Griffin, Jenna Silver Luque, Sarah H Szynkiewicz, Erin Kamarunas","doi":"10.1016/j.apmr.2025.08.015","DOIUrl":"10.1016/j.apmr.2025.08.015","url":null,"abstract":"<p><strong>Objective: </strong>To identify which, if any, acoustic measures are associated with swallowing safety.</p><p><strong>Design: </strong>Prospective, original research.</p><p><strong>Setting: </strong>Primarily outpatient.</p><p><strong>Participants: </strong>A total of 34 adults (N=34) referred for a videofluoroscopic swallowing study (VFSS) were audio-recorded completing a sustained vowel and reading a sentence before the VFSS and again after swallowing each bolus.</p><p><strong>Interventions: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>Swallowing safety was initially quantified using the Penetration-Aspiration Scale with ratings then defined dichotomously (eg, no penetration/aspiration vs penetration and/or aspiration). Acoustic measurements were calculated in Praat and included jitter (relative average perturbation [RAP]), shimmer (local), noise-to-harmonic ratio, and cepstral peak prominence (CPP).</p><p><strong>Results: </strong>Before bolus swallowing, RAP and shimmer (local) predicted penetration or aspiration (P=.036, P=.046, respectively) when included in a model with diagnosis and sex, whereas changes in CPP significantly predicted penetration or aspiration after bolus swallowing (P=.02) when included in a model with diagnosis and bolus consistency. However, receiver operating characteristic analyses were poor (P>.05), indicating these acoustic measures did not perform well as independent classifiers of airway invasion.</p><p><strong>Conclusions: </strong>Although RAP, shimmer (local), and CPP may predict subsequent airway invasion in a larger model, they do not appear to be effective predictors when used alone. Noise-to-harmonic ratio was not predictive of penetration or aspiration in any of the models. Results suggest that acoustic voice features are insufficient as standalone indicators of airway invasion risk or events.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145008124","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":"Quantifying Exercise Intensity to Predict Changes in Walking Capacity in Individuals with Chronic Stroke.","authors":"Kiersten M McCartney, Pierce Boyne, Ryan Pohlig, Susanne M Morton, Darcy S Reisman","doi":"10.1016/j.apmr.2025.08.016","DOIUrl":"10.1016/j.apmr.2025.08.016","url":null,"abstract":"<p><strong>Objective: </strong>To examine whether exercise intensity, quantified as heart rate or training speed, predicts walking outcomes in people with chronic stroke.</p><p><strong>Design: </strong>This is a secondary analysis from a larger randomized controlled trial (\"Promoting Recovery Optimization of Walking Activity in Stroke\"; NIH1R01HD086362).</p><p><strong>Setting: </strong>Four outpatient rehabilitation clinics.</p><p><strong>Participants: </strong>Participants with chronic stroke with a walking speed of 0.3-1.0 m/s and step activity of <8000 steps per day. This analysis included participants (N=169; age, 63.1±12.5, 46% women) with complete baseline and postintervention data.</p><p><strong>Interventions: </strong>Participants were randomized into (1) fast-walking training or (2) fast-walking training and step-activity monitoring behavioral group. Of importance, participants received up to 36 sessions of 30-minute high-intensity treadmill walking training across 12 weeks.</p><p><strong>Main outcome measures: </strong>The primary outcomes were a baseline-to-postintervention change in 6-minute walk test distance and fastest walking speed. Exercise intensity was quantified as either a percentage of heart rate reserve or self-selected walking speed.</p><p><strong>Results: </strong>Two separate multiple linear regressions with robust errors analyzed the relationship of exercise intensity metrics (% heart rate, training speed) on baseline-to-postintervention changes in 2 walking capacity outcomes (6-minute walk test, fastest walking speed) after accounting for covariates. Training speed was a significant predictor of both a change in 6-minute walk test distance (b=0.359; 95% CI, 0.108-0.610; P=.005) and fastest walking speed (b=0.001; 95% CI, 0.001-0.002; P=.003). Heart rate was not a significant predictor of either outcome (both P>.373).</p><p><strong>Conclusions: </strong>Training speed significantly predicts changes in walking capacity outcomes in people with chronic stroke following a fast-walking treadmill intervention. This suggests rehabilitation clinicians may use training speed as the metric of exercise intensity when prescribing walking interventions to people with chronic stroke.</p>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013784","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":"The Reporting of Sex and Gender in Rehabilitation Randomized Clinical Trials: A Commentary","authors":"Angela Colantonio PhD, OT Reg. (Ont.)","doi":"10.1016/j.apmr.2025.02.004","DOIUrl":"10.1016/j.apmr.2025.02.004","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 9","pages":"Page 1459"},"PeriodicalIF":3.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143466716","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":"Pneumonia Prolongs Rehabilitation Length of Stay and Induces Excess Costs in Adults With Acute Spinal Cord Injury: A Causal Inference Study Using Prospective Multicenter Data","authors":"Sven Mostberger MSc ,&nbsp;Martin W.G. Brinkhof PhD ,&nbsp;Boris Polanco MSc ,&nbsp;David J. Berlowitz PhD ,&nbsp;David Gobets MD ,&nbsp;Margret Hund-Georgiadis MD ,&nbsp;Xavier Jordan MD ,&nbsp;Karin Postma PhD ,&nbsp;Anja M. Raab PhD ,&nbsp;Martin Schubert MD ,&nbsp;Gabi Mueller PhD","doi":"10.1016/j.apmr.2025.02.014","DOIUrl":"10.1016/j.apmr.2025.02.014","url":null,"abstract":"<div><h3>Objective</h3><div>To estimate the causal effect of pneumonia on the length of stay (LOS) and associated costs during inpatient rehabilitation following an acute spinal cord injury (SCI).</div></div><div><h3>Design</h3><div>Prospective multicenter cohort study using a causal inference framework.</div></div><div><h3>Setting</h3><div>Ten centers specialized in SCI rehabilitation in high-income countries.</div></div><div><h3>Participants</h3><div>Newly injured SCI patients with complete or incomplete lesions at cervical or thoracic levels (C1-T12) admitted for inpatient rehabilitation. The study included adults (N=486), predominantly men (76.1%), with a median age of 55 years, who were roughly evenly divided between paraplegia (46.5%) and tetraplegia (53.5%).</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Additional rehabilitation LOS and associated excess costs because of pneumonia.</div></div><div><h3>Results</h3><div>Experiencing at least 1 episode of pneumonia was associated with an 11% increase in rehabilitation LOS on average. The resulting excess LOS was 21.3 days (95% confidence interval (CI), 18.9-23.7). The additional LOS because of pneumonia costs, on average, $41,812.57 (standard deviation 20,909.73) per patient. Patients with motor complete tetraplegia had the longest rehabilitation LOS, both with and without pneumonia (256.0d; 95% CI, 226.7-285.2 vs 228.9d; 95% CI, 201.6-256.2) and subsequential higher costs.</div></div><div><h3>Conclusions</h3><div>Our findings indicate that pneumonia increases the average rehabilitation length of stay by 21 days and incurs additional costs exceeding $41,000 per patient in individuals with acute SCI. Early screening and prevention are essential to manage these impacts, especially in patients with motor complete tetraplegia.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 9","pages":"Pages 1339-1347"},"PeriodicalIF":3.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571927","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":"Exploring Rest Advice in Fatigue Interventions in Rehabilitation Among Adults With Long-Term Conditions: A Systematic Scoping Review of the Reporting of Rest in Randomized Controlled Trials","authors":"Martin Ackah MPH ,&nbsp;Ulric S. Abonie PhD ,&nbsp;Katie L. Hackett PhD ,&nbsp;Vincent Deary PhD ,&nbsp;David Owiredu MPH ,&nbsp;Florentina Johanna Hettinga PhD","doi":"10.1016/j.apmr.2025.02.001","DOIUrl":"10.1016/j.apmr.2025.02.001","url":null,"abstract":"<div><h3>Objective</h3><div>To explore how rest is described or included as part of rest advice in fatigue interventions within rehabilitation for adults with long-term conditions (LTC).</div></div><div><h3>Data Sources</h3><div>This scoping review identified fatigue interventions through PubMed, the Cumulative Index to Nursing and Allied Health Literature, the Allied and Complementary Medicine Database, and the Physiotherapy Evidence Database, from inception to July 2024.</div></div><div><h3>Study Selection</h3><div>Two independent reviewers screened and selected the articles. Studies were included if they: (1) involved adults with LTC, (2) used nonpharmacological fatigue interventions, (3) had fatigue as the primary outcome, and (4) were randomized controlled trials. Only randomized controlled trials that include rest advice in the interventions were selected.</div></div><div><h3>Data Extraction</h3><div>Extracted data included the first author's name, year of publication, country, type of LTC, intervention category, specific interventions, and how rest was reported in all interventions. Furthermore, rest was reported using the frequency, intensity, time, and type principle, focusing on the frequency, intensity, duration, and type of rest in the exercise interventions and key conclusions.</div></div><div><h3>Data Synthesis</h3><div>Results were summarized, tabulated, and reported descriptively. Out of 13,645 initial records, 56 studies were included in the review. Of the total interventions analyzed, 55.4% (31/56) were classified as physical activity interventions, 14.3% (8/56) as psychological interventions (eg, cognitive behavioral therapy), 12.5% (7/56) were identified as energy management strategies, 8.9% (5/56) as educational interventions, and 8.9% (5/56) as activity pacing strategies. A disparity was observed in the instruction of rest advice between exercise interventions and daily fatigue management strategies. Specifically, physical activity interventions tended to adopt a more prescriptive approach to rest, whereas rest in daily fatigue management strategies was primarily instructed through education on the importance of rest in daily life. Notably, the level of detail provided in reporting rest parameters was generally limited.</div></div><div><h3>Conclusions</h3><div>This review found insufficient reporting of rest, highlighting a significant gap and indicating the need for improved documentation and standardization of rest in fatigue interventions. Future research is necessary to better understand the role of rest in the rehabilitation of LTC.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 9","pages":"Pages 1422-1436"},"PeriodicalIF":3.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143424832","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":"Psychophysiological Effects of an Expressive Arts-based Intervention in Young and Pre-elderly Stroke Survivors: A Randomized Controlled Trial","authors":"Rainbow T.H. Ho PhD ,&nbsp;Temmy L.T. Lo PhD ,&nbsp;Ted C.T. Fong PhD ,&nbsp;Caitlin K.P. Chan PhD ,&nbsp;Marco Y.C. Pang PhD ,&nbsp;Adrian H.Y. Wan PhD ,&nbsp;Pamela P.Y. Leung PhD ,&nbsp;Gary K.K. Lau PhD","doi":"10.1016/j.apmr.2025.04.008","DOIUrl":"10.1016/j.apmr.2025.04.008","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the psychophysiological effects of an 8-week expressive arts-based intervention (EABI) on young and pre-elderly stroke survivors.</div></div><div><h3>Design</h3><div>A parallel-group randomized controlled trial.</div></div><div><h3>Setting</h3><div>Public hospitals and community sites.</div></div><div><h3>Participants</h3><div>Community-dwelling participants (N=157) aged between 18 and 64 years who experienced a major stroke event in the past 10 years with mild to moderate post-stroke impairments (modified Rankin scale level=1-4).</div></div><div><h3>Interventions</h3><div>Participants were randomly assigned to an 8-week EABI group (N=75) once per week for 90 minutes or a treatment-as-usual waitlist control group (CG) (N=82).</div></div><div><h3>Main Outcome Measures</h3><div><span>Outcomes of psychophysiological functioning, including depression, anxiety, perceived social support<span>, hope, self-esteem, generic and stroke-specific quality of life (QOL), and salivary </span></span>cortisol<span>, were measured at three assessment waves: baseline (T0), 2 months after baseline (T1), and 8 months after baseline (T2). The short-term (T0-T1) and long-term (T0-T2) effects of the EABI were analyzed by latent change analysis. Mediation analysis was conducted to explore the potential mechanisms of the short-term and long-term EABI effects.</span></div></div><div><h3>Results</h3><div><span>From T0 to T1, the EABI group showed significant improvements in perceived social support, hope, and self-esteem (Cohen </span><em>d</em><span>=0.32-0.48) compared with the CG. From T0 to T2, there were significant improvements in anxiety symptoms and self-esteem, physical QOLs, and wake-up cortisol (</span><em>d</em><span>=0.34-0.46). Short-term improvements in perceived social support and hope partially mediated the long-term EABI effects on physical QOLs. The beneficial effects of EABI showed heterogeneity across gender and stroke types.</span></div></div><div><h3>Conclusions</h3><div>This study found short-term effects for the EABI on perceived social support and hope and long-term effects on self-esteem and physiological functioning. Future research should develop tailored EABI as multifaceted support for rehabilitation practice for stroke survivors.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 9","pages":"Pages 1303-1311"},"PeriodicalIF":3.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143957627","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(25)00829-9","DOIUrl":"10.1016/S0003-9993(25)00829-9","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 9","pages":"Page A8"},"PeriodicalIF":3.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144989652","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 Supplements","authors":"","doi":"10.1016/S0003-9993(25)00841-X","DOIUrl":"10.1016/S0003-9993(25)00841-X","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"106 9","pages":"Pages 1467-1469"},"PeriodicalIF":3.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144989654","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}