Archives of physical medicine and rehabilitation最新文献

{"title":"Letter to the Editor: “Effect of Graded Motor Imagery Combined With Repetitive Transcranial Magnetic Stimulation on Upper Extremity Motor Function in Stroke Patients: A Randomized Controlled Trial”","authors":"","doi":"10.1016/j.apmr.2024.06.016","DOIUrl":"10.1016/j.apmr.2024.06.016","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 10","pages":"Pages 2009-2010"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141557957","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":"Frequency and Localization of Neuromas in Transtibial Residual Limbs","authors":"Camille Fournier-Farley MD ,&nbsp;Mathieu Boudier-Revéret MD ,&nbsp;Dany H. Gagnon PhD","doi":"10.1016/j.apmr.2024.07.004","DOIUrl":"10.1016/j.apmr.2024.07.004","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the frequency and localization of neuromas in residual limbs of individuals with transtibial amputation using ultrasound imaging.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting</h3><div>Rehabilitation center research laboratory.</div></div><div><h3>Participants</h3><div>Adults who have lived with a transtibial amputation for &gt;12 months were recruited for this study. Participants were included regardless of the presence or absence of residual limb neuropathic pain. Twenty-three participants (24 transtibial residual limbs) with and without residual limb neuropathic pain were enrolled. The etiology of amputation of most participants was peripheral vascular disease and diabetes.</div></div><div><h3>Intervention</h3><div>A comprehensive history was collected and a musculoskeletal ultrasound assessment for the presence and location of neuromas in their residual limb was conducted. During the ultrasound evaluation, a sonopalpation Tinel test was performed by applying pressure on each neuroma with the probe.</div></div><div><h3>Main Outcome Measures</h3><div>Number of neuromas and their localization in each residual limb examined.</div></div><div><h3>Results</h3><div>A total of 31 neuromas in the 24 transtibial residual limbs were identified by ultrasound imaging. The average number of neuromas per residual limb was 1.3. All the major peripheral nerves studied could present neuromas, with a predominance of the superficial fibular nerve within our sample. Thirty-five percent of all the neuromas were described as painful.</div></div><div><h3>Conclusions</h3><div>The presence of terminal neuromas on surgically sectioned nerves in transtibial residual limbs is frequent. Seventy-nine percent of participants had at least one neuroma. Ultrasound imaging is clinically useful to identify neuromas. The evaluator can easily communicate with the patient to diagnose symptomatic neuromas.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 10","pages":"Pages 1993-1996"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141632527","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":"Validity of Cardiopulmonary Exercise Testing for Assessing Aerobic Capacity in Neuromuscular Diseases","authors":"Tim Veneman MSc ,&nbsp;Fieke S. Koopman MD, PhD ,&nbsp;Sander Oorschot MSc ,&nbsp;Jos J. de Koning PhD ,&nbsp;Bart C. Bongers PhD ,&nbsp;Frans Nollet MD, PhD ,&nbsp;Eric L. Voorn PhD","doi":"10.1016/j.apmr.2024.07.006","DOIUrl":"10.1016/j.apmr.2024.07.006","url":null,"abstract":"<div><h3>Objectives</h3><div>To determine the content validity of cardiopulmonary exercise testing (CPET) for assessing peak oxygen uptake (VO_2peak) in neuromuscular diseases (NMD).</div></div><div><h3>Design</h3><div>Baseline assessment of a randomized controlled trial.</div></div><div><h3>Setting</h3><div>Academic hospital.</div></div><div><h3>Participants</h3><div>Eighty-six adults (age: 58.0±13.9 y) with Charcot-Marie-Tooth disease (n=35), postpolio syndrome (n=26), or other NMD (n=25).</div></div><div><h3>Intervention</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Workload, gas exchange variables, heart rate, and ratings of perceived exertion were measured during CPET on a cycle ergometer, supervised by an experienced trained assessor. Muscle strength of the knee extensors was assessed isometrically with a fixed dynamometer. Criteria for confirming maximal cardiorespiratory effort during CPET were established during 3 consensus meetings of an expert group. The percentage of participants meeting these criteria was assessed to quantify content validity.</div></div><div><h3>Results</h3><div>The following criteria were established for maximal cardiorespiratory effort: a plateau in oxygen uptake (VO_2plateau) as the primary criterion, or 2 of 3 secondary criteria: (1) peak respiratory exchange ratio (RER_peak) ≥1.10 (2), peak heart rate ≥85% of predicted maximal heart rate; and (3) peak rating of perceived exertion (RPE_peak) ≥17 on the 6-20 Borg scale. These criteria were attained by 71 participants (83%). VO_2plateau, RER_peak ≥1.10, peak heart rate ≥85%, and RPE_peak ≥17 were attained by 31%, 73%, 69%, and 72% of the participants, respectively. Peak workload, VO_2peak, and knee extension muscle strength were significantly higher, and body mass index was lower (all <em>P</em>&lt;.05), in participants with maximal cardiorespiratory effort than other participants.</div></div><div><h3>Conclusions</h3><div>Most people with NMD achieved maximal cardiorespiratory effort during CPET. This study provides high quality evidence of sufficient content validity of VO_2peak as a maximal aerobic capacity measure. Content validity may be lower in more severely affected people with lower physical fitness.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 10","pages":"Pages 1846-1853"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733395","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":"Depression Mediates the Association Between Burden and Quality of Life in Informal Caregivers of Stroke Survivors: Meta-analytic Structural Equation Modeling","authors":"","doi":"10.1016/j.apmr.2024.01.022","DOIUrl":"10.1016/j.apmr.2024.01.022","url":null,"abstract":"<div><h3>Objective</h3><div><span>This study aims to use Meta-analytical structural equation modeling (MASEM) to clarify the relationship between burden, depression, and </span>quality of life in informal caregivers of stroke survivors.</div></div><div><h3>Data Sources</h3><div><span>The databases of PubMed, Cochrane Library<span>, Embase, China Knowledge Resource Integrated Database, Wan Fang Database, and </span></span>Chinese Biomedical Database were comprehensively searched before January 16, 2023.</div></div><div><h3>Study Selection</h3><div>Two researchers performed an independent initial search by using a unified search strategy. Observational studies investigating the relation between burden, depression, and quality of life in informal caregivers of stroke survivors were included. The studies that met the inclusion criteria were appraised by “Quality Assessment and Validity Tool for Correlational Studies”.</div></div><div><h3>Data Extraction</h3><div>PRISMA guidelines were used for this study. Data extraction was performed independently by 2 researchers. The following data were extracted: study author, year of publication, country, language, sample size, age, sex (%women), the caregivers’ relation with stroke survivor, measures, type of outcome reported in the study, study design, and main conclusion.</div></div><div><h3>Data Synthesis</h3><div>The analysis included 18 articles that reported 23 effect sizes<span> (N=3284). The MASEM findings showed that caregiver burden was positively associated with caregiver depression (β=0.474, 95% CI [0.398, 0.550]), caregiver depression was negatively associated with caregiver quality of life (β=-0.316, 95% CI [-0.545, -0.087]). Furthermore, the association between caregiver burden and quality of life was completely mediated by caregiver depression (β=-0.150, 95% CI [-0.271, -0.041]).</span></div></div><div><h3>Conclusions</h3><div>Using the MASEM approach, we observed that caregiver depression completely mediated the relation between burden and quality of life in informal caregivers of stroke survivors. Although the results did not allow for causal inference, this result suggested that for burdened stroke survivors’ informal caregivers efforts should be made to their mental health to eliminate the internal barriers, then eventually improve their quality of life.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 10","pages":"Pages 1961-1970"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139816624","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 Balance Exercise and Brisk Walking on Alleviating Nonmotor and Motor Symptoms in People With Mild-to-Moderate Parkinson Disease: A Randomized Clinical Trial With 6-Month Follow-up","authors":"","doi":"10.1016/j.apmr.2024.05.031","DOIUrl":"10.1016/j.apmr.2024.05.031","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the effects of balance exercise and brisk walking on nonmotor and motor symptoms, balance and gait functions, walking capacity, and balance confidence in Parkinson disease (PD) at posttraining and 6-month follow-up.</div></div><div><h3>Design</h3><div>Two-arm, assessor-blinded randomized controlled trial</div></div><div><h3>Setting</h3><div>University research laboratory and the community</div></div><div><h3>Participants</h3><div>Ninety-nine eligible individuals with mild-to-moderate PD</div></div><div><h3>Interventions</h3><div>Participants were randomized to balance and brisk walking group (B&amp;B, n=49) or active control group (n=50). B&amp;B received ten 90-minute sessions of balance exercises and brisk walking supervised by physical therapists for 6 months (week 1-6: weekly, week 7-26: monthly), whereas control practiced whole-body flexibility and upper limb strength exercise at same dosage (180 min/wk). Both groups performed unsupervised home exercises 2-3 times/wk during intervention and continued at follow-up.</div></div><div><h3>Main Outcome Measures</h3><div>Primary outcomes were Movement Disorder Society Unified Parkinson Disease Rating Scale nonmotor (MDS-UPDRS-I) and motor (MDS-UPRDS-III) scores. Secondary outcomes were mini-Balance Evaluation Systems Test (mini-BEST) score, comfortable gait speed (CGS), 6-minute walk test (6MWT), dual-task timed-Up-and-Go (DTUG) time, and Activities-Specific Balance Confidence Scale score.</div></div><div><h3>Results</h3><div>Eighty-three individuals completed the 6-month intervention with no severe adverse effects. The mean between-group (95% CI) difference for the MDS-UPDRS nonmotor score was 1.50 (0.19-2.81) at 6 months and 1.09 (−0.66 to 2.85) at 12 months. The mean between-group (95% CI) difference for the MDS-UPDRS motor score was 3.75 (0.69-6.80) at 6 months and 4.57 (1.05-8.01) at 12 months. At 6 and 12 months, there were significant between-group improvements of the B&amp;B group in mini-BEST score, CGS, 6MWT, and DTUG time.</div></div><div><h3>Conclusions</h3><div>This combined balance and brisk walking exercise program alleviates nonmotor and motor symptoms and improves walking capacity, balance, and gait functions posttraining, with positive carryover effects for all except nonmotor outcomes, at 6-month follow-up in mild-to-moderate PD.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 10","pages":"Pages 1890-1899"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141309896","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":"Self-management Programs Within Rehabilitation Yield Positive Health Outcomes at a Small Increased Cost Compared With Usual Care: A Systematic Review and Meta-analysis","authors":"","doi":"10.1016/j.apmr.2024.05.007","DOIUrl":"10.1016/j.apmr.2024.05.007","url":null,"abstract":"<div><h3>Objective</h3><div>To determine if self-management programs, supported by a health professional, in rehabilitation are cost effective.</div></div><div><h3>Data Sources</h3><div>Six databases were searched until December 2023.</div></div><div><h3>Study Selection</h3><div>Randomized controlled trials<span> with adults completing a supported self-management program while participating in rehabilitation or receiving health professional input in the hospital or community settings were included. Self-management programs were completed outside the structured, supervised therapy and health professional sessions. Included trials had a cost measure and an effectiveness outcome reported, such as health-related quality of life or function. Grading of Recommendations, Assessment, Development, and Evaluations was used to determine the certainty of evidence across trials included in each meta-analysis. Incremental cost-effectiveness ratios were calculated based on the mean difference from the meta-analyses of contributing health care costs and quality of life.</span></div></div><div><h3>Data Extraction</h3><div>After application of the search strategy, two independent reviewers determined eligibility of identified literature, initially by reviewing the title and/or abstract before full-text review. Using a customized form, data were extracted by one reviewer and checked by a second reviewer.</div></div><div><h3>Data Synthesis</h3><div>Forty-three trials were included, and 27 had data included in meta-analyses. Where self-management was a primary intervention, there was moderate certainty of a meaningful positive difference in quality-of-life utility index of 0.03 units (95% confidence interval, 0.01-0.06). The cost difference between self-management as the primary intervention and usual care (comprising usual intervention/therapy, minimal intervention [including education only], or no intervention) potentially favored the comparison group (mean difference=Australian dollar [AUD]90; 95% confidence interval, −AUD130 to AUD310). The cost per quality-adjusted life year (QALY) gained for self-management programs as a stand-alone intervention was AUD3000, which was below the acceptable willingness-to-pay threshold in Australia per QALY gained (AUD50,000/QALY gained).</div></div><div><h3>Conclusions</h3><div>Self-management as an intervention is low cost and could improve health-related quality of life.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 10","pages":"Pages 1946-1960"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140904064","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: The Effects of Near-Infrared Phototherapy Preirradiation on Lower-Limb Muscle Strength and Injury After Exercise","authors":"João Vitor Ferlito MSc,&nbsp;Thiago De Marchi PhD","doi":"10.1016/j.apmr.2024.05.036","DOIUrl":"10.1016/j.apmr.2024.05.036","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 10","pages":"Pages 2012-2013"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141603237","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 Editor: Effect of Psychomotricity in Combination With 3 Months of Active Shoulder Exercises in Individuals With Chronic Shoulder Pain: Primary Results From an Investigator-Blinded, Randomized, Controlled Trial","authors":"Samruddhi Kendhe,&nbsp;Anmol Bhatia,&nbsp;Thiagarajan Subramanian PhD","doi":"10.1016/j.apmr.2024.05.034","DOIUrl":"10.1016/j.apmr.2024.05.034","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 10","pages":"Page 2011"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141726811","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 Manuscript Reviewers","authors":"","doi":"10.1016/j.apmr.2024.09.001","DOIUrl":"10.1016/j.apmr.2024.09.001","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 11","pages":"Pages 2233-2237"},"PeriodicalIF":3.6,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142537037","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: Rehabilitation of Social Communication Skills in Patients With Acquired Brain Injury With Intensive and Standard Group Interactive Structured Treatment: A Randomized Controlled Trial.","authors":"Parneet Kaur, Anmol Bhatia, Geetanjali Saggar","doi":"10.1016/j.apmr.2024.06.025","DOIUrl":"10.1016/j.apmr.2024.06.025","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142340077","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}