Berkay Yalçınkaya, Ahmet Furkan Çolak, Levent Özçakar
{"title":"Ultrasound imaging/guidance for a painful loose body/calcification in the popliteus tendon","authors":"Berkay Yalçınkaya, Ahmet Furkan Çolak, Levent Özçakar","doi":"10.1002/pmrj.13184","DOIUrl":"https://doi.org/10.1002/pmrj.13184","url":null,"abstract":"","PeriodicalId":20287,"journal":{"name":"Pm & R","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140595351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shear wave elastography (SWE) is an emerging and promising ultrasound modality, and is more recently employed in the diagnosis of musculoskeletal (MSK) pathologies. SWE evaluates tissue stiffness by measuring the speed of propagating acoustic waves through body tissue structures. Knowing the variations in stiffness of MSK soft tissue can provide helpful diagnostic insight for the evaluation of pathology in muscles, tendons, ligaments, nerves, and other soft tissues. The goal of this review is to synthesize recent literature on the utility of SWE for MSK pathology diagnosis. This review reveals that SWE adds important diagnostic data for the evaluation of several pathologies, such as median mononeuropathy at the wrist, Achilles tendinopathy, and plantar fasciitis. The review also reveals a lack of evidence pertaining to appropriate standardization of use and the connection to reliable and valid diagnostic benefit in the clinical setting.
剪切波弹性成像（SWE）是一种新兴且前景广阔的超声模式，最近被用于诊断肌肉骨骼（MSK）病症。SWE 通过测量声波在人体组织结构中的传播速度来评估组织硬度。了解 MSK 软组织的硬度变化可为评估肌肉、肌腱、韧带、神经和其他软组织的病变提供有用的诊断见解。本综述的目的是对有关 SWE 在 MSK 病理学诊断中的实用性的最新文献进行综述。综述显示，SWE 为评估多种病症（如腕部正中单神经病变、跟腱病和足底筋膜炎）提供了重要的诊断数据。该综述还显示，在临床环境中，缺乏与适当的标准化使用和可靠有效的诊断益处相关的证据。
{"title":"Diagnostic utility of shear wave elastography in musculoskeletal injuries: A narrative review","authors":"Kuntal Chowdhary, George Raum, Christopher Visco","doi":"10.1002/pmrj.13179","DOIUrl":"https://doi.org/10.1002/pmrj.13179","url":null,"abstract":"Shear wave elastography (SWE) is an emerging and promising ultrasound modality, and is more recently employed in the diagnosis of musculoskeletal (MSK) pathologies. SWE evaluates tissue stiffness by measuring the speed of propagating acoustic waves through body tissue structures. Knowing the variations in stiffness of MSK soft tissue can provide helpful diagnostic insight for the evaluation of pathology in muscles, tendons, ligaments, nerves, and other soft tissues. The goal of this review is to synthesize recent literature on the utility of SWE for MSK pathology diagnosis. This review reveals that SWE adds important diagnostic data for the evaluation of several pathologies, such as median mononeuropathy at the wrist, Achilles tendinopathy, and plantar fasciitis. The review also reveals a lack of evidence pertaining to appropriate standardization of use and the connection to reliable and valid diagnostic benefit in the clinical setting.","PeriodicalId":20287,"journal":{"name":"Pm & R","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140595476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Talia R. Ruxin, David C. Morgenroth, Tarik Benmarhnia, Elizabeth G. Halsne
The human health consequences of climate change and extreme weather events are well documented. Published literature details the unique effects and necessary adaptation planning for people with physical disabilities in general; however, the specific impacts and plans for people with limb loss have yet to be explored. In this article, we discuss the impacts related to threats due to heat, cold, severe storms, and power outages. We describe how climate change uniquely affects people with limb loss and underscore the need for rehabilitation care providers and researchers to: (1) study the health impacts of climate change on people with lower limb loss; (2) educate themselves and patients on the climate crisis and climate preparedness; (3) co‐develop resiliency strategies with patients, governments, and community organizations to improve adaptive capacity; and (4) advocate for policy changes that will enact protections for this at‐risk population.
{"title":"The impact of climate change and related extreme weather on people with limb loss","authors":"Talia R. Ruxin, David C. Morgenroth, Tarik Benmarhnia, Elizabeth G. Halsne","doi":"10.1002/pmrj.13154","DOIUrl":"https://doi.org/10.1002/pmrj.13154","url":null,"abstract":"The human health consequences of climate change and extreme weather events are well documented. Published literature details the unique effects and necessary adaptation planning for people with physical disabilities in general; however, the specific impacts and plans for people with limb loss have yet to be explored. In this article, we discuss the impacts related to threats due to heat, cold, severe storms, and power outages. We describe how climate change uniquely affects people with limb loss and underscore the need for rehabilitation care providers and researchers to: (1) study the health impacts of climate change on people with lower limb loss; (2) educate themselves and patients on the climate crisis and climate preparedness; (3) co‐develop resiliency strategies with patients, governments, and community organizations to improve adaptive capacity; and (4) advocate for policy changes that will enact protections for this at‐risk population.","PeriodicalId":20287,"journal":{"name":"Pm & R","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140594947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ObjectivesTo investigate the efficacy of arm crank ergometry (ACE) on physical, psychological, and quality of life outcomes in individuals with spinal cord injury (SCI).Literature SurveyA comprehensive search was conducted on PubMed, Scopus, MEDLINE, Physiotherapy Evidence Database (PEDro), Web of Science, REHABDATA, and Embase from inception until July 2023.MethodologyStudies were included if the sample was composed of individuals with SCI, the intervention followed an ACE intervention, and the study was a randomized controlled trial including at least one outcome measure evaluating physical, psychological, or quality of life. The PEDro scale was used to assess the methodological quality of the included studies. The meta‐analysis was not feasible due to the heterogeneity in the treatment protocols and outcome measures among the selected studies.SynthesisOf 1013 articles, seven studies (n = 200), with 16% of participants being female, were included in this review. The scores on the PEDro scale ranged from 6 to 8, with a median score of 7. There were variations in treatment protocols and outcome measures, resulting in heterogeneous findings. The effects of the ACE interventions on physical, psychological, and quality of life outcomes showed inconsistency.ConclusionsACE training proves to be a suitable and safe intervention for individuals with traumatic SCI. Nevertheless, the existing evidence concerning its effects on physical, psychological, and quality of life outcomes in individuals with SCI is limited. Further trials are required to investigate the effects of various ACE training protocols on SCI populations.
{"title":"Efficacy of arm crank ergometry on individuals with spinal cord injury: A systematic review of randomized controlled trials","authors":"Anas R. Alashram","doi":"10.1002/pmrj.13143","DOIUrl":"https://doi.org/10.1002/pmrj.13143","url":null,"abstract":"ObjectivesTo investigate the efficacy of arm crank ergometry (ACE) on physical, psychological, and quality of life outcomes in individuals with spinal cord injury (SCI).Literature SurveyA comprehensive search was conducted on PubMed, Scopus, MEDLINE, Physiotherapy Evidence Database (PEDro), Web of Science, REHABDATA, and Embase from inception until July 2023.MethodologyStudies were included if the sample was composed of individuals with SCI, the intervention followed an ACE intervention, and the study was a randomized controlled trial including at least one outcome measure evaluating physical, psychological, or quality of life. The PEDro scale was used to assess the methodological quality of the included studies. The meta‐analysis was not feasible due to the heterogeneity in the treatment protocols and outcome measures among the selected studies.SynthesisOf 1013 articles, seven studies (n = 200), with 16% of participants being female, were included in this review. The scores on the PEDro scale ranged from 6 to 8, with a median score of 7. There were variations in treatment protocols and outcome measures, resulting in heterogeneous findings. The effects of the ACE interventions on physical, psychological, and quality of life outcomes showed inconsistency.ConclusionsACE training proves to be a suitable and safe intervention for individuals with traumatic SCI. Nevertheless, the existing evidence concerning its effects on physical, psychological, and quality of life outcomes in individuals with SCI is limited. Further trials are required to investigate the effects of various ACE training protocols on SCI populations.","PeriodicalId":20287,"journal":{"name":"Pm & R","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140594946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
James E. Eubanks, Zachary A. Cupler, Jordan A. Gliedt, Geronimo Bejarano, Richard L. Skolasky, Rob J. E. M. Smeets, Michael J. Schneider
IntroductionLumbar spinal stenosis (LSS) is a leading cause of chronic musculoskeletal pain among older adults. A common and costly intervention for the treatment of LSS is lumbar decompression with or without fusion (LSS surgery), which has mixed outcomes among patients. Prehabilitation is a strategy designed to optimize the consistency of positive surgical outcomes and promote patient self‐efficacy, while attempting to mitigate postoperative complications. No efforts have investigated the prehabilitation strategies specifically for patients undergoing LSS surgery.ObjectiveTo determine the feasibility of delivery and acceptability by participants of a novel prehabilitation intervention for patients undergoing LSS surgery.DesignFeasibility study.SettingOutpatient orthopedic clinic at an academic medical center.ParticipantsPatients at least 50 years of age, who were scheduled for LSS surgery between October 2020 and October 2021.InterventionPreOperative Spinal Education for Lumbar Spinal Stenosis (POSE‐LSS), is a novel multimodal, education‐focused, time‐efficient prehabilitation program for patients undergoing LSS surgery. Participants received the following: (1) Educational booklet and video; (2) In‐person physical therapy (PT) session; and (3) Telemedicine visit with a physiatrist.Main Outcome Measure(s)The primary outcomes of interest were feasibility and acceptability of intervention by participants. Key potential surgical outcomes were length of stay and discharge disposition.ResultsPOSE‐LSS was completed by all eligible participants enrolled (n = 15) indicating feasibility and acceptability. Potential effectiveness measures including length of stay and discharge disposition were positively associated with the POSE‐LSS intervention.ConclusionsThis study demonstrates that a novel prehabilitation intervention is feasible, acceptable, and appears positively associated with important short‐term measures of postoperative recovery that may impact the trajectory of patient care following LSS surgery.
{"title":"Preoperative spinal education for lumbar spinal stenosis: A feasibility study","authors":"James E. Eubanks, Zachary A. Cupler, Jordan A. Gliedt, Geronimo Bejarano, Richard L. Skolasky, Rob J. E. M. Smeets, Michael J. Schneider","doi":"10.1002/pmrj.13140","DOIUrl":"https://doi.org/10.1002/pmrj.13140","url":null,"abstract":"IntroductionLumbar spinal stenosis (LSS) is a leading cause of chronic musculoskeletal pain among older adults. A common and costly intervention for the treatment of LSS is lumbar decompression with or without fusion (LSS surgery), which has mixed outcomes among patients. Prehabilitation is a strategy designed to optimize the consistency of positive surgical outcomes and promote patient self‐efficacy, while attempting to mitigate postoperative complications. No efforts have investigated the prehabilitation strategies specifically for patients undergoing LSS surgery.ObjectiveTo determine the feasibility of delivery and acceptability by participants of a novel prehabilitation intervention for patients undergoing LSS surgery.DesignFeasibility study.SettingOutpatient orthopedic clinic at an academic medical center.ParticipantsPatients at least 50 years of age, who were scheduled for LSS surgery between October 2020 and October 2021.InterventionPreOperative Spinal Education for Lumbar Spinal Stenosis (POSE‐LSS), is a novel multimodal, education‐focused, time‐efficient prehabilitation program for patients undergoing LSS surgery. Participants received the following: (1) Educational booklet and video; (2) In‐person physical therapy (PT) session; and (3) Telemedicine visit with a physiatrist.Main Outcome Measure(s)The primary outcomes of interest were feasibility and acceptability of intervention by participants. Key potential surgical outcomes were length of stay and discharge disposition.ResultsPOSE‐LSS was completed by all eligible participants enrolled (<jats:italic>n</jats:italic> = 15) indicating feasibility and acceptability. Potential effectiveness measures including length of stay and discharge disposition were positively associated with the POSE‐LSS intervention.ConclusionsThis study demonstrates that a novel prehabilitation intervention is feasible, acceptable, and appears positively associated with important short‐term measures of postoperative recovery that may impact the trajectory of patient care following LSS surgery.","PeriodicalId":20287,"journal":{"name":"Pm & R","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140595140","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael Khalil, Elver S. Ho, Sophia Zweig, Sanjeev Agarwal
BackgroundDue to the virtual format of fellowship applications, prospective physical medicine and rehabilitation (PM&R) sports medicine fellowship applicants commonly rely upon fellowship website content to make decisions about applications. Studies have shown that information available to fellowship applicants on program websites is inadequate, and there is no standard for important components of sports medicine fellowship websites.ObjectiveTo determine what sports medicine fellowship program features PM&R residents, fellows, and attending physicians consider the most important to be listed on fellowship websites, as well as to assess the scope of information available on fellowship websites.DesignWe developed a 30‐item list of criteria that fell into categories of general information, fellowship education, recruitment, experience, and academic research. Survey participants were asked to rank the importance of those various items. We then assessed the 21 PM&R accredited sports medicine fellowship websites for the presence of these criteria.ParticipantsNinety‐six survey respondents composed of PM&R residents, current sports medicine fellows, and attendings.InterventionsNot applicable.Main Outcome Measure(s)Not applicable.ResultsItems ranked as most important were those in the categories of general information, fellowship experience, and fellowship recruitment. The most valued items were program location, program coordinator contact information, program length, specific requirements for applying, number of positions, types of procedures taught, and specific sites covered. Academic research items were ranked as least important.ConclusionsSurvey respondents identified many fellowship website items as important factors when applying to programs. Many of these items were not listed on fellowship websites, suggesting that adding these criteria to fellowship sites might benefit applicants. Our findings can be used to develop standardized criteria for important components of sports medicine fellowship websites to improve the application and recruitment process.
{"title":"An evaluation of physical medicine and rehabilitation accredited sports medicine fellowship websites","authors":"Michael Khalil, Elver S. Ho, Sophia Zweig, Sanjeev Agarwal","doi":"10.1002/pmrj.13151","DOIUrl":"https://doi.org/10.1002/pmrj.13151","url":null,"abstract":"BackgroundDue to the virtual format of fellowship applications, prospective physical medicine and rehabilitation (PM&R) sports medicine fellowship applicants commonly rely upon fellowship website content to make decisions about applications. Studies have shown that information available to fellowship applicants on program websites is inadequate, and there is no standard for important components of sports medicine fellowship websites.ObjectiveTo determine what sports medicine fellowship program features PM&R residents, fellows, and attending physicians consider the most important to be listed on fellowship websites, as well as to assess the scope of information available on fellowship websites.DesignWe developed a 30‐item list of criteria that fell into categories of general information, fellowship education, recruitment, experience, and academic research. Survey participants were asked to rank the importance of those various items. We then assessed the 21 PM&R accredited sports medicine fellowship websites for the presence of these criteria.ParticipantsNinety‐six survey respondents composed of PM&R residents, current sports medicine fellows, and attendings.InterventionsNot applicable.Main Outcome Measure(s)Not applicable.ResultsItems ranked as most important were those in the categories of general information, fellowship experience, and fellowship recruitment. The most valued items were program location, program coordinator contact information, program length, specific requirements for applying, number of positions, types of procedures taught, and specific sites covered. Academic research items were ranked as least important.ConclusionsSurvey respondents identified many fellowship website items as important factors when applying to programs. Many of these items were not listed on fellowship websites, suggesting that adding these criteria to fellowship sites might benefit applicants. Our findings can be used to develop standardized criteria for important components of sports medicine fellowship websites to improve the application and recruitment process.","PeriodicalId":20287,"journal":{"name":"Pm & R","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140595203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ayşe Merve Ata, Baran Tuncer, Onur Kara, Bedriye Başkan
Poor balance ability may contribute to shoulder pathology in patients with existing shoulder pathologies or vice versa. The relationship between kinesiophobia and chronic shoulder pain intensity has been researched, although the conclusions are conflicting. To our knowledge, no study in the literature explores the association between kinesiophobia and balance in patients with shoulder pain.
{"title":"The relationship between kinesiophobia, balance, and upper extremity functions in patients with painful shoulder pathology","authors":"Ayşe Merve Ata, Baran Tuncer, Onur Kara, Bedriye Başkan","doi":"10.1002/pmrj.13145","DOIUrl":"https://doi.org/10.1002/pmrj.13145","url":null,"abstract":"Poor balance ability may contribute to shoulder pathology in patients with existing shoulder pathologies or vice versa. The relationship between kinesiophobia and chronic shoulder pain intensity has been researched, although the conclusions are conflicting. To our knowledge, no study in the literature explores the association between kinesiophobia and balance in patients with shoulder pain.","PeriodicalId":20287,"journal":{"name":"Pm & R","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140171641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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