Annals of Physical and Rehabilitation Medicine最新文献_第3页

Impact of a microprocessor-controlled knee-ankle-foot orthosis in community ambulators with quadriceps insufficiency fitted with an SCO:a randomized crossover trial 微处理器控制的膝踝足矫形器对带有SCO的四头肌功能不全的社区步行器的影响：一项随机交叉试验。

IF 4.6 3区医学 Q1 REHABILITATION

Annals of Physical and Rehabilitation Medicine

Pub Date : 2025-11-22 DOI: 10.1016/j.rehab.2025.102057

François Genêt , Axel Ruetz , Rania Belmahfoud , Isabelle Loiret , Caroline Navarre , Isabelle Noizette , Laurent Thefenne , Léo Borrini , Frédéric Charlate , Claire Delbrouck , Frédéric De Lucas Vasquez , Stéphane Vigier , Guillaume Bokobza , Vincent Moiziard , Virgile Pinelli , Brice Lavrard , Frank Braatz

Background

Community ambulators with quadriceps insufficiency generally use stance control orthoses (SCO) but show limitations in mobility and daily activities.

Objectives

This study compared the impact on mobility of SCO and the C-Brace, an innovative microprocessor-controlled orthosis. We used the PLUS-M™ 12-item self-questionnaire and analyzed the effect on quality of life, endurance, balance confidence, participation, satisfaction, and psychosocial adjustment.

Methods

This international multicenter randomized crossover trial was conducted in 17 rehabilitation centers from two European countries. Community ambulators (ie, ability to walk at 3 km/h) were fitted with the C-Brace and their SCO, in a randomized sequence (2-week transition period). The impact of each orthosis was assessed after 2 months of use in real-life conditions through six self-questionnaires and a walking test.

Results

We recruited 38 participants with quadriceps insufficiency (26 males; 12 females; mean age 52.3; SD 12.8). The analysis on the per-protocol (PP) cohort (n = 30) showed that the mobility score (PLUS-M) significantly improved (+21.5 %; p < 0.001) with the C-Brace. Similarly, the EQ-5D utility significantly improved (+27.2 %; p < 0.001), as well as the health scores (+21.6 %; p = 0.002). The 6MWT score was significantly (p < 0.001) improved by 65.9 (SD 84.2) meters (+19.5 %). Balance, functional, and user satisfaction scores also showed significant improvement (p < 0.001), and the global PIADS score improved by +60.0 % on the [-3; +3] scale. Moreover, the C-Brace led to a significant (p = 0.005) decrease in the use of walking aids when walking outdoors. Safety has been reported as the most important satisfaction criterion for participants. In all, 86.7 % of participants preferred the C-Brace to their SCO.

Conclusions

Community ambulators with limited knee stability in the stance phase could benefit greatly from this microprocessor-controlled KAFO to improve their outdoor mobility and facilitate completion of daily activities.

背景：四头肌功能不全的社区步行车通常使用姿态控制矫形器（SCO），但在移动和日常活动方面存在局限性。目的：本研究比较了SCO和C-Brace（一种创新的微处理器控制矫形器）对活动能力的影响。我们使用PLUS-M™12项自我问卷，分析了对生活质量、耐力、平衡信心、参与、满意度和心理社会适应的影响。方法：这项国际多中心随机交叉试验在两个欧洲国家的17个康复中心进行。社区步行车（即以3公里/小时的速度行走的能力）按随机顺序（2周过渡期）安装C-Brace及其SCO。每个矫形器在现实生活中使用2个月后，通过6份自我问卷和行走测试来评估其影响。结果：我们招募了38名患有股四头肌功能不全的参与者（男性26名，女性12名，平均年龄52.3岁，SD 12.8）。对每个方案（PP）队列（n = 30）的分析显示，C-Brace显著改善了活动评分（PLUS-M）（+ 21.5%; p < 0.001）。同样，EQ-5D效用显著提高（+ 27.2%;p < 0.001），健康评分也显著提高（+ 21.6%;p = 0.002）。6MWT评分显著（p < 0.001）提高65.9 （SD 84.2）米（+ 19.5%）。平衡，功能和用户满意度得分也显示出显着改善（p < 0.001），全球PIADS得分在[-3；+ 3)规模。此外，C-Brace导致在户外行走时使用助行器的人数显著减少（p = 0.005）。据报道，安全性是参与者最重要的满意度标准。总的来说，86.7%的参与者更喜欢C-Brace而不是他们的SCO。结论：站立阶段膝关节稳定性受限的社区步行者可以从这种微处理器控制的KAFO中获益，以改善其户外活动能力并促进其完成日常活动。

{"title":"Impact of a microprocessor-controlled knee-ankle-foot orthosis in community ambulators with quadriceps insufficiency fitted with an SCO:a randomized crossover trial","authors":"François Genêt , Axel Ruetz , Rania Belmahfoud , Isabelle Loiret , Caroline Navarre , Isabelle Noizette , Laurent Thefenne , Léo Borrini , Frédéric Charlate , Claire Delbrouck , Frédéric De Lucas Vasquez , Stéphane Vigier , Guillaume Bokobza , Vincent Moiziard , Virgile Pinelli , Brice Lavrard , Frank Braatz","doi":"10.1016/j.rehab.2025.102057","DOIUrl":"10.1016/j.rehab.2025.102057","url":null,"abstract":"<div><h3>Background</h3><div>Community ambulators with quadriceps insufficiency generally use stance control orthoses (SCO) but show limitations in mobility and daily activities.</div></div><div><h3>Objectives</h3><div>This study compared the impact on mobility of SCO and the C-Brace, an innovative microprocessor-controlled orthosis. We used the PLUS-M™ 12-item self-questionnaire and analyzed the effect on quality of life, endurance, balance confidence, participation, satisfaction, and psychosocial adjustment.</div></div><div><h3>Methods</h3><div>This international multicenter randomized crossover trial was conducted in 17 rehabilitation centers from two European countries. Community ambulators (ie, ability to walk at 3 km/h) were fitted with the C-Brace and their SCO, in a randomized sequence (2-week transition period). The impact of each orthosis was assessed after 2 months of use in real-life conditions through six self-questionnaires and a walking test.</div></div><div><h3>Results</h3><div>We recruited 38 participants with quadriceps insufficiency (26 males; 12 females; mean age 52.3; SD 12.8). The analysis on the per-protocol (PP) cohort (<em>n</em> = 30) showed that the mobility score (PLUS-M) significantly improved (+21.5 %; <em>p</em> < 0.001) with the C-Brace. Similarly, the EQ-5D utility significantly improved (+27.2 %; <em>p</em> < 0.001), as well as the health scores (+21.6 %; <em>p</em> = 0.002). The 6MWT score was significantly (<em>p</em> < 0.001) improved by 65.9 (SD 84.2) meters (+19.5 %). Balance, functional, and user satisfaction scores also showed significant improvement (<em>p</em> < 0.001), and the global PIADS score improved by +60.0 % on the [-3; +3] scale. Moreover, the C-Brace led to a significant (<em>p</em> = 0.005) decrease in the use of walking aids when walking outdoors. Safety has been reported as the most important satisfaction criterion for participants. In all, 86.7 % of participants preferred the C-Brace to their SCO.</div></div><div><h3>Conclusions</h3><div>Community ambulators with limited knee stability in the stance phase could benefit greatly from this microprocessor-controlled KAFO to improve their outdoor mobility and facilitate completion of daily activities.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"69 1","pages":"Article 102057"},"PeriodicalIF":4.6,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between additional non-weekday rehabilitation and discharge function after hip fracture, modified by age and admission function: a retrospective study 髋部骨折后额外非工作日康复与出院功能的关系，受年龄和入院功能的影响：一项回顾性研究

IF 4.6 3区医学 Q1 REHABILITATION

Annals of Physical and Rehabilitation Medicine

Pub Date : 2025-11-22 DOI: 10.1016/j.rehab.2025.102035

Tsubasa Bito , Shinji Takahashi , Ryota Kawai , Ayumi Shintani

Background

Hip fractures are a significant health concern, particularly among elderly individuals. Postoperative rehabilitation, including additional non-weekday rehabilitation, plays a crucial role in improving functional outcomes.

Objectives

To explore the factors that modify the association between additional non-weekday rehabilitation and the activities of daily living (ADL) levels at discharge in people with hip fractures.

Methods

A retrospective study was conducted using administrative claims data to analyze people aged ≥ 60 years with hip fractures who underwent surgery. The primary outcome was the Barthel Index as ADL scores at hospital discharge. Multivariable non-linear regression models were used to assess the modification of the association between additional non-weekday rehabilitation and ADL scores by different characteristics such as age, body mass index, ADL scores at admission, dementia, and surgery the day before or not before the non-weekday.

Results

A total of 77 947 people were included. People who received additional non-weekday rehabilitation had significantly better ADL scores at discharge than those who received weekday-only rehabilitation. The association between additional non-weekday rehabilitation and better ADL scores at hospital discharge was greater in older people (mean differences between the rehabilitation groups [95% CI] at ages 60 were 2.53 [0.50–4.56], and at ages 90 were 5.47 [4.89–6.05]), and in those with lower ADL scores at admission. Furthermore, people without dementia had significantly better ADL scores at discharge than those with dementia, and people who underwent additional non-weekday rehabilitation had better ADL scores at discharge than those who underwent weekday-only rehabilitation, regardless of dementia.

Conclusions

Tailoring rehabilitation strategies for individual characteristics, particularly age and baseline functional status, may optimize outcomes in people with hip fractures. Additional non-weekday rehabilitation may be particularly beneficial for older people and those with lower ADL scores at admission.

背景：髋部骨折是一个重要的健康问题，尤其是在老年人中。术后康复，包括额外的非工作日康复，在改善功能预后方面起着至关重要的作用。目的探讨髋部骨折患者出院时额外非工作日康复与日常生活活动（ADL）水平之间关系的影响因素。方法回顾性分析60岁以上髋部骨折手术患者的行政索赔资料。主要结果是Barthel指数作为出院时的ADL评分。采用多变量非线性回归模型评估年龄、体重指数、入院时ADL评分、痴呆、非工作日术前或非工作日术前ADL评分等不同特征对额外非工作日康复与ADL评分相关性的影响。结果共纳入77 947人。接受额外非工作日康复治疗的患者在出院时的ADL评分明显高于只接受工作日康复治疗的患者。在老年人和入院时ADL评分较低的患者中，额外的非工作日康复与出院时更好的ADL评分之间的关联更大（60岁时康复组之间的平均差异[95% CI]为2.53[0.50-4.56]，90岁时康复组之间的平均差异为5.47[4.89-6.05]）。此外，没有痴呆症的人在出院时的ADL评分明显高于痴呆症患者，而那些接受额外非工作日康复治疗的人在出院时的ADL评分高于那些只接受工作日康复治疗的人，无论是否患有痴呆症。结论：根据个体特征，特别是年龄和基线功能状态调整康复策略，可以优化髋部骨折患者的预后。额外的非工作日康复可能对老年人和入院时ADL评分较低的人特别有益。

{"title":"Association between additional non-weekday rehabilitation and discharge function after hip fracture, modified by age and admission function: a retrospective study","authors":"Tsubasa Bito , Shinji Takahashi , Ryota Kawai , Ayumi Shintani","doi":"10.1016/j.rehab.2025.102035","DOIUrl":"10.1016/j.rehab.2025.102035","url":null,"abstract":"<div><h3>Background</h3><div>Hip fractures are a significant health concern, particularly among elderly individuals. Postoperative rehabilitation, including additional non-weekday rehabilitation, plays a crucial role in improving functional outcomes.</div></div><div><h3>Objectives</h3><div>To explore the factors that modify the association between additional non-weekday rehabilitation and the activities of daily living (ADL) levels at discharge in people with hip fractures.</div></div><div><h3>Methods</h3><div>A retrospective study was conducted using administrative claims data to analyze people aged ≥ 60 years with hip fractures who underwent surgery. The primary outcome was the Barthel Index as ADL scores at hospital discharge. Multivariable non-linear regression models were used to assess the modification of the association between additional non-weekday rehabilitation and ADL scores by different characteristics such as age, body mass index, ADL scores at admission, dementia, and surgery the day before or not before the non-weekday.</div></div><div><h3>Results</h3><div>A total of 77 947 people were included. People who received additional non-weekday rehabilitation had significantly better ADL scores at discharge than those who received weekday-only rehabilitation. The association between additional non-weekday rehabilitation and better ADL scores at hospital discharge was greater in older people (mean differences between the rehabilitation groups [95% CI] at ages 60 were 2.53 [0.50–4.56], and at ages 90 were 5.47 [4.89–6.05]), and in those with lower ADL scores at admission. Furthermore, people without dementia had significantly better ADL scores at discharge than those with dementia, and people who underwent additional non-weekday rehabilitation had better ADL scores at discharge than those who underwent weekday-only rehabilitation, regardless of dementia.</div></div><div><h3>Conclusions</h3><div>Tailoring rehabilitation strategies for individual characteristics, particularly age and baseline functional status, may optimize outcomes in people with hip fractures. Additional non-weekday rehabilitation may be particularly beneficial for older people and those with lower ADL scores at admission.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"69 2","pages":"Article 102035"},"PeriodicalIF":4.6,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145571884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of telerehabilitation for cognitive impairments after brain lesions: a systematic review 远程康复治疗脑损伤后认知障碍的疗效：一项系统综述

IF 4.6 3区医学 Q1 REHABILITATION

Annals of Physical and Rehabilitation Medicine

Pub Date : 2025-11-22 DOI: 10.1016/j.rehab.2025.102058

Charlotte Brun , Sophie Arheix-Parras , Mathilde Carlsberg , Bertrand Glize , Mélanie Cogné

Background

Brain damage and the cognitive impairment associated with it account for a growing number of people who need rehabilitation care. Only part of them benefit from cognitive rehabilitation today. The use of telerehabilitation could be promising for this population. But there is a lack of evidence in the literature concerning the efficacy of cognitive telerehabilitation on cognitive symptoms.

Objective

This systematic literature review aims to summarize and analyze evidence about the efficacy of cognitive telerehabilitation, assessed by language or neuropsychological tests in adults with brain injuries, multiple sclerosis, and Parkinson’s disease, compared to face-to-face rehabilitation, sham, or no rehabilitation.

Methods

Following the PRISMA guidelines, we selected randomized controlled trials from 3 databases (Medline, Cochrane Library, Google Scholar) from March to August 2024. Main data (population, study design, outcomes, type of telerehabilitation, and main results) were extracted.

Results

On a total of 4385 articles screened, 26 met the eligibility criteria, involving 1645 participants. The level of evidence was mostly high according to the PEDro Scale, and the risk of bias (assessed using the Cochrane risk-of-bias tool 2) varied among studies. 16 studies showed some efficacy of cognitive telerehabilitation, mostly among individuals’ post-stroke.

Discussion

This study highlights some aspects concerning cognitive telerehabilitation, such as its supervision, dose and intensity, duration, content, participant characteristics, and skills. Results interpretation is limited by heterogeneity in pathologies and methodologies of included studies.

Conclusion

According to the literature, cognitive telerehabilitation seems efficient among some adults who have experienced cognitive impairments following cerebral damage. More studies are needed, especially for subacute stroke, cancer-related cognitive impairment, and cerebral tumors.

Trial registration

PROSPERO database: CRD42024463711.

脑损伤和与之相关的认知障碍导致越来越多的人需要康复治疗。今天，只有一部分人从认知康复中受益。远程康复的使用对这一人群来说很有希望。但关于认知远程康复对认知症状的疗效，文献中缺乏证据。目的本系统的文献综述旨在总结和分析认知远程康复的有效性，通过语言或神经心理测试评估成人脑损伤、多发性硬化症和帕金森病，并与面对面康复、假康复或无康复进行比较。方法按照PRISMA指南，从Medline、Cochrane Library、谷歌Scholar 3个数据库中选取2024年3 - 8月的随机对照试验。提取主要数据（人群、研究设计、结局、远程康复类型和主要结果）。结果共筛选文献4385篇，符合入选标准26篇，共纳入受试者1645人。根据PEDro量表，证据水平大多较高，并且各研究的偏倚风险（使用Cochrane偏倚风险工具2进行评估）各不相同。16项研究显示了认知远程康复的一些功效，主要是针对中风后的个体。本研究强调了认知远程康复的一些方面，如监督、剂量和强度、持续时间、内容、参与者特征和技能。结果解释受到纳入研究的病理异质性和方法的限制。结论根据文献，认知远程康复似乎对一些脑损伤后出现认知障碍的成年人有效。需要更多的研究，特别是亚急性中风、癌症相关的认知障碍和脑肿瘤。试验注册普洛斯佩罗数据库：CRD42024463711。

{"title":"Efficacy of telerehabilitation for cognitive impairments after brain lesions: a systematic review","authors":"Charlotte Brun , Sophie Arheix-Parras , Mathilde Carlsberg , Bertrand Glize , Mélanie Cogné","doi":"10.1016/j.rehab.2025.102058","DOIUrl":"10.1016/j.rehab.2025.102058","url":null,"abstract":"<div><h3>Background</h3><div>Brain damage and the cognitive impairment associated with it account for a growing number of people who need rehabilitation care. Only part of them benefit from cognitive rehabilitation today. The use of telerehabilitation could be promising for this population. But there is a lack of evidence in the literature concerning the efficacy of cognitive telerehabilitation on cognitive symptoms.</div></div><div><h3>Objective</h3><div>This systematic literature review aims to summarize and analyze evidence about the efficacy of cognitive telerehabilitation, assessed by language or neuropsychological tests in adults with brain injuries, multiple sclerosis, and Parkinson’s disease, compared to face-to-face rehabilitation, sham, or no rehabilitation.</div></div><div><h3>Methods</h3><div>Following the PRISMA guidelines, we selected randomized controlled trials from 3 databases (Medline, Cochrane Library, Google Scholar) from March to August 2024. Main data (population, study design, outcomes, type of telerehabilitation, and main results) were extracted.</div></div><div><h3>Results</h3><div>On a total of 4385 articles screened, 26 met the eligibility criteria, involving 1645 participants. The level of evidence was mostly high according to the PEDro Scale, and the risk of bias (assessed using the Cochrane risk-of-bias tool 2) varied among studies. 16 studies showed some efficacy of cognitive telerehabilitation, mostly among individuals’ post-stroke.</div></div><div><h3>Discussion</h3><div>This study highlights some aspects concerning cognitive telerehabilitation, such as its supervision, dose and intensity, duration, content, participant characteristics, and skills. Results interpretation is limited by heterogeneity in pathologies and methodologies of included studies.</div></div><div><h3>Conclusion</h3><div>According to the literature, cognitive telerehabilitation seems efficient among some adults who have experienced cognitive impairments following cerebral damage. More studies are needed, especially for subacute stroke, cancer-related cognitive impairment, and cerebral tumors.</div></div><div><h3>Trial registration</h3><div>PROSPERO database: CRD42024463711.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"69 2","pages":"Article 102058"},"PeriodicalIF":4.6,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145572091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Profile of physical activity-related musculoskeletal injuries: a propensity score-matched study 体育活动相关肌肉骨骼损伤的概况：一项倾向评分匹配研究。

IF 4.6 3区医学 Q1 REHABILITATION

Annals of Physical and Rehabilitation Medicine

Pub Date : 2025-11-22 DOI: 10.1016/j.rehab.2025.102034

Inga Maruszyńska-Małachowska , Rafał Kamiński

Background

Physical activity offers numerous health benefits but also carries the risk of musculoskeletal injuries, posing a significant health concern across all athletic levels. Understanding specific injury patterns and risk factors is crucial for effective prevention and management of injuries.

Objective

The study aimed to identify and compare musculoskeletal injury patterns among hospitalized participants with physical activity-related musculoskeletal injuries, including those related to non-sports activities and sports-related injuries.

Methods

A retrospective cohort analysis was conducted on 8413 participants from an orthopedic trauma center (2013–2023). Cases were categorized as sports-related (n = 1152) or non-sports-related (n = 6968). Propensity score matching was utilized to control for age, sex, and comorbidities. Injury types, locations (International Classification of Diseases-10 codes), participant demographics, hospital stay durations, and surgery rates were analyzed using Fisher’s exact and Mann-Whitney tests.

Results

Participants sustaining sports-related injuries were younger (mean age: 34 vs. 45 years; P < 0.001), predominantly male (65 % vs. 57 %, P < 0.001), and had a significantly lower prevalence of hypertension (11 % vs. 21 %), diabetes (4 % vs. 9 %), and osteoporosis (2 % vs. 6 %; all P < 0.05). They also experienced shorter hospital stays (median: 2 vs. 4 days; P < 0.001), with no significant difference in surgery rates compared to the non-sports-related group (P > 0.05). Sports-related activities significantly increased the relative risk (RR) for lower leg injuries (S80–S89; RR = 1.47; 95 % CI, 1.32–1.63) and dislocations or joint sprains (S33, S43, S53, S63, S73, S83, S93; RR = 1.92; 95 % CI, 1.68–2.19), but reduced the risk of wrist and hand injuries (S60–S69; RR = 0.42; 95 % CI, 0.33–0.54) and open wounds (RR = 0.06; 95 % CI, 0.02–0.19).

Conclusions

Significant differences in injury patterns and associated risks underscore the need for targeted prevention strategies, especially for younger, physically active populations, to mitigate injury risk and related long-term health impacts.

背景：体育活动对健康有很多好处，但也有肌肉骨骼损伤的风险，这对所有水平的运动员来说都是一个重大的健康问题。了解特定的损伤模式和危险因素对于有效预防和管理损伤至关重要。目的：本研究旨在识别和比较与体育活动相关的肌肉骨骼损伤住院参与者的肌肉骨骼损伤模式，包括与非体育活动相关的肌肉骨骼损伤和与体育活动相关的肌肉骨骼损伤。方法：对某骨科创伤中心2013-2023年收治的8413例患者进行回顾性队列分析。病例分为运动相关（n = 1152）和非运动相关（n = 6968）。倾向评分匹配用于控制年龄、性别和合并症。使用Fisher's exact和Mann-Whitney检验分析损伤类型、位置（国际疾病分类-10代码）、参与者人口统计学、住院时间和手术率。结果：遭受运动相关损伤的参与者更年轻（平均年龄：34岁对45岁，P < 0.001），主要是男性（65%对57%，P < 0.001），并且高血压（11%对21%）、糖尿病（4%对9%）和骨质疏松症（2%对6%，均P < 0.05）的患病率明显较低。他们的住院时间也更短（中位数：2天vs. 4天；P < 0.001），与非运动相关组相比，手术率无显著差异（P < 0.05）。运动相关活动显著增加了下肢损伤（S80-S89; RR = 1.47; 95% CI, 1.32-1.63）和脱臼或关节扭伤（S33, S43, S53, S63, S73, S83, S93; RR = 1.92; 95% CI, 1.68-2.19）的相对风险（RR = 0.06; 95% CI, 0.33-0.54）和开放性伤口（RR = 0.06; 95% CI, 0.02-0.19）。结论：损伤模式和相关风险的显著差异强调了有针对性的预防策略的必要性，特别是对于年轻、身体活跃的人群，以减轻损伤风险和相关的长期健康影响。

{"title":"Profile of physical activity-related musculoskeletal injuries: a propensity score-matched study","authors":"Inga Maruszyńska-Małachowska , Rafał Kamiński","doi":"10.1016/j.rehab.2025.102034","DOIUrl":"10.1016/j.rehab.2025.102034","url":null,"abstract":"<div><h3>Background</h3><div>Physical activity offers numerous health benefits but also carries the risk of musculoskeletal injuries, posing a significant health concern across all athletic levels. Understanding specific injury patterns and risk factors is crucial for effective prevention and management of injuries.</div></div><div><h3>Objective</h3><div>The study aimed to identify and compare musculoskeletal injury patterns among hospitalized participants with physical activity-related musculoskeletal injuries, including those related to non-sports activities and sports-related injuries.</div></div><div><h3>Methods</h3><div>A retrospective cohort analysis was conducted on 8413 participants from an orthopedic trauma center (2013–2023). Cases were categorized as sports-related (<em>n</em> = 1152) or non-sports-related (<em>n</em> = 6968). Propensity score matching was utilized to control for age, sex, and comorbidities. Injury types, locations (International Classification of Diseases-10 codes), participant demographics, hospital stay durations, and surgery rates were analyzed using Fisher’s exact and Mann-Whitney tests.</div></div><div><h3>Results</h3><div>Participants sustaining sports-related injuries were younger (mean age: 34 vs. 45 years; <em>P</em> < 0.001), predominantly male (65 % vs. 57 %, <em>P</em> < 0.001), and had a significantly lower prevalence of hypertension (11 % vs. 21 %), diabetes (4 % vs. 9 %), and osteoporosis (2 % vs. 6 %; all <em>P</em> < 0.05). They also experienced shorter hospital stays (median: 2 vs. 4 days; <em>P</em> < 0.001), with no significant difference in surgery rates compared to the non-sports-related group (<em>P</em> > 0.05). Sports-related activities significantly increased the relative risk (RR) for lower leg injuries (S80–S89; RR = 1.47; 95 % CI, 1.32–1.63) and dislocations or joint sprains (S33, S43, S53, S63, S73, S83, S93; RR = 1.92; 95 % CI, 1.68–2.19), but reduced the risk of wrist and hand injuries (S60–S69; RR = 0.42; 95 % CI, 0.33–0.54) and open wounds (RR = 0.06; 95 % CI, 0.02–0.19).</div></div><div><h3>Conclusions</h3><div>Significant differences in injury patterns and associated risks underscore the need for targeted prevention strategies, especially for younger, physically active populations, to mitigate injury risk and related long-term health impacts.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"69 1","pages":"Article 102034"},"PeriodicalIF":4.6,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful treatment of hand chronic exertional compartment syndrome with reduced-dose botulinum toxin-A: a case report 减剂量a型肉毒杆菌毒素成功治疗手部慢性运动筋膜室综合征1例

IF 4.6 3区医学 Q1 REHABILITATION

Annals of Physical and Rehabilitation Medicine

Pub Date : 2025-11-22 DOI: 10.1016/j.rehab.2025.102055

Cédric Cormier, Mathilde Pelletier-Visa, Emmanuel Coudeyre, Maxime Grolier

引用次数: 0

Frequencies of transcutaneous electrical nerve stimulation and interferential current for chronic low back pain: a network meta-analysis 经皮神经电刺激频率和干扰电流治疗慢性腰痛：网络荟萃分析

IF 4.6 3区医学 Q1 REHABILITATION

Annals of Physical and Rehabilitation Medicine

Pub Date : 2025-11-22 DOI: 10.1016/j.rehab.2025.102056

Jyun-Jhe Wang , Yi-No Kang , Tomáš Kvasnička , Wen-Hsuan Hou

Background

Chronic low back pain (CLBP) is a prevalent musculoskeletal disorder. Electrotherapy modalities such as high-frequency transcutaneous electrical nerve stimulation (HF-TENS), low-frequency transcutaneous electrical nerve stimulation (LF-TENS), and interferential current (IFC) are commonly used, yet their comparative effectiveness remains unclear.

Objectives

This systematic review and network meta-analysis aimed to evaluate the comparative efficacy of HF-TENS, LF-TENS, and IFC on pain relief and functional improvement in people with CLBP.

Methods

We systematically searched PubMed, Embase, and Scopus from database inception to 31 July 2025 for randomized controlled trials evaluating pain intensity and functional outcomes in adults with CLBP receiving HF-TENS, LF-TENS, or IFC compared to control. Data were extracted independently by two reviewers, and methodological quality was assessed using Cochrane Risk of Bias (RoB) 2 and Confidence in Network Meta-Analysis (CINeMA) framework. Network meta-analysis employed a random-effects model, with sensitivity analyses and publication bias assessment.

Results

15 randomized controlled trials were analyzed using a frequentist network meta-analysis. IFC showed the greatest pain reduction (standardized mean difference, SMD -0.96; 95 % confidence interval, CI -1.49 to -0.43) and functional improvement (Oswestry Disability Index, ODI, Mean difference, MD -7.28; Roland-Morris Disability Questionnaire, RBDQ, MD -3.13) compared to controls. HF-TENS also significantly reduced pain (SMD -0.81), while LF-TENS had a non-significant effect. IFC ranked highest by P-score across outcomes. No significant inconsistency was detected, and sensitivity analyses confirmed robustness.

Conclusions

This network meta-analysis indicates that IFC and HF-TENS are likely more effective in reducing pain in people with chronic low back pain, with IFC also showing a potential advantage in improving function. These results should be interpreted with caution, given the low certainty of evidence. Nevertheless, the findings provide clinically relevant insights and support further investigation through well-designed, head-to-head trials.

Data registration

This review was prospectively registered in the International Prospective Register of Systematic Reviews (PROSPERO; CRD420251000528).

背景：慢性腰痛（CLBP）是一种常见的肌肉骨骼疾病。高频经皮神经电刺激（HF-TENS）、低频经皮神经电刺激（LF-TENS）和干扰电流（IFC）等电疗方式是常用的，但它们的相对效果尚不清楚。本系统综述和网络荟萃分析旨在评估HF-TENS、LF-TENS和IFC在CLBP患者疼痛缓解和功能改善方面的比较疗效。方法：我们系统地检索PubMed、Embase和Scopus从数据库建立到2025年7月31日的随机对照试验，评估与对照组相比，接受HF-TENS、LF-TENS或IFC治疗的成年CLBP患者疼痛强度和功能结局。数据由两位审稿人独立提取，方法学质量采用Cochrane偏倚风险（RoB） 2和网络元分析置信度（CINeMA）框架进行评估。网络荟萃分析采用随机效应模型，进行敏感性分析和发表偏倚评估。结果15项随机对照试验采用频率网络元分析。与对照组相比，IFC组疼痛减轻（标准化平均差值，SMD -0.96； 95%可信区间，CI -1.49至-0.43）和功能改善（Oswestry残疾指数，ODI，平均差值，MD -7.28； Roland-Morris残疾问卷，RBDQ, MD -3.13）最大。HF-TENS也显著减轻疼痛（SMD -0.81），而LF-TENS无显著作用。国际金融公司在各项成果的p值上排名最高。没有发现明显的不一致，敏感性分析证实了稳健性。该网络荟萃分析表明，IFC和rf - tens在减轻慢性腰痛患者疼痛方面可能更有效，IFC在改善功能方面也显示出潜在的优势。鉴于证据的低确定性，这些结果应谨慎解释。然而，这些发现提供了临床相关的见解，并支持通过精心设计的头对头试验进行进一步的研究。数据注册本综述在国际前瞻性系统评价注册（PROSPERO; CRD420251000528）中前瞻性注册。

{"title":"Frequencies of transcutaneous electrical nerve stimulation and interferential current for chronic low back pain: a network meta-analysis","authors":"Jyun-Jhe Wang , Yi-No Kang , Tomáš Kvasnička , Wen-Hsuan Hou","doi":"10.1016/j.rehab.2025.102056","DOIUrl":"10.1016/j.rehab.2025.102056","url":null,"abstract":"<div><h3>Background</h3><div>Chronic low back pain (CLBP) is a prevalent musculoskeletal disorder. Electrotherapy modalities such as high-frequency transcutaneous electrical nerve stimulation (HF-TENS), low-frequency transcutaneous electrical nerve stimulation (LF-TENS), and interferential current (IFC) are commonly used, yet their comparative effectiveness remains unclear.</div></div><div><h3>Objectives</h3><div>This systematic review and network meta-analysis aimed to evaluate the comparative efficacy of HF-TENS, LF-TENS, and IFC on pain relief and functional improvement in people with CLBP.</div></div><div><h3>Methods</h3><div>We systematically searched PubMed, Embase, and Scopus from database inception to 31 July 2025 for randomized controlled trials evaluating pain intensity and functional outcomes in adults with CLBP receiving HF-TENS, LF-TENS, or IFC compared to control. Data were extracted independently by two reviewers, and methodological quality was assessed using Cochrane Risk of Bias (RoB) 2 and Confidence in Network Meta-Analysis (CINeMA) framework. Network meta-analysis employed a random-effects model, with sensitivity analyses and publication bias assessment.</div></div><div><h3>Results</h3><div>15 randomized controlled trials were analyzed using a frequentist network meta-analysis. IFC showed the greatest pain reduction (standardized mean difference, SMD -0.96; 95 % confidence interval, CI -1.49 to -0.43) and functional improvement (Oswestry Disability Index, ODI, Mean difference, MD -7.28; Roland-Morris Disability Questionnaire, RBDQ, MD -3.13) compared to controls. HF-TENS also significantly reduced pain (SMD -0.81), while LF-TENS had a non-significant effect. IFC ranked highest by P-score across outcomes. No significant inconsistency was detected, and sensitivity analyses confirmed robustness.</div></div><div><h3>Conclusions</h3><div>This network meta-analysis indicates that IFC and HF-TENS are likely more effective in reducing pain in people with chronic low back pain, with IFC also showing a potential advantage in improving function. These results should be interpreted with caution, given the low certainty of evidence. Nevertheless, the findings provide clinically relevant insights and support further investigation through well-designed, head-to-head trials.</div></div><div><h3>Data registration</h3><div>This review was prospectively registered in the International Prospective Register of Systematic Reviews (PROSPERO; CRD420251000528).</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"69 3","pages":"Article 102056"},"PeriodicalIF":4.6,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145572093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment on: The effects of exercise therapy on lumbar muscle structure in low back pain: A systematic review and meta-analysis 评论：运动疗法对腰痛患者腰肌结构的影响：一项系统综述和荟萃分析。

IF 4.6 3区医学 Q1 REHABILITATION

Annals of Physical and Rehabilitation Medicine

Pub Date : 2025-11-22 DOI: 10.1016/j.rehab.2025.102031

Jiancheng Xu , Zhonghua Li , Qiaofen Sun, Tao Xu

引用次数: 0

Acceptability of rehabilitation exoskeletons of users with spinal cord injury and healthcare professionals: a systematic review 脊髓损伤使用者和医疗保健专业人员的康复外骨骼的可接受性：一项系统综述。

IF 4.6 3区医学 Q1 REHABILITATION

Annals of Physical and Rehabilitation Medicine

Pub Date : 2025-11-22 DOI: 10.1016/j.rehab.2025.102033

Noémie Fortin-Bédard , Julien Déry , Margaux Simon , Andreanne K. Blanchette , Laurent Bouyer , Martine Gagnon , François Routhier , Marie-Eve Lamontagne

Background

Exoskeletons are implemented in healthcare settings around the world for the rehabilitation of people with spinal cord injury (SCI) since this technology presents potential benefits in the rehabilitation process. However, the acceptability of rehabilitation exoskeletons by users with SCI and healthcare professionals (HP) is essential to promote successful implementation.

Objective

The objective was to synthesize the available evidence about the acceptability of rehabilitation exoskeletons from the perspective of users with SCI and HP.

Methods

This mixed methods systematic review considered quantitative, qualitative, and mixed methods studies that included adults with SCI using an exoskeleton for gait rehabilitation, as well as HP working within rehabilitation settings with individuals with SCI who used an exoskeleton. A convergent integrated approach per the Joanna Briggs Institute was used.

Results

A total of 25 studies were included (n = 252 individuals with SCI and 70 HP). Overall, participants expressed a favorable level of acceptability. Participants reported a positive affective attitude, an overall satisfaction, and several psychological benefits. Few burdens, ethical issues, and opportunity costs have also been reported in the studies. Maintaining realistic expectations towards exoskeleton use and ensuring the appropriate selection of users is important for intervention coherence. In general, there was a positive perception regarding effectiveness and self-efficacy. Nevertheless, only a limited number of studies focused primarily on measuring acceptability.

Conclusions

The acceptability of exoskeletons among people with SCI and HP tends to be positive, which is promising for the sustainable implementation of this technology. However, there is still a lack of knowledge about the acceptability of HP, with only three studies conducted among this population. It is crucial to persevere in documenting the acceptability of exoskeletons, notably by standardizing comprehensive approaches for measuring acceptability, and to continue refining this technology. Prospero registration: CRD42023401829.

背景：由于外骨骼技术在康复过程中呈现出潜在的益处，因此外骨骼技术在世界各地的医疗机构中被用于脊髓损伤（SCI）患者的康复。然而，脊髓损伤患者和医疗保健专业人员（HP）对康复外骨骼的接受度对于促进成功实施至关重要。目的：从脊髓损伤和HP患者的角度，综合现有的关于康复外骨骼可接受性的证据。方法：这一混合方法系统综述考虑了定量、定性和混合方法的研究，包括使用外骨骼进行步态康复的成年SCI患者，以及在使用外骨骼的SCI患者康复环境中工作的HP。采用了乔安娜布里格斯研究所的一种收敛综合方法。结果：共纳入25项研究（n = 252例SCI患者和70例HP患者）。总体而言，参与者表达了良好的可接受程度。参与者报告了积极的情感态度，总体满意度和一些心理上的好处。研究中也报告了一些负担、伦理问题和机会成本。保持对外骨骼使用的现实期望并确保适当选择用户对于干预一致性非常重要。总体而言，对有效性和自我效能有积极的看法。然而，只有有限数量的研究主要关注于测量可接受性。结论：外骨骼在SCI和HP患者中的可接受性趋于积极，为该技术的可持续实施提供了前景。然而，人们对HP的可接受性仍然缺乏了解，在这一人群中只进行了三项研究。关键是要坚持记录外骨骼的可接受性，特别是通过标准化的综合方法来测量可接受性，并继续完善这项技术。普洛斯彼罗注册：CRD42023401829。

{"title":"Acceptability of rehabilitation exoskeletons of users with spinal cord injury and healthcare professionals: a systematic review","authors":"Noémie Fortin-Bédard , Julien Déry , Margaux Simon , Andreanne K. Blanchette , Laurent Bouyer , Martine Gagnon , François Routhier , Marie-Eve Lamontagne","doi":"10.1016/j.rehab.2025.102033","DOIUrl":"10.1016/j.rehab.2025.102033","url":null,"abstract":"<div><h3>Background</h3><div>Exoskeletons are implemented in healthcare settings around the world for the rehabilitation of people with spinal cord injury (SCI) since this technology presents potential benefits in the rehabilitation process. However, the acceptability of rehabilitation exoskeletons by users with SCI and healthcare professionals (HP) is essential to promote successful implementation.</div></div><div><h3>Objective</h3><div>The objective was to synthesize the available evidence about the acceptability of rehabilitation exoskeletons from the perspective of users with SCI and HP.</div></div><div><h3>Methods</h3><div>This mixed methods systematic review considered quantitative, qualitative, and mixed methods studies that included adults with SCI using an exoskeleton for gait rehabilitation, as well as HP working within rehabilitation settings with individuals with SCI who used an exoskeleton. A convergent integrated approach per the Joanna Briggs Institute was used.</div></div><div><h3>Results</h3><div>A total of 25 studies were included (<em>n</em> = 252 individuals with SCI and 70 HP). Overall, participants expressed a favorable level of acceptability. Participants reported a positive affective attitude, an overall satisfaction, and several psychological benefits. Few burdens, ethical issues, and opportunity costs have also been reported in the studies. Maintaining realistic expectations towards exoskeleton use and ensuring the appropriate selection of users is important for intervention coherence. In general, there was a positive perception regarding effectiveness and self-efficacy. Nevertheless, only a limited number of studies focused primarily on measuring acceptability.</div></div><div><h3>Conclusions</h3><div>The acceptability of exoskeletons among people with SCI and HP tends to be positive, which is promising for the sustainable implementation of this technology. However, there is still a lack of knowledge about the acceptability of HP, with only three studies conducted among this population. It is crucial to persevere in documenting the acceptability of exoskeletons, notably by standardizing comprehensive approaches for measuring acceptability, and to continue refining this technology. Prospero registration: CRD42023401829.</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"69 1","pages":"Article 102033"},"PeriodicalIF":4.6,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

High rates of cognitive dysfunction and psychological symptoms despite good neurological outcome after aneurysmal subarachnoid haemorrhage: an observational study 动脉瘤性蛛网膜下腔出血后，尽管神经预后良好，但认知功能障碍和心理症状的发生率很高：一项观察性研究

IF 4.6 3区医学 Q1 REHABILITATION

Annals of Physical and Rehabilitation Medicine

Pub Date : 2025-10-10 DOI: 10.1016/j.rehab.2025.101997

Camille Devignes , Hugo Ardaillon , Frédéric Dailler , Damien Waz , Mathilde Lucas , Anne Dubois , Simon Bertrand , Violaine Bernard-de-Dompsure , Jacques Luauté , Thomas Ritzenthaler

引用次数: 0

Absence from work in the 12 months following mild traumatic brain injury in Europe: a CENTER-TBI cohort study 欧洲轻度创伤性脑损伤后12个月内缺勤：一项CENTER-TBI队列研究。

IF 4.6 3区医学 Q1 REHABILITATION

Annals of Physical and Rehabilitation Medicine

Pub Date : 2025-09-30 DOI: 10.1016/j.rehab.2025.102017

Louis Jacob , John Castro , Camille Heslot , Nada Andelic , Olli Tenovuo , CENTER-TBI Participants and Investigators (Appendix) , Philippe Azouvi

Background

Most of the prior research on absence from work after a mild traumatic brain injury (mTBI) was of a small sample size and had a limited number of follow-up assessments.

Objectives

Therefore, this study investigated the prevalence of absence from work, trajectories, and associated factors in the 12 months following mTBI in Europe.

Methods

Data from a European cohort (CENTER-TBI) were used. Absence from work was assessed at 2 weeks, 3 months, 6 months, and 12 months after mTBI. Associated factors included sociodemographic factors, current psychoactive substance use, pre-injury medical history, injury-related factors, medical care, complications, and discharge, and 2-week follow-up questionnaires. Inferential analyses relied on generalized estimating equations.

Results

This study included 1080 adults with mTBI who were working at the time of the injury (median [IQR] age, 46.0 [23.0] years; 69 % men). Absence from work decreased from 32 % at 2 weeks to 20 % at 12 months after the injury (P < 0.001). Around 76 % of adults returned to work within the first 3 months, whereas > 43 % of those absent from work at 3 months remained absent at 12 months. The 3 factors with the strongest association with absence from work were admission to hospital wards (OR = 2.57) or intensive care units (OR = 4.76), the presence of a pre-injury psychiatric disorder (OR = 2.55), and older age (OR = 1.61).

Conclusions

One-fifth of workers with mTBI were absent from work 12 months after the injury. Early identification of those at particular risk for not returning to work should be a clinical priority.

Study registration

NCT02210221 (https://clinicaltrials.gov/).

背景：以往关于轻度创伤性脑损伤（mTBI）后缺勤的研究大多样本量小，随访评估数量有限。目的：因此，本研究调查了欧洲mTBI后12个月内缺勤的发生率、轨迹和相关因素。方法：数据来自欧洲队列（CENTER-TBI）。在mTBI后2周、3个月、6个月和12个月评估缺勤情况。相关因素包括社会人口学因素、当前精神活性物质使用、损伤前病史、损伤相关因素、医疗护理、并发症和出院，以及2周随访问卷。推论分析依赖于广义估计方程。结果：本研究纳入了1080名受伤时正在工作的成年mTBI患者（中位[IQR]年龄46.0[23.0]岁；69%为男性）。工伤缺勤率从2周时的32%下降到12个月时的20% （P < 0.001）。大约76%的成年人在前3个月内重返工作岗位，而在3个月缺勤的人中，有43%的人在12个月后仍然缺勤。与缺勤最相关的3个因素是住院（OR = 2.57）或重症监护病房（OR = 4.76）、伤前精神障碍（OR = 2.55）和年龄较大（OR = 1.61）。结论：五分之一的mTBI患者在受伤后12个月缺勤。早期识别那些特别有可能无法重返工作岗位的人应该是临床的优先事项。研究注册：NCT02210221 （https://clinicaltrials.gov/）。

{"title":"Absence from work in the 12 months following mild traumatic brain injury in Europe: a CENTER-TBI cohort study","authors":"Louis Jacob , John Castro , Camille Heslot , Nada Andelic , Olli Tenovuo , CENTER-TBI Participants and Investigators (Appendix) , Philippe Azouvi","doi":"10.1016/j.rehab.2025.102017","DOIUrl":"10.1016/j.rehab.2025.102017","url":null,"abstract":"<div><h3>Background</h3><div>Most of the prior research on absence from work after a mild traumatic brain injury (mTBI) was of a small sample size and had a limited number of follow-up assessments.</div></div><div><h3>Objectives</h3><div>Therefore, this study investigated the prevalence of absence from work, trajectories, and associated factors in the 12 months following mTBI in Europe.</div></div><div><h3>Methods</h3><div>Data from a European cohort (CENTER-TBI) were used. Absence from work was assessed at 2 weeks, 3 months, 6 months, and 12 months after mTBI. Associated factors included sociodemographic factors, current psychoactive substance use, pre-injury medical history, injury-related factors, medical care, complications, and discharge, and 2-week follow-up questionnaires. Inferential analyses relied on generalized estimating equations.</div></div><div><h3>Results</h3><div>This study included 1080 adults with mTBI who were working at the time of the injury (median [IQR] age, 46.0 [23.0] years; 69 % men). Absence from work decreased from 32 % at 2 weeks to 20 % at 12 months after the injury (<em>P</em> < 0.001). Around 76 % of adults returned to work within the first 3 months, whereas > 43 % of those absent from work at 3 months remained absent at 12 months. The 3 factors with the strongest association with absence from work were admission to hospital wards (OR = 2.57) or intensive care units (OR = 4.76), the presence of a pre-injury psychiatric disorder (OR = 2.55), and older age (OR = 1.61).</div></div><div><h3>Conclusions</h3><div>One-fifth of workers with mTBI were absent from work 12 months after the injury. Early identification of those at particular risk for not returning to work should be a clinical priority.</div></div><div><h3>Study registration</h3><div>NCT02210221 (<span><span>https://clinicaltrials.gov/</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":56030,"journal":{"name":"Annals of Physical and Rehabilitation Medicine","volume":"68 8","pages":"Article 102017"},"PeriodicalIF":4.6,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0