Pub Date : 2023-11-16DOI: 10.1097/ph9.0000000000000015
Melanie Aing, Craig Ditommaso
Dystonia is a movement disorder characterized by involuntary, repetitive writhing movements. Historically, dystonia is a disorder of the basal ganglia. However, recent studies have reported cases of dystonia associated with brainstem disorders. Although many theories have been proposed, the pathologic mechanism of the disorder is uncertain. Furthermore, few effective treatment options have been proposed. This case study reports a case of hemidystonia resulting from acute pontine hemorrhagic stroke successfully treated with pharmacotherapy and intensive inpatient rehabilitation. The patient presented to our inpatient rehabilitation facility, where baclofen was administered with intensive rehabilitation. On discharge, his functionality improved to mostly independent with activities of daily living.
{"title":"Rehabilitation of hemidystonia as a result of right pontine hemorrhagic stroke","authors":"Melanie Aing, Craig Ditommaso","doi":"10.1097/ph9.0000000000000015","DOIUrl":"https://doi.org/10.1097/ph9.0000000000000015","url":null,"abstract":"Dystonia is a movement disorder characterized by involuntary, repetitive writhing movements. Historically, dystonia is a disorder of the basal ganglia. However, recent studies have reported cases of dystonia associated with brainstem disorders. Although many theories have been proposed, the pathologic mechanism of the disorder is uncertain. Furthermore, few effective treatment options have been proposed. This case study reports a case of hemidystonia resulting from acute pontine hemorrhagic stroke successfully treated with pharmacotherapy and intensive inpatient rehabilitation. The patient presented to our inpatient rehabilitation facility, where baclofen was administered with intensive rehabilitation. On discharge, his functionality improved to mostly independent with activities of daily living.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"12 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139268215","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}
Pub Date : 2023-11-16DOI: 10.1097/ph9.0000000000000016
Melanie Madeleine J. Quoilin, Nikola Dragojlovic
A 22-year-old healthy man experienced heat stroke while hiking and collapsed, resulting in multiorgan failure, cerebral edema, and prolonged intensive care unit stay. He developed flaccid tetraplegia, facial weakness, and dysphagia, and was diagnosed with severe axonal sensorimotor polyneuropathy. Rehabilitation improved dysphagia, but he remained dependent on daily activities and required assistance for transfers. The prognosis of critical illness polyneuropathy is typically good in young, healthy individuals. Peripheral neuropathy is a rare complication of heat stroke due to hyperthermia-induced neuronal injury. As global temperatures continue to rise, it is essential to recognize the potential impact of climate change on the incidence of heat stroke and to implement public health interventions to mitigate its effects.
{"title":"Severe axonal motor neuropathy after heat stroke","authors":"Melanie Madeleine J. Quoilin, Nikola Dragojlovic","doi":"10.1097/ph9.0000000000000016","DOIUrl":"https://doi.org/10.1097/ph9.0000000000000016","url":null,"abstract":"A 22-year-old healthy man experienced heat stroke while hiking and collapsed, resulting in multiorgan failure, cerebral edema, and prolonged intensive care unit stay. He developed flaccid tetraplegia, facial weakness, and dysphagia, and was diagnosed with severe axonal sensorimotor polyneuropathy. Rehabilitation improved dysphagia, but he remained dependent on daily activities and required assistance for transfers. The prognosis of critical illness polyneuropathy is typically good in young, healthy individuals. Peripheral neuropathy is a rare complication of heat stroke due to hyperthermia-induced neuronal injury. As global temperatures continue to rise, it is essential to recognize the potential impact of climate change on the incidence of heat stroke and to implement public health interventions to mitigate its effects.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"50 3-4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139270197","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}
Pub Date : 2023-11-07DOI: 10.1097/ph9.0000000000000017
Eryn Campbell, Marcalee Alexander, J. Kotcher, E. Maibach
Climate change is already harming human health, both directly and indirectly. Physical and rehabilitation medicine professionals are at the frontlines of addressing climate change and health, as their patients are particularly vulnerable to these health harms. It is, therefore, important to understand how these health professionals understand the connection between climate and health and what resources they need to engage with the issue. We surveyed the members of 2 medical societies—the Association of Academic Physiatrists and the International Society of Physical and Rehabilitation Medicine—to assess their climate beliefs and attitudes, understanding of climate change’s present and future health harms, the barriers they perceive to engagement with the issue, and the types of resources they would find helpful. We found that health professionals in the field of rehabilitation medicine understand that climate change impacts human health and think actions should be taken; however, they also perceive barriers to their own involvement in educating the public and policymakers about climate and health and believe there are more urgent health issues in the region where they practice. Our findings suggest that health professionals in the field of rehabilitation medicine are convinced of the realities of climate change and its relationship to their profession. Further, although many in this field do perceive other health issues to be more urgent in their regions of practice, there are opportunities to provide resources and support to those who are ready to engage directly with climate change and health.
气候变化已经直接或间接地损害了人类健康。物理和康复医学专业人员处于应对气候变化和健康问题的最前沿，因为他们的病人特别容易受到这些健康危害的影响。因此，了解这些医疗专业人员如何理解气候与健康之间的联系以及他们在处理这一问题时需要哪些资源非常重要。 我们调查了两个医学协会--学术物理医师协会（Association of Academic Physiatrists）和国际物理与康复医学协会（International Society of Physical and Rehabilitation Medicine）--的成员，以评估他们对气候的信念和态度、对气候变化目前和未来对健康危害的理解、他们认为参与该问题的障碍以及他们认为有帮助的资源类型。 我们发现，康复医学领域的医疗专业人员理解气候变化会影响人类健康，并认为应该采取行动；但是，他们也认为自己在参与对公众和政策制定者进行气候与健康教育方面存在障碍，并认为在他们执业的地区还有更紧迫的健康问题。 我们的研究结果表明，康复医学领域的卫生专业人员确信气候变化的现实及其与他们专业的关系。此外，尽管该领域的许多专业人员确实认为在他们执业的地区有其他更紧迫的健康问题，但仍有机会为那些准备直接参与气候变化与健康问题的专业人员提供资源和支持。
{"title":"Rehabilitation medicine professionals’ views on climate change and health","authors":"Eryn Campbell, Marcalee Alexander, J. Kotcher, E. Maibach","doi":"10.1097/ph9.0000000000000017","DOIUrl":"https://doi.org/10.1097/ph9.0000000000000017","url":null,"abstract":"Climate change is already harming human health, both directly and indirectly. Physical and rehabilitation medicine professionals are at the frontlines of addressing climate change and health, as their patients are particularly vulnerable to these health harms. It is, therefore, important to understand how these health professionals understand the connection between climate and health and what resources they need to engage with the issue. We surveyed the members of 2 medical societies—the Association of Academic Physiatrists and the International Society of Physical and Rehabilitation Medicine—to assess their climate beliefs and attitudes, understanding of climate change’s present and future health harms, the barriers they perceive to engagement with the issue, and the types of resources they would find helpful. We found that health professionals in the field of rehabilitation medicine understand that climate change impacts human health and think actions should be taken; however, they also perceive barriers to their own involvement in educating the public and policymakers about climate and health and believe there are more urgent health issues in the region where they practice. Our findings suggest that health professionals in the field of rehabilitation medicine are convinced of the realities of climate change and its relationship to their profession. Further, although many in this field do perceive other health issues to be more urgent in their regions of practice, there are opportunities to provide resources and support to those who are ready to engage directly with climate change and health.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139283731","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}
Pub Date : 2023-09-01DOI: 10.1097/ph9.0000000000000014
Ifra Aman, Kalpana Zutshi, Depika Singla
During physical activity and exercises, there is more stress and forces are exerted on the tendon, which increases the risk of injury. There are several studies that suggest dry needling has a positive effect in treating tendinopathy. Corticosteroid injections are the most commonly used treatment for acute and chronic tendon lesions. In this review, we will compare different lines of treatment; dry needling and corticosteroid injections for tendinopathy and their efficacy in reducing symptoms. The aim of this systematic review is to critically analyze the literature to find the effect of dry needling when compared with corticosteroid injection in treating tendinopathy. This systematic review was directed according to “Preferred Reporting Items for Systematic Reviews and Meta-analysis” guidelines. The principal research question that was studied “Is dry needling better than corticosteroid injections in treating tendinopathy?” Various different electronic databases were used to search relevant articles using different keywords. Articles were collected altogether and selected on the basis of eligibility criteria. The closing sets of articles were selected after complete screening. Both dry needling and corticosteroid injections are effective in treating tendinopathy for both short term whereas dry needling is more significantly effective in long-term use. Dry needling is superior to corticosteroid injection in treating tendinopathy.
{"title":"Dry needling versus corticosteroid injections to treat tendinopathy: a systematic review","authors":"Ifra Aman, Kalpana Zutshi, Depika Singla","doi":"10.1097/ph9.0000000000000014","DOIUrl":"https://doi.org/10.1097/ph9.0000000000000014","url":null,"abstract":"During physical activity and exercises, there is more stress and forces are exerted on the tendon, which increases the risk of injury. There are several studies that suggest dry needling has a positive effect in treating tendinopathy. Corticosteroid injections are the most commonly used treatment for acute and chronic tendon lesions. In this review, we will compare different lines of treatment; dry needling and corticosteroid injections for tendinopathy and their efficacy in reducing symptoms. The aim of this systematic review is to critically analyze the literature to find the effect of dry needling when compared with corticosteroid injection in treating tendinopathy.\u0000 \u0000 \u0000 \u0000 This systematic review was directed according to “Preferred Reporting Items for Systematic Reviews and Meta-analysis” guidelines. The principal research question that was studied “Is dry needling better than corticosteroid injections in treating tendinopathy?” Various different electronic databases were used to search relevant articles using different keywords. Articles were collected altogether and selected on the basis of eligibility criteria. The closing sets of articles were selected after complete screening.\u0000 \u0000 \u0000 \u0000 Both dry needling and corticosteroid injections are effective in treating tendinopathy for both short term whereas dry needling is more significantly effective in long-term use.\u0000 \u0000 \u0000 \u0000 Dry needling is superior to corticosteroid injection in treating tendinopathy.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135427728","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}
Pub Date : 2023-09-01DOI: 10.1097/ph9.0000000000000013
Victor Figueiredo Leite, Leandro Gonçalves Cezarino, Valéria Conceição Jorge, Maria do Carmo Correia de Lima, Cleber Nunes da Rocha, Silmara Scontre, Danielle Bianchini Rampim
Context: Post–coronavirus disease (COVID) is associated with multiple impairments. Aims: To identify consequences of COVID 2019 (COVID-19) hospitalization, and risk factors for functional dependence 3 months after discharge. Settings and design: Prospective cohort in a verticalized health care network. Material and methods: Individuals hospitalized from June to November 2020 due to COVID-19 were investigated assessing outcomes pertaining to physical and respiratory symptoms, mental health, and physical, swallow and vocal, and cognitive function at baseline, and after 1 and 3 months. Those admitted to the intensive care unit were compared with those in the ward. Statistical analysis used: Within and between-group comparison and across time points using T test paired samples, Wilcoxon test, 1-way analysis of variance and Kruskal-Wallis, Pearson χ 2 and Fisher exact test, with a statistical power of 80% and α = 5%, and a post hoc univariable and multivariable logistic regression. Results: Participants (n = 326) had a mean of 70.3 (9.2) years and were hospitalized for a median (interquartile range) of 5 (3–8) days. In the 3-month follow-up, participants persisted with fatigue (64.7%), breathlessness (44.5%), aches, and pains (18.5%). Dyspnea and fatigue rates worsened during the same time period. Multivariable regression showed Timed Up and Go (test) ≥20 seconds at discharge as a predictor of functional dependence for IADL at the 3-month follow-up [odds ratio =3.12 (95% CI: 1.25–7.84)]. Conclusions: The impact of COVID-19 persisted for at least 3 months, with improvement of only some outcomes in the period. A poor performance at the Timed Up and Go test at baseline was a predictor of functional dependence at 3 months.
背景:冠状病毒后疾病(COVID)与多种损伤相关。目的:了解COVID-19住院治疗的后果及出院后3个月功能依赖的危险因素。环境与设计:纵向医疗保健网络中的前瞻性队列研究。材料和方法:对2020年6月至11月因COVID-19住院的个体进行调查，评估基线时以及1个月和3个月后的身体和呼吸症状、心理健康、身体、吞咽和声带以及认知功能的相关结果。将重症监护病房的患者与普通病房的患者进行比较。使用的统计分析:组内、组间比较和跨时间点使用T检验配对样本，Wilcoxon检验，单因素方差分析和Kruskal-Wallis, Pearson χ 2和Fisher精确检验，统计能力为80%，α = 5%，以及事后单变量和多变量逻辑回归。结果:参与者(n = 326)的平均年龄为70.3(9.2)岁，住院时间中位数(四分位数间距)为5(3-8)天。在3个月的随访中，参与者持续出现疲劳(64.7%)、呼吸困难(44.5%)、疼痛(18.5%)。在同一时期，呼吸困难和疲劳率恶化。多变量回归显示，出院时time Up和Go (test)≥20秒可作为3个月随访时IADL功能依赖的预测因子[优势比=3.12 (95% CI: 1.25-7.84)]。结论:COVID-19的影响持续了至少3个月，期间只有部分结果有所改善。在基线的Timed Up and Go测试中表现不佳是3个月时功能依赖的预测指标。
{"title":"Physical, psychological, and cognitive outcomes after coronavirus disease 2019 hospitalization: a prospective study with 3-month follow-up of a Brazilian cohort","authors":"Victor Figueiredo Leite, Leandro Gonçalves Cezarino, Valéria Conceição Jorge, Maria do Carmo Correia de Lima, Cleber Nunes da Rocha, Silmara Scontre, Danielle Bianchini Rampim","doi":"10.1097/ph9.0000000000000013","DOIUrl":"https://doi.org/10.1097/ph9.0000000000000013","url":null,"abstract":"Context: Post–coronavirus disease (COVID) is associated with multiple impairments. Aims: To identify consequences of COVID 2019 (COVID-19) hospitalization, and risk factors for functional dependence 3 months after discharge. Settings and design: Prospective cohort in a verticalized health care network. Material and methods: Individuals hospitalized from June to November 2020 due to COVID-19 were investigated assessing outcomes pertaining to physical and respiratory symptoms, mental health, and physical, swallow and vocal, and cognitive function at baseline, and after 1 and 3 months. Those admitted to the intensive care unit were compared with those in the ward. Statistical analysis used: Within and between-group comparison and across time points using T test paired samples, Wilcoxon test, 1-way analysis of variance and Kruskal-Wallis, Pearson χ 2 and Fisher exact test, with a statistical power of 80% and α = 5%, and a post hoc univariable and multivariable logistic regression. Results: Participants (n = 326) had a mean of 70.3 (9.2) years and were hospitalized for a median (interquartile range) of 5 (3–8) days. In the 3-month follow-up, participants persisted with fatigue (64.7%), breathlessness (44.5%), aches, and pains (18.5%). Dyspnea and fatigue rates worsened during the same time period. Multivariable regression showed Timed Up and Go (test) ≥20 seconds at discharge as a predictor of functional dependence for IADL at the 3-month follow-up [odds ratio =3.12 (95% CI: 1.25–7.84)]. Conclusions: The impact of COVID-19 persisted for at least 3 months, with improvement of only some outcomes in the period. A poor performance at the Timed Up and Go test at baseline was a predictor of functional dependence at 3 months.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135427726","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}
Pub Date : 2023-09-01DOI: 10.1097/ph9.0000000000000012
Alexander De La Rosa-Cabral, Francisco Irizarry, Edwardo Ramos
Camptocormia and drop head syndrome (DHS) is an abnormal flexion of the spine (kyphosis) caused by paraspinal muscle weakness. Camptocormia is used when the kyphosis is at the thoracolumbar levels and DHS is used when the kyphosis is in the cervical area. This manifestation can be seen in different populations including myotonic dystrophy type 1 (DM1). The purpose of this article is to present a case series of patients with DM1 developing camptocormia or DHS in addition to a literature review about pathophysiology, diagnosis, and treatment. The case series are 2 patients diagnosed with camptocormia and 1 patient diagnosed with DHS secondary to DM1 evaluated at a neuromuscular outpatient clinic. Physical examination showed flexible thoracolumbar kyphosis in 2 patients, and 1 patient presented with a flexible kyphotic cervical spine. Imaging studies showed atrophy of the paraspinal muscles (magnetic resonance imaging and computed tomography scan). Physical therapy was prescribed with poor results. The orthotic recommendation was given to patients with camptocormia with marked functional improvement. The DHS patient showed no improvement with an orthosis. In conclusion, camptocormia and DHS are possible long-term complications in patients with DM1. Clinically they present with flexible cervical and thoracic kyphosis due to atrophic changes with fatty infiltration at the paraspinal muscles. Physical therapy has poor results, and orthosis use has mixed results.
{"title":"Camptocormia and drop head syndrome secondary to myotonic dystrophy type 1: a case series and literature review","authors":"Alexander De La Rosa-Cabral, Francisco Irizarry, Edwardo Ramos","doi":"10.1097/ph9.0000000000000012","DOIUrl":"https://doi.org/10.1097/ph9.0000000000000012","url":null,"abstract":"Camptocormia and drop head syndrome (DHS) is an abnormal flexion of the spine (kyphosis) caused by paraspinal muscle weakness. Camptocormia is used when the kyphosis is at the thoracolumbar levels and DHS is used when the kyphosis is in the cervical area. This manifestation can be seen in different populations including myotonic dystrophy type 1 (DM1). The purpose of this article is to present a case series of patients with DM1 developing camptocormia or DHS in addition to a literature review about pathophysiology, diagnosis, and treatment. The case series are 2 patients diagnosed with camptocormia and 1 patient diagnosed with DHS secondary to DM1 evaluated at a neuromuscular outpatient clinic. Physical examination showed flexible thoracolumbar kyphosis in 2 patients, and 1 patient presented with a flexible kyphotic cervical spine. Imaging studies showed atrophy of the paraspinal muscles (magnetic resonance imaging and computed tomography scan). Physical therapy was prescribed with poor results. The orthotic recommendation was given to patients with camptocormia with marked functional improvement. The DHS patient showed no improvement with an orthosis. In conclusion, camptocormia and DHS are possible long-term complications in patients with DM1. Clinically they present with flexible cervical and thoracic kyphosis due to atrophic changes with fatty infiltration at the paraspinal muscles. Physical therapy has poor results, and orthosis use has mixed results.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135428903","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}
Pub Date : 2023-08-24DOI: 10.1097/ph9.0000000000000011
Bhasker Amatya, Fary Khan
Climatotherapy is the planned medical application of climatic factors for the improvement of functioning and prevention or treatment of diseases. Various climatic factors affect the physical and psychosocial functioning in persons with various health conditions including neuromuscular conditions, rheumatic diseases, and chronic respiratory illness. This systematic review is an evidence-based overview of the efficacy of the application of various climatotherapy on rehabilitation outcomes. A comprehensive literature search was conducted using medical/health science databases: PubMed, EMBASE, CINAHL, and Cochrane Library (from inception till May 2022). Two reviewers independently performed study selection, data extraction, and appraised study quality. Due to heterogeneity amongst included trials, a qualitative analysis provided the best evidence synthesis. Overall, 11 randomized controlled trials and 7 observational studies, which evaluated the impact of different climatic factors/conditions (such as warm/cold climate and high altitudes) on patient outcomes postrehabilitation interventions, were included. Most studies scored “low” on quality assessment due to methodological limitations. The findings suggest evidence for the beneficial effect of a warm climate in reducing disability and improved participation in patients with rheumatological, neuromuscular, and chronic respiratory conditions. Rehabilitation interventions conducted in warmer climate tends to enhance physical activity in some of these conditions. No data was available for adverse effects or associated care costs. Although the impact of climatic factors on rehabilitation outcomes is widely documented, high-quality research is sparse in this area. More methodologically robust studies are needed to build evidence for the use of climatotherapy to enhance rehabilitative care.
{"title":"The efficacy of climatotherapy on medical rehabilitation outcomes: a systematic review","authors":"Bhasker Amatya, Fary Khan","doi":"10.1097/ph9.0000000000000011","DOIUrl":"https://doi.org/10.1097/ph9.0000000000000011","url":null,"abstract":"Climatotherapy is the planned medical application of climatic factors for the improvement of functioning and prevention or treatment of diseases. Various climatic factors affect the physical and psychosocial functioning in persons with various health conditions including neuromuscular conditions, rheumatic diseases, and chronic respiratory illness. This systematic review is an evidence-based overview of the efficacy of the application of various climatotherapy on rehabilitation outcomes. A comprehensive literature search was conducted using medical/health science databases: PubMed, EMBASE, CINAHL, and Cochrane Library (from inception till May 2022). Two reviewers independently performed study selection, data extraction, and appraised study quality. Due to heterogeneity amongst included trials, a qualitative analysis provided the best evidence synthesis. Overall, 11 randomized controlled trials and 7 observational studies, which evaluated the impact of different climatic factors/conditions (such as warm/cold climate and high altitudes) on patient outcomes postrehabilitation interventions, were included. Most studies scored “low” on quality assessment due to methodological limitations. The findings suggest evidence for the beneficial effect of a warm climate in reducing disability and improved participation in patients with rheumatological, neuromuscular, and chronic respiratory conditions. Rehabilitation interventions conducted in warmer climate tends to enhance physical activity in some of these conditions. No data was available for adverse effects or associated care costs. Although the impact of climatic factors on rehabilitation outcomes is widely documented, high-quality research is sparse in this area. More methodologically robust studies are needed to build evidence for the use of climatotherapy to enhance rehabilitative care.","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135471831","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}
Pub Date : 2023-06-27DOI: 10.1097/ph9.0000000000000010
J. Pinheiro, L. R. Branquinho, Joana Pinheiro, Susana Ramos
{"title":"Understanding sports injury: A preliminary study","authors":"J. Pinheiro, L. R. Branquinho, Joana Pinheiro, Susana Ramos","doi":"10.1097/ph9.0000000000000010","DOIUrl":"https://doi.org/10.1097/ph9.0000000000000010","url":null,"abstract":"","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48148683","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}
Pub Date : 2023-06-01DOI: 10.1097/ph9.0000000000000009
Marla A. Petriello, A. Mathews, Kaile Eison, Elana Hartman, Hannah K Steere
{"title":"Survey of global health education in physical medicine and rehabilitation residency programs across the United States","authors":"Marla A. Petriello, A. Mathews, Kaile Eison, Elana Hartman, Hannah K Steere","doi":"10.1097/ph9.0000000000000009","DOIUrl":"https://doi.org/10.1097/ph9.0000000000000009","url":null,"abstract":"","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42719635","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}
Pub Date : 2023-06-01DOI: 10.1097/ph9.0000000000000007
A. Mishra, Naresh Kumar, Simarjeet Singh
{"title":"Partly cystic common peroneal nerve schwannoma: an unusual cause of hallux drop","authors":"A. Mishra, Naresh Kumar, Simarjeet Singh","doi":"10.1097/ph9.0000000000000007","DOIUrl":"https://doi.org/10.1097/ph9.0000000000000007","url":null,"abstract":"","PeriodicalId":75125,"journal":{"name":"The journal of the International Society of Physical and Rehabilitation Medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44499421","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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