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Subscapularis Recess Ganglion Cyst: An Uncommon Cause for Anterior Shoulder Pain in a Recreational Tennis Player. 肩胛骨下凹陷神经节囊肿:网球运动员肩关节前部疼痛的罕见病因
IF 2.2 4区 医学 Q1 REHABILITATION Pub Date : 2025-03-01 Epub Date: 2024-05-10 DOI: 10.1097/PHM.0000000000002546
Chantal Nguyen, Katherine Lumetta, Raymond Chou
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引用次数: 0
Paratriathlon Race Performance in Elite Ambulatory Athletes With Physical Impairments. 有身体缺陷的非卧床精英运动员的准铁人三项比赛成绩。
IF 2.2 4区 医学 Q1 REHABILITATION Pub Date : 2025-03-01 Epub Date: 2024-09-04 DOI: 10.1097/PHM.0000000000002640
Rachel L Bevins

Objective: The aim of this study was to compare overall performance and performance within the individual disciplines (e.g., swim) in elite paratriathlon between the ambulatory classes PTS2-5 in men and women.

Design: Data were acquired from the official results of 31 International paratriathlon competitions between 2018 and 2021. A total of 1094 results (men n = 774; women n = 320) were analyzed. One-way analysis of variance was used to compare overall performance time, absolute time spent in each discipline, and percentage of performance time spent in each discipline between sports classes. Pearson's correlation between segment times and overall times were explored.

Results: Overall time was significantly quicker in PTS5 than PTS4 and PTS3 ( P < 0.05), and between PTS4 and PTS3 ( P < 0.05), but no differences were found between PTS3 and PTS2. PTS5 was also quicker than PTS4 and PTS3 ( P < 0.05) across most of the individual discipline times. Cycling comprised the highest percentage of race time in all classes (47.1%-49.6%) and was strongly correlated to overall performance ( r = 0.72-0.91).

Conclusions: Hierarchy in performance times was demonstrated between the less impaired paratriathlon classes, but not between the most impaired PTS2 and PTS3 classes. It may be appropriate for PTS2 and PTS3 to compete together.

目的:本研究的目的是比较男子和女子残疾人精英铁人三项运动的总体成绩和单项成绩(如游泳):本研究的目的是比较男子和女子PTS2-5伏卧级别精英残疾人铁人三项的总体成绩和单项成绩(如游泳):数据来自 2018 年至 2021 年间 31 场国际残疾人铁人三项比赛的官方成绩。分析了 1094 项成绩(男子 N = 774;女子 N = 320)。采用单因素方差分析来比较各运动级别之间的总体成绩时间、各项目所用的绝对时间以及各项目所用成绩时间的百分比。研究了分段时间与总时间之间的皮尔逊相关性:PTS5的总时间明显快于PTS4和PTS3(P<0.05),PTS4和PTS3之间的总时间也明显快于PTS4和PTS3(P<0.05),但PTS3和PTS2之间没有差异。在大多数单项比赛中,PTS5 也比 PTS4 和 PTS3 快(p < 0.05)。在所有级别的比赛中,自行车比赛时间所占比例最高(47.1%-49.6%),并且与总成绩密切相关(r = 0.72-0.91):结论:在能力受损较轻的残疾人三项全能级别之间,成绩时间呈现出层次性,但在能力受损最严重的 PTS2 和 PTS3 级别之间则没有表现出这种层次性。PTS2和PTS3可能适合一起比赛。
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引用次数: 0
Knee Contact Forces of Individuals With Osteoarthritis and Those With Lower Limb Amputation: A Systematic Review. 骨关节炎患者和下肢截肢者的膝关节接触力:系统综述。
IF 2.2 4区 医学 Q1 REHABILITATION Pub Date : 2025-03-01 Epub Date: 2024-06-24 DOI: 10.1097/PHM.0000000000002567
Lizanne Andrag, Lovemore Kunorozva, Wayne Derman, Phoebe Runciman

Objective: Osteoarthritis is a major cause of impairment. Research has shown that individuals with unilateral lower limb amputation are 17 times more likely to develop osteoarthritis on their sound side limb. Therefore, this review aimed to describe similarities and differences in the biomechanical loading variables of individuals with osteoarthritis and those with unilateral lower limb amputation.

Design: Researchers systematically searched PubMed-Medline, EBSCOhost, and Web of Science for articles published between January 1990 and February 2022. Included studies investigated the biomechanical profiles (peak external knee adduction moment; peak external knee flexion moment; ground reaction force; external knee adduction moment loading rate; external knee adduction moment impulse) of both population groups.

Results: A total of 31 articles were included in this review. Only knee adduction moment and knee flexion moment presented similar profiles in both groups, while all other variables were dissimilar. The use of advanced prostheses reduced the loading on the sound side of individuals with unilateral lower limb amputation.

Conclusions: As both knee adduction moment and knee flexion moment are surrogate measures for knee contact forces, interventions need to target these variables to help manage and prevent the development of osteoarthritis. Interventions, particularly for addressing these variables in individuals with unilateral lower limb amputation, should be further investigated in future research.

目的:骨关节炎(OA)是造成身体损伤的主要原因。研究表明,单侧下肢截肢(ULLA)患者患健侧肢体骨关节炎的几率要高出17倍。因此,本综述旨在描述OA患者和ULLA患者在生物力学负荷变量方面的异同:研究人员系统检索了 PubMed-Medline、EBSCOhost 和 Web of Science 上发表于 1990 年 1 月至 2022 年 2 月期间的文章。纳入的研究调查了两组人群的生物力学特征(膝关节外展力矩峰值(KAM);膝关节外屈力矩峰值(KFM);地面反作用力;膝关节外展力矩负荷率;膝关节外展力矩脉冲):本综述共收录了 31 篇文章。两组中只有KAM和KFM的情况相似,其他变量均不相同。使用先进的假体减轻了 ULLA 患者声侧的负荷:由于KAM和KFM都是膝关节接触力的替代测量指标,因此需要针对这些变量采取干预措施,以帮助控制和预防OA的发展。干预措施,尤其是针对 ULLA 患者这些变量的干预措施,应在未来的研究中进一步探讨。
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引用次数: 0
First-in-Human Demonstration of High-Frequency Electrical Motor Nerve Block: Case Report. 高频电运动神经阻滞的首次人体演示:病例报告。
IF 2.2 4区 医学 Q1 REHABILITATION Pub Date : 2025-03-01 Epub Date: 2024-07-03 DOI: 10.1097/PHM.0000000000002577
Jayme S Knutson, Kyle J Chepla, Richard D Wilson, Michael J Fu, Emily C Imka, Shane A Bender, John Chae, Kevin L Kilgore, Niloy Bhadra

Abstract: This feasibility study tested the capability of high-frequency stimulation to block muscle contractions elicited by electrical stimulation of the same nerve proximally. During a tendon lengthening surgery in the forearm, the anterior interosseous nerve was exposed. A specialized nerve cuff electrode was placed around the nerve, and a stimulating probe held on the nerve 1 cm proximal to the cuff electrode delivered pulses of current causing the pronator quadratus muscle to contract. Through the cuff electrode, 20-kHz high-frequency stimulation was delivered to the nerve for 10 secs during proximal stimulation. High-frequency stimulation amplitudes between 5 and 10 mA peak-to-peak were tested to determine which produced complete and partial block of the electrically induced contractions. The minimum high-frequency stimulation amplitude that produced complete block was 8 mA, with lower amplitudes producing partial block. In all trials, muscle contractions resumed immediately after high-frequency stimulation was turned off. This demonstration of high-frequency electrical nerve block is a milestone in the road to clinical implementation of high-frequency stimulation mediated motor block for spasticity.

摘要:这项可行性研究测试了高频刺激(HFS)阻断近端同一神经电刺激引起的肌肉收缩的能力。在前臂肌腱延长手术中,骨间前神经(AIN)暴露在外。在该神经周围放置了一个专用的神经袖带电极,并在袖带电极近端 1 厘米处的神经上放置了一个刺激探针,该探针通过脉冲电流使前旋股肌收缩。在近端刺激过程中,通过袖带电极向神经输送 20 kHz HFS,持续 10 秒钟。对峰峰值为 5 至 10 mA 的 HFS 振幅进行了测试,以确定哪种振幅能完全或部分阻断电诱导的收缩。产生完全阻滞的最小 HFS 振幅为 8 毫安,较低的振幅会产生部分阻滞。在所有试验中,HFS 关闭后肌肉收缩立即恢复。这项高频神经电阻滞实验是临床应用高频神经电阻滞治疗痉挛的里程碑。
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引用次数: 0
Focal Shock Waves Increase Efficacy and Prolong the Effect of Botulinum Toxin on Spasticity in Patients With Brain Injury From Stroke and Multiple Sclerosis. 局灶性冲击波提高了肉毒毒素对中风和多发性硬化症脑损伤患者痉挛的疗效并延长了疗程。
IF 2.2 4区 医学 Q1 REHABILITATION Pub Date : 2025-03-01 Epub Date: 2024-06-27 DOI: 10.1097/PHM.0000000000002575
Antonio Déniz, Pedro Saavedra, Isabel Marrero, Jaime Hernández

Objective: The aim of the study is to assess the effects on spasticity reduction of the association between focal extracorporeal shock wave therapy and botulinum toxin type A, versus the toxin only in brain injury patients.

Design: Eighteen patients were included. The study had two phases: the first phase was observational, and botulinum toxin type A was used. The second was a prospective, deliberate intervention phase in which the toxin was injected and focal extracorporeal shock wave treatment was added (1 sessions/week, for 3 wks). The patients were followed up in the 1st, 4th, and 6th month, the Ashworth Scale criterion was applied, and for those with lower limb involvement and changes in walking, the 10-meter walk test was used.

Results: Patients treated with toxin only showed a statistically significant improvement in spasticity, with 1 point on the Ashworth Scale from week 5, which disappeared at week 17. However, the combined therapy reduced spasticity by 2 points from week 1 to week 25 ( P < 0.001), with a faster result in the 10-meter gait test ( P = 0.004).

Conclusions: Combined and simultaneous treatment with botulinum toxin and focal extracorporeal shock wave reduced spasticity in a more effective and prolonged way than treatment with botulinum toxin only.

目的评估体外冲击波疗法和A型肉毒毒素联合治疗与仅使用毒素治疗对脑损伤患者痉挛缓解的影响:设计:共纳入 18 名患者。研究分为两个阶段:第一阶段为观察阶段,使用 A 型肉毒杆菌毒素。第二阶段为前瞻性、蓄意干预阶段,在注射毒素的同时,增加了局灶性体外冲击波治疗(每周 1 次,持续 3 周)。在第一、第四和第六个月对患者进行随访,采用阿什沃斯量表标准,并对下肢受累和行走发生变化的患者采用 10 米步行测试:结果:仅接受毒素治疗的患者的痉挛症状在统计学上有显著改善,从第 5 周起,阿什沃斯量表上的评分增加了 1 分,在第 17 周时消失。然而,从第1周到第25周,联合疗法使痉挛程度减轻了2分(p < 0.001),10米步态测试的结果更快(p = 0.004):结论:与仅使用肉毒杆菌毒素治疗相比,同时使用肉毒杆菌毒素和局灶性体外冲击波联合治疗能更有效、更持久地减轻痉挛。
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引用次数: 0
Ultrasound-Guided Iliopsoas Bursa Injection Technique.
IF 2.2 4区 医学 Q1 REHABILITATION Pub Date : 2025-03-01 Epub Date: 2025-02-03 DOI: 10.1097/PHM.0000000000002628
Renée Enriquez, Travis Cleland, Mahmood Gharib, Donald Kasitinon, Chaitanya Konda, Stephen Schaaf, Amos Song, Reed Williams, Levent Özçakar, Nitin B Jain
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引用次数: 0
Effectiveness of Rehabilitation Interventions in Adults With Asthma: A Systematic Review and Meta-analysis. 成人哮喘患者康复干预的有效性:系统回顾和荟萃分析。
IF 2.2 4区 医学 Q1 REHABILITATION Pub Date : 2025-03-01 Epub Date: 2024-07-03 DOI: 10.1097/PHM.0000000000002552
Elisabetta Zampogna, Federico Mattia Oliva, Matteo Johann Del Furia, Claudio Cordani, Stefano Giuseppe Lazzarini, Chiara Arienti

Objective: The aim of the study is to evaluate the effectiveness of pulmonary rehabilitation programs and other rehabilitation interventions in adults with asthma.

Design: This is a systematic review and meta-analysis.

Results: MEDLINE (PubMed), Embase, Cumulative Index to Nursing & Allied Health Literature, and CENTRAL were searched from inception to 31 May 2023. PROSPERO registration number: CRD42022331440. Thirty-six randomized controlled trials were analyzed, and only 26 were pooled in the meta-analysis because of the heterogeneity of comparisons and outcomes across the studies. Pulmonary rehabilitation, compared with education associated with breathing exercises, may result in little to no difference in the Asthma Quality of Life Questionnaire (mean difference 0.01 score, 95% confidence interval = -0.48 to 0.50, 163 participants, three studies, low certainty).

Conclusions: Our findings show that pulmonary rehabilitation, compared with education associated with breathing exercises, may result in little to no difference in the impact of asthma on health-related quality of life. Overall, the certainty of evidence was low or very low preventing any firm conclusion on the effects of single or combined rehabilitation interventions.

目的评估肺康复(PR)项目和其他康复干预措施对成人哮喘患者的有效性:设计:系统回顾和荟萃分析:检索了从开始到 2023 年 5 月 31 日的 MEDLINE (PubMed)、EMBASE、Cumulative Index to Nursing & Allied Health Literature 和 CENTRAL。PROSPERO 注册号:CRD42022331440。共分析了 36 项随机对照试验 (RCT),由于各项研究的比较和结果存在异质性,因此在荟萃分析中仅对 26 项试验进行了汇总。肺康复与与呼吸练习相关的教育相比,在哮喘生活质量问卷(AQLQ)上可能几乎没有差异(平均差异为0.01分,95%置信区间为-0.48至0.50,163名参与者,三项研究,低确定性):我们的研究结果表明,肺康复与与呼吸练习相关的教育相比,在哮喘对健康相关生活质量的影响方面可能几乎没有差别。总体而言,由于证据的确定性较低或非常低,因此无法就单一或综合康复干预措施的效果得出任何确定的结论。
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引用次数: 0
Letter to the Editor: Relationship of Body Mass Index on Patient-Reported Outcomes After Platelet-Rich Plasma Versus Microfragmented Adipose Tissue for Knee Osteoarthritis A Secondary Analysis of a Randomized Controlled Trial. 致编辑的信:一项随机对照试验的二次分析:体重指数与膝关节骨关节炎患者报告的富血小板血浆与微碎片化脂肪组织的结局之间的关系。
IF 2.2 4区 医学 Q1 REHABILITATION Pub Date : 2025-03-01 Epub Date: 2024-12-12 DOI: 10.1097/PHM.0000000000002689
Cumhur Deniz Davulcu
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引用次数: 0
Traumatic Injuries From Low Speed Vehicles and Golf Carts: A Scoping Review. 低速车辆和高尔夫球车造成的创伤:范围审查。
IF 2.2 4区 医学 Q1 REHABILITATION Pub Date : 2025-03-01 Epub Date: 2024-08-16 DOI: 10.1097/PHM.0000000000002609
Kristina Barber, Andrea Nikolis, Megan Machek, Venu Akuthota, Nathan Odom

Abstract: With increasing use of golf carts and low speed vehicles for recreational, work-related, and commuting purposes, the number of related injuries is also on the rise. The body of literature describing these injuries is informative but limited. From this scoping review, we found that low speed vehicle-related injuries preferentially affect children, older adults, and males. Common mechanisms of injury include ejection and collision. Associated alcohol consumption is common and typically related to increasing severity of injury. Various injuries may result from low speed vehicles as described in the review, including soft tissue injuries, orthopedic injuries, and traumatic brain injury. Description of trends and classifications of injury will hopefully improve reporting and ability to make recommendations on safe use and regulation.

摘要: 随着高尔夫球车和低速车辆(LSV)在娱乐、工作和通勤中的使用日益增多,相关的受伤人数也在增加。描述这些伤害的文献信息丰富,但数量有限。通过这次范围审查,我们发现与 LSV 相关的伤害事故主要影响儿童、老年人和男性。常见的受伤机制包括弹射和碰撞。与饮酒有关的情况很常见,通常与受伤的严重程度增加有关。如综述所述,LSV 可能导致各种伤害,包括软组织损伤、骨科损伤和创伤性脑损伤。对伤害趋势和分类的描述有望改进报告工作,并提高就安全使用和监管提出建议的能力。
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引用次数: 0
Resting-State Functional Connectivity of the Cerebellum in Patients With Chronic Low Back Pain. 慢性腰痛患者小脑的静息状态功能连接性
IF 2.2 4区 医学 Q1 REHABILITATION Pub Date : 2025-03-01 Epub Date: 2024-07-29 DOI: 10.1097/PHM.0000000000002583
Shanshan Zhang, Guifang Zhang, Shanshan Bao, Jiaqi Tan, Rongxing He, Hongjiang Wang, Shenglan Yan, Chuhuai Wang

Objective: Chronic low back pain affects nociceptive responses in the cerebellum, which leads to increased pain perception and sensorimotor control dysfunction. This study aimed to investigate altered functional connectivity in the anterior and posterior lobes of the cerebellum during chronic low back pain.

Design: Twenty patients with chronic low back pain and 18 healthy participants underwent 3.0 T resting-state functional magnetic resonance imaging. The bilateral lobule V of the anterior cerebellum and Crus I of the posterior cerebellum were selected as the region of interest for identifying the corresponding networks.

Results: The left lobule V had a greater intrinsic connectivity with the left insular cortex, left orbitofrontal cortex, and bilateral medial prefrontal cortex in patients with chronic low back pain. In contrast, the right lobule V and bilateral Crus I had a significantly decreased connectivity with the contralateral multimodal cerebral networks, including the default mode network, salience network, and emotional network.

Conclusions: The cerebellum had mechanistic implications in pain-related changes, which are involved in motor control, cognition, and emotion processing. These findings provide a novel perspective on the role of functional subregions in chronic low back pain, which add to the growing body of evidence that the cerebellum can be a potential target for noninvasive brain stimulation for chronic pain treatment.

目的慢性腰背痛(cLBP)会影响小脑的痛觉反应,从而导致痛觉增强和感觉运动控制功能障碍。本研究旨在调查慢性腰背痛时小脑前叶和后叶功能连接的改变:20名cLBP患者和18名健康参与者接受了3.0 T静息态功能磁共振成像。选择双侧小脑前叶 V 和小脑后叶 Crus I 作为研究区域,以确定相应的网络:结果:在cLBP患者中,左侧小脑小叶V与左侧岛叶皮层、左侧眶额皮层和双侧内侧前额叶皮层有更多的内在联系。相比之下,右侧小叶V和双侧Crus I与对侧多模大脑网络(包括默认模式网络、显著性网络和情绪网络)的连接性明显降低:结论:小脑在与疼痛相关的变化中具有机理意义,这些变化涉及运动控制、认知和情绪处理。这些发现为功能亚区在 cLBP 中的作用提供了一个新的视角,使越来越多的证据表明小脑可以成为无创脑部刺激治疗慢性疼痛的潜在靶点。
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引用次数: 0
期刊
American Journal of Physical Medicine & Rehabilitation
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