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Daytime Functional Usage Versus Night-Time Wearing: Identifying the Optimal Wearing Regimen for a Custom-Made Orthosis in the Treatment of Trapeziometacarpal Osteoarthritis 日间功能使用与夜间佩戴:确定定制矫形器治疗掌骨骨关节炎的最佳佩戴方案
IF 3.6 2区 医学 Q1 REHABILITATION Pub Date : 2024-10-01 DOI: 10.1016/j.apmr.2024.06.013

Objective

To compare the functional (daytime) use to the nightly use of an orthosis for patients affected by trapeziometacarpal osteoarthritis (OA).

Design

Randomized, controlled single-blind trial.

Setting

The rheumatology outpatient clinic of the University.

Participants

Sixty participants diagnosed with trapeziometacarpal OA.

Interventions

Participants were randomly assigned into 2 groups: a functional group that used a functional hand-based thumb immobilization orthosis during activities of daily living and a night-time group that used the same orthosis at night.

Main Outcomes Measures

The patients were evaluated at baseline and after 45, 90, 180, and 360 days considering: pain at the base of the thumb and in the hand, range of motion of the thumb, grip, and pinch strength, manual dexterity, and hand function.

Results

The groups were homogeneous at the beginning of the trial. No statistically significant difference was observed between groups over time for trapeziometacarpal pain (P=.646). For general hand pain, no statistically significant difference was found between groups over time (P=.594). Although both groups improved from baseline, there were no statistically significant differences between the groups in the vast majority of the assessed parameters. Statistically significant differences between the groups were found only in the following outcomes: thumb palmar abduction of the right hand (P=.023), pick-up test with closed eyes of the right hand (P=.048), and tripod grip strength of the right hand (P=.006).

Conclusions

Both groups showed improvement in pain and function from baseline to the end of the intervention. However, there were no reported differences in these outcomes after a 1-year follow-up between the functional (daytime) and night-time use of orthosis in patients with trapeziometacarpal OA. This suggests that both types of usage can be offered to patients.
研究目的本研究旨在对受梯形掌骨性关节炎影响的患者在功能性(白天)使用矫形器和夜间使用矫形器的情况进行比较:随机对照单盲试验:参与者:60 名被诊断为肩胛骨骨关节炎的患者:60名确诊患有掌骨骨关节炎的患者:参与者被随机分为两组:功能组和夜间组,前者在日常生活中使用基于手部功能的拇指固定矫形器,后者在夜间使用相同的矫形器:对患者进行基线评估,并在45天、90天、180天和360天后对拇指根部和手部疼痛、拇指活动范围、握力和捏力、手部灵活性和手部功能进行评估:试验开始时,各组情况相同。在斜方肌-掌骨疼痛方面,随着时间的推移,各组之间没有发现明显的统计学差异(P=0.646)。在一般手部疼痛方面,各组间的差异也没有统计学意义(P=0.594)。虽然两组患者的病情都比基线有所改善,但在绝大多数评估参数上,组间差异无统计学意义。只有在以下结果中,组间差异具有统计学意义:右手拇指掌外展(p=0.023)、右手闭眼拾物测试(p=0.048)和右手三脚架握力(p=0.006):结论:从基线到干预结束,两组患者的疼痛和功能都有所改善。结论:从基线到干预结束,两组患者的疼痛和功能都有所改善,但在为期一年的随访中,使用功能性矫形器(日间)和夜间使用矫形器的斜方肌掌骨关节炎患者在这些结果上并无差异。这表明患者可以同时使用两种矫形器。
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引用次数: 0
Response to Letter to the Editor: The Effects of Near-Infrared Phototherapy Preirradiation on Lower-Limb Muscle Strength and Injury After Exercise: A Systematic Review and Meta-analysis 对 "运动前近红外光疗对下肢肌肉力量和损伤的影响:系统综述和元分析"。
IF 3.6 2区 医学 Q1 REHABILITATION Pub Date : 2024-10-01 DOI: 10.1016/j.apmr.2024.07.003
PeiQiang Peng MM, XuFei Zheng MM, YueTing Wang MM, ShuNing Jiang MM, JiaJu Chen MM, Xin Sui MM, LiJing Zhao MD, Haiyan Xu MD, Yuming Lu MD, Shuang Zhang MD
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引用次数: 0
Archives I/EP Guidelines 档案 I/EP 指南
IF 3.6 2区 医学 Q1 REHABILITATION Pub Date : 2024-10-01 DOI: 10.1016/S0003-9993(24)01223-1
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引用次数: 0
Relations Between Self-reported Prescription Hydrocodone, Oxycodone, and Tramadol Use and Unintentional Injuries Among Those With Spinal Cord Injury 脊髓损伤患者自我报告处方氢可酮、羟考酮和曲马多的使用情况与意外伤害之间的关系。
IF 3.6 2区 医学 Q1 REHABILITATION Pub Date : 2024-10-01 DOI: 10.1016/j.apmr.2024.05.013

Objective

To identify the relations of 3 frequently used prescription opioids (hydrocodone, oxycodone, tramadol) with unintentional injuries, including fall-related and non–fall-related injuries among adults with chronic, traumatic spinal cord injury (SCI).

Design

Cross-sectional cohort study.

Setting

Community setting; Southeastern United States.

Participants

Adult participants (N=918) with chronic traumatic SCI were identified from a specialty hospital and state population-based registry and completed a self-report assessment.

Interventions

Not applicable.

Main Outcome Measures

Self-reported fall-related and non–fall-related unintentional injuries serious enough to receive medical care in a clinic, emergency room, or hospital within the previous 12 months.

Results

Just over 20% of participants reported ≥1 unintentional injury in the past year, with an average of 2.16 among those with ≥1. Overall, 9.6% reported fall-related injuries. Only hydrocodone was associated with any past-year unintentional injuries. Hydrocodone taken occasionally (no more than monthly) or regularly (weekly or daily) was related to 2.63 (95% confidence interval [CI], 1.52-4.56) or 2.03 (95% CI, 1.15-3.60) greater odds of having ≥1 unintentional injury in the past year, respectively. Hydrocodone taken occasionally was also associated with past-year non–fall-related injuries (OR, 2.20; 95% CI, 1.12-4.31). Each of the 3 opioids was significantly related to fall-related injuries. Taking hydrocodone occasionally was associated with 2.39 greater odds of fall-related injuries, and regular use was associated with 2.31 greater odds. Regular use of oxycodone was associated with 2.44 odds of a fall-related injury (95% CI, 1.20-4.98), and regular use of tramadol was associated with 2.59 greater odds of fall-related injury (95% CI, 1.13-5.90).

Conclusions

Injury prevention efforts must consider the potential effect of opioid use, particularly hydrocodone. For preventing fall-related injuries, each of the 3 opioids must be considered.
目的确定三种常用处方阿片类药物(氢可酮、羟考酮和曲马多)与意外伤害的关系,包括慢性创伤性脊髓损伤(SCI)成人中与跌倒相关和非跌倒相关的伤害:设计:横断面队列研究:环境:美国东南部的社区环境:从专科医院和州人口登记处确定患有慢性外伤性脊髓损伤的成人参与者(N = 918),并完成自我报告评估:不适用:干预措施:不适用。主要结果测量:自我报告的在过去 12 个月内与跌倒相关和非跌倒相关的意外伤害,伤害严重程度足以在诊所、急诊室或医院接受医疗护理:略高于 20% 的参与者报告在过去一年中发生过一次或多次意外伤害,其中至少发生过一次意外伤害的参与者平均受伤次数为 2.16 次。总体而言,9.6%的人报告了与跌倒有关的伤害。只有氢可酮与过去一年的意外伤害有关。偶尔(每月不超过一次)或经常(每周或每天)服用氢可酮与过去一年中至少发生一次意外伤害的几率分别增加 2.63(95% CI =1.52,4.56)或 2.03(95% CI =1.15,3.60)有关。偶尔服用氢可酮也与过去一年非跌倒相关伤害有关(OR =2.20;95% CI =1.12,4.31)。这三种阿片类药物中的每一种都与跌倒相关伤害有显著关系。偶尔服用氢可酮导致跌倒相关伤害的几率增加 2.39 倍,偶尔服用氢可酮导致跌倒相关伤害的几率增加 2.31 倍。经常使用羟考酮与发生跌倒相关伤害的 2.44 倍几率相关(95% CI = 1.20,4.98),经常使用曲马多与发生跌倒相关伤害的 2.59 倍几率相关(95% CI = 1.13,5.90):预防伤害的工作必须考虑使用阿片类药物,尤其是氢可酮的潜在影响。要预防与跌倒有关的伤害,必须考虑到三种阿片类药物中的每一种。
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引用次数: 0
Geriatric Syndromes Frequently (Co)-Occur in Geriatric Rehabilitation Inpatients: Restoring Health of Acutely Unwell Adults (RESORT) and Enhancing Muscle Power in Geriatric Rehabilitation (EMPOWER-GR) 老年康复住院病人经常(同时)出现老年综合症:RESORT和EMPOWER-GR。
IF 3.6 2区 医学 Q1 REHABILITATION Pub Date : 2024-10-01 DOI: 10.1016/j.apmr.2024.05.021

Objective

To determine the prevalence and co-occurrence of common geriatric syndromes in geriatric rehabilitation inpatients.

Design

Restoring Health of Acutely Unwell Adults (RESORT) and Enhancing Muscle Power in Geriatric Rehabilitation (EMPOWER-GR) are observational, longitudinal cohorts.

Setting

Geriatric rehabilitation.

Participants

Geriatric rehabilitation inpatients (N=1890 and N=200).

Interventions

Not applicable.

Main Outcome Measures

Geriatric syndromes included polypharmacy, multimorbidity (Cumulative Illness Rating Scale), cognitive impairment, depression (Hospital Anxiety and Depression Scale/Geriatric Depression Scale), malnutrition (Global Leadership Initiative on Malnutrition), functional limitation (Katz index), falls, physical frailty (Fried), and sarcopenia (European Working Group on Sarcopenia in Older People 2).

Results

Inpatients in RESORT (R) (N=1890, 56% females) had a median age of 83.4 years (interquartile range [IQR], 77.6-88.4) and in EMPOWER-GR (E) (N=200, 57% females) of 79.8 years (IQR, 75.0-85.9). Polypharmacy (R, 82.2%; E, 84.0%), multimorbidity (R, 90.4%; E, 85.5%), functional limitation (R, 96.0%; E, 76.5%), and frailty (R, 91.8%; E, 92.2%) were most prevalent. Most inpatients had ≥5 geriatric syndromes at admission in both cohorts (R, 70.0%; E, 72.4%); few inpatients had only 1 (R, 0.4%; E, 1.5%) or no geriatric syndrome (R, 0.2%; E, 0.0%). Geriatric syndromes did not occur in isolation (without other syndromes), except for multimorbidity (R, 1%; E, 5%), functional limitation (R, 3%; E, 2%), falls (R, 0%; E, 4%), and frailty (R, 2%; E, 5%), which occurred in isolation in some inpatients; sarcopenia did not.

Conclusions

Geriatric syndromes are highly prevalent at admission to geriatric rehabilitation, with a median of 5 co-occurring syndromes. Implications for diagnosis and intervention potential should be further addressed.
目的确定老年康复住院患者中常见老年综合症的患病率和并发率:设计:RESORT 和 EMPOWER-GR 是观察性纵向队列:环境:老年康复 参与者:老年康复住院患者老年康复住院患者:不适用 主要结局指标:老年病综合征包括多药、多病(CIRS)、认知障碍、抑郁(HADS/GDS)、营养不良(GLIM)、功能限制(Katz指数)、跌倒、体质虚弱(Fried)和肌肉疏松症(EWSGOP2):RESORT(R)住院患者(1890 人,56% 为女性)的中位年龄为 83.4 岁(四分位数间距:[77.6-88.4]),EMPOWER-GR(E)住院患者(200 人,57% 为女性)的中位年龄为 79.8 岁[75.0-85.9]。多药(R:82.2%;E:84.0%)、多病(R:90.4%;E:85.5%)、功能受限(R:96.0%;E:76.5%)和体弱(R:91.8%;E:92.2%)是最普遍的情况。在两个队列中,大多数住院患者在入院时患有五种或五种以上老年综合征(R:70.0%;E:72.4%);只有少数住院患者患有一种老年综合征(R:0.4%;E:1.5%)或没有老年综合征(R:0.2%;E:0.0%)。除了多病(R: 1%;E: 5%)、功能受限(R: 3%;E: 2%)、跌倒(R: 0%;E: 4%)和虚弱(R: 2%;E: 5%)在一些住院患者中单独出现外,其他老年综合征均未单独出现(没有其他综合征);肌肉疏松症未单独出现:结论:老年康复入院时,老年综合征非常普遍,中位数为五种并发综合征。应进一步探讨其对诊断和干预潜力的影响。
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引用次数: 0
Impact of Wheelchair Seating Systems on Scoliosis Progression for Children With Neurologic and Neuromuscular Disorders: A Retrospective Study of Custom-Contoured Wheelchair Seating and Modular Wheelchair Seating 轮椅座椅系统对患有神经和神经肌肉疾病的儿童脊柱侧弯进展的影响:对定制轮椅座椅和模块化轮椅座椅的回顾性研究。
IF 3.6 2区 医学 Q1 REHABILITATION Pub Date : 2024-10-01 DOI: 10.1016/j.apmr.2024.06.007

Objectives

To retrospectively evaluate the comparative effect of 2 wheelchair seating systems, Custom-Contoured Wheelchair Seating (CCS) and Modular Wheelchair Seating (MWS), on scoliosis progression in children with neuromuscular and neurologic disorders and to determine any predictors for scoliosis progression.

Design

Longitudinal, retrospective cohort study.

Setting

A national health service regional posture and mobility service.

Participants

Nonambulant pediatric wheelchair users with neuromuscular and neurologic disorders (N=75; 36 men, 39 women; mean age at seating intervention, 10.50±3.97y) issued CCS and MWS by the South Wales Posture and Mobility Service from 2012-2022.

Interventions

Two specialized wheelchair seating systems, CCS and MWS.

Main Outcome Measures

A generalized least squares model was used to estimate the effect of seat type on Cobb angle over time.

Results

Of the 75 participants enrolled, 51% had cerebral palsy. Fifty were issued CCS and 25 were issued MWS. Baseline Cobb angle was 32.9±18.9° for the MWS group and 48.0±31.0° for the CCS group. The generalized least squares model demonstrated that time since seating intervention (χ2=122, P<.0001), seating type (χ2=52.5, P<.0001), and baseline scoliosis severity (χ2=41.6, P<.0001) were predictive of scoliosis progression. Condition was not a strong predictor (χ2=9.96, P =.0069), and sex (χ2=5.67, P=.13) and age at intervention (χ2=4.47, P=.35) were not predictive. Estimated contrasts of medical condition with seat type over time demonstrated smaller differences between MWS and CCS over time. Predicted scoliosis velocity was found to attenuate with use of CCS over time compared with MWS, although scoliosis deteriorated regardless of intervention.

Conclusions

Our findings showed pediatric wheelchair users with neurologic and neuromuscular disorders prescribed CCS showed greater mitigation of scoliosis progression over time compared with those issued MWS.
研究目的回顾性评估两种轮椅座椅系统(定制轮椅座椅(CCS)和模块化轮椅座椅(MWS))对患有神经肌肉和神经系统疾病的儿童脊柱侧凸进展的影响,并确定脊柱侧凸进展的预测因素:设计:纵向回顾性队列研究:设计:纵向回顾性队列研究2012年至2022年期间,南威尔士姿势和移动能力服务机构向患有神经肌肉和神经系统疾病的非步行儿科轮椅使用者(N = 75;36名男性,39名女性;座椅干预时的平均年龄为10.50 ± 3.97岁)发放了CCS和MWS:干预措施:两种专用轮椅座椅系统,CCS和MWS:采用广义最小二乘法(GLS)模型估算座椅类型随时间变化对Cobb角的影响:在 75 名参与者中,51% 患有脑瘫。其中 50 人获得了 CCS,25 人获得了 MWS。MWS组的基线Cobb角为32.9±18.9°,CCS组为48.0±31.0°。GLS模型显示,座椅干预后的时间(χ2 = 122,p < .0001)、座椅类型(χ2 = 52.5,p < .0001)和基线脊柱侧凸严重程度(χ2 = 41.6,p < .0001)可预测脊柱侧凸的进展。病情不是一个强有力的预测因素(χ2 = 9.96,p = .0069),性别(χ2 = 5.67,p = .13)和干预时的年龄(χ2 = 4.47,p = .35)也不是预测因素。医疗条件与座椅类型随时间变化的估计对比显示,MWS 和 CCS 随时间变化的差异较小。随着时间的推移,与MWS相比,使用CCS时预测的脊柱侧弯速度会减慢,但无论采取何种干预措施,脊柱侧弯都会恶化:我们的研究结果表明,与使用MWS的儿童轮椅使用者相比,使用CCS的神经和神经肌肉疾病儿童轮椅使用者的脊柱侧弯进展随着时间的推移得到了更大程度的缓解。
{"title":"Impact of Wheelchair Seating Systems on Scoliosis Progression for Children With Neurologic and Neuromuscular Disorders: A Retrospective Study of Custom-Contoured Wheelchair Seating and Modular Wheelchair Seating","authors":"","doi":"10.1016/j.apmr.2024.06.007","DOIUrl":"10.1016/j.apmr.2024.06.007","url":null,"abstract":"<div><h3>Objectives</h3><div>To retrospectively evaluate the comparative effect of 2 wheelchair seating systems, Custom-Contoured Wheelchair Seating (CCS) and Modular Wheelchair Seating (MWS), on scoliosis progression in children with neuromuscular and neurologic disorders and to determine any predictors for scoliosis progression.</div></div><div><h3>Design</h3><div>Longitudinal, retrospective cohort study.</div></div><div><h3>Setting</h3><div>A national health service regional posture and mobility service.</div></div><div><h3>Participants</h3><div>Nonambulant pediatric wheelchair users with neuromuscular and neurologic disorders (N=75; 36 men, 39 women; mean age at seating intervention, 10.50±3.97y) issued CCS and MWS by the South Wales Posture and Mobility Service from 2012-2022.</div></div><div><h3>Interventions</h3><div>Two specialized wheelchair seating systems, CCS and MWS.</div></div><div><h3>Main Outcome Measures</h3><div>A generalized least squares model was used to estimate the effect of seat type on Cobb angle over time.</div></div><div><h3>Results</h3><div>Of the 75 participants enrolled, 51% had cerebral palsy. Fifty were issued CCS and 25 were issued MWS. Baseline Cobb angle was 32.9±18.9° for the MWS group and 48.0±31.0° for the CCS group. The generalized least squares model demonstrated that time since seating intervention (χ<sup>2</sup>=122, <em>P</em>&lt;.0001), seating type (χ<sup>2</sup>=52.5, <em>P</em>&lt;.0001), and baseline scoliosis severity (χ<sup>2</sup>=41.6, <em>P</em>&lt;.0001) were predictive of scoliosis progression. Condition was not a strong predictor (χ<sup>2</sup>=9.96, <em>P</em> =.0069), and sex (χ<sup>2</sup>=5.67, <em>P</em>=.13) and age at intervention (χ<sup>2</sup>=4.47, <em>P</em>=.35) were not predictive. Estimated contrasts of medical condition with seat type over time demonstrated smaller differences between MWS and CCS over time. Predicted scoliosis velocity was found to attenuate with use of CCS over time compared with MWS, although scoliosis deteriorated regardless of intervention.</div></div><div><h3>Conclusions</h3><div>Our findings showed pediatric wheelchair users with neurologic and neuromuscular disorders prescribed CCS showed greater mitigation of scoliosis progression over time compared with those issued MWS.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 10","pages":"Pages 1921-1929"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141465853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysis of Quadriceps Strength and Knee Pain 美国成年人股四头肌力量和膝关节疼痛分析。
IF 3.6 2区 医学 Q1 REHABILITATION Pub Date : 2024-10-01 DOI: 10.1016/j.apmr.2024.06.006
Peng Shen PhD , Xiwen Chen PT, MSc , Yun Wu PT, MSc , Qin-Jie Yang PT, MSc , Shuai-Jiang Yu PT, MSc , Xue-Qiang Wang PT, DSc

Objective

To investigate the association of quadriceps strength with the presence of knee pain.

Design

This cross-sectional study was based on data from the 1999-2000 to 2001-2002 National Health and Nutrition Examination Survey.

Setting

This was a community-based study.

Participants

This study included 2619 adults with complete data for knee pain, quadriceps strength, and covariates.

Intervention

Not applicable.

Main Outcome Measures

Self-reported knee pain.

Results

This study included 2619 individuals, 1287 (52.66%) of whom were women and 1543 (81.66%) identified as Non-Hispanic White. The mean ±standard deviation age was 62.48±9.71 years. After adjusting for covariates, the odds of knee pain decreased with every 20 N/m increase in quadriceps strength (odds ratio, 0.87; 95% confidence interval, 0.81-0.94). Individuals in the upper quartile of quadriceps strength had lower odds of knee pain than those in the lower quartile (Q4 vs Q1 [reference]: odds ratio, 0.28, 95% confidence interval, 0.15-0.52; Ptrend=.006). Nonlinear analyses indicated L-shaped associations for knee pain. The subgroup analyses showed no significant interactions, except for sex (Pinteraction=.046). The significance of the sex interaction indicated a correlation exclusively in women.

Conclusions

The results demonstrated an inverse association between quadriceps strength and the presence of knee pain. The subgroup analysis by sex showed that this inverse relationship was statistically significant in the women but not in the men subgroup.
目的:研究股四头肌力量与膝关节疼痛的关系:调查股四头肌力量与膝关节疼痛的关系:这项横断面研究基于 1999-2000 年和 2001-2002 年全国健康与营养调查的数据:环境:这是一项基于社区的研究:干预措施:不适用:主要结果测量主要结果测量:自我报告的膝关节疼痛:本研究共纳入 2,619 人,其中 1,287 人(52.66%)为女性,1,543 人(81.66%)为墨西哥裔美国人。平均年龄为(62.48±9.71)岁。调整协变量后,股四头肌力量每增加 20 N/m,膝关节疼痛的几率就会降低(几率比为 0.87;95% CI 为 0.81-0.94)。股四头肌力量处于上四分位数的人比处于下四分位数的人出现膝关节疼痛的几率要低(Q4 vs. Q1 [参考]:几率比,0.28,95% CI,0.15-0.52;ptrend = 0.006)。非线性分析表明,膝关节疼痛呈 L 型关联。亚组分析表明,除性别(pinteraction = 0.046)外,无显著的交互作用。性别交互作用的显著性表明相关性只存在于女性中:结论:研究结果表明,股四头肌力量与膝关节疼痛之间存在负相关。按性别进行的亚组分析表明,这种反向关系在女性亚组中具有统计学意义,但在男性亚组中并不明显。
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引用次数: 0
Ed Board page 教育委员会页面
IF 3.6 2区 医学 Q1 REHABILITATION Pub Date : 2024-10-01 DOI: 10.1016/S0003-9993(24)01199-7
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引用次数: 0
Enhancing Spinal Cord Injury Care: Using Wearable Technologies for Physical Activity, Sleep, and Cardiovascular Health 加强 SCI 护理:利用可穿戴技术促进身体活动、睡眠和心血管健康。
IF 3.6 2区 医学 Q1 REHABILITATION Pub Date : 2024-10-01 DOI: 10.1016/j.apmr.2024.06.014
Wearable devices have the potential to advance health care by enabling real-time monitoring of biobehavioral data and facilitating the management of an individual's health conditions. Individuals living with spinal cord injury (SCI) have impaired motor function, which results in deconditioning and worsening cardiovascular health outcomes. Wearable devices may promote physical activity and allow the monitoring of secondary complications associated with SCI, potentially improving motor function, sleep, and cardiovascular health. However, several challenges remain to optimize the application of wearable technologies within this population. One is striking a balance between research-grade and consumer-grade devices in terms of cost, accessibility, and validity. Additionally, limited literature supports the validity and use of wearable technology in monitoring cardio-autonomic and sleep outcomes for individuals with SCI. Future directions include conducting performance evaluations of wearable devices to precisely capture the additional variation in movement and physiological parameters seen in those with SCI. Moreover, efforts to make the devices small, lightweight, and inexpensive for consumer ease of use may affect those with severe motor impairments. Overcoming these challenges holds the potential for wearable devices to help individuals living with SCI receive timely feedback to manage their health conditions and help clinicians gather comprehensive patient health information to aid in diagnosis and treatment.
可穿戴设备能够实时监测生物行为数据,促进对个人健康状况的管理,因而具有推动医疗保健发展的潜力。脊髓损伤(SCI)患者的运动功能受损,导致体能下降和心血管健康状况恶化。可穿戴设备可以促进体育锻炼,监测与脊髓损伤相关的继发性并发症,从而改善运动功能、睡眠和心血管健康。然而,要优化可穿戴技术在这一人群中的应用,仍面临一些挑战。其一是在成本、可及性和有效性方面实现研究级设备和消费级设备之间的平衡。此外,支持可穿戴技术在监测 SCI 患者的心肺功能和睡眠方面的有效性和使用的文献有限。未来的发展方向包括对可穿戴设备进行性能评估,以精确捕捉 SCI 患者运动和生理参数的额外变化。此外,努力使设备体积小、重量轻、价格低,便于消费者使用,可能会对严重运动障碍患者造成影响。克服了这些挑战,可穿戴设备就有可能帮助患有 SCI 的人及时获得反馈,以管理他们的健康状况,并帮助临床医生收集全面的病人健康信息,以帮助诊断和治疗。
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引用次数: 0
Measurement Characteristics and Clinical Utility of the Brief Pain Inventory Among Individuals with Low Back Pain 腰痛患者简明疼痛量表的测量特征和临床实用性
IF 3.6 2区 医学 Q1 REHABILITATION Pub Date : 2024-10-01 DOI: 10.1016/j.apmr.2023.09.012
{"title":"Measurement Characteristics and Clinical Utility of the Brief Pain Inventory Among Individuals with Low Back Pain","authors":"","doi":"10.1016/j.apmr.2023.09.012","DOIUrl":"10.1016/j.apmr.2023.09.012","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 10","pages":"Pages 2029-2030"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140403905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Archives of physical medicine and rehabilitation
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