Archives of physical medicine and rehabilitation最新文献

{"title":"Psychometric Properties of the Pictorial Pain Interference Questionnaire for Assessing Functional Interference in Chronic Low Back Pain","authors":"","doi":"10.1016/j.apmr.2024.05.029","DOIUrl":"10.1016/j.apmr.2024.05.029","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the psychometric properties of the Pictorial Pain Interference Questionnaire (PPIQ) for evaluating functional interference in the population with chronic low back pain (CLBP).</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting</h3><div>Rehabilitation Unit in a hospital.</div></div><div><h3>Participants</h3><div>Ninety-nine patients with CLBP.</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Functional interference was assessed using PPIQ. The following data were also collected: sociodemographic data; pain intensity (Numeric Pain Rating Scale [NPRS]); physical functioning (30-s arm curl, 30-s chair stand [30CST], and timed Up and Go [TUG] tests), fitness (International Physical Activity Questionnaire); quality of life (Short-Form 12 Health Survey version 1 [SF-12v1]); sleep quality (Spanish-validated 12-item Medical Outcomes Study Sleep scale [12-MOS Sleep]); anxiety and depression (Hospital Anxiety and Depression Scale [HADS]); and social support (Duke-UNK Functional Social Support Questionnaire). Internal consistency was analyzed using Cronbach's alpha, structural validity using exploratory factor analysis (EFA), and discriminant and convergent validity using bivariate analysis.</div></div><div><h3>Results</h3><div>Ninety-nine patients with CLBP were included (age [mean ± SD]: 54.37±12.44 y); women, 67.7%). The EFA extracted 2 factors: “physical function and “social and sleep,” which explained 57.75% of the variance. Excellent internal consistency was observed for the overall PPIQ score (Cronbach's α=0.866). Convergent validity was observed between the PPIQ and other functional measures (ρ: 0.52 and −0.47 for the TUG and 30CST, respectively; <em>P</em>&lt;.001) and with the following variables: physical and mental component summaries of the SF-12v1 (ρ: −0. 55 and −0.52, respectively (<em>P</em>&lt;.001); anxiety and depression of the HADS (ρ: 0.47 and 0.59, respectively (<em>P</em>&lt;.001); NPRS (ρ: 0.45; <em>P</em>&lt;.001); and index 9 of the 12-MOS Sleep scale (r: 0.49; <em>P</em>&lt;.001).</div></div><div><h3>Conclusions</h3><div>The PPIQ is a valid instrument with good psychometric properties for measuring functional interference in people with CLBP. This questionnaire appears to be a feasible alternative when language or communication barriers exist in CLBP population.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 10","pages":"Pages 1870-1879"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141309897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor: “Efficacy of Virtual Reality Combined With Real Instrument Training for Patients With Stroke: A Randomized Controlled Trial”","authors":"","doi":"10.1016/j.apmr.2024.04.016","DOIUrl":"10.1016/j.apmr.2024.04.016","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 10","pages":"Pages 2008-2009"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141544450","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}

{"title":"Letter to Editor: Effectiveness of Land- and Water-based Exercise on Fatigue and Sleep Quality in Women With Fibromyalgia: The al-Andalus Quasi-Experimental Study","authors":"Monika Sharma MPT,&nbsp;Gurman Kaur MPT,&nbsp;Priyanka Rajput MPT,&nbsp;Shanika Sharma MPT,&nbsp;Varun Kalia PhD","doi":"10.1016/j.apmr.2024.05.035","DOIUrl":"10.1016/j.apmr.2024.05.035","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 10","pages":"Pages 2014-2015"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141726812","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}

{"title":"Response to Letter to the Editor: Effect of Graded Motor Imagery Combined With Repetitive Transcranial Magnetic Stimulation on Upper Extremity Motor Function in Stroke Patients: A Randomized Controlled Trial","authors":"Fan Jia MMed,&nbsp;Ying Zhao MMed,&nbsp;Zhao Wang MMed,&nbsp;Sihan Lu MMed,&nbsp;Jie Chen MMed,&nbsp;Ming Zhang MMed","doi":"10.1016/j.apmr.2024.06.017","DOIUrl":"10.1016/j.apmr.2024.06.017","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 10","pages":"Pages 2010-2011"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733393","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}

{"title":"Construct Validity and Responsiveness of Performance-based Tests in Individuals With Knee Osteoarthritis","authors":"","doi":"10.1016/j.apmr.2024.05.024","DOIUrl":"10.1016/j.apmr.2024.05.024","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the construct validity<span> and responsiveness of 3 performance-based tests in individuals with knee osteoarthritis (KOA).</span></div></div><div><h3>Design</h3><div>This study has a prospective cohort design.</div></div><div><h3>Setting</h3><div>Assessments were administered at the Federal University of São Carlos (Brazil) by 3 different raters.</div></div><div><h3>Participants</h3><div>A total of 107 participants with KOA were aged ≥40 years (N=107).</div></div><div><h3>Interventions</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measure</h3><div><span>This study assessed the construct validity and responsiveness of 3 performance-based tests: 40-meter fast-paced walk test (40-m FPWT), 11-step stair climb test (11-step SCT), and 30-second chair stand test (30-s CST). The </span>Western Ontario and McMaster Universities Osteoarthritis Index<span> (WOMAC), Knee Injury and Osteoarthritis Outcome Score<span> (KOOS), sedentary behavior (activPAL), and numeric pain rating scale<span> (NPRS) were used as comparator instruments. Measurements were obtained at baseline and after 6 months. The construct validity and responsiveness were calculated using Spearman correlation coefficient within predefined hypotheses based on a panel comprising 5 experts in the field of outcome measurement in KOA.</span></span></span></div></div><div><h3>Results</h3><div>The three performance-based tests showed excellent (ICC&gt;0.9) reliability (intra and inter); however, only the 40-m FPWT and 11-step SCT were considered valid and responsive because both confirmed &gt;75% of the priori hypotheses. The 30-s CST was not considered valid or responsive because it has not confirmed ≥75% of the priori hypotheses.</div></div><div><h3>Conclusion</h3><div>The 3 performance-based tests are reliable for intra and inter assessments. The 40-m FPWT and 11-step SCT are both valid and responsive for measuring physical function in patients with KOA. The 30-s CST was not considered valid or responsive. Therefore, 40-m FPWT and 11-step SCT can detect changes over time and are indicated for functional assessment in clinical practice.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 10","pages":"Pages 1862-1869"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141293098","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}

{"title":"Technology for Persons With Blindness and Low Vision: Hardware to Improve Function and Quality of Life","authors":"Taylor F. Faust MS, BS,&nbsp;Giles Hamilton-Fletcher MSc, PhD,&nbsp;Yang Yang DC,&nbsp;Mahya Beheshti MBBS, PhD,&nbsp;John-Ross Rizzo MD","doi":"10.1016/j.apmr.2024.06.021","DOIUrl":"10.1016/j.apmr.2024.06.021","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 10","pages":"Pages 2017-2028"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142035094","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}

{"title":"Letter to the Editor: “Effect of Graded Motor Imagery Combined With Repetitive Transcranial Magnetic Stimulation on Upper Extremity Motor Function in Stroke Patients: A Randomized Controlled Trial”","authors":"","doi":"10.1016/j.apmr.2024.06.016","DOIUrl":"10.1016/j.apmr.2024.06.016","url":null,"abstract":"","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 10","pages":"Pages 2009-2010"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141557957","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}

{"title":"Frequency and Localization of Neuromas in Transtibial Residual Limbs","authors":"Camille Fournier-Farley MD ,&nbsp;Mathieu Boudier-Revéret MD ,&nbsp;Dany H. Gagnon PhD","doi":"10.1016/j.apmr.2024.07.004","DOIUrl":"10.1016/j.apmr.2024.07.004","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the frequency and localization of neuromas in residual limbs of individuals with transtibial amputation using ultrasound imaging.</div></div><div><h3>Design</h3><div>Cross-sectional study.</div></div><div><h3>Setting</h3><div>Rehabilitation center research laboratory.</div></div><div><h3>Participants</h3><div>Adults who have lived with a transtibial amputation for &gt;12 months were recruited for this study. Participants were included regardless of the presence or absence of residual limb neuropathic pain. Twenty-three participants (24 transtibial residual limbs) with and without residual limb neuropathic pain were enrolled. The etiology of amputation of most participants was peripheral vascular disease and diabetes.</div></div><div><h3>Intervention</h3><div>A comprehensive history was collected and a musculoskeletal ultrasound assessment for the presence and location of neuromas in their residual limb was conducted. During the ultrasound evaluation, a sonopalpation Tinel test was performed by applying pressure on each neuroma with the probe.</div></div><div><h3>Main Outcome Measures</h3><div>Number of neuromas and their localization in each residual limb examined.</div></div><div><h3>Results</h3><div>A total of 31 neuromas in the 24 transtibial residual limbs were identified by ultrasound imaging. The average number of neuromas per residual limb was 1.3. All the major peripheral nerves studied could present neuromas, with a predominance of the superficial fibular nerve within our sample. Thirty-five percent of all the neuromas were described as painful.</div></div><div><h3>Conclusions</h3><div>The presence of terminal neuromas on surgically sectioned nerves in transtibial residual limbs is frequent. Seventy-nine percent of participants had at least one neuroma. Ultrasound imaging is clinically useful to identify neuromas. The evaluator can easily communicate with the patient to diagnose symptomatic neuromas.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 10","pages":"Pages 1993-1996"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141632527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity of Cardiopulmonary Exercise Testing for Assessing Aerobic Capacity in Neuromuscular Diseases","authors":"Tim Veneman MSc ,&nbsp;Fieke S. Koopman MD, PhD ,&nbsp;Sander Oorschot MSc ,&nbsp;Jos J. de Koning PhD ,&nbsp;Bart C. Bongers PhD ,&nbsp;Frans Nollet MD, PhD ,&nbsp;Eric L. Voorn PhD","doi":"10.1016/j.apmr.2024.07.006","DOIUrl":"10.1016/j.apmr.2024.07.006","url":null,"abstract":"<div><h3>Objectives</h3><div>To determine the content validity of cardiopulmonary exercise testing (CPET) for assessing peak oxygen uptake (VO_2peak) in neuromuscular diseases (NMD).</div></div><div><h3>Design</h3><div>Baseline assessment of a randomized controlled trial.</div></div><div><h3>Setting</h3><div>Academic hospital.</div></div><div><h3>Participants</h3><div>Eighty-six adults (age: 58.0±13.9 y) with Charcot-Marie-Tooth disease (n=35), postpolio syndrome (n=26), or other NMD (n=25).</div></div><div><h3>Intervention</h3><div>Not applicable.</div></div><div><h3>Main Outcome Measures</h3><div>Workload, gas exchange variables, heart rate, and ratings of perceived exertion were measured during CPET on a cycle ergometer, supervised by an experienced trained assessor. Muscle strength of the knee extensors was assessed isometrically with a fixed dynamometer. Criteria for confirming maximal cardiorespiratory effort during CPET were established during 3 consensus meetings of an expert group. The percentage of participants meeting these criteria was assessed to quantify content validity.</div></div><div><h3>Results</h3><div>The following criteria were established for maximal cardiorespiratory effort: a plateau in oxygen uptake (VO_2plateau) as the primary criterion, or 2 of 3 secondary criteria: (1) peak respiratory exchange ratio (RER_peak) ≥1.10 (2), peak heart rate ≥85% of predicted maximal heart rate; and (3) peak rating of perceived exertion (RPE_peak) ≥17 on the 6-20 Borg scale. These criteria were attained by 71 participants (83%). VO_2plateau, RER_peak ≥1.10, peak heart rate ≥85%, and RPE_peak ≥17 were attained by 31%, 73%, 69%, and 72% of the participants, respectively. Peak workload, VO_2peak, and knee extension muscle strength were significantly higher, and body mass index was lower (all <em>P</em>&lt;.05), in participants with maximal cardiorespiratory effort than other participants.</div></div><div><h3>Conclusions</h3><div>Most people with NMD achieved maximal cardiorespiratory effort during CPET. This study provides high quality evidence of sufficient content validity of VO_2peak as a maximal aerobic capacity measure. Content validity may be lower in more severely affected people with lower physical fitness.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 10","pages":"Pages 1846-1853"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141733395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression Mediates the Association Between Burden and Quality of Life in Informal Caregivers of Stroke Survivors: Meta-analytic Structural Equation Modeling","authors":"","doi":"10.1016/j.apmr.2024.01.022","DOIUrl":"10.1016/j.apmr.2024.01.022","url":null,"abstract":"<div><h3>Objective</h3><div><span>This study aims to use Meta-analytical structural equation modeling (MASEM) to clarify the relationship between burden, depression, and </span>quality of life in informal caregivers of stroke survivors.</div></div><div><h3>Data Sources</h3><div><span>The databases of PubMed, Cochrane Library<span>, Embase, China Knowledge Resource Integrated Database, Wan Fang Database, and </span></span>Chinese Biomedical Database were comprehensively searched before January 16, 2023.</div></div><div><h3>Study Selection</h3><div>Two researchers performed an independent initial search by using a unified search strategy. Observational studies investigating the relation between burden, depression, and quality of life in informal caregivers of stroke survivors were included. The studies that met the inclusion criteria were appraised by “Quality Assessment and Validity Tool for Correlational Studies”.</div></div><div><h3>Data Extraction</h3><div>PRISMA guidelines were used for this study. Data extraction was performed independently by 2 researchers. The following data were extracted: study author, year of publication, country, language, sample size, age, sex (%women), the caregivers’ relation with stroke survivor, measures, type of outcome reported in the study, study design, and main conclusion.</div></div><div><h3>Data Synthesis</h3><div>The analysis included 18 articles that reported 23 effect sizes<span> (N=3284). The MASEM findings showed that caregiver burden was positively associated with caregiver depression (β=0.474, 95% CI [0.398, 0.550]), caregiver depression was negatively associated with caregiver quality of life (β=-0.316, 95% CI [-0.545, -0.087]). Furthermore, the association between caregiver burden and quality of life was completely mediated by caregiver depression (β=-0.150, 95% CI [-0.271, -0.041]).</span></div></div><div><h3>Conclusions</h3><div>Using the MASEM approach, we observed that caregiver depression completely mediated the relation between burden and quality of life in informal caregivers of stroke survivors. Although the results did not allow for causal inference, this result suggested that for burdened stroke survivors’ informal caregivers efforts should be made to their mental health to eliminate the internal barriers, then eventually improve their quality of life.</div></div>","PeriodicalId":8313,"journal":{"name":"Archives of physical medicine and rehabilitation","volume":"105 10","pages":"Pages 1961-1970"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139816624","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}