American Journal of Physical Medicine and Rehabilitation This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Climate Change and Physiatry: A Call to Proportional and Prospective Action
Through increased temperature-related illness, exposure to wildfire smoke and air pollutants, and more frequent and intense natural disasters, climate change is disproportionately affecting the health of people with disabilities. Although the evidence behind the health effects of climate change is growing, there remain critical research gaps in the physiatric literature that must be addressed. Increased education throughout the medical-education continuum is also needed to prepare physiatrists to address the climate-related health effects impacting their patient populations. Physiatrists and their member organizations shou...
Source: American Journal of Physical Medicine and Rehabilitation - September 26, 2022 Category: Rehabilitation Tags: AAP Position Statement Source Type: research

Biomarkers in the Degenerative Human Intervertebral Disc Tissue and Blood
Patients with back pain comprise a large proportion of the outpatient practice among physiatrists. Diagnostic tools are limited to clinical history, physical examinations, and imaging. Nonsurgical treatments are largely empirical, encompassing medications, physical therapy, manual treatments, and interventional spinal procedures. A body of literature is emerging confirming elevated levels of biomarkers including inflammatory cytokines in patients with back pain and/or radiculopathy, largely because the protein assay sensitivity has increased. These biomarkers may serve as tools to assist diagnosis and assess outcomes. (Sou...
Source: American Journal of Physical Medicine and Rehabilitation - September 26, 2022 Category: Rehabilitation Tags: Literature Review Source Type: research

Physiological and Perceptual Responses in Spinal Cord Injury Handcyclists During an Endurance Interval Training: The Role of Critical Speed
Conclusions Repetitions of 5 mins at the critical speed in elite handcyclists are associated with cardiorespiratory and lactate steady state, whereas the perceived exertion increased systematically. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - September 26, 2022 Category: Rehabilitation Tags: Para Sport & Paralympic Sport Section Source Type: research

Which Beds, Overlays, and Mattresses Are Effective in Promoting Pressure Ulcer Healing?: A Cochrane Review Summary With Commentary
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - September 26, 2022 Category: Rehabilitation Tags: Evidence-Based Physiatry: Cochrane Corner Source Type: research

Conducting a Systematic Review and Meta-analysis in Rehabilitation
Systematic reviews are reviews of the literature using a step-by-step approach in a systematic way. Meta-analyses are systematic reviews that use statistical methods to combine the included studies to generate an effect estimate. In this article, we summarize 10 steps for conducting systematic reviews and meta-analyses in the field of rehabilitation medicine: protocol, review team and funding, objectives and research question, literature search, study selection, risk of bias, data extraction, data analysis, reporting of results and conclusions, and publication and dissemination. There are currently 64,958 trials that conta...
Source: American Journal of Physical Medicine and Rehabilitation - September 26, 2022 Category: Rehabilitation Tags: Special Research Section Source Type: research

Impact of a Hybrid-Virtual Teaching Model on the Physical Examination Skills of Fourth-Year Medical Students
A required fourth-year advanced core neurology–physical medicine and rehabilitation clerkship was adapted to hybrid format (2-wk remote; 2-wk in-person) during the COVID-19 pandemic. With teaching of the neurological physical examination being shifted to the remote component, we sought to determine whether this negatively affected student performance on an Objective Structured Clinical Examination, particularly the physical examination component. Mean pandemic-era total Objective Structured Clinical Examination scores (n = 79, 85.1 ± 7.3) were similar to prepandemic era (n = 137, 83.5 ± 6.0, P = 0.082). Pandemic-era ph...
Source: American Journal of Physical Medicine and Rehabilitation - September 26, 2022 Category: Rehabilitation Tags: Education & Administration Source Type: research

Ability Realization Improves During Inpatient Rehabilitation for Guillain-Barré Syndrome
Conclusions Ability realization improved during inpatient rehabilitation for Guillain-Barré syndrome and remained high after discharge, suggesting a likely contribution of rehabilitation to the functional outcome, beyond the contribution of neurological recovery. Despite residual fatigue and pain, there was only minor or no effect on daily function or participation. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - September 26, 2022 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Virtual Objective Structured Clinical Examination Experiences and Performance in Physical Medicine and Rehabilitation Residency
Conclusions Utility of virtual objective structured clinical examinations as a component of a program of assessment should be carefully considered and may provide valuable learning opportunities going forward. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - September 26, 2022 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Music Upper Limb Therapy–Integrated Provides a Feasible Enriched Environment and Reduces Post-stroke Depression: A Pilot Randomized Controlled Trial
Conclusions Implementation of a music-enriched environment is feasible, reduces post-stroke depression, and may enhance the neural environment for recovery via increases in brain-derived neurotrophic factor levels. Self-management of rehabilitation through an HEP may further improve upper limb function. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - September 26, 2022 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Robotic Walking to Mitigate Bone Mineral Density Decline and Adverse Body Composition in Individuals With Incomplete Spinal Cord Injury: A Pilot Randomized Clinical Trial
Conclusions Twenty-four weeks of robotic locomotor training is possibly a sufficient duration to prevent the progressive decline of bone mineral density usually occurring in this population. A longitudinal period of activity-based training serves as an effective rehabilitation strategy to reduce indices of fat mass in individuals with spinal cord injury. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - September 26, 2022 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Functional Changes in Cortical Activity of Patients Submitted to Knee Osteoarthritis Treatment: An Exploratory Pilot Study
Conclusions Relative increase density directed measures at connectivity analysis in electroencephalography after pain treatment can be possible parameters to be explored in future research with a larger number of patients. (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - September 26, 2022 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Twelve-Week Daily Gluteal and Hamstring Electrical Stimulation Improves Vascular Structure and Function, Limb Volume, and Sitting Pressure in Spinal Cord Injury: A Pilot Feasibility Study
We examined the long-term effects of low-intensity electrical stimulation on (micro)vasculature and sitting pressure of a home-based, wearable electrical stimulation device in a pilot feasibility study. Design In a cohort observation before-after trial, nine middle-aged male (n = 8) and female (n = 1) individuals (48 ± 15 yrs) with American Spinal Injury Association A–C classified chronic (1–24 yrs) spinal cord injury underwent 12 wks of self-administered daily, low-intensity gluteal and hamstring electrical stimulation (50 Hz, 6 hrs [30-min electrical stimulation, 15-min rest]). Common femoral artery diameter ...
Source: American Journal of Physical Medicine and Rehabilitation - September 26, 2022 Category: Rehabilitation Tags: Original Research Articles Source Type: research

Effect of Long-term Exercise Therapy on Motor Symptoms in Parkinson Disease Patients: A Systematic Review and Meta-analysis of Randomized Controlled Trials
Conclusions Long-term exercise therapy is an effective treatment for improving motor symptoms, with dance being an ideal exercise choice. To Claim CME Credits Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME Objectives Upon completion of this article, the reader should be able to: (1) Recognize that long-term exercise slows clinical progression of motor symptoms in patients with Parkinson disease; (2) Acquire knowledge regarding the effectiveness of long-term exercise therapy on motor symptoms in Parkinson disease; and (3) Incorporate specific suggesti...
Source: American Journal of Physical Medicine and Rehabilitation - September 26, 2022 Category: Rehabilitation Tags: CME Article . 2022 Series . Number 10 Source Type: research

Sciatic Nerve Schwannoma in the Lower Limb Mimicking Ganglion Cyst
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - August 29, 2022 Category: Rehabilitation Tags: Visual Vignette Source Type: research

Unusual Presentation of a Posterior Cerebral Artery Stroke: A Clinical Vignette
No abstract available (Source: American Journal of Physical Medicine and Rehabilitation)
Source: American Journal of Physical Medicine and Rehabilitation - August 29, 2022 Category: Rehabilitation Tags: RFS – Clinical Vignette Source Type: research