American Journal of Physical Medicine & Rehabilitation

OBJECTIVE: In middle-aged individuals with early-stage knee osteoarthritis (OA), follow-up with remote rehabilitation methods may provide effective clinical outcomes. The present study aimed to investigate the effect of telerehabilitation (TR) on pain, function, performance, strength, proprioception, and psychosocial parameters in patients with knee OA. DESIGN: A randomized controlled study was conducted with 54 participants with knee OA. All patients were randomized into two groups: the home-based telerehabilitation group (TRG) (n = 29) and the home-based paper group (PG) (n = 28)...

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Osteonecrosis after COVID-19 infection is a complex pathology with multifactorial origin. Factors such as infection itself with associated coagulopathy, as well as genetic mechanisms, and medications used for its treatment such as corticosteroids, may also be involved. The variability in the presentation makes diagnosis difficult, which, if done soon, can help delay progression and reduce morbidity and the need for surgery.This report presents a case of knee osteonecrosis in a female patient who did not have previous knee pathology on imaging tests...

There is a paucity of literature on the effect of COVID-19 on hospital processes. We hypothesized that COVID-19 was associated with decreased cancer physiatry referrals in 2020. This is a retrospective cohort study of consecutive patients from April- July of 2019 and 2020 admitted at an academic quaternary cancer center. The main outcomes were number of hospital admissions, rate and characteristics of inpatient rehabilitation admissions and change in percentage of physiatry referrals as the primary endpoint...

PURPOSE: To evaluate the predictive factors for a poor prognosis in patients with facial paralysis evaluated in the rehabilitation department of a tertiary hospital. METHODS: We have conducted a prospective cohort study. Patients who required elective botulinum toxin infiltration, surgical treatment, or follow-up appointments longer than 6 months due to incomplete recovery were considered to have a poor prognosis. Descriptive and analytical analyses of clinical and epidemiological variables were performed...

OBJECTIVE: To assess the effects of leg length discrepancy (LLD) on paraspinal muscle activity and kinematic variables during gait. DESIGN: Thirty-nine healthy participants aged 5 to 12 years performed the 10-m walk test using the surface electromyography and G-walk sensor for the following conditions: 1) non-LLD condition (LLD 0 cm) and 2) LLD condition with an insole on the right leg at three different heights (LLD 0.5 cm, 1.0 cm, and 1.5 cm). The root mean square (RMS) was normalized using maximal voluntary contraction and reference voluntary contraction methods (RMS_MVC and RMS_ref) and compared between the sides...

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OBJECTIVES: To assess the quality of sleep in recently recovered Covid-19 and long Covid cases, also to determine its associations with fatigue and pain. METHODS: Post-Covid cases (n = 201) and controls (n = 206) were assessed using the Pittsburgh Sleep Quality Index (PSQI) questionnaire for sleep quality, Fatigue Severity Scale (FSS) for fatigue, and Numeric Pain Rating Scale (NPRS) for pain in this observational study. RESULTS: Global PSQI score was higher (p = <0...

Clear reporting of cancer rehabilitation interventions is critical for interpreting and translating research into clinical practice. This study sought to examine the completeness of intervention reporting of cancer rehabilitation interventions addressing disability and to identify which elements are most frequently missing. This was a secondary analysis of randomized controlled trials included in two systematic reviews examining effectiveness of cancer rehabilitation interventions that address cancer-related disability, including functional outcomes...

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Returning home is considered an indicator of successful rehabilitation for community-dwelling older adults. However, the factors associated with unplanned discharge remain uncertain. This retrospective chart review included patients aged 65 years and older admitted to a geriatric rehabilitation unit from medical and surgical wards in an academic hospital. Patient characteristics and outcomes were abstracted from the electronic medical record. The primary outcome was unplanned discharge destination defined as anything other than return to patients' pre-existing residence...

OBJECTIVE: The study aimed to investigate whether peripheral and inspiratory muscle strength and architecture, functional capacity, functional mobility, fatigue and health-related quality of life (HRQoL) are predictors of the PCFS scale score in patients with post-COVID-19 syndrome who were hospitalized. DESIGN: A cross-sectional study included 69 patients (53.3 ± 13.2 years, 36 men) with post-COVID-19 syndrome. The following outcomes were assessed: peripheral (dynamometry) and inspiratory (manovacuometry) muscle strength, muscle architecture (ultrasound), functional capacity (six-minute walk test), functional mobility (Timed Up and Go), fatigue (Functional Assessment of Chronic Illness Therapy), HRQoL (36-item Short Form Health Survey) and functional status (PCFS scale)...

OBJECTIVE: Knee hyperextension is one of the most common compensatory mechanisms in stroke patients.The first aim of the study was to measure knee hyperextension and femoral cartilage thickness in stroke patients. The second aim was to compare the femoral cartilage thickness of the paretic and nonparetic extremities in stroke patients with and without knee hyperextension. DESIGN: Forty stroke patients were included in the study. The patients were divided into two groups according to the presence of knee hyperextension based on kinematic analyses performed during walking with a 3D motion analysis system...

OBJECTIVE: To investigate the characteristics and hospital outcomes of patients with mild traumatic brain injuries (mTBI). DESIGN: A total of 1,940 patients with mTBI from 7 community hospitals between 2017 and 2019 were identified using International Classification of Disease (ICD) codes and an documented initial Glasgow Coma Scale (GCS) score of 13 to 15. A stepwise logistic regression was used to identify demographics and clinical characteristics associated with in-hospital mortality and home discharge...

OBJECTIVE: The study aimed to determine the relationship between knee extension torque induced by repetitive peripheral magnetic stimulation (rPMS) and the characteristics of the participants. DESIGN: This was a basic study with non-invasive intervention. Knee extension torque induced by rPMS (rPMS-induced torque) and maximum voluntary contraction (MVC) were measured. Stepwise method of multiple regression was performed to determine the factors affecting rPMS-induced torque at 100% intensity and rPMS-induced torque divided by MVC (%MVC)...

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This review aimed to assess the effectiveness of non-immersive virtual reality intervention compared to traditional rehabilitation in improving the functions of the upper and lower extremities, balance, and social participation among children with spastic cerebral palsy. We used librarian-designed searches of 10 databases to identify research articles on randomized controlled trials that assessed the effectiveness of non-immersive virtual reality in intervening spastic cerebral palsy patients up to 4/15/2023...

OBJECTIVE: To systematically evaluate the effect of body weight support training (BWST) on lower extremity motor functions in patients with spinal cord injury (SCI) and to compare the effect differences among three BWST methods. DESIGN: PubMed, Web of Science, Cochrane Library, EMBASE, CNKI, CBM, VIP, and Wan Fang databases were searched until December 31, 2022. Meta-analysis and network meta-analysis were conducted using RevMan 5.4 and ADDIS 1.16.8. RESULTS: Nineteen RCTs involving 864 patients were included...

OBJECTIVE: This prospective study focused on routine computed tomography (CT) imaging for aortic disease management and evaluated the trajectory of skeletal muscle changes through inpatient and outpatient cardiac rehabilitation. DESIGN: Prospective observational study included patients who underwent abdominal CT three times (baseline, post-acute care, and follow-up). The area and density of the all-abdominal and erector spine muscles and intramuscular adipose tissue (IMAT) were measured...

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