Archives of Physical Medicine and Rehabilitation

No abstract text is available yet for this article.

No abstract text is available yet for this article.

No abstract text is available yet for this article.

OBJECTIVES: To examine the association between subjective and objective prospective memory (PM) in people with multiple sclerosis (PwMS). DESIGN: Secondary analysis of a cross-sectional cohort study. SETTING: Community-based comprehensive MS center. PARTICIPANTS: PwMS (n = 112) who completed a battery that included measures of PM, depression, and fatigue. INTERVENTIONS: Not applicable...

This paper addresses the increasing challenges faced by hospital clinicians in coordinating and recommending post-acute care for patients, focusing on issues related to access to the most common post-acute services: skilled nursing facilities (SNFs) and home health agencies (HHAs). In coordinating discharges, hospital clinicians have minimal information on care delivery in these settings. This knowledge gap is exacerbated by the disrupted continuum of patient care between acute care hospitals, SNFs, and HHAs...

OBJECTIVE: To investigate the effects of implementing early multi-professional mobilization on quality indicators of intensive care in Brazil. DESIGN: This is a retrospective cohort study. SETTING: A Brazilian educational and research-intensive care unit (ICU). PARTICIPANTS: 1047 patients hospitalized from May 2016 to April 2018. INTERVENTIONS: Implementation of early multi-professional mobilization by the MobilizAÇÃO Program (MAP)...

OBJECTIVE: To evaluate the effect of adding integrated core and graduated resistance upper limb exercises to inpatient cardiac rehabilitation program in patients with acute sternal instability after coronary artery bypass grafting (CABG). DESIGN: This was a single-center, randomized, controlled, parallel-group intervention study. SETTINGS: This study was conducted at the National Heart Institute. PARTICIPANTS: Forty post-CABG patients with sternal instability aged 50-60 years completed this study and were randomized into two groups: an intervention group (n = 20) and an active control group (n = 20)...

OBJECTIVE: To derive and validate a prediction model for minimal clinically important differences (MCID) in upper extremity (UE) motor function after intention-driven robotic-hand training using residual voluntary EMG signals from affected UE. DESIGN: A prospective longitudinal multicenter cohort study. We collected pre-intervention candidate predictors: demographics, clinical characteristics, Fugl-Meyer assessment of UE (FMAUE), Action Research Arm Test scores, and motor-intention of flexor digitorum and extensor digitorum (ED) measured by EMG during maximal voluntary contraction (MVC)...

OBJECTIVE: To identify risk factors related to falls within the scope of speech-language pathology (SLP) using assessments from the Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) over a 4-month period in four Inpatient Rehabilitation Facilities (IRFs). DESIGN: Observational Retrospective Cohort Study SETTING: : Four inpatient rehabilitation facilities (IRFs) as part of a larger learning health system PARTICIPANTS: : Adults 18 years or older admitted to the IRFs from 10/01/2022 and 02/28/2023 were included...

OBJECTIVE: To determine the prevalence of spinal segmental sensitization (SSS) syndrome, a regional pain disorder, among patients visiting physical medicine and rehabilitation centers (PM&RCs) for chronic musculoskeletal pain (CMSP). DESIGN: An observational descriptive cross-sectional study conducted from March to July 2023. SETTING: Seven PM&RCs from five cities, representing three care systems: social security (SS), Ministry of Health (MH), and private practice (PP)...

OBJECTIVE: To identify and quantify ability bias in generative artificial intelligence large language model chatbots, specifically OpenAI's ChatGPT and Google's Gemini. DESIGN: Observational study of language usage in generative artificial intelligence models. SETTING: Investigation-only browser profile restricted to ChatGPT and Gemini. PARTICIPANTS: Each chatbot generated 60 descriptions of people prompted without specified functional status, 30 descriptions of people with a disability, 30 descriptions of patients with a disability, and 30 descriptions of athletes with a disability (n = 300)...

OBJECTIVE: This study aimed to determine whether risk factors for pre-sarcopenia can be identified in a sample of early middle-aged men and women. DESIGN: Prospective study SETTING: Longitudinal data from the Dunedin Multidisciplinary Health and Development Study were used to investigate the relationship between pre-sarcopenia at age 45 and selected early markers at age 26, 32 and 38. PARTICIPANTS: Longitudinal data from 899 participants from the Dunedin Multidisciplinary Health and Development Study...

OBJECTIVE: To compare Dual Task Cost (DTC) during Gait Initiation (GI) between a population of patients with Persistent Concussion Symptom (PCS) and age-matched healthy participants. DESIGN: Cohort Study. SETTING: University research center. PARTICIPANTS: A cohort sample including 15 PCS (43.9 ± 11.7 y.o., 73.3% Female) and 23 age-matched control (42.1 ± 10.3 y.o., 65.2% Female) participants. INTERVENTIONS: Participants were tested on a single occasion where they performed 5 trials of ST and 5 trials of DT Gait Initiation with 12-camera motion capture and three force plates...

OBJECTIVE: To characterize the greatest problem or need among individuals with a history of traumatic brain injury (TBI), as compared to individuals with a history of other neurological conditions, mental health conditions, and no history of neurological or mental health conditions. DESIGN: A directed content analysis of open-text responses to a single online survey question using a framework guided by the Mayo-Portland Adaptability Inventory-4. SETTING: Community...

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OBJECTIVES: To investigate whether machine learning (ML)-based center of pressure (COP) analysis for gait assessment, when used in conjunction with clinical information, offers additive benefits in predicting functional outcomes in patients with acute ischemic stroke. STUDY DESIGN: A prospective, single-center cohort study. SETTING: A tertiary hospital setting. PARTICIPANTS: A total of 185 patients with acute ischemic stroke, capable of walking 10 meters with or without a gait aid by day 7 post-admission...

No abstract text is available yet for this article.

No abstract text is available yet for this article.

The fastest growing segment of our population is the oldest portion of our population. Rehabilitative care is significantly impacted by this trend - comorbidity, disability, and pain are more prevalent among older adults, resulting in large demands for rehabilitation services as older patients traverse the health care continuum. Unfortunately, despite these circumstances, rehabilitation clinicians frequently are uninformed or intimidated with caring for an older patient. Research studies relevant to geriatric rehabilitation are seldom grounded on key frameworks impacting geriatric rehabilitative care...

OBJECTIVE: To examine the association between rehabilitation utilization within 12 months of breast cancer diagnosis and out-of-pocket costs in the second year (12 - 24 months following diagnosis). DESIGN: Secondary analysis of the 2009-2019 Surveillance, Epidemiology and End Results-Medicare linked database. Individuals who received rehabilitation services were propensity-score matched to individuals who did not receive services. Overall and health care service-specific models were examined using generalized linear models with a gamma distribution...