Archives of Physical Medicine and Rehabilitation

OBJECTIVE: To perform a cost-effectiveness analysis of high-intensity interval training (HIIT) compared to moderate intensity steady-state (MISS) training in people with coronary artery disease (CAD) attending cardiac rehabilitation (CR). DESIGN: Secondary cost-effectivness analysis of a prospective, assessor-blind, parallel group, multi-centre RCT. SETTING: Six outpatient National Health Service cardiac rehabilitation centres in England and Wales, UK...

OBJECTIVE: To characterize and quantify healthcare utilization of Military Health System beneficiaries with major limb loss. DESIGN: Retrospective cohort study. SETTING: Military treatment facilities and civilian healthcare facilities that accept TRICARE insurance across the United States. PARTICIPANTS: A total 5,950 adult Military Health System beneficiaries with major limb amputation(s) acquired between January 1st , 2001 and September 30th , 2017...

OBJECTIVE: To investigate the effect of adding education to trunk and hip exercises in patients with patellofemoral pain (PFP). DESIGN: A randomised controlled trial. SETTING: Research laboratory. PARTICIPANTS: Sixty patients with PFP were randomly assigned to either an experimental group (education followed by trunk and hip exercises, n= 30) or a control group (trunk and hip exercises, n= 30). INTERVENTIONS: Both groups received 8 weeks of trunk and hip exercises, while patients in the experimental group participated in 3 prior education sessions...

OBJECTIVE: To evaluate the adherence to treatment and efficacy of an eccentric-based training (ECC) program on peripheral muscle function and functional exercise capacity in patients with chronic obstructive pulmonary disease (COPD). DESIGN: Prospective, assessor-blinded, randomized controlled trial. SETTING: The cardiopulmonary rehabilitation unit of a tertiary subacute referral center. PARTICIPANTS: Thirty (N=30) stable inpatients (mean age 68 ± 8 years; FEV1 44 ± 18% of predicted) with COPD were included in the study...

No abstract text is available yet for this article.

OBJECTIVE: To investigate if preschool children differ to school age children with mild traumatic brain injury (TBI) with respect to injury causes, clinical presentation, and medical management. DESIGN: A secondary analysis of a dataset from a large, prospective and multisite cohort study on TBI in children aged 0-18 years, the Australian Paediatric Head Injury Rules Study. SETTING: Nine pediatric emergency departments (ED) and 1 combined adult and pediatric ED located across Australia and New Zealand...

OBJECTIVE: To investigate the effect of a wearable integrated volitional control electrical stimulation (WIVES) device that has been developed as more compact and simpler to use in daily life compared with conventional integrated volitional control electrical stimulation (IVES) devices. DESIGN: Randomized controlled non-inferiority trial. SETTING: Convalescent rehabilitation ward. PARTICIPANTS: Patients with paresis of the upper extremity (UE) following early subacute stroke...

OBJECTIVES: To predict discharge destination after spinal cord injury (SCI) rehabilitation. STUDY DESIGN: A retrospective, single-center study. We collected the following data from medical charts: age, sex, living arrangement before injury, acute length of stay (LOS), level of injury on admission, American Spinal Injury Association Impairment Scale (AIS) on admission, Upper Extremity Motor Score (UEMS) on admission, Lower Extremity Motor Score on admission (LEMS), Spinal Cord Independence Measure (SCIM) scores on admission and discharge, and discharge destination...

OBJECTIVES: To establish a machine learning model to predict functional outcomes after SCI with Spinal Cord Independence Measure (SCIM) using features present at the time of rehabilitation admission. STUDY DESIGN: A retrospective, single-center study. The following data were collected from the medical charts: age, sex, acute length of stay (LOS), level of injury, American Spinal Injury Association Impairment Scale (AIS), motor scores of each key muscle, Upper Extremity Motor Score (UEMS), Lower Extremity Motor Score (LEMS), SCIM total scores, and subtotal scores on admission and discharge...

OBJECTIVES: To investigate shoulder, elbow and wrist proprioception impairment post stroke. DESIGN: Proprioceptive acuity in terms of the threshold detection to passive motion at the shoulder, elbow and wrist joints was evaluated using an exoskeleton robot to the individual joints slowly in either inward or outward direction. SETTING: A university research laboratory. PARTICIPANTS: Seventeen stroke survivors and 17 healthy controls...

OBJECTIVE: To synthesize the outcomes reported in rehabilitation and community context for adults with traumatic lower limb amputation (LLA). DATA SOURCES: The search strategy, validated by an academic librarian, was conducted in three databases (Medline, EMBASE and CINAHL) from inception to April 2022. STUDY SELECTION: To be eligible, articles had to have at least 50% adult individuals with traumatic LLA, and had to report on intervention and outcomes, without any study design restrictions...

OBJECTIVE: To compare the efficacy of rotator interval (RI) versus posterior approach (PA) ultrasound (US) guided corticosteroid injections into the glenohumeral (GH) joint in primary frozen shoulder (PFS). DATA SOURCES: A systematic literature search for all relevant studies on Medline, Scopus, Embase, Web of Science and Cochrane Central, up to January 2023 was conducted. STUDY SELECTION: Randomized clinical trials that directly compared the US-guided corticosteroid injection into the RI and GH joint using PA in patients clinically and radiographically diagnosed with PFS...

OBJECTIVE: To summarize the evidence on the efficacy of aquatic therapy on motor and social skill as well as executive function compared to land-based exercises in children with neurodevelopmental disorders. DATA SOURCES: The following six databases were searched: Cochrane Central Register of Controlled Trials, Pubmed, Embase, Scopus, Google scholar (advance), and Web of Science from 1990 to June 2022. STUDY SELECTION: The search included only clinical trials...

OBJECTIVE: To assess effects of the CARE4Carer blended care intervention on caregiver mastery and psychosocial functioning compared to usual care in partners of patients with acquired brain injury (ABI). DESIGN: Multicenter randomized controlled trial. SETTING: Nine sites for rehabilitation medicine. PARTICIPANTS: 120 partners of outpatients with ABI were randomly allocated to blended care (N=59) or usual care (N=61)...

OBJECTIVE: To investigate the characteristics and symptoms of patients with hip osteoarthritis that are associated with spatiotemporal gait parameters, including their variability and asymmetry. DESIGN: A retrospective, cross-sectional study SETTING: : University hospital PARTICIPANTS: : The study analyzed the gait analysis data of 155 patients with hip osteoarthritis who were admitted to a university hospital for total hip replacement and were able to walk on a treadmill without a handrail...

No abstract text is available yet for this article.

OBJECTIVE: To assess the effects of group tele-exercise participation on physical activity (PA) determinants and behavior as identified by social cognitive theory (SCT) in individuals with spinal cord injury (SCI). DESIGN: This clinically registered non-randomized trial [NCT05360719] used a single group parallel mixed methods design. Quantitative and qualitative primary measures were assessed at pre-program and following 8-week intervention completion (post-program), with an additional 8-week period retention to capture quantitative assessments only...

No abstract text is available yet for this article.

OBJECTIVE: To evaluate the effectiveness of clinical decision support for reducing misallocation of physical therapy (PT) consults. DESIGN: A prospective quasi-experimental study. Between October 2018 and November 2021, routinely documented data on functional status and physical therapy referrals were collected from electronic medical records. SETTING: Hospital Medicine and General Internal Medicine service lines at a large quaternary academic medical center...

OBJECTIVE: This study aimed to determine whether targeting specific implementation determinants is associated with allied health clinicians' uptake of evidence when implemented within stroke rehabilitation settings. DATA SOURCES: seven key databases were searched to identify articles published between 1990 to 2022 for inclusion. Reference lists of relevant articles were hand searched. STUDY SELECTION: studies were independently screened by two authors and included if the implementation intervention targeted allied health clinical practice in any stroke rehabilitation context and reported at least one quantitative measure of evidence uptake...