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Volume 7, Issue 1, p1-105
Articles published in this issue are Open Access and licensed under Creative Commons Attribution License (CC BY NC) where the readers can reuse, download, distribute the article in whole or part by mentioning proper credits to the authors.
Under-recognized Cause of Buttock Pain; Superior Cluneal Neuropathy and Diagnostic Utility of Combined Ultrasonography and Neurostimulation Guidance: Case Series
Background: Superior cluneal neuropathy (SCN) is an under-recognized source of unilateral low back and buttock pain, representing approximately 14% of lower back pain cases. The condition is caused by entrapment or irritation of the superior cluneal nerves. Diagnosis is challenging due to symptom overlap with other spinal and pelvic conditions and the absence of gold-standard diagnostic criteria.
J Phys Med Rehabil, 2025, Volume 7, Issue 1, p1-8 | DOI: 10.33696/rehabilitation.7.045Spinal Cord Injury: Epidemiology, Spontaneous Recovery, and Surgical Reconstruction for the Physiatrist
The focal article provides hand surgeons with an exploration of the basic principles of spinal cord injury (SCI) as well as the role that hand therapy, nerve transfers, and tendon transfers can play in maximizing the quality of life of these patients. In this commentary, we aim to provide a comprehensive guide for physiatrists, who often meet SCI patients early in their recovery course, on the role that nerve transfer and tendon transfer can play in the treatment of SCI patients, with the aim of optimizing referral patterns between providers in order to best serve SCI patients and improve their quality of life.
J Phys Med Rehabil, 2025, Volume 7, Issue 1, p9-13 | DOI: 10.33696/rehabilitation.7.046Virtual Reality in Chronic Pain Rehabilitation: A Systematic Review
Approximately 19% of adults complain of chronic pain, which poses considerable physical, mental, and economic burdens. Conventional chronic pain management includes physical therapy, analgesic drugs, and the avoidance of pain triggers. Metaverse-related technologies such as virtual reality (VR) are promising complementary approaches. This review aimed to systematically analyse the applications of VR in chronic pain management in the context of rehabilitation.
J Phys Med Rehabil, 2025, Volume 7, Issue 1, p14-78 | DOI: 10.33696/rehabilitation.7.047Utilizing an Osteopathic Manipulative Technique to Improve Tibio-Fibular Restriction at the Knee
A restricted tibio-fibular joint can result in decreased internal and external rotation of the ankle and feet. This decreased range of motion disrupts musculoskeletal function. The musculoskeletal function of the tibio-fibular joint promotes ankle stability and shock absorption during weight bearing activities. The leg tug technique (LTT) technique will be used to promote restoring the normal range of motion of this tibio-fibular joint.
J Phys Med Rehabil, 2025, Volume 7, Issue 1, p79-85 | DOI: 10.33696/rehabilitation.7.048A Case Report - Outcome of Bracing and Physiotherapeutic Scoliosis-Specific Exercises in an Adolescent with an Idiopathic Thoracic Scoliosis in Surgical Range
Adolescent idiopathic scoliosis (AIS) patients with a Cobb angle >45° are generally referred for surgery, especially in Asia. Physicians do not typically prescribe braces or physiotherapeutic scoliosis-specific exercises for such cases. We described a case of right thoracic scoliosis with a Cobb angle of 51°. The parents refused surgery and opted for conservative treatments. We braced the pre-menarchal patient at the age of 10, with Risser at 0, and coached her on exercises, which include traditional Schroth, the Schroth Best Practice, the dynamic neuromuscular stabilization (DNS), and the Pilates exercises.
J Phys Med Rehabil, 2025, Volume 7, Issue 1, p86-91 | DOI: 10.33696/rehabilitation.7.049New Simplified Approach to Real-Time Ultrasound-Guided Musculoskeletal and Peripheral Nerve Injections under Non-Draping, Non-Sterile Glove-Wearing Conditions
Ultrasound-guided musculoskeletal and peripheral nerve block injections are safe and cost-effective procedures that have gained popularity in pain medicine and family practice alike. The traditional injection process includes the use of sterile draping, sterile covering of transducer, and sterile glove wearing which significantly limits its efficiency and efficacy. From June 11, 2014 to January 30, 2025, our senior author, DG, has performed 33,509 musculoskeletal and joint injections, as well as peripheral nerve hydrodissections and block injections using a novel real-time ultrasound-guided musculoskeletal and peripheral nerve injection approach.
J Phys Med Rehabil, 2025, Volume 7, Issue 1, p92-97 | DOI: 10.33696/rehabilitation.7.050Treatment for Central Sensitization and Shoulder Pain Using Systemic Manual Therapy (SMT)
Objective: The purpose of this study is to test a hypothesized treatment for the central sensitization component of shoulder pain, which is based on Halili’s proposed temporal model for central sensitization. Design: Cohort retrospective multivariate analysis. Methods: This study uses The Halili physical therapy statistical analysis tool (HPTSAT) to evaluate the average rate of improvement in shoulder pain and overall associated symptoms in 734 patients after provision of 552 protocol combinations of Systemic Manual Therapy.
J Phys Med Rehabil, 2025, Volume 7, Issue 1, p98-105 | DOI: 10.33696/rehabilitation.7.051Flat Grounding by Consciousness of Plantar Triangle with Decreased Impact
In recent years, various discussions, disagreements and opinions are seen in the field of athletics. For example, in long distance such as marathon, the recommended way of running has changed. In other words, it has been said that landing with the heel is good before, but recently there is some information that the first-class runner is landing on the toe
Physiotherapy Research in a Danish University Hospital: A Retrospective Review, 2010-2018
Patients of all ages with motor disorders expect highquality assessments and evidence- based treatment [1]. In university hospitals, alongside medical training and treatment of patients, research [2] is an integral part of the skills for medical professionals e.g. doctors, nurses, occupational therapists and physiotherapists.
Introducing the New Journal in Physical Medicine and Rehabilitation
It gives us great pleasure to introduce readers with our international peer-reviewed, open access journal. Journal of Physical Medicine and Rehabilitation is devoted to publish original research, reviews, and clinical reports on key areas of Physical Medicine and Rehabilitation and related fields.
Motor Imagery in Facial Palsy Rehabilitation
Intentional facial expression of emotion named facial mimic is critical to healthy social interactions. Psychological and functional implications of the facial paralysis present a devastating management problem to patients afflicted because their face have an important challenge of facial muscles that are fundamental also for affective communication.
STARTTS Capoeira Angola Project Bantu: Combining Alternative Therapeutic Intervention with Sport for Traumatized Young Refugees: On the Way to Recovery
During the last decade, the world experienced an incredible increase in displaced populations; a staggering 70.8 million, which has been a direct outcome of war and human rights violations. This figure includes 25.9 million having been identified as refugees, and 51% constituting children below 18 years of age which has been documented as the highest figure in a decade.
When does the Brain Ask for Help from the Eyes?
By deduction from complexity of (behavioral) models, we develop an entropic computational tool to distinguish erroneous/redundant eye movements from task relevant eye movements.
Modern Rehabilitation Strategies of Post-Stroke Motor Disfunctions: Functional Electrical Stimulation and Biofeedback-Stabilometric Postural Training
More than 80% of patients after a stroke have limited daily activity due to a complex polymorphic motor deficiency of various nature and severity, which leads to postural disorders (PD) [1]. Because of paresis, develops different changes in the musculoskeletal system (MSS) such as PD, restrictions of movements in the joints, impaired
Energy Expenditure and Nutrition in Neurogenic Obesity following Spinal Cord Injury
Worldwide, obesity is a public health concern and a metabolic ailment characterized by excessive adipose tissue accumulation resulting from an imbalance of energy expenditure and energy intake [1]. This disorder is a known risk factor for cardiovascular disease, type 2 diabetes mellitus, dyslipidemia, hypertension, and metabolic
Diet and Exercise: A Novel Cure for Asthma? - A Short Communications on a Non-Pharmacological Strategy
Behavioral interventions with regular physical activity, weight loss and diet have repeatedly demonstrated preventive effects in a wide range of diseases. Furthermore, an unhealthy lifestyle is a known predictor for increased use of medication and also the leading risk factor for global mortality.
The Algotect Descriptor Index: An Algorithm for Quantifying Hyperalgesia in Response to a Topical Cold Stimulus
The presence of cold hyperalgesia may indicate widespread pain sensitivity or central pain augmentation. Its presence has been associated with poor outcomes in a range of chronic pain conditions and may offer an important prognostic indicator for persistent pain. Cold pain threshold (CPT) is considered the “gold standard”.
Pain Outcomes with an Elliptical Regimen (POWER) Study: Identifying the Proper Dosage of Exercise for Therapeutic Effect in Persons with Chronic Back Pain
Low back pain (LBP) is one of the most prevalent conditions that will affect 70-85% of individuals at some point in their life [1]. LBP accounts for 2.3% of all visits to the physician, and is the most common area of the body to experience pain [2]. Exercise has been a mainstay for managing persons with chronic low back pain for almost 40
No Studies in Stroke Regarding Brain fMRI Activity and Pelvic Floor Muscle Training/Activation - Only Studies in Non-stroke Population: A Review of Neuroimaging Studies
Neurogenic lower urinary tract dysfunction (NLUTD) is highly prevalent in poststroke patients, leading to major impact on the quality of life (QoL) and healthcare resources. Pelvic floor muscle training (PFMT) has, over the past two decades, been recommended as first-line treatment for neurologically healthy patients with lower urinary tract symptoms (LUTS).
Long-Term Use of Oral Bisphosphonates and Fracture Risk in Men with Traumatic Spinal Cord Injury
Lower extremity fractures in individuals with a spinal cord injury (SCI) cause significant morbidity [1] and contribute to excess mortality [2]. Early identification of persons at highest risk for fracture is possible using bone mineral density (BMD) testing by dual-energy X-ray absorptiometry (DXA) imaging
Changes in the Distribution of Digit Forces and Associated Finger Functions during Prehension
We grasp and manipulate various types of objects during activities of daily living. To explain how we do this in a stable manner, a neural mechanism has been proposed that involves judging the position of the object and its characteristics (e.g., size, shape, material, and weight), executing the motor program based on sensory
Exercise, Strains and Their Impact on Bone Mineral Content and Density Losses
Bone mineral content and density (BMC, BMD) losses, which may subsequently lead to osteopenia and osteoporosis, appear in various disuse (aging, space flight and its analogs, spinal cord injury, etc.) conditions. While diet and hormonal status impact BMC and BMD values, a major factor responsible for these losses are the
Evaluating an Approach to Improving Attention Networks by Theta Stimulation
In this paper we consider the hypothesis, based on our human and mouse studies, that white matter connectivity can be altered by appropriate stimulation at the theta frequency [1,2]. In one study we used optogenetics to change the output of cells in the mouse anterior cingulate cortex (ACC) at 1, 8 or 40Hz.
Risks and Countermeasures for the Musculoskeletal systems in the Extreme Environment of Aviators and Astronauts
Resistive Exercise in Astronauts on Prolonged Spaceflights provides partial Protection against Spaceflight-induced Bone Loss showed very promising data on measures that can be employed to preserve the bone and muscular health of astronauts. The value of the information from these measures of bone and muscular health is how the
Bronchoscopic Lung Volume Reduction Operation and Pulmonary Rehabilitation
The main symptom in Chronic Obstructive Pulmonary Disease (COPD) is shortness of breath. Shortness of breath occurs especially with exercise and progresses over the years despite all medical treatments. One of the main mechanisms by which this symptom occurs is hyperinflation in the lungs [1].
Role of Exercise and Natural Protective Substances on Sirtuin Activation
The advancement of chronological age is characterized by the progression of symptoms of chronic degenerative diseases that are triggered or accelerated in their progression by unhealthy lifestyles, decreased fitness and inadequate nutrition with decreased consumption of natural protective substances. Recent scientific evidence
Rehabilitation Providers’ Experiences with Rapid Telerehabilitation Implementation During the COVID-19 Pandemic in the United States
Telehealth has been around since the 1960s as a healthcare delivery modality, though it did not gain widespread acceptance as a viable and reliable clinical tool until the late 1990s, when digital imaging and high speed, high bandwidth telecommunications technology became widely available [1]. Historical boundaries to its acceptance and