- Assessment of fourth-year medical students' knowledge of post-acute care rehabilitation discharge options following a physical medicine and rehabilitation clerkship educational program. [Journal Article]PM R. 2026 Oct 23. [Online ahead of print]PM R
- CONCLUSIONS: A structured educational module on PAC in addition to clinical experiences in a mandatory PM&R clerkship was associated with improved medical students' knowledge and confidence in PAC discharge planning. These findings support incorporating PAC education into medical school curricula, particularly within PM&R rotations, to better prepare future physicians for the complexities of care transitions.
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- Kinesiophobia in pediatric and adolescent gymnasts with acute and overuse injuries. [Journal Article]PM R. 2026 Oct 22. [Online ahead of print]PM R
- CONCLUSIONS: Injured gymnasts with an overuse injury reported greater kinesiophobia than those with an acute injury. Medical providers who care for injured gymnasts should ensure these athletes feel confident and have established proper movement patterns before returning to sport, especially after overuse injuries.
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- Comparative lifestyle factors and outcomes of an intensive interprofessional lifestyle medicine program versus usual care in Medicare and commercially insured musculoskeletal patients with chronic disease. [Journal Article]PM R. 2026 Oct 22. [Online ahead of print]PM R
- CONCLUSIONS: An interprofessional ILMP delivered virtually is feasible and effective for Medicare patients with musculoskeletal conditions and lifestyle-related chronic diseases, despite having a greater baseline disease burden compared with commercially insured patients.
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- Spanish Translated Abstracts. [Journal Article]PM R. 2026 Oct; 18(10):1242-1251.PM R
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- WHEEL-LEARN: Evaluating the usability, feasibility, and proof of concept of an internet-based healthy lifestyle behavior change intervention for people with spinal cord injury. [Journal Article]PM R. 2026 Oct 21. [Online ahead of print]PM R
- CONCLUSIONS: WHEEL-LEARN, a short-term lifestyle behavior PA intervention for individuals with SCI, increased PA, quality of life, and exercise self-efficacy. Participant feedback will guide future refinements to enhance long-term support for PA behavior.
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- Ultrasound evidence of distal enlargement at entrapment sites following proximal peripheral nerve injury. [Journal Article]PM R. 2026 Oct 15. [Online ahead of print]PM R
- CONCLUSIONS: Distal nerve enlargement is a common ultrasound finding after proximal peripheral nerve injury. Although the mechanism cannot be determined from this retrospective, single-time-point dataset, the high prevalence underscores the importance of assessing for distal compression during evaluation and reconstructive planning. Future studies using standardized and serial ultrasound protocols are needed to clarify the temporal evolution of distal enlargement and its clinical significance.
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- How do neurorehabilitation patients perceive their fundamental care needs? Findings from a qualitative study. [Journal Article]PM R. 2026 Oct 15. [Online ahead of print]PM R
- CONCLUSIONS: This study underscores the value of the FoC framework in capturing the multidimensional nature of care as experienced by neurorehabilitation patients. The findings reinforce the need for nurses and assistants to provide care that extends beyond physical tasks to include relational presence and person-centered responsiveness.
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- Introducing lifestyle medicine residency curriculum into PM&R residency training: Implementation experience and early benefits. [Journal Article]PM R. 2026 Oct 13. [Online ahead of print]PM R
- CONCLUSIONS: Integrating LMRC into PM&R residency training is feasible and aligns naturally with the specialty's mission. A 2-year structure enhances sustainability, and group learning and institutional support foster engagement. LM education may strengthen residents' holistic care competencies and advance PM&R's focus on lifestyle-driven health restoration.
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- Social drivers of health and physical medicine and rehabilitation. [Journal Article]PM R. 2026 Oct; 18(10):1217-1224.PM R
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- Role of hyoscyamine in refractory paroxysmal sympathetic hyperactivity following severe traumatic brain injury. [Case Reports]PM R. 2026 Oct 10. [Online ahead of print]PM R
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- First aggression as a planning signal in post-acute stroke rehabilitation: Service benchmarks, goal setting, and a 60-day precaution window from a comprehensive observational cohort. [Journal Article]PM R. 2026 Oct 09. [Online ahead of print]PM R
- CONCLUSIONS: A single EHR-documented aggression provides a planning signal: event rates and 30-/60-day risks justify a 60-day precaution window, and scaled gaps support realistic goal setting (mFIM) and discharge date updates. These benchmarks offer a framework for bedside counseling, service targets, and audit; multicenter validation is warranted.
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- Regulatory complaint patterns in physical medicine and rehabilitation: A population-based cohort study. [Journal Article]PM R. 2026 Oct 09. [Online ahead of print]PM R
- CONCLUSIONS: Although complaint rates were lower among physiatrists in this cohort, their complaints demonstrated a distinct pattern characterized by communication, documentation, and medicolegal interactions rather than clinical error. These findings highlight specialty-specific differences in regulatory complaints and suggest areas for targeted professional development in rehabilitation practice.
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- Comparisons of immediate efficacy of cryoneurolysis and phenol neurolysis in spasticity reduction using Modified Ashworth Scale after brain injury: A retrospective cohort study. [Journal Article]PM R. 2026 Oct 09. [Online ahead of print]PM R
- CONCLUSIONS: Cryoneurolysis and phenol neurolysis both produced significant immediate reductions in spasticity as measured by the MAS in patients with brain injury. Cryoneurolysis and phenol neurolysis demonstrated comparable effectiveness for acute spasticity management in a rehabilitation setting. Future prospective studies should assess longer-term outcomes, tolerability profiles, and cost-effectiveness to guide optimal technique selection.
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- Preparation methods and clinical outcomes of platelet-rich plasma for chronic discogenic low back pain: A systematic review and meta-analysis of randomized controlled trials. [Journal Article]PM R. 2026 Oct 09. [Online ahead of print]PM R
- CONCLUSIONS: PRP preparation methods and composition are inadequately reported in RCTs for chronic discogenic LBP. Although no significant differences were found between PRP and control groups for pain or function, these findings should be interpreted with caution given the very low certainty of evidence. Improved reporting standards for PRP preparation and composition, along with larger high-quality RCTs, are needed to enable meaningful comparison of outcomes.
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- Dextrose prolotherapy for chronic symptomatic rotator cuff tendinopathy and subacromial bursitis: A systematic review and meta-analysis. [Review]PM R. 2026 Oct 02. [Online ahead of print]PM R
- CONCLUSIONS: For chronic symptomatic mixed rotator cuff tendinopathy and/or subacromial bursitis, dextrose prolotherapy may have little to no benefit compared with normal saline. Compared with corticosteroid injections, dextrose prolotherapy probably results in worse physical performance. Limited evidence exists for supraspinatus tendinopathy. High-quality RCTs are needed to better understand benefits and harms.
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