- Undernutrition is associated with higher rate of reamputation or survival, lower mobility and lower quality of life following dysvascular major lower limb amputation: a longitudinal observational study. [Journal Article]Arch Phys Med Rehabil. 2026 Jul 18. [Online ahead of print]AP
- CONCLUSIONS: These findings highlight the relevance of undernutrition in the dysvascular major LLA population, and the critical need for nutritional interventions to prevent or limit undernutrition, with the potential to improve outcomes such as reamputation-free survival, QoL, and mobility.
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- Association of combined physical and cognitive rehabilitation with post-stroke dementia: a U.S. multicenter retrospective cohort study. [Journal Article]Arch Phys Med Rehabil. 2026 Jul 17. [Online ahead of print]AP
- CONCLUSIONS: Among older adults with post-stroke MCI, combined PR and CR was associated with a lower risk of incident post-stroke dementia compared with PR alone. These findings support the potential role of combined rehabilitation strategies in preserving long-term cognitive health after stroke.
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- A Multimodal Assessment of Gastric Motility, reflux risk, and Clinical Efficacy: Intermittent Oro-Esophageal versus Nasogastric Tube Feeding for Post-Stroke Dysphagia in a Randomized Controlled Trial. [Journal Article]Arch Phys Med Rehabil. 2026 Jul 17. [Online ahead of print]AP
- CONCLUSIONS: For patients with PSD, IOE may offer a potential advantage over NG feeding in reducing immediate reflux risk and promoting swallowing recovery. The treatment benefit is more pronounced in patients with severe baseline functional impairment. IOE should be considered a first-line enteral strategy for this population.
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- Balance Stability Characteristics of Patients with Idiopathic Normal Pressure Hydrocephalus. [Journal Article]Arch Phys Med Rehabil. 2026 Jul 16. [Online ahead of print]AP
- CONCLUSIONS: Patients with iNPH exhibited dynamic balance disorders, with a large effect size for overall balance impairment. Sensory system analysis further revealed large effect sizes for both visual and vestibular dysfunction, suggesting that impairments in these sensory modalities may constitute a primary sensory mechanism underlying postural instability in this population.
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- Effectiveness of Combined Biopsychosocial Interventions for Chronic Low Back Pain: A Systematic Review and Meta-analysis of Randomized Controlled Trials. [Review]Arch Phys Med Rehabil. 2026 Jul 16. [Online ahead of print]AP
- CONCLUSIONS: Combined biopsychosocial interventions reduce pain and disability in chronic low back pain, particularly in the short term. The observed effects were generally small to moderate in magnitude and should be interpreted considering the variability of outcome measures and comparator interventions across studies. These findings support multimodal approaches, especially for patients with greater psychosocial complexity, while reinforcing the need for individualized treatment strategies.
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- Towards strengthening rehabilitation within health systems: a scoping review of rehabilitation-specific quality indicators. [Review]Arch Phys Med Rehabil. 2026 Jul 16. [Online ahead of print]AP
- CONCLUSIONS: This review provides the first overview of rehabilitation-specific QIs with generic applicability and a strong methodological foundation. These findings can inform the selection and implementation of meaningful indicators to enhance the quality of interprofessional rehabilitation care. As such, these rehabilitation-specific QIs can serve as a starting point for quality improvement initiatives, including audit and feedback and benchmarking.
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- Transcranial Direct Current Stimulation (tDCS) Application in Neurorehabilitation: A Beginner's Guide for Clinicians. [Practice Guideline]Arch Phys Med Rehabil. 2026 Jul 15. [Online ahead of print]AP
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- Adherence to exercise intervention including pain threshold, exercise and physiotherapy sessions for patients with chronic rotator cuff tendinopathy. [Journal Article]Arch Phys Med Rehabil. 2026 Jul 15. [Online ahead of print]AP
- CONCLUSIONS: Participants adhered to their assigned pain thresholds. Adherence to exercise and physiotherapy was good across groups, though logbook use declined over time, particularly after supervision ended.
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- Long-term benefits of ultrasound-guided percutaneous electrical nerve stimulation for chronic lateral elbow pain: a randomized controlled trial. [Journal Article]Arch Phys Med Rehabil. 2026 Jul 15. [Online ahead of print]AP
- CONCLUSIONS: Ultrasound-guided percutaneous electrical nerve stimulation targeting the radial nerve, when combined with exercise, appears to produce significant, clinically meaningful, and sustained improvements in pain, function, and psychological health in individuals with chronic lateral elbow pain. These findings may support integrating percutaneous electrical nerve stimulation into evidence-based physiotherapy for this condition.
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- Retrospective analysis of the relationship between post-stroke fatigue and aphasia severity. [Journal Article]Arch Phys Med Rehabil. 2026 Jul 14. [Online ahead of print]AP
- CONCLUSIONS: Participants with milder aphasia reported greater post-stroke fatigue than those with more severe impairments. These findings suggest that compensatory cognitive demands and elevated communication expectations that are associated with milder language deficits may contribute to increased fatigue burden. Results emphasize the need for routine fatigue screening across all aphasia severity levels and support reconceptualizing mild aphasia as potentially involving substantial hidden costs.
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- Prediction of Exercise Intolerance in the Recovery Period After Cardiovascular Surgery Using Perioperative Clinical Parameters. [Journal Article]Arch Phys Med Rehabil. 2026 Jul 12. [Online ahead of print]AP
- CONCLUSIONS: A machine learning model using clinical parameters at hospital discharge can effectively predict postoperative exercise intolerance during the recovery phase. This model enables early risk stratification and might facilitate targeted rehabilitation interventions in patients undergoing cardiovascular surgery.
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- Sexual function during primary rehabilitation after spinal cord injury: A descriptive analysis from a population-based cohort. [Journal Article]Arch Phys Med Rehabil. 2026 Jul 11. [Online ahead of print]AP
- CONCLUSIONS: This study revealed high rates of sexual dysfunction in both females and males during inpatient rehabilitation after SCI. Future well-powered longitudinal studies are needed to generate accurate estimates of the prevalence of post-SCI sexual dysfunction, determine the optimal timing for sexual function assessment, and provide comprehensive biopsychosocial evaluations of sexual health after SCI.
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- Multimodal Integration of Gait, Balance, and Infrared Thermography Enhances Machine-Learning Classification of Knee Osteoarthritis: A Cross-Sectional Study. [Journal Article]Arch Phys Med Rehabil. 2026 Jul 11. [Online ahead of print]AP
- CONCLUSIONS: KOA is characterized by concurrent gait, balance, and thermal alterations. Although thermography alone showed the highest discriminative performance in this sample, multimodal integration provided a broader and clinically coherent framework for KOA classification.
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- Individual Prognostication of Emergence from Post-Traumatic Amnesia: A Nationwide Cohort Study. [Journal Article]Arch Phys Med Rehabil. 2026 Jul 10. [Online ahead of print]AP
- CONCLUSIONS: The prognostic model offers clinicians an evidence-based tool to individually predict TBI patient's probability of emerging from PTA, incorporating key prognostic factors while accounting for competing risks such as mortality and non-emergence.
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- The Impact of Mandatory Bundled Payment on Prehabilitation Delivery for Lower Extremity Joint Replacement. [Journal Article]Arch Phys Med Rehabil. 2026 Jul 08. [Online ahead of print]AP
- CONCLUSIONS: Implementing mandatory bundled payment promoted an increase in LEJR prehabilitation delivery. Future research is needed to explore the role prehabilitation may play in supporting quality outcomes while reducing episodic spending.
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