Japanese journal of comprehensive rehabilitation science最新文献

{"title":"Predictive accuracy of multiple regression analysis stratified into four groups of admission motor FIM based on decision tree analysis.","authors":"Makoto Tokunaga, Katsuhiko Sannomiya","doi":"10.11336/jjcrs.16.68","DOIUrl":"10.11336/jjcrs.16.68","url":null,"abstract":"<p><p>Tokunaga M, Sannomiya K. Predictive accuracy of multiple regression analysis stratified into four groups of admission motor FIM based on decision tree analysis. Jpn J Compr Rehabil Sci 2025; 16: 68-73.</p><p><strong>Objective: </strong>Factors affecting improvement in the Functional Independence Measure (FIM) differ among patient subgroups, and therefore several studies have performed multiple regression analyses after stratifying patients by relevant factors. However, the optimal variables and criteria for stratification remain unclear. Decision tree analysis can identify contributing variables and branching criteria for stratification. This study aimed to compare the predictive accuracy of multiple regression analysis stratified based on decision tree analysis with that of conventional multiple regression analysis.</p><p><strong>Methods: </strong>We included 1,100 stroke patients admitted to a convalescent rehabilitation ward. Based on the decision tree results reported by Okamoto et al., patients were stratified into four groups according to admission motor FIM scores: 13-18, 19-30, 31-53, and 54-90. Stepwise multiple regression analysis was then performed with discharge motor FIM as the dependent variable. We compared the predictive performance of a single regression equation derived from conventional multiple regression with that of four equations derived from stratified analyses by calculating the residual sum of squares and comparing the absolute residuals using the Wilcoxon signed-rank test.</p><p><strong>Results: </strong>The conventional single equation yielded a median absolute residual of 7.5 points and a residual sum of squares of 14.7 × 10⁴. In contrast, the four stratified equations yielded a median absolute residual of 4.2 points and a residual sum of squares of 9.9 × 10⁴, and the absolute residuals were significantly smaller in the stratified regression models.</p><p><strong>Conclusion: </strong>Stratifying patients into four groups based on decision tree analysis improved the predictive accuracy of multiple regression analysis.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"16 ","pages":"68-73"},"PeriodicalIF":0.0,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145852095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Evaluation of a Virtual Reality-Based Teaching Material for Interprofessional Education: A Case Study on Swallowing Videofluorography.","authors":"Shotaro Komaki, Shogo Baba, Yuuko Yotsumoto, Takayuki Yamashita, Susumu Takayoshi, Hisashi Niidome, Megumi Imamura, Megumi Mihara, Daisuke Hirahara","doi":"10.11336/jjcrs.16.37","DOIUrl":"10.11336/jjcrs.16.37","url":null,"abstract":"<p><p>Komaki S, Baba S, Yotsumoto Y, Yamashita T, Takayoshi S, Niidome H, Imamura M, Mihara M, Hirahara D. Development and Evaluation of a Virtual Reality-Based Teaching Material for Interprofessional Education: A Case Study on Swallowing Videofluorography. Jpn J Compr Rehabil Sci 2025; 16: 37-45.</p><p><strong>Objective: </strong>With the advancement of team-based medical care, effective interprofessional collaboration (IPC) has become increasingly important. However, implementing IPC without appropriate interprofessional education (IPE) remains challenging. This study aimed to clarify the educational effects of a virtual reality-based IPE teaching material on students' awareness and understanding of IPC. Specifically, it evaluated changes in awareness before and after lectures and the impact of different viewing environments on educational effectiveness.</p><p><strong>Methods: </strong>A total of 224 students from six medical and welfare-related departments participated in lectures focused on IPC using a swallowing videofluorography scenario. The students were divided into three groups based on viewing environment: personal computer (PC), classroom screen, and virtual reality (VR). All groups viewed the same teaching material. Awareness and understanding of IPC were assessed before and after the lectures using a 12-item self-administered questionnaire.</p><p><strong>Results: </strong>Post-lecture comparisons revealed significant increases in scores across all questionnaire items. In comparing the viewing environments, the VR group scored significantly higher than the PC group in the areas of \"problem-solving skills\" and \"respectful attitude.\"</p><p><strong>Conclusion: </strong>This study suggests that VR-based teaching materials are effective in enhancing students' awareness and understanding of interprofessional collaboration.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"16 ","pages":"37-45"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145017040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prosthesis Rehabilitation in a Left Transfemoral Amputee with Rheumatoid Arthritis.","authors":"Maiko Ishizaka, Yohei Imai, Shoko Murata, Tetsuya Okazaki","doi":"10.11336/jjcrs.16.30","DOIUrl":"10.11336/jjcrs.16.30","url":null,"abstract":"<p><p>Ishizaka M, Imai Y, Murata S, Okazaki T. Prosthesis Rehabilitation in a Left Transfemoral Amputee with Rheumatoid Arthritis. Jpn J Compr Rehabil Sci 2025; 16: 30-36.</p><p><strong>Background: </strong>This report describes the rehabilitation experience of a left-sided transfemoral amputee. The patient developed rheumatoid arthritis and multiple pyogenic arthritis immediately after left transfemoral amputation; additionally, he had multiple joint dysfunction and complications of immobilization, which altered his activities of daily living (ADL). He experienced difficulties in maintaining his economic status and living in his environment.</p><p><strong>Case presentation: </strong>The patient was in his 50s, and at the beginning of the intervention, upper limb joint pain due to rheumatoid arthritis, muscle weakness of the limbs and trunk, reduced exercise tolerance caused by immobilization, and ADL disturbances, including one-leg standing, made prosthetic gait training impossible. Nevertheless, the patient was young, and his physical activity had been preserved until the left transfemoral amputation. Therefore, we speculated that he could achieve a prosthetic gait by improving the complications of immobilization under appropriate rheumatoid arthritis control. Rehabilitation training was conducted to improve ADL ability in stages taking rheumatoid arthritis into consideration, and social resources were utilized. Finally, he achieved prosthetic gait ability, which was necessary for survival in his living environment, and was discharged.</p><p><strong>Discussion: </strong>Even in cases where successful prosthetic ambulation is considered difficult during lower limb amputation, it is important not to exclude a patient from prosthesis fabrication by carefully predicting residual abilities that could be acquired afterward.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"16 ","pages":"30-36"},"PeriodicalIF":0.0,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimal Detectable Change in Muscle Strength Measurements Obtained Using a Hand-Held Dynamometer in Patients with Stroke.","authors":"Shota Itoh, Hiroki Tanikawa, Hikaru Kondo, Sora Ozeki, Toshiki Ito, Kenta Fujimura, Toshio Teranishi","doi":"10.11336/jjcrs.16.9","DOIUrl":"https://doi.org/10.11336/jjcrs.16.9","url":null,"abstract":"<p><p>Itoh S, Tanikawa H, Kondo H, Ozeki S, Ito T, Fujimura K, Teranishi T. Minimal Detectable Change in Muscle Strength Measurements Obtained Using a Hand-Held Dynamometer in Patients with Stroke. Jpn J Compr Rehabil Sci 2025; 16: 9-18.</p><p><strong>Objective: </strong>The current study aimed to evaluate the reliability of muscle strength measurements using a hand-held dynamometer (HHD) in patients with chronic stroke. Further, it examined the minimal detectable change (MDC₉₅).</p><p><strong>Methods: </strong>Patients who presented with chronic stroke hemiplegia for > 180 days post-stroke onset were analyzed. Muscle strength in the paretic lower limb was assessed using an HHD, and gait speed was evaluated.</p><p><strong>Results: </strong>For hip flexion, hip adduction, hip abduction, knee extension, ankle dorsiflexion, and ankle plantarflexion, the intra-rater reliability of the muscle strength measurements, as assessed using the intraclass correlation coefficient (ICC), ranged from 0.989 to 0.998. The inter-rater reliability, as assessed using ICC, ranged from 0.886 to 0.939. Bland-Altman analysis did not indicate systematic errors, and the MDC₉₅ of each joint movement was calculated. Muscle strength in hip flexion, hip adduction, knee extension, ankle dorsiflexion, and ankle plantarflexion were significantly associated with gait speed, but not with hip abduction strength. The MDC₉₅ of each muscle strength measurement was established, thereby providing a criterion for detecting actual changes that exceed the measurement error.</p><p><strong>Conclusions: </strong>The HHD had a high reliability in measuring lower limb muscle strength in patients with chronic stroke hemiplegia. Moreover, an association was found between individual muscle strength and gait ability. Based on this study, specific target muscles for interventions that aim to improve gait speed can be identified. Further, the use of MDC₉₅ allows for a more accurate assessment of the intervention effects.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"16 ","pages":"9-18"},"PeriodicalIF":0.0,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018251/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-term effects of goal setting by rehabilitation professionals on aspects of psychology: a non-randomized controlled trial involving recovering stroke survivors.","authors":"Hikaru Takarada, Toshihiro Honke","doi":"10.11336/jjcrs.16.1","DOIUrl":"https://doi.org/10.11336/jjcrs.16.1","url":null,"abstract":"<p><p>Takarada H, Honke T. Short-term effects of goal setting by rehabilitation professionals on aspects of psychology: a non-randomized controlled trial involving recovering stroke survivors. Jpn J Compr Rehabil Sci 2025; 16: 1-8.</p><p><strong>Objective: </strong>In rehabilitation, goals expected to have an effect on aspects of psychology, such as promoting participation in the program and reducing anxiety, are set between the patient and the therapist. This study aimed to compare and test the short-term effects of goal setting on such psychological aspects in an experimental group, in which the therapist selected the highest priority goals proposed by the patient, and a control group, in which the goals were proposed by the therapist.</p><p><strong>Methods: </strong>Between October 2023 and March 2024, 88 stroke survivors were admitted to the Kaifukuki Rehabilitation Ward, of whom 32 met the inclusion criteria. The patients were divided into two groups: a goal-setting group in which the patient chose the highest priority goal (experimental group: <i>n</i> = 17) and a goal-setting group in which the patient agreed with the goal proposed by the therapist (control group: <i>n</i> = 15). The primary outcome was treatment engagement in rehabilitation, and the secondary outcomes were anxiety/depression and mental health scores.</p><p><strong>Results: </strong>Outcomes improved in both groups after goal setting. Between-group comparisons showed a significant improvement in treatment engagement in the experimental group (<i>p</i> < 0.001). The sample size required for the randomized controlled trial was 46 participants in each group.</p><p><strong>Conclusion: </strong>In the short term, treatment engagement was influenced by the patient's consideration and choice of priority goals.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"16 ","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11904086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Case with Left Hemiplegia after Cerebral Infarction with Improved Walking Ability Through Robot-assisted Gait Training Combined with Neuromuscular Electrical Stimulation for Foot Drop.","authors":"Akifumi Yamaguchi, Yoku Kanazawa, Satoshi Hirano, Yoichiro Aoyagi","doi":"10.11336/jjcrs.15.88","DOIUrl":"10.11336/jjcrs.15.88","url":null,"abstract":"<p><p>Yamaguchi A, Kanazawa Y, Hirano S, Aoyagi Y. A Case with Left Hemiplegia after Cerebral Infarction with Improved Walking Ability Through Robot-assisted Gait Training Combined with Neuromuscular Electrical Stimulation for Foot Drop. Jpn J Compr Rehabil Sci 2024; 15: 88-93.</p><p><strong>Background: </strong>Gait training-assist robots and neuromuscular electrical stimulation devices have been shown to be useful in gait training for patients with hemiplegia. However, no case reports have documented the combined use of a gait training-assist robot and a neuromuscular electrical stimulator for gait rehabilitation. In this study, we present the case of a patient with left hemiplegia who demonstrated remarkable improvement in walking ability after using a combination of a gait training-assist robot and a neuromuscular electrical stimulator for foot drop.</p><p><strong>Case presentation: </strong>A 60-year-old man developed severe left hemiplegia following a stroke in the right middle cerebral artery region. His lower limb motor function, as assessed by the Stroke Impairment Assessment Set (SIAS), was completely impaired (score of 0), and he was unable to walk by the 57th day post-onset. By the 66th day, his lower limb motor function remained unchanged (SIAS score of 0), and he frequently stumbled on his left foot at the start of the swing phase during gait training. As a result, robot-assisted gait training combined with neuromuscular electrical stimulation for foot drop was initiated. By the 88th day, his lower limb motor function improved to a score of 1 on the SIAS, and his Functional Independence Measure (FIM) walk item improved to a score of 4 with the use of an ankle-foot orthosis and a cane. On the 89th day, he transitioned to conventional therapy without the devices. By the 114th day, he was able to walk with a T-cane without the need for an orthosis.</p><p><strong>Conclusion: </strong>The combination of a gait training-assist robot and a neuromuscular electrical stimulator for foot drop facilitated dorsiflexion of the ankle during the swing phase, allowed the patient to practice walking with minimal assistance. This promoted active patient-led walking and more efficient motor learning, ultimately leading to independent walking.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"15 ","pages":"88-93"},"PeriodicalIF":0.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11710950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142961081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of a Nosocomial COVID-19 Outbreak on Convalescent Rehabilitation Outcomes of Post-Stroke Patients.","authors":"Tomoyo Taketa, Yuki Uchiyama, Yoko Sakamoto, Yushi Tanaka, Takafumi Suehiro, Shinichi Nakagawa, Ko Sakata, Kazuhisa Domen","doi":"10.11336/jjcrs.15.79","DOIUrl":"10.11336/jjcrs.15.79","url":null,"abstract":"<p><p>Taketa T, Uchiyama Y, Sakamoto Y, Tanaka Y, Suehiro T, Nakagawa S, Sakata K, Domen K. Impact of a Nosocomial COVID-19 Outbreak on Convalescent Rehabilitation Outcomes of Post-Stroke Patients. Jpn J Compr Rehabil Sci 2024; 15: 79-87.</p><p><strong>Objective: </strong>This study aimed to elucidate the impact of a nosocomial COVID-19 outbreak on convalescent rehabilitation outcomes of post-stroke patients.</p><p><strong>Methods: </strong>This retrospective observational study included post-stroke patients who were hospitalized in convalescent rehabilitation wards of our hospital during a COVID-19 outbreak between July 22, 2022 and August 13, 2022 (outbreak group). The control group consisted of patients hospitalized in convalescent rehabilitation wards from October 1 to December 31, 2022 (non-outbreak group). The two groups were compared in terms of motor Functional Independence Measure (FIM) effectiveness at discharge, Brunnstrom Recovery Stage, length of stay, and duration of rehabilitation therapy. Furthermore, within the outbreak group, outcomes were compared according to whether patients were infected with SARS-CoV-2. The impact of the outbreak on motor FIM effectiveness at discharge was also evaluated.</p><p><strong>Results: </strong>There were 30 patients in the outbreak group (COVID-19, <i>n</i> = 18; close contacts, <i>n</i> = 12) and 33 patients in the non-outbreak group. Motor FIM effectiveness at discharge was significantly lower in the outbreak group, but there was no significant difference in outcomes according to SARS-CoV-2 infection status. After adjusting for SARS-CoV-2 infection, the nosocomial outbreak was significantly associated with lower motor FIM effectiveness at discharge.</p><p><strong>Conclusion: </strong>A nosocomial COVID-19 outbreak affected motor FIM effectiveness in convalescent rehabilitation for post-stroke patients, regardless of SARS-CoV-2 infection status.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"15 ","pages":"79-87"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11659765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142879464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of repetitive peripheral magnetic stimulation on knee joint extensor strength in older persons receiving day services.","authors":"Masanori Kamiue, Akio Tsubahara, Tomotaka Ito, Yasuhiro Koike","doi":"10.11336/jjcrs.15.49","DOIUrl":"10.11336/jjcrs.15.49","url":null,"abstract":"<p><p>Kamiue M, Tsubahara A, Ito T, Koike Y. Effects of repetitive peripheral magnetic stimulation on knee joint extensor strength in older persons receiving day services. Jpn J Compr Rehabil Sci 2024; 15: 49-57.</p><p><strong>Objective: </strong>To verify the effects of repetitive peripheral magnetic stimulation (rPMS) on knee joint extensor strength and motor ability in older adults receiving day services.</p><p><strong>Methods: </strong>Thirty Hz rPMS using Talent Pro^® was applied to the bilateral vastus lateralis, vastus medialis, and rectus femoris of 12 older persons (mean age 83.8 ± 4.5 years) attending a day service center and receiving functional training by a physical therapist. The intervention was performed for 20 minutes per day, three times per week, for a total of 4 weeks. Evaluations before and after the intervention included maximum voluntary contraction (MVC), knee extensor torque induced by rPMS (rPMS-induced torque), pain (visual analog scale: VAS), thigh circumference, comfortable 5-m walking time, 30-second chair-stand test (CS-30), Timed-Up-and-Go Test (TUG), and Functional Reach Test (FRT). MVC and rPMS-induced torque were measured using the μ-Tas F-1^®.</p><p><strong>Results: </strong>MVC significantly increased in both lower limbs after the intervention (right/left: 72.4 ± 23.5 Nm/72.9 ± 23.0 Nm) compared with immediately before the intervention (right/left: 59.9 ± 17.2 Nm/64.5 ± 21.0 Nm). No significant changes were observed in MVC between one month before the intervention and immediately before the start of the intervention, and between the end of the intervention and one month after the end of the intervention. rPMS-induced torque, TUG, and CS-30 improved significantly after the intervention compared with immediately before the intervention.</p><p><strong>Conclusion: </strong>Intervention using rPMS increases MVC- and rPMS-induced torque and improves motor ability in older adults. Because rPMS is a simple means of increasing muscle strength, it is expected to be widely used in the future.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"15 ","pages":"49-57"},"PeriodicalIF":0.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11522963/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of combining an upper limb rehabilitation support robot with task-oriented training on severe upper limb paralysis after spinal cord infarction: A case report.","authors":"Ayaka Yokoi, Hiroyuki Miyasaka, Hiroki Ogawa, Shota Itoh, Hideto Okazaki, Shigeru Sonoda","doi":"10.11336/jjcrs.15.42","DOIUrl":"10.11336/jjcrs.15.42","url":null,"abstract":"<p><p>Yokoi A, Miyasaka H, Ogawa H, Itoh S, Okazaki H, Sonoda S. Effect of combining an upper limb rehabilitation support robot with task-oriented training on severe upper limb paralysis after spinal cord infarction: A case report. Jpn J Compr Rehabil Sci 2024; 15: 42-48.</p><p><strong>Objective: </strong>This study examined the effect of an upper limb rehabilitation support robot and task-oriented training on treating a patient with severe upper limb paralysis after spinal cord infarction who required total assistance with self-care.</p><p><strong>Case: </strong>A 60-year-old man was diagnosed with watershed infarction in the C5-7 spinal cord region. He was admitted to our hospital 18 days after onset of the disease. The patient had severe paralysis of both upper limbs, and the total score for the Functional Independence Measure (FIM) motor items was 25 points. Regarding the Canadian Occupational Performance Measure (COPM), three goals were listed: \"eating,\" \"going to the toilet,\" and \"raising one's hand in a meeting.\" The performance of \"going to the toilet\" was rated three points, and the performance and satisfaction of other items were one point. The intervention was practiced for 1 h/day, mainly items selected from COPM. The training using an upper limb rehabilitation support robot was added for 1 h/day. The upper limb rehabilitation support robot adjusted the range of motion and dosage according to the patient's motor function level and recovery status. About three months after admission, he improved until his upper limbs could be held in space on activities of daily living (ADL), and the total score for the FIM motor items improved to 81 points. The satisfaction and performance of all items listed as goals in COPM at the time of admission improved to ten points, and the patient was discharged 108 days after admission.</p><p><strong>Conclusions: </strong>The upper limb rehabilitation support robot training that matched the level of motor function improved the motor function and active range of motion (ROM). ADL generalization through task-oriented training helped improve self-care. The use of COPM for the training to enable the patient to acquire the ability to perform meaningful activities led to improved COPM performance and satisfaction.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"15 ","pages":"42-48"},"PeriodicalIF":0.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11493488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Examination of factors related to the performance index of patients with cardiovascular disease in a convalescent rehabilitation hospital.","authors":"Daisuke Fujii, Tomoyuki Morisawa, Satoshi Yamamoto, Tomohiro Matsuo, Kyohei Nyuba, Miyuki Maehata, Hirokazu Iwaki, Kentaro Iwata, Masakazu Saitoh, Munemoto Endo, Tetsuya Takahashi","doi":"10.11336/jjcrs.15.63","DOIUrl":"10.11336/jjcrs.15.63","url":null,"abstract":"<p><p>Fujii D, Morisawa T, Yamamoto S, Matsuo T, Nyuba K, Maehata M, Iwaki H, Iwata K, Saitoh M, Endo M, Takahashi T. Examination of factors related to the performance index of patients with cardiovascular disease in a convalescent rehabilitation hospital. Jpn J Compr Rehabil Sci 2024; 15: 63-70.</p><p><strong>Objective: </strong>The purpose of this study was to identify the characteristics of patients with cardiovascular disease who received cardiac rehabilitation (CR) at a convalescent rehabilitation hospital (rehabilitation hospital) after treatment at an acute-care hospital and whose performance index was 40 or higher.</p><p><strong>Methods: </strong>A total of 43 patients with cardiovascular disease were admitted to two rehabilitation hospitals. Based on the performance index, which is an indicator of the effectiveness of rehabilitation in rehabilitation hospitals, patients were classified into two groups: a \"high-performance index group\" (performance index of 40 or higher) and a \"low-performance index group\" (performance index of less than 40). We then compared the patient characteristics of the two groups.</p><p><strong>Results: </strong>The high-performance group accounted for 62.8% of the total. Compared to patients in the low-performance group, high-performers were significantly younger at the time of admission to the rehabilitation hospital and had significantly higher physical function and exercise tolerance. The results of the effect size measurement showed that the effect size was 0.98 and 0.93 on the Short Physical Performance Battery (SPPB) at admission to the rehabilitation hospital and on the pre-illness Kihon checklist, respectively, which were related to the achievement of the performance index.</p><p><strong>Conclusions: </strong>This study suggests that the SPPB at admission to a rehabilitation hospital and the pre-illness Kihon checklist are associated with obtaining a performance index of 40 or higher in patients with cardiovascular disease.</p>","PeriodicalId":101309,"journal":{"name":"Japanese journal of comprehensive rehabilitation science","volume":"15 ","pages":"63-70"},"PeriodicalIF":0.0,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11493490/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}